Santa Clara Local systems orientation exam
QUESTIONS AND ANSWERS (DETAILED & ELABORATED) fully solve
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1. In addition to 1. Five signs of immediate DOA
any specific crite- 2. A pulseless and/or apneic patient with a valid DNR
ria for withhold- 3. A pulseless and/or apneic patiend who has exercised his/her right to die under
ing or discon- the end of life option.
tinuing resusci-
tation contained if criteria met EMS will discontinue resuscitate effort, cancel prehospital personnel
within individual in route, provide appropriate care to bystanders, and complete PCR documentation
treatment proto- about actions taken and reason for pronounced death.
cols, resusitative
efforts may be
withheld, discon-
tinued, and/or
death deter-
mined under the
following circum-
stances (BLS)
2. valid forms of valid CA physicians medical license
identification for
a physician on other ID that indicates physician CA medical license # and business address
scene
3. physical involve- patient must give consent. then care may be relinqueshed to the physician who will
ment of a physi- remain responsible for care until another MD takes over. physician may manage
cian at the scene. care, but ultimately accepts responsibility for patient. must accompany crew and
patient in ambulance.
4. documentation 1. physician name
when physician 2. CA medical license #
at scene (5 3. business phone #
things) 4. level of patient care involvement
5. all procedures and treatments performed at the scene.
, Santa Clara Local systems orientation exam
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5. patient desti- patient may betransported to requested facility as long as facility meets medical
nations: patient requirements, barring any EMS surge and hospital diversion.
choice
6. patient destina- patients may be transported to routine emergency department UNLESS patient
tion: routine pa- meets criteria that requires specialty care.
tient destination
7. SCCO Specialties Trauma: Regional MC, Stanford, Santa Clara Valley MC
Trauma facilities
8. SCCO Specialties psyciatric: El Camino MV, Santa Clara Valley MC EPS, PA VA hospital, Stanford.
Psyciatric:
9. SCCO Specialties Santa Clara Valley Medical Center
Burn
10. SCCO Specialties Comprehensive: El Camino MV, Good Samaritan, Regional Medical center SJ
Stroke
Primary: All hospitals except PA VA hospital
11. SCCO Specialties All hospitals except st. louise regionaal, PA VA, El Camino LG
STEMI
12. Special circum- -All destinations will be assigned by county communications
stances: EMS
surges/ MCI inci- - may be transported to out of county hospital, or mobile field hospitals with
dents approval.
13. Diversion -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 minutes
before next diversion.