SNHD Protocols ACTUAL EXAM] LATEST VERSION [182 QUESTIONS
AND ANSWERS] WITH STUDY GUIDE DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
If a physicians orders are against protocol, could possibly endanger patient, or there is a
lack of resources. What must you do...? - CORRECT ANSWER You must notify
telemetry physician why you are not able to carry out the order. Then, indicate the
following on prehospital records: the order given, time it was given, and reason the
order could not be carried out. Then all documentation/records must be available
immediately after the call to OEMSTS and then will be used for Quality Improvement
Review.
What is a PATIENT - CORRECT ANSWER 1) A person who has a complaint or
mechanism suggestive of potential illness or injury;
2) A person who has obvious evidence of illness or injury; or
3) A person identified by an informed 2nd or 3rd party caller as requiring evaluation for
potential illness or injury.
Pediatric Patient Destination Age - CORRECT ANSWER <18
ASA - CORRECT ANSWER Acetylsalicylic Acid
CCC CPR - CORRECT ANSWER Continuous Chest Compression CPR:
Compressions - Push hard (≥2 Inches) Push fast (≥100/min)
BVM - at 8 BPM
DCAP-BTLS - CORRECT ANSWER Deformities; Contusions; Abrasions;
Punctures/Penetrations;
Burns; Tenderness; Lacerations; Swelling
M.A.D. - CORRECT ANSWER Mucosal Atomizer Device
Drugs that can be administered through a M.A.D. - CORRECT ANSWER
Nalaxone
START triage - CORRECT ANSWER RED (Immediate/Life Threatening):
Dyspnea, severe bleeding, severe medical problem, signs of shock, severe burns, open
chest or abdominal injuries
Yellow (Delayed/Seriously injured but no life threats): Burns (with no airway
obstruction), multiple bone/joint injuries, back injuries with/without spinal cord injuries.
,Green (Walking Wounded): Minor fractures/soft tissue injuries
Black (Dead/Fatally injured): Obviously dead, Fatally injures such as open brain trauma,
respiratory arrest (if resources limited), cardiac arrest.
Trauma Patients shall be transported... - CORRECT ANSWER According to
Trauma Field Triage Protocol
Burn patients shall be transported.... - CORRECT ANSWER According to Burn
Protocol
Pediatric patients shall be transported... - CORRECT ANSWER (<18 y/o)
According to the Pediatric Destination Protocol
Patients with evidence of a stroke shall be transported... - CORRECT ANSWER
According to Stroke (CVA) protocol
Sexual assault victims <13 y/o shall be transported to - CORRECT ANSWER
Sunrise Hospital
Sexual assault victims ≥18 y/o shall be transported to - CORRECT ANSWER UMC
Sexual assault victims between ages 13 and 18 y/o shall be transported to -
CORRECT ANSWER Either UMC or Sunrise Hospital
Sexual assault victims outside the 50 mile radius of appropriate facility shall be
transported to - CORRECT ANSWER Nearest appropriate facility
Where should stable patients be transported to - CORRECT ANSWER Their
hospital of choice or nearest facility
For patients outside of the 50 mile radius of protocol designated transport destination
shall be transported to - CORRECT ANSWER Nearest appropriate facility
Waiting Room Placement requisites - CORRECT ANSWER Patient cannot be on a
legal psychiatric hold and must meet the following requirements:
+ HR: 60-100
+ RR: 10-20
+ Systolic: 100-180
+ Diastolic: 60-100
+ Room air SPO2: >94%
+ A/O x 4
+ No medication was given except for a single dose of Morphine/Ondansetron
, + Paramedic opinion states pt. does not need ECG monitoring
+ No IV fluids are necessary
If a hospital declares an internal disaster that hospital shall be bypassed with the
exceptions of - CORRECT ANSWER Cardiac arrest patients or whom adequate
ventilation has not been established
In a General Adult Trauma Assessment how do you manage breathing - CORRECT
ANSWER Maintain SPO2 >94%:
+ If patients GCS <8 BVM
+ If patients GCS ≥8 titrate O2
For an adult trauma patient with no palpable pulse what is the fluid bolus - CORRECT
ANSWER 1L of Normal Saline
In the General Adult Trauma Trauma Triage, what is the following step if patient does
(YES) has a palpable pulse - CORRECT ANSWER Obtain vascular access
Trauma: Sucking Chest Wound - CORRECT ANSWER Apply an occlusive
dressing and tape down three sides
Trauma: How do you control an active hemorrhage - CORRECT ANSWER
Hemorrhage control tourniquet
Trauma: Suspected Traumatic Brain Injury - CORRECT ANSWER Raise head 30
degrees
Trauma: Abdominal Evisceration - CORRECT ANSWER Wet trauma dressing
What should you do with a patient showing signs hypovolemia complaining of
abdominal/flank pain, nausea & vomiting - CORRECT ANSWER Obtain vascular
access and bolus 500 mL (may repeat up to 2000 mL)
Suspected Acute Coronary Syndrome treatment - CORRECT ANSWER + Obtain
vascular access
+ Maintain SPO2 >94%
+ Administer 324 mg of ASA
+ Assist pt with own NTG as
prescribed; may repeat x 3 (if not contraindicated)
+ Telemetry is required for STEMI's
Nitroglycerine Contraindications - CORRECT ANSWER + BP < 100 systolic
+ HR < 60-100 > HR
+ RHF
AND ANSWERS] WITH STUDY GUIDE DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
If a physicians orders are against protocol, could possibly endanger patient, or there is a
lack of resources. What must you do...? - CORRECT ANSWER You must notify
telemetry physician why you are not able to carry out the order. Then, indicate the
following on prehospital records: the order given, time it was given, and reason the
order could not be carried out. Then all documentation/records must be available
immediately after the call to OEMSTS and then will be used for Quality Improvement
Review.
What is a PATIENT - CORRECT ANSWER 1) A person who has a complaint or
mechanism suggestive of potential illness or injury;
2) A person who has obvious evidence of illness or injury; or
3) A person identified by an informed 2nd or 3rd party caller as requiring evaluation for
potential illness or injury.
Pediatric Patient Destination Age - CORRECT ANSWER <18
ASA - CORRECT ANSWER Acetylsalicylic Acid
CCC CPR - CORRECT ANSWER Continuous Chest Compression CPR:
Compressions - Push hard (≥2 Inches) Push fast (≥100/min)
BVM - at 8 BPM
DCAP-BTLS - CORRECT ANSWER Deformities; Contusions; Abrasions;
Punctures/Penetrations;
Burns; Tenderness; Lacerations; Swelling
M.A.D. - CORRECT ANSWER Mucosal Atomizer Device
Drugs that can be administered through a M.A.D. - CORRECT ANSWER
Nalaxone
START triage - CORRECT ANSWER RED (Immediate/Life Threatening):
Dyspnea, severe bleeding, severe medical problem, signs of shock, severe burns, open
chest or abdominal injuries
Yellow (Delayed/Seriously injured but no life threats): Burns (with no airway
obstruction), multiple bone/joint injuries, back injuries with/without spinal cord injuries.
,Green (Walking Wounded): Minor fractures/soft tissue injuries
Black (Dead/Fatally injured): Obviously dead, Fatally injures such as open brain trauma,
respiratory arrest (if resources limited), cardiac arrest.
Trauma Patients shall be transported... - CORRECT ANSWER According to
Trauma Field Triage Protocol
Burn patients shall be transported.... - CORRECT ANSWER According to Burn
Protocol
Pediatric patients shall be transported... - CORRECT ANSWER (<18 y/o)
According to the Pediatric Destination Protocol
Patients with evidence of a stroke shall be transported... - CORRECT ANSWER
According to Stroke (CVA) protocol
Sexual assault victims <13 y/o shall be transported to - CORRECT ANSWER
Sunrise Hospital
Sexual assault victims ≥18 y/o shall be transported to - CORRECT ANSWER UMC
Sexual assault victims between ages 13 and 18 y/o shall be transported to -
CORRECT ANSWER Either UMC or Sunrise Hospital
Sexual assault victims outside the 50 mile radius of appropriate facility shall be
transported to - CORRECT ANSWER Nearest appropriate facility
Where should stable patients be transported to - CORRECT ANSWER Their
hospital of choice or nearest facility
For patients outside of the 50 mile radius of protocol designated transport destination
shall be transported to - CORRECT ANSWER Nearest appropriate facility
Waiting Room Placement requisites - CORRECT ANSWER Patient cannot be on a
legal psychiatric hold and must meet the following requirements:
+ HR: 60-100
+ RR: 10-20
+ Systolic: 100-180
+ Diastolic: 60-100
+ Room air SPO2: >94%
+ A/O x 4
+ No medication was given except for a single dose of Morphine/Ondansetron
, + Paramedic opinion states pt. does not need ECG monitoring
+ No IV fluids are necessary
If a hospital declares an internal disaster that hospital shall be bypassed with the
exceptions of - CORRECT ANSWER Cardiac arrest patients or whom adequate
ventilation has not been established
In a General Adult Trauma Assessment how do you manage breathing - CORRECT
ANSWER Maintain SPO2 >94%:
+ If patients GCS <8 BVM
+ If patients GCS ≥8 titrate O2
For an adult trauma patient with no palpable pulse what is the fluid bolus - CORRECT
ANSWER 1L of Normal Saline
In the General Adult Trauma Trauma Triage, what is the following step if patient does
(YES) has a palpable pulse - CORRECT ANSWER Obtain vascular access
Trauma: Sucking Chest Wound - CORRECT ANSWER Apply an occlusive
dressing and tape down three sides
Trauma: How do you control an active hemorrhage - CORRECT ANSWER
Hemorrhage control tourniquet
Trauma: Suspected Traumatic Brain Injury - CORRECT ANSWER Raise head 30
degrees
Trauma: Abdominal Evisceration - CORRECT ANSWER Wet trauma dressing
What should you do with a patient showing signs hypovolemia complaining of
abdominal/flank pain, nausea & vomiting - CORRECT ANSWER Obtain vascular
access and bolus 500 mL (may repeat up to 2000 mL)
Suspected Acute Coronary Syndrome treatment - CORRECT ANSWER + Obtain
vascular access
+ Maintain SPO2 >94%
+ Administer 324 mg of ASA
+ Assist pt with own NTG as
prescribed; may repeat x 3 (if not contraindicated)
+ Telemetry is required for STEMI's
Nitroglycerine Contraindications - CORRECT ANSWER + BP < 100 systolic
+ HR < 60-100 > HR
+ RHF
