SOP#21: Emergency Medical Services Operations

Question 1

Providence FD does not discriminate on the basis of?

Answer 1

Age, Race, creed or gender

Question 2

How will the Providence FD provide emergency medical services (EMS)?

Answer 2

in the most efficient and effective manner possible

Question 3

All emergency medical treatment provided with be in accordance with?

Answer 3

RI pre-hospital care protocols and
Standing Orders issued by RIDOH

Question 4

All apparatus licensed by the RIDOH shall carry?

Answer 4

copy of RI Pre-hospital care Protocols and Standing Orders

Question 5

Who is responsible for the inspection and enforcement, and for the proper documentation of medications under their company’s protocol?

Answer 5

Company Captain

Question 6

How will medication considered controlled substances be maintained ?

Answer 6

Double-lock system
Metal box installed on rescue
will be secured in a see-through plastic container
secured by a second padlock devise (can not be opened w/o purpose)
secured by a numbered plastic seal at all times unless broken for use

Question 7

According to ______________ rules and regulations on controlled substance, the _________ of and _________ of drug present on a vehicle must be inspected and recorded at ____________________________. This can be done by making ____________________________________.

Answer 7

presence;
amount;
change of each shift;
entry in the daily logbook

Question 8

When shall entry be made into logbook

Answer 8

every change of shift

Question 9

If the secure plastic seal is broken for use, what must be logged into logbook?

Answer 9

seal number;
amount of drug used;
amount of drug replaced;
number of new seal

Question 10

The department will staff all rescue companies with how many Cardiac (EMT-C)

Answer 10

2

Question 11

The department will staff each fire company with how many EMT-C

Answer 11

they will make every effort to ensure at least 1 member that holds EMT-C on each company

Question 12

If at least 1 member of the fire company is not EMT-C and the truck will run as BLS who shall the officer notify?

Answer 12

Bureau of Operational Control (BOC)
District Chief
Safety operations battalion

Question 13

Whenever a rescue is placed out of service for manpower due to sickness, injury or required training, who shall the officer in command notify?

Answer 13

District Chief;
District chief shall place company out of service and detail a qualified EMT-C or EMT-C IC

Question 14

What must the District chief comply with?

Answer 14

Collective bargaining Agreement

Question 15

If the rescue company has not been able to have a meal by a reasonable time, what can they do?

Answer 15

Rescue company may go out of service;
preferrable mealtime lunch 1200 dinner 1900
No more than 1 rescue out of service for meals during that timeframe

Question 16

Rescue officer may put the company out of service for personal hygiene after working how many hours?

Answer 16

24 consecutive hours; with permission of Chief of EMS
if chief is unavailable contact District Chief

Question 17

No rescue company shall go out of service unless there are how many rescues in service? and no more than ___ rescue shall be out of service for personal hygiene during the same time frame?

Answer 17

2 or more rescues are available;
No more than 1 rescue out of service

Question 18

Who classifies if a run is ALS or BLS?

Answer 18

Bureau of Operation Control (BOC)

Question 19

Whenever 3 or more rescues units operate at the same incident, who shall be dispatched?

Answer 19

District Chief

Question 20

When shall a private ambulance company be referred to?

Answer 20

Transport from medical facility, community health center, or doctor’s office for non-ALS complaint

Question 21

Upon arrival at the scene, conduct a primary survey of the patient and establish?

Answer 21

chief complaint
clinical impression
patient history

Question 22

What can the fire company report a patient assessment to responding rescue that includes?

Answer 22

Age
Gender
Chief Complaint
Vitals Signs and
Brief medical history

Question 23

Rather than a fire company issuing a Code C order to a responding rescue, the fire company should?

Answer 23

relay vital signs and pertinent information regarding condition of patient. Responding company will decide if Code C respond is appropriate or not

Question 24

Who is responsible for scene management, safety, proper lighting, removal of obstructions, extrication tactics, request for additional assets, and communication with the BOC and is in overall command of the incident?

Answer 24

Fire Company

Question 25

What is the rescue company officer responsible for?

Answer 25

medical emergency
overall patient management
patient care
transporting and reporting should if patient is transported to medical facility

Question 26

At all patient contact what shall be taken to the patients side?

Answer 26

Cardiac Monitor

Question 27

Which patients shall be transported to the RIH trauma Center?

Answer 27

Trauma patients who have:
chest pain
abdominal pain
head trauma
trauma on anticoagulation
or significant Mechanism of injury

Question 28

Members should notify the hospital for all?

Answer 28

cardiac arrests, ST-Elevation, myocardial infarction(STEMI), Trauma
Respiratory Distress, stroke and all critically ill patients and required by RI Pre-hospital care protocols

Question 29

What consideration shall be given by rescue officer when compliance with diversion policies?

Answer 29

Patients conditions
patients request
practicality
weather conditions
emergency situation

Question 30

Upon arrival at the emergency room, verbal and written communications shall be passed to ?

Answer 30

triage nurse

Question 31

At structure fires, the first arriving rescue company shall locate an are to be used as an ________? The ________ will provide the following?

Answer 31

EMS Sector; EMS Sector

will provided
Triage and treatment of patients
Rehab and medical monitoring of firefighters
staging area for additional rescues if transportation is necessary

Question 32

What should the EMS Sector provide?

Answer 32

located in area that has clear means of egress to transport

Question 33

If an EMS sector is to be needed who shall the rescue company officer notify?

Answer 33

Incident commander face-to-face

Question 34

Due to a long duration incident during tour of duty, member is unable to prepare reports, what should be done?

Answer 34

prepared and submitted the following day or night tour of duty. ePCR shall be completed and posted within 2 hours of incident

Question 35

Rescue company shall create an electronic report fall runs with or without injury or transport including but not limited to?

Answer 35

still box
first aid
canceled in route

Question 36

Rescue reports are to be completed and signed by who?

Answer 36

Rescue officer and triage nurse or healthcare provider of equal or higher credentials.

Question 37

How many copies of the report is to be left at the hospital?

Answer 37

one (1) copy

Question 38

If a patient refuses transport or treatment against medical advice, personnel shall request the patient to sign?

Answer 38

patient refusal of service/treatment

Question 39

What should be done if a patient refuses to sign the report?

Answer 39

an appropriate notation shall be made on the report
inform BOC via department radio that patient “refuses aid against medical advice.