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07. Order Book > Order Book Article 24 - Sheet1 > Flashcards

Order Book Article 24 - Sheet1 Flashcards

1
Q

From the Order Book:

What company is an EMS unit affiliated with?

A

The company in which it is quartered.

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2
Q

From the Order Book:

What is the on duty platoon commander responsible for in regards to an EMS Unit?

A
  1. They are the unit’s immediate superviser and beginning of this unit’s chain of command and they are responsible for all administrative duties for those members.
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3
Q

From the Order Book:

Who is responsible for the supervision of an EMS Unit’s Pt. Care, Protocols, and EMS Operational issues arising in the field?

A

EMS Batt. Supervisor

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4
Q

From the Order Book:

Who is designated the ACIC?

A
  1. Person with the highest certification level. 2. Member possessing the greatest seniority at that certification level
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5
Q

From the Order Book:

What must a member carry on an EMS unit at ALL times when on duty? What must all members have upon reporting for duty?

A

All required Credentials (PAT, Drivers License, CPR and ACLS, DOH card, etc). In addition, Members shall report for duty clean, with all PPE, and in the proper uniform.

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6
Q

From the Order Book:

All employees hired after Jan 1987 must maintain what certification, at a minimum, for the duration of employment?

A

Emergency Medical Technician; Members whose job classification requires higher certifications are required to maintain those as well

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7
Q

From the Order Book:

How often do DOH certifications expire? What does an expiration for any credential mean to an employee’s ability to perform their job?

A

DOH expires every 2 years and there is no provision for grace periods or extentions. Expiration of a card establishes the last day member may legally serve in that capacity.

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8
Q

From the Order Book:

How much time before an expiration date shall a member notify their immediate supervisor? How many oppotunities will a member be afforded to complete a recertification course for a card renewal?

A

Notify Immediate Supervisor 30 days prior to arrival; Member shall be afforeded 6 opportunities to complete recertification course.

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9
Q

From the Order Book:

What Office shall keep up-to-date records of certification card expiration dates for all members in the department? How much time shall a member receive notification prior to expiration?

A

EMS Training Office and Member shall receive notice at least 15 days prior to expiration.

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10
Q

From the Order Book:

What shall the Company Officer do if a member is not scheduled for the appropriate refresher?

A

Phone the EMS Training Office, and make a journal entry to document that the EMS Training Office and appropriate Batt. Commander were notified.

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11
Q

From the Order Book:

What shall a Company Officer do for each members EMS Certifications? How often shall they check for the physical presence of the cards of members assigned to their command?

A

Company Officers shall maintain up to date records of the status of each member’s EMT/EMT-I/Paramedic/ACLS/CPR and at the beginning of each shift shall ensure that a minimum of one licensed EMT/CPR cardholder is on duty at all times. Company Officers shall check for the physical presence of all EMS Certifications on the first days of JAJO that their shift is scheduled to work.

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12
Q

From the Order Book:

How many separate call-ins may a Single Role Provider use without a physician’s certificate?

A

MAX of 3 seperate call-ins for SL in a 12 month period

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13
Q

From the Order Book:

What is Sick Leave Restriction for a Single Role Provider and how long does it stay in place? When and How must a member be notified that they are at risk of being placed on sick leave restriction?

A

After the member has used 2 of their call-ins, they will be notified in writing that they are at risk for being put on sick leave restriction. Sick Leave restriction requires a physicians certificate or Form SF-71 and will remain in effect for a 12 month period.

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14
Q

From the Order Book:

When must a Single Role Provider provide a signed medical certificate or Form SF-71? What may happen if the member is unable to provide the aforementioned documentation?

A

When a member remains on SL beyond a 3 day period or when that member is placed on SL restriction. Member without documentation may be charged with AWOL and/or diciplinary action.

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15
Q

From the Order Book:

How must EMS Providers maintain themselves at all times?

A

Courteous and Professional manner at all times

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16
Q

From the Order Book:

Are T-shirts appropriate outerwear for EMS units?

A

No

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17
Q

From the Order Book:

What shall EMS Providers check at the beginning of each shift? How and when shall deficiencies be documented?

A

All equipment and supplies. Deficiencies shall be noted in teh journal, to the platoon commander, and on the appropriate 54s. 54s shall be completed at the beginning of the shift.

18
Q

From the Order Book:

When a member remains on SL beyond a 3 day period or when that member is placed on SL restriction. Member without documentation may be charged with AWOL and/or diciplinary action.

A

At 500 psi preferably at off-peak hours between 0100-0900

19
Q

From the Order Book:

When shall medications due to expire be evenly exchanged with newer medications (when available)? When are medications that do not have a specific day in the expiration date considered to expire

A

Meds due to expire shall be evenly exhcanged with newer medication 30 days prior to expiration. Items that do not have a day are considered to expire the first day of the month.

20
Q

From the Order Book:

What shall occur if there is an inadequate supply of non-expired medication?

A

On-duty company commander and Batt. Superviser shall be notified IMMEDIATELY

21
Q

From the Order Book:

What is a FD Form 54.4 and when shall it be completed?

A

Medication (Rx) Due to Expire Checklist and it shall be completed on the first day of the month and immediately reviewed by the on-duty company commander.

22
Q

From the Order Book:

Who will pick up expired medications and how often? Whose resonsibility is it to package the expired medicaitons properly?

A

The Logistics Van Driver shall pick up expired meds on a monthly basis. Proper packaging shall be the responsibility of the EMS provider doing daily inventories.

23
Q

From the Order Book:

When shall refueling of EMS Vehicles Occur?

A

At or below 1/2 tank and preferably during off-peak hours (0100-0900 hours)

24
Q

From the Order Book:

What condition shall EMS Units be kept in? How often shall they be cleaned?

A

Unit will be kept clean and neat at all times. Exterior washed daily; interior periodically as needed.

25
Q

From the Order Book:

If an EMS unit is in an accident what shall occur? What shall occur if they are transporting?

A

ACIC notified OUC placing the unit OOS and requesting a BFC, SAFO, and EMS Batt. Supervisor. If transporting a non-critical Pt, then request an additional EMS unit. If transporting a critical Pt and vehicle has minimal damage and is drivable, instruct other party to remain on scene for BFC, complete transport, and return to scene OOS when transport complete.

26
Q

From the Order Book:

Who can give approval for an EMS Unit to report to FMD, EMS Equip Repair Shop, Radio Shop, or Med Supply?

A

…without prior approval through thr Company Officer and/or EMS Batt. Supervisor

27
Q

From the Order Book:

What shall be recorded in the Unit Journal?

A

All Activities, entries shall be neat and legible. Members assuming duty shall immediately enter their names and positions in the company journal. Names of Pt shall not be entered in the journal and HIPAA shall be strictly followed.

28
Q

From the Order Book:

How quickly must a provider on an EMS unit status en route?

A

1 minute

29
Q

From the Order Book:

What shall EMS Units on Working Fire Dispatch do?

A
  1. Monitor TAC channel for fireground 2. Position unit as to not get blocked in by incoming units 3. Establish first aid station (near rescue squad or where otherwise directed) 4. Report location to EMS Batt. Supervisor or IC
30
Q

From the Order Book:

How quickly should EMS units return to service? How much time shall EMS Units be afforded at the hospital?

A

Return to service without undue delay. Max of 30 minutes at the hospital with OUC updates at 20 minute intervals.

31
Q

From the Order Book:

How shall an EMS Unit be placed OOS?

A
  1. If OUT of quarters notify EMS Batt. Supervisor by radio. 2. If IN quarters notify Company Officer, if he/she is out BFC shall be notified. 3. No EMS unit shall be placed OOS without prior authorization. 4. Company officer or Batt. Supervisor shall be responsible for notifying OUC and respective BFC when unit is going out and back into service.
32
Q

From the Order Book:

Where are Patients to be transported on EMS Units?

A

All Patients are to be taken to the nearest open hospital emergency department whose capabilities includes the level of care required for that particular patient…unless otherwise directed by an EMS Officer.

33
Q

From the Order Book:

What priority patients require hospital notification? What is the only hospital outside of DC that does not require approval of Batt. Supervisor? What priority Pts does this apply to?

A
  1. All Priority 1 transports require hospital notification PRIOR to transport. 2. PGGH priority 1 patients do not require Batt. Supervisor approval. All other hospitals outside of DC require batt. supervisor approval.
34
Q

From the Order Book:

Where are DCFEMS Injured or Ill Members transported during business hours? Where do they go during non-business hours?

A

PFC during business hours; A-K = Washington Hospital Center (H13) and L-Z = Providence Hospital (H10)

35
Q

From the Order Book:

What shall occur for any patient in the custody of law enforcement? What must occur to deviate from this?

A

ACIC shall request law enforcement officer to accompany transport in back of ambulance and receiving hospital shall be notified prior to arrival. Any deviation from this policy requires contacting FEMS or MPD Supervisor.

36
Q

From the Order Book:

What radio terminology can be used when a scene rapidly deteriorates, or the safety and well-being of the patient and/or personnel is in doubt.

A

10-33

37
Q

From the Order Book:

When shall positions be rotated on an EMS unit?

A

Each 12 hours or each tour of duty at a minimum.

38
Q

From the Order Book:

Who is responsible for patient care?

A

Regardless of position assigned, all providers remain responsible for patient care.

39
Q

From the Order Book:

Are most needlesticks avoidable? Where shall sharp objects shall be placed?

A

Most needlesticks injuries can be avoided if needles are disposed of properly. Sharp objects shall be placed in SHARP Containers

40
Q

From the Order Book:

What happens with SHARPS Containers when they are full?

A

SHARPS Containers when full and sealed may be placed in medical waste boxes.

41
Q

From the Order Book:

What can be placed in the Medical Waste Containers? Whose responsible for ensuring only medical waste is placed in the medical waste boxes?

A

The company officer is responsible that only medical waste is palced in medical waste boxes and the boxes are properly prepared for removal. 1. Rubber Gloves 2. Face Masks 3. Soiled Gauze 4. Bloody Dressings 5. Nasal Cannulas 6. IV Tubing 7. Closed and Sealed SHARPS Containers 8. Any Item soiled in Blood or Body Fluids

42
Q

From the Order Book:

What is the process for closing a medical waste box?

A
  1. taped covering all seams 2. red biohazard bag placed in box 3. when the box is 3/4 full, red bag closed by twisting top, doubling it over, and taping the top 4. Cardboard then taped shut 5. Boxes must not be wet or leaking

07. Order Book (31 decks)

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