@PROFDOCDIGITALLIBRARIES
Santa Clara Local systems orientation
exam fully solved & updated
In addition to any specific criteria for withholding or discontinuing resuscitation
contained within individual treatment protocols, resusitative efforts may be
withheld, discontinued, and/or death determined under the following
circumstances (BLS) - ANSWER-1. Five signs of immediate DOA
2. A pulseless and/or apneic patient with a valid DNR
PR
3. A pulseless and/or apneic patiend who has exercised his/her right to die
under the end of life option.
if criteria met EMS will discontinue resuscitate effort, cancel prehospital
O
personnel in route, provide appropriate care to bystanders, and complete PCR
documentation about actions taken and reason for pronounced death.
FD
valid forms of identification for a physician on scene - ANSWER-valid CA
physicians medical license
O
other ID that indicates physician CA medical license # and business address
C
physical involvement of a physician at the scene. - ANSWER-patient must give
consent. then care may be relinqueshed to the physician who will remain
responsible for care until another MD takes over. physician may manage care,
but ultimately accepts responsibility for patient. must accompany crew and
patient in ambulance.
documentation when physician at scene (5 things) - ANSWER-1. physician
name
,@PROFDOCDIGITALLIBRARIES
2. CA medical license #
3. business phone #
4. level of patient care involvement
5. all procedures and treatments performed at the scene.
patient destinations: patient choice - ANSWER-patient may betransported to
requested facility as long as facility meets medical requirements, barring any
EMS surge and hospital diversion.
patient destination: routine patient destination - ANSWER-patients may be
PR
transported to routine emergency department UNLESS patient meets criteria
that requires specialty care.
O
SCCO Specialties Trauma facilities - ANSWER-Trauma: Regional MC, Stanford,
Santa Clara Valley MC
FD
SCCO Specialties Psyciatric: - ANSWER-psyciatric: El Camino MV, Santa Clara
Valley MC EPS, PA VA hospital, Stanford.
O
SCCO Specialties Burn - ANSWER-Santa Clara Valley Medical Center
C
SCCO Specialties Stroke - ANSWER-Comprehensive: El Camino MV, Good
Samaritan, Regional Medical center SJ
Primary: All hospitals except PA VA hospital
SCCO Specialties STEMI - ANSWER-All hospitals except st. louise regionaal, PA
VA, El Camino LG
, @PROFDOCDIGITALLIBRARIES
Special circumstances: EMS surges/ MCI incidents - ANSWER--All destinations
will be assigned by county communications
- may be transported to out of county hospital, or mobile field hospitals with
approval.
Diversion - ANSWER--Only one hospital may be on ambulance diversion (red) at
any given time in a diversion zone
-May divert for 90 minutes per occurence, but must allow for another 90
PR
minutes before next diversion.
Diversion zones North - ANSWER-North: Stanford hospital, El Camino Hospital
O
MV, Kaiser SC
FD
Diversion centers Central - ANSWER-Central: Regional MC SJ, Santa Clara Valley
MC, O'Connor
O
Diversion centers Southern - ANSWER-Southern: Good Samaritan Hospital,
Kaiser SJ, St. Louise.
C
Acceptable DNR documents - ANSWER-1. POLST (physician order for life
sustaining treatment stating no CPR)
2. EMSA and CMA approved EMS, prehospital DNR form
3. CA approved DNR medallion
4. Durable Power of Attorney for Health Care (DPAHC)
What to do if proper DNR document(s) present - ANSWER-If EMS personnel
arrive and patient is pulseless and apneic:
Santa Clara Local systems orientation
exam fully solved & updated
In addition to any specific criteria for withholding or discontinuing resuscitation
contained within individual treatment protocols, resusitative efforts may be
withheld, discontinued, and/or death determined under the following
circumstances (BLS) - ANSWER-1. Five signs of immediate DOA
2. A pulseless and/or apneic patient with a valid DNR
PR
3. A pulseless and/or apneic patiend who has exercised his/her right to die
under the end of life option.
if criteria met EMS will discontinue resuscitate effort, cancel prehospital
O
personnel in route, provide appropriate care to bystanders, and complete PCR
documentation about actions taken and reason for pronounced death.
FD
valid forms of identification for a physician on scene - ANSWER-valid CA
physicians medical license
O
other ID that indicates physician CA medical license # and business address
C
physical involvement of a physician at the scene. - ANSWER-patient must give
consent. then care may be relinqueshed to the physician who will remain
responsible for care until another MD takes over. physician may manage care,
but ultimately accepts responsibility for patient. must accompany crew and
patient in ambulance.
documentation when physician at scene (5 things) - ANSWER-1. physician
name
,@PROFDOCDIGITALLIBRARIES
2. CA medical license #
3. business phone #
4. level of patient care involvement
5. all procedures and treatments performed at the scene.
patient destinations: patient choice - ANSWER-patient may betransported to
requested facility as long as facility meets medical requirements, barring any
EMS surge and hospital diversion.
patient destination: routine patient destination - ANSWER-patients may be
PR
transported to routine emergency department UNLESS patient meets criteria
that requires specialty care.
O
SCCO Specialties Trauma facilities - ANSWER-Trauma: Regional MC, Stanford,
Santa Clara Valley MC
FD
SCCO Specialties Psyciatric: - ANSWER-psyciatric: El Camino MV, Santa Clara
Valley MC EPS, PA VA hospital, Stanford.
O
SCCO Specialties Burn - ANSWER-Santa Clara Valley Medical Center
C
SCCO Specialties Stroke - ANSWER-Comprehensive: El Camino MV, Good
Samaritan, Regional Medical center SJ
Primary: All hospitals except PA VA hospital
SCCO Specialties STEMI - ANSWER-All hospitals except st. louise regionaal, PA
VA, El Camino LG
, @PROFDOCDIGITALLIBRARIES
Special circumstances: EMS surges/ MCI incidents - ANSWER--All destinations
will be assigned by county communications
- may be transported to out of county hospital, or mobile field hospitals with
approval.
Diversion - ANSWER--Only one hospital may be on ambulance diversion (red) at
any given time in a diversion zone
-May divert for 90 minutes per occurence, but must allow for another 90
PR
minutes before next diversion.
Diversion zones North - ANSWER-North: Stanford hospital, El Camino Hospital
O
MV, Kaiser SC
FD
Diversion centers Central - ANSWER-Central: Regional MC SJ, Santa Clara Valley
MC, O'Connor
O
Diversion centers Southern - ANSWER-Southern: Good Samaritan Hospital,
Kaiser SJ, St. Louise.
C
Acceptable DNR documents - ANSWER-1. POLST (physician order for life
sustaining treatment stating no CPR)
2. EMSA and CMA approved EMS, prehospital DNR form
3. CA approved DNR medallion
4. Durable Power of Attorney for Health Care (DPAHC)
What to do if proper DNR document(s) present - ANSWER-If EMS personnel
arrive and patient is pulseless and apneic:
