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