Policies 2020 REVERSE Flashcards
Operations and administrative services
Who is the clearinghouse for citizens complaints?
Lieutenant or higher officer
Who is allowed to take or contact the complaint?
Verbally to the DC or supervisor.
If not available then BC.for the complaints battalion.
How is the 1st notification made in the chain of command for complaints?
Inquiry - Request for information -
Lost item
Securing property
Gratitude
Obtain inform
GIS
Gratitude
Information
Securing property
What is a customer inquiry?
Misconduct
Taking of property of value
Dissatisfaction with policy or procedures
What is a customer complaint?
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
When are statements with regards to citizens complaints necessary?
DC get contacted for findings of Citizens complaints
Who gets contacted with finding of an investigation with regards to citizens complaints?
Fire rescue administrative secretary
Who holds the records for citizens complaints and inquiries?
Codes
Overcrowding
Parking in fire lanes
Customer complaints regarding fire safety includes what types?
Community risk reduction and notification to DC or BC
Customer complaints with regards to matters of fire safety are ha fled by?
Communications center supervisor
Customer complaints concerning communication center go to who?
An occurrence during emergency calls, training, pub ed, emergency or non emergency situations
Reportable events are defined as:
- 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 defined as:
With regards to any Citizen, patient, fire rescue personnel:
Supervisor
An IRE is reported immediately to whom?
By telephone or face to face to the BC.
For expediency of an IRE notification is made how?
BC or equivalent supervisor
Who can place an unit OOS for an IRE?
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.
A “DRE” is defined as:
First person to report event and uploaded to sharepoint.
Who is responsible completing and submitting the DRE form and where does it go?
Students and observers
Who can participate in ride alongs ?
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.
Definition of Student in regards to ride times?
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
Limitations of Student riders?
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
prior to riding, First time students on ride alongs must provide the following items:
School Students: 0700-1600
EMR students only 0900-1600
Students may ride at what times?
Copy of Student/ observer ride time
Release of Liability and covenant not to sue.
Indemnification agreement
HIPPA confidentiality agreement
Insurance coverage
What forms are required by students to ride - legal documents?
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
Who may ride as an observer?
Application signed by FR HIPPA compliance officer
Observers paperwork differs from students in one way?
Battalion HQ’s unless otherwise specified in the approval process.
The preferred location for observers to ride is:
MUST notify the clinical coordinator of their facility in advance
And coordinator MUST notify the recruitment and human resource development officer
Students unable to keep ride times :
MUST notify the recruitment and human resource development officer in advance.
Observers unable to keep ride times:
Operational captain and then paired with the LT.
Upon arrival the student or observer MUST report to who?
Operational Captain
EMS captain
BC or DC
Who may terminate a student or observers ride time?
Deputy chief of operations is notified.
If a student or observers ride time is terminated who is then notified?
Designated uniform by training facility
Badge or other identifying means
What is the dress code for Student riders?
White shirt- SS or LS
Black, dark blue pants
Black closed shoes w/ dark socks
Observer dress code is:
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
Guidelines for Operational Capt and Lt with Students/ observers?
Stethoscope
Eye protection
Respiratory protection
Clinical and skills documentation able to perform.
Copy of state EMT and BLS cards.
Students will arrive at ride time with what equipment?
IC
Who has the responsibility to call for a fire investigator?
Operations personnel. Not LE
Who is responsible for securing and maintaining scene integrity for a fire investigation?
The IC requests through the communications center.
How is a fire investigator requested?
- 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
When must a fire investigator be called?
Incendiary fires/ explosive devices
Firebombs
Stolen vehicles
Burglaries
Evidence that a fire is suspicious in nature or crime related means:
Fire or explosion related deaths
Fire or explosion related injuries which require transport by FR.
Loss of life/ injury definition for fire investigator call out?
Monetary fire loss of $70,000 or structural damage exceeding 20%
Any suspicious or crime related incident regardless of dollar value.
Definition of Accidential fire with substantial monetary loss or structural damage?
Suspected to be the result of juvenile involvement in the ignition process
Definition of Juvenile related incidents for fire investigation?
Juvenile related incidents.
For which of the following fire investigatory incidents shall a Fire investigator be contacted via radio or cell phone?
All injuries no matter how minor
What type of work related injuries must be reported?
A completed employee injury /illness report. Form FRH-302
What must the employee have in order to go to the OHC?
BC secures PPE and training AMS safety division
Who and where does PPE go if an injury occurs on an emergency incident?
Immediate supervisor and forwarded to BC
Who fills,out report for minor injuries and where does it go?
Burns to the hands while wearing gloves.
An example of injury while wearing PPE would be?
- shall report to the OHC for further evaluation
- if OHC is closed then may go to the nearest hospital or wait till OHC opens.
What are the options for a minor injury requiring treatment?
- one or more FF are hospitalized for,more than 24hrs
- LODD
- serious injury related to an equipment failure.
When does notification of an injury need to,be reported to the state?
Bureau of,fire standards and training- FF Safety and health section within 4 hours.
Notification of a serious injury meeting criteria for the state gets reported to who and when?
Traveling out of the area.
Employees with work related injuries must be cleared by the OHC before what?
Training and safety division
Wellness coordinator
Injury tracking is entered by who ? And then forwarded to who?
On a quarterly basis
How often is injury tracking analyzed
- work related injury that resulted in being off duty from WC or LD
- Out patient surgery or hospitalization
Clearance from the OHC prior to returning to work must of,had what types of conditions?
The employee to notify the BC/ supervisor
Responsibility for,returning to work is who’s?
Obtain the day before returning to work and if unable notify the BC/supervisor they are reporting to,the OHC for clearance .
What is the order for clearance by the OHC prior to returning to work?
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 an employee cannot,obtain clearance to return to work because the OHC is closed what happens?
Before the next work day
If allows to return to work with the BCs permission when must the employee go,to the OHC for clearance?
Prior to returning to full duty from any injury or illness or any leave greater than 6 months
When must an employee be required to complete a medical exam and fitness assessment?
Compliance officer and training division.
For employees returning to full duty who must clearance be obtained from other than the OHC/?
1 week
What is the time frame employees can be held to complete target solutions and other identified training?
Should be documented on the a “field report”
If the reporting system is down how shall the incident report be documented?
“Dispatched code”
Report writing will be in accordance with which type of code?
Any crew member as ;long as it’s consistent with the authors level of training and certification.
Who can enter information on 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.
What information is needed to finalize a medical report?
RESERVE1 is the ID number
PBCFR is the first name
RESERVIST was the last name
How does a reservist get entered in the causality page?
Name
DOB
Phone number
Brief narrative
What information is to be entered on a level 1 or 2 MCI?
All non controlled substances , medications, fluids , and medical equipment.
Security of all medical supplies applies to what type?
Health care district of Palm beach county.
Fire rescue has an agreement with who for purchasing all pharmaceutical supplies and medications?
Medical supplies warehouse.
Battalion level procurement of equipment will go through who?
70-75 degrees
Storing of medications in the station supply room are to be kept at what temperature?
65-80 degrees Fahrenheit
Storing of medication on the rescue truck need to be kept at what temperature?
On the first day of each month and the operational captain or designee
Rotations of medications are to happen on what day ? AND who is responsible the inspection ?
In a designated “quarantine “ are within the supply closets.
Where are adulterated or expired medications kept?
Right Patient
Right medication
Right Dose
Right Route
Right time and Frequency
Right indication
What are the 6 rights to medications?
EMS captain
All medication errors and immediate and delayed outcomes for errors gets reported to who?
Risk
Prevention
Determination
Care and cleaning
Biomedical waste
The exposure control manual provides information on 5 areas. What are they?
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
Significant exposures are defined as and are what type?
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.
Measures to be taken immediately after a significant exposure?
Make sure exposed employee requests patient source testing at the hospital
Consult with the ER physician
Notify the exposure control officer during normal hours unless employee receives post exposure treatment-
Then have the communications center page the control officer at any time
EMS captains responsibility post significant exposure are?
7 days old or less left by the parent
The definition of a newborn to be left at a fire station is defined as?
Safe haven is referencing new borns
Safe Place is for teenagers
What is the difference between “Safe Haven” and “Safe Place”
The parents are seeking to reclaim the new born infant
Under the “Safe Haven “ parents may not be pursued unless?
The infant shows no signs of abuse
Parents under the “Safe Haven “ law can regain custody as longs as what?
Signs of physical abuse are present at the time of surrender.
Under the safe haven law, Law enforcement should not be contacted unless?
PIO
Who get notified when a newborn infant is surrendered at a fire station?
“Safe Haven Baby”
How does the newborn infant get entered in the PCR if it is unclear the safe haven law?
The communications center and that the a unit is OOS until a Safe harbor representative arrives.
Who gets notified for a Safe place incident?
- Child is followed by and angry parent to the fire station
- Abuse is ssuspected
- Suicidal/ homicidal
- Teen is hallucinating and out of control
Under the safe place law, when should law enforcement be contacted?
On the “G:” drive in the support services folder
Medical supply warehouse record keeping inventory items are stored where?
30 days
Expired medications shall not be held in quarantine for more than?
On a professional development form
If an employee is having training issues how should it be documented?
Any employee
Who can complete a Professional development form ?
To the affected employees battalion chief
Where is professional development form submitted ?
Additional research in the questionable subject
Reading combined with per and post assessments
Attendance on training sessions
Performance training and evaluations
Attendance at courses provided by vendors
Other
Professional development needs assessments include:
Acceptable job performance as described within the plan
What is considered successful professional development?
The compliance officer electronically
Where do completed professional development forms get submitted to ?
Maximum 18 shifts
What is the maximum amount of time allotted for professional development remediation?
Damage to fore rescue property and or property belonging to the members of the public. NOT RESULTING FROM A VEHICLE ACCIDENT.
Property and damage reports are defined as?
Battalion chief
When damage does occur from a fire rescue vehicle and DOES NOT sustain damage who is notified?
Fire Rescue intranet (share point) under phone list
Where can phone numbers for contacting parties be found?
Property and liability report
Employee statements
Law enforcement report if necessary
Photographs with digital color
Property damage tracking number
Documentation for Property loss, damage, or theft includes?
Training and safety division
ALL Deputy Chiefs
ALL Division chiefs
ALL District chiefs
ALL Battalion chiefs
Risk management
Who is notified via email once a property damage tracking number is pulled ?
Render appropriate treatment
Notify the communications center
Officers to notify the battalion chief
Incidents involving bodily injury sustained by the pubic at a fire rescue facility what happens?
Render appropriate treatment
Call for an additional rescue
Call for an EMS captain
Take the rescue out of service
Sequester stretcher at battalion HQ
Label the stretcher “Out of Service- do not use”
Place in assetworks as a “HIGH probity”
Report incident to Central shop and CQI
Stretcher malfunctions are handled how?
OUT OF SERVICE- DO NOT USE
What has to be “Clearly” written on the tag for a stretcher malfunction?
Assetworks as a HIGH priority
After securing the malfunctioning stretcher- Where does the item get reported to ?
Provide a uniform process for new employees attempting to work as a paramedic
Address development for paramedics requiring remediation
What is the purpose of paramedic development?
New employees and
Those needing remediation
The Paramedic Development course is for?
Based on Senority
How are new employees selected for the paramedic development course?
Current ACLS card
Current state of Florida or National paramedic certification
Complete sign off skill sheets
Complete IV skill sheet
What are the requirements to get into the Paramedic development course?
Medical protocols
EMS related SOGs
Exposure control manual
PDC skill sheets
Pharmacology
ECG interpretation
Scenario based assessments on Praxctical application of protocols and or patient assessment
Evaluation material for the paramedic development course include what?
ON the first day completing a written test at 80% or above
The Paramedic development entrance exam includes?
Returned to shift as soon as possible
Cannot re try until next scheduled PDC
IF the employee fails the 2nd time- must wait 24 month before applying again.
IF an employee fails the PDC entrance exam what happens?
18 shifts probation period which can me ended at any time with an EMS captains approval.
Memorandum with task book to be sent from the EMS captain to the compliance officer
Paramedic probation consists of:
Done by the EMS captain and documented on a professional development form for an additional 18 shifts.
If the extension period is still less than satisfactory then the EMS captain. Recommends the person be referred to the medical services division and medical director for further evaluation.
All documentation to be sent to the compliance officer
Extensions for paramedic probation are ?
Incident causing injury or other medical condition to a patient as a result of treatment rendered by EMS personnel.
Per CQI and Adverse event is defines as ?
Incident that had the potential to harm a patient as a result of care rendered by EMS personnel BUT DID NOT actually harm the patient.
Per CQI, A near miss is defined as?
Failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim
Per CQI, an ERROR is defined as?
EMS CQI officer
Reportable adverse, near miss, or errors are sent to who?
Field personnel vis chain of command
Reportable events
Hospitals via complaint as a performance improvement process
Patients vis a complaint to the agency
What are the common means of reporting CQI events?
Airway or ventilation issues or errors
Electrical therapy issues or error
Deviation from EMS protocols with out justification
Advanced procedure issues or errors:
Paralytic use, pleural decompression, Cricothyrotomy
Repetitive minor issues that cannot be resolved on a supervisor level
Any other issue or error that causes harm or has significant potential to do so.
EMS CQI Reportable events are?
Spelling or topographical errors
TIme delays without patient harm
Lack of detail
Intracranial- report inconsistencies
Protocol deviation without patient harm or potential.
MInor CQI errors include?
Emailed to the appropriate EMS captain to be handled.
Incidents identified by the EMS CQI officer level containing an EMS CQI reportable event are handled how?
All department protocoled Paramedics assigned to a unit.
Who are responsible for the accurate inventory, distribution, transfer, documentation, and record keeping of all controlled substances on a unit?
Receive written authorization from the division chief of medical services or designee.
Special events , dignitary details with regard to controlled substances are handled how?
Key, coded, or biometric lock
What kind of lock can be used for the EMS captains Storage container of controlled substances?
Begin and end of shift
Custody change
When locked tag seal is changed
When must controlled substances be inventoried?
Lieutenant or operational captain or designee
If the paramedic who signed the controlled substance log can longer keep possession and no relief is available who do they go to?
In a department issued lockable safe
IF trauma hawk is taken out of service where are the controlled substances kept?
Total amount in Mg, MCG, etc
NDC or Lot number
Expiration date
What shall be recorded on the controlled substance inventory log?
7 days
How long before the expiration date are crews to notify the EMS captain that the controlled substance is about to expire?
Report to Lt or operational captain
Single line strike though with initials next to change
How are explained discrepancies handled with controlled substances?
Notification to the EMS captain and EMS captain contact the Division chief of medical services
How are UNexplained discrepancies handled for a unit?
Notification to the division chief of medical services
How are UNexplained discrepancies handled for the EMS captains stock?
Immediately following or as soon as reasonably possible
One a controlled substance is removed from the container how long till it needs to be re-sealed?
EMS captain signs Given/ Issued by and Unit sign received by section .
Distribution of controlled substances from the EMS captain to a unit are signing in what spaces in the book?
Notification t o the EMS captain
Property loss form and tracking number
“Broken/ damaged” written in the case# spot
The EMS captain notifies the division chief of medical services
Damage of a controlled substance from a a unit is handled how?
Notification to Chief of medical services
Property loss and tracking number
Damage from the EMS captains stock are handled how?
Notification to the EMS captain
Property loss form and tracking number
Law Enforcement report attached
EMS captain then to notify the Division chief of medical services
EMS captain to Ensure all paperwork is completed
H ow are lost or stolen controlled substances handled from a unit?
The same as a unit loss except the EMS captain contacts the division chief of medical services 1st.
If theft or loss of a controlled substance from the EMS captains stock- how is it handled?
Draw upon Unused medication and dispose of it “as directed by the medical services division,.
Record disposal in log book using 2 different employees.
Disposal, Destruction of controlled substances are handled how by a unit?
Unit gives the expired medication to the EMS captain and records “Expired” in the logbook for the case #
How are expired controlled substances handled by the unit?
Hand delivered to an authorized member of the medical services division for proper disposal.
How are the collected expired controlled substances handled?
The “ideal quantity of each controlled substance carried by a unit in order to maintain sufficient operations.
Definition of a “PAR” level?
The EMS captain.
Who sets the running par level at the battalion for controlled substances?
Front cover of the units controlled substance logbook
And
EMS captains logbook
Where can the “Running “ par level for a controlled substance for each unit be found?
PBC portal/ PBCFR/medical services under the quick link- Controlled substances minimum quantities.
Minimum par levels with controlled Substances can be found where?
OHC and 4 hours
A serious injury not requiring state notification get reported to who and within how many hours
DC to the Division chief of operations
Who delivers all investigative material for an IRE?
ASAP during normal business hours
the investigative material fro an IRE has to be sent when?
30 days
DC / Supervisor
what is the time frame for completing a customer complant file and by who?
3 weeks
how far in advance should paperwork for students/ observers be completed?
FOO with authorization by DC
who contacts to State Bureau of standanrds and training for reportable events?
medication condition
NDC
lot number
expiration date
cointainer breakage
alteration
tampering
inspection of controlled substances includes?
2 years
What is the minimum time for logs and records with regards to controlled substances kept?
100-173
With regards to reporting, what are code numbers identified as “FIres”?
Individual with the most knowledge of the incidentr
Who is responsible for completing all fire related pages?
BC Via email to captain Changes completed by end of next shift
Who is responsible for checking completeness of fire reports and notifies who how and by when?
EMS CQI reportable events
EMS excellence awards
EMS CQI committee
EMS CQI studies and goals
EMS CQI Surveys
EMS CQI best practices
EMS CQI Hospital outcomes
what are the EMS CQI areas (7)?
Fire CQI
Fire CQI committee
Fire CQI Studies
FIRE CQI Best practicea
What are the FIRE CQI Areas (4)
System Faults
lessons learned
remedial training
CQI officer level
What are the 4 possible outcomes from EMS CQI?
