SOG Section 8 Emergency Care Flashcards
8-02 MEDICAL RESPONSE
What must be done prior to medical responses?
- regularly practice proper had washing technique
2. ensure contaminated waste receptacle is located in the station
8-02 MEDICAL RESPONSE
What ppe shall all personnel have available for immediate use?(3)
Nitrile gloves, N95, eye protection. Medical gowns, tyvek suits, and face shields shall be available if required
8-02 MEDICAL RESPONSE
When shall a face shield be used in lieu of safety classes or goggles?
When personnel has broken skin on the face
8-02 MEDICAL RESPONSE
When asking if patient has cough of fever how far back should personnel be?
1 - 1.5 meters
8-02 MEDICAL RESPONSE
When should the driver provide during the medical response?(2)
- hand sanitizer for contaminated personnel
2. disinfecting wipes/spray for non-disposable medical equipment
8-02 MEDICAL RESPONSE
How will disposable medical equipment be discarded?
- Double baged with bags provided by driver.
- Returned to station in compartment of truck (not in cab).
- Place bag into waste receptacle - if bag does not fit place beside receptacle and call A&M to procure pick up by waste disposal company
8-02 MEDICAL RESPONSE
What should be done prior to entering the living quarters of the station after a medical call?
Was hand using soap and warm water.
8-02 MEDICAL RESPONSE
If ambulance are not on-scene prior to fire during a pandemic response how many firefighters are permitted to make patient content
no more than two unless more are required.
8-04 MEDICAL ASSISTANCE REPORT
True or False you may only print on a MAR form?
Ture
8-04 MEDICAL ASSISTANCE REPORT
When is a MAR form not required?
When ambulance is first on scene.
8-04 MEDICAL ASSISTANCE REPORT
Where to each of the copys from a MAR form go?
White goes with attending paramedic
Yellow stays with fire
8-04 MEDICAL ASSISTANCE REPORT
What is done with the yellow form when the defibrillator was used?(2)
- Ensure the yellow copy of the is completed by the defibrillator operator
- Ensure the completed yellow copy is place into a sealed confidential envelope and left at the station for the medical training officer
8-04 MEDICAL ASSISTANCE REPORT
What is done with the yellow form at non-defibrillator incidents?
Sealed confidential envelope and forwarded to division of training.
8-08 DESIGNATED OFFICER
What is an unprotected exposure?(3)
- tissue under skin (bite where skin is broken)
- body fluid in contact with non-intact skin
- body fluid in contact with mucous membrane
8-08 DESIGNATED OFFICER
What is a significant exposure?
any unprotected exposure with an agent that ma cause illness or disease - i.e. needle stick, non intact skin, mucous membranes, failure of PPE
8-08 DESIGNATED OFFICER
What are some high risk sources for significant exposure? (11)
- Known HIV, HCV, HBV positive
- IV drug/alcohol abuser
- homeless population
- multiple sexual partners
- sex worker
- immigrant from high endemic are or recent travel (i.e. Africa)
- Source had blood transfusion, blood product, or organ transplant between 1978 and 1985
- same sex sexual activity
- sexual partner form above group
- current or recent imprisonment
- infants born to HIV infected women
8-08 DESIGNATED OFFICER
When suspected unprotected or significant exposure happens all personnel shall?
- report a possible exposure to their immediate supervisor
- seek immediate medical care
- complete a workplace injury/illness report
8-08 DESIGNATED OFFICER
Who should be notified by the immediate supervisor in case of and exposure?
On-duty chief, and district/platoon/division chief.
8-09 DO NOT RESUSCITATE FORM
What is the first thing that must be done when we are told of a DNR?
Obtain the form from patient, family member or care giver
8-09 DO NOT RESUSCITATE FORM
What mus be on the form and filled out for the DNR to be valid?(5)
- a unique serial number
- patients name
- tick box has been checked to ID one of the conditions has been met.
- signature of physician or nurse
- date the form was signed
8-09 DO NOT RESUSCITATE FORM
what interventions can we provide?
Anything to provide comfort or alleviate pain
8-09 DO NOT RESUSCITATE FORM
what info on patient must be obtained?(3)
- date of birth
- age
- address
8-09 DO NOT RESUSCITATE FORM
What info must be documented?(2)
- all events
2. unique serial #
8-09 DO NOT RESUSCITATE FORM
what do if DNR is not present and we are refused access?
Remain on scene until ambulance arrives to transfer care.
8-02 MEDICAL RESPONSE
What is included in pandemic PPE?
- tyvek suit
- double nitrile gloves
- N95 mask
- face shield
- firefighting boots
- any other PPE specified by current medical bulletin