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CFRD > Chapter 2 > Flashcards

Chapter 2 Flashcards

1
Q

Segment One?

A

CFRD Unit will respond to ALL segment one incidents

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2
Q

Fire units will provided CFRD level care for all patients until arrival of …?

A

Ems unit OR other certified ambulance agency , with a HIGHER LEVEL PROVIDER (includes volunteer EMT’s) and when assistance is no longer needed will go back in service

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3
Q

Company Officer shall ensure that ____CFRD FF’s are working each tour?

A

2

-Officers shall notify their Battalions for needed details prior to start of tour

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4
Q

Company Officer shall ensure that ____CFRD FF’s are working each tour?

A

2

-Officers shall notify their Battalions for needed details PRIOR to start of tour

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5
Q

IN ORDER TO BE IN SERVICE , there shall be a minimum of _____trained members (FF’S OR OFFICERS) with current CFRD certification?

A

2 (after tour- can be FF and Officer…example: ECC and Officer)

but

MUST begin our with 2 FIREFIGHTERS CFRD TRAINED

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6
Q

If the number falls below the minimum , the OFFICER in charge shall follow these procedures:

A

a. without 2 CFRD certified members, the COMPANY shall NOT RESPOND to ANY CFRD calls….company may still be dispatched for calls received directly from the public to assist civilians (verbal)

and

B. NOTIFY DISPATCH and BATTALION and enter the event in the company journal …..fire dispatcher shall change or remove that company’s status in the STARFIRE System

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7
Q

If the number falls below the minimum , the OFFICER in charge shall follow these procedures:

A

a. without 2 CFRD certified members, the COMPANY shall NOT RESPOND to ANY CFRD calls….company may still be dispatched for calls received directly from the public to assist civilians (verbal)

and

B. NOTIFY DISPATCH and BATTALION and enter the event in the company journal …..fire dispatcher shall change or remove that company’s status in the STARFIRE System

note: at change of tours, 0900 and 1800, unit status defaults to their normal CFRD status

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8
Q

Officer in charge will assign CFRD responsibilities at start of each tour as follows:

A

“A”- AIRWAY- stabilization of spine and opening of airway, maintain airway and administer oxygen…begins VENTILATIONS…carry OXYGEN BAG

“B”- BOSS

“C”- CHECKER…patient assessment and hands on care….checks PULSE and begin COMPRESSIONS…..carry TRAUMA BAG

‘D’- DEFIB/DOCUMENTER- completes PCR…HOOKS UP AND OPERATES DEFIBRILLATOR

‘E’- equipment- remain with apparatus…help carry additional equipment (Chauffeur or nON cfrd trained member)

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9
Q

Officer in charge will assign CFRD responsibilities at start of each tour as follows:

A

“A”- AIRWAY- stabilization of spine and opening of airway, maintain airway and administer oxygen…begins VENTILATIONS…carry OXYGEN BAG

“B”- BOSS

“C”- CHECKER…patient assessment and hands on care….checks PULSE and begin COMPRESSIONS…..carry TRAUMA BAG

‘D’- DEFIB/DOCUMENTER- completes PCR…HOOKS UP AND OPERATES DEFIBRILLATOR

‘E’- equipment- remain with apparatus…help carry additional equipment (Chauffeur or nON cfrd trained member)

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10
Q

Segment One?

A

Cardiac/Respiratory Arrest
Choking

2nd due will be assigned if first due is unavailable, regardless of fallback status

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11
Q

Segment Two?

A 
difficulty breathing
anaphylactic shock
asthma
multiple trauma
jumper/drowner
unconscious 
pregnancy 
seizures
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12
Q

Segment Three?

A 
MAJOR INJURY
CARDIAC
PEDESTRIAN STRUCK
OB: imminent birth
major burns
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13
Q

10-99?

A

30 minutes or more:

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14
Q

When approaching scene OFFICER shall :

A

a. observe scene safety for crew and bystanders, patient
b. identify NUMBER of patients

C. ensure BSI

d. Determine need for ADDITIONAL RESOURCES

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15
Q

Except for SEGMENT ONE call, upon notification that EMS (or another 911 ambulance) has arrived at call PRIOR to cfrd unit, responding company will receive via MDT?

A

‘EMS ON SCENE, ENTER 10-91, AND GO 10-8”

-if CFRD unit arrives and EMS is on scene, OFFICER WILL CONFER with EMS to see if both responded to SAME INCIDENT and if so, if assistance is required…when assistance is no longer needed, FIRE OFFICER will determine what signal to transmit to the fire dispatcher

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16
Q

Cancel (for Segment One only)…

A

EMS on scene and determines patient is not in arrest/choking

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17
Q

Individual is a patient when:

A

A. individual is sick or injured,

or

B. the individual was exposed to a situation or condition that could have the potential to cause injury, example: smoke/CO/mva

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18
Q

If it is determined that patient is CRITICAL or UNSTABLE (utilizing CUPS status)..OFFICER shall:

A

A. ask dispatcher for ETA

B. advise the dispatcher to relay the seriousness of patients condition to EMS UNIT

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19
Q

When Ambulance arrives on scene, member with apparatus shall NOTIFY the OFFICER…

A

CFRD-COMPANY operating at a SEGMENT ONE incident will remain on the scene and assist EMS until unit is no longer needed

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20
Q

When Ambulance arrives on scene, member with apparatus shall NOTIFY the OFFICER…

A

CFRD-COMPANY operating at a SEGMENT ONE incident will remain on the scene and assist EMS until unit is no longer needed

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21
Q

PCR is not required when a CFRD COMPANY is on scene (10-84) at any CFRD assignment UNLESS ?

A

PATIENT CARE IS PROVIDED

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22
Q

PCR is not required when a CFRD COMPANY is on scene (10-84) at any CFRD assignment UNLESS ?

A

PATIENT CARE IS PROVIDED

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23
Q

When REQUESTING an ambulance, companies MUST provide the following information to dispatcher for relay to EMD:

A

C.C.C.R.A.P

  • CUPS STATUS
  • chief complaint
  • CPR initiated
  • respiratory rate
  • age
  • pulse rate
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24
Q

If the patient is _____or_____packaging efforts MUST begin immediately while treating life threats…immobilize to spineboard if indicated.

A

CRITICAL OR UNSTABLE

-if patient is potentially unstable or stable, perform the appropriate focused physical exam for the patient

25
Q

Critical?

A

receiving CPR, in respiratory arrest or requiring , receiving life sustaining circulatory support

26
Q

Unstable?

A

POOR GENERAL IMPRESSION
unresponsive with NO GAG OR COUGH REFLEX
RESPONSIVE but unable to follow commands
DIFFICULTY breathing

27
Q

Unstable?

A

POOR GENERAL IMPRESSION
unresponsive with NO GAG OR COUGH REFLEX
RESPONSIVE but unable to follow commands
DIFFICULTY breathing

28
Q

Potentially UnStable?

A 
pale skin/shock
complicated child birth
uncontrolled bleeding
severe pain any area of body
severe chest pain
inability to move any part of body
29
Q

Stable?

A

Minor illness, minor injury

uncomplicated extremity injury

30
Q

Stable?

A

Minor illness, minor injury

uncomplicated extremity injury

31
Q

Equipment left with patient or supplies have been expended and Company does NOT have minimum amount to go back in service….?

A

advise borough fire dispatcher and the BATTALION that it is NOT AVAILABLE FOR CFRD responses ….immediately return to quarters to replacement equipment and supplies…notify DISPATCH (not BC ) when available for CFRD response

if MEMBER or PPE needs to decon, company is OOS FOR ALL RESPONSES

32
Q

Equipment left with patient or supplies have been expended and Company does NOT have minimum amount to go back in service….?

A

advise borough fire dispatcher and the BATTALION that it is NOT AVAILABLE FOR CFRD responses ….immediately return to quarters to replacement equipment and supplies…notify DISPATCH (not BC ) when available for CFRD response

if MEMBER or PPE needs to decon, company is OOS FOR ALL RESPONSES

33
Q

If during CFRD response..verbal for 2nd patient is received….

A

Company shall make patient contact and notify dispatcher…do not leave scene until relieved by EMS

34
Q

Transmit 10-99 for following instances:

A
  1. CONFIRMED cardiac arrest/respiratory arrest (CPR/defibrillation)
  2. Any situation where the Officer determines THAT company will likely remain on scene for 30 minutes or more (vehicle extricate/multiple patients)
  3. Any CFRD response where a request for ETA for EMS—EMs reports NO AVAILABLE UNITS
35
Q

Begin Resuscitation efforts unless following exists:

A
  • obvious death
  • dependent lividity
  • rigor mortis
  • decomposition
  • Valid DNR order
36
Q

If patient is DOA, unit MUST?

A

complete PCR

37
Q

If patient is DOA, unit MUST?

A

complete PCR

38
Q

If patients whereabouts are unknown, responding company will make every effort to ascertain the location of said individual….if after COMPLETE SEARCH of are in question, no patient is found, following procedure shall be used:

A
  1. OFFICER will review response ticket for additional information
  2. after rechecking information, VERIFY with dispatcher
  3. after re-verification of dispatch info, responding company shall attempt to contact neighbors, building superintendent and /or security personnel….no patient found after above efforts have been exhausted, OFFICER Shall enter 10-92 via MDT (canceling EMS response) and return to service…make notation in Journal, when returning to quaters
39
Q

If patients whereabouts are unknown, responding company will make every effort to ascertain the location of said individual….if after COMPLETE SEARCH of are in question, no patient is found, following procedure shall be used:

A
  1. OFFICER will review response ticket for additional information
  2. after rechecking information, VERIFY with dispatcher
  3. after re-verification of dispatch info, responding company shall attempt to contact neighbors, building superintendent and /or security personnel….no patient found after above efforts have been exhausted, OFFICER Shall enter 10-92 via MDT (canceling EMS response) and return to service…make notation in Journal, when returning to quarters
40
Q

Forced entry is only option, OFFICER should ?

A

request PD and have fire dispatcher advise responding EMS units of situation

-if OTHERS WITHIN PREMISES deny access to the patient, OFFICER IN CHARGE shall immediately request PD…PD WILL determine actions to be taken

41
Q

Officer must have premises safeguarded by members until custodianship is turned over to the ? (evaluate ability to provide security)

A

OWNER
OCCUPANT
PD
RESPONSIBLE PERSON

42
Q

Officer must have premises safeguarded by members until custodianship is turned over to the ? (evaluate ability to provide security)

A

OWNER
OCCUPANT
PD
RESPONSIBLE PERSON

DO NOT delegate to EMS

43
Q

Patient RMA….cFRD unit must ensure patient is alert and oriented and understands refusal may cause him or her further injury..

A

units shall encourage patient to remain on scene until arrival of EMS …unit shall notify fire dispatcher and remain with patient until arrival of EMS

PCR MUST BE COMPLETED
-if patient leaves scene, unit should notify dispatcher and go back in service

44
Q

Unless required by conditions at the scene, OFFICER in charge shall transmit 10-8…

A

even if unit REMAINS ON SCENE TO OBSERVE

45
Q

Physician on the scene?

A
  • ASK FOR PROPER ID
  • accept assistance and notify fire dispatcher and request EMS be notified
  • ask for physicians’ 6 digit NEW York State license number and include number on the PCR
46
Q

Physician on the scene?

A
  • ASK FOR PROPER ID
  • accept assistance and notify fire dispatcher and request EMS be notified
  • ask for physicians’ 6 digit NEW York State license number and include number on the PCR
47
Q

ESU ALREADY on scene…?

A
  • higher level of care (EMT’S)
  • ASK if our assistance is needed
  • NO assistance- transmit 10-91 and go 10-8 (conflict with transmitting 10-91)
  • if assistance is required…ESU has medical authority
48
Q

ESU arrives after CFRD unit has initiated patient care…?

A

-Cfrd should retain responsibility for patient care until a TRANSPORTING AGENCY assumes responsibility of the patient…if ESU EMT’s assume role of higher level pre-hospital care provider and assume patient care, COMPANY shall release patient to ESU….(must be equipped with SAED)

49
Q

Under NO CIRCUMSTANCES…

A

shall a fire apparatus or vehicle be used to transport

50
Q

Medical advice, during CFRD response, telephone?

A

FDNY/EMS telemetry physician

-phone number shall be posted on the chart holding the Units’s PCR forms

51
Q

BEFORe calling telemetry the unit shall have completed?

A

PRIMARY SURVey AND C.U.P.S status determination

  • follow advice of telemetry physician and note all instructions on PCR
  • Telemetry may be utilized for medical consultation and access to INTERNATIONAL language bank
52
Q

FDNY members may only operate based solely upon their?

A

DEPARTMENT certification level

53
Q

MINOR suffering from LIFE THREATENING ILLNESS/INJURY or apparent delay in treatment, even if minimal, would JEOPARDIZE MINOR’S LIFE?

A

IMMEDIATE medical intervention must be provided

54
Q

Minor…non urgent illness or injury , treatment provided UNLESS parent/guardian REFUSE…if parent or guardian will not allow treatment, follow these steps:

A
  • carefully explain reasons for treatment, what intervention is necessary and consequences of delay in treatment
  • NOTIFY dispatcher for relay to EMS
  • contact Telemetry directly –implement their recommendations
  • Do not leave scene prior to arrival of EMS
  • return unit to service, after EMS arrives
55
Q

Suspected CHILD ABUSE…?

A

NOTIFY EMS PERSONNEL ON SCENE

-make JOURNAL ENTRY- including names of those notified and their unit designation

56
Q

UNIT presented with NYS DOH OUT OF HOSPITAL DNR ORDER..?

A

notify dispatcher-have them notify EMS

  • ONLY order not to perform CPR
  • not reason to withhold other treatments
57
Q

Patient’s physician must SIGN and DATE the DNR form , which must contain?

A
  • patients name
  • date of birth
  • MD’s signature and license number
  • date ISSUED

CFRD unit should follow DNR order unless revoked VERBALLY or in WRITING ….OBTAIN ORIGINAL DNR order and give to EMS upon their arrival

Bracelet is a legal DNR - same as NYS OUT OF HOSPITAL DNR ORDER

58
Q

T or F …A nursing home DNR is not valid

A

FALSE- nursing home DNR may have their own variations and is valid…they do not have to utilize the NYS out of hospital DNR form…

MINIMUM REQUIREMENT IS PHYSICIANS SIGNATURE

CFRD (4 decks)

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