OPM Flashcards
Where should potentially infectious waste be properly disposed of
At the receiving ER that the pt is brought to UNLESS the ER refuses the waste
When must biohazardous waste be disposed of?
After each incident and not allowed to accumulate
When should the biohazardous waste containers at each FD station be used?
Generally only on ALS engine calls,
non-transport calls, and
on medical incidents occurring at the FD facility
Can loose “sharps” containers be placed in biohazardous waste containers?
Under no circumstance shall loose “sharps” containers be placed in these containers
ALL sharps must be disposed in specially designated containers that have what 4 qualities?
Closable,
puncture resistant,
leak proof on sides and bottom, and
labeled or color-coded containers for this purpose
How must sharps containers be kept when not in use?
Closed when not in use
How high are fines for infection control violations? (400.01)
As high as $10,000 PER VIOLATION
It is mandatory policy to use SCBA or SAR under what conditions?(400.02)
During ALL phases of firefighting;
during emergency situations such as confined spaces that may have toxic or oxygen deficient atmospheres;
and
while working in spaces where hazardous atmospheres may be present
All FF will wear SCBA until when? (400.02)
Until the officer in charge determines through monitoring or other means that it’s no longer required
Where can personnel find the airline respirator?(400.02)
HazMat 92, TRT 92, or aerial apparatus
When can personnel use the airline respirator?(400.02)
Only for exterior firefighting operations,
confined space,
trench, and
certain hazmat incidents
What must be worn with the airline respirator (400.02)
An appropriate escape type SCBA
What is the NFPA standard for structural firefighting clothing?(400.02)
NFPA 1971
T of F: One of the two firefighters located outside the IDLH atmosphere may be assigned to an additional role, such as incident commander in charge of the emergency or safety officer, so long as the firefighter is able to perform assistance or rescue activities without jeopardizing the safety or health of any firefighter working at the incident.(400.02)
True
What type of contact must the two firefighters entering the IDLH maintain at ALL times?(400.02)
Visual or voice communications. Radios SHALL NOT be substituted for direct contact between team members in the danger area
New recruits will be trained in respiratory protection in accordance with what NFPA number?(400.02)
NFPA 1404
When are face piece fit-tests conducted? (400.02)
(Hint: there are 6, TRIAD W)
-During initial training,
-annually,
-when a FF has experienced a significant weight change,
-facial trauma,
-reconstructive surgery,
-or major dental work that may interfere with a face piece seal
TRIAD-W
When are SCBA and spare cylinders inspected?(400.02) (hint: it’s inspected, NOT tested)
After EACH use and daily during apparatus checkout
What is done with SCBA units determined to be unfit for use?(400.02)
Taken out of service, red tagged with a description of the defect, and forwarded to St. 59 for repair
When shall SCBAs be cleaned and what is used to clean them?(400.02)
After each use. Only cleaning/sanitizing solutions for respiratory equipment will be used
When are SCBA cylinders hydrostatically tested? What is the max life of each?(400.02)
Fiberglass = 3 years
Carbon fiber = 5 years
Max life of each = 15 years
What is the minimum air quality to be used in SCBA?(400.02)
A minimum quality of grade D
How often is the purity of air from SFRDs air compressors checked? (400.02)
At least annually from a competent laboratory
- T of F: Compressed oxygen shall NOT be used in OPEN-CIRCUIT SCBA?(400.02)
True
When is a medical evaluation of the FF’s ability to wear an SCBA provided?(400.02)
At initial hiring
How long will the respirator mask be DONNED to assess comfort?(400.02-1)
At least 5 minutes
What is the substance the test conductor uses during fit testing?(400.02-1)
Stannic oxychloride, or equivalent
How is the stannic oxychloride used during the fit test?(400.02-1)
Attach a short length of tubing to one end, attach the other end to allow a pressure pump set to deliver 200ml/minute
Should the test subject keep their eyes closed for the fit test?(400.02-1)
The conductor should instruct the subject to keep eyes closed while the test is in progress
How far/close does the smoke (testing agent) need to be for fit testing?
Begin at least 12 inches from the face piece and move to within one inch, moving around entire perimeter of mask
Because the sealing of respirator/masks may be effected under certain conditions, qualitative fit testing shall be repeated immediately when the test subject has?(400.02-1) (Hint: WORDS)
-A significant weight change;
-significant facial scarring in the area of the face piece seal;
-significant dental changes (i.e. multiple extractions without prosthesis, or acquiring dentures);
-reconstructive or cosmetic surgery,
-any other condition that may interfere with face piece sealing
(WORDS - weight gain, other, reconstructive, dental, scarring)
What is done if the test subject exhibits difficulty breathing during a fit test?(400.02-1)
They shall be referred to a physician to determine if they can wear a respirator while performing assigned duties
How long will the summary of all respirator/face piece test results be maintained?(400.02-1)
For a period of NOT LESS than 3 years
The summary kept from face piece testing should include what? (5)
(400.02-1)
-Name of test subject;
-date of testing,
-name of test conductor,
-respirator selected (manufacturer, model, size, approval number),
-testing agent used
It shall be policy of SFRD that members exit the IDLH prior to what happening?(400.02-2)
Prior to activation of the low air alarm
Activation of the low air alarm indicates that the user is consuming what?(400.02-2)
Their reserve air supply
What has historically served as the indicator for ff’s to leave the IDLH?(400.02-2)
The low air alarm
Evidence shows that ff’s do not call for help until when?(400.02-2)
Until they have consumed their reserve air supply
T or F: The sounding of multiple alarms (PASS and low air) is commonplace and therefore not seen as an indicator of a FF in trouble. (400.02-2)
True
In the event of an alarm (low air) activation, members are required to provide immediate notification to whom?(400.02-2)
To their Officer, and then to Command
What are the 6 times listed to monitor air pressure as an individual and crew/group?(400.02-2)
-Regular time intervals (every 5 minutes);
-10 minute CAD notification from dispatch;
-change of work area (floor level change, area searched);
-passing major landmarks within a structure;
-completion of assignment and prior to accepting another assignment;
-as situation dictates
At what air level will the officer/group leader give notification about their air level to the proper ICS functionary?(400.02-2)
When the first member of any crew/group has their 50% HUD activate (amber light flashing slowly), the officer/group leader will inform the functionary that the TEAM is at 50% air supply
If a low air alarm activates in the IDLH environment, it calls for an immediate radio transmission of what to whom?(400.02-2)
To COMMAND specifying WHO you are, WHERE you are, and WHAT your status is
In the event of a low air alarm activation, Command shall confirm that the RIT team leader has received message of what THREE things for the crew with the low air activation?(400.02-2)
Air status
Possible location
Egress Path
If informed of low air status, the RIT leader shall track the member’s remaining time in the IDLH and notify command if what has not happened?(400.02-2)
If the member has not exited within one minute of low air notification
Where should the member with low air be placed (what position)?(400.02-2)
Should be moved to the second position from the front AND remain in TOUCH contact at ALL times
What is done when a low air alarm activation is heard without a notification to command?(400.02-2)
It shall produce a call to command by ANY crew or member in close proximity to report the alarm and possible location
What day is deemed “air fill day”?(400.02-3)
Wednesday
Which station fills SCUBA bottles?(400.02-3)
92
What is the unit number of the TRT truck used when personnel levels permit for air filling?(400.02-3)
Unit 376
At what rate should bottles be filled to avoid “Hot Filling”?(400.02-3)
300-500psi per MINUTE, not to exceed 600 psi
How are air bottles filled on larger incidents?(400.02-3)
Responding the TRT (376) truck or Mutual Aide Air Truck
T or F: No bottles should be stored loose on shelving or within compartments unsecured(400.02-3)
True, they should be in a designated SCBA bracket
Bottles stored at stations need to be in a what?(400.02-3)
A rack system
According to OPM 400.03-1,Structural Firefighting Protective Ensemble Care and Maintenance Guidelines,The structural FF protective ensemble care and maintenance guidelines comply with what NFPA policy?
NFPA 1851 - standard on selection, care, and maintenance of FF ensembles
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, what is the purpose of inspections? (So/Co/Da)
To determine whether PPE has soiling, contamination, or damage that makes it unsafe for use or could eventually result in making it unsafe for use
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, who is responsible for performing “routine” inspections and when are they performed?
Each member who is issued PPE is responsible for routine inspections.
They must be performed after each use and after exposure to an event that could result in soil or damage.
Performing a brief inspection before the start of each duty day is encouraged
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, what should members do who suspect that a problem exists with their PPE after routine inspection?
They should notify their immediate supervisor whom will make contact with the Shift Commander in order to make arrangements with the Division Chief of Support Services to have the gear further evaluated before sending off to the departments Verified Independent Service Provider (VISP) for further maintenance
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, how often should “advanced” inspections of PPE be performed and who is involved
Advanced inspections are conducted a minimum of every 12 months, or whenever routine inspections indicate a problem exists
These are performed by the department’s Verified Independent Service Provider (VISP)
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, during advanced inspections, in addition to the department’s verified independent service provider, whom else will assist?
The department will have specified personnel whom work under the direction of the Division Chief of Support Services trained per NFPA 1851 to assist with inspections along with advanced cleaning
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, what is “routine” cleaning and when is it performed?
Routine cleaning is a light cleaning performed by the member WITHOUT the elements being taken out of service.
It must be performed after each use and immediately after an emergency response to remove surface contaminants before they set in.
It is not to be confused with “gross decon” in the event the PPE has been deemed to be exposed to harmful elements.
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, what are the steps listed for “ROUTINE” cleaning
Locate and read maufacturers instructions
Brush off Debris
Rinse off other debris with garden hose (high velocity water jets shall not be used)
Gently brush with a soft bristle brush when necessary and wash again.
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, what items should NOT be wet during “routine” cleaning?
Do not wet the inner liner of the coat, pants, or helmet
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, What is the policy for PPE requiring “gross decon” after an incident when there is NO temporary gear available for use?
-Wear gloves/glasses
-Pre-treat heavily soiled areas or spots with department approved product
-Use warm water not to exceed 105F
-Gently brush with soft bristle brush
-Rinse thoroughly
-Air dry by hanging or placing in open area (away from sun)
-Inspect for cleanliness
-DO NOT wet inner liner of coat, pants, or helmet
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, what is the term for a thorough cleaning that required PPE to be taken out of service
Advanced Cleaning
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, what is the minimum time frame in which advanced cleanings will be done and by whom?
They’re conducted at a minimum every 12 months by the department’s verified independent service provider (VISP)
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, besides routine care, when is advanced cleaning performed?
in addition to every 12 months, whenever PPE is soiled to the extent that the soil cannot be sufficiently removed by routine cleaning or advanced cleaning by the department’s personnel
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, what will the MAINTENANCE DOCUMENTS of PPE include? (RE/RE/s/RE)
Record keeping, repairs, storage, and retirement of departmental PPE and will be done in accordance with NFPA 1851
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines,(a) record keeping, what information is recorded at time of PPE issue? How long are the records kept?
Person whom the element is intended
Date and condition when issued
Manufacturer and model name
Manufacturer’s ID Number
Month and Year of manufacture
All records kept on file for 12 months after item is RETIRED, and stored for min. of 5 more years
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, (b) repairs, what must be done to certain PPE elements before any repair work is performed?
Elements that fall within the guidelines for needing cleaning must be subjected to an advanced clean
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, (c) storage, what are the three things that proper storage of PPE do? (EMR)
Extends its life
Maintains its performance
Reduces potential health risks
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, (c) storage, what are the listed conditions that can result in deterioration of PPE
UV light
Wet or moist gear
Extreme temps for prolonged times
Storage in contact with hydraulic fluids, solvents, hydrocarbons/vapors
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, (c) storage, while off duty, PPE must NOT be stored where?
Must not be store in direct or indirect (yes it says this) sunlight, not store in trunks or other compartments of personal vehicles, or taken to a personal residence.
When transporting, it must be placed in gear bags
For those assigned take home vehicles, it must be stored in gear bags
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, PPE that is removed from service because it is no longer suitable will be treated how?
It will be destroyed or marked and allocated to non-live fire training, dependent on reason for retirement
According to OPM 400.03-1 Structural FF Protective Gear Care and Maintenance Guidelines, what are the EIGHT criteria listed for PPE retirement?
- Physical Damage (PD) cannot be repaired
- PD cannot be economically repaired
- PD arising from exposure to excessive heat beyond conditions which PPE was made to withstand
- Contaminated to extent it cannot be deconned
- Contaminated to extent it cannot be economically deconned
- Significant changes in department specification
- Does not meet past or current NFPA standards
- Mandatory retirement age of PPE
According to OPM 400.03-2, Post Fire Gross Decontamination, what is the term for exposure to chemicals, radioactive or biological material on personnel or physical material (equipment, structures, vehicles, etc)
Contamination
According to OPM 400.03-2, Post Fire Gross Decontamination, Command officers should always strive, when possible, to do what with the scene and command post
to organize the scene and situate the CP in such a way to eliminate exposure
According to OPM 400.03-2, Post Fire Gross Decontamination, what are the NINE examples of exposures that can, and are likely to occur, during EXTERIOR operations when in proximity to products of combustion?
-Vehicle Fire
-Brush fires
-Trash/dumpster fires
(3 outside fires)
-Driver performing pump ops
-IC when exposed at CP
-Safety Officers
(3 individual people)
-Un-deployed RIT
-Crews assigned to exterior line
(2 “crews”)
-Unintended exposure due to wind shift, scene dynamics/complications
According to OPM 400.03-2, Post Fire Gross Decontamination, what is the term for the removal of hazardous substances from employees’ bodies, clothing, equipment, tools, and/or site to the extent necessary to prevent occurrences of adverse health effects?
Decontamination
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, what are the two types of decon?
Emergency/Gross Decon
Technical/Secondary Decon
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, which of the two types of decon does this policy describe?
Immediate Gross Decon following exposure to products of combustion
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, what are the names of the formal isolation or control zones that shall be defined on all fire type incidents?
Hot, warm, and cold zones
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, in which formal isolation or control zone will decon take place?
Gross decon and cleaning of the body shall be located in the warm zone
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, what is the name of the formal isolation or control zone that is not in the immediate vicinity of any fire or products of combustion?
The warm zone
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, which formal isolation or control zone is listed as ideally located uphill and upwind?
The cold zone (but all of them should be?)
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, which formal isolatioin or control zone is where rehab shall be located?
The cold zone
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, what shall the Driver/Operator ensure regarding the water used in the decon process?
apparatus tank water or any water used in the decon process is from a clean municipal (hydrant) water source and is not from a stagnant or potentially contaminated water source
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, which unit should generally setup for gross decon?
Generally, gross decon should be set up by the first arriving suppression closest to the incident where products of combustion exist
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, who establishes and oversees the gross decon area and process?
It shall be the Drivers responsibility to establish and oversee the gross decon area and process
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, who should be assigned to assist with decon if resources are sufficient?
An additional crew
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, how is the Gross Decond area designated?
By deploying an approved Decon Hose Line and marking the nozzle location with a GREEN (or if available an alternative colored) traffic cone
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, what shall the decon hose line include and what device is used to facilitate its use?
It shall include an in-line pressure regulator with a garden style hose and nozzle.
This set up can be facilitated with a 2.5 to .75 (2 1/2 to 3/4) (GHT) reducer
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, when shall all fire personnel that were exposed to products of combustion perform gross decon?
prior to entering rehab or leaving the incident scene.
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, when may personnel needing decon go off air?
After rinsing the exterior portion of the PPE, they may go off air and begin to doff PPE.
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, what is left in the “prepared drop zone” and where is it located? What is suggested to be used to designate this area?
All PPE, other than bunker pants and fire boots shall be left in a prepared drop zone, which shall be located in the warm zone, remote and downwind of the rehab zone due to off-gassing PPE.
Placement of tarps of salvage covers is suggested to designate this area
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, what should personnel do to decon as they move away from exposed gear/drop zone and toward the cold zone
Use department approved wipes for a gross cleaning of their head, neck, face, hands, and other exposed areas as deemed necessary.
Running water (e.g. hose bib) with department approved soap/cleaner for the same body areas is an option method for on scene gross cleaning
This is NOT a substitution for a thorough “Shower within the Hour
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, personnel must resist the urge to consume food or hydrate until when and they are where?
Until the gross decon is completed and they have entered a clean rehab area (cold zone)
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, what shall personnel do with their remaining gear upon reporting to rehab?
Personnel shall lower their bunker pants to allow for rapid cooling and increase the distance between off gassing contaminated gear and their groin and respiratory system
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene:
True of False: To minimize any off-gassing in the apparatus cab while returning back to the fire station it is required that all PPE be bagged at the scene using department approved bags that are at least 6mm thick prior to leaving the scene
False. It is “recommended” to do all of this…
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, personnel determined by the IC of Safety officer to have been exposed to IDLH products shall have what items exchanged on the scene? Who normally handles this exchange?
Shall have their hood and fire gloves exchanged prior to leaving the scene. This is typically done with the BC that responded to the scene
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, how is PPE exchange handled in the event that an incident requiring structural PPE use did not require the need of an IC or response by the BC?
The officer in charge of the assigned unit will be responsible for determining this, and will make contact with the on-duty BC to make exchange of applicable PPE
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, Post-Fire, Fire Investigators, what PPE will be required for investigators?
The must adhere to respiratory and personal protective clothes requirements to protective against exposure…It is strongly recommended that they all wear SCBA or respiratory masks. The min. recommendation is using P100/VOC combination filter half mask, and should also include monitoring for CO, HCN, O2, VOC’s and formaldehyde.
According to OPM 400.03-2, Post Fire Gross Decontamination, Gross Decon Post Fire on Scene, how should fire investigators be deconned one their investigation is completed?
They should undergo the same Gross Decon process as perviously noted, including changing out of coveralls or exterior exposed clothing.
They’ll also shower within the hour, at home or (preferably) at the fire station closest to the scene.
