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LT Test 2020 > CFR > Flashcards

CFR Flashcards

1
Q

10-37

A

Medical Assignment Not Associated with Fire Ops
Code 1: Victim DECEASED
Code 2: Victim/patient is NOT BREATHING and requires resuscitation or may be suffering from a serious, apparently Life Threatening Injury or Illness
Code 3: Victim/Patient IS BREATHING and suffering from a non-serious, NOT Life Threatening Injury or Illness
Code 4: Medical Assignment where unit is 10-84 , HAS NO PATIENT CONTACT AND EMS IS ON-SCENE

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2
Q

Fire Department Communications may dispatch a CFR-D Unit to which segmens?

A

ALL Segment ONE

and Designated Segment Two and Three

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3
Q

Reports of vehicular accidents with persons trapped will require the dispatch of:

A

Nearest Available Engine, Ladder, OR Rescue company

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4
Q

Company officers of CFR-D companies shall ensure how many CFR-D firefighters will be working each tour?

A

TWO (2)

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5
Q

In order to be in service as a CFR-D Company, there shall be a minimum of:

A

TWO (2) TRAINED MEMBERS

(Firefighters OR OFFICERS)

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6
Q

While CFR-D Companies must begin each tour with 2 certified FFs, in the event that during the tour the minimum CFR-D staffing reduces to 1 FF + 1 Officer:

A

the Company shall remain available for CFR-D response

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7
Q

Without Two CFR-D certified members:

A

the company shall not respond to any CFRD calls. The company may still be dispatched for calls received directly from the public to assist civilians

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8
Q 
CFRD Personnel:
A
B
C
D
E
A

AIRWAY - manually stabalize spine while opening airway, maintain airway, and Administer Oxygen - Carries Oxygen Bag*

BOSS - carry HT + Handlight

CHECKER - conducts Patient Assessment and hands on care. Checks Pulse and begins Compressions. Carries Trauma Bag

DEFIB/DOCUMENTER - PCR, hooks up and operates defibrillator

EQUIPMENT - if riding with 5 FF, fifth should remain with the rig and help carry any additional equipment needed

The ECC or a Non-CFRD Trained member remains with the apparatus

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9
Q

What are Segment One responses?

A
  1. Arrest (Cardiac/Respiratory

2. Choking

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10
Q

Upon notification that EMS has arrived at a call location prior to the arrival of the assigned CFRD Unit, the responding company will automatically receive on the MDT: “EMS on scene, enter 10-91, and go 10-8”:

A

EXCEPT SEGMENT ONE

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11
Q

If it is determined that the patients condition is either Critical or Unstable, (utilizing the CUPS status) the Officer shall:

A
  1. ask dispatcher for ETA
  2. advise dispatcher to relay seriousness of the patient’s condition to EMS
  3. Packaging efforts must Begin Immediately while treating life threats
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12
Q

What is CUPS criteria?

A

Critical
Unstable (code DRUG)
Potentially unstable
Stable

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13
Q

If CFRD equipment has been left with the patient or supplies have been expended and the company does not have the minimum amount:

A

the company is to go back in service for fire duty but advise the borough dispatcher AND THE BATTALION that it is not available for cfrd responses

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14
Q

Once on the scene, a CFRD company must transmit a 10-99 in the following instances;

A
  1. Confirmed Cardiac/Respiratory Arrest
  2. any situation officer determines they’ll likely remain on scene for 30+ minutes
  3. ETA for EMS report no unit available

Code 10-99 ACE: Any situation determined by officer, Cpr, Eta and no unit available

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15
Q

FD will begin resuscitation efforts unless the following conditions exist:

A 
code LORD DNR
1. dependent Lividity
2. Obvious death
3. Rigor mortis
4. Decompositon
5. (DNR) Valid DNR order
Must complete PCR even if patient is DOA
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16
Q

Can you delegate the safeguarding of premises to EMS personnel?

A

NO

This includes awaiting the arrival of PD

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17
Q

If the patient refuses medical aid (RMA):

A

the CFRD company shall ensure patient is alert and oriented, notify the fire dispatcher for documentation purposes and remain with the patient until arrival of EMS.
PCR must be completed

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18
Q

If an EDP declines treatment, the Officer shall:

A

Request PD and Remain on scene until arrival of EMS

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19
Q

Who claims responsibility for patient care between FD and ESU?

A

ESU onscene first: ESU if patient care has been initiated.
FD onscene first: FD if patient care has been initiated. CFRDs should retain responsibility for patient care until a Transporting Agency assumes responsibility of patient.
*If ESU is not equipped with a SAED, the CFRD company shall retain patient care.

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20
Q

Which vehicles may be used to transport patients?

A

Under no circumstances shall fire apparatus or vehicles other than NYS-certified ambulances be used to transport patients.

21
Q

Where is the telemetry phone number kept and what must be done prior to calling?

A

POSTED ON THE CHART HOLDING THE PCR FORMS.

Complete Primary Survey AND CUPS status determination.

22
Q

Patient care to a minor:

A

If Life Threatening in nature, provide immediate care
if Non-Urgent in nature and parent refuses, explain the reasons for treatment, notify dispatcher of events to notify Ems.

23
Q

If there is a reasonable cause to suspect that a child has suffered, or will suffer abuse:

A

Immediately request PD, an FDNY EMS Supervisor and an ambulance crew through the dispatcher.
The ambulance crew will be responsible for filing the mandated report.

24
Q

a MOLST form without a DNR Order:

A

is Not Sufficient for the withholding of CPR

25
Q

Does an Out of Hospital DNR Order expire?

A

NO

but should be updated by patient’s physician every 90 days BUT REMAINS VALID even if it has not been updated

26
Q

If a valid DNR Order is presented after resusciative effort have been initiated:

A

DISCONTINUE

27
Q

A DNR Order shall be disregarded and full resusciative efforts shall be initiated in any of the following circumstances:

A
  1. any case where there is reasonable evidence to suggest that the DNR Order has been Revoked or Cancelled
  2. if the patient is Conscious and States They Wish Resuscitative Measures
  3. if patient is unable to state his/her desire and a Family Member is present and requests resuscitation and a Confrontational Situation is likely to result if the request is denied.
  4. a Physician directs that the order be disregarded
28
Q

If there are any questions about the validity of the DNR Order, unusual circumstances, or a potential confrontation between pre-hospital providers and persons at the scene appears likely as a result of the DNR Order:

A

Request an EMS Officer and Contact the OLMC Physician

29
Q

Can a member decline the use of appropriate Infection Control PPE?

A

YES
member may Temporarily and Breifly decline to use such equipment, when under rare and unusual circumstances, it was members judgement that its use would have prevented delivery of health care or public safety services or would have posed an increased hazard to the safety of the member
*Member shall complete MD-X3 indicating PPE Did Not remain secure and intact.
These occurrences shall be referred to the Director of OSHA Unit

30
Q

Disposable latex gloves shall be changed:

A

After contact with Each Patient

31
Q

Placing a victim in a disposable body bag:

A

Placed in a disposable body bag - bag placed inside Another Disposable Bag (Bags have NO Handles); then placed Inside a Heavy Duty, NON-Disposable Body Bag for transport. When inside transort vehicle, Outer Bag shall be removed.
2 Disposable body bags
1 Heavy Duty, Non-disposable body bag

32
Q

Technical Services will distribute packets of bleach and 1 gallon bleach solution spray bottles. These packets produce a mixture of:

A

One Part Bleach to 99 Parts Water

A stronger mixture has No Advantage in killing viruses or bacteria

33
Q

Each Day, member who is cleaning equipment shall:

A
  1. Empty Packet of Bleach into container FIRST, then fill with water
  2. use PPE when cleaning
  3. Mixtures remaining After 24 hours shall be Disposed in the Slop Sink
34
Q

Officers shall ensure that the solution is Prepared _______ and the old solution discarded.

A

DAILY

35
Q

Can boots and helmets be immersed in the slop sink?

A

YES

36
Q

Which portable radios can and cant be completely immersed in fluid (decontaminated in quarters) if HT becomes contaminated with blood or other body fluids?

A

MOTOROLA CAN

NO for NOn-motorola - double sealed clear plastic bag with biohazard label attached

37
Q

Members overexposed to bleach shall be moved to fresh air. In case of contact, immediately flush skin or eyes with running water for:

A

AT LEAST 15 MINUTES

officer on duty shall notify bhs during normal clinic hours or the Medical Officer on Emergency Duty at all other times.

38
Q

Tuberculosis:

A

Airborne disease
Casual exposure does Not normally result in transmission
CANNOT be transmitted by handling bed sheets, pillows, or patients’ clothing
May occur in: Hospitals, Prisons, & Shelters
Very Difficult to acquire in Restrooms, Subways, and Stores

39
Q

What offers the greatest degree of protection from TB?

A

SCBA because it isolates the user from the surroundings

40
Q

Rabies:

A

an Acute Viral Infection of the Central Nervous System

  • can Live for a Few Hours OUTSIDE the body in Saliva and Body Fluids
  • can Survive for Several Days INSIDE the body of a dead animal
  • Freezing Temperatures will extend this survival period
  • *ALWAYS WEAR LATEX GLOVES when handling Equipment to pick up or physically handle a carcass
41
Q

If notified that bed bugs may be present at the call location:

A

Members shall don BLOOD-BORNE PATHOGEN PPE Including GOWNS, SHOE COVERS + HAIR COVERS.
Tools and equipment should be placed on hard surfaces and/or non-carpet floors.

42
Q

If found, bed bugs can be:

A

CAUGHT by using TAPE
CRUSHED with PAPER TOWELS
Soft Equipment cases should be packed into double clear plastic bags
Hard-Surface equipment can be cleaned by wiping with bleach spray

43
Q

When apparatus are grossly contaminated with numerous bed bugs:

A

Officer shall place the unit OOS
Notify Battalion, Division, and Dispatcher
Call HELP line to generate work order for dept Exterminator

44
Q

When is a PCR not required?

A

when company is on-scene at any CFRD assignment Unless patient care is provided

45
Q

What gets documented on PCR?

A

Members shall document only the assessment and patient care provided by the CFRD Company - do not document care provided by EMS

46
Q

Who is responsible for PCR?

A

Company Officer is responsible for the Accuracy, Completeness, and Legibility of the PCR and shall Assign a CFRD certified Member to Complete the PCR

47
Q

How do you make corrections on PCR?

A

Single line through the word(s) to be omitted or corrected and write accurate info ABOVE the word(s).
When correcting a darkened circle, place a Single Line through error and fill correct section. The INITIALS of the MEMBER MAKING THE CORRECTION shall be placed ABOVE THE SINGLE LINE

48
Q

Whose names from the crew are reported on the PCR?

A

Names and certification numbers of the CFRD certified Members who Responded AND Provided patient care.
CIRCLE NAME OF THE MEMBER COMPLETING THE PCR

LT Test 2020 (9 decks)

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