Santa Clara County Exam– Questions With Appropriate
Solutions
Prehospital Providers Advisory Committee Correct Answer - Made of
representatives from each provider agency, hospitals, law enforcement, etc.
that focuses on the logistics and operations of EMS
Emergency Medical Services Committee (EMSCo.) Correct Answer - A
diverse group of representatives of all provider levels (field paramedics,
EMTs, city managers,etc.) that provide recommendations to the Agency and
Health Advisory Commission
Medical Directors Advisory Committee (MDAC) Correct Answer -
Comprised of various physician groups (South Bay Medical Directors
Association, provider agency Medical Directors, etc.) that focus on clinical care
issues and integration of patient care resources
Multi-Casualty Incident (MCI) Committee Correct Answer - A diverse
group of emergency service responders who focus on development and
implementation of MCI plans and procedures
Clinical Practice Advisory Committee (CPAC) Correct Answer - Made of
various system stakeholders (field personnel, physician, nurses, etc.) who
provide recommendations related to the clinical aspects of EMS system. This
includes protocols, orders, quality assurance and improvement, etc
Level A Variance
Any incident that results in a threat to public safety, patient, bystander or
responder harm Correct Answer - Report immediately
to the EMS Duty Chief via County Communications and submit the EMS
System Variance Report (Form #903) to the EMS Agency within 24 hours
Level B Variance
Any incident that does not result in patient harm, but is
a deviation from EMS Agency protocols, policies, and procedures Correct
Answer - Report to EMS Agency within 5 business days
,Level C Variance
Incidents where responders provided outstanding care and went above and
beyond expectations of responders Correct Answer - Report within 7
business days
Trauma Center Service Areas
SUH Catchment Zone Correct Answer - Northern border of SCC to De
Anza Blvd in Cupertino and through the center of Sunnyvale
Trauma Center Service Areas
VMC Catchment Zone Correct Answer - South of De Anza Blvd in
Cupertino and south of Sunnyvale-Saratoga Road to East Remington/Fair
Oaks Ave in Sunnyvale
Eastern border is North First Street/Monterey Highway from San Jose (Alviso)
to the southern boundary at the intersection of highway 101 and 85 in SJ
Patients requiring transport from areas south of 101/85 and West of 101
extending to the southernmost border of the county will be transported to
VMC
Trauma Center Service Areas
RSJ Catchment Zone Correct Answer - Extends from all areas east of
North First Street/Monterey Highway (includes Milpitas) to the southern
boundary at the 101/85 intersection in SJ. The northern border is SF Bay
Patients requiring transport from areas south of 101/85 interchange and east
of 101 extending into the southernmost borders of the county shall be
transported to RSJ
Trauma Center Service Areas
at border of zones Correct Answer - Incidents that occur on the border
of any of these zones shall be transported in accordance with the
paramedics' discretion
Hospital Radio Reports
Ring-down Correct Answer - Standard hospital notifications shall occur
via cell phone or service dispatch centers
, MTV (Major Trauma Victim) alerts, STEMI alerts, Stroke alerts, and critical
transports, transporting Code 3, to the hospital and when cell phone contact is
not
possible shall be transmitted via self-initiated radio on
EMS Command 92
IFT notifications are not to occur on SCC EMS Communication System
frequencies
Hospital Radio Reports
Format Correct Answer - 1. Demographics (Unit ID (agency, type,
number),ETA, Patient's Age, Patient's Sex)
2. Chief complaint / Ems providers impression
3. Any pertinent medical history, pertinent medications, pertinent allergies,
and any other significant findings from physical assessment
4. Vital signs (Explain and report abnormal findings
Or, state "within normal limits" (WNL))
5. treatment provided
Hospital Radio Reports
Specialty Center Correct Answer - Trauma, STEMI, Stroke
Transmitted via self-initiated ring-down on EMS Command 92
Should occur prior to departure from scene
Include MOI and Anatomic & Physiologic Criteria
Patient Consent and Refusal for EMS Services
Individuals legally authorized to refuse care is Correct Answer - 1. An
adult who has capacity, A minor legally authorized to consent to medical
treatment and who has capacity, A legal representative of the patient who has
capacity
2. Not currently suicidal
3. Is not on a psychiatric hold (5150)
Field Pronouncement of Death Criteria
In addition to any specific criteria for withholding or discontinuing
Solutions
Prehospital Providers Advisory Committee Correct Answer - Made of
representatives from each provider agency, hospitals, law enforcement, etc.
that focuses on the logistics and operations of EMS
Emergency Medical Services Committee (EMSCo.) Correct Answer - A
diverse group of representatives of all provider levels (field paramedics,
EMTs, city managers,etc.) that provide recommendations to the Agency and
Health Advisory Commission
Medical Directors Advisory Committee (MDAC) Correct Answer -
Comprised of various physician groups (South Bay Medical Directors
Association, provider agency Medical Directors, etc.) that focus on clinical care
issues and integration of patient care resources
Multi-Casualty Incident (MCI) Committee Correct Answer - A diverse
group of emergency service responders who focus on development and
implementation of MCI plans and procedures
Clinical Practice Advisory Committee (CPAC) Correct Answer - Made of
various system stakeholders (field personnel, physician, nurses, etc.) who
provide recommendations related to the clinical aspects of EMS system. This
includes protocols, orders, quality assurance and improvement, etc
Level A Variance
Any incident that results in a threat to public safety, patient, bystander or
responder harm Correct Answer - Report immediately
to the EMS Duty Chief via County Communications and submit the EMS
System Variance Report (Form #903) to the EMS Agency within 24 hours
Level B Variance
Any incident that does not result in patient harm, but is
a deviation from EMS Agency protocols, policies, and procedures Correct
Answer - Report to EMS Agency within 5 business days
,Level C Variance
Incidents where responders provided outstanding care and went above and
beyond expectations of responders Correct Answer - Report within 7
business days
Trauma Center Service Areas
SUH Catchment Zone Correct Answer - Northern border of SCC to De
Anza Blvd in Cupertino and through the center of Sunnyvale
Trauma Center Service Areas
VMC Catchment Zone Correct Answer - South of De Anza Blvd in
Cupertino and south of Sunnyvale-Saratoga Road to East Remington/Fair
Oaks Ave in Sunnyvale
Eastern border is North First Street/Monterey Highway from San Jose (Alviso)
to the southern boundary at the intersection of highway 101 and 85 in SJ
Patients requiring transport from areas south of 101/85 and West of 101
extending to the southernmost border of the county will be transported to
VMC
Trauma Center Service Areas
RSJ Catchment Zone Correct Answer - Extends from all areas east of
North First Street/Monterey Highway (includes Milpitas) to the southern
boundary at the 101/85 intersection in SJ. The northern border is SF Bay
Patients requiring transport from areas south of 101/85 interchange and east
of 101 extending into the southernmost borders of the county shall be
transported to RSJ
Trauma Center Service Areas
at border of zones Correct Answer - Incidents that occur on the border
of any of these zones shall be transported in accordance with the
paramedics' discretion
Hospital Radio Reports
Ring-down Correct Answer - Standard hospital notifications shall occur
via cell phone or service dispatch centers
, MTV (Major Trauma Victim) alerts, STEMI alerts, Stroke alerts, and critical
transports, transporting Code 3, to the hospital and when cell phone contact is
not
possible shall be transmitted via self-initiated radio on
EMS Command 92
IFT notifications are not to occur on SCC EMS Communication System
frequencies
Hospital Radio Reports
Format Correct Answer - 1. Demographics (Unit ID (agency, type,
number),ETA, Patient's Age, Patient's Sex)
2. Chief complaint / Ems providers impression
3. Any pertinent medical history, pertinent medications, pertinent allergies,
and any other significant findings from physical assessment
4. Vital signs (Explain and report abnormal findings
Or, state "within normal limits" (WNL))
5. treatment provided
Hospital Radio Reports
Specialty Center Correct Answer - Trauma, STEMI, Stroke
Transmitted via self-initiated ring-down on EMS Command 92
Should occur prior to departure from scene
Include MOI and Anatomic & Physiologic Criteria
Patient Consent and Refusal for EMS Services
Individuals legally authorized to refuse care is Correct Answer - 1. An
adult who has capacity, A minor legally authorized to consent to medical
treatment and who has capacity, A legal representative of the patient who has
capacity
2. Not currently suicidal
3. Is not on a psychiatric hold (5150)
Field Pronouncement of Death Criteria
In addition to any specific criteria for withholding or discontinuing
