Santa Clara County EMS Exam
Policy 108 - System Variance Reporting
incidents that bring about a hazard to public safety, patient, by means of-stander, or responder
damage
What styles of incidents are taken into consideration Level A variances?
Any incident that consequences in a threat to public protection, affected person, by
using-stander or responder harm
1. Gross negligence
2. Fraud of certifications
3. Repeated negligence
four. Incompetence
A. Any deviation from an EMS Agency coverage or remedy protocol with affected person
damage
B. Medication or procedural errors with affected person harm
C. Failure or refusal to respond to request for useful resource, whether or not from the public or
another system company
D. System failure or malfunction with patient damage
E. Any substantial EMS-associated occasion that could be said to some other regulatory
enterprise
What is the maximum time you need to file a Level A variance?
Within 24 hours
Who have to be notified ASAP of a Level A variance?
EMS On-Duty Chief via County Communications
What sort of incidents are taken into consideration Level B variances?
Any incident that does NOT result in patient damage, but is a deviation from EMS enterprise
guidelines, strategies, and protocols
,A. Capacity clinical care variance
B. Potential coverage variance
C. Negative interagency coordination
D. Widespread criticism (public)
E. Communications device variance
F. Device failure or malfunction
What is the most time you need to document a Level B variance?
Within 5 (five) commercial enterprise days
What kind of incidents are considered Level C variances?
Incidents wherein the responders furnished awesome care and went above and past the normal
expectancies of responders; compliments
A. Excellent affected person final results
B. Fantastic customer service
C. High-quality issuer business enterprise/clinic cooperation
D. Field supervisor went above and beyond everyday expectations
What form might you use to file a variance record?
EMS Form #903
(System Performance Variance Report)
Policy 109 - Policy Development and Implementation
requirements for creation, revision, and implementation of SCC Pre-Hospital Care Policy (which
includes plans, protocols, techniques, and so forth.)
How will policy implementation be disseminated to you?
EMS Program Manager
What other sources do you have to discover new guidelines and updates?
-county EMS internet site
-county EMS app
-digital/social media
-hardcopy
, Which coverage addressed allocation and implementation of resources?
Policy #109
Policy 500 - Electronic Patient Care
minimum standard standards for the final touch and submission of electronic patient care file
(ePCR)
When an MCI alert occurs with five (5) or extra sufferers, is a PCR required?
No; the EMS Agency might also briefly suspend the requirement to complete an ePCR in sure
times of mass causality incidents, huge scale screw ups, or EMS Data System failure.
What might you operate in lieu of an ePCR whilst an MCI alert happens with 5 (five) or greater
sufferers?
Triage tags
Policy 501 - Hospital Radio Reports
wellknown sanatorium radio document format for prehospital care providers to inform a clinic of
pending arrival and whilst speaking with the Base Hospital
What indicators (health facility file/ringdown) require use of the county radio?
-Major Trauma Victim (MTV)
-STEMI
-Stroke
-critical patient transports, transporting with red lighting fixtures and sirens (RLS/code 3)
-when cell telephone/landline contact is NOT viable
What channel do you use for essential indicators thru the county radio when cellular
smartphone contact is NOT viable?
EMS Command ninety two
For interfacility transports, what shape of communique us used for ringdowns?
NOT to arise on SCC EMS Communications System frequencies; is the duty non-public
ambulance service DISPATCH middle
What data is needed while giving a DECON ALERT ringdown?
1. Kingdom "DECON ALERT"
Policy 108 - System Variance Reporting
incidents that bring about a hazard to public safety, patient, by means of-stander, or responder
damage
What styles of incidents are taken into consideration Level A variances?
Any incident that consequences in a threat to public protection, affected person, by
using-stander or responder harm
1. Gross negligence
2. Fraud of certifications
3. Repeated negligence
four. Incompetence
A. Any deviation from an EMS Agency coverage or remedy protocol with affected person
damage
B. Medication or procedural errors with affected person harm
C. Failure or refusal to respond to request for useful resource, whether or not from the public or
another system company
D. System failure or malfunction with patient damage
E. Any substantial EMS-associated occasion that could be said to some other regulatory
enterprise
What is the maximum time you need to file a Level A variance?
Within 24 hours
Who have to be notified ASAP of a Level A variance?
EMS On-Duty Chief via County Communications
What sort of incidents are taken into consideration Level B variances?
Any incident that does NOT result in patient damage, but is a deviation from EMS enterprise
guidelines, strategies, and protocols
,A. Capacity clinical care variance
B. Potential coverage variance
C. Negative interagency coordination
D. Widespread criticism (public)
E. Communications device variance
F. Device failure or malfunction
What is the most time you need to document a Level B variance?
Within 5 (five) commercial enterprise days
What kind of incidents are considered Level C variances?
Incidents wherein the responders furnished awesome care and went above and past the normal
expectancies of responders; compliments
A. Excellent affected person final results
B. Fantastic customer service
C. High-quality issuer business enterprise/clinic cooperation
D. Field supervisor went above and beyond everyday expectations
What form might you use to file a variance record?
EMS Form #903
(System Performance Variance Report)
Policy 109 - Policy Development and Implementation
requirements for creation, revision, and implementation of SCC Pre-Hospital Care Policy (which
includes plans, protocols, techniques, and so forth.)
How will policy implementation be disseminated to you?
EMS Program Manager
What other sources do you have to discover new guidelines and updates?
-county EMS internet site
-county EMS app
-digital/social media
-hardcopy
, Which coverage addressed allocation and implementation of resources?
Policy #109
Policy 500 - Electronic Patient Care
minimum standard standards for the final touch and submission of electronic patient care file
(ePCR)
When an MCI alert occurs with five (5) or extra sufferers, is a PCR required?
No; the EMS Agency might also briefly suspend the requirement to complete an ePCR in sure
times of mass causality incidents, huge scale screw ups, or EMS Data System failure.
What might you operate in lieu of an ePCR whilst an MCI alert happens with 5 (five) or greater
sufferers?
Triage tags
Policy 501 - Hospital Radio Reports
wellknown sanatorium radio document format for prehospital care providers to inform a clinic of
pending arrival and whilst speaking with the Base Hospital
What indicators (health facility file/ringdown) require use of the county radio?
-Major Trauma Victim (MTV)
-STEMI
-Stroke
-critical patient transports, transporting with red lighting fixtures and sirens (RLS/code 3)
-when cell telephone/landline contact is NOT viable
What channel do you use for essential indicators thru the county radio when cellular
smartphone contact is NOT viable?
EMS Command ninety two
For interfacility transports, what shape of communique us used for ringdowns?
NOT to arise on SCC EMS Communications System frequencies; is the duty non-public
ambulance service DISPATCH middle
What data is needed while giving a DECON ALERT ringdown?
1. Kingdom "DECON ALERT"
