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

Who should take responsibility for the medical control of an emergency?

  • The first person to arrive on the scene
  • The paramedic
  • The physician on the scene
  • The most appropriately trained individual on the scene (correct)
  • What does the paramedic represent in an EMS system?

  • The medical director (correct)
  • The physician on the scene
  • The first responder
  • The most experienced medical professional
  • What should be in place for a physician to direct pre-hospital care on the scene?

  • A patient care report
  • A standardized plan (correct)
  • An EMS system
  • A medical license
  • What must a physician provide in order to assume care of a patient?

    <p>Documentation of their status and license to practice medicine in Florida</p> Signup and view all the answers

    When should contact with medical control at the receiving facility be established?

    <p>As soon as possible</p> Signup and view all the answers

    When should orders provided by a physician be followed?

    <p>Only if they do not endanger the patient's well-being</p> Signup and view all the answers

    What should a paramedic do if a physician's care is judged to be potentially harmful?

    <p>Voice objections and place the physician in contact with medical control</p> Signup and view all the answers

    What must be documented in the patient care report regarding interactions with physicians on the scene?

    <p>All interactions with physicians on the scene</p> Signup and view all the answers

    Who is responsible for the medical control of an emergency?

    <p>The first responder on the scene</p> Signup and view all the answers

    Who represents the medical director of an EMS system?

    <p>The paramedic</p> Signup and view all the answers

    What should be in place for a physician to direct pre-hospital care?

    <p>A standardized plan</p> Signup and view all the answers

    What must a physician provide to assume care of a patient?

    <p>Documentation of their status and license to practice medicine in Florida</p> Signup and view all the answers

    When should contact with medical control at the receiving facility be established?

    <p>As soon as possible</p> Signup and view all the answers

    Should orders provided by the physician always be followed?

    <p>It depends on the situation</p> Signup and view all the answers

    What should the paramedic do if the physician's care is judged to be potentially harmful?

    <p>Voice objections and place the physician in contact with medical control</p> Signup and view all the answers

    Should interactions with physicians on the scene be documented in the patient care report?

    <p>Yes</p> Signup and view all the answers

    Will unstable patients be transported to the hospital of their choice?

    <p>No</p> Signup and view all the answers

    When is emergency transport indicated?

    <p>For specific situations such as respiratory arrest, cardiac arrest, or massive internal/external hemorrhage with shock</p> Signup and view all the answers

    Can Free Standing Emergency Departments accept hemodynamically compromised patients?

    <p>No</p> Signup and view all the answers

    What can Free Standing Emergency Departments accept?

    <p>Cardiac arrest patients and ALL obstetrical patients with an imminent delivery</p> Signup and view all the answers

    Study Notes

    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.

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    Description

    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.

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