Santa Clara County EMS Questions and Graded Answers.
What type of incidents are considered Level A? - - Deviation from EMS agency policy
with patient harm
- Medication or procedural errors with patient harm
- Failure to respond to requests for aid
- Equipment failur with patient harm
How soon must you report a Level A variance? - Immediately report to EMS Duty Chief
Who must be notified ASAP for Level A variances? - EMS Duty Chief
What type of incidents are considered Level B variances? - - Potential clinical care
variance
- Poor interagency coordination
- Communications system variance
How soon must you report a Level B variance? - Within 5 business days to EMS agency
What type of incidents are considered Level C variances? - - Good patient outcome
- Outstanding customer service
- Positive provider agency/hospital cooperation
What form would you use to file a variance report? Where can you find it? - EMS form
#903. Found online on website
How will policy implementation be disseminated to you? - From NORCAL representative
or through email or physically posted at stations
, What other resources do you have to find new policies and updates? - Social media
When an MCU alert occurs with 5+ patients, is a PCR required? - No. Use an approved
tracking tool instead: Triage tag if agency allows
For IFT transports, what form of communication is used for ring-downs? - County radio
or company phone
What alerts require use of county radio? - - Trauma alerts
- STEMI alerts
- Critical patient alerts using lights and sirens
What information is required when giving a "DECON ALERT" ring-down? - - Chemical
name
- Decon methods used
- DOT reference #
- Appropriate treatment
- Routine patient notification report
- Request appropriate representative meet ambulance to evaluate patient before entry
Who should ask to meet you in ED bay for an exposure-risk patient? - Appropriate
representative
Which EMS providers are allowed to make Base Hospital contact? - Medics
Who are legally authorized to refuse care? - - 18 yrs +
- Legal minor authorized to consent/refuse
- A legal representative who is not suicidal or in psychiatric hold
What type of incidents are considered Level A? - - Deviation from EMS agency policy
with patient harm
- Medication or procedural errors with patient harm
- Failure to respond to requests for aid
- Equipment failur with patient harm
How soon must you report a Level A variance? - Immediately report to EMS Duty Chief
Who must be notified ASAP for Level A variances? - EMS Duty Chief
What type of incidents are considered Level B variances? - - Potential clinical care
variance
- Poor interagency coordination
- Communications system variance
How soon must you report a Level B variance? - Within 5 business days to EMS agency
What type of incidents are considered Level C variances? - - Good patient outcome
- Outstanding customer service
- Positive provider agency/hospital cooperation
What form would you use to file a variance report? Where can you find it? - EMS form
#903. Found online on website
How will policy implementation be disseminated to you? - From NORCAL representative
or through email or physically posted at stations
, What other resources do you have to find new policies and updates? - Social media
When an MCU alert occurs with 5+ patients, is a PCR required? - No. Use an approved
tracking tool instead: Triage tag if agency allows
For IFT transports, what form of communication is used for ring-downs? - County radio
or company phone
What alerts require use of county radio? - - Trauma alerts
- STEMI alerts
- Critical patient alerts using lights and sirens
What information is required when giving a "DECON ALERT" ring-down? - - Chemical
name
- Decon methods used
- DOT reference #
- Appropriate treatment
- Routine patient notification report
- Request appropriate representative meet ambulance to evaluate patient before entry
Who should ask to meet you in ED bay for an exposure-risk patient? - Appropriate
representative
Which EMS providers are allowed to make Base Hospital contact? - Medics
Who are legally authorized to refuse care? - - 18 yrs +
- Legal minor authorized to consent/refuse
- A legal representative who is not suicidal or in psychiatric hold
