Test Review for LA County Paramedic
Accreditation Questions and Answers
Who is final authority on patient destination? - CORRECT ANSWER-Base
When can BLS transport a critical patient? (TC, SRC) - CORRECT ANSWER-When
transport time < ETA of ALS unit
Can you transport a STEMI to a hospital that is closed ED SAT? - CORRECT
ANSWER-Yes, you can still take specialty patients if Reddinet says "ED*"
How long can hospital be on diversion? - CORRECT ANSWER-One hour, with 10
minute opening, then another hour.
Extended to two hours during covid pandemic
When can MAR not turn patient away? - CORRECT ANSWER-Extremis -
Unmanageable airway, uncontrolled bleeding, ETA to Alternative facility is >15 minutes
Required staffing on LA county ALS unit - CORRECT ANSWER-2 Paramedics
What is most effective method of determining if a patient is critically injured? -
CORRECT ANSWER-MOI
Trauma blood pressure criteria?
Example: Pediatric patient fell off swings, (insert fluff here), BP 82/50, HR 100, RR 17,
SPO2 100%. Is this a trauma patient? - CORRECT ANSWER-SBP < 90 in adults
SBP < 70 in infants less than 1 year of age
Trauma/ALS criteria for Autoped?
Example: Pt is run over by airport luggage tug going 10mph? is this patient ALS? -
CORRECT ANSWER-Pt struck by vehicle going >20mph or run over/thrown regardless
of speed.
Yes, pt is ALS
814 criteria for penetrating traumatic arrest? - CORRECT ANSWER-Pt is only dead if
we have asystole
814 criteria for blunt traumatic arrest? - CORRECT ANSWER-Pt is dead if we have
anything on the monitor other then PEA. "Start CPR only if monitor shows an organized
supraventricular rhythm" (aka PEA)
, Is base hospital contact required for STEMI? - CORRECT ANSWER-Technically No,
not per LACO protocols, but it is required per LAFD policy.
Approved DNR proof - CORRECT ANSWER-State medallion
What is Paramedic's responsibility if child abuse suspected? - CORRECT ANSWER-
Notify Law enforcement, notify CPS ASAP, SCAR report within 36 hours
Can not leave scene until law enforcement arrives
Elderly abuse age? - CORRECT ANSWER-65 or older. If victim is less than 65, its just
a regular domestic
Who to notify of elderly abuse in facility? - CORRECT ANSWER-Law enforcement or
Ombudsman
Who to notify of elderly abuse in a home? - CORRECT ANSWER-Law enforcement or
adult protective services.
Where to direct person asking for a report? - CORRECT ANSWER-LA county Hall of
records
Fentanyl min and max inventory - CORRECT ANSWER-500mcg min
1500mcg max
Morphine min and max inventory - CORRECT ANSWER-32mg-60mg
Versed min and max inventory - CORRECT ANSWER-20mg-40mg
How shall narcotics be secured? - CORRECT ANSWER-Double locked (Locked box in
locked ambulance)
When are narcs checked? - CORRECT ANSWER-2-person shift change
When is your county paramedic expatriation date? - CORRECT ANSWER-Same as
state expiration date.
Which interventions require CONCURRENT base contact - CORRECT ANSWER-PACT
- Push dose EPI, Adenosine for Peds, Cardioversion, Transcutaneus pacing
Needle T contraindication - CORRECT ANSWER-SBP <90
Where to perform Needle T - CORRECT ANSWER-2nd intracostal space mid-clavicular
line
or
Accreditation Questions and Answers
Who is final authority on patient destination? - CORRECT ANSWER-Base
When can BLS transport a critical patient? (TC, SRC) - CORRECT ANSWER-When
transport time < ETA of ALS unit
Can you transport a STEMI to a hospital that is closed ED SAT? - CORRECT
ANSWER-Yes, you can still take specialty patients if Reddinet says "ED*"
How long can hospital be on diversion? - CORRECT ANSWER-One hour, with 10
minute opening, then another hour.
Extended to two hours during covid pandemic
When can MAR not turn patient away? - CORRECT ANSWER-Extremis -
Unmanageable airway, uncontrolled bleeding, ETA to Alternative facility is >15 minutes
Required staffing on LA county ALS unit - CORRECT ANSWER-2 Paramedics
What is most effective method of determining if a patient is critically injured? -
CORRECT ANSWER-MOI
Trauma blood pressure criteria?
Example: Pediatric patient fell off swings, (insert fluff here), BP 82/50, HR 100, RR 17,
SPO2 100%. Is this a trauma patient? - CORRECT ANSWER-SBP < 90 in adults
SBP < 70 in infants less than 1 year of age
Trauma/ALS criteria for Autoped?
Example: Pt is run over by airport luggage tug going 10mph? is this patient ALS? -
CORRECT ANSWER-Pt struck by vehicle going >20mph or run over/thrown regardless
of speed.
Yes, pt is ALS
814 criteria for penetrating traumatic arrest? - CORRECT ANSWER-Pt is only dead if
we have asystole
814 criteria for blunt traumatic arrest? - CORRECT ANSWER-Pt is dead if we have
anything on the monitor other then PEA. "Start CPR only if monitor shows an organized
supraventricular rhythm" (aka PEA)
, Is base hospital contact required for STEMI? - CORRECT ANSWER-Technically No,
not per LACO protocols, but it is required per LAFD policy.
Approved DNR proof - CORRECT ANSWER-State medallion
What is Paramedic's responsibility if child abuse suspected? - CORRECT ANSWER-
Notify Law enforcement, notify CPS ASAP, SCAR report within 36 hours
Can not leave scene until law enforcement arrives
Elderly abuse age? - CORRECT ANSWER-65 or older. If victim is less than 65, its just
a regular domestic
Who to notify of elderly abuse in facility? - CORRECT ANSWER-Law enforcement or
Ombudsman
Who to notify of elderly abuse in a home? - CORRECT ANSWER-Law enforcement or
adult protective services.
Where to direct person asking for a report? - CORRECT ANSWER-LA county Hall of
records
Fentanyl min and max inventory - CORRECT ANSWER-500mcg min
1500mcg max
Morphine min and max inventory - CORRECT ANSWER-32mg-60mg
Versed min and max inventory - CORRECT ANSWER-20mg-40mg
How shall narcotics be secured? - CORRECT ANSWER-Double locked (Locked box in
locked ambulance)
When are narcs checked? - CORRECT ANSWER-2-person shift change
When is your county paramedic expatriation date? - CORRECT ANSWER-Same as
state expiration date.
Which interventions require CONCURRENT base contact - CORRECT ANSWER-PACT
- Push dose EPI, Adenosine for Peds, Cardioversion, Transcutaneus pacing
Needle T contraindication - CORRECT ANSWER-SBP <90
Where to perform Needle T - CORRECT ANSWER-2nd intracostal space mid-clavicular
line
or
