Dispatching Flashcards
Closest unit response plans are only associated with which priority colours?
Purple and Red
Response Plan Layout: what does the number mean after the dash?
CU-3(ACP*)(PD FD SUP)
Total # of paramedics that must attend
Response Plan Layout: what does the asterisks mean after the provider level?
CU-3(ACP*)(PD FD SUP)
Requirement vs a preference
Response Plan Terms: BTU
Best Transport Unit
Response Plan Terms: BU
Best Unit
Response Plan Terms: BAR
Bariatric Unit
How are Additional Units priorities updated so they are considered by initial assign?
Powerline NTFP or CUP is used to the divertible version of the calls priority (dPurple or dRed) for any units after the transport unit assigned to meet response Plan parameters
How does Closest Unit and Additional Units differ in relation to service and geography?
CU is a transport unit regardless of service
Additional units are assigned from the service responsible for the geography
If CU is not a transport unit, which resource group is used after selecting Add Resource?
Transport
When would a TAC* unit be marked as dPurple?
Never
Base page protocol
- Tones
- Unit 3147 respond
- Priority
- General location
Retrigger with same info
End with time
T3 Spill now adds…
Additional information
1. Age
2. Status on consc if altered
3. Status of breathing if compromised
4. Additional pt and incident info
When crews DPT, what goes in the transport priority field?
CTAS
Which colours are considered Low acuity incidents?
Orange
Yellow
Incident Standby
Green
Orange max wait time
YRPS - no hold
SEMS/RPS - 1 hour
BFN - no hold
This assumes area is above Critical Unit Count
Yellow max wait time
YRPS - 45 minutes
CSPS/RP - 2 hours
BFN - no hold
This assumes area is above Critical Unit Count
Green max wait time
YRPS/CSPS/RPS - 4 hours
BFN - no hold
This assumes area is above Critical Unit Count
When would a green be dispatched prior to an Orange?
If it reached its max wait time and the orange had not
Which shorthand expander is used to indicate an ACO has completed the 30 or 60 min requires check in?
/PIC
Remember to reset dashboard timer
When would a unit on a Green be reassigned?
Only for a Purple or Red
dPurple and dRed units are marked when?
all additional units assigned to satisfy the response plan past the closest transport unit
LAAT
Low Acuity Assignment Threshold or District Critical Level Count
When will a green be dispatched before an Orange?
When the Green has waited longer than it’s Maximum Priority Wait Time
Dispatcher is responsible for actioning the respons plans. If they cannot fullfill it…
Document and notify the responding crews - e.g. “ACP not available”
Incident Standby Max Wait Times
YRPS/CSPS/RPS - No Max Wait Time
BFN - no hold
This assumes area is above Critical Unit Count
Incident Sharing
How are Low Acuity Calls regarding callshares?
Georgian does not callshare Low Acuity Calls - we also do not respond to them outside of our boundaries
Incident Sharing
Closest Unit vs Response Plan satisfaction
Closest Unit can be callshared - the fulfillment of the rest of the response plan is the responsibility of the region
Incident Sharing
Discuss how CSPS and BFN and RPS Incident Sharing policies differ
- CSPS will provide support beyond Closest Unit Response to BFN and RPS
- BFN and RPS will ONLY provide Closest Unit Response outside of their catchment area
Incident Shares
Responsibilities for Incident Share from MPDS CACC
- Admin/OOT will geovalidate incident and document /C2CR in the comments
- Dispatcher will ensure Closest Unit responds and fulfill other documentation requirements
- Dispatcher will ensure all Response Plan requirements are fulfilled - if the call is in our area
Incident Shares
Information to share with Toronto for a call in Our Area
Only Reds and Purples
- Priority
- MPDS Determinant Code
- ETAs of available units
- Decide who is running the call
- Run number
Incident Shares
Toronto shares an in their Area
Only Reds and Purples
- Priority
- MPDS Determinant Code - type it in the Problem/Nature
- If our priority is different - manually override to match
- ETAs of available units compared
- Decide who is running the call
- Run number
We can provide Closest Unit and will need Fleet Supervisor approval for ACP support. Once approval is obtained, only then will we call Toronto to see if our ACP is still closest
Incident Shares
Information to share with Toronto for a call in their area
- Priority
- Determinent Code
- Answer case entry questions
- Document Toronto’s Priority - which will dictate how it is shared
Incident Shares
Toronto shares a call in OUR area
- Priority
- Determinent Code
- case entry answers
- share our priority - callshare or not based on our priority
Incident Shares
We receive an Incident Share from DPCI CACC for call IN OUR AREA - what are Admin/OOT responsibilities
- Geovalidate and acknowledge receipt with /C2CR
- Launch ProQA
- answer Case Entry and Key Questions based on info provided in the comments
- Use 4th party caller and Unknown if info not provided
- if MDPS reprioritizes the call to Low Acuity, we can advise the other CACC to cancel
Incident Shares
We receive an Incident Share from DPCI CACC for call OUTSIDE OUR AREA - what are Admin/OOT responsibilities
- Geovalidate and acknowledge receipt with /C2CR
- Update the problem/nature to zzIncidentShare and ensure priority is Red or Purple as appropriate
Incident Shares
We receive an Incident Share from DPCI CACC for call OUTSIDE OUR AREA - what are the dispatcher’s responsibilities
- Launch IA and NTF Closest Unit
- Document /C2CA
- Document once the unit reaches the CACC Border
- Update the sector to zzCAD once the unit has changed control
York
PrATU and PrARU availability
- Smoke Inhalation
- Choking - unreleived
- NOT used for coverage until critical levels
- No Green or Yellow calls
- Orange calls once they have waited for 45 mins or longer
York
SRU Availability
ESU-A - 3610 and 3620
- Special Response Unit functions
- ACP response
- Tactical
- Technical Rescue
- Trailer/Ranger
- Hazmat/CBRN
- Marine/Ice Water
- Bariatric
York
TAC-A Availability
3640 and 3601
- ACP response
- Tactical
- Some Marine/Ice Water (Rope Access only)
York
ETF-A Availability
ATU with SRU medics
- 911 Response
- Tactical
- SRU calls requiring transport capability
York
3650 Availability
Mobile Command and Support
- Command Post
- MCI
- Long Duration Events
- Ranger/Off Road
- Patient Access
York
Bus - 3900
- MVCs with 6+ pts
- Aircraft Trouble
- Structure Fire
- CBRNE/Hazmat
- Industrial/Construction incidents with Multi-service staging
- Train Incident
- Large Evacuations (potential or otherwise)
- Disasters - MCI expected or requiring shelter
- Multi-pt Transfers
- as requested by On-duty Superintendent
Simcoe
Bariatric Care considerations
- Pt’s weight 700+ lbs/318kg
- CACC flag in place
- CACC calltaking shows historical need
- Paramedic requests response of BCU
Bariatirc Care Unit (BCU) is deployed out of the Hub and designed to transport the manual bariatric stretchers located at the Hub, Collingwood, Orillia, Alliston, and Midland
Simcoe
Incident Reponse Unit
ETF-A, ETF-P TAC-A, TAC-P
- ETF units are Transport Units
- TAC units are FRUs
- Book on at the Hub
- HAZMAT
- Spill of Cytotoxic Medication
- Exposure to dangerous substance
- MCI with similar and unexplained symptoms
- Fires with known/suspected casualties
- Suicides with Haz materials or smoke inhalation
- MCIs including large MVCs
- Tractor Trailer loads in incidents with Hazmat
- Request from PD for IRU medics
- Polic incidents requiring IRU
- Trail/Off-road or remote incidents
- Any allied agency for IRU medics
Potential or actual
Fleet Supervisor permission required for >20 min response time
High Acuity Dispatch Process
What information is required on the base page for a High Acuity Call?
- Unit Number
- Priority Colour
- Address and City
- Repeat with time
High Acuity Dispatch Process
T3 Spill
- Unit ID
- Priority Colour
- Location Information
- Determinent Code
- CAD Problem Type
- Safety/Haz issues
- Pt info (if altered)- age, loc, breathing status,
- Allied Agencies responding
- Time
High Acuity Transfers
Most appropriate unit is defined as…
- Not ACP
- Not on overtime
- Not likely to incur overtime
Ok to have a crew package a pt for another crew to complete the transfer - especially for BFN and RPS units
York Region
York Region Threshold numbers
Normal: 14+
Lower Acuity Assignment Threshold: 13 - 7
Region Critical Unit Count: 6
There are no district level thresholds
Simcoe
County Wide Threshold numbers
Normal: 13+
Region Capacity Unit Count: 12-9
Region Critical Unit Count: 8
In yellow, low acuity incidents will wait until their max wait time
Simcoe
District Thresholds
Normal: 5+
Lower Acuity Assignment Threshold: 4
District Critical Unit Count: 2
Yellow - no units moved to other districts for coverage AND other districts will run the low acuity calls
Red - same as yellow PLUS coverage from other districts will come in for coverage
Rama
EOS CAV
/NALA to be used 60 minutes before EOS
RAMA
High Acuity call for Rama when in the last 30 minutes of their shift
Call the base and see if the next crew is ready to respond and do EOS transport
Simcoe
Low Acuity Transfer decision making
- Not an ACP unless multiple units available
- Green
- no other transfers ongoing
- pt ready
- Fleet Supervisor approval
- MT number
- > 90 minutes of EOS
- > 20 min at start of shift
- MB complete or not in window
