Suffolk County Protocols
On-Line Medical Control Physician
a. a physician authorized by the Medical Director and the Regional Emergency Medical Advisory
Committee (REMAC) to provide advice and direction when such physician is present at the scene of
an out-of-hospital medical emergency
b. a physician authorized by the Medical Director to provide advice and direction to ALS Providers
providing out-of-hospital medical care
c. a physician receiving additional authority as a Deputy Fire Coordinator-Medical (DFC-Medical) to
operate as an agent of the county, when specifically called upon -
b
Disaster Medical Response Team (DMRT) Physician
a. a physician authorized by the Medical Director and the Regional Emergency Medical Advisory
Committee (REMAC) to provide advice and direction when such physician is present at the scene of
an out-of-hospital medical emergency
b. a physician authorized by the Medical Director to provide advice and direction to ALS Providers
providing out-of-hospital medical care
c. a physician receiving additional authority as a Deputy Fire Coordinator-Medical (DFC-Medical) to
operate as an agent of the county, when specifically called upon -
c
Designated EMS Field Physician
a. a physician authorized by the Medical Director and the Regional Emergency Medical Advisory
Committee (REMAC) to provide advice and direction when such physician is present at the scene of
an out-of-hospital medical emergency
b. a physician authorized by the Medical Director to provide advice and direction to ALS Providers
providing out-of-hospital medical care
c. a physician receiving additional authority as a Deputy Fire Coordinator-Medical (DFC-Medical) to
operate as an agent of the county, when specifically called upon -
a
When required by protocol, voice contact with Medical Control should be established as promptly as
possible,
but not more than _____ minutes, after technician-patient contact is established
1|Page
,a. 30
b. 15
c. 20 -
c
Refusal of Medical Assistance (RMA) consults must take place via
a. telephone
b. On-Line
c. Medcom radio -
a
An ALS Provider has the right to question an order that is believed to be contraindicated or for which
the ALS
Provider is not certified
a. True
b. False -
a
An ALS Provider believes an order is contraindicated, and clarifies the order and restates the patient's
condition. If the order is not altered or retracted, the ALS Provider must carry out the order unless
he/she is not credentialed or trained in that intervention, or if that intervention is not listed in the
formulary of authorized procedures.
a. True
b. False -
a
Procedure attempts are limited to ____ attempts per patient
a. 3
b. 1
c. 2 -
c
2|Page
, STANDING ORDERS ARE WRITTEN WITH THE ASSUMPTION THAT THERE IS A SINGLE ALS PROVIDER
AND THEREFORE MUST BE PERFORMED IN THE ORDER PRESENTED
a. True
b. False -
a
Once standing orders are initiated in a particular protocol, the ALS Provider is obligated to that
protocol
a. True
b. False -
a
once contact with Medical Control has been established, Standing Orders, unless specifically stated
otherwise in the protocol, are no longer valid. The Medical Control physician is responsible for all
subsequent treatment decisions, including the transport decision, the exception of defibrillation of
the patient who develops Ventricular Fibrillation or Pulseless Ventricular Tachycardia
a. True
b. False -
a
A physician extender outside the normal setting of his/her usual place of employment may provide
onscene
medical direction
a. True
b. False -
b
If a "Physician Extender" (Physician Assistant or Nurse Practitioner), is present at an emergency in
their usual employment setting, and requests to assume responsibility for the care of the patient,
under the license of their absentee supervising physician, the "physician extender" may do so
a. True
b. False -
a
3|Page
On-Line Medical Control Physician
a. a physician authorized by the Medical Director and the Regional Emergency Medical Advisory
Committee (REMAC) to provide advice and direction when such physician is present at the scene of
an out-of-hospital medical emergency
b. a physician authorized by the Medical Director to provide advice and direction to ALS Providers
providing out-of-hospital medical care
c. a physician receiving additional authority as a Deputy Fire Coordinator-Medical (DFC-Medical) to
operate as an agent of the county, when specifically called upon -
b
Disaster Medical Response Team (DMRT) Physician
a. a physician authorized by the Medical Director and the Regional Emergency Medical Advisory
Committee (REMAC) to provide advice and direction when such physician is present at the scene of
an out-of-hospital medical emergency
b. a physician authorized by the Medical Director to provide advice and direction to ALS Providers
providing out-of-hospital medical care
c. a physician receiving additional authority as a Deputy Fire Coordinator-Medical (DFC-Medical) to
operate as an agent of the county, when specifically called upon -
c
Designated EMS Field Physician
a. a physician authorized by the Medical Director and the Regional Emergency Medical Advisory
Committee (REMAC) to provide advice and direction when such physician is present at the scene of
an out-of-hospital medical emergency
b. a physician authorized by the Medical Director to provide advice and direction to ALS Providers
providing out-of-hospital medical care
c. a physician receiving additional authority as a Deputy Fire Coordinator-Medical (DFC-Medical) to
operate as an agent of the county, when specifically called upon -
a
When required by protocol, voice contact with Medical Control should be established as promptly as
possible,
but not more than _____ minutes, after technician-patient contact is established
1|Page
,a. 30
b. 15
c. 20 -
c
Refusal of Medical Assistance (RMA) consults must take place via
a. telephone
b. On-Line
c. Medcom radio -
a
An ALS Provider has the right to question an order that is believed to be contraindicated or for which
the ALS
Provider is not certified
a. True
b. False -
a
An ALS Provider believes an order is contraindicated, and clarifies the order and restates the patient's
condition. If the order is not altered or retracted, the ALS Provider must carry out the order unless
he/she is not credentialed or trained in that intervention, or if that intervention is not listed in the
formulary of authorized procedures.
a. True
b. False -
a
Procedure attempts are limited to ____ attempts per patient
a. 3
b. 1
c. 2 -
c
2|Page
, STANDING ORDERS ARE WRITTEN WITH THE ASSUMPTION THAT THERE IS A SINGLE ALS PROVIDER
AND THEREFORE MUST BE PERFORMED IN THE ORDER PRESENTED
a. True
b. False -
a
Once standing orders are initiated in a particular protocol, the ALS Provider is obligated to that
protocol
a. True
b. False -
a
once contact with Medical Control has been established, Standing Orders, unless specifically stated
otherwise in the protocol, are no longer valid. The Medical Control physician is responsible for all
subsequent treatment decisions, including the transport decision, the exception of defibrillation of
the patient who develops Ventricular Fibrillation or Pulseless Ventricular Tachycardia
a. True
b. False -
a
A physician extender outside the normal setting of his/her usual place of employment may provide
onscene
medical direction
a. True
b. False -
b
If a "Physician Extender" (Physician Assistant or Nurse Practitioner), is present at an emergency in
their usual employment setting, and requests to assume responsibility for the care of the patient,
under the license of their absentee supervising physician, the "physician extender" may do so
a. True
b. False -
a
3|Page
