Admin Flashcards
Documention for Needle Stick / Animal Bite / Exposure
FRD-314
Injury Packet (if injured) FRD-071
Obtain Pt info (Name, DOB, MRN)
Notify EMS Capt and Safety Officer
Documentation for Loss Meds / CSK Discrepency
If Non-CSK: Notify EMS Capt and replenish medications
If CSK: Notify EMS Capt, Battalion Chief, Deputy Chief, and complete FRD-105 Controlled Meds Discrepency
Steps for Lost / Damaged IT equipment
Submit Lost / Stolen IT Equipment E-Form
Fill out Risk-03, email copy to Property Inventory Manager
Steps for Lost Radio
Notify Deputy Chief
Risk-03
Email Property Inventory Manager
Police Report
Suspicious Activity Report (SAR)
Non-Collision Vehicle Accident
Complete FRD-072
Vehicle Accident with Collision (Property Damage Only)
Report immediately to DPSC (Sends BC/SAFO/PD)
Get name, address, insurance and policy # of other driver and witnesses
Provide Inc#, Email for Risk management
Complete Safety Incident Reporting System to include: Citizen Property Damage Report (Risk05) / FRD-317 / FRD-072 / Risk-03 if damaged equipment on unit
Contact Duty Apparatus and M5
Vehicle Accident with Collision (injuries)
Report immediately to DPSC (Sends BC/SAFO/PD)
*Call for additional resources for injuries
*Treat and transport any injuries and complete appropriate epcr reports
Get name, address, insurance and policy # of other driver and witnesses, Provide Inc#, Email for Risk management
Complete Safety Incident Reporting System to include: Citizen Property Damage Report (Risk05) / Citizen Injury (Risk06) / FRD-317 / FRD-072 / Risk-03 if damaged equipment on unit
Contact Duty Apparatus if needed and M5
Workplace Violence (Verbal or Physical Altercation)
Separate parties to different locations on site
*Request PD if necessary
Investigate what happened
Complete Workplace Violence Incident Form (FIN-03) and send to HR
It will then be sent to Professional Standards Office (PSO) and Risk Management
Harassment Complaint
Immediately Stop the behavior
Investigate behavior
Report it to direct supervisor and OHREP
Have complaint filed directly with EEOC
Romance with other personelle
Employees developing a romantic or sexual relationship while assigned to the same work location or section shall be required to immediately notify their immediate supervisor to
determine whether reassignment is required.
Employees with family members, household members, or extended relationships must not be assigned to the same office, unit, or station on a given shift and/or work location.
Request memos on relationship and send up chain for reassignment.
Drugs/Alcohol Impairment (Fitness For Duty)
Stop immediate action and relieve them of duty
Keep employee at work location, dont let them eat or drink
Notify BC and DFC, and complete FRD-025 Fitness for Duty
Notify Professional Standands Office
Employee is placed on admin leave after testing and will remain until results return
Fire Chief or designee makes determination after results if employee returns to duty, will need to be cleared by PSOHC (FRD-158) work status form
Physical / Psychological Impairment (Fitness For Duty)
Notify BC and DFC and consult findings / concerns
Relieve employee of duties and assignment
Fill out FRD-025 (Fitness for Duty) stating reasons for relieving employee
Cot Drop
Check for Injuries
Notify DPSC
Notify Receiving facility
Notify EMS Capt / SAFO
Investigate Cause (Equipment failure or personnel failure)
Cot OOS
Document (FRD317 And Memo)
Missing or Damaged Knox Box Keys
Immediately notify Capt II of Operations Bureau / BC / DFC
Document in log book
Fill Out FRD-048A (Rapid Entry System Key Replacement)
Deliver form and broken keys in person
Fill Out FRD-048 (Rapid Entry System Key Issuance)
Loss Property
Complete Risk-03 within 24hrs
SAR if it could be used nefariously
Police report if stolen or vandelism
Broken LIghts / Locks / Windows / Doors
Non-Emergent: Complete Facility Work Order Form Online
Emergent: Call Facilities Management
Department (FMD)
Citizen Complaint (EMS Call)
FRD-019 EMS Inquiry Intake Form can be filled out by citizen, and sent to Quality Management and Beth Adams
Citizen Complaint (Other)
FRD-299 Professional Standards Complaint
Sent to Professional Standards Office (PSO)
Citizen Complaint (HIPAA)
Citizen should contact FRD Privacy Officer or Fairfax County HIPAA Compliance Manager
Complete HIPAA Feedback Form
Personnel Arrives Late (Time and Attendance)
Supervisor may deem tardiness excused due to circumstances
Should be notified at least 1hr in advanced of being tardy, give a reason for being tardy, and expected arrival time. Tracks for 365 days of previous incident
1st Time: LWOP for time to nearest 1/10 of an hour / and Oral Reprimand
2nd Time: LWOP for time to nearest 1/10 of an hour / and Written Reprimand
3rd Time: LWOP for time to nearest 1/10 of an hour / and Proposed suspension for 2 days
4th Time: LWOP for time to nearest 1/10 of an hour / and Proposed Dismissal
Personnel Is No Call / No Show (Time and Attendance)
Fail to report to duty or notify officer within 1 hour after start time
1st Time: Arriving within 1hr = LWOP 1/10 of an hour and
Written Reprimand
Arriving after 1hr = LWOP 1/10 of an hour and
Proposed Suspension 2 days
2nd Time: No Matter Time = LWOP 1/10 of an hour and
Proposed Dismissal
Flex Work Schedule
Fill Out FRD-005 (Flexible and Alternative Work Schedule)
Send it up the chain of command
FMLA Leave Request
Notify 30 calendar days in advanced if possible
Complete FRD-087 (Request for FML) and email it to FML Coordinator
Provide FML Notice and Eligibility Form (WH-381) within 5 days of request
Time and Attendance Addendum (FRD-214) to reflect employees hours
Accepting Monetary Donations
Place in sealed envelope. Info on outside of envelope:
Name and Signature of person receiving
Date Received
Amount Received
Circumstances surrounding donations, and if designated for specific purpose
Send up chain of command to Deputy Chief
CRT
Forcible Entry in a home
Only done if potential life safety or hazardous condition exists
Place door hanger notice of forcible entry
Jury Duty
If more than 4hrs: you don’t have to report to work the same day
If you’re scheduled to serve the day after a work day: you must be released by 1700 and placed on CVL Leave
If required to call a jury check-in number during a scheduled work day: you should be placed on CVL until determination of jury status is made. If required: stay on CVL. If not required: report to work asap.
