Policies 2020 Flashcards
Who is the clearinghouse for citizens complaints?
Operations and administrative services
Who is allowed to take or contact the complaint?
Lieutenant or higher officer
How is the 1st notification made in the chain of command for complaints?
Verbally to the DC or supervisor.
If not available then BC.for the complaints battalion.
What is a customer inquiry?
Inquiry - Request for information -
Lost item
Securing property
Gratitude
Obtain inform
GIS
Gratitude
Information
Securing property
What is a customer complaint?
Misconduct
Taking of property of value
Dissatisfaction with policy or procedures
When are statements with regards to citizens complaints necessary?
Statements are needed :
- Damage or loss of property
- Poor treatment
- Patient wishes- ie. Not securing residence or wrong transport location
- When the officer needs statements
Who gets contacted with finding of an investigation with regards to citizens complaints?
DC get contacted for findings of Citizens complaints
Who holds the records for citizens complaints and inquiries?
Fire rescue administrative secretary
Customer complaints regarding fire safety includes what types?
Codes
Overcrowding
Parking in fire lanes
Customer complaints with regards to matters of fire safety are ha fled by?
Community risk reduction and notification to DC or BC
Customer complaints concerning communication center go to who?
Communications center supervisor
Reportable events are defined as:
An occurrence during emergency calls, training, pub ed, emergency or non emergency situations
An IRE is defined as:
With regards to any Citizen, patient, fire rescue personnel:
- Harm caused by action or inaction
- Caused by equipment failure
- Immoral, unethical , or illegal action
- Cause for litigation
- Poltically sensitive
- Media scrutinization
An IRE is reported immediately to whom?
Supervisor
For expediency of an IRE notification is made how?
By telephone or face to face to the BC.
Who can place an unit OOS for an IRE?
BC or equivalent supervisor
A “DRE” is defined as:
Events that occur during emergency calls, training, pub ed, emergency or non emergency situations:
Potential to cause harm
Equipment failure that had potential but did not.
Who is responsible completing and submitting the DRE form and where does it go?
First person to report event and uploaded to sharepoint.
Who can participate in ride alongs ?
Students and observers
Definition of Student in regards to ride times?
Enrolled in an education program at an accredited facility that has an agreement with fire rescue.
To include: EMT and paramedic programs
Emergency medical responder
Training programs at secondary school of palm beach county.
Limitations of Student riders?
Only perform or assist in activities where proficiency has been verified by training facility.
No riding alone with pt’s in pt compartment
Logged in station log book
Wear uniform that training facility has issued
Not subject to duties outside of agreement
prior to riding, First time students on ride alongs must provide the following items:
Written verification of name, year/ class and status in program.
Background check and criminal hx
Written verification of. Proficiency in BSI
Have stethoscope, eye protection, mask and fit tested.
Written confirmation of vaccinations
Written verification of skill proficiency
Students may ride at what times?
School Students: 0700-1600
EMR students only 0900-1600
What forms are required by students to ride - legal documents?
Copy of Student/ observer ride time
Release of Liability and covenant not to sue.
Indemnification agreement
HIPPA confidentiality agreement
Insurance coverage
Who may ride as an observer?
Local Dr’s, nurses, PA’s, Nurse practitioners, and other medical students or professionals.
EMT’s or paramedics with other local agencies from their chief on letterhead
Individuals seeking employee or are in training
Others approved by the fire rescue administrator and FR HIPPA compliance officer
Observers paperwork differs from students in one way?
Application signed by FR HIPPA compliance officer
The preferred location for observers to ride is:
Battalion HQ’s unless otherwise specified in the approval process.
Students unable to keep ride times :
MUST notify the clinical coordinator of their facility in advance
And coordinator MUST notify the recruitment and human resource development officer
Observers unable to keep ride times:
MUST notify the recruitment and human resource development officer in advance.
Upon arrival the student or observer MUST report to who?
Operational captain and then paired with the LT.
Who may terminate a student or observers ride time?
Operational Captain
EMS captain
BC or DC
If a student or observers ride time is terminated who is then notified?
Deputy chief of operations is notified.
What is the dress code for Student riders?
Designated uniform by training facility
Badge or other identifying means
Observer dress code is:
White shirt- SS or LS
Black, dark blue pants
Black closed shoes w/ dark socks
Guidelines for Operational Capt and Lt with Students/ observers?
Let to obtain proper paperwork for student
Safe place to observe with seat belt
Introduce person to others in the station
Familiarity with apparatus
Log person in station logbook
Log person on ePCR’s for calls and treatments performed
Students will arrive at ride time with what equipment?
Stethoscope
Eye protection
Respiratory protection
Clinical and skills documentation able to perform.
Copy of state EMT and BLS cards.
Who has the responsibility to call for a fire investigator?
IC
Who is responsible for securing and maintaining scene integrity for a fire investigation?
Operations personnel. Not LE
How is a fire investigator requested?
The IC requests through the communications center.
When must a fire investigator be called?
- Fire is suspicious or crime related-
- Loss of injury or life
- accidental fire w/ substantial monetary loss or structural damage.
- Juvenile related incidents
- Explosive devices/ explosion
- Undetermined
Evidence that a fire is suspicious in nature or crime related means:
Incendiary fires/ explosive devices
Firebombs
Stolen vehicles
Burglaries
Loss of life/ injury definition for fire investigator call out?
Fire or explosion related deaths
Fire or explosion related injuries which require transport by FR.
Definition of Accidential fire with substantial monetary loss or structural damage?
Monetary fire loss of $70,000 or structural damage exceeding 20%
Any suspicious or crime related incident regardless of dollar value.
Definition of Juvenile related incidents for fire investigation?
Suspected to be the result of juvenile involvement in the ignition process
For which of the following fire investigatory incidents shall a Fire investigator be contacted via radio or cell phone?
Juvenile related incidents.
What type of work related injuries must be reported?
All injuries no matter how minor
What must the employee have in order to go to the OHC?
A completed employee injury /illness report. Form FRH-302
Who and where does PPE go if an injury occurs on an emergency incident?
BC secures PPE and training AMS safety division
Who fills,out report for minor injuries and where does it go?
Immediate supervisor and forwarded to BC
An example of injury while wearing PPE would be?
Burns to the hands while wearing gloves.
What are the options for a minor injury requiring treatment?
- shall report to the OHC for further evaluation
- if OHC is closed then may go to the nearest hospital or wait till OHC opens.
When does notification of an injury need to,be reported to the state?
- one or more FF are hospitalized for,more than 24hrs
- LODD
- serious injury related to an equipment failure.
Notification of a serious injury meeting criteria for the state gets reported to who and when?
Bureau of,fire standards and training- FF Safety and health section within 4 hours.
Employees with work related injuries must be cleared by the OHC before what?
Traveling out of the area.
Injury tracking is entered by who ? And then forwarded to who?
Training and safety division
Wellness coordinator
How often is injury tracking analyzed
On a quarterly basis
Clearance from the OHC prior to returning to work must of,had what types of conditions?
- work related injury that resulted in being off duty from WC or LD
- Out patient surgery or hospitalization
Responsibility for,returning to work is who’s?
The employee to notify the BC/ supervisor
What is the order for clearance by the OHC prior to returning to work?
Obtain the day before returning to work and if unable notify the BC/supervisor they are reporting to,the OHC for clearance .
If an employee cannot,obtain clearance to return to work because the OHC is closed what happens?
The BC MAY allow the employees to return to work if not I’ll and without limitations but must still receive clearance from the OHC before Their next day
If allows to return to work with the BCs permission when must the employee go,to the OHC for clearance?
Before the next work day
When must an employee be required to complete a medical exam and fitness assessment?
Prior to returning to full duty from any injury or illness or any leave greater than 6 months
For employees returning to full duty who must clearance be obtained from other than the OHC/?
Compliance officer and training division.
What is the time frame employees can be held to complete target solutions and other identified training?
1 week
If the reporting system is down how shall the incident report be documented?
Should be documented on the a “field report”
Report writing will be in accordance with which type of code?
“Dispatched code”
Who can enter information on a medical report?
Any crew member as ;long as it’s consistent with the authors level of training and certification.
What information is needed to finalize a medical report?
“Report author”
HIPPA or PPA signed
Signature of patient or witness
“Transfer of care “ by hospital staff
MRN
Any students or observers must be listed.
How does a reservist get entered in the causality page?
RESERVE1 is the ID number
PBCFR is the first name
RESERVIST was the last name
What information is to be entered on a level 1 or 2 MCI?
Name
DOB
Phone number
Brief narrative
Security of all medical supplies applies to what type?
All non controlled substances , medications, fluids , and medical equipment.
Fire rescue has an agreement with who for purchasing all pharmaceutical supplies and medications?
Health care district of Palm beach county.
Battalion level procurement of equipment will go through who?
Medical supplies warehouse.
Storing of medications in the station supply room are to be kept at what temperature?
70-75 degrees
Storing of medication on the rescue truck need to be kept at what temperature?
65-80 degrees Fahrenheit
Rotations of medications are to happen on what day ? AND who is responsible the inspection ?
On the first day of each month and the operational captain or designee
Where are adulterated or expired medications kept?
In a designated “quarantine “ are within the supply closets.
What are the 6 rights to medications?
Right Patient
Right medication
Right Dose
Right Route
Right time and Frequency
Right indication
All medication errors and immediate and delayed outcomes for errors gets reported to who?
EMS captain
The exposure control manual provides information on 5 areas. What are they?
Risk
Prevention
Determination
Care and cleaning
Biomedical waste
Significant exposures are defined as and are what type?
Exposure through a needle stick , sharps to the following body fluids:
Blood or and body fluid containing visible blood
Semen
Vaginal secretions
CSF
Synovial fluid
Peritoneal fluid
Plueral fluid
Pericardial fluid
Amniotic fluid.
Body fluids to mucus membranes
Chapped or a braided skin
Exposure to Airborne contagions
Measures to be taken immediately after a significant exposure?
Clean the wound
Notify the EMS captain
Accompany the source patient to the hospital
Fill out the hospitals exposure log book using the Case number
Report to the OHC immediately or the next business day
Discontinue and treatment after being notified by the OHC of a negative result.