Week 1 Review Flashcards
What is a Quorum?
⅔ of full, active SBVAC membership
What is an active member?
Active Membership: the full, probationary, associate, honorary, lifetime, and community members who currently serve at least one weekly shift
What is Full Membership?
Full Membership: any SBVAC member who has graduated probationary class to hold the rank of ATT, EVO, or CC
How do By-Laws stand in relation to SOPs and local laws?
Local laws>By-laws>SOPs
How do By-Laws change?
President can propose an amendment -By-Law Revision meetings are held each semester for suggestions Amendment must be ratified by a quorum vote -The By-Laws can’t change without the approval of ⅔ of full, active membership
What is a Letter of Warning?
Letter of Warning – Every third infraction warranting disciplinary action by the same member shall be documented with a letter of warning to be permanently filed in the offending member’s personnel record
As Probies, what happens if we get a letter of disciplinary action?
Dismissal from the company and no ability to reapply
What is the minimum progress rate requirements?
Full members shall have one year’s time after the date of their first probationary class to become an EVO of SBVAC and/or enroll in a NYSDOH certified EMT course.
How many GMMs do you have to attend in a singe semester?
2 out of 3, only missing one with documented and approved reason by the president
Are OMs mandatory?
No, but highly encouraged
How do you find coverage for a shift?
-Try to find another probie to swap weekly shifts with -If you can’t arrange a swap, send an email to coverage@sbvac.org with subject line “PROBIE COVERAGE 9/18/19 0800-1100” -Notify 90/91 and your CC -Fill out the “Coverage” tab on the Fall 2019 doc -Make sure your weekly on-shift training gets completed
Who is 90?
Michelle Melfi
What is 90’s responsibility?
President. Ranking Executive Officer, chairs SBVAC proceedings, Outreach, oversee legal transactions, Public Relations Officer. SBVAC’s liaison to SBU.
Who is 91?
Nam Nguyen
What is 91’s responsibility?
Vice President. Oversee matters of personnel, scheduling, HQ maintenance, and website.
Who is 92?
Kevin Quintero
What is 92’s responsibility?
Treasurer. Manage financial matters, record all expenditures.
Who is 93?
Bradley Kenneally
What is 93’s responsibility?
Secretary. Manage records, meeting minutes, HIPAA compliance officer, post call stats, file patient care reports.
Who is 30?
Lily Yuan
What is 30’s responsibility?
Chief, Ranking Operational Officer, oversees regular/special EMS operations, liaison to other police/fire/EMS agencies.
Who is 31?
Mikayla Katz
What is 31’s responsibility?
First Assistant Chief. Oversees Crew Chiefs and ALS providers, ALS coordinator
Who is 32?
Irvin Lin
What is 32’s responsibility?
Second Assistant Chief. Oversees EVOs and company vehicles, insurance, Health and Safety Officer
Who is 50?
We don’t have a 50!
What is 50’s responsibility?
Training Officer. Oversees training of probationary members and attendants, coordinates continuing certification of membership
Who is 60?
Jaeson Henderson
What are 60’s responsibilities?
Equipment Officer. BLS coordinator, manages equipment, materials, and uniform
Define “work place”
This includes, but not limited to the buildings and surrounding perimeter including parking lots, field locaitions, clients’ homes, and any travel to and from work assignments.
Who can commit workplace violence
Strangers, patients/bystanders, co-workers, or personal relations
What authories can you go to in order to deal with workplace violence?
SBVAC Officers, UPD
Define the “Universal Precautions”
Violence should be expected but can be avoided or relieved through preration. We do NOT deal with violent patients, any suspicious patients must be accompanied by UPD
What is the “Critical Incident Stress Management Program”?
County provided short-term psychological help that focuses on an immediate and identifiable stressor, peer driven and free of any criticism
What is “Right To Know”?
You as an occupational volunteer have the right to know of any harmful chemicals, contaminants, or other dangers in the workplace
What is OSHA?
Occupational Safety and Health Administration
What are some safety information provided by RTK?
Safe workplace practices, proper protection, fire safety, medical response safety, safe disposal of needles, and unsafe combination of materials.
What is a “Material Safety Data Sheet”?
A comprehensive information packet containing proper handling, disposal, usage, and cleaning information on certain hazardous materials, as well as a hotline for additional questions.
What is the NFPA 704 diamond?
Provides quick information on health, fire, and reactivity. Numbers are rated from least dangerous to incredibly dangerous (0-4)
What are some examples of Health hazards?
Carcinogens, Toxins, Irritants, Corrosives, Sensitizers
How should you treat all bodily fluids?
Treat all bodily fluids as potentially infectious
How do you protect yourself from potentially infectous particles?
Being consistent and vigilant with wearing appropriate personal protective devices such as gloves, masks, or coats
What is BSI?
Body Substance Isolation
For liquids, you should wear:
Gloves
For airborne particles you should wear:
a mask
If there is a splash risk (ie vomit or blood) you should wear
Use appropriate barriers such as masks, eye protection, gowns, or other pieces of equiptment
How else can you prevent infection spread?
WASHING HANDS! Keeping us with personal hygiene, keeping up to date with immunizations, proper waste handling, and properly decontamination of all affected surfaces/tools
How is Hep. A spread? How can it be prevented?
Spread via the Fecal-oral route, use universal protection when dealing with patients, and keep up with Hep. A vaccines.
How is Hep. B spread? How can it be prevented? Why is it dangerous?
Spread via bloodborne or mucosal route. Prevented by universal protections, and keeping up with Hep. B vaccines. Hepatitis B can cause permanent liver damage
How is Hep. C spread? How can it be prevented? Why is it dangerous?
Spread via bloodborne oute. Prevented by universal protections. There is NO VACCINE! Hepatitis C can cause permanent liver damage
Why is Active TB dangerous?
It can spread when in the Active form of the infection. Causes bacteria inside of the lungs
How is TB Spread?
TB is not highly contageous but precaution should be used. Spread through droplets, and the TB bacteria can exist for a long period of time outside of the body, even when dried.
What are some precautions to prevent the spread of Active TB?
Use universal precautions, as well as wearing a N95 Mask, and proper use of ventilation system within the ambulance cab. Also TB Mantoux testing can confirm if the patient does indeed have TB
What is considered a “Significant Exposure”?
A cut/stick with a sharp object such as a needle or knife, contact with muscous membranes or damaged skin, any contact with bodily fluids or tissue.
What do you do in response to a signicant exposure event?
Report to the SBVAC Safety officer who will collect info including date and time, procedure, exposure source, and the exposed persons. As a result the safety officer will give details and plans about counseling, post-exposure management, and follow-up treatment
What are the SOPs?
▶ The “day to day” rules of the company ▶ Ex: what is a crew in SBVAC, what calls do we get, what do we do in certain situations
How do the SOPs stand in regards to other law systems?
▶ The SOPs cannot overrule/override any of the following ▶ The By-laws (constitution) ▶ State Laws ▶ State Protocols ▶ County Protocols ▶ Etc etc
What is “SBVAC Capacity”?
Acting in accordance to all SOPs and By-laws, therefore representing the company and its reputation in good light
What are some consequences of breaking SOPs?
▶ Disciplinary action ▶ Suspension ▶ Dismissal from membership
What does it mean to be “Operations Capable”
▶ In short, when in HQ, on shift, or representing SBVAC in any fashion must be in a state of clear mind and able body ▶ 8 hour rule ▶ Physical injuries ▶What do you do if a physical injury happens on a call? ▶ Psychological/mental health
What is the chain of command when in an emergency?
▶ Chain of Command: Order of authority at the scene of an emergency. ▶ 30 ▶ 31 ▶ 32 ▶ Line officer crew chiefs by rank ▶ FTOs in order of arrival ▶ Duty C C ▶ All other CCs
What is a Chief of Operations in charge of?
Chief of Operations ▶ Directly responsible for all operations at the scene of an EMS alarm and/or coordination of SBVAC resources ▶ Oversight of all other operations officers ▶ Liaison to Outside departments within the operational scope of SBVAC
What is the First Assistant Chief responsible for?
First Assistant Chief ▶ Second highest ranking ops officer w/ ability to overrule all who fall below ▶ ALS Coordinator ▶ Crew Chief Training
What is the Second Assistant Chief in charge of?
Second Assistant Chief ▶ Third highest ranking ops officer w/ability to overrule all who fall below ▶ Safety officer ▶ Vehicle maintenance ▶ Driver training ▶ Communications
What is the Captain in charge of?
Captain ▶ Fourth-highest ranking operations officer with authority to overrule those who fall below in chain of command ▶ CME coordinator ▶ Company trainings/Probationary training
What is the Lieutenant in charge of?
Lieutenant ▶ Fifth highest ranking operations officer with authority to overrule those who fall below in chain of command ▶ BLScoordinator
What are Crew Chiefs in charge of?
▶ First in command on the duty crew, responsible for ensuring the SOPs are followed by the rest of their crew ▶ Responsible for all patient care ▶ Probationary training on shift
What are EVOs in charge of?
▶ Second in command on crew ▶ Crew safety ▶ Response to scene and to hospital ▶ Communication with dispatch (medcom)
What is the general procedure of emergency calls?
▶ We are activated by Suffolk County FRES ▶ Fire Rescue Emergency Services ▶ “Medcom” ▶ We communicate with them about our status using pre determined radio signals ▶ Sometimes we get multiple alarms at the same time ▶ ATT and Probies may not respond to HQ for these alarms ▶If you are in HQ during such a time you may ▶ CCs and Evo ▶ We get dispatched on a graded scale from Alpha to Echo ▶ Go hot on Bravo+ ▶ After each call we write a Prehospital Care Report (PCR)
What safety checks must you do before setting up oxygen tank?
Verify you have a functioning regulator, an Oxygen key, and the regulator has a black “O” ring present
What is the flow rate range for an NRB?
12-15 LPM
What is the proper flow rate for a Nasal Cannula?
2-6 LPM
What is the proper range of pressure for an Oxygen tank?
>700 Psi
What is the flow rate range for using a BVM?
15-25 LPM
What is the flow rate range for using a nebulizer?
4-6 LPM
Define Systolic
The pressure against the walls of the artery caused by the heart contracting
Define Diastolic
The pressure against the walls of the artery when the heart is relaxing
What is the normal anatomical position?
Normal anatomical position: a reference point for all anatomical terms ● Standing ● Facing forward ● Arms at side ● Palms facing up
What are the 5 anatomical planes?
● Transverse: divides the body into top and bottom ● Coronal / Frontal: divides the body into front and back ● Sagittal: divides the body into L and R ● Mid-axillary ● Mid-clavicular
What is the transverse plane?
Transverse: divides the
body into top and
bottom
What is the Coronal/Frontal plane
Coronal / Frontal:
divides the body into
front and back
What is the sagittal plane?
Sagittal: divides the
body into L and R
What are the 5 anatomical positions?
Supine: lying on spine, face up
Prone: lying flat on chest, face down
Left/Right Lateral Recumbent: lying on
their side
“Recovery position”: Left Lateral
Recumbent, lying on their left side
Trendelenburg (“shock position”) :
Supine w/ legs elevated 6-12” above the
head
Left/Right: always from the patient’s
perspective
What are the 3 anatomical seated positions?
Fowlers: Seated Upright at 90°
Semi-Fowlers: Seated at 45°
Tripoding: seated, leaning
forward with knees and
elbows out
Define Superior
Closer to the head
Define Anterior/ventral
Towards the front
Define medial
close to the midline
Define Proximal
closer to the core
Define superficial
Towards the surface
Define inferior
closer to the feet
Define posterior/dorsal
Towards the back
Define Lateral
Farther from midline
Define distal
farther from the core
Define deep
Farher than the surface
Which organs are in the Right Upper quad?
RU: liver, gallbladder, stomach,
pancreas
What organs are in the Left Upper quad?
LU: spleen, most of stomach,
pancreas
What organ is in the Right Lower quad?
Appendix
What organs are in the Left Lower quad?
LL: small/large intestine *which
is in all other quadrants*
What are the functions of the skeletal system?
Functions:
Support and Structure
Protection
Movement
Production of red blood cells (RBC)
Mineral Storage
What are the differences between Tendons and Ligaments
● Ligaments: connect bone to bone
● Tendons: connect muscle to bone
Which bones are in the Axial skeleton?
Axial skeleton: bones of head and trunk
Which bones are in the Appendicular Skeleton?
● Appendicular skeleton: bones of appendages
What are the 4 (or 5) sections of the spinal column?
Cervical (7), Thoracic (12), Lumbar (5) , Sacrum (5), Coccyx (4)
C1, C2 - Atlas and axis respectively. They
support and allow movement of skull
C3,4,5 - Vertebrae which protect the
phrenic nerve and “keep the diaphragm
alive”.
What are the 3 sections of ribs in the ribcage?
● True ribs: 1-7
○ connect directly to the sternum via
costal cartilage
● False Ribs: 8-10
○ connect indirectly to sternum
through 7th rib by cartilage
● Floating Ribs: 11-12
○ do not connect to sternum, only
wrap halfway
What are the 3 main components of the hand?
Hand:
● Carpals
● Metacarpals
● Phalanges
What are the 3 components of the leg bones?
Leg bones:
● Femur
● Patella
● Tibia (anterior) / Fibula
(lateral)
What are the 3 components of the foot?
● Tarsals
● Metatarsals
● Phalanges
General diagram of important bones
Radio Code: 1
Disaster / Severe Emergency
Radio Code: 2
Proceeding to Location
Radio Code: 3
Additional SBVAC Help
Radio Code: 4
Incident under control
Radio Code: 5
Returning to base
Radio Code: 9
Standing By
Radio Code: 10
Request PD
Radio Code: 13
Structure Fire
Radio Code: 15
Drill
Radio Code: 16
Ambulance Call
Radio Code: 17
Unit Disabled
Radio Call: 18
Proceeding to Hospital
Radio Code: 19
Radio Test
Radio Code: 21
Arrive at location
Radio Code: 22
Location
Radio Call: 24
Mutual Aid
Radio Code: 25
Dismiss Member
Radio Code: 28
Ready for Service
Radio Code: 34
Telephone (unit)
Radio Code: 35
Working Fire
Radio Code: 50
D.O.A
Radio Code: 60
Multiple Casualty Incident
Radio Code: 100
Scene Emergency Evacuate
TA: B _ _ _ _ _ _ K_ _ _ _ _ _ _ _ _
Bradley Kenneally
TA: M _ _ _ _ _ _ C _ _ _ _ _ _
Michael Cottone
TA: H _ _ _ _ _ K _ _ _ _ _ _ _
Hayley Kordisch
TA: R _ _ _ _ _ S _ _ _ _ _
Rachel Stokes
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Chris Palmeri
TA: M _ _ _ _ D _ _ _
Mariah Dick
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Inna Trygubchuck
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Justin Bauco
TA: C _ _ _ _ _ _ C _ _ _ _ _ _ _ _
Charlie Christian
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Jannatul Pahi
Probie: A _ _ _ L _
Andy La
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Adrienne Popescu
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Anna Peraino
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Ethan Carr
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Daya Baskaran
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Isabelle Cataldo
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Ishika Patel
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Jasmine Ting
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Sydney Tran
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Tasfia Haque
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Stefan Mihai
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Noshin Shakawat
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Nicole Gladstein