KERN COUNTY PROTOCOLS EXAM SCRIPT
COMPREHENSIVE STUDY GUIDE
●● Ref. 304 Purpose of base hospital
MICN is what?
Answer: registered nurse who has been authorized by the medical
director, qualified to provide prehospital advanced life support or to
issue instructions to EMS personnel within LA County
●● Ref. 304 Purpose of base hospital
base hospital shall:
Answer: 1. Be lic. by CA state dept. of public health
2.special permit for basic or comprehensive emergency service
3. Be accredited , deemed acceptable for Medicare and Medicaid
4.Meet or exceed standards for PEDS unless exempted
5. Have a written contractual agreement with EMS agency
6. Implement and monitor LA County policies
***7. Designate a base hospital medical director who shall be
responsible of the base hospital. base hospital medical director shall be a
physician on the hospital******
,and a lot of more shit to remember
●● Ref. 408 ALS Unit Staffing
ALL ALS units shall
Answer: both public and private
shall be staffed at least two state licensed paramedics accredited in Los
Angeles County
●● Ref. 409
Procedure for reporting ALS unit staffing exceptions
Answer: 1. Complete a report for each calendar month where an ALS
unit operates with less than the minimum staff.
2. the report must be submitted no later than 10 days after the close of
the calendar month to DHS
●● Ref. 502 Patient Destination
MAR defined as
Answer: the most accessible receiving (MAR) may or may not be the
closest facility geographically.
consider traffic, weather conditions, that may influence transport time
●● Ref. 502 Patient Destination
,pts. shall not be transported ?
Answer: pt. shall not be transported to a medical facility that is on
diversion due to internal disaster
●● Ref. 502 Patient Destination
Pt. should be transported to the MAR unless
Answer: 1. The base hospital determines that another facility is more
appropriate to meet the needs of the pt. or
2. the patient meets criteria or guidelines to a specialty care center
●● Ref. 503 Guidelines for hospital requesting Diversion of ALS Pt.
ALS pt. defined as
Answer: ALS patient is any patient who requires paramedic assessment
or intervention, including not limited to patient meeting the criteria
outlined in ref. 808
●● Ref. 503 Guidelines for hospital requesting diversion
who is responsible maintaining ReddiNet
Answer: Receiving hospital are responsible for maintaining and
updating ReddiNet
, ●● Ref. 503 Guidelines for hospital requesting diversion
ED Saturation defined as
Answer: ED resources( beds, equipment and staff) are fully committed
or are not sufficient to care for addtl incoming ALS patients. hospitals
may request ED diversion via the ReddiNet for up to one hour at a time.
at the end of the hour Reddinet will automatically re-open the hospital
only one hour increments
●● Ref. 503 guidelines for hospital requesting diversion
CT Scanner
Answer: hospital is unable to provide essential diagnostic procedures
due to lack of a functioning CT scanner
●● Ref. 503 guidelines for hospital requesting diversion
trauma centers requesting diversion
Answer: hospital is unable to care for additional trauma patients because
trauma team is fully committed caring for trauma patients
a. critical equipment unavailable
b. operating room unavailable
COMPREHENSIVE STUDY GUIDE
●● Ref. 304 Purpose of base hospital
MICN is what?
Answer: registered nurse who has been authorized by the medical
director, qualified to provide prehospital advanced life support or to
issue instructions to EMS personnel within LA County
●● Ref. 304 Purpose of base hospital
base hospital shall:
Answer: 1. Be lic. by CA state dept. of public health
2.special permit for basic or comprehensive emergency service
3. Be accredited , deemed acceptable for Medicare and Medicaid
4.Meet or exceed standards for PEDS unless exempted
5. Have a written contractual agreement with EMS agency
6. Implement and monitor LA County policies
***7. Designate a base hospital medical director who shall be
responsible of the base hospital. base hospital medical director shall be a
physician on the hospital******
,and a lot of more shit to remember
●● Ref. 408 ALS Unit Staffing
ALL ALS units shall
Answer: both public and private
shall be staffed at least two state licensed paramedics accredited in Los
Angeles County
●● Ref. 409
Procedure for reporting ALS unit staffing exceptions
Answer: 1. Complete a report for each calendar month where an ALS
unit operates with less than the minimum staff.
2. the report must be submitted no later than 10 days after the close of
the calendar month to DHS
●● Ref. 502 Patient Destination
MAR defined as
Answer: the most accessible receiving (MAR) may or may not be the
closest facility geographically.
consider traffic, weather conditions, that may influence transport time
●● Ref. 502 Patient Destination
,pts. shall not be transported ?
Answer: pt. shall not be transported to a medical facility that is on
diversion due to internal disaster
●● Ref. 502 Patient Destination
Pt. should be transported to the MAR unless
Answer: 1. The base hospital determines that another facility is more
appropriate to meet the needs of the pt. or
2. the patient meets criteria or guidelines to a specialty care center
●● Ref. 503 Guidelines for hospital requesting Diversion of ALS Pt.
ALS pt. defined as
Answer: ALS patient is any patient who requires paramedic assessment
or intervention, including not limited to patient meeting the criteria
outlined in ref. 808
●● Ref. 503 Guidelines for hospital requesting diversion
who is responsible maintaining ReddiNet
Answer: Receiving hospital are responsible for maintaining and
updating ReddiNet
, ●● Ref. 503 Guidelines for hospital requesting diversion
ED Saturation defined as
Answer: ED resources( beds, equipment and staff) are fully committed
or are not sufficient to care for addtl incoming ALS patients. hospitals
may request ED diversion via the ReddiNet for up to one hour at a time.
at the end of the hour Reddinet will automatically re-open the hospital
only one hour increments
●● Ref. 503 guidelines for hospital requesting diversion
CT Scanner
Answer: hospital is unable to provide essential diagnostic procedures
due to lack of a functioning CT scanner
●● Ref. 503 guidelines for hospital requesting diversion
trauma centers requesting diversion
Answer: hospital is unable to care for additional trauma patients because
trauma team is fully committed caring for trauma patients
a. critical equipment unavailable
b. operating room unavailable
