SNHD Protocols UPDATED ACTUAL
Exam Questions and CORRECT Answers
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 -
CORRECT ANSWER - True
An EMT/Paramedic may only proceed in providing care not covered in the protocols once they
and the Physician contact the _______________ - CORRECT 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? - CORRECT ANSWER - Quality
Improvement Review
A patient is anyone who meets the following 3 criterias: - CORRECT 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 - CORRECT
ANSWER - 18
Pediatric protocols are used on children who have not yet experienced puberty. What are the
signs of puberty in males and females? - CORRECT ANSWER - Males: chest/underarm
hair
Females: breast development
,If there are signs of Airway obstruction, what measures should be taken? - CORRECT
ANSWER - Ventilation Management Protocols
What should you do if a patient is unconscious? - CORRECT ANSWER - Check breathing
and pulse simultaneously
If there are signs of inadequate breathing, what measures should be taken? - CORRECT
ANSWER - Respiratory Distress protocols
What should you do if you cannot adequately ventilate a patient? - CORRECT ANSWER -
The patient must be transported to the nearest emergency department
What should you never withhold from a patient in Respiratory Distress? - CORRECT
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: - CORRECT
ANSWER - FAO (Fire Alarm Office)
Patients with Traumatic Injuries shall be transported in accordance with the: - CORRECT
ANSWER - Trauma Field Triage Criteria Protocol
Patients sustaining burn injuries shall be transported in accordance with the: - CORRECT
ANSWER - Burns Protocol
Pediatric Patients (less than 18 years old for transport purposes only) shall be transported in
accordance with the: - CORRECT ANSWER - Pediatric Destination Protocol
Patients with evidence of Stroke shall be transported in accordance with the: - CORRECT
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. - CORRECT 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? - CORRECT 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? - CORRECT 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)
Exam Questions and CORRECT Answers
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 -
CORRECT ANSWER - True
An EMT/Paramedic may only proceed in providing care not covered in the protocols once they
and the Physician contact the _______________ - CORRECT 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? - CORRECT ANSWER - Quality
Improvement Review
A patient is anyone who meets the following 3 criterias: - CORRECT 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 - CORRECT
ANSWER - 18
Pediatric protocols are used on children who have not yet experienced puberty. What are the
signs of puberty in males and females? - CORRECT ANSWER - Males: chest/underarm
hair
Females: breast development
,If there are signs of Airway obstruction, what measures should be taken? - CORRECT
ANSWER - Ventilation Management Protocols
What should you do if a patient is unconscious? - CORRECT ANSWER - Check breathing
and pulse simultaneously
If there are signs of inadequate breathing, what measures should be taken? - CORRECT
ANSWER - Respiratory Distress protocols
What should you do if you cannot adequately ventilate a patient? - CORRECT ANSWER -
The patient must be transported to the nearest emergency department
What should you never withhold from a patient in Respiratory Distress? - CORRECT
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: - CORRECT
ANSWER - FAO (Fire Alarm Office)
Patients with Traumatic Injuries shall be transported in accordance with the: - CORRECT
ANSWER - Trauma Field Triage Criteria Protocol
Patients sustaining burn injuries shall be transported in accordance with the: - CORRECT
ANSWER - Burns Protocol
Pediatric Patients (less than 18 years old for transport purposes only) shall be transported in
accordance with the: - CORRECT ANSWER - Pediatric Destination Protocol
Patients with evidence of Stroke shall be transported in accordance with the: - CORRECT
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. - CORRECT 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? - CORRECT 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? - CORRECT 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)
