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Flashcards in CFR-D Manual Deck (21):
0

At any scene not requiring a PCR or a NYFIRS report, the Company Officer has the option of completing an

Unusual Occurrence Report.

1

CARDIAC ARREST RESUSCITATION

When a CFR-D Company applies and turns on their AED during a cardiac arrest resuscitation attempt (10-37 Code 2), the original PCR (Part One) shall be immediately faxed (718-999-0119) and forwarded to the Office of Medical Affairs (OMA) on return to quarters.

A copy of the original PCR (Part one) shall be turned in to the CFR-D Depot along with the AED module upon completion of the assignment.

The AED module will be exchanged for a blank one and the CFR-D Depot will immediately forward the module and PCR copy directly to OMA.
The serial number of the module shall be documented on the PCR.
For additional information, contact OMA at 718-999-2790.

If the CFR-D Company’s AED is not applied to a patient during a response to a cardiac arrest, the details of the incident and what prevented the application of the Company’s AED shall be indicated in the Comments section.

2

All times recorded on the PCR are written in military time

To make corrections on the PCR, members shall place a singleline through the word(s) to be omitted or corrected and write the accurate information above the word(s) to be corrected.

When correcting a darkened circle, place a single line through the error and fill in the correct section. The initials of the member making the correction shall be placed above the single line.

3

Status – Indicate which best describes the patient status:

CUPS

Critical – The patient is either receiving CPR, in respiratory arrest or requiring and receiving life-sustaining ventilatory/circulatory support.

Unstable – The patient is unstable, severe upper airway difficulties, serious chest trauma, decompensated shock, rising intracranial pressure, uncontrollable external hemorrhage, penetrating injury to head, neck, chest, abdomen, pelvis.

Potentially Unstable – early signs of compensated shock, kinematics or injuries suggest “hidden injury”, major isolated injury, severe chest pain, especially with a systolic BP of less than 100 mm Hg, inability to move any part of the body.

Stable – Minor illness, minor isolated injury, uncomplicated extremity injuries, and/or any patient that cannot be categorized as Critical, Unstable Or Potentially unstable.

4

If the chauffeur does not provide patient care, do not enter his or her name on the PCR. If there are more than four CFR-D certified members on the call, list the additional names in the comment section.

Circle the name of the member completing the PCR.

5

Any decision not to start resuscitation efforts must be supported by one of the following:

rigor mortis
extreme dependent lividity
tissue decomposition
obvious mortal injury

or
a valid NY State Out of Hospital
or
Nursing Home Do Not Resuscitate (DNR) order
or
a signed death certificate
or
a physician at the scene willing to sign a death certificate attesting to his or her findings. (The New York State License number of the physician shall be noted on the PCR.)

6

When CFRs encounter CPR in progress and/or an AED in use at the scene of an out-of-hospital cardiac arrest, including AEDs utilized by the NYPD, the CFR Company shall assume responsibility for patient’s care including all aspects of patient care described in REMAC CFR Protocol 303 (Cardiac Arrest):

Continue CPR.

If an AED is already in use, replace that AED with the CFR’s AED while ensuring that chest compressions are not interrupted.

Continue patient care according to REMAC CFR Protocol 303 until the arrival of EMTs and/or paramedics from a recognized EMS agency.

7

Engine 100 responds to over 2,000 EMS runs a year and is well versed as far as infection control is concerned. Members of this company discussing infection control procedures made a number of correct statements except in which choice?

A: The fact that a patient is infected or assumed to be infected with a communicable disease shall not justify failure to render necessary treatment.

B: A communicable disease may be bloodborne or airborne.

C: Less then 10% of the people infected with tuberculosis become ill with the active disease.

D: The Hepatitis B virus is bloodborne and dies immediately when exposed to light or air.

D:✔The Hepatitis B virus is bloodborne and dies immediately when exposed to light or air.

Explanation:

A. CFRD Manual Ch 3, 1.3

B. Ch 3, 6.5

C. Ch 3, 11.4

D HIV dies when exposed to light or air, while Hep B has been shown to live on a surface for days to weeks and still be infectious if it enters the bloodstream. 6.6.3

8

The new probationary FF states that he is unable to operate at CFRD responses because he is experiencing an allergic reaction to the disposable latex gloves. In this situation, the probationary FF should inform?

A: The covering lieutenant working that tour

B: The assigned lieutenant coming in for the night tour

C: The probationary FF should directly notify BHS

D: The captain

D: The captain

Explanation:

A. Members believing that they are experiencing an allergy to disposable gloves shall notify their Commanding Officer as soon as possible. CFR-D ch 3, 13.5.2
Note: The Captain notifies BHS asap to have BHS evaluate the allergy claim.

9

Members are operating at a radiological terrorist event in an under-river tube. 1 foot of dirt or water would be the most appropriate type shielding against which type of radioactive waves during crucial FDNY operations?

A: Alpha

B: Beta

C: Gamma

D: Neutron

C: Gamma

Explanation:
Yes, this type shielding would also obviously protect members from alpha and beta radiation but 1 ft of dirt/water is MOST APPROPRIATE for gamma radiation in this case. Also, alpha and beta expose via particles
ERP Add 4 Table 1

10

Which of the following statements is least correct concerning rabies?

A: The rabies virus can survive for several days inside the body of a dead animal

B: Warm temperatures will extend this survival period

C: Petting a rabid animal does not constitute an exposure

D: All exposures to suspected rabid animals must be reported to BHS immediately

B: Warm temperatures will extend this survival period

Explanation:
A. CFR-D ch 3, add 2, 1.3
B. Freezing temperatures will extend this survival period. 1.3
C. 2.3
D. 3.2

11

The Prehospital Care Report (PCR) is a three-part form and contains protected health information, which by law is confidential. Which of the following statements is incorrect in regard to the PCR?

A: A PCR is not required when a CFR-D Company is on-scene unless patient care is provided

B: Visualizing a patient constitutes patient contact and requires a PCR

C: If the PCR is completed prior to leaving the scene, Part Three of the PCR should be given to the EMS crew

D: If Part Three is not completed, it shall be retained at Quarters and must be secured by the Company Officer in the Company files at all times

D: If Part Three is not completed, it shall be retained at Quarters and must be secured by the Company Officer in the Company files at all times

Explanation:
A. CFR-D Manual Chapter 5, 1.2.1
B. 1.2.2 A
C. 1.5
D. If Part Three is not completed and given to the EMS Unit, it shall be forwarded with the original to OMA. 1.1.3
* Part Two is the Research Copy and is to be retained at Quarters and must be secured by the Company Officer in the Company files at all times. 1.1.2

12

Which of the following signs would indicate "potentially unstable" in regard to "CUPS" criteria?

A: Poor general impression

B: Responsive but unable to follow commands

C: Difficulty breathing

D: Uncontrolled bleeding

D: Uncontrolled bleeding

Explanation:
A. Unstable CFR-D manual ch 2, 3.14
B. Unstable
C. Unstable
D. Potentially Unstable

13

Which of the following signs would indicate "potentially unstable" in regard to "CUPS" criteria?

A: Poor general impression

B: Responsive but unable to follow commands

C: Difficulty breathing

D: Uncontrolled bleeding

D: Uncontrolled bleeding

Explanation:
A. Unstable CFR-D manual ch 2, 3.14
B. Unstable
C. Unstable
D. Potentially Unstable

14

When requesting an ambulance, Companies must provide all of the following information to the dispatcher for relay to EMS except?

A: Age

B: Gender

C: Cups status

D: Chief complaint

B: Gender

Explanation:
B. Pulse, respiratory rate, if CPR was initiated
CFR-D Manual Ch 2, 3.11

ACRONYM: "PARCCC"
P-Pulse, A-Age, R-Respiratory rate, C-Chief complaint, C- CUPS status, C-CPR initiated

15

In the event that a CFR-D Unit needs medical advice during a CFR-D response, the Unit may telephone the FDNY/EMS telemetry physician if a telephone is available. Which of the following statements below is least correct?

A: The telemetry phone number shall be kept posted on the chart holding the Unit's PCR forms

B: Before calling telemetry the Unit shall have completed the primary survey and C.U.P.S. status determination

C: Telemetry shall be used solely for medical consultation

D: Some firefighters are certified EMTS, paramedics or nurses. Regardless of this level of personal certification, members shall operate as CFR-D providers based solely upon their Department Certification level

C. Telemetry may be utilized for medical consultation and as access to the International Language Bank. 5.3


Explanation:
A. CFR-D Manual Ch 2, 5.3
B. 5.3

D. 5.4

16

Bio-hazardous waste materials stored in red bags shall be placed in a clearly marked biohazard container for storage. Care must be taken to place it in a designated area away from general traffic flow. Waste may not be stored for more than _____ days
A: 10

B: 15

C: 20

D: 30

D: 30

Explanation:
D. Waste may not be stored for more than 30 days
CFR-D Manual Ch 3, 14.1.6, C

17

If a patient's wherabouts are unknown, the responding company shall review the response printout, verify the information with the dispatcher and contact neighbors to try and locate the patient. If no patient is found after the above efforts have been exhausted, the Officer in Charge shall enter what code?

A: 10-91

B: 10-92

C: 10-37 code 4

D: 10-31

B: 10-92

Explanation:

B. If no patient is found, the Officer in Charge shall enter 10-92 via MDT (therefore canceling the EMS response) and return to service. CFR-D Ch 2, 4.7.3

4.7.1, 4.7.2, 4.7.3

18

When unable to locate a patient, the officer shall check with:

"TDN"

> Ticket
> Dispatcher
> Neighbors

19

When the CFR-D Unit suspects child abuse, the circumstances of the suspected abuse shall be reported to EMS personnel at the scene. What shall the Officer in Charge do upon return to Quarters?

A: Make an entry in the office record journal including the badge numbers of those notified and their Unit designation

B: Take a mark in the Company journal, notify PD and fill out an unusual occurrence report

C: Make an entry in the Company journal including the names of those notified and their Unit designation

D: Fill out an unusual occurrence report including the names of those notified and their Unit designation

C: Make an entry in the Company journal including the names of those notified and their Unit designation

20

Members of CFR-D Units should always protect themselves with proper BSI as there are numerous diseases/infections that do not have vaccinations available. Which of the following is the only disease/infection which has a vaccination available?

A: Hepatitis C

B: Hepatitis D

C: Tuberculosis

D: Whooping Cough (pertusis)

D: Whooping Cough (pertusis)

Explanation:

CFR-D Manual Chapter 3

D. Supplement 3 Disease Information Chart For Emergency Response Personnel