AEMT Protocols Study Guide Questions And
Answers With Compete Solutions.
Telemetry Contact shall be established when?
A. For all time sensitive or life threatening condition transports.
B. For all medical emergency in which the EMS providers judgement 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.
A Patient Care Report (PCR) will be completed for each incident/patient
encounter, in accordance with current EMS regulations. A patient is any
individual that, upon contact with an EMS system, has any of these following:
A. A complaint or mechanism suggestive of potential illness or injury
B. Obvious evidence of illness or injury
C. An individual or informed 2nd/3rd party caller requests evaluation for potential illness
or injury.
IV attempts need to be documented when?
Always in PCR whether successful or not.
If EMS provider is presented with DNR/POLST order or identification what should
he/she do?
He shall attempt to verify the validity of the order or identification by confirming the
patients name, age, and condition of identification.
When can DNR/POLST be determined invalid?
If at any time the patient indicates that he/she wishes to receive life-resuscitating
treatment. The EMS provider shall document the presence of the DNR/POLST order or
identification, and how the patient indicated that he/she wanted the order or
identification to be revoked.
Valid DNR and POLST must have?
DNR- written directive issued by a physician licensed in this state that life-resuscitating
treatment is not to be administered to a qualified patient. The term also includes a valid
do-not-resuscitate order issued under the laws of another state.
POLST- valid form is signed physician that records the wishes of the patient and directs
a healthcare provider regarding the provision of life-resuscitating treatment and life-
sustaining treatment.
INTER-FACILITY #1
Ambulance attendants should only transfer a patient whose therapy required
during the transfer lies within the ambulance attendant's capabilities, unless
capable personnel accompany the patient.
, A. Ambulance attendants are authorized to administer or monitor all medications listed
on the official drug inventory as appropriate for their level of licensure and as per
protocol.
B. AEMT/EMT-I and Paramedic/EMT-P ambulance attendants are authorized to
administer or monitor any crystalloid IV solution during transport.
C. Arterial lines should be discontinued unless appropriate personnel from the initiating
facility accompany the patient.
D. Heparin locks/implantable catheters with/without reservoirs may be closed off and left
in place. If they are to be used during transport, then an IV drip should be established if
tolerated by the patient.
E. IV pump systems should be discontinued unless capable personnel accompany the
patient.
F. Orogastric or nasogastric tubes may be left in place and should either be closed off
or left to suction per order of the transferring physician.
Orthopedic devices may be left in place at the ambulance attendant's discretion as to
ability to properly transport the patient with existing device(s) in place.
H. Trained personnel authorized to operate the apparatus should accompany any
patient requiring mechanical ventilation during transport. If the patient will require
manual ventilatory assistance, then at least two persons shall be available to attend to
the patient.
INTER-FACILITY #2
Prior to the transfer, the transferring physician is responsible for notifying the
receiving physician of the following:
1) reason for the transfer
2) patient condition
3) estimated time or arrival
INTER-FACILITY #3
The transferring physician must provide the ambulance attendants with the name of the
receiving facility and receiving physician, copies of any available diagnostic tests, X-
rays, medical records, copy of code status, DNR, POLST, or advanced directive
paperwork as applicable, any isolation precaution information, and the EMTALA form
prior to releasing the patient.
When EMS or hospital personnel wish to have an incident involving patient care
reviewed within the Clark county EMS system, the following steps shall b taken:
1.The person requesting a review of an incident should contact the designated
representative of the agency/ hospital involved to initiate the process. If after gathering
appropriate information and discussing the incident both parties are satisfied a problem
does not exist, nothing further needs to be done.
2. If either party would like to pursue an investigation of the incident, the "Southern
Answers With Compete Solutions.
Telemetry Contact shall be established when?
A. For all time sensitive or life threatening condition transports.
B. For all medical emergency in which the EMS providers judgement 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.
A Patient Care Report (PCR) will be completed for each incident/patient
encounter, in accordance with current EMS regulations. A patient is any
individual that, upon contact with an EMS system, has any of these following:
A. A complaint or mechanism suggestive of potential illness or injury
B. Obvious evidence of illness or injury
C. An individual or informed 2nd/3rd party caller requests evaluation for potential illness
or injury.
IV attempts need to be documented when?
Always in PCR whether successful or not.
If EMS provider is presented with DNR/POLST order or identification what should
he/she do?
He shall attempt to verify the validity of the order or identification by confirming the
patients name, age, and condition of identification.
When can DNR/POLST be determined invalid?
If at any time the patient indicates that he/she wishes to receive life-resuscitating
treatment. The EMS provider shall document the presence of the DNR/POLST order or
identification, and how the patient indicated that he/she wanted the order or
identification to be revoked.
Valid DNR and POLST must have?
DNR- written directive issued by a physician licensed in this state that life-resuscitating
treatment is not to be administered to a qualified patient. The term also includes a valid
do-not-resuscitate order issued under the laws of another state.
POLST- valid form is signed physician that records the wishes of the patient and directs
a healthcare provider regarding the provision of life-resuscitating treatment and life-
sustaining treatment.
INTER-FACILITY #1
Ambulance attendants should only transfer a patient whose therapy required
during the transfer lies within the ambulance attendant's capabilities, unless
capable personnel accompany the patient.
, A. Ambulance attendants are authorized to administer or monitor all medications listed
on the official drug inventory as appropriate for their level of licensure and as per
protocol.
B. AEMT/EMT-I and Paramedic/EMT-P ambulance attendants are authorized to
administer or monitor any crystalloid IV solution during transport.
C. Arterial lines should be discontinued unless appropriate personnel from the initiating
facility accompany the patient.
D. Heparin locks/implantable catheters with/without reservoirs may be closed off and left
in place. If they are to be used during transport, then an IV drip should be established if
tolerated by the patient.
E. IV pump systems should be discontinued unless capable personnel accompany the
patient.
F. Orogastric or nasogastric tubes may be left in place and should either be closed off
or left to suction per order of the transferring physician.
Orthopedic devices may be left in place at the ambulance attendant's discretion as to
ability to properly transport the patient with existing device(s) in place.
H. Trained personnel authorized to operate the apparatus should accompany any
patient requiring mechanical ventilation during transport. If the patient will require
manual ventilatory assistance, then at least two persons shall be available to attend to
the patient.
INTER-FACILITY #2
Prior to the transfer, the transferring physician is responsible for notifying the
receiving physician of the following:
1) reason for the transfer
2) patient condition
3) estimated time or arrival
INTER-FACILITY #3
The transferring physician must provide the ambulance attendants with the name of the
receiving facility and receiving physician, copies of any available diagnostic tests, X-
rays, medical records, copy of code status, DNR, POLST, or advanced directive
paperwork as applicable, any isolation precaution information, and the EMTALA form
prior to releasing the patient.
When EMS or hospital personnel wish to have an incident involving patient care
reviewed within the Clark county EMS system, the following steps shall b taken:
1.The person requesting a review of an incident should contact the designated
representative of the agency/ hospital involved to initiate the process. If after gathering
appropriate information and discussing the incident both parties are satisfied a problem
does not exist, nothing further needs to be done.
2. If either party would like to pursue an investigation of the incident, the "Southern
