SANTA CLARA COUNTY EMS PARAMEDIC
PROTOCOL PATIENT CARE PROCEDURES
FINAL REVIEW PACK COMPLETE
ANSWERS
●● What is the max time you must report a Level A variance?
Answer: you must report immediately and have 24 hours to get all the
paperwork sent in
●● Who must be notified for a level A variance?
Answer: the EMS Duty Chief
●● What are Level B variances?
Answer: any break in protocol that does not result in patient harm
●● How long do you have to report a Level B variance?
Answer: 5 days
●● What is a Level C variance?
Answer: any time someone goes above and beyond or has outstanding
service that you feel needs to be recognized
,●● How long do you have to report a Level C variance?
Answer: 7 days
●● What form do you used to make a variance report?
Answer: EMS System Variance Form #903
●● What must be included with a System Variance Form?
Answer: -dispatch information
-PCR
-statements from others involved in the incident
●● How is policy implementation disseminated to us?
Answer: via our program managers
●● What other resources can help us find new policies and updates?
Answer: social media
●● T/F: When an MCI has 5+ people you need a PCR?
Answer: no
●● What do you use instead of a PCR if an MCI has 5+ people?
Answer: a multi-patient tracking tool
, ●● What must each patient in an MCI with 5+ people receive when a
multi-patient tracking tool is in use?
Answer: a triage tag and their number as documented on the multi-
patient tracking tool
●● What do you use to communicate ringdowns for IFT and routine
patients?
Answer: call in on a cellphone/rig phone
●● What channel is used for major alert ringdowns on a county radio?
Answer: zone "B HOSP" and channel relating to the specific hospital
●● What type of alerts can you use for the designated hospital
ringdown?
Answer: Trauma Alert, STEMI, stroke, critical, RLS, anytime the cell
service is not working
●● What information is needed for a DECON ALERT ringdown?
Answer: - chemical name
- decon method on scene
- DOT reference number
- appropriate Tx information/considerations
PROTOCOL PATIENT CARE PROCEDURES
FINAL REVIEW PACK COMPLETE
ANSWERS
●● What is the max time you must report a Level A variance?
Answer: you must report immediately and have 24 hours to get all the
paperwork sent in
●● Who must be notified for a level A variance?
Answer: the EMS Duty Chief
●● What are Level B variances?
Answer: any break in protocol that does not result in patient harm
●● How long do you have to report a Level B variance?
Answer: 5 days
●● What is a Level C variance?
Answer: any time someone goes above and beyond or has outstanding
service that you feel needs to be recognized
,●● How long do you have to report a Level C variance?
Answer: 7 days
●● What form do you used to make a variance report?
Answer: EMS System Variance Form #903
●● What must be included with a System Variance Form?
Answer: -dispatch information
-PCR
-statements from others involved in the incident
●● How is policy implementation disseminated to us?
Answer: via our program managers
●● What other resources can help us find new policies and updates?
Answer: social media
●● T/F: When an MCI has 5+ people you need a PCR?
Answer: no
●● What do you use instead of a PCR if an MCI has 5+ people?
Answer: a multi-patient tracking tool
, ●● What must each patient in an MCI with 5+ people receive when a
multi-patient tracking tool is in use?
Answer: a triage tag and their number as documented on the multi-
patient tracking tool
●● What do you use to communicate ringdowns for IFT and routine
patients?
Answer: call in on a cellphone/rig phone
●● What channel is used for major alert ringdowns on a county radio?
Answer: zone "B HOSP" and channel relating to the specific hospital
●● What type of alerts can you use for the designated hospital
ringdown?
Answer: Trauma Alert, STEMI, stroke, critical, RLS, anytime the cell
service is not working
●● What information is needed for a DECON ALERT ringdown?
Answer: - chemical name
- decon method on scene
- DOT reference number
- appropriate Tx information/considerations
