PBCFR PDC STUDY GUIDE 2025
Who has the ability to deviate from ALS protocols as needed with proper documentation
? - answerEMS Captains and Trauma Hawk personnel
What are the 6 routes for medication ? - answer Dose, Drug, Route, Time,
Documentation, Person
What is the preferred route for drug administration, unless otherwise noted in a specific
protocol - answer Intravenous
When a fistula is present, an IV should be established in ? - answer Opposite arm
IVs placed below the level of the pelvis should be avoided due to a higher risk of ? -
answerhigher infection rate, poor lower extremity circulation, increased potential for
extravasation, and potential for DVT dislodgement.
If a Peripherally Inserted Central Catheter (PICC) is present, the PICC may be utilized
in emergent situations ONLY after: - answerPersonnel are wearing gloves, eyewear,
and a mask
Access port is thoroughly cleaned with alcohol
10mL of fluid are withdrawn from the PICC and discarded prior to any administration
Patency is confirmed by flushing the PICC with 10mL of NORMAL SALINE
DO NOT use any syringe smaller than a 10mL syringe for any administration
If the PICC line does not flush easily, ABORT procedure and establish IV/IO
What are the adult IO sites for adult patients - answerAdult: (In order of preference)
Proximal Humerus
Proximal Tibia
Distal Femur
Distal Tibia
What are the adult IO sited for pediatric patients - answer
All IM injections shall be administered in the - answerLateral thigh
What is the needle size and dose for IM injections in the lateral thigh for adult patients -
answerAdults:
21 gauge 1.5 inch needle
4mL maximum per site
If > 4mL needs to be administered, split the dose between both thighs
Who has the ability to deviate from ALS protocols as needed with proper documentation
? - answerEMS Captains and Trauma Hawk personnel
What are the 6 routes for medication ? - answer Dose, Drug, Route, Time,
Documentation, Person
What is the preferred route for drug administration, unless otherwise noted in a specific
protocol - answer Intravenous
When a fistula is present, an IV should be established in ? - answer Opposite arm
IVs placed below the level of the pelvis should be avoided due to a higher risk of ? -
answerhigher infection rate, poor lower extremity circulation, increased potential for
extravasation, and potential for DVT dislodgement.
If a Peripherally Inserted Central Catheter (PICC) is present, the PICC may be utilized
in emergent situations ONLY after: - answerPersonnel are wearing gloves, eyewear,
and a mask
Access port is thoroughly cleaned with alcohol
10mL of fluid are withdrawn from the PICC and discarded prior to any administration
Patency is confirmed by flushing the PICC with 10mL of NORMAL SALINE
DO NOT use any syringe smaller than a 10mL syringe for any administration
If the PICC line does not flush easily, ABORT procedure and establish IV/IO
What are the adult IO sites for adult patients - answerAdult: (In order of preference)
Proximal Humerus
Proximal Tibia
Distal Femur
Distal Tibia
What are the adult IO sited for pediatric patients - answer
All IM injections shall be administered in the - answerLateral thigh
What is the needle size and dose for IM injections in the lateral thigh for adult patients -
answerAdults:
21 gauge 1.5 inch needle
4mL maximum per site
If > 4mL needs to be administered, split the dose between both thighs
