Prehospital Treatment Protocols Quiz
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Questions and Answers

What conditions allow for treatments to be withheld according to the protocol standards?

  • Complex situations
  • Time constraints
  • Allergy contraindications (correct)
  • Patient hesitance

Who is authorized to perform treatments as per the protocol standards?

  • Only Paramedics
  • Police Officers
  • Registered Nurses
  • EMTs, AEMTs, and Paramedics (correct)

What is an Emergency Protocol Exception (EPE)?

  • A rejection of protocol treatments
  • An order under extraordinary circumstances (correct)
  • A routine protocol step for all patients
  • An order for modified treatments

In which situation do the protocol standards not apply?

<p>When a physician on scene assumes responsibility (B)</p> Signup and view all the answers

What is the role of Base Hospital Physicians in relation to protocolized treatments?

<p>They can order withholding protocolized treatments (D)</p> Signup and view all the answers

What must occur following an Emergency Protocol Exception (EPE)?

<p>Submit a report as an unusual event (C)</p> Signup and view all the answers

Which of the following actions can Base Hospital Physicians NOT take?

<p>Negotiate treatment protocols with EMTs (B), Order treatments specifically prohibited by local protocols (C)</p> Signup and view all the answers

When are multiple protocols allowed for patient treatment?

<p>When clinically indicated (D)</p> Signup and view all the answers

Flashcards

Standard Treatment Protocol

Prehospital treatment procedures must be followed unless the patient refuses, there's an allergy, or a Base Hospital Physician specifies otherwise.

Multiple Protocol Application

Multiple protocols can be applied simultaneously if they're medically appropriate.

EMT/AEMT/Paramedic Authority

EMTs, AEMTs, and Paramedics can perform treatments under standing orders, except for those requiring a Base Hospital Order or Physician Order.

MICN Role in Orders

Mobile Intensive Care Nurses (MICNs) can relay orders from Base Hospital physicians.

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Physician On-Scene Exception

These protocol standards don't apply when a doctor is physically present and assumes responsibility for the patient.

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Base Hospital Consultation

Base Hospital Physician consultation is recommended in ambiguous or complex situations.

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Base Hospital Physician Authority

Base Hospital Physicians can adjust treatment doses, withhold treatments, but cannot modify Local Optional Scope of Practice (LOSOP) protocols or order treatments outside provider scope.

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Emergency Protocol Exception (EPE)

In rare emergencies, Base Hospital Physicians can order an Emergency Protocol Exception (EPE) if there's a significant risk to the patient, the protocol doesn't prohibit it, and it's within provider scope.

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Study Notes

Prehospital Treatment Protocols

  • Protocols define standards for prehospital treatments
  • All treatments are protocol-based unless patient declines, contraindicated, or per Base Hospital Physician order.
  • Multiple protocols can be applied when clinically indicated.
  • EMTs, AEMTs, and Paramedics can perform treatment based on standing orders, excluding stipulations like Base Hospital Order (BHO) or Base Hospital Physician Order (BHPO). Standing orders can continue after Base Hospital contact, unless directed otherwise.
  • Mobile Intensive Care Nurses (MICNs) can relay Base Hospital Physician Orders (BHPOs).

Physician Involvement

  • Base Hospital Physician consultation is recommended for unclear or complex cases.
  • Base Hospital Physicians are authorized to:
    • Order additional medication doses or treatments
    • Order withholding treatment
  • Base Hospital Physicians are not authorized to:
    • Order medications, routes, or procedures outside EMT, AEMT, or Paramedic scope.
    • Modify local optional scope of practice (LOSOP) protocols
    • Order treatments prohibited by local protocols.
  • Emergency Protocol Exception (EPE) allowed under extraordinary circumstances for immediate risk of serious morbidity or mortality,
    • Must meet criteria for non-authorized orders and conform to S-104 and P-115 guidelines.
  • Base Hospital must report EPEs to CoSD EMS within 24 hours as "unusual events".

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Description

Test your knowledge on prehospital treatment protocols and the roles of EMTs, AEMTs, Paramedics, and Base Hospital Physicians. Understand the protocols, standing orders, and physician involvement necessary for effective emergency medical services. This quiz will enhance your understanding of the standards that govern prehospital care.

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