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Exam (elaborations)

BLS PCS Questions and Answers

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BLS PCS Questions and Answers Define Patient Priority System a bypass agreement implemented into an ambulance operator's deployment plan according to MOH/Central Ambulance Communications Centre/Ambulance Communication Service (CACC/ACS) policies. ACO Ambulance Communications Officer ...

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  • November 24, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • PCSS
  • PCSS
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BLS PCS Questions and Answers
Define Patient Priority System - answer a bypass agreement implemented into an
ambulance operator's deployment plan according to MOH/Central Ambulance
Communications Centre/Ambulance Communication Service (CACC/ACS) policies.

ACO - answer Ambulance Communications Officer

ACS - answer Ambulance CommunicatioN Service

CANUTEC - answer Canadian Transport Emergency Centre

CTAS - answer Canadian Triage & Acuity Scale

CACC - answer Central Ambulance Communications Centre

EVT - answer Endovascular Therapy

LTH - answer Lead Trauma Hospital

LVO - answer Large Vessel Occlusion

LAMS - answer Los Angeles Motor Scale

PCI - answer Percutaneous Coronary Intervention

PHIPA - answer Personal Health Information Protection Act

SDM - answer Substitute Decision Maker

What would be considered paramedic misconduct (9) - answer 1) practice beyond
level of certification
2) refuse/neglect to serve persons requiring services w/in scope
3) falsify documentation of any kind
4) misrepresent qualifications or credentials
5) threaten or use violent behaviour
6) take or possess drugs from the ambulance w/o authorization
7) disclose confidential information to anyone unless permitted by law
8) have any form of inappropriate sexual contact, relations or impropriety with a patient
9) engage in any other conduct unbecoming of a paramedic

What types of calls typically warrant a cardiac monitor? (13) - answer 1) VSA (except
code 5)
2) unconscious or altered LOC

,3) collapse/syncope
4) suspected cardiac ischemia
5) mod-severe SOB
6) CVA
7) overdose
8) major/multi-system trauma
9) electrocution
10) submersion injury
11) hypothermia/heat illness
12) abnormal vital signs per ALS PCS
13) if requested in inter-facility transfers

what is the minimum time you should reassess vital signs - answer every 30 minutes
or more frequently, as required by patient conditions, changes in pt status or standards

What must the paramedic do when a patient with capacity refuses care? - answer 1)
make reasonable efforts to inform pt that treatment is recommended and explain
potential consequences
2) confirm pt has capacity using the Aid to Capacity Assessment as per Ambulance
Capp Report Completion Manual
3) advise pt to call 911 if further issues arise
4) obtain signatures and complete documentation as required

What should the paramedic do when a pt requires emergency treatment and the pt is
incapable w/o consent - answer 1) The paramedic shall carry out emergency
treatment and transport, if:
a. the patient does not have capacity;
b. the patient is apparently experiencing severe suffering or is at risk, if the treatment is
not administered promptly, of sustaining serious bodily harm; and
c. the delay required to obtain a consent or refusal on the patient's behalf will prolong
the suffering that the patient is apparently experiencing or will put the patient at risk
of sustaining serious bodily harm.
2) The paramedic shall document the circumstances that led to the decision

What should a paramedic do when a pt required emergency treatment and the pt is
capable and does no provide consent - answer The paramedic shall carry out
emergency treatment and transport if;
a. the patient is apparently experiencing severe suffering or is at risk, if the treatment is
not administered promptly, of sustaining serious bodily harm;
b. the communication required in order for the patient to give or refuse consent cannot
take place because of a language barrier or because the patient has a disability that
prevents the communication from taking place;
c. steps that are reasonable in the circumstances have been taken to find a practical
means of enabling the communication to take place, but no such means has been
found;

, d. the delay required to find a practical means of enabling the communication to take
place will prolong the suffering that the patient is apparently experiencing or will put the
person at risk of sustaining serious bodily harm;
e. and there is no reason to believe that the patient does not want the treatment.
2) document accordingly

What details do you report to the receiving facility while en route? - answer unit
number ID
pt age
pt sex
CTAS level
CC
PMHx
pertinent assessment findings
pertinent management & response
abnormal vitals
ETA

When should a paramedic patch to the BHP? - answer as required by ALS PCS
uncertainty about the appropriateness of a standard; further direction desired

What info is required when patching to BHP - answer level of certification
necessary patient info (condition, situation requiring input)
info as requested by BHP
confirm directions, authorization and orders
document accordingly

What is the goal when administering oxygen to a patient (non COPD) - answer
SPO2 maintenance at 92-96% unless otherwise stated

continuous administration of high concentration O2 is required for patients who have...
(6) - answer 1) confirmed or suspected CO or cyanide toxicity or noxious gas
exposure
2) upper a/w burns
3) scuba-diving related disorders
4) ongoing cardiopulmonary arrest
5) complete a/w obstruction
6) sickle cell anemia with suspected vaso-occulusive crisis

If pulse oximetry equipment is not functioning or not providing an interpretable wave
form, administer high concentration oxygen to all patients with critical findings, which
include... (5) - answer 1) age specific hypotension
2) respiratory distress
3) cyanosis, ashen, pallor
4) altered LOC
5) abnormal pregnancy or labour

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