TN CRITICAL CARE PARAMEDIC
EXAM CORRECT 100%
Abandonment
Scenario: Moving a patient over to ICU bed and receives another emergency call, nurse
is unable to take report so CCP gives report to nurses aide. Who could be held liable
and for what if the patient falls out of the bed and breaks a hip? - ANSWER When a
provider ceases care or hands care over to a less qualified or competent provider.
Living Will
Question asked which choice best explained a living will. - ANSWER Instructions given
by competent individuals specifying what actions should be taken for their health in the
event that they are no longer able to make decisions due to illness or incapacity.
EMTALA
Question asked which choice best explained EMTALA. - ANSWER The Emergency
Medical Treatment and Active Labor Act. Requires doctor to doctor contact and is
considered the "Anti-Dumping Act."
Hospitals are responsible for 250 yards.
COBRA
Question asked which choice best explained COBRA - ANSWER The Consolidated
Omnibus Budget Reconciliation Act. Passed in 1986, EMTALA was part of this Act.
Designed to prevent financially motivated transfers of patients in unstable condition.
HIPPA
Scenario: CCP worked a call with multiple DOA's and informed the media of the
patient's name and details of the call. - ANSWER The Health Information Portability and
Accountability Act. Kepps patient's health information private.
Online Medical Direction
Scenario: Transferring a cardiac patient from an outlying facility back to your facility for
possible PTCA. Patient needs a medication and who do you need to contact. Choices
consisted of the sending facility, the receiving facility ER charge nurse, the receiving
facility medical director and another choice - ANSWER Medical direction for a transport
should be decided by both the receiving and sending physicians. They may be dictated
by communication availability. If the sending physician is requesting treatment that is
, outside the standing protocols for the transferring unit, written documentation and
orders should accompany the transfer team. The ultimate responsibility for the action or
inaction of a CCP rests with the medical director.
7 P's of Intubation - ANSWER 1. Preparation
2. Pre-oxygenate
3. Pre-treatment
4. Paralysis with induction
5. Positioning
6. Proof of placement
7. Post intubation management
Succinylcholine (Anectine) - ANSWER - Causes fasiculations
- Only depolarizing neuromuscular blocking agent
- Watch for malignant hyperthermia (rapid increase in temperature)
Causes for High Pressure Alarm on Ventilator
One question just asked a reason for a high pressure alarm and decreased lung
compliance was a choice. Unsure about the second question. - ANSWER 1. Decreased
Lung Compliance
2. Kinks in tube
3. Coughing/Gagging/Secretions blockage
4. Improper flow rates and/or I:E ratio
5. Bronchospasms
6. Breathing "asynchronously"
7. Alveolar over distention
8. Sensitivity too high
9. Vibrations
*Increase sedation on patient
Cormack-Lehane Grading Systme
The question asked which choice was a grade 2. - ANSWER Grade 1 - The entire
glottis opening is visible
Grade 2 - The arytenoid cartilages or the posterior portion of the glottis opening is
visible
Grad 3 - Epiglottis only is visible
Grade 4 - Tongue and/or soft palate only is visible
ET Tube Depth
Tactile Fremitus
EXAM CORRECT 100%
Abandonment
Scenario: Moving a patient over to ICU bed and receives another emergency call, nurse
is unable to take report so CCP gives report to nurses aide. Who could be held liable
and for what if the patient falls out of the bed and breaks a hip? - ANSWER When a
provider ceases care or hands care over to a less qualified or competent provider.
Living Will
Question asked which choice best explained a living will. - ANSWER Instructions given
by competent individuals specifying what actions should be taken for their health in the
event that they are no longer able to make decisions due to illness or incapacity.
EMTALA
Question asked which choice best explained EMTALA. - ANSWER The Emergency
Medical Treatment and Active Labor Act. Requires doctor to doctor contact and is
considered the "Anti-Dumping Act."
Hospitals are responsible for 250 yards.
COBRA
Question asked which choice best explained COBRA - ANSWER The Consolidated
Omnibus Budget Reconciliation Act. Passed in 1986, EMTALA was part of this Act.
Designed to prevent financially motivated transfers of patients in unstable condition.
HIPPA
Scenario: CCP worked a call with multiple DOA's and informed the media of the
patient's name and details of the call. - ANSWER The Health Information Portability and
Accountability Act. Kepps patient's health information private.
Online Medical Direction
Scenario: Transferring a cardiac patient from an outlying facility back to your facility for
possible PTCA. Patient needs a medication and who do you need to contact. Choices
consisted of the sending facility, the receiving facility ER charge nurse, the receiving
facility medical director and another choice - ANSWER Medical direction for a transport
should be decided by both the receiving and sending physicians. They may be dictated
by communication availability. If the sending physician is requesting treatment that is
, outside the standing protocols for the transferring unit, written documentation and
orders should accompany the transfer team. The ultimate responsibility for the action or
inaction of a CCP rests with the medical director.
7 P's of Intubation - ANSWER 1. Preparation
2. Pre-oxygenate
3. Pre-treatment
4. Paralysis with induction
5. Positioning
6. Proof of placement
7. Post intubation management
Succinylcholine (Anectine) - ANSWER - Causes fasiculations
- Only depolarizing neuromuscular blocking agent
- Watch for malignant hyperthermia (rapid increase in temperature)
Causes for High Pressure Alarm on Ventilator
One question just asked a reason for a high pressure alarm and decreased lung
compliance was a choice. Unsure about the second question. - ANSWER 1. Decreased
Lung Compliance
2. Kinks in tube
3. Coughing/Gagging/Secretions blockage
4. Improper flow rates and/or I:E ratio
5. Bronchospasms
6. Breathing "asynchronously"
7. Alveolar over distention
8. Sensitivity too high
9. Vibrations
*Increase sedation on patient
Cormack-Lehane Grading Systme
The question asked which choice was a grade 2. - ANSWER Grade 1 - The entire
glottis opening is visible
Grade 2 - The arytenoid cartilages or the posterior portion of the glottis opening is
visible
Grad 3 - Epiglottis only is visible
Grade 4 - Tongue and/or soft palate only is visible
ET Tube Depth
Tactile Fremitus
