Maryland Medical Protocols Flashcards
10 Questions
100 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What are the four things a provider must do if there is a protocol variation?

  • Monitor the patient closely for any changes (correct)
  • Notify local EMS jurisdiction or licensed commercial service and medical director within 24 hours (correct)
  • Notify the consulting physician as soon as the error is discovered (correct)
  • Notify the receiving physician upon arrival (correct)
  • What must the EMS Quality Assurance Officer do within 5 days of a protocol variation?

  • Submit written notification to various authorities (correct)
  • Initiate a medical review committee QA investigation
  • Forward results of review to compliance office
  • None of the above
  • EMS providers that need guidance from the poison control center should ensure that what is in place?

  • A supervisor on duty
  • Patient records are available
  • An approved base station for medical consultation (correct)
  • Local EMS jurisdiction is notified
  • What must you do if there is any act or failure to act that is inconsistent with established protocol?

    <p>Notify your supervisor and local medical director within 24 hours.</p> Signup and view all the answers

    Which protocol requires immediate notification to the State EMS medical director upon an incident?

    <p>Physician Orders for extraordinary care not covered by Maryland Protocol.</p> Signup and view all the answers

    What are the four ways to assess a patient's mental status?

    <p>Alert, Verbal, Painful stimuli, Unresponsive.</p> Signup and view all the answers

    When is hyperventilation indicated for head-injured patients?

    <p>When signs and symptoms of herniation are present or with online medical consultation.</p> Signup and view all the answers

    What are the rates of hyperventilation for adults, children, and infants?

    <p>Adult = 20 breaths per minute, Child = 30 breaths per minute, Infant = 35 breaths per minute.</p> Signup and view all the answers

    At what rate should all priority 2 patients experiencing cardiovascular, respiratory, or neurological compromise receive oxygen?

    <p>12-15 lpm via nonrebreather mask, including COPD patients.</p> Signup and view all the answers

    What should patients less than 1 year of age with poor perfusion and pulse < 60 bpm or absent pulse do?

    <p>Be ventilated for 30 seconds if pulse is absent.</p> Signup and view all the answers

    Study Notes

    Protocol Variation Response

    • If a protocol variation occurs, notify the consulting physician immediately upon discovery of the error.
    • Monitor the patient closely for any changes in their condition after a protocol deviation.
    • Notify the receiving physician upon patient arrival to ensure continuity of care.
    • Inform the local EMS jurisdiction or licensed commercial service and medical director within 24 hours of the incident.

    EMS Quality Assurance Protocol

    • An EMS Quality Assurance officer must submit written notification to relevant authorities within 5 days of a protocol variation.
    • Within 14 days, a medical review committee QA investigation must be initiated for oversight.
    • Results of the review should be forwarded to MIEMSS compliance office and state EMS medical director within 30 days.

    Poison Control Center Guidance

    • EMS providers seeking assistance from the poison control center must ensure that an approved base station is available for medical consultation.

    Reporting Inconsistencies in Care

    • Any act or omission in patient care that deviates from established protocol requires immediate notification of the supervisor and local medical director within 24 hours.

    Extraordinary Care Reporting

    • Protocols for Physician Orders for extraordinary care not covered by Maryland Protocol mandates immediate notification to the State EMS medical director via syscom regarding any incidents.

    Mental Status Assessment

    • Assess a patient's mental status using four levels: Alert, Verbal response, Painful stimuli response, and Unresponsive.

    Hyperventilation in Head Injuries

    • Hyperventilation is indicated in head-injured patients when signs of herniation are present, including unequal pupils, posturing, or paralysis, and especially when there is a rapidly decreasing GCS or upon online medical consultation.

    Hyperventilation Rates

    • The recommended rates of hyperventilation are 20 breaths per minute for adults, 30 breaths per minute for children, and 35 breaths per minute for infants.

    Oxygen Administration for Priority 2 Patients

    • All priority 2 patients showing cardiovascular, respiratory, or neurological compromise should receive oxygen at a rate of 12-15 liters per minute via a nonrebreather mask, which also includes COPD patients.

    Ventilation for Infants

    • Infants under 1 year of age with poor perfusion and pulse rates below 60 bpm or absent pulse should be ventilated for 30 seconds, pending pulse evaluation.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    Test your knowledge on the essential Maryland Medical Protocols with these informative flashcards. Each card covers critical steps providers must follow regarding protocol variations and the responsibilities of EMS quality assurance officers. Perfect for medical professionals looking to reinforce their understanding of protocols.

    More Like This

    Maryland Nail Technician Regulations Quiz
    10 questions
    Maryland State Board Cosmetology Quiz
    100 questions
    Maryland Driving Improvement Flashcards
    66 questions
    Maryland MVA Driver's Ed Flashcards
    89 questions
    Use Quizgecko on...
    Browser
    Browser