SNHD PROTOCOLS EXAM 190 QUESTIONS &
CORRECT ANSWERS LATEST 2025
True or false: It may be necessary for the physician providing on-line medical
consultation to direct a prehospital provider in rendering care that is not explicitly
stated in the protocols, including administering a patients own medicine which is
not part of the approved formulary - ANSWER-True
An EMT/Paramedic may only proceed in providing care not covered in the
protocols once they and the Physician contact the _______________ - ANSWER-
OEMSTS (Office of EMS and Trauma System)
After contacting OEMSTS for providing care that may have been outside your
scope of practice, that information is then recorded on what form? - ANSWER-
Quality Improvement Review
A patient is anyone who meets the following 3 criterias: - ANSWER-1. A person
with a CC, MOI or NOI that may be indicative of an injury/illness
2. A person who has obvious evidence of injury/illness
3. A person identified by a 2nd/3rd party caller as needing evaluation for potential
injury/illness
,For patients under __ years old, refer to the Pediatric Patient Destination Protocol
- ANSWER-18
Pediatric protocols are used on children who have not yet experienced puberty.
What are the signs of puberty in males and females? - ANSWER-Males:
chest/underarm hair
Females: breast development
If there are signs of Airway obstruction, what measures should be taken? -
ANSWER-Ventilation Management Protocols
What should you do if a patient is unconscious? - ANSWER-Check breathing and
pulse simultaneously
If there are signs of inadequate breathing, what measures should be taken? -
ANSWER-Respiratory Distress protocols
What should you do if you cannot adequately ventilate a patient? - ANSWER-The
patient must be transported to the nearest emergency department
What should you never withhold from a patient in Respiratory Distress? -
ANSWER-Oxygen
Contact with medical control should be established through radio. Telephone
contact can only be used if the call is routed through a recorded phone line
provided by the: - ANSWER-FAO (Fire Alarm Office)
,Patients with Traumatic Injuries shall be transported in accordance with the: -
ANSWER-Trauma Field Triage Criteria Protocol
Patients sustaining burn injuries shall be transported in accordance with the: -
ANSWER-Burns Protocol
Pediatric Patients (less than 18 years old for transport purposes only) shall be
transported in accordance with the: - ANSWER-Pediatric Destination Protocol
Patients with evidence of Stroke shall be transported in accordance with the: -
ANSWER-Stroke (CVA) Protocol
You arrive to the scene of 3 sexually assaulted individuals. Patient #1 is 12 years
old, Patient #2 is 15 years old, and Patient #3 is 20 years old. Name all appropriate
hospitals that patients 1, 2, and 3 may be taken to. - ANSWER-1: Sexual assault
victims less than 13 years old shall be transported to Sunrise Hospital
2: Sexual assault victims between the ages of 13 and 18 shall be transported to
Sunrise Hospital, or UMC
3: Sexual assault victims 18 years and older shall be transported to UMC
Where should sexual assault patients be transported if they are more than 50
miles from the nearest protocol designated destination? - ANSWER-The nearest
appropriate facility
, Upon arriving in the emergency department, if transfer of care has not occurred,
any patients, excluding those placed on legal psychiatric hold, may be placed in
the hospital waiting room if they meet what 5 criteria requirements? - ANSWER-1.
Normal Vital Signs
-HR: 60-100
-RR: 10-20
-Systolic BP: 100-180
-Diastolic BP: 60-110
-Room air pulse oximetry: greater than 94%
-A&Ox4 (Alert and Oriented x4)
2. Did not receive any parenteral medications during EMS transport except for a
single dose of analgesia AND/OR an anti-emetic
3. In the judgement of the paramedic, does not require continuous cardiac
monitoring (if the transferring facility decides to start monitoring the patient, it
may not be discontinued by EMS personnel)
4. Can maintain a sitting position without adverse affect on their health
5. Is left with a verbal report to the hospital personnel
What 2 drugs are you allowed to give a patient and still leave them in the waiting
room before transfer of care has taken place? - ANSWER-a single dose of
analgesia AND/OR an anti-emetic
CORRECT ANSWERS LATEST 2025
True or false: It may be necessary for the physician providing on-line medical
consultation to direct a prehospital provider in rendering care that is not explicitly
stated in the protocols, including administering a patients own medicine which is
not part of the approved formulary - ANSWER-True
An EMT/Paramedic may only proceed in providing care not covered in the
protocols once they and the Physician contact the _______________ - ANSWER-
OEMSTS (Office of EMS and Trauma System)
After contacting OEMSTS for providing care that may have been outside your
scope of practice, that information is then recorded on what form? - ANSWER-
Quality Improvement Review
A patient is anyone who meets the following 3 criterias: - ANSWER-1. A person
with a CC, MOI or NOI that may be indicative of an injury/illness
2. A person who has obvious evidence of injury/illness
3. A person identified by a 2nd/3rd party caller as needing evaluation for potential
injury/illness
,For patients under __ years old, refer to the Pediatric Patient Destination Protocol
- ANSWER-18
Pediatric protocols are used on children who have not yet experienced puberty.
What are the signs of puberty in males and females? - ANSWER-Males:
chest/underarm hair
Females: breast development
If there are signs of Airway obstruction, what measures should be taken? -
ANSWER-Ventilation Management Protocols
What should you do if a patient is unconscious? - ANSWER-Check breathing and
pulse simultaneously
If there are signs of inadequate breathing, what measures should be taken? -
ANSWER-Respiratory Distress protocols
What should you do if you cannot adequately ventilate a patient? - ANSWER-The
patient must be transported to the nearest emergency department
What should you never withhold from a patient in Respiratory Distress? -
ANSWER-Oxygen
Contact with medical control should be established through radio. Telephone
contact can only be used if the call is routed through a recorded phone line
provided by the: - ANSWER-FAO (Fire Alarm Office)
,Patients with Traumatic Injuries shall be transported in accordance with the: -
ANSWER-Trauma Field Triage Criteria Protocol
Patients sustaining burn injuries shall be transported in accordance with the: -
ANSWER-Burns Protocol
Pediatric Patients (less than 18 years old for transport purposes only) shall be
transported in accordance with the: - ANSWER-Pediatric Destination Protocol
Patients with evidence of Stroke shall be transported in accordance with the: -
ANSWER-Stroke (CVA) Protocol
You arrive to the scene of 3 sexually assaulted individuals. Patient #1 is 12 years
old, Patient #2 is 15 years old, and Patient #3 is 20 years old. Name all appropriate
hospitals that patients 1, 2, and 3 may be taken to. - ANSWER-1: Sexual assault
victims less than 13 years old shall be transported to Sunrise Hospital
2: Sexual assault victims between the ages of 13 and 18 shall be transported to
Sunrise Hospital, or UMC
3: Sexual assault victims 18 years and older shall be transported to UMC
Where should sexual assault patients be transported if they are more than 50
miles from the nearest protocol designated destination? - ANSWER-The nearest
appropriate facility
, Upon arriving in the emergency department, if transfer of care has not occurred,
any patients, excluding those placed on legal psychiatric hold, may be placed in
the hospital waiting room if they meet what 5 criteria requirements? - ANSWER-1.
Normal Vital Signs
-HR: 60-100
-RR: 10-20
-Systolic BP: 100-180
-Diastolic BP: 60-110
-Room air pulse oximetry: greater than 94%
-A&Ox4 (Alert and Oriented x4)
2. Did not receive any parenteral medications during EMS transport except for a
single dose of analgesia AND/OR an anti-emetic
3. In the judgement of the paramedic, does not require continuous cardiac
monitoring (if the transferring facility decides to start monitoring the patient, it
may not be discontinued by EMS personnel)
4. Can maintain a sitting position without adverse affect on their health
5. Is left with a verbal report to the hospital personnel
What 2 drugs are you allowed to give a patient and still leave them in the waiting
room before transfer of care has taken place? - ANSWER-a single dose of
analgesia AND/OR an anti-emetic
