Loyola EMS System Entry
LOYOLA EMS SYSTEM - SYSTEM ENTRY | EXAM QUESTIONS AND
CORRECT ANSWERS | VERIFIED EMS SYSTEM ENTRY LATEST
2026/2027
LOYOLA EMS SYSTEM
SYSTEM ENTRY
1. Which Illinois statute provides the legal framework under which the
Loyola EMS System operates?
A. The federal Ryan White CARE Act
B. The Emergency Medical Services (EMS) Systems Act (210 ILCS 50)
C. The Illinois Hospital Licensing Act only
D. The Illinois Nurse Practice Act
ANSWER : B
The EMS Systems Act, with its rules in Title 77 Illinois Administrative
Code Part 515, governs EMS systems, licensure and medical direction
across Illinois.
2. Which state agency licenses EMS personnel and approves EMS
Systems in Illinois?
A. Illinois State Police
B. Illinois Department of Public Health (IDPH)
C. Illinois Department of Financial and Professional Regulation
D. Illinois Emergency Management Agency
ANSWER : B
IDPH issues EMT, A-EMT, paramedic and PHRN licenses and approves
each EMS System plan.
Page 1 of 53
, Loyola EMS System Entry
3. In the Loyola EMS System, the Resource Hospital is:
A. The fire department headquarters
B. Any hospital the patient requests
C. Loyola University Medical Center
D. The closest freestanding emergency center
ANSWER : C
The Resource Hospital holds overall responsibility for the system's
medical direction, education and quality program; for this system that is
Loyola University Medical Center in Maywood.
4. Who holds ultimate medical authority over all prehospital care
delivered within an Illinois EMS System?
A. The EMS Medical Director (EMS MD)
B. The fire chief
C. The EMS System Coordinator
D. The senior paramedic on scene
ANSWER : A
The EMS MD is the physician accountable for protocols, credentialing and
the medical oversight of every provider in the system.
5. The person who manages day-to-day system operations, education
and continuing education on behalf of the EMS MD is the:
A. Emergency Communications Registered Nurse
B. EMS System Coordinator
C. Provider agency shift captain
D. Hospital chief nursing officer
ANSWER : B
The EMS System Coordinator oversees education, CE tracking, QI and
administrative functions under the direction of the EMS MD.
Page 2 of 53
, Loyola EMS System Entry
6. An Emergency Communications Registered Nurse (ECRN) is
authorized to:
A. Give online medical orders to EMS crews under the authority of the
EMS MD
B. Treat patients in the field without a physician
C. Revoke a paramedic's state license
D. Write new standing orders for the system
ANSWER : A
An ECRN is a system-approved RN who provides online medical control
using system protocols and consults an ED physician when required.
7. How long is an Illinois EMT or paramedic license valid before
renewal is required?
A. 6 years
B. 2 years
C. 1 year
D. 4 years
ANSWER : D
IDPH licenses for EMS personnel run on a four-year cycle tied to
continuing education completion.
8. How many hours of continuing education must a paramedic complete
during each Illinois license cycle?
A. 24 hours
B. 48 hours
C. 60 hours
D. 100 hours
ANSWER : D
Illinois requires 100 hours of CE for paramedics per four-year cycle,
compared with 60 hours for EMTs.
Page 3 of 53
, Loyola EMS System Entry
9. How many hours of continuing education must an EMT complete
during each Illinois license cycle?
A. 30 hours
B. 100 hours
C. 120 hours
D. 60 hours
ANSWER : D
An EMT must document 60 hours of approved CE across the four-year
licensure period.
10. Which requirement must be met before a newly hired paramedic
may function independently in the Loyola EMS System?
A. Membership in a national EMS association
B. Two years of experience in another state
C. Successful completion of system entry requirements, including the
entry exam and orientation
D. A letter from any physician
ANSWER : C
System entry confirms the provider knows local protocols and is
credentialed by the EMS MD before practicing within the system.
11. Standing orders in the system SOPs are best described as:
A. Orders that may only be given by an ED physician over the radio
B. Hospital admission orders
C. Suggestions that require written approval after the call
D. Treatments a provider may initiate without contacting medical control
first
ANSWER : D
Standing orders allow immediate care for time-sensitive conditions;
medical control is contacted afterward or when the SOP requires it.
Page 4 of 53
LOYOLA EMS SYSTEM - SYSTEM ENTRY | EXAM QUESTIONS AND
CORRECT ANSWERS | VERIFIED EMS SYSTEM ENTRY LATEST
2026/2027
LOYOLA EMS SYSTEM
SYSTEM ENTRY
1. Which Illinois statute provides the legal framework under which the
Loyola EMS System operates?
A. The federal Ryan White CARE Act
B. The Emergency Medical Services (EMS) Systems Act (210 ILCS 50)
C. The Illinois Hospital Licensing Act only
D. The Illinois Nurse Practice Act
ANSWER : B
The EMS Systems Act, with its rules in Title 77 Illinois Administrative
Code Part 515, governs EMS systems, licensure and medical direction
across Illinois.
2. Which state agency licenses EMS personnel and approves EMS
Systems in Illinois?
A. Illinois State Police
B. Illinois Department of Public Health (IDPH)
C. Illinois Department of Financial and Professional Regulation
D. Illinois Emergency Management Agency
ANSWER : B
IDPH issues EMT, A-EMT, paramedic and PHRN licenses and approves
each EMS System plan.
Page 1 of 53
, Loyola EMS System Entry
3. In the Loyola EMS System, the Resource Hospital is:
A. The fire department headquarters
B. Any hospital the patient requests
C. Loyola University Medical Center
D. The closest freestanding emergency center
ANSWER : C
The Resource Hospital holds overall responsibility for the system's
medical direction, education and quality program; for this system that is
Loyola University Medical Center in Maywood.
4. Who holds ultimate medical authority over all prehospital care
delivered within an Illinois EMS System?
A. The EMS Medical Director (EMS MD)
B. The fire chief
C. The EMS System Coordinator
D. The senior paramedic on scene
ANSWER : A
The EMS MD is the physician accountable for protocols, credentialing and
the medical oversight of every provider in the system.
5. The person who manages day-to-day system operations, education
and continuing education on behalf of the EMS MD is the:
A. Emergency Communications Registered Nurse
B. EMS System Coordinator
C. Provider agency shift captain
D. Hospital chief nursing officer
ANSWER : B
The EMS System Coordinator oversees education, CE tracking, QI and
administrative functions under the direction of the EMS MD.
Page 2 of 53
, Loyola EMS System Entry
6. An Emergency Communications Registered Nurse (ECRN) is
authorized to:
A. Give online medical orders to EMS crews under the authority of the
EMS MD
B. Treat patients in the field without a physician
C. Revoke a paramedic's state license
D. Write new standing orders for the system
ANSWER : A
An ECRN is a system-approved RN who provides online medical control
using system protocols and consults an ED physician when required.
7. How long is an Illinois EMT or paramedic license valid before
renewal is required?
A. 6 years
B. 2 years
C. 1 year
D. 4 years
ANSWER : D
IDPH licenses for EMS personnel run on a four-year cycle tied to
continuing education completion.
8. How many hours of continuing education must a paramedic complete
during each Illinois license cycle?
A. 24 hours
B. 48 hours
C. 60 hours
D. 100 hours
ANSWER : D
Illinois requires 100 hours of CE for paramedics per four-year cycle,
compared with 60 hours for EMTs.
Page 3 of 53
, Loyola EMS System Entry
9. How many hours of continuing education must an EMT complete
during each Illinois license cycle?
A. 30 hours
B. 100 hours
C. 120 hours
D. 60 hours
ANSWER : D
An EMT must document 60 hours of approved CE across the four-year
licensure period.
10. Which requirement must be met before a newly hired paramedic
may function independently in the Loyola EMS System?
A. Membership in a national EMS association
B. Two years of experience in another state
C. Successful completion of system entry requirements, including the
entry exam and orientation
D. A letter from any physician
ANSWER : C
System entry confirms the provider knows local protocols and is
credentialed by the EMS MD before practicing within the system.
11. Standing orders in the system SOPs are best described as:
A. Orders that may only be given by an ED physician over the radio
B. Hospital admission orders
C. Suggestions that require written approval after the call
D. Treatments a provider may initiate without contacting medical control
first
ANSWER : D
Standing orders allow immediate care for time-sensitive conditions;
medical control is contacted afterward or when the SOP requires it.
Page 4 of 53
