Santa Clara Local systems orientation
exam
. Infectious Disease Control Measures
a. Universal/Standard Precautions (PPE) - ANS-1. Nitrile Gloves
2. Eye Protection
3. Hand washing after each patient touch
4. If hand washing not viable, use waterless hand sanitizer
"flip down" conditions" - ANS-a. Violation of safe paintings practices
b. Environmental conditions make the work risky
c. Individual lacks vital qualifications or enjoy
d. Defective device is being used
e. The task violates federal, nation, or nearby regulation or regulation
f. Assignment violate hooked up guidelines, methods, or remedy protocols
Acceptable DNR documents - ANS-1. POLST (health practitioner order for lifestyles maintaining
remedy stating no CPR)
2. EMSA and CMA authorized EMS, prehospital DNR form
3. CA approved DNR medallion
four. Durable Power of Attorney for Health Care (DPAHC)
An LHZ may be marked with... - ANS-Three horizontal strands of purple and white barrier take
with "do no longer enter" printed in huge lettering.
If crimson tape unavailavle, any location barricade with 3 horizontal strands of barrier tape is to
be considered a LHZ till tested in any other case.
BLS utilization - ANS-1. Interfacility transportation - Hospital to SN, Hospital to residence, MD
appointments, dialysis, ETC.
2. Emergent patients encountered with the aid of EMT (emergent = existence or limb
threatening) may be transported to hospital with lights and sirens if much less than 10 mins from
arrival on scene to clinic. Crew should inform county comm and get a run range.
BLS utilization: During instances of high call volume.... - ANS-BLS ambulance query's might
also fo out bringing BLS into the 911 device.
BLS utilization: If immediate transport is important and no paramedic ambulance is to be had... -
ANS-First arriving paramedic unit shall acompany the BLS crew using ALS system from first
response unit.
BLS utilization: If on scene to health facility is extra than 10 mins... - ANS-....911 need to be
referred to as for ALS assisstance.
BLS utilization: if affected person requires ALS assisstance.... - ANS-paramedic from ALS first
responder shall provide vital ALS interventions
C.A.N. Report - ANS-C: situations: what is observed
, A: movements: what IC plans to do
N: wishes: what additional resources are wanted.
Child: - ANS-Considered older than 1 12 months of age
Diversion - ANS--Only one hospital can be on ambulance diversion (crimson) at any given time
in a diversion sector
-May divert for ninety mins per occurence, however must allow for any other ninety mins earlier
than subsequent diversion.
Diversion centers Central - ANS-Central: Regional MC SJ, Santa Clara Valley MC, O'Connor
Diversion facilities Southern - ANS-Southern: Good Samaritan Hospital, Kaiser SJ, St. Louise.
Diversion zones North - ANS-North: Stanford clinic, El Camino Hospital MV, Kaiser SC
documentation whilst doctor at scene (five things) - ANS-1. Doctor call
2. CA scientific license #
three. Business smartphone #
4. Level of affected person care involvement
5. All techniques and remedies done on the scene.
Emergency car positioning - ANS-1. Positioning emergency vehicles to shape 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.
-sufferers aren't to be loaded into those automobiles.
2. If a scene has already been included, ambulances should role themselves beyond the scene
to create a safe vicinity for crews and sufferers to be loaded into ambulance.
EMS Duty leader might also serve inside the following capacities - ANS-1. Liaison among
agencies which can be asked by means of incident commander
2. May delegate any system roles to the contractors ALS area supervisors.
Three. Fill in incident command system i.E. Scientific branch, tranpotation, ambulance staging,
clinical comm's, treatment of unit chief, etc.
EMS life protection strategies:
1. First on scene - ANS-if first on scene one crew member assumes IC position other
answerable for ordinary incident protection.
IC assumes obligation for incident management, requeires C.A.N. File
Fire dept. Or regulation enforcement will have IC rolde transferred to them as soon as they
come on scene (county Communications need to be notified of this modification.)
EMS personnel Markings and shielding Gear:
Indications: - ANS-1. Federal aviation admin. FAA alerts
2. MPMP activations
three. Actual/suspeded HAZMAT activities
four. Incidents on roadways or freeways
five. Operating with aircraft
6. Mutual or automatic air responses.
7. When the need for clean ID and/or popularity exists because of multi-organisation reaction,
environmental situations, and or widespread protection.
exam
. Infectious Disease Control Measures
a. Universal/Standard Precautions (PPE) - ANS-1. Nitrile Gloves
2. Eye Protection
3. Hand washing after each patient touch
4. If hand washing not viable, use waterless hand sanitizer
"flip down" conditions" - ANS-a. Violation of safe paintings practices
b. Environmental conditions make the work risky
c. Individual lacks vital qualifications or enjoy
d. Defective device is being used
e. The task violates federal, nation, or nearby regulation or regulation
f. Assignment violate hooked up guidelines, methods, or remedy protocols
Acceptable DNR documents - ANS-1. POLST (health practitioner order for lifestyles maintaining
remedy stating no CPR)
2. EMSA and CMA authorized EMS, prehospital DNR form
3. CA approved DNR medallion
four. Durable Power of Attorney for Health Care (DPAHC)
An LHZ may be marked with... - ANS-Three horizontal strands of purple and white barrier take
with "do no longer enter" printed in huge lettering.
If crimson tape unavailavle, any location barricade with 3 horizontal strands of barrier tape is to
be considered a LHZ till tested in any other case.
BLS utilization - ANS-1. Interfacility transportation - Hospital to SN, Hospital to residence, MD
appointments, dialysis, ETC.
2. Emergent patients encountered with the aid of EMT (emergent = existence or limb
threatening) may be transported to hospital with lights and sirens if much less than 10 mins from
arrival on scene to clinic. Crew should inform county comm and get a run range.
BLS utilization: During instances of high call volume.... - ANS-BLS ambulance query's might
also fo out bringing BLS into the 911 device.
BLS utilization: If immediate transport is important and no paramedic ambulance is to be had... -
ANS-First arriving paramedic unit shall acompany the BLS crew using ALS system from first
response unit.
BLS utilization: If on scene to health facility is extra than 10 mins... - ANS-....911 need to be
referred to as for ALS assisstance.
BLS utilization: if affected person requires ALS assisstance.... - ANS-paramedic from ALS first
responder shall provide vital ALS interventions
C.A.N. Report - ANS-C: situations: what is observed
, A: movements: what IC plans to do
N: wishes: what additional resources are wanted.
Child: - ANS-Considered older than 1 12 months of age
Diversion - ANS--Only one hospital can be on ambulance diversion (crimson) at any given time
in a diversion sector
-May divert for ninety mins per occurence, however must allow for any other ninety mins earlier
than subsequent diversion.
Diversion centers Central - ANS-Central: Regional MC SJ, Santa Clara Valley MC, O'Connor
Diversion facilities Southern - ANS-Southern: Good Samaritan Hospital, Kaiser SJ, St. Louise.
Diversion zones North - ANS-North: Stanford clinic, El Camino Hospital MV, Kaiser SC
documentation whilst doctor at scene (five things) - ANS-1. Doctor call
2. CA scientific license #
three. Business smartphone #
4. Level of affected person care involvement
5. All techniques and remedies done on the scene.
Emergency car positioning - ANS-1. Positioning emergency vehicles to shape 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.
-sufferers aren't to be loaded into those automobiles.
2. If a scene has already been included, ambulances should role themselves beyond the scene
to create a safe vicinity for crews and sufferers to be loaded into ambulance.
EMS Duty leader might also serve inside the following capacities - ANS-1. Liaison among
agencies which can be asked by means of incident commander
2. May delegate any system roles to the contractors ALS area supervisors.
Three. Fill in incident command system i.E. Scientific branch, tranpotation, ambulance staging,
clinical comm's, treatment of unit chief, etc.
EMS life protection strategies:
1. First on scene - ANS-if first on scene one crew member assumes IC position other
answerable for ordinary incident protection.
IC assumes obligation for incident management, requeires C.A.N. File
Fire dept. Or regulation enforcement will have IC rolde transferred to them as soon as they
come on scene (county Communications need to be notified of this modification.)
EMS personnel Markings and shielding Gear:
Indications: - ANS-1. Federal aviation admin. FAA alerts
2. MPMP activations
three. Actual/suspeded HAZMAT activities
four. Incidents on roadways or freeways
five. Operating with aircraft
6. Mutual or automatic air responses.
7. When the need for clean ID and/or popularity exists because of multi-organisation reaction,
environmental situations, and or widespread protection.
