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Three types of receiving centers in the county
Trauma, Cardiovascular, Stroke
Can you initiate CPR using an Autopulse or Lucas in the county
Yes
Can you administer naloxone
Yes
Can you obtain blood glucose and administer oral glucose
Yes
Can you place a 12-lead and interpret it
No
Can you extricate an entrapped person
Yes; try before you pry, simple extrication
Can you perform MCI field triage
Yes
Can you use an EMS approved mechanical tourniquet for uncontrolled bleeding
Yes
Can you use an EMS county-approved hemostatic powder to assist in wound hemorrhage
No; you can not use powders, only bandages
Can you transport pt with saline and/or lactated ringer hanging in an IV at a set rate
Yes. Basically everybody
Can you transport pt someone with preexisting vascular device, such as a saline or heparin lock
Yes
Can you transport pt who is mechanically restrained
Yes
Can you transport someone w/ a trach tube, g-tube, and central line w/ medications in place
No; you can transport patient with central line w/o medication as long as it is not placed in the arterial vein
What does Albuterol do
Bronchodilator
Contraindications for nitroglycerins
Sexual enhancing drugs, blood pressure
Dose for aspirin we can administer
81 mg - 325 mg
Is the "right physician" one of the seven rights
NO
Oral glucose reading when administering oral glucose
below 60 mg/dL
How to administer naloxone
Intranasally for suspected opioid OD
Suctioning an ET tube
On the way out for no more than 15 seconds in the county.
Inaccurate reading in a pulse ox
Nail polish, shaking, hypothermia
When to obtain a blood glucose measurement
ALOC, h/x of diabetes
Where do you administer a duodote
Anterior mid-thigh
Can you honor a properly completed pulse for someone in cardiac arrest
Yes
Three IV drugs you monitor and maintain during a BLS transport when preset by nurse/physician
TPN, vitamins, folic acid, and thiamine; NO monitoring for morphine, insulin, nitroglycerin, epi drip, ativan drip
Criteria for SMR C-spine
Just a collar (SMR) = up and walking around when you get on scene
Can you administer naloxone
Yes
Can you administer CPAP
Yes
Can you administer epi
Yes
Can you initiate albuterol
You can assist but not initiate
If you want to get OC accreditation
Do it through email and online
Patient that is stable and does not need a specialty center can pick their own hospital
Yes
Does a PCR need to be posted before you leave a receiving center
Yes
Are you responsible for patient care documentation according to your agency's policy
Yes
Is the PCR an illegal document if it contains unapproved abbreviations
Yes
Can an EMT document procedures and medications performed by a paramedic
Yes
Whose responsibility to write down all the procedures
The paramedic's. It's not your responsibility to document the paramedic scope of practice
Can you use AED
Yes
Can you apply traction splint for a femur fracture
Yes
Can you assist a patient with aspirin and nitro
Yes
Can you assist a patient with their controlled analgesic (pain killer) pump
No
IN naloxone methods
1. Plunger: 4.0 mg in one nostril
2. Atomizer: 2 mg one per nostril