OCEMS test

what are the 3 types of receiving centers?

trauma, cardiovascular, stroke

All of the following are in your scope except ___.

A. initiate CPR with an Autopulse

B. administer naloxone dictated by a history and assessment

C. obtain a blood glucose level for suspected hypoglycemia

D. place EKG leads and 12 lead interpret

D. place EKG leads and 12 lead interpret

Which of the following is not in your scope as an ambulance driver attendant?

A. Extricate entrapped persons

B. perform MCI triage

C. use a mechanical tourniquet for uncontrolled bleeding

D. use hemostatic powder to assist in wound hemorrhage

D. use hemostatic powder to assist in wound hemorrhage

OC EMS driver may transport patients with all the following except ___.

A. saline and lactated ringers at a set rate and adjust the infusion rate

B. someone with a preexisting vascular device with a saline or heparin lock

C. use a mechanical restraint to ensure a patient and bystander safety

D. patient with a trach tube, G tube, and central line with medications in place

D. patient with a trach tube, G tube, and central line with medications in place

You are on scene with a patient with shortness of breath, you assist her in using her MDI. within minutes she is breathing easier and says she feels better. Albuterol is a _____

bronchodilator

Dose for aspirin?

81-325 (you can assist with 4 children's chewable aspirin or 1 325 tablet and instruct the patient to swallow or chew the aspirin)

7 rights: which one is not one of the rights?

A. right time

B. right dose

C. right medication

D. right physician

D. right physician

You may administer oral glucose in which of the following situations?

A. patient unresponsive without a gag reflex

B. generalized weakness and history of diabetes and ALS is delayed over 10 minutes

C. OC EMT may not administer oral glucose

D. glucometer reading of 60 is obtained and the patient has mildly altered mental status and can protect their own airway

D. glucometer reading of 60 is obtained and the patient has mildly altered mental status and can protect their own airway

Who do we give Naloxone to?

intranasally by OC EMTs if the patient has a suspected narcotic overdose and poorly responsive

When you are suctioning an ET tube or trach tube, when do you suction?

as you exit the tube and no longer than 15 seconds

What can cause a poor pulse ox reading?

A. acrylic nails or nail polish

B. shaking

C. severely hypoperfused patient

D. all of the above

D. all of the above

You can obtain a blood glucose measurement using a glucometer in which of the following situations?

A. only when the patient has signs and symptoms of hypoglycemia and the paramedics are more than 10 minutes away

B. at the direction of nursing home staff to decide whether the diabetic patient needs to go to the hospital

C. patient is unable to do it themselves and requests you check his level

D. anytime suspected hypoglycemia, altered mental status, or a known diabetic with confusion

D. anytime suspected hypoglycemia, altered mental status, or a known diabetic with confusion

Where do you administer a duodote?

IM, mid anterior lateral thigh

T/F: an EMT working in OC can honor a properly completed and signed POLST for a patient in cardiac arrest?

true

52 year old male complaining of crushing chest pain and has a heart rate of 100. You call dispatch and find out ALS is at least 10 minutes out but you are 3 minutes from the ER. what do you do?

load the patient in the ambulance and transport them to the receiving center 3 minutes away

Patient has end stage cancer at a skilled nursing facility and stops breathing after administering a dose of morphine from his patient operated pump. What do you do for him?

A. disable the pump to prevent further drug administration

B. disconnect the pump from the IV so no more drugs can get in

C. check the chart on DNR before initiating care

D. initiate BVM ventilations and put in a NPA

D. initiate BVM ventilations and put in a NPA

What are the three things that can be mixed in with an IV that you can transport?

TPN, folic acid, thiamine

What is the criteria for spinal motion restriction?

ambulatory complaining of neck pain, you put on a properly fitted cervical collar, and assist them to walk to gurney

What is not in your EMT scope of practice?

A. administer naloxone

B. initiate a CPAP

C. administration of epinephrine self injectors

D. initiate albuterol nebulized treatments

D. initiate albuterol nebulized treatments

T/F: EMTs that wish to obtain their EMT local accreditation card simply need to come to OCEMS Monday through Friday 8-4

false

T/F: in general patients who do not need a specialty center and are stable for transport should go to the nearest ERC unless the patient requests to go where their physician is on staff and the hospital is within a reasonable transportation time?

True

Which of the following are true about PCR documentation except ___.

A. posted prior to leaving the receiving center

B. responsible for patient care documentation according to your agency and county policy

C. a legal document and must not contain unapproved abbreviations

D. the EMT must document all procedures and medications provided by a paramedic

D. the EMT must document all procedures and medications provided by a paramedic

What is not a BLS standing order in OC?

A. perform AED

B. use a traction splint for suspected femur fracture

C. perform field MCI triage when appropriate

D. assist a patient with their patient controlled analgesic pump

D. assist a patient with their patient controlled analgesic pump

Intranasal Narcan is currently optional for BLS units. What is the correct dosage (plunger)?

4 mg in one nostril

Which of the following is true about the snake envenomation standing order?

A. be sure to capture the snake and transport it to the receiving center in a red bag

B. do not use cold packs at the site of the bite

C. be ready to prepare and deploy a tourniquet

D. immobilize the effected extremity and keep the injured part at the level of the heart

D. immobilize the effected extremity and keep the injured part at the level of the heart