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BLS PCS - Section 1 General Standards of Care Questions & Answers
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BLS PCS - Section 1 General Standards of Care Questions & Answers Pt. Assessment Standard: What Baseline Vitals must be established? (7) 1. GCS 2. HR - Rate, Rhythm, Strength, Regularity 3. RR - Rate, Depth, Rhythm, Regularity 4. BP 5. SpO2 6. Skin Condition & Colour 7. Pupils Pt. A...

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  • November 24, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • bls pcs section 1 general standards of care ques
  • pt assessment standard what baseline vitals must
  • pt assessment standard when to auscultate pt ex

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BLS PCS - Section 1 General Standards
of Care Questions & Answers
Pt. Assessment Standard:
What Baseline Vitals must be established? (7) - answer 1. GCS
2. HR - Rate, Rhythm, Strength, Regularity
3. RR - Rate, Depth, Rhythm, Regularity
4. BP
5. SpO2
6. Skin Condition & Colour
7. Pupils

Pt. Assessment Standard:
When to auscultate? - answer Pt exhibits S&S of CV, Resp or Neuro compromise

Pt. Assessment Standard:
What types of calls warrant a Cardiac Monitor (13) - answer 1. All VSA unless
obviously dead as per the Deceased Pt Standard
2. Unconcious or altered LOA
3. Collapse or Syncope
4. Suspected Cardiac Ischemia
5. Moderate to Severe SOB
6. CVA
7. OD
8. Major or Multi-system Trauma
9. Electrocution
10. Submersion injury
11. Hypothermia, Heat exhaustion, or Heat Illness
12. Abnormal vital signs as per the ALS PCS
13. If requested by sending facility

Pt. Assessment Standard:
How often to reassess vital signs? - answer Every 30min at minimum or more
frequent prn based on pt condition, status changes or Standards

Pt. Management Standard:
What reasons would you reposition a pt? (6) - answer Improve:
1. C-spine alignment
2. Airway patency
3. Breathing
4. Venous return or perfusion
5. Extremity Injury
6. Pt comfort

,Pt. Transport Standard:
What must you determine prior to leaving scene? - answer Pt CTAS Depart Scene

Pt. Transport Standard:
Do what if confirmation or direction cannot be obtained from an ACO? - answer
Transport to the closest or most appropriate hospital capable of providing medical care
apparently required by the pt

Pt. Transport Standard:
Collet and transport what with pt? (3) - answer 1. Relevant Meds
2. Record of Medications
3. Other relevant identification or an medical records

Pt. Transport Standard:
Do what if pts care requirements in an inter-facility transfer exceed the paramedics level
of certification? - answer Request a medically responsible escort be provided by the
sending facility

Pt. Transport Standard:
What information and/or transfer documents must be obtained for inter-facility transfers?
(5) - answer 1. Name of Sending physician
2. Verbal and/or written Tx orders from sending physician
3. Transfer papers and documents
4. Names of facility staff and list of equipment accompanying the pt.
5. Name of receiving facility and physician

Pt. Transport Standard:
How to move all CTAS 1 & 2 pts to the stretcher? - answer Most appropriate lift or
carry

Pt. Transport Standard:
How to transfer all CTAS 1 & 2 pts to and from the ambulance? - answer Via
stretcher

Pt. Transport Standard:
How to transfer all CTAS 3-5 pts to and from the ambulance? - answer Using
appropriate lift or carry, or ambulatory assistance based on presenting pt condition,
situation, and pt comfort

Pt. Transport Standard:
How to transfer all inter-facility pts to and from the ambulance? - answer Via
Stretcher

Pt. Transport Standard:

, If pts deteriorates during the inter-facility transfer, and survival to receiving facility is
questionable what must be done? - answer 1. Transport to the nearest facility
capapble of providing required medical care
2. Immediately notify CACC/ACS of destinatio change and notify or ask CACC/ACS to
notify new receiving facility

Patient Refusal/Emergency Tx Standard:
If pt requires care or transport to a health care facility and the pt or SDM refuses,
paramedic shall? (4) - answer 1. Make resonable efforts to infomr the pt or SDM that
treatment/transport is recommended and explain the possible consequences of refusal.
2. Confirm the pt or SDM has capacity using the Aid to Capacity Assessment as the
ACR completion manual
3. Advise the pt or SDM to call 911 should further concerns arise
4. Obtain signatures and complete additional documentation reqs as per the Ontario
Documentation Standards and ACR completion Manual

Patient Refusal/Emergency Tx Standard:
If pt or SDM refuses to sign Refusal of Service section of ACR, paramedic shall? -
answer Document pt's or SDM refusal and reason for failing to obtain a signature

Patient Refusal/Emergency Tx Standard:
If patient is incapable and unable to provide consent, paramedic shall carry out
treatment if? (3+) - answer 1. Patient does not have capacity
2. patient is apparently experiencing severe suffering or is at risk of sustaining serious
bodily harm is Tx is ot administered promptly
3. A delay required to obtain consent or refusal on the pt's behalf will only prolong the
suffering or place the pt risk of sustaining serious bodily harm

Paramedic will then document the circumstances that led to this decision

Patient Refusal/Emergency Tx Standard:
If pt is capable and and is not providing consent, paramedic shall carry out Tx if? (5+) -
answer 1. Pt is experiencing sever suffering or is at risk of suffering serious bodily
harm if Tx is not administered promptly
2. Communication required for pt to give or refuse consent is cannot take place
(language or disability)
3. reasonable steps have been taken to attempt to establish a method of
communication, but no means have been found
4. A delay required to find a method of communication will only prolong the pt suffering
or put the pt at risk of sustaining severe bodily harm
5. No reason to believe the pt does not want Tx

Paramedic shall document the circumstance that led to this decision

Reporting of Pt Care to receiving Facility Standard:

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