Ch 2 unit procedures-operational guidelines

Question 1

Co officers of CFR-D units shall ensure ____ CFR-D FFs will be working each tour.

A. 1
B. 2
C. 3
D. 4

Answer 1

B

in order to be in service there shall be a minimum of 2 CFR-D members (FF or Off) with current CFR-D cert.

Question 2

A unit without 2 CFR-D trained members shall not respond to any CFR-D calls. The company may still be dispatched for calls received directly from the public to assist civilians. When does unit status default to their normal CFR-D status?

Answer 2

change of tours—0900 or 1800 hours

Question 3

At the start of the tour the officer in charge assigns CFR-D responsibilities(what does each mean?):
A
B
C
D
E
who remains with the rig?

Answer 3

A. AIRWAY–also spine stabilization, oxygen, ventilation
B. BOSS–carry HT and hand light
C. CHECKER–patient assessment, pulse, compressions, trauma bag
D. DEFIB/DOCUMENTER–PCR & defib
E. EQUIPMENT– if 5th man stay with rig
chauf or nonCFR-D stay with rig

Question 4

CFR-D companies are instructed to use signal 10-__ when they expect to be operating for for more than 30 min.

Answer 4

10-99

Question 5

The eng co on scene for a CFR-D run shall notify dispatch wether EMS is in scene or not.
T/F

Answer 5

false

not required to notify fire dispatcher when EMS is on scene

Question 6

on CFR-D runs officer shall perform: observe scene safety; # of patients; ensure BSI; need for additional resources.
T/F

Answer 6

true

Question 7

If the CFR-D co is not required they shall clear the scene using signal 10-__ and go 10-8 via MDT.

Answer 7

10-91

Question 8

An individual is considered a patient if:

A.____________
B.____________

Answer 8

A. if the individual is sick or injured

B. if exposed to a situation that could have the potential to cause injury e.g. smoke cond, MVA, CO

Question 9

If a CFR-D arrives on scene and patient care is not provided is a PCR required?

yes/no

Answer 9

no

Question 10

[CFR-D}If a patient CUPS status is critical or unstable the office in charge shall: (dispatch)

A.____________
B.____________

Answer 10

A. ask dispatch for ETA of bus

B. advise dispatch to relay seriousness of patients cond to responding EMS units

Question 11

CFR-D what does CUPS criteria mean?
C
U
P
S

Answer 11

critical
unstable
potentially unstable
stable

Question 12

When requesting an ambulance relay the following info to dispatch:
1
2
3
4
5

Answer 12

1. CUPS status
2. age
3. chief complaint
4. if CPR initiated
5. pulse and respiratory rate

Question 13

If a CFR-D co goes OOS for decon they are unavailable. If the CFR-D Company goes OOS to restock they are also unavailable to respond to any runs.
T/F

Answer 13

False

in service for fire duty but advise dispatch and batt not available for CFR-D runs

Question 14

CFR-D runs involving a suspected crime in progress companies shall request police assistance from fire dispatcher and confirm police arrival at a scene before intervening to begin medical care.
T/F

Answer 14

true

Question 15

CFR-D must transmit 10-99 for the following reasons:

1
2
3

Answer 15

1. confirmed cardiac/respitory arrest(co performing CPR/defib)
2. Co off determines the Co will likely remain on the scene for 30+ min
3. request for ETA –no units available

Question 16

[CFR-D]FD personnel will begin resuscitation efforts unless the following conditions exist:

1
2
3
4

Answer 16

1. obvious death
2. dependent lividity
3. rigor mortis
4. decomposition
5. valid DNR

Question 17

[CFR-D]If the patient is DOA no PCR is required.

T/F

Answer 17

false
its required to document that the Co properly examined the patient to confirm the patient exhibited the criteria for obvious death.

Question 18

CFR-D can’t find patient the following procedure shall be used:
1
2
3
if these 3 steps have been exhausted the co off shall transmit a 10-__ and make a notation in the Co journal

Answer 18

1. off in charge review response printout
2. if after rechecking info off shall verify address
3. attempt to contact neighbors, super, security

10-92

Question 19

If forced entry is the only option notify PD. If others within the premise deny access to patient office in charge shall immediately request_______assistance. They will determine the appropriate action to be taken:

A. PD
B. FM
C. BC
D. EMS

Answer 19

A. PD

Question 20

If on a CFR-D run FE is required office run command officer in command must have premisses safeguarded by member until custodianship is turned over to:
choose the incorrect choice

A. owner
B. occupant
C. EMS
D. PD
E. responsible person

Answer 20

C

EMS can’t safeguard premises

Question 21

[CFR-D] If a patient RMA does a PCR need to be completed?

If the RMA patient exhibits altered mental status or EDP who shall officer request and when can he leave scene?

Answer 21

no PCR

request PD
remain until EMS arrives

unit may go 10-8 and remain on scene to observe

Question 22

If a CFR-D unit arrives of a med emergency and ESU is already on scene and needs no further assistance, the off in charge shall transmit a 10-___ and go 10-8.

Answer 22

10-91

if we’re there first we can’t release care to ESU EMT unless ESU has a SAED

Question 23

When can fire app. be used to transport patients?

Answer 23

under no circumstances

Question 24

Can a CFR-D unit turn a patient over to non 911 system, but certified NYS EMTs?

Answer 24

yes

notify dispatch

Question 25

The telemetry phone number shall be posted [cfrd]:

A. On the chart holding the units PCRs
B. Obvious place on the apparatus
C. Inside the oxygen bag
D. Carried by the officer

Answer 25

A

Before calling unit shall have completed the primary CUPS status

Question 26

Telemetry may be utilized for( cfrd):
(Choose 2)

A. PD response
B. Request ALS unit
C. Medical consultation
D. Access the international language bank

Answer 26

C & D

Follow advice noting instructions on PCR

Question 27

In the event a parent or legal guardian refuses permission for medical treatment for their minors the CFRD unit will await EMS in all situations before providing treatment.
T/F

Answer 27

False

Provide treatment for

1. life threatening illness or injury
2. Any delay in treatment could even minimal could jeopardize the minors life

Question 28

Which is not a correct action for cfrd when a parent/guardian refuses treatment for a minor in a non-urgent situation?

A. Explain need/consequences of treatment/no treatment
B. Notify dispatch and contact telemetry if possible
C. Return to service after ems arrives
D. Await arrival of PD

Answer 28

D

Question 29

When a cfrd unit suspects child abuse the circumstances of the suspected abuse shall be reported to _________. The officer in charge shall make an entry in the co journal upon return to
Quarters including the names of those notified and their unit designation.

A. PD
B. EMS personnel on scene
C. BC
D. ACS upon return to quarters

Answer 29

B

Question 30

A DNR must contain the patients name DoB the MD’s signature and license #, and the date issued(cfrd)
T/F

Answer 30

True

Only an order not to Perform CPR. Don’t withhold other treatments

A bracelet is an acceptable substitute

Question 31

If presented with a living will or health care proxy stating not to perform CPR the cfrd unit should stop treating the patient.
T/F

Answer 31

False

Not valid for pre hospital emergency care. Continue treatment and give to ems

Question 32

At incidents involving bureau of ops(us) and EMS who is the IC(cfrd)?

The IC is in charge of all decisions on the scene with the exception of______.

Answer 32

The ranking fire officer is the IC

Exception of patient care decisions-cfrd, emt, paramedic maintain responsibility for patient care