500s - EMS Flashcards
Who is our EMS director and what are their responsibilities?
Pam Martinez
- Oversees delivery of EMS.
- Representative to outside committees
EMS coordinator responsibilities
Admin. Captain
OFD rep to ICEMA.
Responsible for operations of OFD EMS Program
When is a PM unit considered in service
when it has 2 OFD PMs and ICEMA approved drug/equip. May be deviated from by BC during local emergency/disaster
When 1st due Capt requests resources, what should follow
response mode
OFD should follow up on the following patients requiring PM care
- unstable trauma, cardiac, resp
- STEMI, MLAPSS +
- Active/post birth
- critical patient being transported in ATV
- potential for deterioration
- requests by ambulance
- Captain discretion
Medic engine status during patient follow up
1 PM- out of PM service
2 PM- OOS
If injury permits, employees can attend attend CE courses if authorized by ________. Can you make OT? Why?
yes, if authorized by risk management. Workers comp laws prohibit paying OT during this time
What must be met for a “No Pt care requested (non Pt)”
- competent, 18 or older/emancipated and all of:
- no CC/injury/illness
- no MOI
- denies medical attn
O1A is approved for:
- in county when ePCR unavailable or OOS
- out of county medical response
- fireline EMT/P response
- SWAT medic response
- must be attached to ImageTrend fire report
Requirements for Mutual Aid/Hard coverage Incidents
- single fire report
- narrative will include summary of all activities
- copy of fire report and O1As forwarded to EMS
- all documentation scanned and attached to image trend fire report
If patient is in PD custody, requesting AMA (IPad)
Signature: leave blank
Type of person signing: “patient” Status : “not signed- law enforcement custody”
APS w/in
48 hrs
CPS w/in
36 hrs
Cal OSHA w/in & requirements
As soon as practical for:
- known/suspected serious work injury/illness/death resulting in lost time for employee
BC/EMS may QI items needing correction, what is the time frame to make corrections
10 days
Where are primary narc safes located
Bat 1, Bat 2, EMS office
Max narc PAR levels
- 600 mcg fet, 40 mg versed, 600 mg ket.
- Should be restocked no later than 1200 the next day
Min narc PAR levels
- 300 mcg fet, 20 mg versed, 200 mg ket
- can only be in service below min levels w/ BC approval
When do narc PAR level requirements not apply
When on mutual aid outside of zone 1 or assigned hard coverage within zone 1
If a crew is being deployed on a specialty unit and narcs on primary unit are below PAR, who is notified and by who?
- Responsible PMs shall notify recall crew directly or advise BC
When should a discrepancy memo be completed for narc inspection?
If not completed by 0900 unless assigned/engaged in emergency actives
Narc discrepancy report with no loss of substance, what is required?
“Documentation of a Reporting Discrepancy” memo. Completed as soon as it becomes known, signed by both PMs and Capt
Known narc theft case, actions:
- OPD stolen property report
- Request OPD response
- PM shall complete a DEA 106 form “Report of Theft Loss of Controlled Substances”
- Control #s of vials stolen logged in comments section for “alert for controlled substances”
- Complete report sent to EMS captain or nurse and BC
- All forms to DEA and medical director w/in 48 hrs
Advanced health care directive must include:
- Signitire of patient
- date
- notarized or signed by 2 adult witnesses
If PD requests movement of deceases patient, what are your actions?
- comply w/ request and document following:
- PD agency, name and badge # of officer, pictures of body prior to movement
Transporting city employees on duty, what notifications?
- notify their supervisor of incident/destination
Transporting city employees off duty, what notifications?
- none, treated the same as general public
Requesting air resources, request through dispatch and advise of the following:
- frequency and call sign for IC
- landing site location
- # and severity of patients
- special circumstances for destination (trauma, burn)
If possible, communicate the following to helo en route, not on final approach
- Incident name
- description of incident/landing site
- adverse conditions
- patient information
- Lat/long, if known
MCI definition
any incident that IC determines personnel and equipment are not adequate to care for the number of victims
Class 1 MCI
Expanded medical emergency, 1-5 casualties
Class 2 MCI
Major medical emergency,
6-20 casualties
Class 3 MCI
Medical disaster, 21-75 casualties
Class 4 MCI
Medical catastrophe, 75+ casualties
Who does Med Comm work under
Transport Group Sup
Comm Center initial report:
- Incident location, name
- type of emergency
- est # of patients
- request for bed availability
- time med comm will recontact
Comm Center secondary report:
- specific location
- total number of patients with category
- radio frequency
- medical contact point
MCI pt’s of most importance:
resp, neuro, vascular specialties, or needs for decon
Ideally, no more than how many immediates per transport unit
2
Effort should be made to retrieve med equipment w/in?
24 hrs
48 hrs for trauma center (coordinate w/ EMS/BC)
Capt will notify EMS if not returned w/in 72 hrs
If an exposure occurs, notify who?
BC who will contact DICO
(Designated infection control officer)
Safe surrender site
Any OFD station/emergency scene. Less than 72 hrs
Safe surrender notifications:
- BC and EMS coordinator ASAP
- CPS ASAP, no later than 48 hrs
- If greater than 72 hrs, request OPD, transport infant, notify CPS, complete child abuse investigation report
Who is responsible for bio clean up on public property? Private?
- Public, OFD
- Private, business owner
RTSMP
Registered Trauma Scene Management Practitioner
Who can request a RTSMP?
BC, when FD cleanup/disposal capabilities are not adequate
Crime scene decon responsibility?
OFD, following release of scene by OPD and coroner
If bio hazard on private property caused by OPD, who’s responsible for clean up?
OPD, watch commander will make decision to call a RTSMP
Rehab group established by IC when conditions dictate, considerations:
- length of op, 2 SCBA bottles = rehab
- Amount of exertion
- Adverse climate conditions, temps over 90, consider humidity
What is the priority for monitoring in rehab?
Pulse, BP, Temp
Whos responsibility is it to monitor FFs for signs of heat stress/fatigue?
Captains responsibility, shall request rehab through IC if observed
Regarding rehab air monitoring, when will safety officer be notified?
If CO level is 6 or higher
