BLOCK 3: TRANSPORT OPERATIONS Flashcards
Who designs the original specs for emergency vehicles
General Services Administration (GSA) DOT KKK 1822
two other current guidelines for emergency vehicle specs
NFPA 1917 and CAAS-GVS V2.0 (commission on accreditation of ambulance services)
Original vehicle guideline color
omaha orange and white
Society of Automotive Engineers
newer safety designs for emergency vehicles
Emergency vehicles:
Type I
Type II
Type III
Heavy duty
Type I: truck-cab
Type II: standard van
Type III: specialty van
Heavy duty: heavy-duty
two types of specialized transport vehicles and their staffing
stroke units and pediatric intensive care
staffed with: RN, medic, EMT
what organization makes recommendations regarding infection control practices
OSHA
American College of Surgeons
developed first standardized equipment list for emergency vehicles
who currently publishes standardized equipment list for emergency vehicles
American College of Emergency Physicians and National Association of EMS Physicians
why is checking access to outside doors of rig important during truck check
most rigs keep spine stabilization and patient-moving equipment outside
4 S’s of emergency vehicle
emergency vehicle needs to be able to do these four things 100% of the time or immediately be put out of service
Start, Steer, Stay Running, Stop
belt noise
chirping or squealing sound synchronous with engine speed NOT road speed
brake fade
sensation that vehicle has lost its power brakes
brake pull
sensation when you try to depress the brake pedal, someone is trying to jerk the steering wheel to the left or right
drift
vehicle consistently wanders left or right when you let go of steering wheel
steering pull
tug on steering wheel that you can feel as vehicle drifts to one side or another
pulsating break pedal
up/down motion of brake pedal during deceleration
steering play
sensation of looseness or sloppiness in a vehicle’s steering
tire squeal
singing sound when you turn the vehicle at parking speeds (normal on smooth concrete, not on asphalt)
wheel bounce
vibration synchronous with road speed that you can feel in steering wheel or drivers seat
wheel wobble
common finding at low speeds when a vehicle has a bent wheel
4 key factors in “high performance EMS systems”
response times, productivity, unit costs, taxpayer subsidies
response time standard for urban area
less than 8 minutes
what is the goal of System Status Management (SSM)
maximize efficiency and reduce response time
peak loads
increased demand for services during certain hours or locations
strategic deployment
deployment of emergency vehicle to a “posting” location
steps of scene sizeup (5)
1.look for safety hazards
2. determine need for additional units
3. identify MOI or nature of illness
4. determine need to specialized equipment or additional vehicles
5. take standard precautions
how many straps are usually on a gurney
shoulder straps and 3 across body straps
process of removing dirt, dust, blood, or other visible contaminants from a surface
cleaning
killing of pathogenic agents by directly applying a chemical made for that purpose to a surface
disinfection