Ambulance Driver Test CA

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