SANTA CLARA COUNTY EMS
PRACTICE EXAM QUESTIONS
WITH CORRECT DETAILED
ANSWERS | ALREADY GRADED
A+<RECENT VERSION>
1) What type of incidents are considered Level A? - ANSWER - Deviation from
EMS agency policy with patient harm
- Medication or procedural errors with patient harm
- Failure to respond to requests for aid
- Equipment failure with patient harm
2) How soon must you report a Level A variance? - ANSWER Immediately report to
EMS Duty Chief
3) Who must be notified ASAP for Level A variances? - ANSWER EMS Duty Chief
4) What type of incidents are considered Level B variances? - ANSWER - Potential
clinical care variance
- Poor interagency coordination
- Communications system variance
5) How soon must you report a Level B variance? - ANSWER Within 5 business
days to EMS agency
6) What type of incidents are considered Level C variances? - ANSWER - Good
patient outcome
- Outstanding customer service
- Positive provider agency/hospital cooperation
,7) What form would you use to file a variance report? Where can you find it? -
ANSWER EMS form #903. Found online on website
8) How will policy implementation be disseminated to you? - ANSWER From
NORCAL representative or through email or physically posted at stations
9) What other resources do you have to find new policies and updates? - ANSWER
Social media
10) When an MCU alert occurs with 5+ patients, is a PCR required? - ANSWER No.
Use an approved tracking tool instead: Triage tag if agency allows
11) For IFT transports, what form of communication is used for ring-downs? -
ANSWER County radio or company phone
12) What alerts require use of county radio? - ANSWER - Trauma alerts
- STEMI alerts
- Critical patient alerts using lights and sirens
13) What information is required when giving a "DECON ALERT" ring-down? -
ANSWER - Chemical name
- Decon methods used
- DOT reference #
- Appropriate treatment
- Routine patient notification report
- Request appropriate representative meet ambulance to evaluate patient before
entry
14) Who should ask to meet you in ED bay for an exposure-risk patient? - ANSWER
Appropriate representative
15) Which EMS providers are allowed to make Base Hospital contact? - ANSWER
Medics
, 16) Who are legally authorized to refuse care? - ANSWER - 18 yrs +
- Legal minor authorized to consent/refuse
- A legal representative who is not suicidal or in psychiatric hold
17) An individual is not legally authorized to refuse care if they are: - ANSWER -
Suicidal
- On psychiatric hold
- Without capacity
- Minor
18) What are the obvious signs of death an EMT can pronounce? - ANSWER -
Decapitation
- Total incineration
- Decomposition
- Rigor mortis
- Pulseless and separation/destruction of heart, brain, or lung
- Pulseless patient with a valid DNR
- Pulseless end of life option act patient
19) If a physician arrives on scene, what do you do first? - ANSWER Request proper
identification (medical license#)
20) What 3 options does the physician on scene have when assisting responders rendering
aid while responders are on scene? - ANSWER - Relinquish patient care
- Assist in patient care
- Manage patient care
21) When can a patient be taken to a hospital of their choice? - ANSWER A&O
approved facility most appropriate for their medical condition
22) What if a patient has no hospital preference? - ANSWER Most appropriate
approved facility for patient condition
23) Where do we transport patients deemed "in extremis"? - ANSWER Closest
hospital to incident location
PRACTICE EXAM QUESTIONS
WITH CORRECT DETAILED
ANSWERS | ALREADY GRADED
A+<RECENT VERSION>
1) What type of incidents are considered Level A? - ANSWER - Deviation from
EMS agency policy with patient harm
- Medication or procedural errors with patient harm
- Failure to respond to requests for aid
- Equipment failure with patient harm
2) How soon must you report a Level A variance? - ANSWER Immediately report to
EMS Duty Chief
3) Who must be notified ASAP for Level A variances? - ANSWER EMS Duty Chief
4) What type of incidents are considered Level B variances? - ANSWER - Potential
clinical care variance
- Poor interagency coordination
- Communications system variance
5) How soon must you report a Level B variance? - ANSWER Within 5 business
days to EMS agency
6) What type of incidents are considered Level C variances? - ANSWER - Good
patient outcome
- Outstanding customer service
- Positive provider agency/hospital cooperation
,7) What form would you use to file a variance report? Where can you find it? -
ANSWER EMS form #903. Found online on website
8) How will policy implementation be disseminated to you? - ANSWER From
NORCAL representative or through email or physically posted at stations
9) What other resources do you have to find new policies and updates? - ANSWER
Social media
10) When an MCU alert occurs with 5+ patients, is a PCR required? - ANSWER No.
Use an approved tracking tool instead: Triage tag if agency allows
11) For IFT transports, what form of communication is used for ring-downs? -
ANSWER County radio or company phone
12) What alerts require use of county radio? - ANSWER - Trauma alerts
- STEMI alerts
- Critical patient alerts using lights and sirens
13) What information is required when giving a "DECON ALERT" ring-down? -
ANSWER - Chemical name
- Decon methods used
- DOT reference #
- Appropriate treatment
- Routine patient notification report
- Request appropriate representative meet ambulance to evaluate patient before
entry
14) Who should ask to meet you in ED bay for an exposure-risk patient? - ANSWER
Appropriate representative
15) Which EMS providers are allowed to make Base Hospital contact? - ANSWER
Medics
, 16) Who are legally authorized to refuse care? - ANSWER - 18 yrs +
- Legal minor authorized to consent/refuse
- A legal representative who is not suicidal or in psychiatric hold
17) An individual is not legally authorized to refuse care if they are: - ANSWER -
Suicidal
- On psychiatric hold
- Without capacity
- Minor
18) What are the obvious signs of death an EMT can pronounce? - ANSWER -
Decapitation
- Total incineration
- Decomposition
- Rigor mortis
- Pulseless and separation/destruction of heart, brain, or lung
- Pulseless patient with a valid DNR
- Pulseless end of life option act patient
19) If a physician arrives on scene, what do you do first? - ANSWER Request proper
identification (medical license#)
20) What 3 options does the physician on scene have when assisting responders rendering
aid while responders are on scene? - ANSWER - Relinquish patient care
- Assist in patient care
- Manage patient care
21) When can a patient be taken to a hospital of their choice? - ANSWER A&O
approved facility most appropriate for their medical condition
22) What if a patient has no hospital preference? - ANSWER Most appropriate
approved facility for patient condition
23) Where do we transport patients deemed "in extremis"? - ANSWER Closest
hospital to incident location
