Introduction - Ocfa Ems Update 2012

Front 1

Standing Order (SO)- ALS
allows what 10 actions to be initiated using paramedic judgement?

Back 1

1. Base Hopsital Contact

2. Use any BLS SO

3. Cardiac Monitor

4. IV or saline lock

5. IO when IV access cannot be established

6. 12- lead ECG

7. O2 by mask or cannula

8. BVM assisted ventilation

9. ET intubation with proper placement confirmation

10. SPO2

SO-ALS

Front 2

What are the indications for administering 02?

Back 2

Hypoxia, patients O2 Sat <95% and any time it is stated in a Standing Order

SO-ALS

Front 3

SO treatment for adult patients with blood glucose <80

Back 3

1. Oral glucose preparation (if airway reflexes intact)

2. 50% Dextrose 50mL IV (may repeat x1 if glucose remains <80)

3. Glucagon 1 mg IM if IV can't be established

SO-ALS

Front 4

SO treatment for pediatric patients with blood glucose <80

Back 4

1. Oral glucose preparation (if airway reflexes intact)

2. 25% Dextrose 2 mL/kg IV if less than 2 years old (may repeat x1 if glucose remains <80)

3. 50% Dextrose 1mL/kg IV if 2 years or older (may repeat x1 if glucose remains <80)

4. Glucagon 0.5 mg IM if unable to establish IV

SO-ALS

Front 5

EMT's may assist patients with which 5 medications?

Back 5

1. Nitro as prescribed for patient

2. Albuterol - inhaler or nebulizer as prescribed for patient

3. Epinephrine autoinjector (in thigh)

4. Aspirin for cardiac chest pain

5. Duodote

SO-BLS

Front 6

EMT's may assist paramedics with what procedures?

Back 6

1. Placement of 12 lead ECGs

2. Preparation of IV

3. Preparation for ALS airway procedures

4. Determining blood glucose levels using a glucometer

SO-BLS

Front 7

Which 3 DNR forms may be honored by EMTs and Paramedics?

Back 7

1. Physician signed DNR order in a skilled nursing facility or copy

2. Advance Healthcare Directive

3. California POLST Form

SO-BLS