SYSTEM ENTRY REGION XL EMS
QUESTIONS WITH CORRECT
ANSWERS GRADED A+ FOR 2026
ASSURED EXCEL!!
Explainfthefdifferencefbetweenfanfonlinefmedicalfcontrolf(OLMC)fandfafpre-notificationfcall?f-
ffCORRECTfANSWERSOnlinefMedicalfControlf(OLMC):fBasefStationfcontactfisfrequiredffor:f1)fMedica
l
directionfinfRegionalizedfSystemsfoffCarefpatientsforfcomplexfpatientfcarefsituationsfor
2)fSituationsfnotfclearlyfdefinedfbyfthefRegionfXIfPoliciesf&fProceduresfasfneededfby
thefEMSfprovider.
A.fGoal:fTofprovidefimmediatefmedicalfdirectionftofthefEMSfproviderfforfsituations
wherefpatientfcareforfdestinationfmayfbefimpacted.f
Communicationfmethod:fOLMCfcallsfwillfbefmadefthroughfthefMEDfChannelsfor
cellularflinesfandfallfcontactfwillfbefrecorded.
Pre-Notification:fEMSfshouldfcontactfthefreceivingfhospitalfdirectlyfforfALSftransportsfin
situationsfwherefthefRegionfXIfStandingfMedicalfOrders/Protocolsfhavefbeenffollowed.
A.fGoal:fTofprovidefdirectfcommunicationfbetweenfEMSfprovidersfandfthefreceiving
hospitalfforfstraightforwardfBLSforfALSfpatientftransports.
Nofmedicalfdirectionfwillfbefgivenfbyfnon-RegionfXIfBasefStationfhospitalsfreceiving
pre-notificationfreports.
Communicationfmethod:fPre-notificationfreportsfshouldfbefgivenfthroughfa
hospital'sfdedicatedftelemetryflinefiffthefhospitalfisfafResource/AssociatefHospital
withinfRegionfXIf(orfanotherfRegion).fContactfmayfalsofbefthroughfafdedicated
EMSftelephoneflineforfMERCIfradiofiffthefparticipatingfhospitalfdoesfnotfhavefa
,telemetryfline.
Writefoutfanfexamplefoffafpre-notificationfcall?f-ffCORRECTfANSWERSPre-NotificationfReport
A.fIdentifyfagencyfandfnumber
B.fStatef"Thisfisfafpre-notificationfreport."
C.fAgefandfsex
D.fChieffcomplaint
E.fVitalfsigns
F.f"Routinefprotocolsffollowed"
G.fAdditionalfdetailsfthatfmayfbefneededfforfthefreceivingfhospitalftofpreparefforfthefpatient
H.fDestinationfandfETA
Anfexamplefincludesfpatientsfwithfspinalfimmobilizatipnforfwhofarefunableftofsitfinfafwheelchairforf
chair.fThosefwhofmayfneedfanfimmediatefbedfuponfemergencyfdepartmentfarrival.
Listf3fexamplesfthatfshouldfbefcalledfinfasfOLMCfratherfthanfafpre-notificationfcall?f-
ffCORRECTfANSWERS1.fRegionalizedfSystemsfoffCareftransportsfincludingfpatientsfwith:
a.fAcutefcoronaryfsyndromefandfSTEMIfcriteria
b.fSuspectedfacutefstroke
c.fTraumafFieldfTriagefCriteriaf(Stepsf1-4)
d.fVentricularfAssistfDevicef(VAD)
e.fObstetricfrelatedfcomplaint
2.fCardiacfArrest
a.fForfpatientsfinfwhomfresuscitationfisfinitiated,fOLMCfshouldfbefconsulted
beforefmovingfthefpatient.fOLMCfisfrequiredfinfmakingfthefdecisionfto
continuefon-scenefresuscitation,ftransport,forfterminatefresuscitation.
b.fPatientsfthatfmeetfcriteriafforfwithholdingfresuscitationf(seefInitiationfor
, WithholdingfoffResuscitativefMeasuresfPolicyfB.5)fdofnotfrequirefOLMC
consultationf(i.e.fDOA).
3.fComplexfpatientfcarefsituationsfand/orfquestionsfregardingfthefappropriate
destination.fForfexample:
a.fAnyfpatientfpotentiallyfrequiringfafLevelf1fTraumafCenter,fbutfnotfclearly
meetingfTraumafFieldfTriagefCriteria
b.fPatientsfwithfpossiblefacutefcoronaryfsyndromeforfstrokefsymptomsfthatfmay
notfmeetfdefinedfcriteriafforfspecialtyfcenterftransport
c.fPatientsfpotentiallyfrequiringfdiversionfforfcriticalfairwayfstabilization
WhatfshouldfyoufdofinfthefeventfyoufcannotfreachfyourfassignedfbasefstationfforfanfOLMCfcall?f-
ffCORRECTfANSWERSIf
thefcontactfisfunsuccessful:
1.fAttemptftofcontactfthefnextfclosestfResource/AssociatefHospital.
2.fAllfattemptsfatfcontactfmustfbefdocumentedfinfthefpatientfcarefreport.
3.fNotificationfoffafcommunicationfproblemfmustfbefmadeftofthe
Resource/AssociatefHospitalfandfthefambulancefservicefprovider'sfsupervisorfon
dutyfafterfarrivingfatfthefreceivingfhospital.
Namefthef6fcallfdispositionftypesf-
ffCORRECTfANSWERSPatientfTransportedftofAppropriatefEmergencyfDepartment:
PatientfInitiatedfRefusal
NofPatientfFound
PatientfDeceasedfonfArrivalf(DOA
CancelledfPriorftofArrivalfonfScene
HandledfbyfPolice
QUESTIONS WITH CORRECT
ANSWERS GRADED A+ FOR 2026
ASSURED EXCEL!!
Explainfthefdifferencefbetweenfanfonlinefmedicalfcontrolf(OLMC)fandfafpre-notificationfcall?f-
ffCORRECTfANSWERSOnlinefMedicalfControlf(OLMC):fBasefStationfcontactfisfrequiredffor:f1)fMedica
l
directionfinfRegionalizedfSystemsfoffCarefpatientsforfcomplexfpatientfcarefsituationsfor
2)fSituationsfnotfclearlyfdefinedfbyfthefRegionfXIfPoliciesf&fProceduresfasfneededfby
thefEMSfprovider.
A.fGoal:fTofprovidefimmediatefmedicalfdirectionftofthefEMSfproviderfforfsituations
wherefpatientfcareforfdestinationfmayfbefimpacted.f
Communicationfmethod:fOLMCfcallsfwillfbefmadefthroughfthefMEDfChannelsfor
cellularflinesfandfallfcontactfwillfbefrecorded.
Pre-Notification:fEMSfshouldfcontactfthefreceivingfhospitalfdirectlyfforfALSftransportsfin
situationsfwherefthefRegionfXIfStandingfMedicalfOrders/Protocolsfhavefbeenffollowed.
A.fGoal:fTofprovidefdirectfcommunicationfbetweenfEMSfprovidersfandfthefreceiving
hospitalfforfstraightforwardfBLSforfALSfpatientftransports.
Nofmedicalfdirectionfwillfbefgivenfbyfnon-RegionfXIfBasefStationfhospitalsfreceiving
pre-notificationfreports.
Communicationfmethod:fPre-notificationfreportsfshouldfbefgivenfthroughfa
hospital'sfdedicatedftelemetryflinefiffthefhospitalfisfafResource/AssociatefHospital
withinfRegionfXIf(orfanotherfRegion).fContactfmayfalsofbefthroughfafdedicated
EMSftelephoneflineforfMERCIfradiofiffthefparticipatingfhospitalfdoesfnotfhavefa
,telemetryfline.
Writefoutfanfexamplefoffafpre-notificationfcall?f-ffCORRECTfANSWERSPre-NotificationfReport
A.fIdentifyfagencyfandfnumber
B.fStatef"Thisfisfafpre-notificationfreport."
C.fAgefandfsex
D.fChieffcomplaint
E.fVitalfsigns
F.f"Routinefprotocolsffollowed"
G.fAdditionalfdetailsfthatfmayfbefneededfforfthefreceivingfhospitalftofpreparefforfthefpatient
H.fDestinationfandfETA
Anfexamplefincludesfpatientsfwithfspinalfimmobilizatipnforfwhofarefunableftofsitfinfafwheelchairforf
chair.fThosefwhofmayfneedfanfimmediatefbedfuponfemergencyfdepartmentfarrival.
Listf3fexamplesfthatfshouldfbefcalledfinfasfOLMCfratherfthanfafpre-notificationfcall?f-
ffCORRECTfANSWERS1.fRegionalizedfSystemsfoffCareftransportsfincludingfpatientsfwith:
a.fAcutefcoronaryfsyndromefandfSTEMIfcriteria
b.fSuspectedfacutefstroke
c.fTraumafFieldfTriagefCriteriaf(Stepsf1-4)
d.fVentricularfAssistfDevicef(VAD)
e.fObstetricfrelatedfcomplaint
2.fCardiacfArrest
a.fForfpatientsfinfwhomfresuscitationfisfinitiated,fOLMCfshouldfbefconsulted
beforefmovingfthefpatient.fOLMCfisfrequiredfinfmakingfthefdecisionfto
continuefon-scenefresuscitation,ftransport,forfterminatefresuscitation.
b.fPatientsfthatfmeetfcriteriafforfwithholdingfresuscitationf(seefInitiationfor
, WithholdingfoffResuscitativefMeasuresfPolicyfB.5)fdofnotfrequirefOLMC
consultationf(i.e.fDOA).
3.fComplexfpatientfcarefsituationsfand/orfquestionsfregardingfthefappropriate
destination.fForfexample:
a.fAnyfpatientfpotentiallyfrequiringfafLevelf1fTraumafCenter,fbutfnotfclearly
meetingfTraumafFieldfTriagefCriteria
b.fPatientsfwithfpossiblefacutefcoronaryfsyndromeforfstrokefsymptomsfthatfmay
notfmeetfdefinedfcriteriafforfspecialtyfcenterftransport
c.fPatientsfpotentiallyfrequiringfdiversionfforfcriticalfairwayfstabilization
WhatfshouldfyoufdofinfthefeventfyoufcannotfreachfyourfassignedfbasefstationfforfanfOLMCfcall?f-
ffCORRECTfANSWERSIf
thefcontactfisfunsuccessful:
1.fAttemptftofcontactfthefnextfclosestfResource/AssociatefHospital.
2.fAllfattemptsfatfcontactfmustfbefdocumentedfinfthefpatientfcarefreport.
3.fNotificationfoffafcommunicationfproblemfmustfbefmadeftofthe
Resource/AssociatefHospitalfandfthefambulancefservicefprovider'sfsupervisorfon
dutyfafterfarrivingfatfthefreceivingfhospital.
Namefthef6fcallfdispositionftypesf-
ffCORRECTfANSWERSPatientfTransportedftofAppropriatefEmergencyfDepartment:
PatientfInitiatedfRefusal
NofPatientfFound
PatientfDeceasedfonfArrivalf(DOA
CancelledfPriorftofArrivalfonfScene
HandledfbyfPolice
