LT Promotional Test Study guide 2022 with complete solution
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LT Promotional
LT Promotional Test Study guide 2022 with complete solution
What is "The Communication Failure Guideline"?
Unable to contact MCEP of all types of communications were attempted unsuccessfully
Radio reports are still required for what?
1) all emergent pt transports; any code 3 to ED 2) STEMI, S...
lt promotional test study guide 2022 with complete solution what is the communication failure guideline unable to contact mcep of all types of communications were attempted unsuccessfully ra
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LT Promotional Test Study guide 2022 with complete
solution
What is "The Communication Failure Guideline"?
Unable to contact MCEP of all types of communications were attempted unsuccessfully
Radio reports are still required for what?
1) all emergent pt transports; any code 3 to ED 2) STEMI, Sepsis, and Trauma/Burns 3)
Pt that require additional staff due to aggressive actions, jails, detention centers, in
custody or any suicidal/homicidal pts 4) Active labor with imminent delivery, post-
delivery or contractions less than 2 minutes apart or any pt pregnant with active abd
pain/cramping or vaginal bleeding greater or less than 20 weeks 5) all bannered MCI
pts
Does a pt meeting ED triage criteria need a radio report?
No, should take EMS pts prior to stable walk-in pts
Radio reports should be limited to how many seconds?
30 seconds for majority of pts
Non-priority pts still need a radio report for what reason?
Allow the ED enough time for bed placement
What are the Routine requirements for radio reports?
1) Age and gender 2) CC/MOI 3) current status (stable/unstable 4) ETA 5) vital signs
and tx rendered
May a nurse practitioner or PA allowed to give on line medical direction?
No, nor May they dictate care on scene
Who has the final decision, hospital destination MD or EMS Consortium MD?
Consortium physician but Hospital MCEP terminate cardiac arrest
Any pt with a CPAP should be transported to what kind of facility?
Core facility
What is the CCT and what do they do?
Critical Care Team and they rendezvous for life-saving interventions. May be cancelled
by Paramedic in charge or IC
When may resuscitation efforts be withheld?
1) rigormortis or livermortis 2) obvious external exsanguination 3) decapitation or
burned beyond recognition 4) massive opening or penetrating trauma to the head or
chest with obvious organ obstruction 5) body decomposition 6) extended down time w/
cold skin 6) DNR
What if the family does not have a DNR?
BLS, obtain consensus from family, and contact MCEP for early termination
What forms must the family have to discontinue CPR?
DNR or MIST (New Mexico Medical Orders for Scope of Treatment"
What can be forms of an alternative DNR?
"Living Will", or "Advanced Directive" will be followed, will be administered, and judged
appropriate by the Paramedic
How long is expected for the complete turnover at the hospital?
20 minutes of ED arrival or when EMS run report is complete
,Transport unit personnel will maintain charge of pt care at the hospital until what
4 steps are accomplished?
1) Arrival at the hospital 2) Pt unloading 3) Moving Pt from transport unit stretcher to
hospital stretcher 4) Verbal turnover report to designated hospital personnel
Who may assume responsibility for the care, transfer, and maintenance of lines
and tubes deemed necessary at the hospital?
Emergency Medicine Physician/NP/PA
How do you request a helicopter?
Through Albuquerque Base
What is EMTALA?
Applies to an individual comes to the hospital ER and a request is made on the
individuals behalf for examination or treatment of a medical condition
What is HCFA?
"Comes to the hospitals ER" to mean the individual is on the hospitals premises or in an
ambulance owned by the hospital
All hospitals must remain open to receive pts UNLESS the hospital is what?
On "Black Divert"
What does "Black Divert" include?
1) Critical Infrastructure Failure (facility mechanical/electrical supply failure, loss of
critical imaging capabilities or treatment capabilities 2) Building structure or safety
compromise (fire, active shooter, building collapse, flood)
For minors to make a decision regarding healthcare, they must be emancipated
and how old?
16 years old and be 1) married 2) divorced 3) active military 4) Legally declared
emancipated in a court of law
Does pregnancy in and of itself emancipate a minor?
No, Contact MCEP and Err on the side of transport versus cancellation
When a minor over the age of 16 is evaluated and is refusing further care, what
should be done?
The pt can sign the liability release form as acknowledgment of evaluation and refusal
but the minor must be left in a safe environment. Utilize law enforcement and MCEP
Who may take responsibility if they assumed responsibility for the child and sign
the liability release?
Specific caretakers, including a non-minor sibling or non-guardian family member, a
school bus driver, or an adult group leader (church, scouts, etc.)
Can a emancipated minor make decisions for her minor child?
Yes, unless a minor mother is not making a decision in the best interest of the child,
utilize the EMS Act, MCEP, or law enforcement. An exception is children 14-18 who
have been sexually assaulted. These pts can consent for treatment and can request
parents not be contacted
What 5 things can increase mortality in traumatic brain injuries?
Hypothermia, hypotension, hypoxia, hypocapnia, and hypoglycemia
Why should you not hyperventilate a pt with TBI/head trauma?
Lowers the CO2 and causes Vasoconstriction leading to increased ICP
Which pt would you want to hyperventilate?
,Pts ONLY with evidence of herniation. Short term option only used for severe head
injury typically GCS less that or equal to 8 or unresponsive
If ALS medic and fire/rescue personnel arrive on scene simultaneously, who will
take responsibility of directing pt care?
Fire department medic with their equipment
Who should be notified immediately if an exposure has occurred?
BC and exposure guidelines be implemented
What is involuntary emergency transport?
Good faith judgement that the person in capable of making an informed decision about
his/her own safety and is likely to suffer disability or death
What are the vital signs requirements for entry into MATS?
SBP 90-160, HR 60-110, BGL greater than 70 and less than 200, O2 sat greater than
90%
The VA will only accept what color triage pts in the event if MCI?
Yellow and green and non-veteran in the event of MCI
What is a Tier 2 hospital?
Pres DT and Lovelace/2 critical RED pts
How many critical RED pts will each hospital take once the first wave have been
delivered?
2 critical RED pt per hospital with Tier 1 and then Tier 2-1 critical RED pt to any Tier 3
(this cycle can be repeated until all RED pts are triaged and transported)
What are Tier 3 hospitals?
Rust, Westside, Woman's, SRMC, Heart, Kaseman/ 1 RED pt
What is a Tier 1 hospital?
UNMH 4 most critical RED pts
What is the START triage algorithm?
Black-no respiration's after head tilt/OPA
Red-respirations >30. Pulse but no radial pulse, unable to follow commands.
Yellow-Delayed
What are the requirements for pt refusals?
1) 18 years old or older-emancipated minor (16 years of age and married, in the military,
or court order divorcing minor from the parents 2) pt must be alert to time, date, place,
person and situation 3) VS in normal range 4) no judgment clouded with alcohol or
drugs
When will a pt be restrained?
Intoxication, mental illness, injury, psychiatric condition, exhibits violence, combative, or
uncooperative behavior which does not respond to verbal de-escalation.
What steps should be followed for patient restraint?
Request law enforcement, ensure the presence of sufficient personnel to safely apply
EMS restraints ( 2 main restraint systems 1) physical EMS restraints 2) Velcro soft
restraints
What pt can receive Ketamine?
Delerium criteria
What how must a chemical sedation pt he restrained?
Supine or lateral recumbent position, and a paramedic and at least one other EMT will
attend restrained pts at all times
, What are the appropriate restraint techniques that EMS can utilize?
Chemical sedation, soft pt restraints to gurney, spit hood, soft gauze, blankets and
sheets, and other system approved commercially available devices
What are unstable pediatric life threatening illness'?
Decreased mental status (GCS <14), non-responsive respiratory distress, suspected
stroke/atypical seizures, post cardiac arrest, non-responsive hypertension, severe
hypo/hyperthermia, status epilepticus, snake bites/envemonation, life threatening
ingestion/chemical exposure
Can law enforcement sign a pt refusal for pt?
No
What is an MCT?
Mobile crisis team consists of APD or BCSO Officer and one masters level behavioral
he
Although provider (currently 4 teams)
What are the MCI benchmarks?
"Triage Report" and "All Immediates Transported"
What anatomical locations of the probe puncture zones require transport to
medical facility for removal? Up to 13mm into the skin
HEENT, in bone, blood vessels, female breast, genitals, or joint. (Darts to scalp, low risk
areas of forehead, and cheek can be removed in the field.)
When can law enforcement transport person to a medical facility?
Mental health pts, ETOH to MATS, and sexual assault victims
Who will assume charge of and direct pt care?
First on duty paramedic (lead medic)
"City of Albuquerque, Supervisor's Injury Investigation Report" is completed
immediately after the injury and submitted to Risk Management Division within
how many work days?
2
The Workers' Compensation Act, the worker may elect to change healthcare
provider after how many days of initial treatment?
60 days, employee shall complete "Notice of Change of Healthcare Provider" and
submit it to the Risk Management Division
Should the injured employee report to Employee Health Prior to returning to work
and for any follow up evaluation or care?
Yes they must
What is Temporary Restricted Duty and what is the maximum duration?
To return an employee who has sustained an on-the-job injury to a productive level of
work in preparation for return to his/her pre-injury position. 45 calendar days
What is Permanently Restricted-Modified Duty?
RMD, Human Resources Dept, the department, and employee will work to identify
modification of the current job or permanent reassignment to a position the employee is
qualified. If no such modification or reassignment is identified, the appropriate leave and
physical layoff positions in Personnel Rules and Regs shall be utilized.
What 3 things will be looked at to determine if sexual harassment exists?
1) the frequency of the conduct. 2) the severity of the conduct. 3) whether the conduct
unreasonably interferes with workplace performance
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