20 Shifts Protocol Quiz - Physician on Scene, General Scene Transport, & Free Standing Emergency Department

Emergency Medical Services Protocol

• The most appropriately trained individual on the scene should take responsibility for the medical control of an emergency.
• The paramedic represents the medical director of an EMS system.
• A physician on the scene may desire to direct pre-hospital care; a standardized plan should be in place for such contingencies.
• The physician must provide documentation of their status and license to practice medicine in Florida and document their assumption of care on the patient care report.
• Contact with medical control at the receiving facility must be established as soon as possible.
• Orders provided by the physician should be followed as long as they do not endanger the patient's well-being.
• If the physician's care is judged to be potentially harmful, the paramedic should voice objections and place the physician in contact with medical control.
• All interactions with physicians on the scene must be documented in the patient care report.
• Patients will be transported to the hospital of their choice unless not operationally feasible.
• Unstable patients will be transported to the closest appropriate receiving facility.
• Emergency transport may be indicated for certain situations, such as inability to establish or maintain a patent airway or effective ventilations, complicated obstetrical, respiratory arrest, cardiac arrest, massive internal/external hemorrhage with shock, unstable pediatric, and patients with psychological or behavior issues.
• Free Standing Emergency Departments can accept cardiac arrest patients and ALL obstetrical patients with an imminent delivery when they are the closest receiving facility, but cannot accept hemodynamically compromised patients or those meeting any "ALERT" criteria.

Emergency Medical Services Protocol

• The most appropriately trained individual on the scene should take responsibility for the medical control of an emergency.
• The paramedic represents the medical director of an EMS system.
• A physician on the scene may desire to direct pre-hospital care; a standardized plan should be in place for such contingencies.
• The physician must provide documentation of their status and license to practice medicine in Florida and document their assumption of care on the patient care report.
• Contact with medical control at the receiving facility must be established as soon as possible.
• Orders provided by the physician should be followed as long as they do not endanger the patient's well-being.
• If the physician's care is judged to be potentially harmful, the paramedic should voice objections and place the physician in contact with medical control.
• All interactions with physicians on the scene must be documented in the patient care report.
• Patients will be transported to the hospital of their choice unless not operationally feasible.
• Unstable patients will be transported to the closest appropriate receiving facility.
• Emergency transport may be indicated for certain situations, such as inability to establish or maintain a patent airway or effective ventilations, complicated obstetrical, respiratory arrest, cardiac arrest, massive internal/external hemorrhage with shock, unstable pediatric, and patients with psychological or behavior issues.
• Free Standing Emergency Departments can accept cardiac arrest patients and ALL obstetrical patients with an imminent delivery when they are the closest receiving facility, but cannot accept hemodynamically compromised patients or those meeting any "ALERT" criteria.

Test your knowledge of Emergency Medical Services Protocol with this quiz! Learn about the roles and responsibilities of medical personnel on the scene of an emergency, the importance of communication with medical control, and guidelines for patient transport. This quiz will cover topics such as physician involvement in pre-hospital care, patient documentation, and indications for emergency transport. Sharpen your understanding of EMS protocol and prepare yourself for emergency situations.