Oral Board Generic Response Flashcards

1
Q

For all of these you can use this to begin. Read the questions through twice to make sure you didn’t miss anything. Most questions are not just what they ask on the surface. You can always expand them to show you know more.

A
  • I will ensure that my crew dons the proper PPE for the event (consider saying structural PPE if it is suppression related).
  • I will hit enroute and ensure that all crew members are seat belted.
  • I will ensure proper operations channel and locate the address.
  • I will give my driver turn by turn directions and identify a water supply if needed. I will look up preplans and any pertinent information associated with the event.
  • Upon arrival I will position in a fend off position, providing a buffer zone of safety.
  • I will give an on scene report to the incoming BC/other units.
  • I will assess the nature of the incident, need for additional resources (upgrade it to proper event), request an alternate radio channel (if necessary), and establish command (if you are first arriving unit).
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2
Q

At the end if you run out of stuff you can always recap. This jogs your memory sometimes. You can also always have a debrief prepare.

A

I will ensure that all personnel and equipment are deconned and prepared for the next incident. Upon returning to the station I will unsure the comfort, health, and safety of my crew. I will monitor my crew for any behavioral changes and provide resources as needed. I will complete my FireRMS, exposure, and SIR report as necessary.

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3
Q

Elevators

A
  • Determine if emergency or non-emergency response category
  • Consider technical rescue assistance (victim in shaft, injury while trapped)
  • Request assistance of qualified elevator mechanic but DO NOT DELAY taking action
  • Identify the type of elevator (traction, belted, hydraulic)
  • Locate the position of the stalled car relevant to the hoistway opening.
  • Determine the condition of the occupants
    • Communicate and reassure occupant
  • Can the occupants self-rescue with power remaining on?
  • Activate elevators in Phase I to attempt recall
  • Instruct occupant to engage the ‘door open’ button while FF on landing presses the hallway hold button
  • Send FF with radio to the machine room to standby
  • Determine the car number
  • Ensure car is not moving
  • Once these items have been determined, the next step should be to determine if car movement is present
    • If car movement is present, turning off the power may cause uncontrollable motion of the car. The car may travel upward until the counterweights reach their terminal position, striking the buffers. Occupants of the car may be severely injured or killed
    • If there is car movement and no emergency exists, you must await an elevator mechanic
    • If car movement exist, no fire department members shall get on or into the car.
    • Once the elevator car has stopped moving, the power may be secured and the occupants removed
  • Turn off, then immediately on power to elevator car to attempt recall
  • Shut down and secure power to stalled elevator (lock out/tag out)
  • Ensure proper PPE (helmet, gloves, life line belt) and lifeline if working around open shaft
  • If shaft opening exists below, place ladder horizontally around opening
  • Gain access to hoistway (drop over key, pole down/across/up, blind shafts)
  • Gain access to stalled car (polling tool, gloved hand)
  • Assist occupants out of stalled car
    • Treat and transport, if ill/injured
  • Secure scene to prevent further use of problematic elevator
    • Place OOS sign on elevator and call button
    • Advise to keep OOS until serviced by qualified mechanic
  • Secure elevator machine room
  • Place FD Action tag on elevator power switch
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4
Q

High Rise- 1st Engine Responsibilities

A
  • Position out of way and view as much of the structure as possible
    • note of fire/smoke location
    • number of floors
    • conditions evident
    • persons in distress
    • note wind direction and strength
    • advise of odd building configurations/layouts
  • Review preplan
  • Bring rapid entry keys (e.g., Knox) and retrieve building keys in fire control room or other designated location.
  • Abandon the rig – 4 personnel proceed to the lobby to continue size-up
    • PPE/SCBA
    • Standpipe packs
    • Accessory bag/ irons/ radios/ handlights/ TIC
  • Ascertain as much information as possible from fleeing occupants or building engineer
  • Check the annunciator panel to determine what has activated: circle
    • If fire, request second alarm, RIT Level 2, and announce Base location
  • In a commercial high-rise, check the building directory located in the lobby for the occupancy type on the floor(s) involved.
  • Recall all elevators.
  • Determine the elevator and stairwell that is used to proceed to the fire floor and confirm that the doors from the stairwells to the floors above are unlocked.
  • Determine status of elevators, HVAC, and evacuation
  • Identify ATTACK stairway
  • Proceed to the reported fire floor, along with the crew of 1T, 2E, and R
  • Identify and verify fire floor
  • Stop two floors below the fire floor and use the stairs for the remainder of their ascent to the fire floor. No more than two companies should be in the elevator together. If the fire is reported to be six floors above ground level, or lower, personnel should walk up.
  • Conduct assessment of the floor below, noting the layout, and advise
  • Announce via radio to which floor the crew has gone and the stairwell used to get there.
  • Once on the fire floor, 1T or R uses tag line to locate fire (ensure 2 in/2 out)
  • Engine connects to standpipe. Chooses appropriate line (1 ¾” vs. 2 ½”)
    • Calls for water. Masks up. Ensure straight stream pattern
  • Proceeds down hallway, checking plenum space with TIC
  • Confine and extinguish fire
    • Search as we go
    • Crew integrity
    • Preserve evidence
    • Hydraulic ventilation
    • Salvage/ overhaul
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5
Q

High Rise- 5th Engine Responsibilities

A
  • Report to command post
  • Then report to lobby and assume LOBBY CONTROL
    • 1- Unit tracking/recording
    • 2- Elevator operations
      • Recall- Phase II. Staff with FF. Stop at level of staging
    • Building system control
      • HVAC
      • fire pump
      • fire alarm
      • fire phone
      • comm system
    • Stairwell identification
      • Attack
      • Evacuation
      • Ventilation
    • Coordinate civilian evacuation
      • With fire phone- communicate evac stair location or protect in place

Coordinate large room for holding (bathrooms, eating?)

Distribute Keys

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6
Q

Inland Water

A
  • Perform risk/benefit analysis to determine placement of staff in moving water
  • On-scene report
  • Complete 6 sided size-up
  • Situation report (determine location, #, and condition of victims)
  • Secure witnesses to obtain add’l info
  • Establish command
  • Mark water level and continually check for rise/fall
  • Determine size/scope of incident, # persons in distress
    • Determine if rescue vs. body recovery
  • Request additional water rescue resources and stage
    • TROW, Swift water, Tower ladder, Police Dive Team, Helicopter
  • Isolate/deny entry of civilians (fire line tape around perimeter)
  • No structural PPE, and PFDs for all staff 10’ from water
  • Maintain accountability by tracking units/personnel
  • Conduct upstream/downstream recon
    • Position upstream spotters
    • Position downstream safeties
    • River L and R Divisions
  • Build out command structure (SAFO, Marine Branch, Up/down stream group/division)
  • Identify hot, warm, and cold zones
  • Consult preplan and communicate boat launch location to responding boats and tower
  • Staff RIT boat
  • Apply Reach/throw/row/go/helo principles
    • Use line-gun, rope throw bag, extension ladder
  • Water type specific tasks:
    • If ice, two cones in between (mustang suits, switlick sled)
    • If ice, place hands directly on ice
  • Position tower for aerial rescue
  • Decon staff who entered water to remove hazmat/biological hazards (Gross decon)
  • Conduct PAR
  • Prepare for transition of command upon arrival of chief
  • Go into community to discuss dangers of water and safety items
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7
Q

Metro – 1st Engine

A
  • Arrive, on scene report, proceed with full crew to Kiosk
  • Park at main entrance of reported station
  • Consult pre-plan
  • Relay water supply information to 2E
  • Wearing all PPE, proceed into station with full crew, high-rise packs, Metro bag/chalks, Knox box keys, HOT STICK, hand tools, and flashlights
  • Assist in the evacuation of metro patrons from inside the station
  • Make contact with senior metro official and Fire ROCC Liaison and determine:
    • Nature/location of incident
    • Status of 3rd rail power
    • Status of train movement
    • ETA of Metro IC
    • Location of required keys
  • SITUATION REPORT
  • After updating BFC, proceed to incident location with 1T as RECON GROUP
  • Recon group initially established at KIOSK or entry point (drop off passport)
  • Prior to entering track bed:
    • Get permission from IC
    • Metro OCC confirms all power down
    • Metro OCC confirms no train movement in area
    • 3rd rail is physically tested by FRD and confirmed down
  • ACCESS- Locate emergency and announce best access point
  • Once at scene, advise on:
    • Nature/severity
    • Assistance required
    • Chain marker location
    • Standpipe identification
    • Evacuation/triage/treatment/alternate access points
  • CONTROL- Extinguish fire, mitigate hazards, control victims
  • RESCUE- Any trapped victims
    • Monitor patient movement
  • EVACUATE & EMS- Triage, treat, transport, and track all patients
  • Position flaggers 750’
  • WSAD 500’
  • Take action to mitigate incident
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8
Q

Metro – 3rd Engine

A
  • Arrive and proceed to KIOSK and assume COMMAND
    • Request additional resources and est staging
  • Assign crew to perform:
    • Interim accountability and unit tracking
    • Entry control
    • Station evacuation
    • Conference line maintenance
    • Fire alarm system monitoring
    • Station communication systems
    • Closed circuit television monitoring
  • Confirm water supply and RIT establishment
  • Make contact with OCC, senior Metro official/Metro Police, and Fire ROCC Liaison
  • Develop overall strategy:
    • Access – Locate the emergency and find the best access to the site.
      • Nature/severity
      • Assistance required
      • Chain marker location
      • Standpipe identification
      • Evacuation/triage/treatment/alternate access points
    • Control – Control the emergency; manage the victims, remove the hazards, extinguish any fires, ventilate, and organize the scene.
    • Rescue – Rescue any entrapped victims.
    • Evacuate and EMS – Evacuate the site and provide emergency medical care as needed.
  • Once relieved of command, become KIOSK CONTROL GROUP SUPERVISOR

Flaggers 750’

WSADs 500’

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9
Q

Mid-Rise – 1st engine

A
  • Position in proximity to the building so as to not block access by other apparatus.
  • Determine water supply.
  • View as much of the structure.
    • fire/ smoke location
    • conditions evident
    • # floors
    • persons in distress.
  • If treating as High Rise, add 5th engine and proceed with full crew
  • Bring rapid entry keys (i.e., Knox) and retrieve building keys in fire control room or other designated location.
  • Check the status of elevators and HVAC systems
  • Check the annunciator panel before proceeding to the reported fire floor/area to verify location and extent of the fire.
    • If fire, request second alarm, RIT level II, and establish base area
  • Proceed to the fire floor (1st, 2nd, 3rd, or below grade= stretch pre-connected line)
  • Identify attack stairway
  • Elevators shall not be used by first arriving companies
  • Proceed to the reported fire floor, along with the crew of 1T, 2E, and R
  • Identify and verify fire floor
  • Conduct assessment of the floor below, noting the layout, and advise
  • Announce via radio to which floor the crew has gone and the stairwell used to get there
  • Once on the fire floor, 1T or R uses tag line to locate fire (ensure 2 in/2 out)
  • Engine connects to standpipe. Chooses appropriate line (1 ¾” vs. 2 ½”)
    • Calls for water. Masks up. Ensure straight stream pattern
  • Proceeds down hallway, checking plenum space with TIC
  • Confine and extinguish fire
    • Search as we go
    • Crew integrity
    • Preserve evidence
    • Hydraulic ventilation
    • Salvage/ overhaul

1 Determine fire floor

2 Verify fire floor

3 Control occupants

4 Control building systems

5 Confine and extinguish fire

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10
Q

MCI Manual- 1st Engine (Triage Unit Leader)

A

The first arriving suppression unit is to recon the situation, perform 5 S’s, and establish command

Safety

Scene safety- block roadway

Declare MCI and stage incoming units

Mitigate IDLH and warn incoming units of hazards

  • Ensure PPE/BSI

Size-Up

Ascertain type of incident Water supply

Determine number of patients Protect environment

Determine severity and type of injuries Level III highway emergency

Determine best scene access Restore normal traffic flow

Send Keep as many lanes open

Give a situation report Preserve evidence

Request MCI Task Force level.

Request additional resources

Notify RHCC and provide a situation report (channel 49-A)

Set Up

Establish and maintain command EMS BRANCH

Establish a unit staging area

Establish EMS Incident Operations

o Establish Triage operations utilizing the first available suppression unit

o Establish Transport operations using the first available EMS transport unit

o Set up scene access and egress.

o Establish the Treatment Area.

  • Announce Patient Intake Point (PIP) Evac Corridor (EC)
  • Announce Casualty Collection Point (CCP)
  • Announce the Patient Exit Point (PEP)
  • Establish perimeter with fire line tape

START/ Jump START (Simply Triage and Rapid Treatment)

  • All patients get colored ribbon (>1 min/pt)
  • All walking wounded (green)- send to Green treatment area
  • Utilize iPAD patient tracking software (triage tags)

Assume duties of TRIAGE UNIT LEADER

  • Communicate accurate patient numbers/colors
  • Anticipate secondary devices if WMD
  • Don vest
  • Use Command Board #1, Triage Unit Leader
  • Staff Porter Units
  • Monitor FRD crews for readiness/rehab/mental stability
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11
Q

Operations Procedures for Highway Incidents- Global Priorities

A
  • Establish a safe operating area
    • Shut down road
    • Cones/ flares/ 100’ taper length
    • Turn off vehicles. Chalk wheels. Parking brakes.
    • Stabilize vehicles w/ step chalks
  • PPE, helmet, and traffic vests for all personnel
  • Provide emergency care and transportation of the sick or injured.
  • Establish water supply
    • Hose line
    • Dry chem extinguisher
  • Protect the environment.
  • Restore normal traffic flow.
  • Keep as many traffic lanes open as possible.
  • Preserve evidence for investigators.
  • Use the ICS/Unified Command System to manage resources.
  • Review water supply pre-plan for highways
  • Tanker Task Force- water supply on highways
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12
Q

RIT Command and OPS Manual – 4th Due Engine- RIT

A
  • Establish secondary water
  • Report to the Command Post and confer with the IC
    • Confirm locations of all units
    • Preplan
  • Take a strategic position based on type of structure and fire involvement.
  • Establish/stage RIT tool cache:
    • Hand-lights and radios Saws
    • F/E tools Packaging devices
    • Tagline and/or search rope Supplied air availability
    • RIT Pack and Pak Tracker (turn both “on”)
    • TIC
  • Dedicated RIT hose line
  • Take a recon lap.
    • Forecast potential rescue problems.
    • Determine all access points
    • Throw ladders.
    • Determine most rapid access to units operating in hazard zone
    • Forced entry and breach walls
    • Assess building construction features.
    • Update command with findings from recon lap
  • Monitor tactical and safety channel(s) radio traffic.
    • Radio discipline
  • Ensure crew accountability/PAR
  • Prepare to react to a Mayday event
  • Become RIT Group Supervisor- develop Rescue Action Plan

The Initial RIT shall:

  • Placement of ground ladders to support egress
  • Placement of lighting to illuminate a point of egress.
  • Force open exterior doors to improve egress opportunities.
  • Remove any windows obstructions in the operational area such as bars, security screens, casement window frames, etc.
  • Confirm utilities have been controlled.
  • Perform ongoing evaluations of the incident.

WHEN ACTIVATED?

  • Search for and locate lost/trapped firefighter.
  • Remove the firefighter to a safe location or provide an air supply.
  • Communicate with command on resource required to protect and rescue the trapped firefighter (1/3 air to enter, locate, work. 1/3 air to exit. 1/3 safety margin)
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13
Q

Flammable Liquids

A
  • Block/ scene safety
  • Position uphill/upwind direction
  • Determine water supply status
  • Preplan
  • Establish command (o/s, sit rep, prog)
  • Isolate/ deny entry
    • Identify hot/warm/cold zones (fire line tape)
  • Perform size-up and identify obvious life hazards
    • Note smoke, vapor cloud, active leak, odors
  • Make contact with responsible party/ facility rep to determine current situation and actions taken prior to FRD arrival
  • Give on-scene report, request resources, and identify staging location
    • Hazmat Team
    • Tanker TF VDOT
    • Foam TF Police
    • ARFF Strike Team
    • Fire Investigator/ Clean-up contractor
  • Perform RECON of suspected leak/spill/fire
    • Ensure PPE, detection equipment, binoculars, thermal imager
    • Intrinsically safe equipment
  • Control ignition sources
  • Initiate hazard protection measures
    • Identify and protect exposures
  • Ensure Two In/Two Out
  • Binoculars > Placards > ERG > Determine initial isolation zone
    • Identify product
  • Determine life hazards and if leak can be controlled/contained
  • Declare operating mode: offensive, defensive, non-intervention
  • Communicate recon findings to IC
  • 4 Ss: Safety, Size up, Send, Set up (then START if pts)
  • Do not approach until product identified
  • Burning tanker truck- allow to burn. Protect exposures
    • Dam/dike to limit running spill fire (storm drains)
    • Mercury monitor (uphill upwind attack, un-staffed)
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14
Q

Tanker Truck Incident: 4 S’s

A

Safety

  • Scene safety.
  • Stay back and check out the situation slowly and carefully before doing anything.
  • Position apparatus uphill/upwind.
  • Stay away from wet areas or spills.
  • If vapors are suspected, maintain a safe distance
  • If no release is detected, look for people who are ill or unconscious.
  • Do not approach unless product is identified
    • Binoculars > Placards > ERG > Determine initial isolation zone
  • Mitigate IDLH

Size-up

  • Determine incident type: fire, spill, fire with spill.
  • Get information from people on the scene
  • Determine size and scope of incident, type/number of patients/ vehicles
  • Determine best scene access.
  • Determine water supply.
  • Protect exposures- tractor portion of the rig
    • Dike around vehicle to limit running-spill fire/ storm drains
  • Use master streams or other unmanned heavy caliber streams
  • Attack from high ground with the wind at your back
  • Check for overhead wires
  • Flush the fire away from exposures and into less hazardous areas
    • Use Foam (AR-AFFF)

Send

  • Give a situation report
  • Request Addition resources
    • Hazmat Team
    • Tanker TF VDOT
    • Foam TF Police
    • ARFF Strike Team EMS TF
    • Fire Investigator/ Clean-up contractor
  • Initiate evacuations as needed
  • Warn any incoming units of hazards.

Set Up

  • Establish command
  • Declare operational mode: offensive, defensive, non-intervention.
  • Establish a staging area.
  • Set up scene access and egress and set up a perimeter using fire line tape
  • Establish an isolated holding area for personnel or victims who become contaminated.

Patient Triage

  • START Triage- Triage Unit Leader. RHCC. Treatment area. Transport Area
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15
Q

Inside Gas Leaks

A
  • 2 engines, 1 truck/rescue, 1 medic, and 1 BFC
  • The following tasks shall be completed:
    • Citizen evacuation
    • Atmospheric monitoring
    • Exposure protection and extinguishment
    • Hazard mitigation
    • Ventilation
  • Ensure full PPE, SCBA, and bump test meters while responding
  • Do not park in front but establish water supply
  • Establish command > situation report
  • Establish collapse/explosion zone
  • Re-con to determine location/extent of leak
  • Consult with on-scene supervisor, contractor, etc
  • Request additional resources
    • Hazmat Response
    • Utility (Gas) company
    • EMS TF
  • Turn off all intrinsically un-safe equipment
  • Eliminate ignition sources
  • Establish hold/cold zones (isolate/deny entry)
  • When confronted with an IDLH, establish RIT
  • Check exposures, primary search, monitor air quality
    • Evacuate area
  • Crack open doors to obtain readings with meters prior to entering
  • Locate leak
    • Isolate
    • Turn off appliance
      • Remove gas and electrical power
    • Mark OOS
    • Place FRD action tag on appliance
  • Ventilate all areas
  • Ensure safe air quality
  • Check rooftop HVAC units, if equipped
  • Advise owner not to restore utility until fixed by certified technician
  • Treat and transport ill patients (RAD-57, Mt Vernon hyperbaric chamber)
  • Rehab personnel if inside IDLH
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16
Q

Water Supply Manual

A

1st Engine- add 5E & Tanker TF. Identify dump and fill sites. Communicate water supply plan. Layout from end of driveway (drop Siamese). Advise mode of attack.

1st Tanker- Pump water to 1E thru Siamese. Drop pit, hard sleeve, add’l Siamese, jet siphon, and low level strainer @ dump site with 2E driver/rig and 3Ecrew. Once draft is establish drop remaining water in pit and shuttle between fill and dump sites.

Water Supply Group Supervisor (WSGS)

  • Supervision of the Water Supply Group
  • Consult preplan
  • Establishing the fill sites, dump sites, shuttle routes, and/or relay operations in both hydrant and non-hydrant areas.
  • Determine water supply needs of the incident.
  • Keep command appraised of the amount of water available
  • Coordinating traffic control
  • Ensuring tankers get priority at the fill and dump sites.
  • Ensuring adequate resources are available to support the water supply group.
  • Alternate radio channels for the water supply operation.
  • Calculate shuttle routes of tankers to ensure most efficient travel route(s)

Dump Site Unit Leader- 3rd Engine crew (2nd engine apparatus + driver)

  • Locate at end of driveway
  • Manage and set-up the dump site. Becomes DSUL
  • Keeping WSGS apprised of the amount of water available
  • Coordinating traffic control
  • Ensuring that tankers get priority at the dump sites.
  • Ensuring units are dumped in the timeliest and safest manner possible.
  • Set up two drop tanks, jet siphon system, and low-level strainer
  • Do not waste water
  • Ensure proper PPE of staff

Fill Site Unit Leader- 5th Engine

  • Managing and set-up the fill site. Becomes FSUL
  • Keeping WSGS apprised of the fill site conditions
  • Coordinating traffic control
  • Ensuring tankers get priority at the fill sites.
  • Ensuring units are filled in the timeliest and safest manner possible.
  • Consider more than one fill site
  • Proper PPE/ Poss PFDs if open water source
17
Q

WMD Manual

A
  • Size up scene (weather, size/scope of incident, vapor cloud, occupancy)
  • Ensure scene safety
    • Mini Radiac pagers
  • Positioning uphill/ upwind
  • If explosion, stage a minimum of 500’ from where debris/damage is encountered
    • Full PPE/SCBA/Canberra rad-pager
    • Pre-plan water supply
  • Establish isolation/control/work zones – hot/warm/cold
  • Use proper PPE
  • Isolate/deny entry
  • Perform RECON
  • Binoculars > Identify device or placard > ERG > Determine initial isolation zone
  • Implement Time, Distance, Shielding principles
  • Be aware of secondary devices
  • Maintain accountability
  • Staff RIT
  • Ensure law enforcement checks for secondary devices and controls threats
  • Determine size of event and # patients
  • Request additional resources (Hazmat, TROT, Law enforcement, MCI alarm, Utility Co)
  • Notify DPSC, hospitals, health dept, EOC, VDEM, FBI, WMTA
  • Decontaminate and provide medical care
  • 5 Ss and perform START Triage **RHCC 49A**
  • Continually collect intelligence/information
  • Remove endangered victims Rescue viable patients
  • Initiate evacuation and/or protect-in-place actions
  • Participate in UC
    • Hazmat Branch, EMS Branch
  • Identify staging location and stage units
    • Do not part next to each other to prevent greater first responder casualties
  • Ensure outer-perimeter is established to restrict site access
  • Manage public information/media
  • Prepare for long-term incident
  • Protect the crime scene and evidence
  • DO NOT use radios/CAD/cell phones within 300’ of exploding devices
  • Decon, triage, treat, transport, and track all patients
  • Prepare ALS providers for possible use of biological antidote medications
18
Q

Joint Action Guide

A
  • While responding,
    • Encrypted radio channel
    • MCI alarm / notify RHCC 49-A
    • Staging area & base
  • Monitor assigned FD and PD channel(s)
  • Establish command and announce command post location (UC/P=Fire/EMS Branch)
  • Locate police IC and command post (collocate if possible)
  • Review pre-plan & access points
    • Identify hot, warm, and cold zones
    • Identify a casualty collection point (CCP)
    • Identify an evacuation corridor (EC)
    • Identify patient intake/exit points (PIP, PEP)
  • Ensure proper PPE and traffic vests/BSI precaution
  • Assign/staff 2 Rescue Task Force (RTF)
    • RTF will be first in once scene is declared WARM
    • Don ballistic gear- Perform risk/benefit analysis
  • Assign/staff Extraction Task Force (ETF)- traffic vests
    • RTF and ETF should use: Rapid Trauma Kits, Foxtrot litters, Ballistic Gear
  • Ensure PD force protection
  • Limit/consider crime scene contamination
  • Terrorism? Canberra Mini Radiac Pagers (Rad pager)
  • For WARM scenes, deploy Rapid Trauma Kits and carry devices. Focus on life-saving treatment and rapid patient extraction
  • For COLD scenes, deploy all routine equipment and initiate routine care
  • MCI? Perform 5 S’s, START triage, provide patient count/colors to command
  • Establish Medical Group> under Fire/EMS Branch
    • Assign 2EMSS= Transportation Officer
  • Triage, treat, transport, and track all pts
    • Use TECC while in warm zone
  • Helos
  • Additional radio channels
  • Ingress/egress for medic units
  • If HOT, evacuate area and seek safety
19
Q

TROT Manuals (Trench/ Confined Space)

A
  • Water supply/ on scene/ situation/ progress reports
  • Position uphill/upwind?
  • Command (name/location)
    • PPE/ SCBA
  • Position 150’ away
    • Hot 150, Warm 250, cold >250- fire line tape
    • Isolate/ deny entry. Removed uninvolved workers
    • Shut down vibration sources
    • Control gas/electric
    • Control ignition sources
  • Recon- Determine nature/severity of situation
    • Lost/trapped/body recovery
    • # trapped
    • Review preplan/ confined space entry permit
  • Request resources + staging
    • TROT and Hazmat Teams
    • Tower ladder
    • Utility Co. and Miss Utility
    • VOSHA
    • FRD K-9 Team, Police
  • Ensure ingress for responding units (entry/exit points)
  • Provide update sit report to TROT
  • Make contact w/ pt
    • PPV blower fan into space
    • Trench- Monitor trench for movement
    • Trench- Approach 4’ from ends only
  • Ensure Decon, RIT, and Rehab
  • Atmospheric monitoring w/ meters
  • UC- Rescue Branch, Safety Group
  • Triage, treat, transport, track all pts
20
Q

Administrative Items

A

Immediate Actions

  • Stop unsafe/ unlawful actions and apologize
    • Determine why arguing, intervene, and solve
  • Address zero tolerance issues
  • Treat injuries (per SOP 02.03.01)
  • Address scheduling conflicts
  • Ensure safety, comfort, and security to personnel, apparatus, and facility

Maintain Service

  • Ensure response readiness and ALS service delivery
  • Hold/recall/min staffing

Notifications

  • BFC, EMSS, UFO, SAFO, SICPO, Duty App, Facil Coor, St Cmdr, Vols,
  • PSO, FCPD, EEO, WPO, EMS QM, EMS RO, PSOHC, CRT, FiRST, WellFit
  • BFO, BTT, EAP, Risk, CPS, APS, LOGs/Warehouse

Investigate/ Determine Root Cause/ Document

  • Remain objective, ensure confidentiality, due process, and protect employee rights
  • Review/update Telestaff, FOCUS, logbook, pass on book, personnel file
  • Interview separately those involved and witnesses. Determine facts
    • Statements (317)
    • Supervisory notes
  • Review SOP
  • Review manual:
  • Complete injury/ accident packet
    • Take photos/ gather evidence
  • Draft memorandum of facts/findings to battalion chief by end of shift

Follow Up

  • Ensure no retaliation
  • Contact employee’s family as courtesy (if they agree). Get their vehicle home.
  • With employee on the following day, as well as every two weeks to ensure no patterns reappear
  • Work status of employee

Training Opportunities/ Corrective Actions/ Prevention

  • Conduct shift training to review policies, preventing reoccurrence
  • EAP Referral (HR-02 form)
  • Develop shift policy. Reiterate my expectations

Discipline

  • Facts, personnel files, confer with BFC- recommend progressive discipline