Book 24 Department Bulletins

Question 1

Per DB 18-14 Fentanyl Exposure. How much of an exposure to fentanyl can prove fatal?

Answer 1

minute amounts

Question 2

Per DB 18-14 Fentanyl Exposure. What are the three methods fentanyl can fatal?

Answer 2

Ingestion, Inhalation, skin absorption

Question 3

Per DB 18-14 Fentanyl Exposure. Per the DEA how much fentanyl can cause respiratory depression?

Answer 3

2-3 mg.

Question 4

Per DB 18-14 Fentanyl Exposure. How much fentanyl is represented in 2-3mg?

Answer 4

5-7 individual grains of salt

Question 5

Per DB 18-14 Fentanyl Exposure. How much more potent is fentanyl compared to morphine and compared to heroin?

Answer 5

100times

50 times

Question 6

Per DB 18-14 Fentanyl Exposure. What type of drug is fentanyl classified as?

Answer 6

Opioid

Question 7

Per DB 18-14 Fentanyl Exposure. What should be included(4) in a members “heighten awareness” responding to an overdose, possibly fentanyl?

Answer 7

Situational Awareness
Symptom Recognition
PPE's
Hazmat
Decon

Question 8

Per DB 18-14 Fentanyl Exposure. Should members find a clandestine lab who will be notified?

Answer 8

Law Enforcement

Question 9

Per DB 18-14 Fentanyl Exposure. What describes clusters of fentanyl overdoses in a small geographic area?

Answer 9

“Fentanyl Footprint”

Question 10

Per DB 18-14 Fentanyl Exposure. While police officers describe symptoms of fentanyl exposure as a feeling of “completely shutting down”. What are other symptoms?

Answer 10

disorientation, dyspnea, impending doom

Question 11

Per DB 18-14 Fentanyl Exposure. What is the minimum PPE when attending to a patient with signs of opioid overdose?

Answer 11

Nitrile gloves, eye protection and P-100

Question 12

Per DB 18-14 Fentanyl Exposure. Can members clean or gather a small amount of any suspicious substance?

Answer 12

Under NO CIRCUMSTANCE

Question 13

Per DB 18-14 Fentanyl Exposure. If resuscitative measures are required what may be considered to allow treatment?

Answer 13

Rapid Extraction

Question 14

Per DB 18-14 Fentanyl Exposure. What can happen if hand sanitizer is used after treating a suspected fentanyl patient?

Answer 14

It can increase absorption through the skin due to alcohol based sanitizers

Question 15

Per DB 18-3 Gurney Safety Procedures. How can injuries be prevented while using patient gurneys?

Answer 15

maintaining situational awareness and utilizing additional members

Question 16

Per DB 18-3 Gurney Safety Procedures. All members shall secure a patient to a gurney with a minimum of ___ members?

Answer 16

Two

Question 17

Per DB 18-3 Gurney Safety Procedures. How many straps shallowing be used on a patient?

Answer 17

ALL. Shoulder, chest, legs

Question 18

Per DB 18-3 Gurney Safety Procedures. What shall occur is unable to secure a patient with all straps?

Answer 18

Additional members

Question 19

Per DB 18-3 Gurney Safety Procedures. What shall occur prior to manipulation or re-positioning of the gurney?

Answer 19

Communicate to all members and visual inspection that hands and body parts are FREE from any moving parts.

Question 20

Per DB 18-3 Gurney Safety Procedures. While on a Department gurney what shall never occur?

Answer 20

Left unattended

Question 21

Per DB 18-3 Gurney Safety Procedures. What shall members ensure when removing the gurney from the ambulance and how is this verified?

Answer 21

Gurney legs fully down and locked.

VERBALIZED prior to removal of loading wheels