System Entry REGION Xl EMS Latest Questions and Answers

System Entry REGION Xl EMS Latest
Questions and Answers
ExplainAtheAdifferenceAbetweenAanAonlineAmedicalAcontrolA(OLMC)AandAaA
pre-notificationAcall?A-ACORRECTAANSWERS-
OnlineAMedicalAControlA(OLMC):ABaseAStationAcontactAisArequiredAfor:A1)AMedical
directionAinARegionalizedASystemsAofACareApatientsAorAcomplexApatientAcareAsituationsAor
2)ASituationsAnotAclearlyAdefinedAbyAtheARegionAXIAPoliciesA&AProceduresAasAneededAby
theAEMSAprovider.
A.AGoal:AToAprovideAimmediateAmedicalAdirectionAtoAtheAEMSAproviderAforAsituations
whereApatientAcareAorAdestinationAmayAbeAimpacted.A
CommunicationAmethod:AOLMCAcallsAwillAbeAmadeAthroughAtheAMEDAChannelsAor
cellularAlinesAandAallAcontactAwillAbeArecorded.

Pre-Notification:AEMSAshouldAcontactAtheAreceivingAhospitalAdirectlyAforAALSAtransportsAin
situationsAwhereAtheARegionAXIAStandingAMedicalAOrders/ProtocolsAhaveAbeenAfollowed.
A.AGoal:AToAprovideAdirectAcommunicationAbetweenAEMSAprovidersAandAtheAreceiving
hospitalAforAstraightforwardABLSAorAALSApatientAtransports.
NoAmedicalAdirectionAwillAbeAgivenAbyAnon-RegionAXIABaseAStationAhospitalsAreceiving
pre-notificationAreports.
CommunicationAmethod:APre-notificationAreportsAshouldAbeAgivenAthroughAa
hospital'sAdedicatedAtelemetryAlineAifAtheAhospitalAisAaAResource/AssociateAHospital
withinARegionAXIA(orAanotherARegion).AContactAmayAalsoAbeAthroughAaAdedicated
EMSAtelephoneAlineAorAMERCIAradioAifAtheAparticipatingAhospitalAdoesAnotAhaveAa
telemetryAline.
WriteAoutAanAexampleAofAaApre-notificationAcall?A-ACORRECTAANSWERS-Pre-
NotificationAReport
A.AIdentifyAagencyAandAnumber
B.AStateA"ThisAisAaApre-notificationAreport."
C.AAgeAandAsex
D.AChiefAcomplaint
E.AVitalAsigns
F.A"RoutineAprotocolsAfollowed"
G.AAdditionalAdetailsAthatAmayAbeAneededAforAtheAreceivingAhospitalAtoAprepareAforAtheApati
ent
H.ADestinationAandAETA

AnAexampleAincludesApatientsAwithAspinalAimmobilizatipnAorAwhoAareAunableAtoAsitAinAaAwh
eelchairAorAchair.AThoseAwhoAmayAneedAanAimmediateAbedAuponAemergencyAdepartmentA
arrival.
ListA3AexamplesAthatAshouldAbeAcalledAinAasAOLMCAratherAthanAaApre-notificationAcall?A-
ACORRECTAANSWERS-

1.ARegionalizedASystemsAofACareAtransportsAincludingApatientsAwith:

, a.AAcuteAcoronaryAsyndromeAandASTEMIAcriteria
b.ASuspectedAacuteAstroke
c.ATraumaAFieldATriageACriteriaA(StepsA1-4)
d.AVentricularAAssistADeviceA(VAD)
e.AObstetricArelatedAcomplaint
2.ACardiacAArrest
a.AForApatientsAinAwhomAresuscitationAisAinitiated,AOLMCAshouldAbeAconsulted
beforeAmovingAtheApatient.AOLMCAisArequiredAinAmakingAtheAdecisionAto
continueAon-sceneAresuscitation,Atransport,AorAterminateAresuscitation.
b.APatientsAthatAmeetAcriteriaAforAwithholdingAresuscitationA(seeAInitiationAor
WithholdingAofAResuscitativeAMeasuresAPolicyAB.5)AdoAnotArequireAOLMC
consultationA(i.e.ADOA).
3.AComplexApatientAcareAsituationsAand/orAquestionsAregardingAtheAappropriate
destination.AForAexample:
a.AAnyApatientApotentiallyArequiringAaALevelA1ATraumaACenter,AbutAnotAclearly
meetingATraumaAFieldATriageACriteria
b.APatientsAwithApossibleAacuteAcoronaryAsyndromeAorAstrokeAsymptomsAthatAmay
notAmeetAdefinedAcriteriaAforAspecialtyAcenterAtransport
c.APatientsApotentiallyArequiringAdiversionAforAcriticalAairwayAstabilization
WhatAshouldAyouAdoAinAtheAeventAyouAcannotAreachAyourAassignedAbaseAstationAforAanAOL
MCAcall?A-ACORRECTAANSWERS-If
theAcontactAisAunsuccessful:
1.AAttemptAtoAcontactAtheAnextAclosestAResource/AssociateAHospital.
2.AAllAattemptsAatAcontactAmustAbeAdocumentedAinAtheApatientAcareAreport.
3.ANotificationAofAaAcommunicationAproblemAmustAbeAmadeAtoAthe
Resource/AssociateAHospitalAandAtheAambulanceAserviceAprovider'sAsupervisorAon
dutyAafterAarrivingAatAtheAreceivingAhospital.
NameAtheA6AcallAdispositionAtypesA-ACORRECTAANSWERS-
PatientATransportedAtoAAppropriateAEmergencyADepartment:
PatientAInitiatedARefusal
NoAPatientAFound
PatientADeceasedAonAArrivalA(DOA
CancelledAPriorAtoAArrivalAonAScene
HandledAbyAPolice
WhenAisAitAappropiateAtoAuseA"HandledAbyAPolice"AasAaAcallAdisposition?A-
ACORRECTAANSWERS-InAtheAeventAwhereAEMSAandAtheAChicagoAPoliceADepartment

(CPD)AbothArespondAtoAaAscene,ACPDAmayAelectAtoAhandleAtheAsituationAinAcertain
circumstancesAsuchAasAbehavioralAemergencies,ADUIs,AorAcriminalAinvestigationsAand
takeAcustodyAofAtheApatient.AInAtheseAsituations,AitAisAexpectedAthatAEMSAwillAstill
attemptAtoAperformAaAfullApatientAassessmentAunlessACPDArefusesAaccessAtoAthe
patientAdueAtoAsceneAsafety.AEMSAshouldAadviseACPDAofAanyApotentialArisks
associatedAwithAtheApatientAnotAreceivingAEMSAcareAand/orAtransport.AOLMCAis
requiredAforAtheseAsituations.
ListAtheAequipmentAthatAisArequiredAtoAbeAbroughtAinAwithAEMSApersonnelAforAallAcalls:A-
ACORRECTAANSWERS-Equipment

WhenArespondingAtoAallArequestsAforAout-of-hospitalAcare,AtheAEMSApersonnelA(First