SANTA CLARA COUNTY EMS ACTUAL EXAM
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST 2025 ALREADY GRADED A+
What are the indications for usage of a mechanical tourniquet?
adult or pediatric patient with uncontrolled EXTREMITY hemorrhage or major
hemorrhages where wound packing and compression bandaging would be
insufficient in controlling bleeding
What are the contraindications for usage of a mechanical tourniquet?
due to the location(s) of non-compressible truncal hemorrhages, mechanical
hemorrhage control will be difficult to complete
Policy 811 - Multiple Casualty Incident Plan
a comprehensive operational plan for the management of multi-casualty events
occurring in the County of Santa Clara
Number of patients at a Level 1 multi-casualty event?
Level 1 = 5-10 patients
,Number of patients at a Level 2 multi-casualty event?
Level 2 = 11-20 patients
What type of incidents are considered Level B variances?
any incident that does NOT result in patient harm, but is a deviation from EMS
agency policies, procedures, and protocols
A. potential clinical care variance
B. potential policy variance
C. poor interagency coordination
D. general complaint (public)
E. communications system variance
F. equipment failure or malfunction
What is the maximum time you must report a Level B variance?
within five (5) business days
What type of incidents are considered Level C variances?
incidents where the responders provided outstanding care and went above and
beyond the normal expectations of responders; compliments
A. good patient outcome
B. outstanding customer service
C. positive provider agency/hospital cooperation
D. field supervisor went above and beyond normal expectations
What form would you use to file a variance report?
EMS Form #903
(System Performance Variance Report)
Policy 109 - Policy Development and Implementation
, standards for creation, revision, and implementation of SCC Pre-Hospital Care
Policy (including plans, protocols, procedures, etc.)
How will policy implementation be disseminated to you?
EMS Program Manager
What other resources do you have to find new policies and updates?
-county EMS website
-county EMS app
-electronic/social media
-hardcopy
Which policy addressed allocation and implementation of resources?
Policy #109
Policy 500 - Electronic Patient Care
minimum standard criteria for the completion and submission of electronic
patient care record (ePCR)
When an MCI alert occurs with five (5) or more patients, is a PCR required?
No; the EMS Agency may temporarily suspend the requirement to complete an
ePCR in certain times of mass causality incidents, large scale disasters, or EMS
Data System failure.
Policy 108 - System Variance Reporting
incidents that result in a threat to public safety, patient, by-stander, or responder
harm
What types of incidents are considered Level A variances?
WITH CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST 2025 ALREADY GRADED A+
What are the indications for usage of a mechanical tourniquet?
adult or pediatric patient with uncontrolled EXTREMITY hemorrhage or major
hemorrhages where wound packing and compression bandaging would be
insufficient in controlling bleeding
What are the contraindications for usage of a mechanical tourniquet?
due to the location(s) of non-compressible truncal hemorrhages, mechanical
hemorrhage control will be difficult to complete
Policy 811 - Multiple Casualty Incident Plan
a comprehensive operational plan for the management of multi-casualty events
occurring in the County of Santa Clara
Number of patients at a Level 1 multi-casualty event?
Level 1 = 5-10 patients
,Number of patients at a Level 2 multi-casualty event?
Level 2 = 11-20 patients
What type of incidents are considered Level B variances?
any incident that does NOT result in patient harm, but is a deviation from EMS
agency policies, procedures, and protocols
A. potential clinical care variance
B. potential policy variance
C. poor interagency coordination
D. general complaint (public)
E. communications system variance
F. equipment failure or malfunction
What is the maximum time you must report a Level B variance?
within five (5) business days
What type of incidents are considered Level C variances?
incidents where the responders provided outstanding care and went above and
beyond the normal expectations of responders; compliments
A. good patient outcome
B. outstanding customer service
C. positive provider agency/hospital cooperation
D. field supervisor went above and beyond normal expectations
What form would you use to file a variance report?
EMS Form #903
(System Performance Variance Report)
Policy 109 - Policy Development and Implementation
, standards for creation, revision, and implementation of SCC Pre-Hospital Care
Policy (including plans, protocols, procedures, etc.)
How will policy implementation be disseminated to you?
EMS Program Manager
What other resources do you have to find new policies and updates?
-county EMS website
-county EMS app
-electronic/social media
-hardcopy
Which policy addressed allocation and implementation of resources?
Policy #109
Policy 500 - Electronic Patient Care
minimum standard criteria for the completion and submission of electronic
patient care record (ePCR)
When an MCI alert occurs with five (5) or more patients, is a PCR required?
No; the EMS Agency may temporarily suspend the requirement to complete an
ePCR in certain times of mass causality incidents, large scale disasters, or EMS
Data System failure.
Policy 108 - System Variance Reporting
incidents that result in a threat to public safety, patient, by-stander, or responder
harm
What types of incidents are considered Level A variances?
