LFN Policies Flashcards

1
Q

Maximum crewmember weight to operate in a rotor-wing aircraft:

LFN.101.10

A

250 pounds

Includes typical personal gear loadout

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2
Q

Cold weather clothing reimbursement amount and periodicity:

LFN.101.15

A

$150 - first year
$75 - annually thereafter

Available to operational personnel. Reimbursement period 1 OCT - 31 MAR

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3
Q

Media protocol:

LFN.103.03

A

Contact AOC, but do not engage informationally with media personnel.

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4
Q

Proficiency Level 3 (PL-3) “Initial Orientation” Completion Requirements

LFN.105.12

A
  • 5 hours of flight (2 must be at night with NVGs and at controls)
  • 5 hospital landings w/ medical crew
  • 3 daytime patient flights
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5
Q

Proficiency Level 2 (PL-2) “Restricted Status” Completion Requirements and Weather Minimums

LFN.105.12

A

VFR
1000’/5SM-Day, 1500’/5SM-Night
(20 Patient Flights w/ 10 night flights)

IFR
MDA or DA increase by 100’ and 1/2SM visibility, Departure mins - 300’/1SM, Special Helicopter Inst Procedures (SHIP) - 600’/2SM Day and 600’/3SM Night
(20 IFR Flights and 20 SHIP Approaches/Departures

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6
Q

Proficiency Level 1 (PL-1) “Unrestricted Status” Weather Minimums

LFN.105.12

A

VFR
Mountainous: 1000’/3SM Day and 1000’/5SM Night (NVG
Non-Mountainous: 800’/3SM Day and 1000’/3SM Night (NVG)

IFR
IAP Minimums

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7
Q

Emergency Medical Treatment and Active Labor Act (EMTALA) Adherence

LFN.200.01

A
  • No interfacility transfer may take place without medical consulation and receiving facility confirmation of bed and care.
  • Cannot take a patient from sending facility until EMTALA is satisfied
  • Transport crew is responsible for ensuring appropriate documentaion of receiving facility and physician
  • When turning over to a critical care team care should not be transfered to a lower level wihtout physician approval
  • Call AOC prior to patient transfer if you have any questions
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8
Q

When must the Post Transport Debrief occur?

LFN.200.03

A

Immediately following a trasnport and prior to conducting any other duties.

Normally must be documented within 1 hour post-trasnport

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9
Q

How should the Post Transport Debriefs occur after multiple, back to back, transports?

LFN.200.03

A

Verbal in-person debriefs must occur, but documentation may occur within 1 hour of last transport.

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10
Q

Who initiates and sends the Post Transport Debrief to the crew?

LFN.200.03

A

Communications Center, or Call Center as required and within 30min of transport completion.

Request PTD from Comms Center if 30min have elapsed without receipt.

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11
Q

Who is included on the Post Transport Debrief?

LFN.200.03

A

All personnel assigned to the trasnport and the ACP if any log invovles air transport.

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12
Q

Can a Post Transport Debrief ever be submitted next day?

LFN.200.03

A

Only if PTD submission would result in out of service time the next day.

In person debriefs must occur post transport and may not be delayed

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13
Q

Request for Mutual Aid

LFN.200.04

A

Assistance that does not involve patient care or transport. Honored at the discretion of the Comms Center Manager, or if unavailable the AOC.

  • Must not endanger the public, crew, aircraft, or vehicle
  • Must not prevent patient transports
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14
Q

What additional ID/Paperwork are crews assigned to Sandpoint, Moses Lake, Spokane, Port Angeles, Coupeville and Aurora required to carry?

LFN.200.06

A

Passport and be eligible entry into Canada

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15
Q

When can a crew call a “time out”, who must be notified, and what information must be included?

LFN.200.07

A

Circumstances where they feel they are fatigued, unfit, or unsafe to continue duty.

Notify Comms Center

Include personnel timed out and for how long (1-4 hours)

Baldwin Safety Report (time out) must be completed

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16
Q

If a crew anticipates more than 4 horus of rest will be required on a “time out” what will happen?

LFN.200.07

A

Base will be placed out of service and employees will “clock out”.

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17
Q

How is calling for a “break” different than a “time out”?

LFN.200.07

A

This is meant for the crew to reenergize to continue working safely and effectively. Continued work without a break may result in a fatigue time out.

Limited to 1 hour or less.

Applies to interfacility calls only.

Baldwin Safety Report “Time Out-Other”

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18
Q

Who must perform an aircraft walk around and when?

LFN.200.10

A

Shall be completed by at least one medical crewmember, both if able, prior to every flight.

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19
Q

Who must observe a rotor-wing aircraft start? From where?

LFN.200.10

A

One medical crewmember, when able, will observe RW aircraft starts from either the pilot’s 1 or 11 o’clock position. This must be completed by the aft-seat crewmember.

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20
Q

What duties are required of the rotor-wing start observer?

LFN.200.10

A
  • Alert pilot to any fluids, or smoke emanating from the aircraft
  • Monitor shall ensure the external battery start pack and any other cords/cables are removed and secured prior to departure.
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21
Q

(T/F) Prisoners must be restrained at all times

LFN.200.11

A

True - It is up to the medical crew how this will be achieved (physical or chemical restraints) NOT the accompanying officer.

Confirm law enforcment has searched for weapons on the prisoner.

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22
Q

Accompanying Law Enforcement weapon restrictions:

LFN.200.11

A
  • No Chemical Weapons (i.e. mace)
  • Weapon may be carried with a loaded magazine, but no chambered round.
  • Tasers shall be holstered/secured
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23
Q

What should you do if weight restrictions preclude an officer from accompanying a prisoner during trasnport and they therefore refuse to release the prisoner?

LFN.200.11

A

Inform the official that they will be held responsible for the patients well being and any demise will be the responsibility of the agency they represent.

Consider single medical attendant operations to allow for transport of the guard. Refer to LFN.201.20 for guidence.

If no guard is trasnported with a prisoner Comms Center will work with receiving facility to arrange for security on arrival.

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24
Q

Who is responsible for conducting a thorough inspection of passenger belongings?

LFN.200.11 & LFN.201.16

A

The pilot. This responsibility may be delegated to a crewmember if necessary.

No unauthorized weapons or hazmat may be brought onboard.

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25
Who is authorized to fill gaseous medical oxygen tanks? | LFN.200.12
Pilots and Mechanics | Medical crew can exchange portable cylinders
26
Who is authorized to fill liquid medical oxygen tanks? | LFN.200.12
Mechanics
27
What should you do if your helicopter becomes physically stranded (out-of-service) due to mechanical, weather, or other issues which restric access to a hospital or fire department/EMS agency helipad? | LFN.200.13
Pilot will promptly notify the Communications Center. Maintenance will be notified per their normal procedure. Leadership will devise a work around strategy thereafter especially with regards to single pad facilities. | Comms center notifies AOC and AOC notifies appropriate VP
28
What is required to cross the movement boundry adjacent to our ramp at KUAO (Aurora) in support of patient loading and unloading? | LFN.200.15
Two-way radio comms with Aurora ground control on frequency 119.15 and permission is granted to cross. | Only applies when control tower is operational.
29
If a satellite phone is issued to an aircraft/base the oncoming pilot will ensure what? | LFN.200.17
Phone is fully charged, kept in the aircraft when not charging and is off when not in use. | EC135: In the survival kit bag
30
What is the intended use of the satellite phones? | LFN.200.17
* Ground only * Urgent communications when primary methods have failed to work (primary methods: A/C satellite phone, A/C radios, and LFN push-to-talk phones) | Document use in Baldwin Post Transport Debrief
31
Can we transport Service Dogs? | LFN.200.19
Yes - only if it is safe (pilot determined) Emotional support, therapy, comfort, and companion dogs do NOT qualify. | Baldwin Quality Report and Decontamination required
32
Can we transport Working Dogs (law enforcement, military, or search and rescue) with a handler? | LFN.200.19
Yes - only if it is safe (pilot determined) and a muzzle is used if available. Refer as well to LFN.200.04 Requests for Mutual Aid. | Baldwin Quality Report and Decontamination required
33
Can we transport Injured Working Dogs (law enforcement, military, or search and rescue)? | LFN.200.19
Yes - only if it is safe (pilot determined), a veterinarian accompanies the animal, and a muzzle is used if available. Refer as well to LFN.200.04 Requests for Mutual Aid. | Baldwin Quality Report and Decontamination required
34
Rotor Guard Requirements: | LFN.201.14 & LFN.300.12
* Remain at the helicopter's 1 or 11 o'clock position * Visible to pilot * Maintain 15' between rotor arc and any other apparatus/vehicles * Maintain 50' safe perimeter around helicopter * No non-escorted personnel allowed to approach * Prevent anyone from coming into contact with the rotor or tail rotor | Not required at secured pads (i.e. hospital rooftop pad)
35
Pilot roles and responsibilites with regards to patient loading and unloading: | LFN.201.14
* Aircraft configured for hot load to include collective at flat pitch with engines at idle * Doors allowed to remain open or closed and aircraft positioned for access * Medical crew should be in contact with pilot as needed to ensure safe loading, unloading, and shut down if necessary.
36
Can we take a designated family member on a rotor-wing transport? | LFN.201.19
Yes - provided they are: * physically able * not a threat to safety | Minors and multiple persons require AOC approval
37
Crew accountability requirements in the backcountry: | LFN.201.23
* Pilot stays with the aircraft * Medical Crew stay together
38
Prior to being released to work a night shift as PIC, all new LFN pilots shall complete at a minimum the following: | LFN.202.01
At least 3 daytime patient flights to include at least one interfacility flight and one scene call.
39
(T/F) You can practice emergency procedures on proficiency flights | LFN.202.01
False - You must schedule a flight with a company training pilot or check airman to conduct/simulate emergency procedures.
40
What minimum enroute altitude should be maintained in accordance with LFN's "Fly Safely & Noise Abatement" Policy? | LFN.202.02
1500' AGL or higher
41
How does LFN's "Fly Safely & Noise Abatement" Policy state you should generally fly? | LFN.202.02
Maximize horizontal and vertical separation. Utilize Vy departures and steep approaches when able.
42
Do LFN aircraft use permanent transponder codes? | LFN.202.03
Yes, when available.
43
What crewmember(s) MUST be present when aircraft are being refueled? | LFN.202.04
A pilot authorized to fly the specific type of aircraft being refueled must be present to ensure proper fuel type and quantity are dispensed.
44
Can any personnel be inside of an aircraft while it isbeing refueled? | LFN.202.04
Only when a patient is onboard and refueling is necessary. * One medical crew remains with the patient * The other medical crew will remove the aircraft fire extinguisher and position themselves near the pilot outside of the aircraft during refueling * Doors and windows on the same side as the fuel port will be closed | QM report in Baldwin is required post flight
45
Is hot refueling permitted? | LFN.202.04
No
46
Can you fuel and aircraft inside of a hangar? | LFN.202.04
No
47
What are the searchlight requirements for conducting night scene flight operations? | LFN.202.05 & LFN.202.07
Aircraft must have at least one operable searchlight.
48
(T/F) NVGs must be carried on flights only when a portion of flight is expected to occur at night. | LFN.202.07
False - NVGs will be carried on every rotor-wing flight regardless of day.
49
Can you fly at night without NVGs? | LFN.202.07
With the exception of IFR flights, night flights not utilizing NVGs must be authorized by the CP, ADO, or DO.
50
Who must utilize NVGs for HNVGO operations below 300' to unimproved areas? | LFN.202.07
The pilot and one other person. Both must be current in accordance with guiding policies and publications.
51
When must goggles be removed from the aircraft for storage? | LFN.202.07
* When not in use * If temperatures exceed 85°F * Anytime the aircraft is not in a secure location
52
What is the common HEMS air-to-air frequency | LFN.202.08
123.025 If an LZ is located within B, C, D, or facility airspace you may still monitor the above even if it is not a primary frequency.
53
Common Frequency procedures for Portland Area | LFN.202.08
1. Within 15NM of PDX (5NM outside airspace) utilize frequency 123.075 2. Within 5NM of LZs/Pads report name of LZ, call sign, altitude, location relative to LZ, intentions, and name of LZ 3. Do the same for to departures 4. Follow LOA for discrete squawk code | 123.075 is known as the "Portland Downtown Helipad" Frequency
54
Prior to going into an LZ that will likely prohibit communications with the communications center you should... | LFN.202.09
Advice Comms center you located the LZ and will likely lose communication abilities.
55
In what time frame must you contact the communications center after landing in an LZ in the backcountry? | LFN.202.09
The first call must be made within 45 min of initial landing. Attempt ground based communications before attempting to take off to make contact. If you takeoff remember you need a second crewmember with you on NVGs if taking off and landing at an unimproved LZ at night.
56
Can you operate at night in the backcountry without NVGs? | LFN.202.09
Yes, but it is not advisable
57
What are LFN's Rotor-Wing Enroute Decision Points (EDP) | LFN.202.10
When encountering deteriorating flight conditions enroute, rotor-wing aircraft will not: * descend below 300' AGL (day) and 500' AGL (night) * slow to less than 90KIAS | Land, turnaround, or divert prior to reaching EDP criteria
58
How often do aircraft need to be washed (coastal/non-coastal) | LFN.202.13
**Coastal** *Applies to any flight within 20NM of the caost or the following bases: Newport, Kelso, Astoria, Port Angeles, Coupeville, and Hoquiam* * Minimum of once per day to include engine freshwater washes * Check for maintenance required washes as well **Non-Coastal** * Washed a minimum of once during each pilot's day shift * Engine freshwater washes are required in accordance with maintenance requirements *Check for maintenance required washes as well | Log routine washes in Operative IQ
59
When should an aircraft be started when put on standby? | LFN.202.15
* First 30 days after a new base opens for interfacility standbys * If a pilot has been off shift for more than 30 days * First 60 days after a new base opens for scene standbys * First 60 days after a new pilot stands a shift as PIC (notify Comms Center at shift change if this is the case) * In case not outlined above, but deemed by the pilot to be appropriate
60
When may an aircraft be started when put on standby, but is not required? | LFN.202.15
If cabin temperatures are above 90°F, below 40°F, or if the interior windows are fogging
61
What should you do if you encounter UAS operations that require flight path deviations? | LFN.202.16
Report to ATC, OCC, and local law enforcement (OCC may do this for you). Log encounter in Baldwin. If the encounter was a near miss event file a NMAC report.
62
When do LFN rotor-wing aircraft require supplemental oxygen? | LFN.202.17
Above 9,000' MSL for that portion of the flight exceeding 30min. LFN does not provide supplemental oxygen so pilots shall not conduct operations above and in excess of the aforementioned altitude and time restrictions. | Notify OCC and file in Baldwin when a flight is denied for the above
63
What are the personnel requirements for moving an aircraft? | LFN.202.20
**One** Tug/Tractor Driver (pilot/maintainer) and **two** wing walkers (whistles required)
64
Are there exceptions to personnel requirements for moving an aircraft? | LFN.202.20
Using only one wing-walker is permissible if no one else is available, or if other medcrew member is conducting patient care. No wing-walkers are required if all other base personnel are indisposed and an aircraft must be moved. **USE EXTREME CAUTION.** | Admin personnel may be used as a last resort before moving an A/C solo.
65
Can a tractor remain attached to the dolly when taking off or landing? | LFN.202.20
Yes, but only if it is attached on the front/standard attatch point.
66
In the event an aircraft was left at an unsecured location, or tampering may have occured, what is required prior to flight? | LFN.202.21
Mechanic and Pilot must perform a thorough preflight inspection to include fuel sampling.
67
When is a sterile cockpint required for rotary-wing operations? | LFN.202.24
* Pilot announces "sterile cockpit" * Start-up * Lift-off/Departure * Landing/Approach * Taxiing * Inside controlled airpsace * When the pilot is communicating with ATC/aircraft
68
Are there any exceptions to medcrew using the shoulder harness during surface, takeoff, approach, and landing operations? | LFN.202.26
None, even if it inhibits their ability to care for a patient.
69
(T/F) Ride-along participants and family members may remove harnesses during enroute portions of flight. | LFN.202.26
False - They must have their harness and seatbelts on at all times.
70
How often do helmets need to be inspected? | LFN.202.28
Annually | Audit form located in Operative IQ
71
Can two helicopters land and occupy a helipad marked with a single "H"? | LFN.202.29
Yes, but only if it is deemed safe to do so by the pilots. Aircraft should not operate within 15' of one another and should not takeoff and land during the other's start up, or shutdown.
72
What is required in the lift off call to the communications center? | LFN.202.33
* Number of souls * Hours of fuel * Risk assessment * Current time * ETE to touchdown at first point of intended landing | Once airborne give an ETA, update it anytime you expect a +/-3min change
73
If you cannot return to base for some reason can you continue service from another LFN base or hospital? | LFN.200.38
Yes, just let OCC know. If stay is anticipated for greater than four hours hotel accommodations will be made if company housing is unavailable. Minimize out of service time by coordinating shift change logistics.
74
How man consecutive hours of rest are required in the preceding 24 hours prior to the planned completion of a 14 hour duty day? | LFN.202.39
10 consecutive hours of rest
75
(T/F) A pilot may extend past a 14 hour duty day. | LFN.202.39
True - This may occur if unforeseen delays occur. Following their "clock out" they are required to have 10 hours of consecutive rest. Pilots shall not extend past 15 hours without approval from the DO or ADO (usually after other options are exhausted). | Only approved for transport of a patient to a receiving facility
76
What are the standard ground times (i.e. time on scene) used for flight planning and defining unforeseen delays resulting in greater than 14 hour duty days? | LFN.202.39
* RW On Scene Time: 20 min * RW Interfacility Time: 40 min * RW Specialty Team Time: 1 hour * ECMO Time: 4 hours
77
If you go IIMC and recover safely who must you notify? | LFN.202.40
Notify Communications Center who will then link in AAOC. A Baldwin Report is required. Return to service will be based on severity of the event and debrief outcome.
78
When must rotor-wing aircraft be covered, tied down, or hangared? | LFN.202.41
**High Winds:** * Winds greater than 25kts (sustained), or where there is a 15kts gust spread rotor blades shall be tied down. * Winds forecast to be greater than 40kts the aircraft will be hangared. **Precipitation:** * Forecast freezing rain, large hail, thunderstorms, snow that will freeze to the A/C, or moderate to heavy snow requires A/C to be hangared. * A/C outside during non-freezing precipitation requires only inlet covers. * Freezing Precipitation requires installment of blade covers, engine inlet covers, and stabalizer covers if A/C remains outside. **Frost:** * Prior to frost formation, while blades are still dry, cover main/tail rotor blades and stabilizer covers, or hangar aircraft. **Low Temps:** * Below 35°F with visible moisture move the A/C into the hangar. Install covers if hangaring is not possible. **High Temps:** * Above 85°F windscreen covers should be installed. Consider leaving sliding doors slightly open. * Above 90°F consider moving the A/C into the hangar and leaving hangar doors open to expedite launches. | Inform OOC of the above to estimate launch delays accurately
79
Shore power extension cords must be installed at either the ____ or ____ position and should be kept to a maximum lenght of ____ feet. | LFN.202.42
10 o'clock, 3 o'clock, 100'
80
Pilot PL and weather requirements for ride alongs during ferry flights. | LFN.202.43
PL1 pilots only and weather mins increased to 1500' AGL and 5 miles
81
If duals cannot be removed prior to operational flights who may ride up front? | LFN.202.44
Only current and qualified pilots may sit in the cockpit with duals installed. | Notify OOC no riders allowed until duals are deconfigured
82
Can you talk to maintainers working on aircraft? | LFN.203.11
Yes, but only if necessary and generally only by the pilot or other maintenance personnel. Their work environment is **sterile** and they should not be bothered if it can be avoided. This includes diverting tours, music, and other distractions away from their work area (25 feet away for tours).
83
Can we transport trauma center surgical staff members? | LFN.204.18
Yes - Communications center will coordinate this effort, but in the case of a scene call the anticipated receiving facility should supply the attending surgeon. No additional passengers, other than the attending trauma surgeon, will be transported to a scene. They must be briefed prior to flight, preferably after shutdown and by the pilot. If a flight nurse is on scene the request for a surgeon should be confirmed by that person.
84
Lift off time goals: | LFN.204.21
Day (0600-2300) - 8 min or less Night (2300-0600) - 10 min or less RW IFR - 20 min or less | These are goals and SHOULD NOT compromise safety or sound judgment
85
What is the normal process for a dynamic risk assessment? | LFN.300.03
The pilot will complete the RA, digitially sign it, and submit it to the OCC.
86
What should the pilot do if they cannot submit a dynamic risk assessment via normal means (at base w/ no connectivity issues, or ariborne)? | LFN.300.03
Handwritten RA will be completed, if necessary, and the results will be communicated via radio, or by phone to the OCC. If a new flight request comes in while a crew is airborne the OCS will assist the pilot re-calculate the RA and flight planning information via sat phone or radio before accepting the request. Pilot will update RA as soon as practical, generally when they land at their new destination.
87
What risk assessment score requires contact with OCS for review and a potential follow-on request with higher authorities for approval? | LFN.300.03
RA scores higher than 14
88
Can we transport by air contaminated persons (referring to LFN hazmat policies)? | LFN.300.05
No - contaminated persons **will not** be transported by air
89
If a crewmember, or pilot, experiences any discomfort that might be related to hazmat exposure what should you do? | LFN.300.05
Land as soon as possible
90
Who ensures a survival kit is onboard and when? | LFN.300.07
The pilot will ensure survival kits are onboard during preflight.
91
Aircraft rotor systems must be guarded 100% of the time by any of the following: | LFN.300.12
* Aircraft positioning * Partition * Barrier
92
All non-LFN personnel must be ____ in and out of the working area of a hot helicopter. | LFN.300.12
Escorted