Ambulance Driver Test CA – Flashcards

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Private Ambulances may only respond to emergency calls if
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CHP has authorized them to
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Definition of Ambulance
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Rescue vehicle Vehicle modified to transport injured people
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Code 3 Operation describes
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use of lights and sirens
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Code 3 is justified for 3 reasons
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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?
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Yes
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Must all ambulances operating under the same license display the same name?
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Yes
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How many hours of service must be provided under each license?
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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?
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No
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Purpose of DMV ambulance driver test is
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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
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are a police officer firefighter or if you are licensed in an a different state and driving in an emergency into CA.
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6 Prerequisites to getting an Ambulance license.
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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
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Temporary certificates last _____ days
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180
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Regular certificate lasts
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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
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valid drivers license medical examination certificate. and after one year an (EMT)-I certificate
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Renewal Applications will be excepted
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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
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3 members representing the DMV, CHP, and EMS Authority.
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An ambulance drivers primary responsibility is
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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
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1. frightening patient 2. putting a stable patient into shock 3. Disrupting ongoing medical treatment
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Medical conditions that require Code 3 represent _ percent of trips
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5-7
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Medical conditions that require Code 3 transport include
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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
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Any doubt as to the seriousness of the emergency when considering use of Code 3, must be decided in favor of
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the patient
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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
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Never
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Ambulance drivers are exempt from certain traffic laws in what conditions
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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
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If a driver is involved in an accident, but was exempt from certain traffic laws can he still be criminally and civilly liable?
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Yes, if he was not acting with due regard for the safety of others.
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Determining if a driver exercised due regard toward the safety of others is based on what criteria:
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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
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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
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33 feet
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A city driver with his windows down may hear the siren when it is ___ away
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123
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Hazards when driving with Code 3 include
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1. blind intersections 2. driveways 3. motorists with impaired hearing 4. inattentive drivers
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When using a siren Ambulance drivers should
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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
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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
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when an extreme hazard exists
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Do revolving, rotating, or flashing red lamps satisfy the requirement for a steady burn lamp?
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No, but they can supplement it
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Flashing red lights may only be displayed
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when an extreme hazard exists, (meaning any incident that requires traffic to stop, be blocked, or proceed only as directed.
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Flashing Amber Lights used
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only for unusual traffic hazards, until hazard ceases to exist.
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Warning Lamp effectiveness may be reduced by what 3 factors
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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.
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Should headlamps be used in the daylight?
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yes, they increase visibility.
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Definition of defensive driving:
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doing everything reasonably possible to avoid accidents.
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a preventable accident is one
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in which the driver failed to take reasonable precautions to avoid the accident
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Defensive driving requires
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continual exercise of sound judgment and good driving habits with an awareness that all other drivers cannot be relied upon to drive safely
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Is physical fitness a prerequisite for safe driving?
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Yes.
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Five elements of defensive driving
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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.
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Loss of control is often due to
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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
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Minor backing mishaps (crashes) result in
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1. keeping an ambulance out of service 2. costly repairs 3. additional paperworl 4. poor public image 5. expensive insurance 6. job loss
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Too back up a vehicle station a crew member
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outside to the left rear of the vehicle
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Before backing up check for
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pedestrians and obstacles
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Before backing up push
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the horn
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Back up at what pace
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slowly
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While backing up check your
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mirrors constantly
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Intersections are the most likely cause of accidents because
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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
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At an intersection the driver should check for
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actual and potential hazards well in advance of the intersection
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At intersections the driver should look to the left, then
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then to the right, then, the left again before entering the intersection.
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Maintain a safe ______ distance
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following
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A safe following distance enables a driver to
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stop or steer around without crashing into a vehicle that stops suddenly
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Is greater than the distance required to react (3/4ths of a second), but shorter
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than the total stopping time
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You should keep a separation of at least ____ between the ambulance and the next vehicle
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3 seconds
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If the ambulance is large or heavy increase following distances by
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50%
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If the surface is loose or slippery increase following distances by
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2X
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If vision is obscured increase following distances by
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2X
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If the driver is not fully alert increase following distances by
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2X
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If the road surface is packed snow or ice increase following distances by
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3X
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At speeds of 40 to 60 mph safely passing a vehicle takes
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10 seconds
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If you decide to pass a car and conditions are okay
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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.
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When driving at high speeds
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don't go to fast around turns pump the breaks prior to immediate slowdown
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when speed is doubled, braking distance
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more than quadruples
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In preparation for hazardous conditions be sure that _ equipment is in good condition
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wiper blades, heater, defroster, lights, brakes, tires steering mechanism
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In hazardous conditions drive at speeds appropriate for conditions and increase the
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following speed
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During darkness keep the windshield
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clean
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During darkness keep the instrument lights
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dim
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During darkness keep your eyes
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moving
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During darkness slow your speed considerably on
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turns
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slow speeds, _________, and _____ prevents hydroplaning
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inflated tires and deep treads
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The responsibility for determining the mechanical safety of the ambulance rests primarily with the
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driver
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Responsibility for equipping and maintaining the ambulance rests with the
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owner
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Driver should inspect the ambulance when?
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at the beginning of every shift
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Driver should ensure that scheduled vehicle maintainence has been performed at established
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intervals
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In inspecting the ambulance the Driver should make sure previous deficiencies
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have been corrected
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The driver should determine if the ambulance is unsafe, not equipped, or maintained for
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emergency operation
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It is illegal for an owner to permit the operation of an ambulance that is not
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equpped as required
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Make sure to inspect for carbon monoxide in ambulances because
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it can harm ill patients and ambulance personal.
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Requiring an ambulance drivers license for employment is helpful for what three reasons?
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1. reduces training cost. 2. it is free pre-employment screening 3. it allows both EMT's on ambulance to take turns driving
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Ensuring that there are no unlawful drugs or equipment on the ambulance is whose responsibility?
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the owners
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Who has the responsibility for integrating all emergency medical services systems in california including training, certification, and scope of practice standards for EMT's?
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The EMS Authority
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the minimum certification requirement for the attendant in an ambulance is a valid _____ certificate
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EMT-1
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regulations apply to which emergency ambulance services of a. private b. public c. volunteer d. subscription e. industrial
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all of them
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May CHP give exemptions on training and education standards established by the EMS Authority?
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No
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Training for all pre-hospital staff must include being trained in preventing _______ diseases and for first responders in _________ incidents.
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infectious, hazardous materials
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Who must ambulance services follow for policies and procedures/scope of practice questions on the job?
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medical control
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Safety Equipment includes seat belts for
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every seat
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children and infants not secured to a gurney should be secured by
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child/infant restraint devised.
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Are drivers and passengers seated in the front of the ambulance required to wear seat belts?
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No.
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Does safety equipment includes heating and air conditioning?
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Yes
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Ambulances should carry extrication equipment depending on
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if it is readily available from other rescue units or not.
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Ambulance cots should be collapsible and capable of being elevated from the head or feet as well as
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adjustable from four positions
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Mattresses should be covered with impervious
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plastic material
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Padded ankle and wrist restraints should measure __ before tying to maintain a ___ width while in use
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3" and 2"
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How many complete sets of clean linen supplies per ambulance cot?
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4
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reusable medical supplies should be maintained in what condition
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clean and ready to use, disinfected or sterilized as appropriate.
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When a patient with a known communicable disease has been transported
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the patient compartment and all interior surfaces including fixed equipment shoulld be thoughly cleaned with soap, water, and disinfectant.
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Supplies of blankets, pillows, and linens, should be stored in what manner?
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autoclaved
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To protect against HIV, hepatitis B, the following protective equipment should be carried:
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masks with one way valves, gloves, gowns and goggles as well as containers for soiled equipment.
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Rigid Cervicl collars should be carried in sizes for
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adult, child, and infant patients.
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4 sets of _____ splints should be carried for for use in adults and children ages 1-14.
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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.
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____ headbeds should be carried
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4
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____ oropharnygeal airways should be carried in sizes for _____
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6: 2 for adults, 2 for children, 1 for infants, 1 for newborns.
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