SOG Section 8 Emergency Care

Question 1

8-02 MEDICAL RESPONSE

What must be done prior to medical responses?

Answer 1

1. regularly practice proper had washing technique

2. ensure contaminated waste receptacle is located in the station

Question 2

8-02 MEDICAL RESPONSE

What ppe shall all personnel have available for immediate use?(3)

Answer 2

Nitrile gloves, N95, eye protection. Medical gowns, tyvek suits, and face shields shall be available if required

Question 3

8-02 MEDICAL RESPONSE

When shall a face shield be used in lieu of safety classes or goggles?

Answer 3

When personnel has broken skin on the face

Question 4

8-02 MEDICAL RESPONSE

When asking if patient has cough of fever how far back should personnel be?

Answer 4

1 - 1.5 meters

Question 5

8-02 MEDICAL RESPONSE

When should the driver provide during the medical response?(2)

Answer 5

1. hand sanitizer for contaminated personnel

2. disinfecting wipes/spray for non-disposable medical equipment

Question 6

8-02 MEDICAL RESPONSE

How will disposable medical equipment be discarded?

Answer 6

1. Double baged with bags provided by driver.
2. Returned to station in compartment of truck (not in cab).
3. 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

Question 7

8-02 MEDICAL RESPONSE

What should be done prior to entering the living quarters of the station after a medical call?

Answer 7

Was hand using soap and warm water.

Question 8

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

Answer 8

no more than two unless more are required.

Question 9

8-04 MEDICAL ASSISTANCE REPORT

True or False you may only print on a MAR form?

Answer 9

Ture

Question 10

8-04 MEDICAL ASSISTANCE REPORT

When is a MAR form not required?

Answer 10

When ambulance is first on scene.

Question 11

8-04 MEDICAL ASSISTANCE REPORT

Where to each of the copys from a MAR form go?

Answer 11

White goes with attending paramedic

Yellow stays with fire

Question 12

8-04 MEDICAL ASSISTANCE REPORT

What is done with the yellow form when the defibrillator was used?(2)

Answer 12

1. Ensure the yellow copy of the is completed by the defibrillator operator
2. Ensure the completed yellow copy is place into a sealed confidential envelope and left at the station for the medical training officer

Question 13

8-04 MEDICAL ASSISTANCE REPORT

What is done with the yellow form at non-defibrillator incidents?

Answer 13

Sealed confidential envelope and forwarded to division of training.

Question 14

8-08 DESIGNATED OFFICER

What is an unprotected exposure?(3)

Answer 14

1. tissue under skin (bite where skin is broken)
2. body fluid in contact with non-intact skin
3. body fluid in contact with mucous membrane

Question 15

8-08 DESIGNATED OFFICER

What is a significant exposure?

Answer 15

any unprotected exposure with an agent that ma cause illness or disease - i.e. needle stick, non intact skin, mucous membranes, failure of PPE

Question 16

8-08 DESIGNATED OFFICER

What are some high risk sources for significant exposure? (11)

Answer 16

1. Known HIV, HCV, HBV positive
2. IV drug/alcohol abuser
3. homeless population
4. multiple sexual partners
5. sex worker
6. immigrant from high endemic are or recent travel (i.e. Africa)
7. Source had blood transfusion, blood product, or organ transplant between 1978 and 1985
8. same sex sexual activity
9. sexual partner form above group
10. current or recent imprisonment
11. infants born to HIV infected women

Question 17

8-08 DESIGNATED OFFICER

When suspected unprotected or significant exposure happens all personnel shall?

Answer 17

1. report a possible exposure to their immediate supervisor
2. seek immediate medical care
3. complete a workplace injury/illness report

Question 18

8-08 DESIGNATED OFFICER

Who should be notified by the immediate supervisor in case of and exposure?

Answer 18

On-duty chief, and district/platoon/division chief.

Question 19

8-09 DO NOT RESUSCITATE FORM

What is the first thing that must be done when we are told of a DNR?

Answer 19

Obtain the form from patient, family member or care giver

Question 20

8-09 DO NOT RESUSCITATE FORM

What mus be on the form and filled out for the DNR to be valid?(5)

Answer 20

1. a unique serial number
2. patients name
3. tick box has been checked to ID one of the conditions has been met.
4. signature of physician or nurse
5. date the form was signed

Question 21

8-09 DO NOT RESUSCITATE FORM

what interventions can we provide?

Answer 21

Anything to provide comfort or alleviate pain

Question 22

8-09 DO NOT RESUSCITATE FORM

what info on patient must be obtained?(3)

Answer 22

1. date of birth
2. age
3. address

Question 23

8-09 DO NOT RESUSCITATE FORM

What info must be documented?(2)

Answer 23

1. all events

2. unique serial #

Question 24

8-09 DO NOT RESUSCITATE FORM

what do if DNR is not present and we are refused access?

Answer 24

Remain on scene until ambulance arrives to transfer care.

Question 25

8-02 MEDICAL RESPONSE

What is included in pandemic PPE?

Answer 25

1. tyvek suit
2. double nitrile gloves
3. N95 mask
4. face shield
5. firefighting boots
6. any other PPE specified by current medical bulletin