LA County Protocols Exam Questions And 100%
Correct Answers
Ref. 304 Base hospital purpose
Base hospital is ? -Answer responsible for providing medical direction and destination
to pre-hospital care personnel within LA County EMS system according to standard
procedures consistent with statewide guidelines
Ref. 304 Base hospital purpose
MICN is? -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 many more shit to remember
,Ref. 408 ALS Unit Staffing
ALL ALS units shall - Answer both public and private
shall be staffed a minimum with two state licensed paramedics accredited in Los
Angeles County
Ref. 409
Procedure for reporting ALS unit staffing exceptions - Answer 1. Submit a report for
each calendar month that an ALS unit operates with less than the minimum staff.
2. report is due no later than 10 days following 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 but 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 cannot provide necessary diagnostic services because of
a non-operational CT scanner
Ref. 503 policy for hospital requesting diversion
trauma centers requesting diversion - Answer because hospital is unable to care for any
additional trauma patient
a. critical equipment unavailable
b. operating room unavailable
c. trauma team encumbered
Correct Answers
Ref. 304 Base hospital purpose
Base hospital is ? -Answer responsible for providing medical direction and destination
to pre-hospital care personnel within LA County EMS system according to standard
procedures consistent with statewide guidelines
Ref. 304 Base hospital purpose
MICN is? -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 many more shit to remember
,Ref. 408 ALS Unit Staffing
ALL ALS units shall - Answer both public and private
shall be staffed a minimum with two state licensed paramedics accredited in Los
Angeles County
Ref. 409
Procedure for reporting ALS unit staffing exceptions - Answer 1. Submit a report for
each calendar month that an ALS unit operates with less than the minimum staff.
2. report is due no later than 10 days following 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 but 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 cannot provide necessary diagnostic services because of
a non-operational CT scanner
Ref. 503 policy for hospital requesting diversion
trauma centers requesting diversion - Answer because hospital is unable to care for any
additional trauma patient
a. critical equipment unavailable
b. operating room unavailable
c. trauma team encumbered
