Santa Clara County EMS Study Guide Questions and Graded Answers.
(108) What type of incidents are considered level A? - 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? - Within 24 hours but
should be reported immediately
(108) Who must be notified ASAP? - EMS Duty Chief via county communications
(108) What type of incidents are considered Level B Variances? - 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? - 5 business days
to EMS agency
(108) What are examples of Level C Variances? - Any incident where a responder
provided outstanding care above expectations
(108) What form would you use to file a variance report? - Form #903
(109) How will policy implementation be disseminated to you? - Via electronic copy
(109) What other resources do you have to find new policies and updates? - 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? - No
individual PCRs
(500) What would you use in lieu of PCR for MCI of 5 pts? - Triage tags
(501) What channel do you use for Major alerts via county radio? - Command 92
(501) What alerts require use of county radio? - 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? - Responsibility of
private ambulance dispatch center. Calling ED phone
(501) What information is required when giving a DECON alert ringdown? - 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? - ED rep to
meet outside door to evaluate pt before entry.
(108) What type of incidents are considered level A? - 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? - Within 24 hours but
should be reported immediately
(108) Who must be notified ASAP? - EMS Duty Chief via county communications
(108) What type of incidents are considered Level B Variances? - 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? - 5 business days
to EMS agency
(108) What are examples of Level C Variances? - Any incident where a responder
provided outstanding care above expectations
(108) What form would you use to file a variance report? - Form #903
(109) How will policy implementation be disseminated to you? - Via electronic copy
(109) What other resources do you have to find new policies and updates? - 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? - No
individual PCRs
(500) What would you use in lieu of PCR for MCI of 5 pts? - Triage tags
(501) What channel do you use for Major alerts via county radio? - Command 92
(501) What alerts require use of county radio? - 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? - Responsibility of
private ambulance dispatch center. Calling ED phone
(501) What information is required when giving a DECON alert ringdown? - 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? - ED rep to
meet outside door to evaluate pt before entry.
