SNHD Protocols Exam Study Guide Questions

SNHD Protocols Exam Study Guide Questions with Complete Solutions SNHD Manual - Correct Answer The goal of the manual is to standardize prehospital care in Clark County If a physician giving on-line medical consultation directs you to provide care not explicitly stated in the protocol manual you must...? - Correct Answer You and the telemetry physician must immediately notify OEMSTS. In addition, after finishing the call, you as the provider must make all prehospital care documentation/records of your deviation and telemetry physician's name available to OEMSTS. This will then be used for Quality Improvement Review.If a physicians orders are against protocol, could possibly endanger patient, or there is a lack of resources. What must you do...? - Correct Answer You must notify telemetry physician why you are not able to carry out the order. Then, indicate the following on prehospital records: the order given, time it was given, and reason the order could not be carried out. Then all documentation/records must be available immediately after the call to OEMSTS and then will be used for Quality Improvement Review.What is a PATIENT - Correct Answer 1) A person who has a complaint or mechanism suggestive of potential illness or injury; 2) A person who has obvious evidence of illness or injury; or 3) A person identified by an informed 2nd or 3rd party caller as requiring evaluation for potential illness or injury.Pediatric Patient Destination Age - Correct Answer <18 ASA - Correct Answer Acetylsalicylic Acid

CCC CPR - Correct Answer Continuous Chest Compression CPR:

Compressions - Push hard (≥2 Inches) Push fast (≥100/min) BVM - at 8 BPM DCAP-BTLS - Correct Answer Deformities; Contusions; Abrasions; Punctures/Penetrations; 1 / 4

Burns; Tenderness; Lacerations; Swelling M.A.D. - Correct Answer Mucosal Atomizer Device Drugs that can be administered through a M.A.D. - Correct Answer Nalaxone START triage - Correct Answer RED (Immediate/Life Threatening): Dyspnea, severe bleeding, severe medical problem, signs of shock, severe burns, open chest or abdominal injuries Yellow (Delayed/Seriously injured but no life threats): Burns (with no airway obstruction), multiple bone/joint injuries, back injuries with/without spinal cord injuries.

Green (Walking Wounded): Minor fractures/soft tissue injuries

Black (Dead/Fatally injured): Obviously dead, Fatally injures such as open brain trauma, respiratory arrest (if resources limited), cardiac arrest.Trauma Patients shall be transported... - Correct Answer According to Trauma Field Triage Protocol Burn patients shall be transported.... - Correct Answer According to Burn Protocol Pediatric patients shall be transported... - Correct Answer (<18 y/o) According to the Pediatric Destination Protocol Patients with evidence of a stroke shall be transported... - Correct Answer According to Stroke (CVA) protocol Sexual assault victims <13 y/o shall be transported to - Correct Answer Sunrise Hospital Sexual assault victims ≥18 y/o shall be transported to - Correct Answer UMC 2 / 4

Sexual assault victims between ages 13 and 18 y/o shall be transported to - Correct Answer Either UMC or Sunrise Hospital Sexual assault victims outside the 50 mile radius of appropriate facility shall be transported to - Correct Answer Nearest appropriate facility Where should stable patients be transported to - Correct Answer Their hospital of choice or nearest facility For patients outside of the 50 mile radius of protocol designated transport destination shall be transported to - Correct Answer Nearest appropriate facility Waiting Room Placement requisites - Correct Answer Patient cannot be on a legal psychiatric hold and

must meet the following requirements:

+ HR: 60-100

+ RR: 10-20

+ Systolic: 100-180

+ Diastolic: 60-100

+ Room air SPO2: >94%

• A/O x 4
• No medication was given except for a single dose of Morphine/Ondansetron
• Paramedic opinion states pt. does not need ECG monitoring
• No IV fluids are necessary

If a hospital declares an internal disaster that hospital shall be bypassed with the exceptions of - Correct Answer Cardiac arrest patients or whom adequate ventilation has not been established In a General Adult Trauma Assessment how do you manage breathing - Correct Answer Maintain SPO2

>94%:

• If patients GCS <8 BVM 3 / 4

• If patients GCS ≥8 titrate O2

For an adult trauma patient with no palpable pulse what is the fluid bolus - Correct Answer 1L of Normal Saline In the General Adult Trauma Trauma Triage, what is the following step if patient does (YES) has a palpable pulse - Correct Answer Obtain vascular access Trauma: Sucking Chest Wound - Correct Answer Apply an occlusive dressing and tape down three sides Trauma: How do you control an active hemorrhage - Correct Answer Hemorrhage control tourniquet

Trauma: Suspected Traumatic Brain Injury - Correct Answer Raise head 30 degrees

Trauma: Abdominal Evisceration - Correct Answer Wet trauma dressing

What should you do with a patient showing signs hypovolemia complaining of abdominal/flank pain, nausea & vomiting - Correct Answer Obtain vascular access and bolus 500 mL (may repeat up to 2000 mL) Suspected Acute Coronary Syndrome treatment - Correct Answer + Obtain vascular access

• Maintain SPO2 >94%
• Administer 324 mg of ASA
• Assist pt with own NTG as

prescribed; may repeat x 3 (if not contraindicated)

• Telemetry is required for STEMI's

Nitroglycerine Contraindications - Correct Answer + BP < 100 systolic

• HR < 60-100 > HR
• RHF
• / 4