TNS STUDY GUIDE: EMS Concepts

1.

The current State of Illinois Trauma Center code has created a tiered Trauma System to designate hospitals as:
- A.
  
  Comprehensive, Basic and Standby Trauma centers
- B.
  
  Resource, Associate, and Participating Hospitals
- C.
  
  Level I, Level II, and Level III
- D.
  
  Regional, Area Wide, and Local Centers
Correct Answer
C. Level I, Level II, and Level III

Explanation
The correct answer is Level I, Level II, and Level III. The State of Illinois Trauma Center code has implemented a tiered Trauma System that categorizes hospitals into three levels based on their capabilities and resources to provide trauma care. Level I trauma centers are the highest level and have the most comprehensive resources, including 24/7 availability of specialized personnel and equipment. Level II trauma centers have similar capabilities but may not have the same level of research and education programs. Level III trauma centers provide initial stabilization and transfer of patients to higher-level facilities if needed.

Rate this question:

0
1
2.

In Illinois, the authority to designate, inspect and monitor trauma centers is legally invested with the:
- A.
  
  Department of Public Health (IDPH)
- B.
  
  Hospital Licensing Board (IHLB)
- C.
  
  Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
- D.
  
  Illinois Hospital Association
Correct Answer
A. Department of Public Health (IDPH)

Explanation
The correct answer is the Department of Public Health (IDPH). In Illinois, the authority to designate, inspect, and monitor trauma centers is legally invested with the IDPH. This means that the IDPH has the power to determine which hospitals meet the necessary criteria to be designated as trauma centers, conduct inspections to ensure compliance with regulations, and monitor the ongoing operations of these centers. The IDPH plays a crucial role in ensuring that trauma centers in Illinois provide high-quality care to patients in need.

Rate this question:
3.

The three levels of hospitals participating in the Illinois EMS System are:
- A.
  
  Comprehensive, Basic and Standby Trauma centers
- B.
  
  Resource, Associate, and Participating Hospitals
- C.
  
  Level I, Level II, and Level III
- D.
  
  Regional, Area Wide, and Local Centers
Correct Answer
B. Resource, Associate, and Participating Hospitals

Explanation
The correct answer is "Resource, Associate, and Participating Hospitals". In the Illinois EMS System, hospitals are categorized into three levels based on their participation and resources. Resource hospitals have the highest level of resources and capabilities, including specialized staff and equipment. Associate hospitals have a lower level of resources but still provide important services. Participating hospitals have the lowest level of resources and primarily serve as referral centers. These three levels ensure that patients can receive appropriate care based on the severity of their condition and the resources available at each hospital.

Rate this question:
4.

If your are transferring a critical spinal cord injured patient who is intubated and has two large bore IV's with crystalloid infusions that have piggybacks of Vasopressors and Mannitol, you must request an EMS vehicle that is manned by which personnel?
- A.
  
  EMT-B
- B.
  
  EMT-I
- C.
  
  EMT-P
- D.
  
  Prehospital-RN
Correct Answer(s)
C. EMT-P
D. Prehospital-RN

Explanation
The correct answer is EMT-P, Prehospital-RN. This is because EMT-P (Emergency Medical Technician-Paramedic) and Prehospital-RN (Registered Nurse) are the highest levels of training and certification in prehospital care. In this scenario, a critical spinal cord injured patient with intubation and multiple IV infusions of vasopressors and mannitol requires advanced medical skills and interventions that can be provided by EMT-P and Prehospital-RN personnel. EMT-B (Emergency Medical Technician-Basic) and EMT-I (Emergency Medical Technician-Intermediate) do not have the same level of training and may not be equipped to handle the complexity of this patient's condition.

Rate this question:
5.

Which of the following legislation provides the statutory authority to establish and regulate EMS and Trauma Systems in Illinois?
- A.
  
  EMS Systems Act and Emergency Medical Services Trauma Center Code
- B.
  
  The Federal EMS Act
- C.
  
  EMT and Trauma Hospital Act
Correct Answer
A. EMS Systems Act and Emergency Medical Services Trauma Center Code

Explanation
The correct answer is the EMS Systems Act and Emergency Medical Services Trauma Center Code. This legislation provides the statutory authority to establish and regulate EMS and Trauma Systems in Illinois. The Federal EMS Act is a federal law that provides funding and support for EMS systems across the country, but it does not specifically apply to Illinois. The EMT and Trauma Hospital Act may exist, but it is not the legislation that provides the authority for EMS and Trauma Systems in Illinois.

Rate this question:
6.

The overall authority and respoansibility of all pre-hospital providers functioning in an EMS System lies with the:
- A.
  
  Project Director
- B.
  
  System Coordinator
- C.
  
  Director of EMS
- D.
  
  EMS Medical Director
Correct Answer
D. EMS Medical Director

Explanation
The EMS Medical Director is responsible for the overall authority and responsibility of all pre-hospital providers functioning in an EMS system. This includes overseeing the medical aspects of the system, providing medical direction to EMS personnel, developing protocols and guidelines, and ensuring quality control and compliance with medical standards. The EMS Medical Director plays a crucial role in ensuring the delivery of high-quality pre-hospital care and coordinating the various components of the EMS system.

Rate this question:
7.

The maximum response time for a surgeon at a Level 1 Trauma Center for a Category 1 patient is:
- A.
  
  0 minutes
- B.
  
  30 minutes
- C.
  
  60 minutes
- D.
  
  90 minutes
Correct Answer
A. 0 minutes

Explanation
The maximum response time for a surgeon at a Level 1 Trauma Center for a Category 1 patient is 0 minutes because a Category 1 patient refers to a critically ill or injured patient who requires immediate medical attention. In such cases, time is of the essence, and any delay in surgical intervention could be life-threatening. Therefore, the surgeon must respond immediately without any delay to provide the necessary care and save the patient's life.

Rate this question:
8.

The maximum response time for a surgeon at a Level 2 Trauma Center for a Category 1 patient is:
- A.
  
  0 minutes
- B.
  
  30 minutes
- C.
  
  60 minutes
- D.
  
  90 minutes
Correct Answer
B. 30 minutes

Explanation
The maximum response time for a surgeon at a Level 2 Trauma Center for a Category 1 patient is 30 minutes. This means that the surgeon should be available and ready to provide medical assistance within 30 minutes of receiving the patient. Category 1 patients typically have the most severe injuries or conditions that require immediate attention. Therefore, it is crucial for the surgeon to be readily available to ensure prompt and effective treatment.

Rate this question:
9.

The maximum response time for a neurosurgeon at a Level 2Trauma Center for a Category 1 patient is:
- A.
  
  0 minutes
- B.
  
  30 minutes
- C.
  
  60 minutes
- D.
  
  90 minutes
Correct Answer
C. 60 minutes

Explanation
The maximum response time for a neurosurgeon at a Level 2 Trauma Center for a Category 1 patient is 60 minutes. This means that the neurosurgeon should be able to respond to the patient within an hour. Category 1 patients are those who have life-threatening injuries or conditions that require immediate attention. Therefore, it is crucial for the neurosurgeon to be available and ready to provide the necessary medical intervention within the specified time frame to ensure the best possible outcome for the patient.

Rate this question:
10.

What recourse does a TNS have if their certification has lapsed for 3 weeks?
- A.
  
  Retake the TNS Course
- B.
  
  Utilize the grace period and pay a fee
- C.
  
  Complete and submit CEU's within 5 days
Correct Answer
B. Utilize the grace period and pay a fee

Explanation
If a TNS (Trained Nursing Specialist) certification has lapsed for 3 weeks, the individual can utilize the grace period provided and pay a fee to reinstate their certification. The grace period allows for a certain amount of time after the expiration date during which the individual can still renew their certification without any penalties or additional requirements. By paying the fee, the TNS can reinstate their certification and continue practicing without having to retake the entire TNS course or complete and submit CEUs (Continuing Education Units) within a specified timeframe.

Rate this question:

TNS Study Guide: Ems Concepts

The current State of Illinois Trauma Center code has created a tiered Trauma System to designate hospitals as:

In Illinois, the authority to designate, inspect and monitor trauma centers is legally invested with the:

The three levels of hospitals participating in the Illinois EMS System are:

If your are transferring a critical spinal cord injured patient who is intubated and has two large bore IV's with crystalloid infusions that have piggybacks of Vasopressors and Mannitol, you must request an EMS vehicle that is manned by which personnel?

Which of the following legislation provides the statutory authority to establish and regulate EMS and Trauma Systems in Illinois?

The overall authority and respoansibility of all pre-hospital providers functioning in an EMS System lies with the:

The maximum response time for a surgeon at a Level 1 Trauma Center for a Category 1 patient is:

The maximum response time for a surgeon at a Level 2 Trauma Center for a Category 1 patient is:

The maximum response time for a neurosurgeon at a Level 2Trauma Center for a Category 1 patient is:

What recourse does a TNS have if their certification has lapsed for 3 weeks?