Santa Clara County EMS Study Guide – Essentials
Questions With Verified Solutions
(108) What type of incidents are considered level A? Correct Answer -
Threat to public safety, by-stander, or responder
Examples: Deviation from EMS policy, errors with patient harm, failure to
respond to request for aid, equipment failure with patient harm,
unprofessional conduct
(108) What is maximum time you must report a level A variance? Correct
Answer - Within 24 hours but should be reported immediately
(108) Who must be notified ASAP? Correct Answer - EMS Duty Chief via
county communications
(108) What type of incidents are considered Level B Variances? Correct
Answer - Any incident that does not result in patient harm but is a
deviation from EMS policy
Examples: General complaint, equipment failure, potential clinical care
variance, etc
(108) What is the maximum time you must report a Level B Variance?
Correct Answer - 5 business days to EMS agency
(108) What are examples of Level C Variances? Correct Answer - Any
incident where a responder provided outstanding care above expectations
(108) What form would you use to file a variance report? Correct Answer -
Form #903
(109) How will policy implementation be disseminated to you? Correct
Answer - Via electronic copy
(109) What other resources do you have to find new policies and updates?
Correct Answer - On website or other digital media
Paper copy available to purchase
, (500) When an MCI alert occurs with 5 or more patients is a PCR required?
Correct Answer - No individual PCRs
(500) What would you use in lieu of PCR for MCI of 5 pts? Correct Answer -
Triage tags
(501) What channel do you use for Major alerts via county radio? Correct
Answer - Command 92
(501) What alerts require use of county radio? Correct Answer - MTV,
STEMI, stroke, critical patient, code 3, the event you cannot contact the
hospital by landline
Specialty center hospital reports are transmitted via self-initiated radio ring-
down on EMS Command 92.
(501) For IFT what form of communication is used for ringdowns? Correct
Answer - Responsibility of private ambulance dispatch center. Calling ED
phone
(501) What information is required when giving a DECON alert ringdown?
Correct Answer - 1. State DECON ALERT
2. Identify that patient has been decontaminated
3a. Chemical Name
3b. Decon methods
3c. DOT reference
3d. Appropriate treatment/considerations
3e. Routine pt notification report
(501) Who should you ask to meet you in the ED bay for DECON ALERT?
Correct Answer - ED rep to meet outside door to evaluate pt before entry.
Ambulance NOT to enter until authorized by ED rep.
(501) Who can make base contact? Correct Answer - Only paramedics
and it should be done through cell.
Questions With Verified Solutions
(108) What type of incidents are considered level A? Correct Answer -
Threat to public safety, by-stander, or responder
Examples: Deviation from EMS policy, errors with patient harm, failure to
respond to request for aid, equipment failure with patient harm,
unprofessional conduct
(108) What is maximum time you must report a level A variance? Correct
Answer - Within 24 hours but should be reported immediately
(108) Who must be notified ASAP? Correct Answer - EMS Duty Chief via
county communications
(108) What type of incidents are considered Level B Variances? Correct
Answer - Any incident that does not result in patient harm but is a
deviation from EMS policy
Examples: General complaint, equipment failure, potential clinical care
variance, etc
(108) What is the maximum time you must report a Level B Variance?
Correct Answer - 5 business days to EMS agency
(108) What are examples of Level C Variances? Correct Answer - Any
incident where a responder provided outstanding care above expectations
(108) What form would you use to file a variance report? Correct Answer -
Form #903
(109) How will policy implementation be disseminated to you? Correct
Answer - Via electronic copy
(109) What other resources do you have to find new policies and updates?
Correct Answer - On website or other digital media
Paper copy available to purchase
, (500) When an MCI alert occurs with 5 or more patients is a PCR required?
Correct Answer - No individual PCRs
(500) What would you use in lieu of PCR for MCI of 5 pts? Correct Answer -
Triage tags
(501) What channel do you use for Major alerts via county radio? Correct
Answer - Command 92
(501) What alerts require use of county radio? Correct Answer - MTV,
STEMI, stroke, critical patient, code 3, the event you cannot contact the
hospital by landline
Specialty center hospital reports are transmitted via self-initiated radio ring-
down on EMS Command 92.
(501) For IFT what form of communication is used for ringdowns? Correct
Answer - Responsibility of private ambulance dispatch center. Calling ED
phone
(501) What information is required when giving a DECON alert ringdown?
Correct Answer - 1. State DECON ALERT
2. Identify that patient has been decontaminated
3a. Chemical Name
3b. Decon methods
3c. DOT reference
3d. Appropriate treatment/considerations
3e. Routine pt notification report
(501) Who should you ask to meet you in the ED bay for DECON ALERT?
Correct Answer - ED rep to meet outside door to evaluate pt before entry.
Ambulance NOT to enter until authorized by ED rep.
(501) Who can make base contact? Correct Answer - Only paramedics
and it should be done through cell.
