Santa Clara Local systems orientation exam
. Infectious Disease Control Measures
a. Universal/Standard Precautions (PPE) - ANSWER-1. Nitrile Gloves
2. Eye Protection
3. Hand washing after every patient contact
4. If hand washing not possible, use waterless hand sanitizer
"turn down" situations" - ANSWER-a. Violation of safe work practices
b. Environmental conditions make the work unsafe
c. Individual lacks necessary qualifications or experience
d. Defective equipment is being used
e. The assignment violates federal, state, or local law or regulation
f. Assignment violate established policies, procedures, or treatment protocols
Acceptable DNR documents - ANSWER-1. POLST (physician order for life sustaining
treatment stating no CPR)
2. EMSA and CMA approved EMS, prehospital DNR form
3. CA approved DNR medallion
4. Durable Power of Attorney for Health Care (DPAHC)
An LHZ will be marked with... - ANSWER-Three horizontal strands of red and white
barrier take with "do not enter" printed in large lettering.
if red tape unavailavle, any area barricade with three horizontal strands of barrier tape is
to be considered a LHZ until proven otherwise.
BLS utilization - ANSWER-1. interfacility transportation - Hospital to SN, Hospital to
residence, MD appointments, dialysis, ETC.
2. Emergent patients encountered by EMT (emergent = life or limb threatening) may be
transported to hospital with lights and sirens if less than 10 minutes from arrival on
scene to hospital. crew must inform county comm and get a run number.
BLS utilization: During times of high call volume.... - ANSWER-BLS ambulance query's
may fo out bringing BLS into the 911 system.
BLS utilization: If immediate transport is necessary and no paramedic ambulance is
available... - ANSWER-First arriving paramedic unit shall acompany the BLS crew using
ALS equipment from first response unit.
BLS utilization: If on scene to hospital is greater than 10 minutes... - ANSWER-....911
must be called for ALS assisstance.
BLS utilization: if patient requires ALS assisstance.... - ANSWER-paramedic from ALS
first responder shall provide necessary ALS interventions
, C.A.N. Report - ANSWER-C: conditions: what is observed
A: actions: what IC plans to do
N: needs: what additional resources are needed.
Child: - ANSWER-Considered older than 1 year of age
Diversion - ANSWER--Only one hospital may be on ambulance diversion (red) at any
given time in a diversion zone
-May divert for 90 minutes per occurence, but must allow for another 90 minutes before
next diversion.
Diversion centers Central - ANSWER-Central: Regional MC SJ, Santa Clara Valley MC,
O'Connor
Diversion centers Southern - ANSWER-Southern: Good Samaritan Hospital, Kaiser SJ,
St. Louise.
Diversion zones North - ANSWER-North: Stanford hospital, El Camino Hospital MV,
Kaiser SC
documentation when physician at scene (5 things) - ANSWER-1. physician name
2. CA medical license #
3. business phone #
4. level of patient care involvement
5. all procedures and treatments performed at the scene.
Emergency vehicle positioning - ANSWER-1. positioning emergency vehicles to form a
barrier between an emergency scene and flowing traffic or other hazards> (with
emergency lights on)
-an vehicle used to create this barrier shall be unoccupied.
-patients are not to be loaded into these vehicles.
2. if a scene has already been protected, ambulances should position themselves
beyond the scene to create a safe location for crews and patients to be loaded into
ambulance.
EMS Duty chief may serve in the following capacities - ANSWER-1. Liaison between
agencies that are requested by incident commander
2. may delegate any system roles to the contractors ALS field supervisors.
3. Fill in incident command system i.e. medical branch, tranpotation, ambulance
staging, medical comm's, treatment of unit leader, etc.
EMS life safety procedures:
1. First on scene - ANSWER-if first on scene one crew member assumes IC role other
responsible for overall incident safety.
. Infectious Disease Control Measures
a. Universal/Standard Precautions (PPE) - ANSWER-1. Nitrile Gloves
2. Eye Protection
3. Hand washing after every patient contact
4. If hand washing not possible, use waterless hand sanitizer
"turn down" situations" - ANSWER-a. Violation of safe work practices
b. Environmental conditions make the work unsafe
c. Individual lacks necessary qualifications or experience
d. Defective equipment is being used
e. The assignment violates federal, state, or local law or regulation
f. Assignment violate established policies, procedures, or treatment protocols
Acceptable DNR documents - ANSWER-1. POLST (physician order for life sustaining
treatment stating no CPR)
2. EMSA and CMA approved EMS, prehospital DNR form
3. CA approved DNR medallion
4. Durable Power of Attorney for Health Care (DPAHC)
An LHZ will be marked with... - ANSWER-Three horizontal strands of red and white
barrier take with "do not enter" printed in large lettering.
if red tape unavailavle, any area barricade with three horizontal strands of barrier tape is
to be considered a LHZ until proven otherwise.
BLS utilization - ANSWER-1. interfacility transportation - Hospital to SN, Hospital to
residence, MD appointments, dialysis, ETC.
2. Emergent patients encountered by EMT (emergent = life or limb threatening) may be
transported to hospital with lights and sirens if less than 10 minutes from arrival on
scene to hospital. crew must inform county comm and get a run number.
BLS utilization: During times of high call volume.... - ANSWER-BLS ambulance query's
may fo out bringing BLS into the 911 system.
BLS utilization: If immediate transport is necessary and no paramedic ambulance is
available... - ANSWER-First arriving paramedic unit shall acompany the BLS crew using
ALS equipment from first response unit.
BLS utilization: If on scene to hospital is greater than 10 minutes... - ANSWER-....911
must be called for ALS assisstance.
BLS utilization: if patient requires ALS assisstance.... - ANSWER-paramedic from ALS
first responder shall provide necessary ALS interventions
, C.A.N. Report - ANSWER-C: conditions: what is observed
A: actions: what IC plans to do
N: needs: what additional resources are needed.
Child: - ANSWER-Considered older than 1 year of age
Diversion - ANSWER--Only one hospital may be on ambulance diversion (red) at any
given time in a diversion zone
-May divert for 90 minutes per occurence, but must allow for another 90 minutes before
next diversion.
Diversion centers Central - ANSWER-Central: Regional MC SJ, Santa Clara Valley MC,
O'Connor
Diversion centers Southern - ANSWER-Southern: Good Samaritan Hospital, Kaiser SJ,
St. Louise.
Diversion zones North - ANSWER-North: Stanford hospital, El Camino Hospital MV,
Kaiser SC
documentation when physician at scene (5 things) - ANSWER-1. physician name
2. CA medical license #
3. business phone #
4. level of patient care involvement
5. all procedures and treatments performed at the scene.
Emergency vehicle positioning - ANSWER-1. positioning emergency vehicles to form a
barrier between an emergency scene and flowing traffic or other hazards> (with
emergency lights on)
-an vehicle used to create this barrier shall be unoccupied.
-patients are not to be loaded into these vehicles.
2. if a scene has already been protected, ambulances should position themselves
beyond the scene to create a safe location for crews and patients to be loaded into
ambulance.
EMS Duty chief may serve in the following capacities - ANSWER-1. Liaison between
agencies that are requested by incident commander
2. may delegate any system roles to the contractors ALS field supervisors.
3. Fill in incident command system i.e. medical branch, tranpotation, ambulance
staging, medical comm's, treatment of unit leader, etc.
EMS life safety procedures:
1. First on scene - ANSWER-if first on scene one crew member assumes IC role other
responsible for overall incident safety.
