Ambulance By-Laws and S



Ambulance S.O.P.’s1.) All ambulance personnel must hold a minimum of a Certified First Responder, certification with an updated CPR card.2.) To be cleared as a Lead Medic one must meet the following requirements:A.) Have at least 6 months of experience transporting patients. B.) Evaluated by a qualified EMT. C.) Have a valid and current NYS EMT-B or higher certification.3.) The Chief, an EMS officer and Separate Currently Cleared Lead medic will sign off on the final approval before an EMT will be cleared as a lead medic.3.) To keep ones lead medic status the EMT must transport five (5) calls acting in the lead medic role in one (1) calendar year.4.) Lead medic duties include: A.) Patient medical care and transport. B.) Transfer of patient care to the appropriate care provider at the hospital. C.) Completion and submission of written patient pre-hospital care reports. D.) Completion of ambulance rig check and restocking of used ambulance equipment and supplies. 5.) Only medics with a current certification will be taking vital signs and handling patient care.6.) A properly belted parent or guardian can be in the patient area to help calm a pediatric patient, if approved by the lead medic; all other people in the rig MUST be approved by the lead medic.A.) EMS students and non certified members of the Kendall Fire Department can ride along ONLY with the approval of the lead medic.B.) Non medical personnel WILL NOT do any patient care. They will only assist in getting supplies, lifting, and carrying, or as directed by a medic.7.) Lead medic or A.L.S. Technicians will advise the driver of which code will be used during the transport of patients to the hospital.A.) Code Red: full lights and siren using EXTREME CAUTION, OBEYING ALL TRAFFIC RULES and REGULATIONS, and showing respect to all others using the roadway.B.) Code Green: No lights or sirens, obeying all traffic rules and regulations, and show respect to all others using the roadway.8.) All drivers should:A.) Complete the “Certified Emergency Vehicle Operator” course or equivalent as provided by the Department or state training programs.B.) Have two (2) hours of drive time logged with a currently cleared driver of the ambulanceC.) Be cleared to drive by the Chief the Department. 9.) Number of medics required on ambulance for patient transport are as follows:A.) Priority 1 calls: Two (2) medics (EMT & EMT, EMT & ALS, EMT & CFR, or ALS & CFR) are required to be in the patient compartment when transporting to a medical facility.B.) Priority 2 calls: At least one (1) EMT is required to be in patient compartment when transporting to a medical facility. The lead medic responsible for patient care must make a judgment decision as to whether or not a second medic (EMT or CFR) needs to be in the patient compartment during transport to a medical facility. In the event that the officer in charge at time of call determines that a second medic is necessary, the officers’ decision will prevail.C.) Priority 3 calls: One (1) EMT is required to be in patient compartment when transporting to a medical facility. The lead medic responsible for patient care must make a judgment decision as to whether or not a second medic (EMT or CFR) needs to be in the patient compartment during transport to a medical facility. In the event that the officer in charge at the time of call determines that a second medic is necessary, the officers’ decision will prevail.10.) Ambulance may be requested to respond without a medic by the officer in charge at the scene if there are available medics at the scene.11.) Ambulance will NOT respond for patient transport without an EMT or above per Article 30 NYS Health Law.12.) All transporting medics will review and sign the PCR personally, and check over any paper work being left at the hospital.13.) All medics of the crew will check O-2 levels, supplies, and make sure the rig is ready for the next call. Properly clean the ambulance and all equipment that was used on the call. Make sure all paper work is filled out properly and filed in the appropriate box. The driver is to fuel and clean outside of ambulance, and report any mechanical problems to the correct person(s).14.) Chain of command for patient care will be as follows: EMS Officers, Lead medic, Line Officers.15.) Monthly meetings will be scheduled by EMS Officers, and all EMS personnel MUST attend a minimum of six (6) meetings per year.A.) One (1) of these meetings must be the required training per REMAC.B.) Mandated Defib. Training and Epipen/Albuterol Training is required.C.) Must have an excused absence from meetings.16.) Deviation from these procedures may be made only by the ranking department EMS officer in charge.Updated 12/12/2012 ................
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