SOP#21: Emergency Medical Services Operations Flashcards
Providence FD does not discriminate on the basis of?
Age, Race, creed or gender
How will the Providence FD provide emergency medical services (EMS)?
in the most efficient and effective manner possible
All emergency medical treatment provided with be in accordance with?
RI pre-hospital care protocols and
Standing Orders issued by RIDOH
All apparatus licensed by the RIDOH shall carry?
copy of RI Pre-hospital care Protocols and Standing Orders
Who is responsible for the inspection and enforcement, and for the proper documentation of medications under their company’s protocol?
Company Captain
How will medication considered controlled substances be maintained ?
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
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 ____________________________________.
presence;
amount;
change of each shift;
entry in the daily logbook
When shall entry be made into logbook
every change of shift
If the secure plastic seal is broken for use, what must be logged into logbook?
seal number;
amount of drug used;
amount of drug replaced;
number of new seal
The department will staff all rescue companies with how many Cardiac (EMT-C)
2
The department will staff each fire company with how many EMT-C
they will make every effort to ensure at least 1 member that holds EMT-C on each company
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?
Bureau of Operational Control (BOC)
District Chief
Safety operations battalion
Whenever a rescue is placed out of service for manpower due to sickness, injury or required training, who shall the officer in command notify?
District Chief;
District chief shall place company out of service and detail a qualified EMT-C or EMT-C IC
What must the District chief comply with?
Collective bargaining Agreement
If the rescue company has not been able to have a meal by a reasonable time, what can they do?
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
Rescue officer may put the company out of service for personal hygiene after working how many hours?
24 consecutive hours; with permission of Chief of EMS
if chief is unavailable contact District Chief
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?
2 or more rescues are available;
No more than 1 rescue out of service
Who classifies if a run is ALS or BLS?
Bureau of Operation Control (BOC)
Whenever 3 or more rescues units operate at the same incident, who shall be dispatched?
District Chief
When shall a private ambulance company be referred to?
Transport from medical facility, community health center, or doctor’s office for non-ALS complaint
Upon arrival at the scene, conduct a primary survey of the patient and establish?
chief complaint
clinical impression
patient history
What can the fire company report a patient assessment to responding rescue that includes?
Age
Gender
Chief Complaint
Vitals Signs and
Brief medical history
Rather than a fire company issuing a Code C order to a responding rescue, the fire company should?
relay vital signs and pertinent information regarding condition of patient. Responding company will decide if Code C respond is appropriate or not
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?
Fire Company
What is the rescue company officer responsible for?
medical emergency
overall patient management
patient care
transporting and reporting should if patient is transported to medical facility
At all patient contact what shall be taken to the patients side?
Cardiac Monitor
Which patients shall be transported to the RIH trauma Center?
Trauma patients who have:
chest pain
abdominal pain
head trauma
trauma on anticoagulation
or significant Mechanism of injury
Members should notify the hospital for all?
cardiac arrests, ST-Elevation, myocardial infarction(STEMI), Trauma
Respiratory Distress, stroke and all critically ill patients and required by RI Pre-hospital care protocols
What consideration shall be given by rescue officer when compliance with diversion policies?
Patients conditions
patients request
practicality
weather conditions
emergency situation
Upon arrival at the emergency room, verbal and written communications shall be passed to ?
triage nurse
At structure fires, the first arriving rescue company shall locate an are to be used as an ________? The ________ will provide the following?
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
What should the EMS Sector provide?
located in area that has clear means of egress to transport
If an EMS sector is to be needed who shall the rescue company officer notify?
Incident commander face-to-face
Due to a long duration incident during tour of duty, member is unable to prepare reports, what should be done?
prepared and submitted the following day or night tour of duty. ePCR shall be completed and posted within 2 hours of incident
Rescue company shall create an electronic report fall runs with or without injury or transport including but not limited to?
still box
first aid
canceled in route
Rescue reports are to be completed and signed by who?
Rescue officer and triage nurse or healthcare provider of equal or higher credentials.
How many copies of the report is to be left at the hospital?
one (1) copy
If a patient refuses transport or treatment against medical advice, personnel shall request the patient to sign?
patient refusal of service/treatment
What should be done if a patient refuses to sign the report?
an appropriate notation shall be made on the report
inform BOC via department radio that patient “refuses aid against medical advice.
