TOC Standard

Question 1

Upon arrival at the receiving facility, the paramedic shall liaise with whom to determine the patient’s destination?

Answer 1

receiving facility staff

This step is crucial for ensuring the patient is directed to the appropriate area within the facility.

Question 2

What should the paramedic do while awaiting receiving facility staff acceptance of the patient?

Answer 2

attend to the patient

Ensuring the patient’s comfort and monitoring their condition during this waiting period is essential.

Question 3

What information should the paramedic provide in a verbal report to receiving facility staff? List at least five items.

Answer 3

• patient name
• patient age
• patient sex
• CTAS (Arrive Destination)
• chief complaint

This report is vital for the receiving staff to understand the patient’s condition and history.

Question 4

In the verbal report, what does CTAS stand for?

Answer 4

Canadian Triage and Acuity Scale

CTAS is used to prioritize patient care based on the severity of their condition.

Question 5

What should the paramedic do if there is likely to be a prolonged delay in accepting the patient?

Answer 5

• advise CACC/ACS
• advise receiving facility if the patient status deteriorates
• seek further assistance from the ambulance service operator
• for inter-facility transfers, request receiving staff to contact the sending physician or patient’s family physician

These actions ensure that the patient’s needs are continuously monitored and addressed.

Question 6

What is the paramedic responsible for transferring to the receiving facility?

Answer 6

• patient medications
• record of medications
• other relevant identification and medical records
• any other belongings

This transfer is important for maintaining continuity of care.

Question 7

True or false: The paramedic must transfer the patient from the stretcher to the receiving facility.

Answer 7

TRUE

This step is necessary for ensuring the patient is safely moved to the appropriate care area.

Question 8

What is considered complete for Transfer of Care?

Answer 8

Completion of paragraphs 1-7 and when the patient is no longer dependent on ambulance service resources

This excludes equipment being left with the patient, such as a spinal board.

Question 9

What should be done with transfer documentation?

Answer 9

It should be transferred to the receiving facility as per the Ontario Ambulance Service Documentation Standards

This ensures proper record-keeping and continuity of care.