LA County Protocols Questions with Complete solutions 100% Verified Answers Ref. 304 Purpose of base hospital Base hospital is ? - Correct 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? - Correct 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: - Correct Answer 1. Be lic. by CA state dept. of public health 2.special permit for basic or comprehensive emergency service
- Be accredited , deemed acceptable for Medicare and Medicaid
- Have a written contractual agreement with EMS agency
- Implement and monitor LA County policies
4.Meet or exceed standards for PEDS unless exempted
***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 - Correct Answer both public and private shall be staffed at least two state licensed paramedics accredited in Los Angeles County 1 / 3
Ref. 409 Procedure for reporting ALS unit staffing exceptions - Correct Answer 1. Complete a report for each calendar month where an ALS unit operates with less than the minimum staff.
- the report must be submitted no later than 10 days after the close of the calendar month to DHS
- the patient meets criteria or guidelines to a specialty care center
Ref. 502 Patient Destination MAR defined as - Correct 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 ? - Correct 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 - Correct Answer 1. The base hospital determines that another facility is more appropriate to meet the needs of the pt. or
Ref. 503 Guidelines for hospital requesting Diversion of ALS Pt.ALS pt. defined as - Correct 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 - Correct Answer Receiving hospital are responsible for maintaining and updating ReddiNet 2 / 3
Ref. 503 Guidelines for hospital requesting diversion ED Saturation defined as - Correct 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 - Correct 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 - Correct Answer hospital is unable to care for additional trauma patients because trauma team is fully committed caring for trauma patients
- critical equipment unavailable
- operating room unavailable
- trauma team encumbered
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Ref. 503 guidelines for hospital requesting diversion Pediatric Medical Center (PMC) - Correct 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 - Correct Answer diversion may be requested only when all cardiac cath labs are fully encumbered caring for STEMI pt.