CFRD Flashcards
CFRD 2
In order for Unit to be in the service as CFRD how many members shall be certified?
Must begin each tour with two firefighters. During tour if staffing reduces to one fire fighter and one officer company shall remain available for CFRD
CFRD 2
If at rollcall the minimum CFRD members is not met:
Shall not respond to CFRD calls, but may still be dispatched for calls received from the public
Enter event in company journal, notify battalion and dispatcher
CFRD 2
What are the CFRD positions given out at rollcall?
A - airway
B - boss
C - checker
D - Defib/documenter
E - equipment (5 Ff engines)
CFRD 2
When is a PCR required?
When patient care is provided.
CFRD 2
If patient is critical or unstable, when do packaging efforts begin?
Immediately
CFRD 2
What is CUPS?
C critical
U unstable
Potentially unstable
Stable
CFRD 2
During CFRD response, verbal for additional CFRD what should we do?
Attempt to make patient contact, notify dispatcher.
If contact, company shall not leave scene until relieved by EMS
CFRD 2
When should you give 1099
Cardiac or respiratory arrest.
Officer determines
EMS reports no units available
CFRD 2
When should you not attempt resuscitation?
Obvious death, dependent lividity, rigor mortise, decomposition, DNR
If the DOA, must complete PCR.
CFRD 2
If you can’t find patient, what should you do?
Double check response print out
Verify with dispatcher
Contact neighbors, Super, Security
Enter 10 - 92
Note in the company journal
CFRD 2
How to safeguard premises?
Should not be delegated to EMS, including awaiting arrival of PD
CFRD 2
If patient is RMA and has altered mental status or emotionally disturbed person what should you do?
Request PD and remain on scene until EMS arrival
CFRD 2
If a doctor is on scene and offer his help, what should we do?
Ask for proper ID, except assistance, notify dispatch. Ask doctor for six digit license number and put on PCR
CFRD 2
What if ESU is on scene when we arrive?
If ESU is already on scene they retain responsibility, if we are on scene we retain responsibility.
If ESU assumes role higher level of prehospital care and assumes responsibility, release patient to ESU
CFRD 2
Can we transport?
No
CFRD 2
Can we treat minors when Guardian refuses permission?
If they are suffering from a life threatening illness, and delay in treatment would jeopardize their life.
Non-life-threatening: explain the reason for treatment, call dispatch, call telemetry, do not leave scene before EMS
CFRD 2
If you suspect child abuse, then what?
Report to EMS personnel, make an entry in the company journal, with names of those notified and they are unit designation
CFRD 2
Medical case review: when with who, and can there be disciplinary actions from a review?
During a 9×6 tour
When responding officer and member are scheduled
No disciplinary actions will be taken from information obtained at a case review
CFRD 2
Who is in charge at an EMS box?
The ranking fire officer on the scene is the ic
CFRD 2
When is an out of hospital DNR valid?
Only valid if on a NY state DOH for
DOES NOT EXPIRE
CFRD 2
Is a DNR bracelet valid?
Yes it is considered a valid DNR
CFRD 2
Is in MOLST valid?
It is not sufficient without a DNR. There is a check box within it, saying “yes or no” to a DNR
CFRD 2
Is a hospital and nursing home DNR valid?
Must not be expired.
Only valid if patient originates from the nursing home or hospital that issued it
CFRD 2
Validity of healthcare proxy?
Living will?
Power of attorney?
None are valid.
CFRD 2
Procedure when DNR is presented after resuscitative efforts?
Discontinue efforts
CFRD 2
When should you disregard a DNR?
Reasonable evidence it has been revoked or canceled
Patient is conscious says they want to live
Family member requests, and confrontation is likely
The physician is there and orders to disregard
CFRD 2
If there is a DNR and not in cardiac arrest then what to do?
Full treatment for all injuries.
CFRD 2
If an route to hospital patient experiences heart attack then what do you do?
With a valid DNR.
Withhold CPR continue to transport bring documents
CFRD 2
Questions about validity of DNR and a potential conflict is brewing - who would you call?
EMS officer and OLMC physician
