question

Private Ambulances may only respond to emergency calls if

answer

CHP has authorized them to

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Definition of Ambulance

answer

Rescue vehicle Vehicle modified to transport injured people

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Code 3 Operation describes

answer

use of lights and sirens

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Code 3 is justified for 3 reasons

answer

1 to save a life 2 prevent undue suffering 3 prevent disability

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Do guilty vertics that have dismissed by courts still count as convictions?

answer

Yes

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Must all ambulances operating under the same license display the same name?

answer

Yes

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How many hours of service must be provided under each license?

answer

24, unless the ambulance does not respond to calls from public agencies.

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Fire extinguishers

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must be inspected and serviced yearly or immediately after use

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Ambulances will be inspected by CHP

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initially yearly and randonmly

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Destination restrictions prevent

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ambulances from taking unnecessarily long routes.

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Escorts for patients: The prohibition against unqualified drivers and attendants serving as patient escorts does not exclude

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Family, other persons concerned with the patients well being minors should be allowed to come whenever possible

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Good Samaritan Laws do not protect EMT's when

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acts or omissions are performed in a grossly negligent manner or not in good faith.

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Can CHP grant exceptions to statutory requirements?

answer

No

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Purpose of DMV ambulance driver test is

answer

not to prove driving competence, but to screen those with criminal backgrounds, physical disabilities, or poor driving habits.

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You do not need an ambulance driving license if

answer

are a police officer firefighter or if you are licensed in an a different state and driving in an emergency into CA.

question

6 Prerequisites to getting an Ambulance license.

answer

1. 18 years old 2. Hold a valid CA driving license 3. File a complete application including criminal convictions and certain traffic offenses 4. Pass a written test 5. Submit fingerprints 6. Complete meddical form DL-51

question

Temporary certificates last _____ days

answer

180

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Regular certificate lasts

answer

no longer than 5 years, and expires the same day as your drivers license

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Conditional validity means that your ambulance license is only valid when you have

answer

valid drivers license medical examination certificate. and after one year an (EMT)-I certificate

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Renewal Applications will be excepted

answer

within 6 months of expiration of your drivers license.

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If your ambulance drivers license is revoked, you can

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submit a written request for a hearing within ten days.

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Hearing committee is composed of

answer

3 members representing the DMV, CHP, and EMS Authority.

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An ambulance drivers primary responsibility is

answer

Safe transport of the patient

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Safe means

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1. not risking an accident 2. smooth driving a) that does not stress or traumatize the patient b) that permits attendant to give medical care

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Negative affects of Code 3 transport include

answer

1. frightening patient 2. putting a stable patient into shock 3. Disrupting ongoing medical treatment

question

Medical conditions that require Code 3 represent _ percent of trips

answer

5-7

question

Medical conditions that require Code 3 transport include

answer

1. Uncontrolled hemorrhage a) internal chest or abdomen bleeding 2. Uncontrolled cardiovascular or respiratory impairment a) congestive heart failure b) wounds to the heart c) progressive pulmonary edema 3. Complicated or impending childbirth a) a case that requires operative intervention

question

Any doubt as to the seriousness of the emergency when considering use of Code 3, must be decided in favor of

answer

the patient

question

Driving in a way that risks loss of control of the vehicle or relies on drivers or pedestrians to react ideally is justified in what circumstances

answer

Never

question

Ambulance drivers are exempt from certain traffic laws in what conditions

answer

1. Responding to an Emergency call 2. Displaying a steady burn red warning lamp with 1000 feet of visibility in front of the vehicle 3. Reckless driving and driving under the influence are never justified

question

If a driver is involved in an accident, but was exempt from certain traffic laws can he still be criminally and civilly liable?

answer

Yes, if he was not acting with due regard for the safety of others.

question

Determining if a driver exercised due regard toward the safety of others is based on what criteria:

answer

1. Sufficient notice of the ambulances approach was given. 2. signalling equipment a) whether it was necessary to use it b) whether it was used c) whether it was audible and/or visible 3. speed of the vehicle should never prevent the driver from maintaining complete control of it. 4. If the driver decelerated before impact with a driver who did not yield

question

A rural driver at 55mph may not hear the wail of the siren if his windows are closed and the radio is playing until the ambulance is ___ away

answer

33 feet

question

A city driver with his windows down may hear the siren when it is ___ away

answer

123

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Hazards when driving with Code 3 include

answer

1. blind intersections 2. driveways 3. motorists with impaired hearing 4. inattentive drivers

question

When using a siren Ambulance drivers should

answer

1. assume drivers do not hear the siren at safe distances under most conditions especially at intersections 2. assume drivers have difficulty locating the source of the siren 3. use the siren only when it is most effective 4. never pass on the right

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When using a warning lamp

answer

1. excessive use reduces public respect of their purpose 2. use primarily to protect life and property

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Front steady burn red warning light should be displayed

answer

when an extreme hazard exists

question

Do revolving, rotating, or flashing red lamps satisfy the requirement for a steady burn lamp?

answer

No, but they can supplement it

question

Flashing red lights may only be displayed

answer

when an extreme hazard exists, (meaning any incident that requires traffic to stop, be blocked, or proceed only as directed.

question

Flashing Amber Lights used

answer

only for unusual traffic hazards, until hazard ceases to exist.

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Warning Lamp effectiveness may be reduced by what 3 factors

answer

1. low sun or glare 2. confusion with traffic signals and neon lights 3. Their position if mounted to high or low on the ambulance.

question

Should headlamps be used in the daylight?

answer

yes, they increase visibility.

question

Definition of defensive driving:

answer

doing everything reasonably possible to avoid accidents.

question

a preventable accident is one

answer

in which the driver failed to take reasonable precautions to avoid the accident

question

Defensive driving requires

answer

continual exercise of sound judgment and good driving habits with an awareness that all other drivers cannot be relied upon to drive safely

question

Is physical fitness a prerequisite for safe driving?

answer

Yes.

question

Five elements of defensive driving

answer

1. knowledge: of the rules of the road, his, and his vehicles limitations. 2. Alertness: of potential hazards 3. Vision: as speed increases visual accuracy decreases 4. Judgement: knowing what to do when 5. Skill: in handling an ambulance.

question

Loss of control is often due to

answer

1. driving to fast for the conditions 2. Accelerating too hard 3. Braking too hard 4. Changing direction to hard 5. Taking a curve to fast

question

Minor backing mishaps (crashes) result in

answer

1. keeping an ambulance out of service 2. costly repairs 3. additional paperworl 4. poor public image 5. expensive insurance 6. job loss

question

Too back up a vehicle station a crew member

answer

outside to the left rear of the vehicle

question

Before backing up check for

answer

pedestrians and obstacles

question

Before backing up push

answer

the horn

question

Back up at what pace

answer

slowly

question

While backing up check your

answer

mirrors constantly

question

Intersections are the most likely cause of accidents because

answer

1. visibility is obstructed 2.Drivers misjudge clearance 3. Motorists may not see or hear the ambulance 4. Two or more ambulances meet at an intersection

question

At an intersection the driver should check for

answer

actual and potential hazards well in advance of the intersection

question

At intersections the driver should look to the left, then

answer

then to the right, then, the left again before entering the intersection.

question

Maintain a safe ______ distance

answer

following

question

A safe following distance enables a driver to

answer

stop or steer around without crashing into a vehicle that stops suddenly

question

Is greater than the distance required to react (3/4ths of a second), but shorter

answer

than the total stopping time

question

You should keep a separation of at least ____ between the ambulance and the next vehicle

answer

3 seconds

question

If the ambulance is large or heavy increase following distances by

answer

50%

question

If the surface is loose or slippery increase following distances by

answer

2X

question

If vision is obscured increase following distances by

answer

2X

question

If the driver is not fully alert increase following distances by

answer

2X

question

If the road surface is packed snow or ice increase following distances by

answer

3X

question

At speeds of 40 to 60 mph safely passing a vehicle takes

answer

10 seconds

question

If you decide to pass a car and conditions are okay

answer

1. don't hesitate, 2. stay in the passing lane, 3. scan the road for unmarked intersecting roads and driveways, 4. be prepared to abort.

question

When driving at high speeds

answer

don't go to fast around turns pump the breaks prior to immediate slowdown

question

when speed is doubled, braking distance

answer

more than quadruples

question

In preparation for hazardous conditions be sure that _ equipment is in good condition

answer

wiper blades, heater, defroster, lights, brakes, tires steering mechanism

question

In hazardous conditions drive at speeds appropriate for conditions and increase the

answer

following speed

question

During darkness keep the windshield

answer

clean

question

During darkness keep the instrument lights

answer

dim

question

During darkness keep your eyes

answer

moving

question

During darkness slow your speed considerably on

answer

turns

question

slow speeds, _________, and _____ prevents hydroplaning

answer

inflated tires and deep treads

question

The responsibility for determining the mechanical safety of the ambulance rests primarily with the

answer

driver

question

Responsibility for equipping and maintaining the ambulance rests with the

answer

owner

question

Driver should inspect the ambulance when?

answer

at the beginning of every shift

question

Driver should ensure that scheduled vehicle maintainence has been performed at established

answer

intervals

question

In inspecting the ambulance the Driver should make sure previous deficiencies

answer

have been corrected

question

The driver should determine if the ambulance is unsafe, not equipped, or maintained for

answer

emergency operation

question

It is illegal for an owner to permit the operation of an ambulance that is not

answer

equpped as required

question

Make sure to inspect for carbon monoxide in ambulances because

answer

it can harm ill patients and ambulance personal.

question

Requiring an ambulance drivers license for employment is helpful for what three reasons?

answer

1. reduces training cost. 2. it is free pre-employment screening 3. it allows both EMT's on ambulance to take turns driving

question

Ensuring that there are no unlawful drugs or equipment on the ambulance is whose responsibility?

answer

the owners

question

Who has the responsibility for integrating all emergency medical services systems in california including training, certification, and scope of practice standards for EMT's?

answer

The EMS Authority

question

the minimum certification requirement for the attendant in an ambulance is a valid _____ certificate

answer

EMT-1

question

regulations apply to which emergency ambulance services of a. private b. public c. volunteer d. subscription e. industrial

answer

all of them

question

May CHP give exemptions on training and education standards established by the EMS Authority?

answer

No

question

Training for all pre-hospital staff must include being trained in preventing _______ diseases and for first responders in _________ incidents.

answer

infectious, hazardous materials

question

Who must ambulance services follow for policies and procedures/scope of practice questions on the job?

answer

medical control

question

Safety Equipment includes seat belts for

answer

every seat

question

children and infants not secured to a gurney should be secured by

answer

child/infant restraint devised.

question

Are drivers and passengers seated in the front of the ambulance required to wear seat belts?

answer

No.

question

Does safety equipment includes heating and air conditioning?

answer

Yes

question

Ambulances should carry extrication equipment depending on

answer

if it is readily available from other rescue units or not.

question

Ambulance cots should be collapsible and capable of being elevated from the head or feet as well as

answer

adjustable from four positions

question

Mattresses should be covered with impervious

answer

plastic material

question

Padded ankle and wrist restraints should measure __ before tying to maintain a ___ width while in use

answer

3" and 2"

question

How many complete sets of clean linen supplies per ambulance cot?

answer

4

question

reusable medical supplies should be maintained in what condition

answer

clean and ready to use, disinfected or sterilized as appropriate.

question

When a patient with a known communicable disease has been transported

answer

the patient compartment and all interior surfaces including fixed equipment shoulld be thoughly cleaned with soap, water, and disinfectant.

question

Supplies of blankets, pillows, and linens, should be stored in what manner?

answer

autoclaved

question

To protect against HIV, hepatitis B, the following protective equipment should be carried:

answer

masks with one way valves, gloves, gowns and goggles as well as containers for soiled equipment.

question

Rigid Cervicl collars should be carried in sizes for

answer

adult, child, and infant patients.

question

4 sets of _____ splints should be carried for for use in adults and children ages 1-14.

answer

short, medium, and long, including a pediatric femur splint, cardboard splints, inflatable air splints, half ring leg splints of the Hare and Sager traction type all having straps.

question

____ headbeds should be carried

answer

4

question

____ oropharnygeal airways should be carried in sizes for _____

answer

6: 2 for adults, 2 for children, 1 for infants, 1 for newborns.

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