Www.firenotes.com
EMERGENCY MEDICAL SERVICES - POLICY INDEX
O/EMS-201 EMERGENCY MEDICAL RESPONSE AGENCY 1
O/EMS-202 MEDICAL RESPONSE 1
O/EMS-203 INCIDENT REHABILITATION 7
O/EMS-204 ALL-TERRAIN MEDICAL RESPONSE (ATMR) 12
O/EMS-205 MEDICAL SUPPLIES & EQUIPMENT 13
O/EMS-206 MEDICAL OXYGEN 14
O/EMS-208 EMS CONTINUING EDUCATION 16
O/EMS-209 CPR PROGRAM 16
O/EMS-211 EMS LICENSURE 24
O/EMS-213 CAREFUSION CLIPPERS 25
O/EMS-214 OMD CREDENTIALING 25
|O/EMS-201 EMERGENCY MEDICAL RESPONSE AGENCY | | | |
| | |UPDATED | |
| | |1/1/2012 | |
| | | | |
The OCFD is certified by the Oklahoma State Department of Health (OSDH) EMS Division as an Emergency Medical Response Agency (EMRA). This certification authorizes OCFD to provide emergency medical care in the pre-hospital environment. To maintain EMRA status, we must comply with the rules and regulations (State Statutes) of the OSDH. This certification requires that all OCFD personnel involved in the delivery of pre-hospital emergency medical care must be certified at the Emergency Medical Responder level or above.
MEDICAL CONTROL
As an EMRA, the OCFD provides medical care under supervision of the Medical Control Board and the Physician Medical Director. Patient care delivered by OCFD personnel will be dictated by detailed medical care protocols that are provided by the Physician Medical Director, deviation from these established written protocols will not be acceptable.
|O/EMS-202 MEDICAL RESPONSE | | | |
| | |UPDATED | |
| | |7/10/2017 | |
| | | | |
MEDICAL PRIORITY DISPATCH SYSTEM (MPDS)
The priority dispatch system is utilized by EMSA to determine the nature and prioritization of all medical calls. This system is designed to dispatch fire apparatus on only those incidents where there is a legitimate need. The objective of this system is to obtain the most efficient and effective use of personnel and equipment while providing a high quality emergency medical response. There are four major medical priority dispatch system (MPDS) priority classifications, Alpha, Bravo, Charlie, and Delta level calls. Within this system life threatening calls are known as Delta level calls and possible life threatening calls are known as Charlie level calls. The Fire Department will respond to all life threatening and possible life threatening medical emergencies known as Delta and Charlie level calls and automobile accidents with injuries.
RESPONSE TO VIOLENT OR POSSIBLE VIOLENT INCIDENTS
If dispatch obtains information from the police, EMSA or by other means that the scene of an incident is possibility violent, dispatch will advise companies responding to avoid ingress to the scene until police have secured the area or the company officer determines the scene is secure. The responding company will go to level one staging or enter the scene if determined secure. When responding to a potentially violent scene and not advised by dispatch, the company officer will make the decision whether to stage or enter the scene. Incidents involving a violent nature are potential crime scenes. Police have the primary responsibility and authority for crime scenes and Fire Department personnel should use caution entering these scenes. Review Protocols for more information. Potentially violent scene incidents include:
1. Any incident where Police request staging.
2. Aggravated assault involving a weapon and the assailant is on the scene.
3. Attempted suicide where the patient is conscious and threatening.
4. Violent psychiatric patients.
5. Any other incident that presents an unreasonable danger to the responding companies.
SCENE CONTROL
When any safety hazard exists at the scene of a medical emergency, the company officer will assume command of the scene and accept responsibility for the safety of the patient and rescue personnel. It may be necessary to delay patient care access by ambulance and Fire Department personnel if the officer feels that life hazards exist or that there is a threat of injury to rescue personnel. Any delay in patient care should be discussed with the lead paramedic of the transport agency.
When hazards exist at a crime scene or traffic safety hazards exist, the ranking Law Enforcement Officer on scene will be accountable for the safety of patients and rescue personnel.
GUIDELINES FOR PATIENTS WITH WEAPONS
If a firefighter becomes aware of a firearm at the scene of an incident, either by admission of the patient or by actual observance of the firearm, the Oklahoma City Police Department should be requested immediately. The police officer will make the decisions regarding how to proceed with the firearm. The mere presence of a handgun should not indicate a threat to personnel safety. However, under no circumstances should personnel take any action that would compromise his/her safety or the safety of the public.
If the patient is unconscious, requires urgent care and the Police Department is not on-scene, Fire Department personnel may carefully separate the weapon from the patient if it is necessary to treat the patient and secure the weapon until the Police Department arrives. Every effort should be made to minimize physical contact with the firearm. The Officer in Charge shall assign personnel to remain with the firearm until the Police Department arrives and takes possession of the firearm.
If Fire Department personnel are at the residence of a compliant patient and the patient has a firearm on their person, personnel should instruct the patient to secure the firearm and leave it at the residence.
If the patient is not compliant and refuses to secure the firearm in the residence, personnel should assess the situation and determine if the patient poses a threat to themselves or others. If the patient does not pose a threat to themselves or others, personnel may treat the patient and advise EMSA of the situation. If it is determined that the patient poses a threat, then personnel should evacuate the scene to a secure area and wait for the Police.
TRANSFER OF PATIENT CARE
Fire Department companies arriving on the scene of a medical emergency before the transport agency will assess the patient and initiate treatment per Protocols.
When the transport agency arrives on the scene, the lead Paramedic with the transport agency will assume responsibility of the patient and direct all patient care. Fire Department personnel will provide the transport paramedic with a patient report that includes: assessment findings, pertinent medical history and care given.
If requested, Fire Department personnel will assist the transport agency with patient care while enroute to the receiving medical facility. When this occurs, documentation of the occurrence and any care given should be added to the OKCFD patient care report.
AMBULANCE CALLS PROCEDURES
The following will apply in order to provide a cooperative effort between the fire department, EMSA, or any other transporting agency to ensure the highest level of patient care.
Fire or police officers who have been resuscitating a patient at a scene may continue to assist ambulance personnel to maintain continuity of care but will be at the direction of the lead ambulance paramedic. If an OKCFD paramedic perceives an intervention being attempted ambulance transport paramedic could harm to the patient, then it is the responsibility of the OKCFD paramedic to discreetly discuss the intervention with the transport medic. In any event, transport personnel have the primary responsibility for care of the patient.
If upon arrival you find that an ambulance is already at the scene, inquire to see if additional help is needed and if not, return immediately to service. The decision to transport a patient by ambulance will be made by the patient, a family member, or under special circumstances by the police department, but not by the fire department.
Complaints regarding EMSA or other transporting agency personnel are to be forwarded to the EMS office via email (EMSTraining@) as soon as practical. After investigating, the EMS Office will determine the appropriate action to be taken. The EMS Office will email the complaintant with the findings of the investigation.
UNIFIED ACTIVE THREAT RESPONSE
Plan Description
Multi-agency response plan for the rescue and management of casualties’ during an active threat situation where a person(s) is actively in the process of killing, inflicting serious bodily injury, or otherwise causing serious imminent danger to others. This coordinated rapid deployment plan integrates Police, Fire, and EMS to; stop the active threat, rescue victims, provide emergency medical care, and secure and preserve the crime scene.
Definitions
Active Threat - An active threat is any situation where a person(s) is actively in the process of killing, inflicting serious bodily injury, or otherwise causing serious imminent danger to others. An active threat may occur in any environment and is not limited to any particular weapon or means of causing danger. Active threats may occur inside a structure such as a school, mall, or business, but they can also occur outside, in public, and in other open areas.
Contact Team (Call sign Contact One) - A police officer or group of officers whose primary mission is to stop the active threat.
Rescue Team (Call sign Recue One) - A group of Fire and Police personnel assigned to enter areas cleared by the Contact Team to locate, recover, and facilitate the evacuation process of victims to safe areas for medical evaluation, treatment, and transport.
Inner Perimeter Team Manager (Call sign Inner Perimeter) – Role is to establish and manage the inner perimeter that encompassesthe danger zone.
Outer Perimeter Team Manager (Call sign Outer Perimeter) – Role is to establish and manage a large outer perimeter that encompasses the danger zone and staging areas for first responders and protects the public.
Intel Team Manager (call sign Intel) – Role is to obtain and analyze intelligence on the event.
Family Assistance Center (FAC) - A safe reception center used to provide information and assistance about missing or unaccounted for persons and the deceased, reunification of survivors with friends and family, accounting for survivors of the incident, and handling missing person reports related to the incident.
Inter-Agency Communication
The police contact team/s will remain on their division’s primary channel. Communications on the Divisions primary channel will be limited for use by the contact team and police personnel involved with the movement and activity of the contact team/s. A secondary channel will be assigned (OCPD Dispatch 6) for all other on-scene police operations. A third channel will be used by the affected division for other non-related radio traffic.
Internal communications for responding Fire Department resources will take place on the assigned fire tactical channel. The responding Fire District/Battalion Chief (DO) will go to OCPD Dispatch 6 for initial communication with the on-scene OCPD Incident Commander and or the Police dispatch supervisor. All other fire department resources will assign one hand-held radio to monitor OCPD Dispatch channel 6. With the exception of the responding DO, fire personnel will not transmit on OCPD Dispatch 6 unless it is to provide emergency information.
Response Plan
When an active threat is reasonably believed to exist based on the determination of a law enforcement officer at the scene or a supervisor at the Public Safety Communications Center, the “active assailant” protocol will be activated. This protocol will be initiated through the Public Safety Communications Center resulting in the notification of Police, Fire, and Emergency Medical Services responders including necessary command staff and support personnel.
Fire Department response to an “Active Assailant” incident will include; 2- Engine Company’s, 1- Rescue Ladder, Hazmat 5, and the District/Battalion Chief (DO). Dispatch will also activate the Fire Departments “Command Page”.
Fire Response: Tthe Fire Department DO assigned to the event will go to OCPD Dispatch 6 on their handheld radio. The DO will attempt to establish communications with the on-scene OCPD Incident Commander. and contact Police Dispatch to establish communications with PD on-scene command/supervisor. PD dispatch will relay any needed information to the responding Fire DO until on-scene PD command is able to communicate directly. The immediate goal of establishing radio communication is to set up face-to-face contact as early in the incident as possible.
If communication is not immediately established with on-scene command, the DO will contact the OCPD dispatch supervisor using PD-6 for up to date information. The DO and other Fire resources will go to level one staging until Fire-PD communications has been established. As soon as safely possible, Fire companies will be directed to a specific area/(s) on-scene to form Fire /Police rescue teams to enter the scene for evacuation of civilians and civilian casualties and to provide treatment of life-threatening injuries.
Surviving injuries that are often associated with an active assailant can be dependent on the immediate availability of medical care. Being that all on-scene operations are coordinated through the Law Enforcement agency having jurisdiction, the urgency of establishing face-to-face communication with the Law EnforcementE on-scene commander/supervisor cannot be overstressed.
The first Fire Company officer at staging will assume the role as staging manager. The staging area will be located as close to the scene as possible in a protected area that does not interfere with ingress and egress of police and EMS vehicles. All remaining apparatus and fire department personnel will report to this location unless otherwise assigned. Police and ambulance staging will be adjacent to fire department staging when possible. First arriving units should assist with perimeter control, secure ingress and egress routes and deny scene access to civilian and non-essential personnel.
The staging manager will organize and maintain a running list of incoming Fire, Police, and Ambulance resources. Track resources by agency, unit ID, type, and time of arrival.
To prevent gridlock of Emergency Vehicles, later arriving fire companies may leave apparatus at staging area and transport crew to the scene by ambulance. If practical, to maximize safety, Rescue Teams can walk from staging to the scene using a fire department apparatus for concealment.
Initial Police Operations: The first arriving law enforcement personnel will establish contact teams consisting of 2-6 person teams. The sole purpose of the contact teams is to locate and stop the violent behavior. These Law Enforcement contact teams will not provide first aid or rescue until their initial assignment has been completed and the immediate threat has been eradicated.
The initial Contact Team will designate a radio officer on the Contact Team who will be responsible for communicating the entry point, direction of travel, suspect information, location of injured victims, and location of barricades or explosive devices, etcetc. and other safety or intelligence information to Communications using call sign Contact One. If there are additional Contact Teams deployed, call signs will be Contact Two or Contact Three.
As areas that include injured persons are cleared by the Contact Team, the Contact Team will assess whether it is safe for a Rescue Team to enter each cleared area. Any information known about a secondary hazard needs to be communicated. For purposes of using common terminology between Police, Fire, and EMS first responders, the following terms are defined for use with this Active Assailant Response Plan.
Hot Zone: Areas that have not been cleared by Police.
Warm Zone: Law Enforcement contact teams will pass through specific areas as they move quickly and directly toward the threat. The segments initially covered by contact teams will be considered “Warm Zone”. Rescue operations may begin in these areas at the discretion of the law enforcement on scene commander.
Cold Zone: Areas that is are secure
Fire-Rescue Operations: Fire/Police rescue teams will be formed to enter the scene for evacuation of civilians and civilian casualties and to provide treatment of life-threatening injuries.
An active shooter incident can transition into a barricaded suspect or hostage situation depending on the actions of the suspect. In these cases, LEO’s will contain the suspect/s to a single room or area within the active crime scene. Areas no longer accessible to the suspect and or out of their line of site will be considered “Warm Zone”. Rescue operations may begin in these areas at the discretion of the law enforcement on scene commander.
As contact teams are formed and deployed the company officer of the first-in apparatus will establish face-to-face communication with the Law Enforcement on-scene Commander. After initial contact between Fire and Law Enforcement, constant face-to-face communication will be maintained between the two agencies throughout the incident.
Fire and police rescue teams will be deployed at the earliest opportunity keeping mindful that it is an active crime scene and considered a hot zone during rescue operations. All fire and EMS operations during this time will be under close armed security of law enforcement personnel.
Rescue teams will consist of a minimum of two firefighters (preferably four) and a minimum of one two police officers. It must be absolutely clear that LEO’s assigned to Fire-Rescue operations maintain security and protection over their assigned team and as such should not assist with the physical removal of casualties.
Movement of the rescue team will be at the direction of the police officer(s) assigned to the team. Fire personnel will not enter areas in front of police officers. Fire Department personnel may also assist in the evacuation of walking wounded and other personnel but only when assigned with a police officer.
To reduce duplication of effort, yellow surveyors tape or banner guard will be used to mark rooms that have been cleared by the rescue team. The sole purpose of the yellow flagging is to prevent duplicate room searches for live-viable victims during initial rescue operations. The flagging should not be interpreted as a room being clear of all hazards and or deceased victims.
Rescue teams will evacuate casualties to the established Casualty Collection Point (Triage and Treatment area). During rescue/evacuation, treatment provided by rescue team personnel will be limited to life-threatening injuries only. Law Enforcement member/s of the rescue team has have authority to suspend team operations and or transition to rescue only (no treatment) if threat increases to unacceptable level.
Triage Treatment/Casualty Collection Point (CCP) should be contiguous with the transport area allowing for ambulance ingress and egress. Additionally, for active and violent situations, consideration for cover-concealment and security must also be included in criteria for site selection. Law Enforcement should provide armed security for the CCP/s. If necessary, an area of refuge should be established for non-injured civilians. Use natural or artificial barriers to maximize safety.
Temporary CCP/(s): may be instituted if assessment and treatment of life-threatening injuries is hindered by the time and distance to primary CCP. Changing scene dynamics that result in blocked egress routes or increased threat levels may also necessitate the use of temporary CCP/(s).
Stretcher casualties will be evacuated in the order that they are encountered. As casualties are encountered, they will be rapidly assessed and treated for life-threatening injuries only. Additional assessment and treatment will not be provided in the unsecured areas. Triage in the unsecured area will be limited to the primary assessment and attaching a black tag or tape to any confirmed fatality. Tagging the deceased patient will prevent unnecessary reassessment by other rescue teams. Time in the unsecured areas must be limited as all personnel operating in these areas are exposed and at risk.
When available, the mega-mover or comparable device should be used by rescue teams to expedite patient evacuation. Long spine board, scoop stretcher, and firefighter carries may also be used for the rapid extrication of casualties. Secondary treatment will be withheld until the casualty reaches the CCP. Casualties are considered in immediate danger until removed from the unsecured area. When assignments have been completed, crews should report back for reassignment. It is critical that crews do not move to other areas to provide assistance unless assigned thru the command system.If sufficient backboards are not available, firefighter carries may be used for the rapid extrication of casualties. Secondary treatment will be withheld until the casualty reaches the CCP. Casualties are considered in immediate danger until removed from the unsecured area. When assignments have been completed, crews should report back for reassignment. It is critical that crews do not move to other areas to provide assistance unless assigned thru the command system.
EMS Operations: The EMS transport agency will provide a liaison to coordinate with police and fire operations. Transport units will stage adjacent to fire department staging to allow face to face communication and access to equipment. The emphasis on rapid treatment and transportation of casualties dictates that transport medics remain with their units at all times unless authorized or reassigned by their on scene supervisor. Fire Department personnel will need to approach EMS units for backboards and additional EMS supplies when needed. Transport medics should not be expected to leave their units to deliver equipment.
The EMS transport agency will staff and manage the primary CCP and transport area (Triage/Treatment/Transport), anyone assigned to this area will be under their direction. A separate area may be set up for the walking wounded. This will also be coordinated by the transport agency.
|O/EMS-203 INCIDENT REHABILITATION | | | |
| | |UPDATED | |
| | |1/1/2012 | |
| | | | |
The policy of the Oklahoma City Fire Department is that no employee will operate at an emergency or non-emergency scene beyond a safe level of physical and mental endurance. These guidelines apply to all appropriate emergency incidents and training exercises where physical activity or exposure to extreme environmental conditions exists. The Rehabilitation Group will be utilized to evaluate and assist personnel to avoid sustained physical exertion that can result in acute health detriments as well as to evaluate and assist personnel who may already be suffering from the effects of sustained physical exertion during emergency operations. The Rehab Group will provide a specific area where personnel will assemble to receive:
✓ a physical assessment
✓ revitalization - rest, refreshments, etc.
✓ treatment for physical and/or mental stress as well as physically-induced injuries and/or illnesses
✓ close monitoring of physical condition
✓ transportation for those requiring treatment at medical facilities
RESPONSIBILITIES
The Incident Commander will consider the circumstances of each incident and make necessary arrangements early in the incident for the rest and rehabilitation of all personnel operating at the scene.
All supervisors will maintain an awareness of the condition of each company member operating within their span of control. The command structure will be utilized to request relief of fatigued crews.
It is the responsibility of each company member to advise their supervisor when they believe that their level of fatigue or exposure to heat or cold is approaching a level that could affect themselves or their company in the operation in which they are involved.
ESTABLISHMENT OF REHAB
Responsibility
The Incident Commander will establish a Rehab Group as per OKCFD Incident Management System when conditions indicate it will be needed at an incident or training evolution scene. A member will be placed in charge of the Group and will be known as the Rehab Officer. The Rehab Officer will typically report to the Logistics Officer (if filled) in the framework of the Incident Management System.
Location
The location for the Rehab area will normally be designated by the Incident Commander. If a specific location has not been designated, the Rehab Officer will select an appropriate location.
Site Characteristics
1. The entry/exit will be marked with two traffic cones to indicate where all personnel will enter and exit the Rehab area.
2. Rehab area should be far enough away from the scene that members may safely remove their turnout gear and SCBA.
3. The site should enable members to be free of exhaust fumes from apparatus, vehicles, or equipment
4. It should provide protection from the prevailing environmental conditions.
5. Misting and cooling equipment should be made available if heat illness could result from the incident operations and/or prevailing environmental conditions.
6. It should be large enough to accommodate multiple crews.
7. It should be easily accessible to EMS and other support units.
8. It should allow easy reentry into the emergency operation.
9. Rehab should be divided into three areas, one for immediate rehab, one for staged and ready firefighters, and another area for medical. The staffing of the Rehab area will be determined by the Incident Commander taking into consideration the size and duration of the incident/evolution.
Staffing
1. Residential/Commercial Response Rehab areas will be staffed using the initial responding companies unless in the judgment of the Incident Commander more resources are needed to adequately staff it.
2. Multiple Alarm Rehab areas will be staffed by initial responding resources until such time as the greater alarm support personnel arrive on the scene. The greater alarm, support personnel will report to the IC and could be assigned Medical / Rehab duties if necessary for existing personnel to be relieved.
GUIDELINES
Rehabilitation Group Establishment
Rehabilitation should be considered by the incident commander during the size-up phase of an incident. Climatic and environmental conditions for the incident scene should not be the sole justification for establishing a Rehabilitation Area. Any training or incident activity that is large in size, long in duration, and/or labor intensive will rapidly deplete the energy and strength of personnel and therefore merits consideration for establishing a Rehabilitation Group.
Accountability
All crew members reporting to Rehab will check in with the Rehab Officer at the entry/exit point. Personnel leaving the Rehab Area must check out through the Rehab Officer. When a rehabilitation area is established, no member should be reassigned to return to duty before being medically evaluated, hydrated for at least 10 minutes, and cleared by Rehab Officer.
The Rehab Officer will update the Logistics Officer (or Incident Commander) throughout the operation with pertinent information including the identity of companies in Rehab, the companies available for reassignment, plus the status of any injured or ill personnel.
Resources
The Rehab Officer will secure all necessary resources to adequately staff and supply the Rehabilitation Area. The supplies should include the following items, but should be adjusted as necessary for the incident.
1. Fluids - water, activity beverage and ice
2. Food - Red Cross can be used as a resource for soup, broth, or other types of food.
3. Medical - need at least one trauma kit, oxygen administration equipment, defibrillator, RAD -57 or defibrillator with CO monitoring capabilities, and other equipment as needed.
4. Other - as deemed by the incident fans, tarps, heaters, floodlights, blankets, and traffic cones (to mark the entry/exit of the Rehabilitation Area)
Hydration
A critical factor in the prevention of heat injury is the maintenance of water and electrolytes. Water must be replaced during exercise periods and at emergency incidents. Employees will rehydrate (at least eight ounces) while SCBA cylinders are being refilled. During heat stress, each employee should consume at least one quart (32 oz.) of water per hour. The rehydration fluid should be an activity beverage administered cool. Rehydration is important even during cold weather operations where heat stress may occur during firefighting or other strenuous activity when protective equipment is worn. Caffeinated drinks should be avoided before and during emergency operations, because both interfere with the body’s water conservation mechanisms. Carbonated drinks should also be avoided.
Nourishment
Food and nourishing drinks may be provided by the American Red Cross (or suitable alternative) at the scene of extended incidents when units are engaged for three or more hours.
Rest
Rest normally should not be less than ten minutes and may exceed an hour as determined by the Rehab Officer. Fresh crews, or crews released from the Rehab rest area, will move to the Ready area of Rehab to ensure that fatigued employees are not required to return to duty before they are rested, evaluated, and released by the Rehab officer.
*The company officer or crew leader should additionally ensure that all members in the company or crew seem fit to return to duty.
When employees are assigned to the Rehabilitation unit, the Rehab Officer will observe all members in each crew for employees that have signs of heat stress, hypothermia, or extreme fatigue. If employee has signs of heat stress or does not recover quickly, they should be moved to the medical evaluation area. In the medical evaluation area, heart rate should be measured for 30 seconds as early as possible in the rest area. If an employee’s heart rate exceeds 110 beats per minute, a temperature should be taken. If an employee’s temperature exceeds 100.6oF, employee should not be permitted to wear protective equipment. If it is below 100.6oF and heart rate remains above 110 beats per minute, rehabilitation time should be increased. At the time that the heart rate is measured all vitals should be taken and recorded on the emergency the Emergency Incident Medical Surveillance form. Vitals will be taken every 5 to 10 minutes. If an employee has abnormal vital signs or if employee does not recover in a reasonable amount of time, contact the Medical Officer for possible transport to the hospital.
[pic]
MEDICAL SURVEILLANCE FORM INSTRUCTIONS
(Form is located on Fireweb Forms webpage)
Rehab Officer
✓ Enter your name and time in as Rehab Officer.
✓ All companies must enter and exit the Rehab area as a crew at the entry/exit point.
✓ Enter the company, number of persons in company, and time in and out of Rehab.
✓ Each arriving emergency worker must be questioned regarding any medical symptoms, be asked about any injury or illness resulting from incident work, and have assessment of appropriate vital signs. If employee is in need of aid or does not recover in allotted time, they should be moved to the medical surveillance area.
✓ If any personnel need to go to the medical surveillance or medical treatment area, enter names.
✓ Enter number of times company has been in Rehab.
✓ After company has had sufficient rest and rehabilitation and all SCBA have been refilled, move company to the Ready area of Rehab and enter time.
✓ The Rehab Officer will update the Logistics Officer (or Incident Commander) throughout the operation with pertinent information including the identity of companies in Rehab, the companies available for reassignment, plus the status of any injured personnel
✓ Release companies from the Ready area as needed and enter time in the Time out column.
Medical Surveillance
✓ Enter name of person entering the medical evaluation area for heat/cold/fatigue or for medical treatment of injury or illness.
✓ Once in the medical surveillance area, heart rate should be measured for 30 seconds as early as possible in the rest period along with full vital signs including pulse ox and CO readings.
✓ Vitals will be taken every 5-10 minutes.
✓ If any of the following signs and/or symptoms, or any complaint or reason for concern in the opinion of rehab officer or employee, they should be moved from the medical monitoring area to medical treatment area.
[pic]
✓ If an employee’s heart rate exceeds 110 beats per minute, an oral temperature should be taken.
✓ If an employee’s temperature exceeds 100.6°F, employee should be moved to medical treatment area and, rehabilitation time should be increased.
✓ Measure the SpO2%. If an employee’s oxygen saturation below 94 percent (while breathing atmospheric or room air) employee should be moved to medical treatment area.
✓ Measure the SpCO% with RAD-57 or LifePak 15
✓ If SpCO% > 3% with any of below signs or symptoms, treat for CO Poisoning per protocol.
[pic]
|Firefighter Headaches |[pic] |
|While CO should always be considered a possible cause | |
|of headaches in working firefighters, there are more | |
|common causes which includes: | |
|Tight helmet ratchet | |
|Long term helmet use | |
|Dehydration | |
|Medical Treatment Area | |
|All treatment should follow MCB approved protocols. | |
|There is clear delineation between medical monitoring | |
|and emergency medical treatment in rehab. | |
|Documentation is to be kept separately. Although the | |
|same providers may do both, it makes logistical and | |
|operational sense to separate them into functional | |
|areas if possible. | |
|If an employee has abnormal vital signs or if employee| |
|does not recover in a reasonable amount of time, | |
|contact the Medical Officer for possible transport to | |
|the hospital. | |
|O/EMS-204 ALL-TERRAIN MEDICAL RESPONSE (ATMR) | | | |
| | |UPDATED | |
| | |7/10/2017 | |
| | | | |
Authorization for Special Event Coverage
Coverage of event must be approved by the Deputy Chief of Operations or designee. The Deputy Chief or designee will assign a District Officer to staff the event. Only current members of the Oklahoma City Fire Departments ATMR Team will be assigned. After assignments are made, the District Officer will notify the Bike Team Coordinator and provide the event description, location, date and time. Names of bike team members will also be provided to the Bike Team Coordinator prior to the event.
Pre-Deployment Preparation
The District Officer and Bike Team Coordinator will make arrangements to deliver bikes and equipment to the appropriate site. The Bike Team Coordinator will assign bikes and equipment to each team member and annotate assignments in the log book.
Deployment
The Bike Team log book will have event name, date, and individual bike assignments. Any additional event information or maps will also be located in the log book. Bike Team members arriving at the event will check the log book for their bike assignment and sign next to their name. If team members were last-minute substitutes, document substitution and assigned bike in log book.
✓ Annotate arrival time in log book keep up log book throughout the event in the same manner as station book.
✓ Wipe down bikes and check mechanical condition of bike and make minor adjustments if necessary (position seat, inflate tires, etc.).
✓ Check medical supplies using check list. No changes, additions, subtractions or location changes of medical supplies will be affected implemented without EMS Office approval.
✓ Conduct radio check with dispatch or on scene incident command.
✓ Fill water bottlesEnsure water availability for proper hydration.
✓ Sunscreen and sunglasses are recommended.
✓ Pre-ride event site to ensure familiarity.
✓ Emergency strobe lights are functioning
NOTE: Emergency lights are for bikes only; not to be used on ERV or other vehicles.
All bike team members will wear ANSI approved helmet (mandatory). Only helmet and uniform approved by the Fire Chief will be used for special event coverage (check with the Bike Team Coordinator for questions regarding approved uniform).
Teams will consist of two bikes staffed with two fire personnel with an EMS level of EMT-B or above. Each bike will carry half of the team’s medical equipment. The equipment will be divided into an airway kit and a trauma kit. All patient contacts and bike team activity will be documented in the event log. The Bike Team leader will generate a report in Visual fire on all patients requiring medical treatment and/or transport.
The usual equipment trade out with the transport agency will be in effect, additional equipment and supplies will be stocked in the ATMR trailer. At the completion of each event, submit a completed supply order form to the EMS office of all expended supplies. Bike team members will maintain high visibility and promote positive public interaction during special event coverage.
Post-Deployment
✓ Remove pannier bags, top rack bag and AED and store in bike trailer. The bags will be stored in the bike trailer.
✓ Remove all personal items from bags prior to storage.
✓ After the event the bikes will be cCleaned, and inspected, and bikes, then secured bikes in the bike trailer using the bike mounts.
✓ Email EMSTraining@ with confirmation of the following information at the end of each event day:
▪ Seven (7) bikes accounted for (with any issues explained in detail)
NOTE: If more than one bike becomes inoperable during event, contact the Bike Team coordinator by cell phone (posted in bike trailer).
▪ Six (6) Emergency Strobe Lights in proper working order
▪ Six (6) kits properly stocked The front tire will be secured separately from the frame. Before leaving, sign the log book that all equipment is accounted for and the bikes have been inspected. If major repairs are needed notify the Bike Team Coordinator and document in the events log.
|O/EMS-205 MEDICAL SUPPLIES & EQUIPMENT | | | |
| | |UPDATED | |
| | |7/10/2017 | |
| | | | |
EMS INVENTORY
An OKCFD approved and issued Trauma kit(s) should be carried on all Suppression apparatus. All shifts shall check out EMS supplies at the beginning of each shift to verify that each apparatus has the necessary supplies and equipment for the shift. The Target Solutions Daily Apparatus Check will be used to confirm minimum quantities are stocked on each apparatus (a link to rig-specific checklists are available on the Daily Apparatus Check and also the Fireweb EMS webpage). No supplies or equipment will be placed on any OKCFD apparatus other than the items listed in the EMS Inventory Database. If a new or specialty item is desired for placement on an apparatus, contact the EMSTraining@ with your request.
DISTRICT EMS SUPPLY CACHE
Each District Chief Station and Station 28 shall maintain an EMS Supply Cabinet. This shall be stocked according to the supplied inventory list located on the Fireweb EMS homepage. A binder will also be provided that contains the inventory by bin number that designates item location and quantities. The EMS District Cabinets shall be maintained by the District Coordinators selected from the Blue shift. However, all shifts require access to the supply cabinet in the event an item is damaged, missing, or used on a call and not traded out by EMSA. An EMS Item Check-Out Log Sheet will be stored on or inside the cabinet. All personnel shall be responsible for documenting any items removed from the cabinet. For items that were used on a medical call and not traded out with EMSA, the date and incident number shall be provided so that these items can be retrieved by EMSA thru the EMS Office. The EMS Item Check-Out Log Sheet should be scanned and submitted via email with the Monthly EMS Supply order form.
EMS SUPPLY ORDERING
Each District will have at least two District Coordinators assigned from the Blue shift. Stations will submit their EMS supply orders via email to their District Coordinators located at the District Chief Station on the second to last Blue shift of the month. The District Coordinators will enter these requests on to the District EMS Supply Order Form located on Fire Web EMS page and forward via email by the last Blue Shift of the month to the EMS Supply Officer. District Coordinators may fill individual station requests within their district utilizing current stock level stored at District Hub Station. When requested supplies are received from the EMS Office, these will be used by the District Coordinators to fill requests that were not able to be filled at the District level and to replenish District Hub Supply to proper levels. This rotating of EMS supplies will serve to expedite delivery of needed items as well as reduce the quantity of materials expiring on a shelf.The ordering of the EMS supplies will be completed by the Blue shift on the last Blue shift of the month by 1200 hours. Each station will submit their EMS supply orders via the EMS Inventory Database. A detailed tutorial for using the EMS Inventory Database can be found on the Fireweb EMS webpage. The Operations Warehouse will coordinate with District Officers to schedule pickup of supplies on a Blue Shift day. The EMS Office will provide a report to District Officers at the first of each month verifying that EMS Supplies have been ordered for stations in their District.
EXPIRED/NEAR EXPIRED EMS SUPPLIES
With the exception of controlled substances, any station’s EMS supplies or medications which have reached their expiration date will be delivered to their District Officer’s station. District Coordinators shall notify the EMS office of expired items needing picked up. Alternatively, stations may drop off expired supplies at the EMS Office at any time. Effort should be taken to identify items that are within 4 to 6 months of expiration and notify District Coordinators & EMS Office of upcoming expirations so these items may be traded out. This is to reduce the amount of waste and cost in the service we provide.Quarterly, the EMS Office will pick up the expired supplies in the months of March, June, September, and November or when notified by the District Officer. Alternatively, stations may drop off expired supplies at the EMS Office at any time.
EMERGENCY SUPPLIES AND EQUIPMENT
For emergency replacement of expended, missing, or damaged EMS equipment/supplies during normal business hoursnot available from the District Hub Station or any Hub Station in an adjacent district, call the Operations Warehouse (297-2199)EMS Office during normal business hours at 297-1315. If supplies are in stock, the requesting company will need to make arrangements to retrieve items from the Operations WarehouseEMS Office located at 600 850 N Portland Ave (Fleet Maintenance ShopFire Training Center).
Emergency supply/equipment needs after hours:
1. Check District Officer StationSupply Hub and within district for replacement items.
2. If not available within district, District Coordinator or designee shall call the other District Supply Hubs to see if items are available from other districts. If not available from other districts, call EMSA supply warehouse at 297-7025 and check availability of items.
3. Make arrangements to pick up supplies at 2323 S Walker (EMSA Post 41).
▪ If non-disposable, EMSA will loan if available
▪ Email EMSTraining@ and your District Officer listing all items provided by EMSA whether disposable or non-disposable.
NOTE: FOR CONTROLLED SUBSTANCES, SEE O/EMS-207
If equipment including ECG cables were left on an EMSA unit:
1. Contact the EMSA Field Operations Supervisor (FOS) at 297-7022.
2. Provide the EMSA FOS with the EMSA unit number, incident address, time of call, and equipment type.
3. Make necessary arrangements to retrieve equipment.
Life-Pak 15’s, 1000’s, and LP-15 Cables
During normal business hours, LifePak defibrillators are to be traded out at the EMS office. A limited number of LP-15’s, 1000’s, as well as 4-lead and 12-lead cables are located at Station 1 in the closet on the second floor landing North of the District Officer’s quarters. The closet may only be opened by 601 or designee.
If an LP-15 is thought to have malfunctioning 4- or 12-lead cables, attempt to replace the cables with loaner cables. If the cables still do not provide proper functioning of the device, re-attach the original cables and proceed with trade out of the entire unit. In no circumstances should cables be removed from loaner defibrillators. After trade-out has occurred, go to Target Solutions and fill out the Defibrillator Exchange assignment for notification of exchange and reason for exchange. This can be accomplished by selecting Self-Assign then EMS Office – Defibrillator Exchange. Complete the form and include the serial number along with the reason for exchange in your email.
Anytime that a Life-Pak or cables are traded-out and/or removed from the closet, complete the Equipment Check-Out form that is also located in the closet next to the LP units. Email EMSTraining@ and your District Officer regarding the loaned equipment. This must be accomplished on same shift.
All shifts shall ensure proper operation of defibrillators assigned to apparatus at the start of each shift. The Target Solutions Daily Apparatus Check will be used to confirm proper operation. If problems are found, email EMSTraining@ with the defibrillator’s type, serial number, and a detailed description of the problem.
|O/EMS-206 MEDICAL OXYGEN | | | |
| | |UPDATED | |
| | |7/10/2017 | |
| | | | |
Oxygen used in the medical profession can be very hazardous. Although oxygen does not burn, it does support combustion. Some materials, such as the metal in our oxygen regulators or cylinders, will not burn in air, but may burn in high-pressure pure oxygen. The procedures for minimizing the chance of fire are provided below.
Use of Equipment
✓ Caution must be used during every oxygen use operation.
✓ Do not allow smoking around oxygen.
✓ Visually inspect the post valve and regulator inlet prior to installation. If they are not visually clean they should not be used.
✓ Open the cylinder valve slowly and completely to minimize the heat produced and achieve the desired flow conditions within the equipment. Do not look at the regulator pressure gauge until the cylinder valve is fully opened.
✓ Do not allow post valves, regulators, gauges, and fittings to come into contact with oils, greases, organic lubricants, rubber or any other combustible substance.
Refilling and Storage
✓ The post valve gasket will be replaced every time an oxygen bottle is refilled. This is to assure that we attain a good seal each time a bottle is refilled.
✓ The old gasket is discarded and replaced with a new gasket. A bag containing 20 10 Post Valve Gaskets will be carried in every medical kit on every apparatus.
✓ After refilling, momentarily open and close "Crack" the post valve to blow out debris before installing the regulator.
✓ Ensure the regulator flow knob is in the "off" position before attaching it to the cylinder.
✓ Position the equipment so that the valve is pointed away from the user and any other persons.
✓ Use the green 3-inch plastic sleeve caps to cover post valves on all spare bottles not in use to protect the valve head and openings from dust, grease, and possible damage.
✓ The post valve gasket and the plastic sleeve caps can be replenished by ordering them on the monthly EMS supplies form.Check District EMS Supply cache if in need of replacement items.
Cylinder Testing
✓ Cylinders must be hydrostatically tested every five years.
✓ Contact should be made with the Air Shop when cylinders are in need of testing. Cylinders which display a date over 5 years from last date of testing should be removed from service until testing has been completed.
|[pic] |[pic] |[pic] |
|Green Post Cover |O2 Post Valve |Post Valve Gaskets |
|O/EMS-208 EMS CONTINUING EDUCATION | | | |
| | |UPDATED | |
| | |6/1/2016 | |
| | | | |
In order for Emergency Medical Technicians to maintain their licensure they must complete a specified number of continuing education (Con-Ed) hours during their two-year renewal period. These Con-Ed hours will be assigned to personnel through Target Solutions as an “EMS Credential”. EMS Credentials are a collection of Con-Ed assignments with varying EMS topics. Personnel who renew in even-numbered years will receive their assignments in the month of April of even-numbered years. Personnel who renew in odd-numbered years will receive their assignments in the month of April of odd-numbered years. The deadline for all assignments will be December 31st of the year indicated on the Con-Ed credential.
NOTE: Emergency Medical Responders (EMRs) will not have a Target Solutions credential to complete. Their Con-Ed hours are covered by attendance of the annual EMS Skills refreshers and bi-annual EMS refresher.
|O/EMS-209 CPR PROGRAM | | | |
| | |UPDATED | |
| | |7/10/2017 | |
| | | | |
PERSONNEL CPR TRAINING PROGRAM
CPR training is available to all OKCFD personnel. Personnel with State EMS licensure are required to maintain current “BLS Provider” CPR training status. All other personnel are encouraged to receive and maintain CPR training. All personnel may participate in the CPR training, however if your card does not expire within 3 months of the training you should may participate in the training, but do not sign or be added to the roster.
Support personnel may schedule initial CPR training or retraining of employees at any time. To schedule CPR training and verify Instructor and equipment availability, contact A CPR Coordinator or the EMS office 30 days in advance of the selected training day.
COURSE COMPLETION CARDS
The Oklahoma City Fire Department offers course completion cards for the all the disciplines approved by AHA to provide. All required cards for the provider’s EMS level must obtained by an OKCFD instructor or EMS affiliate within the Office of the Medical Director’s regulated area. Successful students will receive a digital completion card when available. Students who have been assigned an eCard will receive an email inviting them to claim their eCard online. From the email, students will click on a hyperlink to view their eCard. This hyperlink will direct students to the Student Profile webpage. On the Student Profile page, students confirm or edit their contact information; set up a security question and answer that will be used to access their individual eCard profile in the future; and agree to the AHA’s standard Terms of Use. Students are then asked to complete a brief six-question survey about their class experience. Once the student survey has been completed, students will see their individual eCard. The card will be stored digitally on the AHA website. A hard copy can be printed, but is not required. The card can be accessed at any time by going to cpr/mycards and entering the card holder’s information.
Expired Cards
It is the responsibility of the employee alone to maintain a current required card for the licensure held. Failure to renew before the date on the card will result in a letter from the employee to their District Chief explaining the reason for not renewing. The District Chief will contact the EMS office to schedule a full classroom course for the employee at the training center.
BLS PROVIDER DESCRIPTIONS
BLS Provider (Initial)
BLS Provider CPR training will include all requirements set forth by the current Program Administration Manual (PAM) available on the EMS website. Students must attend and successfully complete the full course with a written test score of 84% or above.
Upon successful completion a card will be provided. Cards expire 2 years from date of issue with recommended annual re-training.
BLS Provider (Renewal)
The Challenge Option is the preferred way to renew an on duty OKCFD employee provider at the station. A Repeat of the full BLS Provider CPR Course at the station is also an option.Repeat BLS Provider CPR Course or successfully completed BLS Provider CPR Retraining within the requirements set forth by the current Program Administration Manual (PAM) available on the EMS website. Once complete, submission of a CPR Instructor Evaluation Form is required.
BLS Provider (Renewal Challenge Option)
A “challenge” occurs when a student requests to complete course testing requirements without participating in an AHA classroom course. Instructors must follow all course testing requirements as defined in the appropriate Instructor Manual for the course testing requirements being challenged.
▪ Students must show their current AHA course completion card before testing. An expired AHA course completion card is not acceptable.
▪ There is no option for practice or coaching.
▪ The testing session will be stopped at the first point the student fails.
▪ No remediation is allowed within the challenge option. A student may not reattempt the challenge testing.
▪ If the student fails the challenge testing, no card will be issued by the Training Center, and the student will need attend a full provider course.
INSTRUCTORS
All Oklahoma City Fire Department CPR Instructors and Training Center Faculty must be current American Heart Association instructors. Instructors will ensure that proper techniques are being performed as required by the American Heart Association, and classes are conducted according to the current Program Administration Manual (PAM) found on the AHA Instructor Network. The Instructor is responsible for all forms associated with training and retraining.
BLS Instructor (Initial)
▪ Complete an Instructor Candidate Application (Form is located on Fireweb Forms webpage) and submit to the EMS Office.
▪ Have current AHA provider status in the discipline of the Instructor Course, and be proficient in all the skills of that discipline.
▪ Successfully complete the discipline-specific classroom Instructor Course.
▪ Successfully be monitored by a TCF (Training Center Faculty) or RF (Regional Faculty) teaching your first course within six months after completing the Instructor Course. Additional monitoring may be required.
BLS Instructor (Renewal Requirement)
Only a TCF or RF can renew an instructor’s status. Instructors may renew their status by meeting all of the following criteria or by successfully completing all requirements for a new instructor.
Failure to meet all the renewal requirements will result in not being renewed and removal of instructor alignment with the AHA Oklahoma City Fire Department Training Center.
▪ Complete the requirements of BLS renewal and maintain Provider Card.
▪ Teach a minimum of 4 classroom provider courses or renewals on duty to OKCFD employees in 2 years for the discipline in which the instructor is renewing.
▪ Be monitored while teaching before instructor status expiration. The monitoring form must be filled out and submitted along with the roster to EMS Training by the TFC or RF. The first monitoring after the initial instructor course does not satisfy this requirement.
▪ Attend any updates as required within the previous 2 years. Updates may address new course content or methodology and review TC, regional, and national ECC information.
NOTE: Instructors cannot teach any CPR courses after their card expires.
The following list of tasks and responsibilities performed by the instructor will assist with OKCFD CPR training:
▪ Instruct “BLS Provider courses” to suppression and other personnel as assigned by the District Coordinator.
▪ ALL BLS Instructors must teach a minimum of four courses to on duty Fire Department personnel in two years. It is up to each instructor to achieve this requirement. The District CPR Coordinators will assist with the requirement by coordinating District CPR training with district CPR Instructors
▪ Complete all course roster forms on EMS website within 7 days of class instructed. By submitting a course roster, the instructor is attesting that the class took place in accordance to all requirements set forth by the current American Heart Association recommendations and the current American Heart Association Program Administration Manual (PAM). Course completion cards will then be delivered through interoffice mail to the District Officer of the district that student is assigned. A copy of rosters and course completion cards will be kept on record by the EMS Office for a minimum of three years.
▪ Instruct or assist with “CPR for Family and Friends” to citizens as needed.
▪ Forward orders to District Coordinator of all training aids and supplies needed to conduct CPR classes at least 30 days in advance.
▪ Maintain station CPR equipment inventory.
▪ Assure all personnel at your station have a current “Healthcare Provider” CPR card.
▪ Advise District CPR Coordinator of instructor card expiration date no later than 90 days prior to expiration.
Training Center Faculty (Initial)
Training Center Faculty is an appointed position by the Training Center Coordinator (TCC). Initial training will be conducted by the TCC, Regional Facility (RF), or assigned TFCTCF. Training Center Faculty is responsible for providing quality/performance improvement, updates, monitoring, and teaching Instructor Courses. Initial training courses will be scheduled as needed.
Requirements include:
▪ Minimum of 2 years as a BLS instructor.
▪ Instruct a minimum of 4 courses during the past 24 months.
▪ Possess a copy of OKCFD CPR Policies and Procedures Manual and other materials required at the Instructor level.
▪ CPR Instructor wanting to become Training Center Faculty must complete the Training Center Faculty Candidate Application (Form is located on Fireweb Forms webpage) and contact an EMS Officer.
Tasks performed by Training Center Faculty:
▪ Follow all CPR instructor tasks and responsibilities.
▪ Complete an annual AHA update, if needed.
▪ Complete and submit the Instructor/TFC Renewal Checklist (Form is located on Fireweb Forms webpage) and the Instructor Monitoring Tool Form with the roster for all Instructor renewals.
▪ Provide CPR Instructor retraining to all CPR instructors on their shift.
▪ Randomly monitor CPR Healthcare Provider courses to ensure AHA standards and guidelines are followed.
▪ Advise District CPR Coordinator of Training Center Faculty card expiration date 90 days prior the expiration.
▪ Maintain a current CPR instructor card.
▪ Provide OKCFD CPR Instructors with up to date instructive and technical support and to latest scientific research and guidelines.
▪ Must attend one AHA update meeting per year or receive the information from Regional Faculty.
CPR COORDINATOR PROGRAM
Shift CPR Coordinator
Each shift will need a Coordinator and alternate Shift CPR Coordinator. The Shift CPR Coordinator should be an AHA Training Center Faculty if possible. The Shift CPR Coordinator will be the District CPR Coordinator for their district.
The following list of tasks performed by the Shift CPR Coordinator will assist with the management of CPR training on each shift:
▪ Coordinate district level CPR Instructor retraining with District Coordinators.
▪ Confirm with District CPR Coordinators that all personnel have a current CPR card.
▪ Shift Coordinators will review the CPR expiration report monthly on the EMS website. This report can be used to ensure that all new expiration dates have been entered correctly and/or that all personnel on their shift have been retrained.
▪ Shift Coordinators will send one email to the AHA Training Center Coordinator in EMS Training by the 5th of each month to update the status of their district/shift.
District CPR Coordinator
Each district and shift will need a District CPR Coordinator and an alternate for each coordinator. The Coordinator should be a CPR Instructor or Training Center Faculty.
The following tasks, performed by the District CPR Coordinator, will assist with the management of CPR training within each district:
▪ Coordinating with the District Officers and Shift CPR Coordinators for the scheduling of all CPR Instructors within their district for retraining.
▪ Confirming that all personnel within their district have a current CPR card.
▪ Ensuring that CPR Instructors within their district are teaching the required number of courses.
▪ “B” Shift Coordinator will assist with ordering required CPR supplies located in the EMS supplies order form.
▪ Maintain inventory of all CPR equipment and supplies for district.
▪ Coordinating with station officers to assist with citizen CPR training when instructors and/or staffing is needed
▪ District CPR Coordinators will review the CPR expiration report monthly on the EMS website. This report can be used to ensure that all new expiration dates have been entered correctly and/or that all personnel in their district have been retrained.
CPR STATION LIBRARY AND TRAINING SUPPLIES
A library of training materials will be kept in a CPR training box available at each station. Material is to be made available and reviewed by the student before, during, and after each class. Any printed material for CPR training will be made available at the OKCFD Training Center.
NOTE: At no time may the Station Library of training materials be borrowed or removed from the station, with the exception of Family and Friends material for an on duty class, on location at a business. Training materials can only be checked out for classes outside of the Fire Department from the Training Center Only.
AHA Library Policies and Procedures
The training center located at 850 N. Portland will house the AHA TC Employee Library. The number of resources available to students before, during and after courses will be assessed at the beginning of every fiscal year, in order to reflect the average number of students trained in each discipline during a 3 month period.
A determined number of resources will be kept at each fire station and worksite, with the majority number of resources retained at the training center for the fire department. When additional resources are needed at fire stations or worksites, a call should be made to the training center during working hours and arrangements will be made to fulfill the need.
Manikin Supplies and Inventory
Each station should have a CPR training box with the following supplies:
▪ One (1) BLS Instructor Manual
▪ One (1) BLS DVD
▪ Two (2) BLS Provider Manuals
▪ One (1) Family and Friends training DVD
▪ Ten (10) Family and Friends student manuals (Family and Friends CPR course participation cards are located inside manuals).
▪ Five (5) course rosters
▪ One (1) Family and Friends lesson plan
▪ One (1) package of face shields
Each District Chief station should have all supplies listed above plus:
▪ Four (4) Adult manikins
▪ Four (4) Infant manikins
Enough supplies for district/station CPR training should be on hand at all times.
Manikins will be borrowed from the District Station with an entry in the Log Book of how many manikins borrowed and date of expected return. An entry should be made in the Station Log Book of the borrowing Station, the number of manikins borrowed and date of expected return. All District Manikins and supplies should be returned to the district station at the completion of the course.
All supplies to maintain CPR manikins, (i.e., lungs, shields, face wipes, etc.) will be ordered on the EMS Inventory Database by the “B” shift. CPR supplies ordered will be returned with EMS supply orders. It is necessary to order supplies at least 30 days in advance. Supplies can be picked up at EMS supply building on an emergency basis only.
CLEANING AND MAINTENANCE
The following cleaning procedures will be carried out to ensure the safety and health of all employees and citizens who utilize this equipment:
All equipment will be cleaned after each use. All equipment including manikins and airway adjuncts (i.e., oral airways, bag valve masks, etc.) will be disinfected with the proper solution from the disinfection station and air-dried. If mouth to mask was practiced on manikin, the lungs will be replaced. It is the responsibility of the Instructor to assure these procedures are followed.
TESTS
It is the responsibility of the instructor to maintain the security of the tests, making sure that all test and answers sheets are in the instructor’s possession at the end of the course, unless the test is completed and submitted online.
COURSE COMPLETION CARDS
Course completion cards will be delivered through interoffice mail to the District Officer of the district that student is assigned.
RECORD KEEPING
Complete course roster form on EMS website no later than 7 days after completion of the class. No paper rosters will accepted by the EMS office. By submitting a course roster, the instructor is attesting that the class took place in accordance to all requirements set forth by the current American Heart Association recommendations and the current American Heart Association Program Administration Manual (PAM). A copy of rosters and course completion cards will be kept on record by the EMS Office for a minimum of three years.
CPR COURSES TAUGHT OFF DUTY
Oklahoma City Fire Department AHA Instructors (and outside instructors with the approval of the TCC) may align with the Oklahoma City Fire Department AHA Training Center at the discretion of the TCC. AHA courses taught by instructors of their own time are not fire department related, but are regulated by the Oklahoma City Fire EMS work section. Classes will be conducted according to all AHA PAM policies and the Oklahoma City Fire Department AHA Training Center policies. Complete all course rosters and submit to Training Center within 7 days of class completion. Assigning eCards and uploading rosters to AHA Instructor Network does not eliminate the responsibility of the instructor to submit rosters to Target Solutions for classes taught off duty.
CARDS FOR CLASSES TAUGHT OUTSIDE OF FIRE DEPARTMENT
▪ eCard creditss can be purchased at Admin at cost plus shipping.
▪ Email Admin with the number and specific kind/s of cards at least 24 hours before cards are needed.
▪ All cards will have back side printed including the instructor’s ID number before cards are released to the instructor.
▪ The number of cards purchased by instructor will be entered into a database.
▪ At least 80% of cards sold to the Instructor must be accounted for by submitting rosters of cards issued before any other purchase can be made.
▪ eCards must be picked uppaid for in person by the Instructor, unless prior arrangements are made.
BORROWED EQUIPMENT FOR OFF DUTY CLASSES
Manikins and supplies for these classes may be obtained at the Fire Training Center if they are available on the dates requested. However, the instructor cannot use the manikins and supplies if charging a fee for the course. The instructor, upon checking out equipment will sign a “NO FEE” agreement form. (Form is located on Fireweb Forms webpage) All equipment and supplies will be reserved in advance to ensure availability. Equipment will be returned properly sanitized and stored in the proper container.
DISPUTE RESOLUTION POLICY
The Oklahoma City Fire Department AHA Training Center strives to promote and support aligned instructors to succeed. All instructors conducting a class on- or of-duty are looked upon as representatives of the Oklahoma City Fire Department. Instructors are expected to present AHA lesson plans in an accurate and engaging manner, display patience and understanding with students, and adhere to all applicable administrative policies. If a complaint or problem comes to the attention of the EMS Office, it will be investigated for validity and impact. If complaint warrants action, it will be handled according to the following steps. Depending on the severity of issue by the Instructor, the corrective action taken may go immediately up to step 3. Progressive steps are as follows:
Step 1 - Remediation
If after careful investigation, the Training Center Coordinator perceives an Instructor’s performance a problem, he or she should issue remediation. The Training Center Coordinator will state the problem to the instructor, give support and education from the Training Center to promote success and inform instructor of the next progressive step. The TCC will keep detailed notes and prepare a letter about the conversation to be placed in the instructor’s personnel file.
Step 2 - Written warning
If the problem persists/warrants (or more problems emerge), the Training Center Coordinator will provide the instructor with a written warning detailing the problem, along with a statement that continued failure could result in revoking alignment of Training Center. The TCC will complete a letter stating the problem presented, support and education given from the Training Center to promote success and next progressive step. Letter will be signed by the instructor and the TCC to be included in the instructor’s personnel file. A copy of the letter will be given to the instructor.
Step 3 - Termination review
If the problem persists/warrants (or more problems emerge), the Training Center Coordinator must notify the EMS Chief. The Training Center Coordinator with agreement of the EMS Chief will make the final decision of the Instructor’s alignment after careful consideration of all the information.
Outcome of Conflict Resolution
Result of progressive step/s should be one of the following:
▪ No action taken
▪ Probation for six months (If the problem persists/warrants, or more problems emerge, the instructor could be taken immediately up to step 3)
▪ Revoking of alignment for one year
▪ Permanent termination of alignment
The revocation of alignment with the Oklahoma City Fire Department AHA Training Center does not disqualify an Instructor from applying for alignment to another Training Center.
CITIZEN CPR TRAINING
OKCFD offers the American Heart Association’s non-certification course “CPR for Family and Friends” as well as “hands-only” CPR training. The Family and Friends course covers CPR and choking for adults, children and infants. This is a noncertified course, and no card will be issued. In most cases this course is not approved for people that are required to have CPR training. With the exception of holidays, CPR training will be available at the Fire Training Center every second Wednesday of each month from 9:00 a.m. to 12:00 noon. Some sessions may rescheduled and or moved to a fire station due to classroom availability. CPR teaching opportunities will be open to all classes for instructors needing to fulfill CPR teaching requirements. In addition, the EMS Office will continue to support training sessions scheduled by station officers and CPR Instructors at their stations. If contacted at the stations for CPR training the citizen will be given the Training Center's location and telephone number. The citizen should contact the Training Center to be scheduled.The Oklahoma City Fire Department is actively involved in Citizen CPR Training. This will promote a good relationship with the public and will enable them to help us in saving lives. For our pre-hospital defibrillation program to continue successfully, we need early Basic Life Support (BLS) to be initiated. Early CPR will help to increase an already successful save rate.
Big Push is the name of the Oklahoma City Fire Department citizen CPR program. The Big Push citizen CPR training will continue year round.
OKLAHOMA CITY FIRE DEPARTMENT WILL TEACH ONLY THE
“CPR FOR FAMILY AND FRIENDS”, ADULT OR PEDIATRIC, TO THE PUBLIC.
Each citizen will be issued one “CPR for Family and Friends” manual. A course participation card is located in the back of each manual and will be filled out by the Instructor at the end of the course.
When calls come in from citizens or businesses requesting a CPR class, they will be given the phone number of the station closest to them that have a CPR class being offered in the right time frame. The station officer at that station will then receive the call from the person requesting the training. The officer will obtain the following information:
▪ Name and call back number of party requesting training.
▪ Name of business or organization, if applicable.
▪ Type of course and number of students.
▪ Location training will take place (at their location or at the fire station).
▪ Date training is desired (date should be at least 14 days in advance).
The officer will schedule CPR training only on the shift the officer is assigned. If the party requesting CPR training wants the training on a day that is on another shift, the officer will tell the calling party that the Station Officer return their call. The officer receiving the call will notify the officer on the shift of class date desired.
Citizen CPR Classes will be taught on duty and scheduled a least 14 days in advance to allow time for request of materials and scheduling of staffing. Exceptions can be made if equipment and staffing are available. When a CPR Instructor is teaching a CPR course, either at the station or at the student’s location, the Instructor will not be assigned to an apparatus until the course is completed. If the station does not have a CPR Instructor and/or staffing will not allow training on scheduled date, the officer will coordinate with the District Officer and the District CPR Coordinator so arrangements can be made concerning CPR Instructors and/or staffing.
The District manikins will be used for citizen CPR training. If more manikins are needed to accommodate class size, the Shift CPR Coordinator and/or the District CPR Coordinator may access additional manikins from other districts or the EMS Training Office. All equipment will be returned to the district stations properly sanitized and stored in the proper container.
|O/EMS-211 EMS LICENSURE | | | |
| | |UPDATED | |
| | |6/1/2016 | |
| | | | |
According to the OSDH EMS Division “Statutes and Regulations” section 310:641-5-14; EMT’s and Paramedics licensed after April 1, 2010 shall maintain both State and National Registry Licensure. A copy of any EMT cards issued directly to an employee by OSDH or National Registry must be forwarded to the EMS Office. If distributed by the EMS Office, a copy is not required.
AUTHORIZED ELECTRONIC SIGNATURE CARDS
The Authorized Signature Card is designed to provide Oklahoma City Fire Department EMS Administrators with the ability to exchange official documents requiring signatures via electronic communications such as Email. The Authorized Signature Card shall remain secured at the OCFD EMS office as means of confirming employee signatures until one or more of the following occur:
▪ Employee retires, resigns, or is terminated.
▪ Employee has a legal name change.
▪ Other changes, as determined by policy changes.
The Oklahoma City Fire Department shall reserve the right to terminate the use of the Authorized Signature Card for individual employees. The electronic signature digitized from this form may be used by OCFD EMS Administrators to affix your signature to official documents exchanged between only the National Registry of EMTs, the Oklahoma State Department of Health, and the Medical Control Board when records being requested do not require action on your part. Any time a document containing your electronic signature is exchanged with the aforementioned organizations, you will be provided a copy of the document via email.
LICENSURE RENEWAL
All OCFD personnel will renew their EMS licensure through the EMS Office on forms provided by the EMS Staff. For employees who have an Authorized Electronic Signature Card on file, the EMS office will complete renewal forms, apply signatures electronically, and send the renewal forms for processing. A copy of the forms will be provided to employees via email for their own records. The individual re-licensure fee’s required by both the OSDH and National Registry of EMT’s will be paid by the Department.
LAPSED LICENSES
To reinstate an EMT license which has been expired for less than two years, personnel must:
1. Successfully complete a standard EMT refresher course.
2. Successfully complete the written and practical examinations respective to the level of training of the original license.
For licenses which have been expired for over two years, personnel must:
1. Successfully complete a state-approved EMT course.
2. Successfully complete the National Registry written and practical exams within 2 years of course completion.
3. Submit initial application to Oklahoma State Department of Health for State licensure.
|O/EMS-213 CAREFUSION CLIPPERS | | | |
| | |UPDATED | |
| | |12/28/2015 | |
| | | | |
This procedure establishes guidelines for use of CareFusion Clippers.
|1. |ATTACHING THE BLADE |[pic] |
| |With gloves on position a new blade on the top of the clipper head. Align the mark on the clipper blade to the | |
| |arrow. Slide the blade toward the dot to secure it in place until you hear a click. | |
|2. |CLIPPING THE HAIR | |
| |Hold the clipper using a pencil grip or natural overhand grip with the CareFusion logo facing up. Stretch the |[pic] |
| |skin, rest the clipping blade flat on the skin and clip against the grain of the hair, keeping the skin as taut as| |
| |possible. | |
| |Always rest the base of the clipping blade flat on the patient’s skin. Do not change the angle or “toe in” the | |
| |blade in an attempt to get a closer clip. Always move the clippers away from your body with a gentle push. Do not | |
| |pull the clippers toward you across the patient’s skin, and never apply greater force than needed. | |
| | |[pic] |
|3. |REMOVING THE BLADE |[pic] |
| |Turn the clipper off, position the clipper blade facing downward over a sharps trash receptacle and use your thumb| |
| |to push the blade forward along the blade frame. | |
|4. |CLEANING THE CLIPPER HANDLE |
| |Wash the clipper handle thoroughly with soap and water, and then wipe the device with surface disinfectant or soak the handle in an antimicrobial |
| |agent for no more than 30 minutes. Submersion cannot exceed three feet in depth for up to 30 minutes. |
|5. |CHARGING AND STORAGE |
| |Crews shall check the charge daily by turning the unit on briefly. If no blue light appears, the unit is considered charged. If a flashing blue |
| |light is observed (approximately 5 minutes of runtime remaining), it is recommended the unit be placed in an upright position on the charging |
| |base. The device is considered charged when the solid orange light is no longer illuminated. A full charge will power the unit for approximately |
| |120 minute continuous runtime. NOTE: No light is displayed during actual use unless the device has a low charge. |
| |Clippers and razor heads are to be stored in the LP15’s top middle case for protection of the clippers. BLS stations will store clippers/blades in|
| |their EMS kit. There should be 5 individually-wrapped razor heads per clipper. Replacement razor heads are ordered on the monthly EMS order form.|
| |There should be one manual razor in the event of clipper failure or unavailability during charging. |
|O/EMS-214 OMD CREDENTIALING | | | |
| | |UPDATED | |
| | |6/1/2016 | |
| | | | |
Every EMS provider that delivers medical care for the OKCFD receives medical oversight from the Medical Control Board (MCB)/Office of the Medical Director (OMD) and must be “credentialed to practice” by the Medical Director.
INITIAL CREDENTIALING
OMD Academy
Candidates for EMT credentialing shall attend a one-week academy to educate the candidate in OMD protocol application and skill performance. Candidates for Paramedic credentialing shall attend a two-week academy. Successful completion of the academy will include completion of a protocol examination with a minimum score of 80% and competency of cognitive skills.
EMSA Ride-Alongs
Candidates seeking initial credentialing will complete a minimum of eight (8) supervised shifts with EMSA. Candidates will submit Electronic Patient Care Reports (ePCRs) at the conclusion of each shift to their assigned EMS Officer via email so progress can be monitored. The Medical Director may require additional supervised shifts due to identified deficiencies in clinical performance or a deficiency in high-acuity patient contacts. When the candidate has demonstrated an acceptable level of performance, as determined by the Office of the Medical Director, the candidate will be released as a credentialed medic for a period of two years.
CREDENTIAL MAINTENANCE
To maintain credentialing, EMS personnel must complete the following during their 2-year credential period:
▪ (EMR/EMT) Attend an 8-hour classroom refresher
▪ (Intermediate/AEMT/Paramedic) Attend a 24-hour (3-day) classroom refresher
▪ Attend two 4-hour Skills Refreshers (4 hours each year)
▪ Complete a protocol examination with a minimum score of 80%
▪ Demonstrate competency of cognitive skills as determined by OMD
▪ Complete Target Solutions EMS credential
▪ Maintain required AHA certifications
▪ Maintain unrestricted State licensure
Long-Term Absences
Personnel who are absent from work for a period of greater than 90 days but less than 180 days will be required to:
1. Complete a protocol examination with a minimum score of 80%
2. Complete a minimum of four (4) shifts on OKCFD apparatus under the supervision of a System Credentialed Preceptor.
NOTE: Personnel absent from work for a period of 180 days or greater must repeat Initial Credentialing requirements.
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- getroman com reviews
- acurafinancialservices.com account management
- https www municipalonlinepayments
- acurafinancialservices.com account ma
- getroman.com tv
- http cashier.95516.com bing
- http cashier.95516.com bingprivacy notice.pdf
- connected mcgraw hill com lausd
- education.com games play
- rushmorelm.com one time payment
- autotrader.com used cars
- b com 2nd year syllabus