1.Policy 108 - System Variance Reporting: incidents that result in a threat to
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b public safety, patient, by-stander, or responder harm
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2.What types of incidents are considered Level A variances?: any incident that
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b results in a threat to public safety, patient, by-stander or responder harm
b b b b b b b b b b b
1.gross negligence b
2.fraud of certifications
b b
3.repeated negligence b
4.incompetence
A. any deviation from an EMS Agency policy or treatment protocol with patient harm
b b b b b b b b b b b b
B. medication or procedural errors with patient harm
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C. failure or refusal to respond to request for aid, whether from the public or another
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b system provider
b
D.equipment failure or malfunction with patient harm
b b b b b b
E. any significant EMS-related event that would be reported to another regulatory
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b agency
1 b/ b30
, Santa Clara County EMS Exam b b b b
3.What is the maximum time you must report a Level A variance?: within 24
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b hours
4.Who must be notified ASAP of a Level A variance?: EMS On-Duty Chief via
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b County Communications
b
5.What type of incidents are considered Level B variances?: any incident that
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b does NOT result in patient harm, but is a deviation from EMS agency policies,
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b procedures, and protocols b b
A. potential clinical care variance
b b b
B. potential policy variance b b
C. poor interagency coordination
b b
D.general complaint (public)
b b
E. communications system variance b b
F.equipment failure or malfunction b b b
6.What is the maximum time you must report a Level B variance?: within five
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(5) business days
b b
7.What type of incidents are considered Level C variances?: incidents where the
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b responders provided outstanding care and went above and beyond the normal
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2 b/ b30
, Santa Clara County EMS Exam b b b b
expectations of responders; compliments b b b
A. good patient outcome
b b
B. outstanding customer service b b
C. positive provider agency/hospital cooperation
b b b
D.field supervisor went above and beyond normal expectations
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8.What form would you use to file a variance report?: EMS Form #903
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b (System Performance Variance Report)
b b b
9.Policy 109 - Policy Development and Implementation: standards for creation,
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b revision, and implementation of SCC Pre-Hospital Care Policy (including plans,
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b protocols, procedures, etc.) b b
10.How will policy implementation be disseminated to you?: EMS Program
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b Manager
11.What other resources do you have to find new policies and updates?: -
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-county EMS website
b b
-county EMS appb b
-electronic/social media b
-hardcopy
3 b/ b30
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