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CFR-D > Chap 2 > Flashcards

Chap 2 Flashcards

0
Q

After the start of the tour if the CFRD company is reduced to 1 CFRD ff and one officer the company will

A

Remain available op for CFRD responses

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1
Q

Company officer shall ensure that a CFRD company starts the tour with how many CFRD trained FFS

A

At least 2 ffs

Officers shall notify there respective battalions for needed details prior to,start

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2
Q

If during roll call the OID shall determine how many CFRD certified personnel are on duty if that number has fallen below the minimum the officer will

A

Without two CFRD ffs the company will not respond to CFRD calls
Company may still be dispatched for calls directly received from public to assist civilians
Notify the dispatcher
Battalion
Record in company journal
At the change of each tour the company’s status defaults to normal CFRD status

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3
Q

If assigned the “A” airway this ff is responsible for

A
  1. Manual stabilization of the patients spine ( if trauma) while opening the airway , maintaining the airway and administering o2
    Begins ventilation
    Carry o2 bag
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4
Q

“B” the Boss

A

OIC should carry portable radio and flashlight

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5
Q

The “C” checked

A

FF responsible for patient assessment and performing hands on care
Cardiac arrest this ff checks pulse and begins compressions
Carrys the trauma bag

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6
Q

“D” Defibrillator/documenter

A

Ff responsible for completing prehospital car report …PCR

CARDIC ARREST HOOKS UP AND OPERATES THE DEFIBRILLATOR

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7
Q

” E” equipment

A

If engine riding with five ffs than 5 ff initial remains with apparatus and help carry any additional equipment if necessary

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8
Q

The chauffeur or non-CFRD trained member

A

Remains with apparatus

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9
Q

True or false fall back status do not change response to segment one calls

A

True

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10
Q

When approaching the scene of a CFRD response the OID shall perform the following

A
  1. Observe scene safety of the crew, patient and bystanders
  2. ID the number of patients involved
  3. Ensure BSI
  4. Determine the needs for additional resources
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11
Q

If it is determined that the patients condition is either critical or unstable ( utilizing CUPS ) the OIC shall

A

Ask the dispatcher for the ETA of the responding ambulance

ADVISE THE dispatcher to relay the seriousness of the patients condition to the responding EMS UNIT(s)

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12
Q

CFRD operating at segment 1 calls will remain on scene and

A

REMAIN ON SCENE AND Assist EMS UNTIL IT IS DETERMINED THAT THEIR ASSISTANCE IS NO LONGER NEEDED

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13
Q

A PCR is not required when

A

When CFRD is on scene (10-84) at any assignment unless patient care provided

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14
Q

When requesting an ambulance the CFRD engine must relay the following g to the dispatcher

A 
CUPS status 
AGE 
Chief complaint 
If PCR initiated 
Pulse and respiratory rate
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15
Q

Patient packaging efforts must begin Immediately while treating life threats when

A

Patients CUPS STATUS IS CRITICAL OR UNSTABle

If potentially UNSTABLE OR STABLE PERFORM THE APPROPRIATE FOCUSED PHYSICAL EXAM

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16
Q

After it is determined the companies services are no longer needed the company should go 10-8 with the dispatcher unless

A

If decon of a member. Personal protective equipment and/or the equipment used is required the company will not be available until the situation is rectified
Upon completion of the decon process the company will transmit the appropriate signal

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17
Q

If equipment has been left at the scene or supplies have been expended and the company does not have the minimum amount the company will

A

Go back in service for fire duty but advise the dispatcher and battalion that not available for CFRD response
Company immediately return to quarters replace equipment and supplies

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18
Q

If response for emergency involves a suspected crime in progress than the company shall

A

Exercise extreme caution
Do not enter scene if will place personnel risk before arrival of pd
If danger request response of pd from dispatcher and confirm police arrival at scene before intervening in medical care

19
Q

If dispatched to a CFRD run and a verbal for an additional sick or injured person is receive the company will

A

Make every effort to make patient contact and notify dispatcher
If contact made with second patient than company will not leave scene until relieved. Y ems

20
Q

Transmit a 10-99 ( company operating for at least 30 min) for the following scenarios

A
  1. Confirmed cardiac/respiratory arrest ( company performing CPR/Defibrillation )
  2. Any situation the company officer determine the company will likely remain on scene for 30 minutes or more
  3. Amy CFRD response where in response to ETA forM EMS FROM THE company at scene , EMS reports no unit available,
21
Q

Resuscitation efforts for non-breathing/CARDIC arrest patients will be performed by CFRD units in all incidents unless

A
  1. Obvious death
  2. Dependent lividity
  3. Rigor mortis
  4. Decomposition
  5. Valid DNR

PCR must me filled out for DOA

22
Q

If patients whereabouts are unknown

A

Responding unit will make every effort to locate of said individual
If after search still no patient than officer shall :
1.Review the response ticket for additional info
2. If after review of info no patient found than OIC verify info with dispatcher
3. Still no patient than . Contact neighbors , building security etc,
4. Still no patient 10-92 10-8
Make notation in company journal when back at quarters

23
Q

If FE necessary than

A

Request police response
Advise dispatcher to inform EMS
If access denied immediately notify pd for assistance
Pd will determine appropriate action

24
Q

If FE required than the OIC must have the premise safeguarded by members until custodianship is turned over to

A

Owner
Occupant
Pd
Or responsible person

Do not delegate to EMS

25
Q

If patient refuse medical aid (RMA) them the company will

A

Insure patent is alert and oriented and understands refusal will may cause him further injury
Encourage the patient to remain on scene until the arrival of more highly trained EMS crew
Unit notify dispatcher for documentation purpose and remain with patient until the arrival of EMS crew
PCR Must be fill out for RMA

26
Q

If patient exhibits altered mental status or appearing to be emotional disturbed and declines treatment than OIC will

A 
Request pd assistance 
Remain on scene until EMS arrives 
Brief EMS of situation found , the patients condition and actions taken by unit 
Complete PCR 
Take steps to place unit I/S

May stay on scene to observe EMS go,10-8 even waiting on scene to watch unless needed

27
Q

If doctor on scene and wants to assist than the CFRD engine will

A

Ask fro proper id
Unit may accept assistance and inform dispatcher doctor is on scene prior id of assistance and request EMS notified
Ask MD for 6 digit number and include in PCR
Members must continue to perform within there scope

28
Q

ESU on scene prior to CFRD engine

A

IF ESU ALREADY Initiated Patient care than than ESU EMTS regain responsibility for patient care
OIC ascertain if assistance needed
No assistance transmit 10-91 go 10-8
If assistance required ESU EMTS have medical authority at scene until arrival of EMS

29
Q

If ESU arrives on scene after CFRD engine has initiated patient care than

A

CFRD engine retains responsibility for patient care until the arrival transporting agency
If ESU EMTS assume role of higher patient care than company shall release the patient to ESU unless ESU is not equipped with SAED unit ,if so CFRD retains patient care responsibilities

30
Q

If EMS has not arrived on scene prior to the completion of initial assement than the OIC will contact the fire dispatcher to,relay to EMS the following info

A
  1. CUPS STATUS
  2. AGE
  3. CHIEF COMPLAINT
  4. PULSE
  5. Respiratory rate
  6. If CPR started
31
Q

Under no circumstances shall a fire apparatus be used to transport

A

True

32
Q

A CFRD unit may call the EMS physician for advise if they do the should accomplish this first

A

Primary survey
Cups status determination

Then ID themselves and be prepared to give concise report

33
Q

Members may only operate to CFRD status even if trained above

A

True

34
Q

Aid to minors for life threatening injuries/illness

A

Life threatening injury or illness treat immediately regardless if given consent by parent or guardian or available
If parent guardian refuses permission for medical attention we must provide treatment if:
A. Suffering from life threatening injury or illness
B. It is apparent that delay of treatment even if minimal would jeopardize the minors life

35
Q

Aid to minors if non-urgent injury or illness

A

Provide treatment unless parent refuses to allow treatment
If parent does not allow than :
1. Carefully explain reasons for treatment , what intervention is necessary and consequences if the injury or illness not treated
2. A. Notify dispatcher and explain events and have them notify EMS
B. Contact FDNY/EMS telemetry and implement recommendations if any
C. Do not leave scene before EMS arrival
D. Return unit to service after EMS arrives

36
Q

When CFRD unit suspects child abuse

A
  1. Circumstances of said child abuse reported to EMS
  2. OIC make company journal entry when return to quarters including :
    A. Names of those notified
    B. Their unit designation
37
Q

DNR ORDERS are a orders described in the prehospital setting as an individuals right to decline life saving measures to be implemented to sustain life when respiratory or cardiac activities cease . The following procedure will be adhered to of presented with DNR

A

If CFRD unit is presented with NYS DOH out of hospital DNR order than :
1. OOD notify dispatcher of above and ask them to advise EMS
2. DNR order only order to not perform CPR NOT REASON To WITHHOLD OTHER TREATMENTS (o2)
3 .the order must be NYS out of hospital DNR form the form must contain
Attending physicians signature and date
Form must contain patients name,date of birth , the MDS signature and license number and dates issued

38
Q

If CFRD is presented with DNR order the CFRD should follow unless

A

DNR is revoked in writing or verbally

Obtain original DNR and give to EMS

39
Q

If a patient has a bracelet that has don’t not resuscitate with a caduceus on it is this considered a adequate DNR

A

Yes it is

40
Q

If a person has a nursing home DNR with just a physicians signature is this an adequate DNR

A

the minimum requirement for a nursing home DNR is a physicians signature
Each facility may have different variation
This DNR remains in effect unless specifically revoked

41
Q

Is a living will valid In Prehospital setting

A

No it is not

42
Q

A health care proxy gives a third party the authority to make medical decisions on a patients behalf. If a CFRD unit encounters a health care proxy then

A

OIC will notify the responding EMS and give proxy to them

Health care proxy is not valid in prehospital setting

43
Q

Who is the incident commander when both EMS and FD ops are operating at incident

A

Fire officer is the IC (responsible for decisions at scent with exception of patient care )
The highest trained EMS person is responsible for decisions of patent care

44
Q

Members shall comply with the orders and directions of the IC concerning the safety of operational personnel. However a pre-hospital care giver receiving orders believed detrimental to the patients condition contrary to good patient care or in violation of medical protocols shall

A

Inform the IC of such and continue providing appropriate card
If IC persist in giving such orders the prehospital care is required to prepare and forward a report through appropriate channels , written statement to OMA

CFR-D (5 decks)

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