SNHD PROTOCOLS STUDY SHEET 2026
QUESTIONS WITH DETAILED SOLUTIONS
◉PROCEDURES PROTOCOLS.
MEDICATION ADMINISTRATION.
(based on medication). Answer: Indications:
This procedure may be performed on any patient that requires the
administration
of a medication.
Key procedural considerations (GENERAL):
A. Inquire about allergies and previous medication reactions
B. Check and recheck medication
C. Solution clarity and expiration date
D. Right drug
Right patient
Right dose
Right time
Right route
Right documentation
,E. Dispose of syringe and other material in proper container
◉PROCEDURES PROTOCOLS.
TRACTION SPLINT. Answer: Indications:
This procedure may be performed on any patient with an isolated
closed midshaft
femur fracture.
Contraindications:
A. Pelvic fracture or instability
B. Knee, lower leg, or ankle instability.
(Key procedural considerations:
A. Assess motor, sensory, and circulatory function in the involved
extremity.
B. Apply traction splint per the manufacturer's guidelines.
C. Initiate mechanical traction to match manual traction.
D. Reassess motor, sensory, and circulatory function in the involved
extremity.)
◉OPERATIONS PROTOCOLS.
,CHRONIC PUBLIC INEBRIATE. Answer: 1. A person who is suspected
to be under the influence of alcohol and has no other emergent
medical need may be
transported to an approved alcohol and drug abuse facility rather
than a hospital's emergency department IF the
patient meets ALL of the following criteria:
A. Patient is able to stand with minimal assistance of one or two
people.
B. Vitals as follows:
1) Blood pressure: Systolic 90 - 180
Diastolic 60 - 100
2) Pulse rate: 60 - 120
. 3) Respiratory rate: 12 - 22
4) Blood glucose between 50 - 250
5) Glasgow Coma Score ≥14
6) O2 >94% or 90% if smoker
7) No acute medical complications
8) No signs of trauma
9) No suspected head injury
10) Approval of the physician or medical staff upon assessment of
the patient after he/she arrives at
the alternative facility
, All of the above parameters must be met and the patient must be
clinically stable other than signs
and symptoms of MILD withdrawal from alcohol and/or substance
abuse.
2. If there is ANY doubt about whether the person is in need of
emergency medical care, the person should be
transported to the CLOSEST receiving facility.
◉OPERATIONS PROTOCOLS.
COMMUNICATIONS. Answer: Telemetry contact should be
established by radio.
Telephone contact may only be used if the call is recorded via a
phone patch through the FAO at 702-382-9007.
1. Telemetry contact shall be established:
A. For all Code 3 transports.
B. For any medical emergency in which the EMS provider's judgment
suggests consultation with a telemetry
physician is necessary.
C. For all trauma patients going to a trauma center.
D. When telemetry contact is required per protocol.
2. For patients who meet Trauma Field Triage Criteria, telemetry
reports shall include:
A. Patient age
QUESTIONS WITH DETAILED SOLUTIONS
◉PROCEDURES PROTOCOLS.
MEDICATION ADMINISTRATION.
(based on medication). Answer: Indications:
This procedure may be performed on any patient that requires the
administration
of a medication.
Key procedural considerations (GENERAL):
A. Inquire about allergies and previous medication reactions
B. Check and recheck medication
C. Solution clarity and expiration date
D. Right drug
Right patient
Right dose
Right time
Right route
Right documentation
,E. Dispose of syringe and other material in proper container
◉PROCEDURES PROTOCOLS.
TRACTION SPLINT. Answer: Indications:
This procedure may be performed on any patient with an isolated
closed midshaft
femur fracture.
Contraindications:
A. Pelvic fracture or instability
B. Knee, lower leg, or ankle instability.
(Key procedural considerations:
A. Assess motor, sensory, and circulatory function in the involved
extremity.
B. Apply traction splint per the manufacturer's guidelines.
C. Initiate mechanical traction to match manual traction.
D. Reassess motor, sensory, and circulatory function in the involved
extremity.)
◉OPERATIONS PROTOCOLS.
,CHRONIC PUBLIC INEBRIATE. Answer: 1. A person who is suspected
to be under the influence of alcohol and has no other emergent
medical need may be
transported to an approved alcohol and drug abuse facility rather
than a hospital's emergency department IF the
patient meets ALL of the following criteria:
A. Patient is able to stand with minimal assistance of one or two
people.
B. Vitals as follows:
1) Blood pressure: Systolic 90 - 180
Diastolic 60 - 100
2) Pulse rate: 60 - 120
. 3) Respiratory rate: 12 - 22
4) Blood glucose between 50 - 250
5) Glasgow Coma Score ≥14
6) O2 >94% or 90% if smoker
7) No acute medical complications
8) No signs of trauma
9) No suspected head injury
10) Approval of the physician or medical staff upon assessment of
the patient after he/she arrives at
the alternative facility
, All of the above parameters must be met and the patient must be
clinically stable other than signs
and symptoms of MILD withdrawal from alcohol and/or substance
abuse.
2. If there is ANY doubt about whether the person is in need of
emergency medical care, the person should be
transported to the CLOSEST receiving facility.
◉OPERATIONS PROTOCOLS.
COMMUNICATIONS. Answer: Telemetry contact should be
established by radio.
Telephone contact may only be used if the call is recorded via a
phone patch through the FAO at 702-382-9007.
1. Telemetry contact shall be established:
A. For all Code 3 transports.
B. For any medical emergency in which the EMS provider's judgment
suggests consultation with a telemetry
physician is necessary.
C. For all trauma patients going to a trauma center.
D. When telemetry contact is required per protocol.
2. For patients who meet Trauma Field Triage Criteria, telemetry
reports shall include:
A. Patient age
