Santa Clara County Critical Care Transport (CCT) Practice Exam

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• Under what conditions can a patient be taken to their hospital of choice?
• How does high altitude affect patient physiology in CCT?
• Which of the following is a resource to find updates on policies?
• What is the first step when giving a DECON Alert for HAZMAT patients?
• What is a primary responsibility of a flight nurse in CCT?
• What is the primary concern for patients with suspected spinal injuries during transport?
• What is the primary goal of Critical Care Transport (CCT)?
• What monitoring aspect is crucial for a patient suspected of respiratory failure during transport?
• If a patient experiences severe respiratory distress, what respiratory rate might indicate the need for trauma alert in an adult?
• What is the main purpose of administering fluids during CCT for critically ill patients?
• How might high altitude complicate patient transport in CCT?
• Which of the following is a reason to report a Level A variance?
• At what age is a child defined in critical care transport?
• Explain the concept of 'load and go' in CCT.
• What should be done if no DNR form is available upon patient arrival?
• When should advanced cardiac life support (ACLS) protocols be considered by a CCT team?
• At what MCI level does START triage become enacted?
• What is one of the main goals of utilizing evidence-based protocols in CCT?
• If you arrive on scene and there is no medic unit available for an ALS call, but there is a fire medic present, what should you do?
• What is the purpose of having a representative meet the ambulance during a HAZMAT incident?
• What should be done if a patient has no preference for a hospital destination?
• What is a potential complication of using mechanical ventilation in transport?
• What types of radio tones are heard during critical communications?
• What is the primary purpose of intraosseous (IO) access in Critical Care Transport?
• Which of the following is NOT a physiological criterion for adult trauma alert?
• What acronym is used in the field to assess stroke?
• How do CCT teams collaborate with ground EMS services during transport?
• Who retains jurisdiction if a patient dies at home with local police or fire agency present?
• Which individuals are legally authorized to refuse care?
• What type of vehicle deformities would indicate a possible Trauma Alert activation?
• What is the role of the CCT team in providing palliative care during transport?
• Why is obtaining patient history significant in critical care transport?
• In which situation should a tourniquet be used?
• For routine patient transports into the ED, what method of communication is typically used for ringdowns?
• How can the CCT team ensure they provide culturally competent care?
• What happens if a patient requests to stop treatment after arriving at the emergency department?
• What criteria must be met for a patient to qualify for critical care transport services?
• What role does the County Duty Officer play in the management of contracted system providers?
• When giving a DECON Alert ringdown for HAZMAT patients, which information is NOT required to be provided?
• Which medications are commonly used for sedation during CCT procedures?
• What neurological evaluation can help identify deficits in critical patients?
• What are the signs of anaphylaxis that CCT teams should monitor?
• How will policy updates be communicated to crews?
• What is the significance of effective communication with receiving hospitals during critical care transport?
• What is the required distance to keep people away from large hazardous materials incidents?
• What is one of the key protocols during a mass casualty incident in CCT?
• Which of the following is required gear during scene calls?
• Which hospitals are considered comprehensive stroke centers?
• What speed of a motor vehicle accident automatically triggers a trauma alert?
• Where can you expect equipment to be temporarily stored during an incident?
• Where is one of the mobilization centers located in Santa Clara County?
• What are the three options a physician on scene has when assisting responders?
• During an MCI alert, what tool is not required when there are 5 or more patients?
• What is advised to assist patients in cardiac situations?
• What must you have on your person at all times while on duty in Santa Clara?
• What common challenge might a CCT team face during inter-facility transfers?
• Which of the following is NOT considered a Level A variance?
• What regulatory guideline pertains to the misuse of narcotics in relation to reporting?
• What should be included when logging in for service on Channel 1?
• When does the Santa Clara badge expire for individuals with a professional medical credential?
• Why are pediatric considerations significant in critical care transport?
• What are the two main types of endotracheal tubes used in CCT?
• What should the CCT team do upon arrival at the receiving hospital?
• Which trauma hospital is associated with Zone A?
• Which of the following is a component of the Personnel Accountability Report (PAR)?
• What is the Glasgow Coma Scale (GCS) threshold for adult trauma alert criteria?
• If an adequate DNR form is produced during CPR, what action should be taken?
• During a trauma assessment, what does 'Disability' refer to in the ABCDE approach?
• Under what condition can patients be transported to a hospital outside of Santa Clara County?
• What is the respiratory rate criterion for pediatric trauma alert criteria in patients younger than one year?
• When are standard hospital notifications made?
• Can a tourniquet be used on both adult and pediatric patients?
• Which of the following is an essential intervention for airway management?
• What is the minimum distance to keep people away from a small incident according to the isolate and deny entry policy?
• What is the recommended compression rate during CPR?
• Which action is NOT recommended when using a tourniquet?
• How many business days do you have to report a Level B variance?
• What must happen if a responder demonstrates irrational behavior that could impair their duties?
• In a multi-patient event, when can non-emergency ambulances respond with red lights and sirens?
• Where should pediatric patients meeting Trauma Alert criteria be transported?
• What should be performed for any patient in cardiac arrest?
• For which types of alerts can you use the designated hospital ringdown channel?
• What is the purpose of a mobilization center during an incident?
• Who has the authorization to send an air ambulance to the scene of an incident in Santa Clara?
• What is a crucial aspect of symptom management during palliative care in CCT?
• What does P.A.R stand for in critical transport communications?
• What type of monitoring equipment is essential during CCT?
• What channel is designated for major alert ringdowns on the county radio?
• What is the minimum number of patients to trigger the use of an Agency-approved MCI multi-patient tracking tool?
• What is hypovolemic shock characterized by?
• Why is rapid identification of critical patients essential in a mass casualty incident?
• What is the key symptom of stroke assessed by the GFAST acronym?
• What is the primary benefit of evidence-based protocols in Critical Care Transport (CCT)?
• If a physician’s office staff identifies the physician, what must still occur according to policy?
• At what heart rate should high-quality CPR be initiated for pediatric symptomatic bradycardia?
• At what speed for a motorcycle accident would require a Trauma Alert activation?
• What type of incidents qualify as Level C variances?
• A patient determined to be emergent shall be transported with red lights and sirens if the time from arrival on the scene to arrival at the hospital is what duration?
• Which of the following describes a condition requiring immediate transportation to the closest hospital?
• At what chest compression depth should an infant be treated during CPR?
• What is the correct protocol if a patient wishes to exit the ambulance before reaching the hospital?
• In which scenario is an individual not legally authorized to refuse care?
• What is one of the responsibilities of the County Duty Officer?
• What is the minimum number of personnel recommended to set up a field treatment site?
• What is the correct dosage for chewable aspirin in cardiac situations?
• How frequently should baseline vital signs be assessed for stable pediatric patients?
• What does ROSC stand for in critical care transport?
• When selecting a field treatment site, which of the following is a consideration?
• What does the acronym START stand for in triage?
• What is the policy for non-emergency ambulances responding with red lights and sirens?
• What technique is NOT typically used to manage a patient’s airway during transport?
• What should a CCT team ensure when transferring patients requiring specialized care?
• At what point can a medic transfer care to an EMT?
• Which cardiac rhythm is considered critical during critical care transport?
• What are valid forms of DNR according to the policies?
• What is the chest compression depth for a child during CPR?
• What is the glucose policy for administering treatment to altered patients?
• What is the initial action in response to a patient whose BGL is 80mg/dL or less?
• Which scenario would qualify as an EMS system surge?
• What form is used to file a variance report in the EMS system?
• What age range defines a Neonate?
• What preventive measure is essential to reduce infection risk during critical care transport?
• What is crucial to document when applying a tourniquet?
• In the case of a DNR, which of the following is NOT considered a valid directive?
• What is a critical logistical element to track when operating from a mobilization center?
• Which of the following considerations is crucial for transporting neonates during CCT?
• Who should be requested to meet an ambulance outside the ED during a HAZMAT incident?
• When assessing burn patients in CCT, which factor is NOT considered?
• Which pre-transport assessment is critical for a CCT team?
• What defines a patient as being 'in extremis'?
• In the case of a patient with a condition that cannot be controlled, what action should be taken?
• What are indications for using a mechanical ventilator during critical care transport?
• What elements are vital for the CCT team's patient preparation before transport?
• If a physician arrives on scene, what is the first step you should take?
• What role does effective communication play in CCT?
• Which of the following is a designated trauma center in Santa Clara County?
• What is one aspect of adherence to hand hygiene in CCT?
• What may occur during times of EMS system surge?
• In the context of CCT, why is prompt administration of medications critical?
• Which of the following incidents does not qualify as a Level C variance?
• What is necessary for a physician on scene to assist in patient care?
• What is considered the best form of communication in critical care transport?
• What does the ICS 214 Unit log pertain to?
• If a patient dies in a residential care facility, who is responsible for making the necessary arrangements?
• What is the most critical factor when applying a tourniquet?
• Which mobilization center is located in the central region of the county?
• Which team member is crucial for maintaining patient safety during transport?
• What should you NOT do when you are about to leave a mobilization center?
• Which of the following describes a general guideline for ensuring safety at a field treatment site?
• What is the maximum time allowed to report a Level A variance?
• What should the crew do if the patient is agitated and wants to leave the ambulance?
• What age range is defined as an infant?
• What factors influence oxygen delivery in critically ill patients?
• What defines a Level B variance?
• What should be done if the primary burn center is not accepting patients?
• What is the age definition for pediatric patients?
• How often can oral glucose be repeated for an altered patient with low BGL?
• What type of monitoring may be particularly important for a patient with sepsis in CCT?
• What essential factors influence transport decisions in critical care transport?
• What systolic blood pressure qualifies for adult trauma alert criteria?
• What should you do with your SCC badge when you decide to leave your current company?
• What is the minimum amount of oral glucose to be given to an altered patient?
• Why is fluid resuscitation important for burn patients in CCT?
• How far away must you keep people from small hazardous materials incidents?
• During patient transport, the term "end of life option" refers to:
• What is a critical component of monitoring respiratory rate in a patient during transport?
• What is a contraindication for using the LMA Supreme?
• What is the recommended chest compression depth for adult CPR?
• What would be a primary role of a personnel at a mobilization center?
• Which of the following is essential for patient handover at the receiving facility?
• How many patients typically classify as a Level 2 MCI event?
• Which type of injury is considered a trauma alert penetrating injury?
• Which of the following locations is NOT a designated STEMI center according to the policies?
• In CCT, what is the significance of a patient’s Glasgow Coma Scale (GCS) score?
• Which type of patients are typically transported using CCT services?
• When is a patient allowed to change their destination during transport to the hospital?
• For pediatric trauma alert, what is the systolic BP threshold for children 6 years old or younger?
• What should personnel do when they are released from a mobilization center?
• What is considered the total patient number for a Level 5 MCI event?
• How is pulseless ventricular tachycardia classified in critical care transport?
• What does trauma triage involve in the context of CCT?
• Why is a rapid sequence intubation (RSI) protocol significant in CCT?
• What is the highest Glasgow Coma Scale score a patient can have for adult trauma alerts?
• In high-quality, uninterrupted CPR, how often should ventilation be performed?
• What are obvious signs of death that can be pronounced by an EMT?
• Why is it essential to maintain a sterile field during invasive procedures in CCT?
• What is an important exception about transferring care from medic to EMT?
• What should be included in a DECON Alert communication for HAZMAT patients?
• Which of the following is NOT a sign of death an EMT can pronounce?
• What type of serious injuries might necessitate immediate critical care transport intervention?
• What are Level C variances?
• When logging into the 911 system, what channel should be used?
• Which of the following does a warbler tone signal?
• Who must be notified immediately in the case of a Level A variance?
• What is the time frame to report a Level C variance?
• If a patient passed away en route, what is NOT one of the options available for the team?
• Which incident is classified as a Level B variance?
• If a patient requests to change their destination while en route, what is the policy?
• For what patient population is the LMA Supreme indicated?
• What is the importance of personal protective equipment (PPE) in CCT?
• Which level of MCI corresponds to a small strike team request?
• Why is establishing an intravenous (IV) line crucial in critical care transport?
• Where should a patient deemed 'in extremis' be transported?
• What is one of the primary roles of a paramedic in a critical care transport team?
• What are Level A variances?
• What does a CAN report include?
• What additional resource might an Incident Commander request during a CAN report?
• What are the contraindications for the use of a tourniquet?
• What is the appropriate action if the SOS button is accidentally pressed?
• What is an example of an incident that would be reported to a regulatory agency?
• What should be done if a patient expires during transport?
• Which vital signs are critically monitored on patients during critical care transport?
• Where are burn patients typically transported in Santa Clara County?
• In the case of a patient's death in a public place, which authority retains jurisdiction?
• What component is NOT typically included in the assessment of baseline vitals?
• Which center is NOT listed as a potential transport destination for ROSC patients?
• What is the protocol for administering Naloxone?
• What is a key component of managing hypovolemic shock in critical care transport?
• In trauma assessment, what does the acronym ABCDE represent?
• Who is authorized to make base contact for medical direction?
• Which of the following items is essential for documenting activities at a mobilization center?
• What is the primary goal of monitoring vital signs in critical care transport?
• What does 'cranial nerve assessment' evaluate in critical care transport?
• How is a needle decompression performed for tension pneumothorax in a CCT situation?
• What is an indication for the usage of a mechanical tourniquet?
• An EMT may decide to pronounce death when:
• What is the maximum age for a patient to be considered pediatric?