Mod 7 EMS Operations Flashcards
1
Q
The 4 types of ambulances
A
- Type 1
- Type 2
- Type 3
- Medium duty
2
Q
Required equipment for basic life support ambulances
A
- Ventilation and airway equipment
- Monitoring and defibrillation
- Immobilization devices
- Bandages
- Communication
- Obstetrical kit
- Misc. such as blankets, cold packs, ect.
- Infection control
- Injury prevention equipment
- Optional equipment such as mobile phones, glucose meter, infant oxygen mask ect.
- Optional basic life support medications such as Epi Pens, naloxone ect.
- Interfacility transport
- Disassembly tool
- Spreading tools
- Pulling tools
- Protective devices
- Misc. such as shovels lubrication oil ect.
3
Q
Ambulance inspection when the engine is off
A
- Inspect the body of the vehicle
- Inspect the wheels and tires
- Inspect the windows and the mirrors
- Check the operation of every door and all latches and locks
- Check the level of fluids: oil, coolant, windshield wiper, brake, and transmission fluids
- Check the battery
- Inspect the interior surfaces and upholstery for damage and cleanliness
- Check window operations
- Test horn, siren and emergency lights
- Adjust drivers seat and ensure the seat belts are operational.
- Check the fuel level
4
Q
Ambulance inspection when the engine is on
A
- Check the dash mount indicators and if they stay lit to indicate a possible issue with the vehicle
- Check dash mounted gauges for proper operations
- Depress the brake pedal
- Test the parking brake
- Turn the steering wheel from side to side
- Check the operation of the windshield wipers and washers
- Turn on the warning lights
- Turn on other vehicle lights
- Check the operation of the heating and air conditioning equipment in both the drivers compartment and the patient compartment
- Operate the communications equipment
- If equipped with back up camera make sure it is not damaged
5
Q
Inspection of patient compartment supplies and equipment
A
- Using your checklist conduct detailed inspection of interior and exterior equipment
- Check treatment supplies interior and exterior equipment
- When you are finished complete the inspection report
- Finally clean the unit for infection control and appearance.
- If a call comes in while inspecting take the call and finish the check when you return to service.
6
Q
What is the emergency medical dispatcher trained to perform
A
- Ask questions of the caller and assign a priority to the call
- Provide prearrival medical medical instructions to callers and information to crews
- Dispatch and coordinate EMS resources
- Coordinate with other public safety agencies
7
Q
Questions the EMD should ask
A
- What is the exact location of the patient?
- What is your call back number?
- What’s the problem?
- How old is the patient?
- Whats the patients sex?
- Is the patient conscious?
- Is the patient breathing?
8
Q
Being a safe ambulance operator
A
- Be physically fit
- Be mentally fit with emotions under control
- Be able to perform under stress
- Have a positive attitude about your ability as a driver but not an overly confident risk taker
- Be tolerant of other divers
9
Q
Factors that affect response
A
- Day of the week
- Time of day
- Weather
- Road maintenance, and construction
- Railroads
- Bridges and tunnels
- Schools and school buses. Never pass a school bus with its red lights flashing. Wait for bus driver to signal you to proceed
10
Q
How to make a safety response
A
- Minimize lights and sirens. Driving with lights and siren involves high risk
- Wear your seat belt
- Know where you are going
- Come to a complete stop at intersections
- Don’t be a distracted driver
- Don’t eat or drink while responding under emergency conditions
- Don’t listen to music, text or talk on phone while responding
11
Q
Tips for improving the safety of highway operations
A
- Keep unnecessary units and people off the highway
- Avoid crossovers unless a turn can be completed without obstructing traffic
- If yours is the first unit on scene first unit on scene blocks the incident by parking the apparatus UPSTREAM from the incident.
- Wear your PPE
- Place cones/flares UPSTREAM and reduce emergency lighting
- Be cautious of unit placement and especially not to tamper with evidence at the crime scene
- Avoid backing up because there are large blind spots in the mirrors and can be dangerous to pedestrians or another vehicle.
12
Q
Transferring patient to ambulance
A
- Select proper patient carrying device
- Package the patient for transfer
- Move the patient to the ambulance
- Load the patient into the ambulance
- Remember to properly package the patient. Wrap firmly to sustain good body temperature.
13
Q
Preparing patient for transport
A
- Continue assessment
- Secure the stretcher in place in the ambulance
- Position and secure the patient
- Adjust the security straps
- Prepare for respiratory or cardiac complications
- Loosen constricting clothing
- Load a relative or friend who must accompany the patient.
- Load personal effects (Shoe’s, purse, over night bag ect.)
- Talk to your patient
- Avoid letting patients sit on the bench or airway seat
14
Q
Caring for patient en route
A
- Notify the hospital
- Continue to provide emergency care as required
- Use safe practices during transport
- Compile additional patient information
- Continue assessment and monitor vital signs
- Notify the receiving facility
15
Q
Transferring the patient
A
- Transfer the patient as soon as possible. Stay with the patient until transfer is complete
- Assist emergency department staff as required
- Transfer patient information as a verbal report and in a written prehospital care report
- Transfer the patients personal effects
- Obtain your release from the hospital
