Post-Surgery Recovery Transport Procedures
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Post-Surgery Recovery Transport Procedures

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Questions and Answers

What defines a patient in the context of emergency medical situations?

  • Patients must always be willing to receive treatment
  • Any individual requiring immediate police assistance
  • Only individuals under medical supervision
  • Someone encountered with a medical condition or injury (correct)
  • Which of the following does NOT represent a scenario for transporting a low acuity patient?

  • Patient exhibiting acute alcohol intoxication without withdrawal
  • Individual displaying low acuity behavioral health issues
  • Stable walking patient seeking a safe place to sober up
  • A person in immediate police custody needing hospitalization (correct)
  • What is the purpose of the Trauma Care Bag?

  • To house equipment necessary for trauma calls (correct)
  • To provide medication to patients in shock
  • To store personal items of the patients
  • To manage patients' dietary needs during transport
  • Which situation would warrant a verbal DNR?

    <p>Family expresses a desire for the patient not to be resuscitated</p> Signup and view all the answers

    In the process of engaging a low acuity patient for transportation, which is NOT part of the checklist procedure?

    <p>Verifying the patient's willingness to be transported</p> Signup and view all the answers

    What is the primary goal of the ROSC (Return of Spontaneous Circulation) Checklist?

    <p>To assist in discharging the patient neurologically intact</p> Signup and view all the answers

    What determines the justification for a verbal DNR?

    <p>Family wishes or leads to a reasonable belief about patient preferences</p> Signup and view all the answers

    Which statement about Stabilization Rooms is correct?

    <p>Their purpose is restricted to individuals over 18 who are stable.</p> Signup and view all the answers

    Which aspect is essential to remember when documenting in EPCR?

    <p>Accuracy matters and if it is not documented, it didn’t happen.</p> Signup and view all the answers

    What does the 4th party caller represent in the calling party differential?

    <p>The police transferring a call to fire rescue.</p> Signup and view all the answers

    In the context of Montgomery County Hospice, what is required for patients with a DNR order?

    <p>They must be enrolled in Montgomery County Hospice.</p> Signup and view all the answers

    What should a paramedic do if they suspect a patient may not need immediate emergency care?

    <p>Request a transfer to a lower acuity facility if appropriate.</p> Signup and view all the answers

    What LAMS score indicates a large vessel occlusion (LVO) requiring thrombectomy or transport to a compressive stroke center?

    <p>LAMS 4 or 5</p> Signup and view all the answers

    In terms of documentation, what should be included as part of the fire app narrative?

    <p>Crew actions, unusual circumstances, and PPE levels.</p> Signup and view all the answers

    Which of the following is NOT permitted when transporting a patient in police custody?

    <p>Allowing police to dictate care</p> Signup and view all the answers

    What is a characteristic of the 'Good Intent' statement?

    <p>It must be supported with facts from the scene.</p> Signup and view all the answers

    Why is it important to understand that not all strokes are the same?

    <p>Different types of strokes require different resources.</p> Signup and view all the answers

    What must be assessed in a patient suspected of having a stroke within the last 22 hours?

    <p>Stroke Last Known Well Time (LKW)</p> Signup and view all the answers

    Which of the following is NOT a task performed by EMS 700?

    <p>Sending patients to unrelated facilities.</p> Signup and view all the answers

    Which aspect does NOT contribute to the repatriation of a patient back to a treating facility?

    <p>Administrative paperwork</p> Signup and view all the answers

    In a patient with facial droop, which LAMS score would most likely be observed?

    <p>LAMS 2</p> Signup and view all the answers

    What criteria must a patient meet to refuse transportation under police custody?

    <p>Showing understanding and appreciation</p> Signup and view all the answers

    Which of the following hospitals is categorized as a primary stroke center?

    <p>All MOCO hospitals</p> Signup and view all the answers

    What is an indicator of a need for immediate action for a stroke alert?

    <p>Loss of balance or dizziness within 22 hours</p> Signup and view all the answers

    What should be prioritized when assessing a patient suspected of having a stroke?

    <p>Evaluating the patient's vital signs and symptoms</p> Signup and view all the answers

    In what situation would a verbal DNR be applicable?

    <p>When family members express the patient's wishes</p> Signup and view all the answers

    Which of the following correctly describes a patient's transport protocol under police custody?

    <p>Transport must always be coordinated with law enforcement</p> Signup and view all the answers

    Which hospitals are categorized as primary stroke centers?

    <p>Hospitals with specialized staff for managing stroke patients</p> Signup and view all the answers

    What is the primary requirement for transporting low acuity patients?

    <p>They should be stable and request assistance</p> Signup and view all the answers

    Study Notes

    Post-Surgery and Stabilization Protocols

    • Stabilization Room Usage: Located at Criss Center, provides a non-shelter, safe space for adults over 18 to sober up.
    • Transport Criteria: Low acuity behavioral health patients or those with acute intoxication, not requiring withdrawal/detox.
    • Transport Process: Involves a checklist for compliance, requiring EPCR signatures and phone call to 240-777-1374 for assistance.

    Trauma Care Equipment

    • Trauma Care Bag Inventory: Essential for all trauma calls, includes items such as hypothermia blankets and equipment for various trauma types.
    • Bag Distribution: Two bags on engines, trucks, squads, and ambulances; one on other units, resupplied by EMS Logistics.

    Medical Decision-Making and DNR Protocol

    • Dual Medic Operations: Operate under an "Operation Doctrine Statement" to ensure patients receive appropriate resources; respond to one call at a time.
    • Verbal DNR: Can be established at any point with family consent or if providers suspect patient wishes; does not equate to determining futility.

    Defining a Patient

    • Patient Criteria: Includes anyone with a medical condition or injury; this encompasses direct encounters, third-party calls, and provider-suspected situations.

    ROSC Checklist

    • Objective: Aim for patients to be discharged neurologically intact, utilizing a detailed calling party differential system.

    EMS 700 Functions

    • Key Responsibilities: Acts as liaison between EMS and emergency departments, monitors conditions and resources, and ensures clinical decisions match patient needs.
    • Patient Transfer: May redirect patients to different EDs for shorter wait times based on needs assessment.

    EPCR Documentation Importance

    • Legal Significance: EPCRs serve as historical health documents crucial for legal contexts; accuracy is vital for accountability.

    Good Intent Statement

    • Definition: Refers to calls deemed as suspected emergencies that lack genuine cause; requires detailed scene descriptions to support findings.

    Stroke Assessment and Protocol

    • Stroke Recognition: Utilizes Cincinnati Prehospital Stroke Scale to assess symptoms, with specific centers designated for advanced treatment based on LAMS scores.
    • Urgency in Care: Critical to identify strokes within 22 hours of last known well time for effective treatment.

    Protocol for Patients in Police Custody

    • Transport Requirements: Must assess and treat patients regardless of their condition, adhering to standard medical protocols while in police presence.
    • Care Dictation: Police cannot dictate medical care or use EMS equipment for restraints; special attention to the patient's competence to refuse treatment.

    Repatriation Guidelines

    • Coordination of Care: Focuses on consistency and expediency in treatment to improve patient outcomes when returning to a treating facility.

    Post-Surgery and Stabilization Protocols

    • Stabilization Room Usage: Located at Criss Center, provides a non-shelter, safe space for adults over 18 to sober up.
    • Transport Criteria: Low acuity behavioral health patients or those with acute intoxication, not requiring withdrawal/detox.
    • Transport Process: Involves a checklist for compliance, requiring EPCR signatures and phone call to 240-777-1374 for assistance.

    Trauma Care Equipment

    • Trauma Care Bag Inventory: Essential for all trauma calls, includes items such as hypothermia blankets and equipment for various trauma types.
    • Bag Distribution: Two bags on engines, trucks, squads, and ambulances; one on other units, resupplied by EMS Logistics.

    Medical Decision-Making and DNR Protocol

    • Dual Medic Operations: Operate under an "Operation Doctrine Statement" to ensure patients receive appropriate resources; respond to one call at a time.
    • Verbal DNR: Can be established at any point with family consent or if providers suspect patient wishes; does not equate to determining futility.

    Defining a Patient

    • Patient Criteria: Includes anyone with a medical condition or injury; this encompasses direct encounters, third-party calls, and provider-suspected situations.

    ROSC Checklist

    • Objective: Aim for patients to be discharged neurologically intact, utilizing a detailed calling party differential system.

    EMS 700 Functions

    • Key Responsibilities: Acts as liaison between EMS and emergency departments, monitors conditions and resources, and ensures clinical decisions match patient needs.
    • Patient Transfer: May redirect patients to different EDs for shorter wait times based on needs assessment.

    EPCR Documentation Importance

    • Legal Significance: EPCRs serve as historical health documents crucial for legal contexts; accuracy is vital for accountability.

    Good Intent Statement

    • Definition: Refers to calls deemed as suspected emergencies that lack genuine cause; requires detailed scene descriptions to support findings.

    Stroke Assessment and Protocol

    • Stroke Recognition: Utilizes Cincinnati Prehospital Stroke Scale to assess symptoms, with specific centers designated for advanced treatment based on LAMS scores.
    • Urgency in Care: Critical to identify strokes within 22 hours of last known well time for effective treatment.

    Protocol for Patients in Police Custody

    • Transport Requirements: Must assess and treat patients regardless of their condition, adhering to standard medical protocols while in police presence.
    • Care Dictation: Police cannot dictate medical care or use EMS equipment for restraints; special attention to the patient's competence to refuse treatment.

    Repatriation Guidelines

    • Coordination of Care: Focuses on consistency and expediency in treatment to improve patient outcomes when returning to a treating facility.

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    Description

    This quiz covers the criteria and protocols for transporting individuals who have recently undergone surgery and require post-operative physical therapy. Focused on stabilization options and considerations for behavioral health, the material emphasizes safe and supportive environments for patients. Review the guidelines for assisting individuals with low acuity behavioral health issues or substance intoxication.

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