OPS Manual Rehab and Heat Stress

Question 0

The IC shall establish rehabilitation services at?

Answer 0

• Rehab on 1st Alarm fires shall be initiated by the IC and may be managed by the 1st Alarm assignment at the discretion of the IC.
• Hazardous Materials incidents requiring Level “A” entry and extended Level “B” entry
• Multiple alarm incidents (automatic as part of the second alarm dispatch)
• Any departmental activity, which requires prolonged strenuous physical exertion (i.e. major training exercises).

Question 1

When practical, drinking ____________ of water prior to strenuous activity is a good idea

Answer 1

8 - 10 ounces

Question 2

When it is not possible for the entire crew to report to Rehab simultaneously, the Company Officer SHALL ensure that those crew members not reporting initially are evaluated in Rehab prior to ___________or ______________?

Answer 2

reassignment, or before leaving the scene.

Question 3

Personnel shall relax, rehydrate, and recuperate for a minimum of __ minutes before the medical screening.

Answer 3

15 minutes

**The rehab packet mentions 15-20 minutes of rest

Question 4

Personnel shall report any medical complaints/injuries to the _____________ upon arriving at ________?

Answer 4

Medical Officer; Rehab

Question 5

If personnel are reassigned to prolonged, physically strenuous activities, they shall return to Rehab prior ______________?

Answer 5

to leaving scene

Question 6

Although the County Zone Ops Policy does not include ____ reading in the rehab assessment, SDFD Wellness Physicians and the City Medical director opine that this vital sign is an important assessment tool and should be assessed.

Answer 6

Blood Pressure

• ALL SDFD will have their BP checked

Question 7

Whats the max amount of times we can check a firefighters vital signs before a disposition is made?

Answer 7

Three times, with 15 minutes of rest each time.

Question 8

Abnormal vital signs criteria for firefighters in rehab?

Answer 8

HR >100/min

Respirations >30/min

BP: Systolic >160 or <100 or diastolic >100 (SDFD personnel only)

Temperature (oral and tympanic) >101 F

CO reading > 15%

Question 9

What to do if a firefighter has a C/C on an incident?

Answer 9

• Rehab officer should have Management of the patient
• Request a medic ambulance
• transport to a city’s contracted facility or by the “physician of record”
• consult with BH to see if employee can return to active-duty, if they have benign complaint
• once determined medically “unfit for duty” by the Medical Officer and IC, clearance from a city-contracted physician is needed to return.

Question 10

Medical decisions at incidents, on behalf of firefighters, is made how?

Answer 10

Case-by-case basis with fire and rescue personnel in mind.

Question 11

Rehab packet:

What do you do with the completed forms?

Answer 11

Seal completed forms in rehab envelope and send to Fire HR.