SNHD EMT PROTOCOLS Exam | with
complete Solution| Verified Answers
OPERATIONS PROTOCOLS.
COMMUNICATIONS - ANSWER Telemetry contact should be established by radio.
Telephone contact may only be used if the call is recorded via a
phone patch through the FAO at 702-382-9007.
1. Telemetry contact shall be established:
A. For all Code 3 transports.
B. For any medical emergency in which the EMS provider's judgment suggests consultation
with a telemetry
physician is necessary.
C. For all trauma patients going to a trauma center.
D. When telemetry contact is required per protocol.
2. For patients who meet Trauma Field Triage Criteria, telemetry reports shall include:
A. Patient age
B. Gender
C. Mechanism of injury
D. Ambulatory at scene
E. Suspected injuries F.
Vital signs
G. Airway status
H. Neurologic status
I. ETA
J. An incident identifier if multiple patients are involved (e.g. fire department command
code "Main Street
,3. For all other patients, telemetry reports shall include, at a minimum:
A. Attendant/vehicle identification
B. Nature of call: INFORMATION ONLY or REQUEST FOR PHYSICIAN
ORDERS C. Patient information (i.e. number, age, sex)
D. Patient condition (i.e. stable, full arrest)
E. History
1) Basic problem or chief complaint
2) Pertinent associated symptoms
3) Time since onset
,4) Past history, if pertinent
F. Objective findings
1) General status of patient
2) Level of responsiveness
3) Vital signs
4) Pertinent localized findings
5) Working impression of patient's
problem G. Treatment
1) In progress
2) Requests for drugs or procedures
H. Estimated time of arrival, including any special circumstances that may cause a delay in
transport.
OPERATIONS PROTOCOLS.
COMMUNICATIONS.
Continued - ANSWER 4. Notification of transport shall be provided to the receiving hospital for
ALL other calls.
A. Notification can be completed via:
1) Radio
2) Telephone
3) EMSystem
1) Patient age
2) Chief complaint
3) Type of bed required (monitored/unmonitored)
4) Unit number
5) ETA
, 5. Providers will relay assessment findings and treatment provided to the individual(s) assuming
responsibility
for the patient(s).
6. Patient confidentiality must be maintained at all times.
7. All patients should be treated with dignity and respect in a calm and reassuring manner.
OPERATIONS PROTOCOLS.
DO NOT RESUSCITATE (DNR/POLST) - ANSWER 1. All patients with absent vital signs who do not
have conclusive signs of death (refer to Prehospital Death
Determination protocol) shall be treated with life-resuscitating measures unless EMS
personnel are presented
with a valid Do-Not-Resuscitate (DNR)/Physician Order for Life-Sustaining Treatment (POLST)
Identification/Order.
A. A valid DNR Identification is a form, wallet card, or medallion issued by the Southern Nevada
Health District,
Nevada Division of Public and Behavioral Health, or an identification issued by another
state indicating a
person's desire and qualification to have life-resuscitating treatment withheld.
B. A valid DNR Order is a written directive issued by a physician licensed in this state that life-
resuscitating
treatment is not to be administered to a qualified patient. The term also includes a valid
Do-Not-Resuscitate
order issued under the laws of another state.
C. A valid POLST form signed by a physician that records the wishes of the patient and directs a
healthcare
provider regarding the provision of life-resuscitating treatment and life-sustaining treatment.
Note: Verbal instructions from friends or family members DO NOT constitute a valid
DNR/POLST.
2. In preparation for, or during a inter-facility transfer, a valid DNR Order/POLST in the qualified
patient's medical
record shall be honored in accordance with this protocol.
complete Solution| Verified Answers
OPERATIONS PROTOCOLS.
COMMUNICATIONS - ANSWER Telemetry contact should be established by radio.
Telephone contact may only be used if the call is recorded via a
phone patch through the FAO at 702-382-9007.
1. Telemetry contact shall be established:
A. For all Code 3 transports.
B. For any medical emergency in which the EMS provider's judgment suggests consultation
with a telemetry
physician is necessary.
C. For all trauma patients going to a trauma center.
D. When telemetry contact is required per protocol.
2. For patients who meet Trauma Field Triage Criteria, telemetry reports shall include:
A. Patient age
B. Gender
C. Mechanism of injury
D. Ambulatory at scene
E. Suspected injuries F.
Vital signs
G. Airway status
H. Neurologic status
I. ETA
J. An incident identifier if multiple patients are involved (e.g. fire department command
code "Main Street
,3. For all other patients, telemetry reports shall include, at a minimum:
A. Attendant/vehicle identification
B. Nature of call: INFORMATION ONLY or REQUEST FOR PHYSICIAN
ORDERS C. Patient information (i.e. number, age, sex)
D. Patient condition (i.e. stable, full arrest)
E. History
1) Basic problem or chief complaint
2) Pertinent associated symptoms
3) Time since onset
,4) Past history, if pertinent
F. Objective findings
1) General status of patient
2) Level of responsiveness
3) Vital signs
4) Pertinent localized findings
5) Working impression of patient's
problem G. Treatment
1) In progress
2) Requests for drugs or procedures
H. Estimated time of arrival, including any special circumstances that may cause a delay in
transport.
OPERATIONS PROTOCOLS.
COMMUNICATIONS.
Continued - ANSWER 4. Notification of transport shall be provided to the receiving hospital for
ALL other calls.
A. Notification can be completed via:
1) Radio
2) Telephone
3) EMSystem
1) Patient age
2) Chief complaint
3) Type of bed required (monitored/unmonitored)
4) Unit number
5) ETA
, 5. Providers will relay assessment findings and treatment provided to the individual(s) assuming
responsibility
for the patient(s).
6. Patient confidentiality must be maintained at all times.
7. All patients should be treated with dignity and respect in a calm and reassuring manner.
OPERATIONS PROTOCOLS.
DO NOT RESUSCITATE (DNR/POLST) - ANSWER 1. All patients with absent vital signs who do not
have conclusive signs of death (refer to Prehospital Death
Determination protocol) shall be treated with life-resuscitating measures unless EMS
personnel are presented
with a valid Do-Not-Resuscitate (DNR)/Physician Order for Life-Sustaining Treatment (POLST)
Identification/Order.
A. A valid DNR Identification is a form, wallet card, or medallion issued by the Southern Nevada
Health District,
Nevada Division of Public and Behavioral Health, or an identification issued by another
state indicating a
person's desire and qualification to have life-resuscitating treatment withheld.
B. A valid DNR Order is a written directive issued by a physician licensed in this state that life-
resuscitating
treatment is not to be administered to a qualified patient. The term also includes a valid
Do-Not-Resuscitate
order issued under the laws of another state.
C. A valid POLST form signed by a physician that records the wishes of the patient and directs a
healthcare
provider regarding the provision of life-resuscitating treatment and life-sustaining treatment.
Note: Verbal instructions from friends or family members DO NOT constitute a valid
DNR/POLST.
2. In preparation for, or during a inter-facility transfer, a valid DNR Order/POLST in the qualified
patient's medical
record shall be honored in accordance with this protocol.
