Santa Clara Local Systems Orientation Exam
Questions With Complete Solutions
In addition to any specific criteria for withholding or discontinuing resuscitation contained
within individual treatment protocols, resusitative efforts may be withheld, discontinued, and/or
death determined under the following circumstances (BLS) 1. Five signs of immediate
DOA
2. A pulseless and/or apneic patient with a valid DNR
3. A pulseless and/or apneic patiend who has exercised his/her right to die under the end of life
option.
if criteria met EMS will discontinue resuscitate effort, cancel prehospital personnel in route,
provide appropriate care to bystanders, and complete PCR documentation about actions taken
and reason for pronounced death.
valid forms of identification for a physician on scene valid CA physicians medical license
other ID that indicates physician CA medical license # and business address
physical involvement of a physician at the scene. patient must give consent. then care may
be relinqueshed to the physician who will remain responsible for care until another MD takes
,Santa Clara Local Systems Orientation Exam
Questions With Complete Solutions
over. physician may manage care, but ultimately accepts responsibility for patient. must
accompany crew and patient in ambulance.
documentation when physician at scene (5 things) 1. physician name
2. CA medical license #
3. business phone #
4. level of patient care involvement
5. all procedures and treatments performed at the scene.
patient destinations: patient choice patient may betransported to requested facility as long
as facility meets medical requirements, barring any EMS surge and hospital diversion.
patient destination: routine patient destination patients may be transported to routine
emergency department UNLESS patient meets criteria that requires specialty care.
SCCO Specialties Trauma facilities Trauma: Regional MC, Stanford, Santa Clara Valley
MC
, Santa Clara Local Systems Orientation Exam
Questions With Complete Solutions
SCCO Specialties Psyciatric: psyciatric: El Camino MV, Santa Clara Valley MC EPS, PA
VA hospital, Stanford.
SCCO Specialties Burn Santa Clara Valley Medical Center
SCCO Specialties Stroke Comprehensive: El Camino MV, Good Samaritan, Regional
Medical center SJ
Primary: All hospitals except PA VA hospital
SCCO Specialties STEMI All hospitals except st. louise regionaal, PA VA, El Camino LG
Special circumstances: EMS surges/ MCI incidents -All destinations will be assigned by
county communications
- may be transported to out of county hospital, or mobile field hospitals with approval.
Questions With Complete Solutions
In addition to any specific criteria for withholding or discontinuing resuscitation contained
within individual treatment protocols, resusitative efforts may be withheld, discontinued, and/or
death determined under the following circumstances (BLS) 1. Five signs of immediate
DOA
2. A pulseless and/or apneic patient with a valid DNR
3. A pulseless and/or apneic patiend who has exercised his/her right to die under the end of life
option.
if criteria met EMS will discontinue resuscitate effort, cancel prehospital personnel in route,
provide appropriate care to bystanders, and complete PCR documentation about actions taken
and reason for pronounced death.
valid forms of identification for a physician on scene valid CA physicians medical license
other ID that indicates physician CA medical license # and business address
physical involvement of a physician at the scene. patient must give consent. then care may
be relinqueshed to the physician who will remain responsible for care until another MD takes
,Santa Clara Local Systems Orientation Exam
Questions With Complete Solutions
over. physician may manage care, but ultimately accepts responsibility for patient. must
accompany crew and patient in ambulance.
documentation when physician at scene (5 things) 1. physician name
2. CA medical license #
3. business phone #
4. level of patient care involvement
5. all procedures and treatments performed at the scene.
patient destinations: patient choice patient may betransported to requested facility as long
as facility meets medical requirements, barring any EMS surge and hospital diversion.
patient destination: routine patient destination patients may be transported to routine
emergency department UNLESS patient meets criteria that requires specialty care.
SCCO Specialties Trauma facilities Trauma: Regional MC, Stanford, Santa Clara Valley
MC
, Santa Clara Local Systems Orientation Exam
Questions With Complete Solutions
SCCO Specialties Psyciatric: psyciatric: El Camino MV, Santa Clara Valley MC EPS, PA
VA hospital, Stanford.
SCCO Specialties Burn Santa Clara Valley Medical Center
SCCO Specialties Stroke Comprehensive: El Camino MV, Good Samaritan, Regional
Medical center SJ
Primary: All hospitals except PA VA hospital
SCCO Specialties STEMI All hospitals except st. louise regionaal, PA VA, El Camino LG
Special circumstances: EMS surges/ MCI incidents -All destinations will be assigned by
county communications
- may be transported to out of county hospital, or mobile field hospitals with approval.
