SNHD Protocols [ACTUAL EXAM]
LATEST VERSION [QUESTIONS AND
ANSWERS] WITH STUDY GUIDE
DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A
If a physician giving on-line medical consultation directs you to provide care not
explicitly stated in the protocol manual you must...? CORRECT ANSWER
You and the telemetry physician must immediately notify OEMSTS. In addition,
after finishing the call, you as the provider must make all prehospital care
documentation/records of your deviation and telemetry physician's name
available to OEMSTS. This will then be used for Quality Improvement Review.
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
LATEST VERSION [QUESTIONS AND
ANSWERS] WITH STUDY GUIDE
DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A
If a physician giving on-line medical consultation directs you to provide care not
explicitly stated in the protocol manual you must...? CORRECT ANSWER
You and the telemetry physician must immediately notify OEMSTS. In addition,
after finishing the call, you as the provider must make all prehospital care
documentation/records of your deviation and telemetry physician's name
available to OEMSTS. This will then be used for Quality Improvement Review.
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