KERN COUNTY PROTOCOLS EXAM
QUESTIONS AND ANSWERS
What is Level 1? - Answers -Level one Protocols you do not haft to make base contact
to preform them.
What is Level 2? - Answers -Level two protocols you haft to
1. Attempt base contact once provided
2. Can be provided if base contact cannot be established or once established cannot be
maintained
3. Can be modified or changed WITH base contact. ANY VARIATIONS FROM
TREATMENT SEQUENCES SHALL BE THOROUGHLY DOCUMENTED ON PCR
NARRATIVE.
What are treatment you can do under Level 1 Protocols?
16 IN TOTAL
JUST TREATMENTS NO DRUGS. - Answers -1. Admin IV NRS
2. Saline locks for -blood draws, iv access but does not require cont. infusions of IV
solution
3. A Saline lock may not be used in pt's at risk for hypoperfusion (i.e. cardiac arrest,
trauma, busrn, or signs of physiological shock)
3. Perform ventilation by use of et intubations or by use of supralaryngeal airway(use of
a bougie)
4.Admin Cpap
5. 12 Leads
6. Cardiac Defib
7. Synchronized Cardioversion
8. Pacing
9. Valsalva Procedure
10.. Visualize the airway by use of a laryngoscope and remove foreign body using
forceps
11. Perform NG tube and suction when gastric decompression is required
113. Perform IO infusions. For pt's that respond to painful stimuli consider low does of
LIDOCAINE 2% prior to infusing fluids for pain associated with IO infusion. The initial
bolus of lidocaine should be given prior to admin of 10 ml flush. All lidocaine to work for
30-60 secs before admin of fluids. Contact bas if pt requires additional doses. ADULTS
40mg slow, PEDS 0.5mg/kg SLOW with a max of 40
14. Use blood glucose, capnography, and capnometry
15. ALL BLS SKILLS
16. BASE HOSP. COMMUNICATIONS SHOULD BE ATTEMPTED WHILE OR AS
SOON AS LEVEL 1 PROTOCOLS ARE USED.(IF PT COND PERMITS.)
, Saline Locks MAY NOT be used when? - Answers -For pt's at risk of hypoperfusion(i.e.
cardiac arrest, trauma, burn, or signs of physiological shock)
What are drugs you can give under level 1 protocols? - Answers -1. 10% glucose
solution
2 Adenosine
3. Amiodarone
4. Aspirin
5. Atropine Sulfate
6. Albuterol
7. Epi
8. Ipratropium (Atrovent)
9. Lidocaine HCL
10. Morphine Sulfate
11. Naloxone
12. Nitroglycerin
13. Ondansetron
How long before it is considered a "failure of the base station to respond with pt care
instructions" - Answers -3 Minutes
What happens in the event a paramedic is on the scene of an emergency or during
transport and cannot make or maintain direct voice contact with base hospital? -
Answers -In the event a paramedic at the scene of an emergency or during transport
cannot maintain direct voive contact with a base hospital physician or MICN and
REASONABLY determines that A DELAY IN TREATMENT MAY JEOPADRIZE THE PT
The paramedic is authorized to provide any level 1 and level 2 protocols.
Once activated, they will remain in effect until direct voice communications with a base
hospital can be established and maintained or until the pt is delivered to a gneral acute
care hosp.
BASE HOSP. CONTACT SHALL BE ESTABLISHED ASAP EVEN THOUGH LEVEL 2
PROTOCOLS HAVE BEEN ACTIVATED.
What treatments can you do under LEVEL 2 protocols?
2 only
no drugs - Answers -1. Preform Cricothyrotomy using approved devices
2. Preform Thoracic decompression
What does Mercy have? - Answers -1. Base Station
2. Trauma step 3
3. Orthopedic
4. Psychiatric with out other medical condition ruled out
5. Stroke meeting activation criteria
6. Stroke not meeting activation criteria
What does MSW have? - Answers -1. Base Station
QUESTIONS AND ANSWERS
What is Level 1? - Answers -Level one Protocols you do not haft to make base contact
to preform them.
What is Level 2? - Answers -Level two protocols you haft to
1. Attempt base contact once provided
2. Can be provided if base contact cannot be established or once established cannot be
maintained
3. Can be modified or changed WITH base contact. ANY VARIATIONS FROM
TREATMENT SEQUENCES SHALL BE THOROUGHLY DOCUMENTED ON PCR
NARRATIVE.
What are treatment you can do under Level 1 Protocols?
16 IN TOTAL
JUST TREATMENTS NO DRUGS. - Answers -1. Admin IV NRS
2. Saline locks for -blood draws, iv access but does not require cont. infusions of IV
solution
3. A Saline lock may not be used in pt's at risk for hypoperfusion (i.e. cardiac arrest,
trauma, busrn, or signs of physiological shock)
3. Perform ventilation by use of et intubations or by use of supralaryngeal airway(use of
a bougie)
4.Admin Cpap
5. 12 Leads
6. Cardiac Defib
7. Synchronized Cardioversion
8. Pacing
9. Valsalva Procedure
10.. Visualize the airway by use of a laryngoscope and remove foreign body using
forceps
11. Perform NG tube and suction when gastric decompression is required
113. Perform IO infusions. For pt's that respond to painful stimuli consider low does of
LIDOCAINE 2% prior to infusing fluids for pain associated with IO infusion. The initial
bolus of lidocaine should be given prior to admin of 10 ml flush. All lidocaine to work for
30-60 secs before admin of fluids. Contact bas if pt requires additional doses. ADULTS
40mg slow, PEDS 0.5mg/kg SLOW with a max of 40
14. Use blood glucose, capnography, and capnometry
15. ALL BLS SKILLS
16. BASE HOSP. COMMUNICATIONS SHOULD BE ATTEMPTED WHILE OR AS
SOON AS LEVEL 1 PROTOCOLS ARE USED.(IF PT COND PERMITS.)
, Saline Locks MAY NOT be used when? - Answers -For pt's at risk of hypoperfusion(i.e.
cardiac arrest, trauma, burn, or signs of physiological shock)
What are drugs you can give under level 1 protocols? - Answers -1. 10% glucose
solution
2 Adenosine
3. Amiodarone
4. Aspirin
5. Atropine Sulfate
6. Albuterol
7. Epi
8. Ipratropium (Atrovent)
9. Lidocaine HCL
10. Morphine Sulfate
11. Naloxone
12. Nitroglycerin
13. Ondansetron
How long before it is considered a "failure of the base station to respond with pt care
instructions" - Answers -3 Minutes
What happens in the event a paramedic is on the scene of an emergency or during
transport and cannot make or maintain direct voice contact with base hospital? -
Answers -In the event a paramedic at the scene of an emergency or during transport
cannot maintain direct voive contact with a base hospital physician or MICN and
REASONABLY determines that A DELAY IN TREATMENT MAY JEOPADRIZE THE PT
The paramedic is authorized to provide any level 1 and level 2 protocols.
Once activated, they will remain in effect until direct voice communications with a base
hospital can be established and maintained or until the pt is delivered to a gneral acute
care hosp.
BASE HOSP. CONTACT SHALL BE ESTABLISHED ASAP EVEN THOUGH LEVEL 2
PROTOCOLS HAVE BEEN ACTIVATED.
What treatments can you do under LEVEL 2 protocols?
2 only
no drugs - Answers -1. Preform Cricothyrotomy using approved devices
2. Preform Thoracic decompression
What does Mercy have? - Answers -1. Base Station
2. Trauma step 3
3. Orthopedic
4. Psychiatric with out other medical condition ruled out
5. Stroke meeting activation criteria
6. Stroke not meeting activation criteria
What does MSW have? - Answers -1. Base Station
