SOG Section 8 Emergency Care Flashcards
8-02 Medical Response
What must be done prior to medical responses?
- regularly practice proper had washing technique
- ensure contaminated waste receptacle is located in the station2. ensure contaminated waste receptacle is located in the station
8-02 MEDICAL RESPONSE
What ppe shall all personnel have available for immediate use?
All personnel shall have nitrile gloves, scott AV3000 face piece with p100 cartridge, non-permeable medical gowns, tybek suits, and face shields available for all medical respnses
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
During pandemic, patient assessment shall be performed at what distance?
2 meters
8-02 MEDICAL RESPONSE
When should the driver provide during the medical response?
- hand sanitizer for contaminated personnel
- disinfecting wipes/spray for non-disposable medical equipment
- yellow bag for disposable medical equipment that has been contaminated with biohazardous waste
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 for a minimum of 20 seconds
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
1, unless more are required. They firefighter must be in contact with their captain through sight or via a radio
8-02 Medical Response
CACC
Centre ambulance communications centre
8-02
Pandemic PPE
May incluede:
1. non-permeable medical gown or tyek suit
2. double nitrile gloves
3. N95 mask
4. scott AV-3000 face piece with P100 cartridege
5. face shield
6. safety glasses/goggles
7. bunker pants
8. firefighting boots
9. any other protectin specified by current training bulletin
8-04 Medical Assist Report (MAR)
There are several uses for ocmpleted MAR’s which include:
- Clinical: Information about the call history, patient assessment findings, patient care provided and the response to treatment
- Administrative: Satistics can assist tin maintaining effective pre-hospital care initiatives adn provide caluable information for future training
- reseach: MAR information assists with quality assurance and research oriented questions, which can contribute to adbances in pre-hospital care for both firefighters and paramedics
- Legal: MAR’s may be required as part of an investigation and[or legal proceeding
8-04 Medical Assist Report (MAR)
Ensure a MAR is completed for the following incidents:
- VSA
- Unconscious patient
- Sympton Relief/sympton assist calls
- Medical calls where a treatment has been initiated or completed
- oxygen provided
- airway suctioning conducted oropharyngeal/nasopharyngeal airway
- ventilations via BVM
- cervical collar
- splinting or bandaging
- Tourniquet/Hemostatic dressing
- When presented with DNRC as identified in SOG 9-09
8-04 Medical Assist Report (MAR)
A MAR is not requried for:
- Medical calls where fireifghter(s)/Captain did not make patient contact regardless of the nature of the call
- Medical calls where treatment performed by Firefighters occured after paramedics made patient contact
- Medical calls where the firefighters have completed an assessment (vitals) and nothing more
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? (8)
- IV drug/alcohol abuser
- Homeless population
- Recent international travel
- Sex worker
- Source had blood transfusion, blood product, or organ trans =plane between 1978-1985
- Current or recent imprisonment
- Infant born to HIV infected parent
- Recent exposure to HIV, hepatitis, TB, coronavirus and any contagious respiratory illness
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?
An on-duty designated officer (On duty platoon chiefs and district chiefs)
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 must be on the form and filled out for the DNR to be valid?(4)
- 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
All of these must be present on a NDR form with a unique serial number
8-09 DO NOT RESUSCITATE FORM
what interventions can we provide?
Anything to provide comfort care or alleviate pain, ie, suctioning and O2
8-09 DO NOT RESUSCITATE FORM
what info on patient must be obtained?
Information regarding patients medical history
8-09 DO NOT RESUSCITATE FORM
What info must be documented?
upon return to station, the captain in charge will fully document the event in the remarks section onf the MAR and document the serieal number of the DNRC
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.
