LT Promotional Test UPDATED Exam
Questions and CORRECT Answers
What is "The Communication Failure Guideline"? - CORRECT ANSWER- Unable to contact
MCEP of all types of communications were attempted unsuccessfully
Radio reports are still required for what? - CORRECT ANSWER- 1) all emergent pt
transports; any code 3 to ED 2) STEMI, Sepsis, and Trauma/Burns 3) Pt that require
additional staff due to aggressive actions, jails, detention centers, in custody or any
suicidal/homicidal pts 4) Active labor with imminent delivery, post-delivery or contractions
less than 2 minutes apart or any pt pregnant with active abd pain/cramping or vaginal
bleeding greater or less than 20 weeks 5) all bannered MCI pts
Does a pt meeting ED triage criteria need a radio report? - CORRECT ANSWER- No, should
take EMS pts prior to stable walk-in pts
Radio reports should be limited to how many seconds? - CORRECT ANSWER- 30 seconds
for majority of pts
Non-priority pts still need a radio report for what reason? - CORRECT ANSWER- Allow the
ED enough time for bed placement
What are the Routine requirements for radio reports? - CORRECT ANSWER- 1) Age and
gender 2) CC/MOI 3) current status (stable/unstable 4) ETA 5) vital signs and tx rendered
May a nurse practitioner or PA allowed to give on line medical direction? - CORRECT
ANSWER- No, nor May they dictate care on scene
Who has the final decision, hospital destination MD or EMS Consortium MD? - CORRECT
ANSWER- Consortium physician but Hospital MCEP terminate cardiac arrest
Any pt with a CPAP should be transported to what kind of facility? - CORRECT ANSWER-
Core facility
,What is the CCT and what do they do? - CORRECT ANSWER- Critical Care Team and they
rendezvous for life-saving interventions. May be cancelled by Paramedic in charge or IC
When may resuscitation efforts be withheld? - CORRECT ANSWER- 1) rigormortis or
livermortis 2) obvious external exsanguination 3) decapitation or burned beyond recognition
4) massive opening or penetrating trauma to the head or chest with obvious organ obstruction
5) body decomposition 6) extended down time w/ cold skin 6) DNR
What if the family does not have a DNR? - CORRECT ANSWER- BLS, obtain consensus
from family, and contact MCEP for early termination
What forms must the family have to discontinue CPR? - CORRECT ANSWER- DNR or
MIST (New Mexico Medical Orders for Scope of Treatment"
What can be forms of an alternative DNR? - CORRECT ANSWER- "Living Will", or
"Advanced Directive" will be followed, will be administered, and judged appropriate by the
Paramedic
How long is expected for the complete turnover at the hospital? - CORRECT ANSWER- 20
minutes of ED arrival or when EMS run report is complete
Transport unit personnel will maintain charge of pt care at the hospital until what 4 steps are
accomplished? - CORRECT ANSWER- 1) Arrival at the hospital 2) Pt unloading 3) Moving
Pt from transport unit stretcher to hospital stretcher 4) Verbal turnover report to designated
hospital personnel
Who may assume responsibility for the care, transfer, and maintenance of lines and tubes
deemed necessary at the hospital? - CORRECT ANSWER- Emergency Medicine
Physician/NP/PA
How do you request a helicopter? - CORRECT ANSWER- Through Albuquerque Base
What is EMTALA? - CORRECT ANSWER- Applies to an individual comes to the hospital
ER and a request is made on the individuals behalf for examination or treatment of a medical
condition
,What is HCFA? - CORRECT ANSWER- "Comes to the hospitals ER" to mean the individual
is on the hospitals premises or in an ambulance owned by the hospital
All hospitals must remain open to receive pts UNLESS the hospital is what? - CORRECT
ANSWER- On "Black Divert"
What does "Black Divert" include? - CORRECT ANSWER- 1) Critical Infrastructure Failure
(facility mechanical/electrical supply failure, loss of critical imaging capabilities or treatment
capabilities 2) Building structure or safety compromise (fire, active shooter, building
collapse, flood)
For minors to make a decision regarding healthcare, they must be emancipated and how old?
- CORRECT ANSWER- 16 years old and be 1) married 2) divorced 3) active military 4)
Legally declared emancipated in a court of law
Does pregnancy in and of itself emancipate a minor? - CORRECT ANSWER- No, Contact
MCEP and Err on the side of transport versus cancellation
When a minor over the age of 16 is evaluated and is refusing further care, what should be
done? - CORRECT ANSWER- The pt can sign the liability release form as acknowledgment
of evaluation and refusal but the minor must be left in a safe environment. Utilize law
enforcement and MCEP
Who may take responsibility if they assumed responsibility for the child and sign the liability
release? - CORRECT ANSWER- Specific caretakers, including a non-minor sibling or non-
guardian family member, a school bus driver, or an adult group leader (church, scouts, etc.)
Can a emancipated minor make decisions for her minor child? - CORRECT ANSWER- Yes,
unless a minor mother is not making a decision in the best interest of the child, utilize the
EMS Act, MCEP, or law enforcement. An exception is children 14-18 who have been
sexually assaulted. These pts can consent for treatment and can request parents not be
contacted
What 5 things can increase mortality in traumatic brain injuries? - CORRECT ANSWER-
Hypothermia, hypotension, hypoxia, hypocapnia, and hypoglycemia
, Why should you not hyperventilate a pt with TBI/head trauma? - CORRECT ANSWER-
Lowers the CO2 and causes Vasoconstriction leading to increased ICP
Which pt would you want to hyperventilate? - CORRECT ANSWER- Pts ONLY with
evidence of herniation. Short term option only used for severe head injury typically GCS less
that or equal to 8 or unresponsive
If ALS medic and fire/rescue personnel arrive on scene simultaneously, who will take
responsibility of directing pt care? - CORRECT ANSWER- Fire department medic with their
equipment
Who should be notified immediately if an exposure has occurred? - CORRECT ANSWER-
BC and exposure guidelines be implemented
What is involuntary emergency transport? - CORRECT ANSWER- Good faith judgement
that the person in capable of making an informed decision about his/her own safety and is
likely to suffer disability or death
What are the vital signs requirements for entry into MATS? - CORRECT ANSWER- SBP 90-
160, HR 60-110, BGL greater than 70 and less than 200, O2 sat greater than 90%
The VA will only accept what color triage pts in the event if MCI? - CORRECT ANSWER-
Yellow and green and non-veteran in the event of MCI
What is a Tier 2 hospital? - CORRECT ANSWER- Pres DT and Lovelace/2 critical RED pts
How many critical RED pts will each hospital take once the first wave have been delivered? -
CORRECT ANSWER- 2 critical RED pt per hospital with Tier 1 and then Tier 2-1 critical
RED pt to any Tier 3 (this cycle can be repeated until all RED pts are triaged and transported)
What are Tier 3 hospitals? - CORRECT ANSWER- Rust, Westside, Woman's, SRMC, Heart,
Kaseman/ 1 RED pt
What is a Tier 1 hospital? - CORRECT ANSWER- UNMH 4 most critical RED pts
Questions and CORRECT Answers
What is "The Communication Failure Guideline"? - CORRECT ANSWER- Unable to contact
MCEP of all types of communications were attempted unsuccessfully
Radio reports are still required for what? - CORRECT ANSWER- 1) all emergent pt
transports; any code 3 to ED 2) STEMI, Sepsis, and Trauma/Burns 3) Pt that require
additional staff due to aggressive actions, jails, detention centers, in custody or any
suicidal/homicidal pts 4) Active labor with imminent delivery, post-delivery or contractions
less than 2 minutes apart or any pt pregnant with active abd pain/cramping or vaginal
bleeding greater or less than 20 weeks 5) all bannered MCI pts
Does a pt meeting ED triage criteria need a radio report? - CORRECT ANSWER- No, should
take EMS pts prior to stable walk-in pts
Radio reports should be limited to how many seconds? - CORRECT ANSWER- 30 seconds
for majority of pts
Non-priority pts still need a radio report for what reason? - CORRECT ANSWER- Allow the
ED enough time for bed placement
What are the Routine requirements for radio reports? - CORRECT ANSWER- 1) Age and
gender 2) CC/MOI 3) current status (stable/unstable 4) ETA 5) vital signs and tx rendered
May a nurse practitioner or PA allowed to give on line medical direction? - CORRECT
ANSWER- No, nor May they dictate care on scene
Who has the final decision, hospital destination MD or EMS Consortium MD? - CORRECT
ANSWER- Consortium physician but Hospital MCEP terminate cardiac arrest
Any pt with a CPAP should be transported to what kind of facility? - CORRECT ANSWER-
Core facility
,What is the CCT and what do they do? - CORRECT ANSWER- Critical Care Team and they
rendezvous for life-saving interventions. May be cancelled by Paramedic in charge or IC
When may resuscitation efforts be withheld? - CORRECT ANSWER- 1) rigormortis or
livermortis 2) obvious external exsanguination 3) decapitation or burned beyond recognition
4) massive opening or penetrating trauma to the head or chest with obvious organ obstruction
5) body decomposition 6) extended down time w/ cold skin 6) DNR
What if the family does not have a DNR? - CORRECT ANSWER- BLS, obtain consensus
from family, and contact MCEP for early termination
What forms must the family have to discontinue CPR? - CORRECT ANSWER- DNR or
MIST (New Mexico Medical Orders for Scope of Treatment"
What can be forms of an alternative DNR? - CORRECT ANSWER- "Living Will", or
"Advanced Directive" will be followed, will be administered, and judged appropriate by the
Paramedic
How long is expected for the complete turnover at the hospital? - CORRECT ANSWER- 20
minutes of ED arrival or when EMS run report is complete
Transport unit personnel will maintain charge of pt care at the hospital until what 4 steps are
accomplished? - CORRECT ANSWER- 1) Arrival at the hospital 2) Pt unloading 3) Moving
Pt from transport unit stretcher to hospital stretcher 4) Verbal turnover report to designated
hospital personnel
Who may assume responsibility for the care, transfer, and maintenance of lines and tubes
deemed necessary at the hospital? - CORRECT ANSWER- Emergency Medicine
Physician/NP/PA
How do you request a helicopter? - CORRECT ANSWER- Through Albuquerque Base
What is EMTALA? - CORRECT ANSWER- Applies to an individual comes to the hospital
ER and a request is made on the individuals behalf for examination or treatment of a medical
condition
,What is HCFA? - CORRECT ANSWER- "Comes to the hospitals ER" to mean the individual
is on the hospitals premises or in an ambulance owned by the hospital
All hospitals must remain open to receive pts UNLESS the hospital is what? - CORRECT
ANSWER- On "Black Divert"
What does "Black Divert" include? - CORRECT ANSWER- 1) Critical Infrastructure Failure
(facility mechanical/electrical supply failure, loss of critical imaging capabilities or treatment
capabilities 2) Building structure or safety compromise (fire, active shooter, building
collapse, flood)
For minors to make a decision regarding healthcare, they must be emancipated and how old?
- CORRECT ANSWER- 16 years old and be 1) married 2) divorced 3) active military 4)
Legally declared emancipated in a court of law
Does pregnancy in and of itself emancipate a minor? - CORRECT ANSWER- No, Contact
MCEP and Err on the side of transport versus cancellation
When a minor over the age of 16 is evaluated and is refusing further care, what should be
done? - CORRECT ANSWER- The pt can sign the liability release form as acknowledgment
of evaluation and refusal but the minor must be left in a safe environment. Utilize law
enforcement and MCEP
Who may take responsibility if they assumed responsibility for the child and sign the liability
release? - CORRECT ANSWER- Specific caretakers, including a non-minor sibling or non-
guardian family member, a school bus driver, or an adult group leader (church, scouts, etc.)
Can a emancipated minor make decisions for her minor child? - CORRECT ANSWER- Yes,
unless a minor mother is not making a decision in the best interest of the child, utilize the
EMS Act, MCEP, or law enforcement. An exception is children 14-18 who have been
sexually assaulted. These pts can consent for treatment and can request parents not be
contacted
What 5 things can increase mortality in traumatic brain injuries? - CORRECT ANSWER-
Hypothermia, hypotension, hypoxia, hypocapnia, and hypoglycemia
, Why should you not hyperventilate a pt with TBI/head trauma? - CORRECT ANSWER-
Lowers the CO2 and causes Vasoconstriction leading to increased ICP
Which pt would you want to hyperventilate? - CORRECT ANSWER- Pts ONLY with
evidence of herniation. Short term option only used for severe head injury typically GCS less
that or equal to 8 or unresponsive
If ALS medic and fire/rescue personnel arrive on scene simultaneously, who will take
responsibility of directing pt care? - CORRECT ANSWER- Fire department medic with their
equipment
Who should be notified immediately if an exposure has occurred? - CORRECT ANSWER-
BC and exposure guidelines be implemented
What is involuntary emergency transport? - CORRECT ANSWER- Good faith judgement
that the person in capable of making an informed decision about his/her own safety and is
likely to suffer disability or death
What are the vital signs requirements for entry into MATS? - CORRECT ANSWER- SBP 90-
160, HR 60-110, BGL greater than 70 and less than 200, O2 sat greater than 90%
The VA will only accept what color triage pts in the event if MCI? - CORRECT ANSWER-
Yellow and green and non-veteran in the event of MCI
What is a Tier 2 hospital? - CORRECT ANSWER- Pres DT and Lovelace/2 critical RED pts
How many critical RED pts will each hospital take once the first wave have been delivered? -
CORRECT ANSWER- 2 critical RED pt per hospital with Tier 1 and then Tier 2-1 critical
RED pt to any Tier 3 (this cycle can be repeated until all RED pts are triaged and transported)
What are Tier 3 hospitals? - CORRECT ANSWER- Rust, Westside, Woman's, SRMC, Heart,
Kaseman/ 1 RED pt
What is a Tier 1 hospital? - CORRECT ANSWER- UNMH 4 most critical RED pts
