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LA County Protocols Exam with correct Answers
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LA County Protocols Exam with correct Answers
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LA County Protocols Exam with correct AnswersRef. 304 Purpose of base hospital Base hospital is ? - Answer -responsible for providing medical direction and destination to pre-hospital care personnel within LA County EMS system according to standard procedures consistent with statewide guidelines
Ref. 304 Purpose of base hospital MICN is what? - Answer -registered nurse who has been authorized by the medical director, qualified to provide prehospital advanced life support or to issue instructions to EMS personnel within LA County
Ref. 304 Purpose of base hospital base hospital shall: - Answer -1. Be lic. by CA state dept. of public health 2.special permit for basic or comprehensive emergency service
3. Be accredited , deemed acceptable for Medicare and Medicaid
4.Meet or exceed standards for PEDS unless exempted
5. Have a written contractual agreement with EMS agency
6. Implement and monitor LA County policies
***7. Designate a base hospital medical director who shall be responsible of the base hospital. base hospital medical director shall be a physician on the hospital****** and a lot of more shit to remember
Ref. 408 ALS Unit Staffing
ALL ALS units shall - Answer -both public and private
shall be staffed at least two state licensed paramedics accredited in Los Angeles County
Ref. 409 Procedure for reporting ALS unit staffing exceptions - Answer -1. Complete a report for each calendar month where an ALS unit operates with less than the minimum staff. 2. the report must be submitted no later than 10 days after the close of the calendar month to DHS Ref. 502 Patient Destination MAR defined as - Answer -the most accessible receiving (MAR) may or may not be the closest facility geographically.
consider traffic, weather conditions, that may influence transport time
Ref. 502 Patient Destination pts. shall not be transported ? - Answer -pt. shall not be transported to a medical facility that is on diversion due to internal disaster
Ref. 502 Patient Destination
Pt. should be transported to the MAR unless - Answer -1. The base hospital determines that another facility is more appropriate to meet the needs of the pt. or
2. the patient meets criteria or guidelines to a specialty care center
Ref. 503 Guidelines for hospital requesting Diversion of ALS Pt.
ALS pt. defined as - Answer -ALS patient is any patient who requires paramedic assessment or intervention, including not limited to patient meeting the criteria outlined in ref. 808
Ref. 503 Guidelines for hospital requesting diversion who is responsible maintaining ReddiNet - Answer -Receiving hospital are responsible for maintaining and updating ReddiNet
Ref. 503 Guidelines for hospital requesting diversion ED Saturation defined as - Answer -ED resources( beds, equipment and staff) are fully committed or are not sufficient to care for addtl incoming ALS patients. hospitals may request ED diversion via the ReddiNet for up to one hour at a time. at the end of the hour Reddinet will automatically re-open the hospital
only one hour increments
Ref. 503 guidelines for hospital requesting diversion CT Scanner - Answer -hospital is unable to provide essential diagnostic procedures due
to lack of a functioning CT scanner
Ref. 503 guidelines for hospital requesting diversion
trauma centers requesting diversion - Answer -hospital is unable to care for additional trauma patients because trauma team is fully committed caring for trauma patients
a. critical equipment unavailable
b. operating room unavailable c. trauma team encumbered
Ref. 503 guidelines for hospital requesting diversion
Pediatric Medical Center (PMC) - Answer -diversion may be requested only when critical equipment essential to definitive diagnosis or treatment of critical medical pediatric patients is unavailable lack of available PICU beds alone is not sufficient cause to request PMC Diversion
Ref. 503 guidelines hospital requesting diversion STEMI - Answer -diversion may be requested only when all cardiac cath labs are fully encumbered caring for STEMI pt. ED sat. not sufficient cause to request SRC diversion
Ref. 503 guidelines hospital requesting diversion Internal Disaster defined as - Answer -Hospital must request diversion to MAC by phone
1. power outage
2. critical infrastructure or systems
3. fire
4. bomb threat/explosion
5. flooding
6. water disruption/contamination
7. hazmat
Ref 506 trauma triage transport of hypotensive pt. - Answer -do not delay transport of hypotensive patients with penetrating torso trauma in order to apply spinal immobilization
Ref 506 trauma triage transport of hypotensive pt. by an 800 - Answer -EMT personnel may immediately transport hypotensive patients with life threatening, penetrating injuries to the torso to the closest trauma center, not the MAR, when transport time is less than the estimated time of paramedic arrival. the transporting unit should make every effort to contact the receiving trauma center
Ref 506 trauma triage Pt. in blunt arrest shall be transported when? - Answer -Patients in blunt traumatic full arrest, not meeting 814, should be transported to the most accessible medical facility appropriate to their needs
Ref 506 trauma triage patients who fall into one or more of the following are to be transport to trauma center, if
transport time doesnt exceed 30 mins - Answer -1. Systolic BP below 90 mmHg, or less than 70 1 year old or younger
2. RR greater than 29/min, less than 10/min
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