Ch 2 unit procedures-operational guidelines Flashcards
(32 cards)
Co officers of CFR-D units shall ensure ____ CFR-D FFs will be working each tour.
A. 1
B. 2
C. 3
D. 4
B
in order to be in service there shall be a minimum of 2 CFR-D members (FF or Off) with current CFR-D cert.
A unit without 2 CFR-D trained members shall not respond to any CFR-D calls. The company may still be dispatched for calls received directly from the public to assist civilians. When does unit status default to their normal CFR-D status?
change of tours—0900 or 1800 hours
At the start of the tour the officer in charge assigns CFR-D responsibilities(what does each mean?): A B C D E who remains with the rig?
A. AIRWAY–also spine stabilization, oxygen, ventilation
B. BOSS–carry HT and hand light
C. CHECKER–patient assessment, pulse, compressions, trauma bag
D. DEFIB/DOCUMENTER–PCR & defib
E. EQUIPMENT– if 5th man stay with rig
chauf or nonCFR-D stay with rig
CFR-D companies are instructed to use signal 10-__ when they expect to be operating for for more than 30 min.
10-99
The eng co on scene for a CFR-D run shall notify dispatch wether EMS is in scene or not.
T/F
false
not required to notify fire dispatcher when EMS is on scene
on CFR-D runs officer shall perform: observe scene safety; # of patients; ensure BSI; need for additional resources.
T/F
true
If the CFR-D co is not required they shall clear the scene using signal 10-__ and go 10-8 via MDT.
10-91
An individual is considered a patient if:
A.____________
B.____________
A. if the individual is sick or injured
B. if exposed to a situation that could have the potential to cause injury e.g. smoke cond, MVA, CO
If a CFR-D arrives on scene and patient care is not provided is a PCR required?
yes/no
no
[CFR-D}If a patient CUPS status is critical or unstable the office in charge shall: (dispatch)
A.____________
B.____________
A. ask dispatch for ETA of bus
B. advise dispatch to relay seriousness of patients cond to responding EMS units
CFR-D what does CUPS criteria mean? C U P S
critical
unstable
potentially unstable
stable
When requesting an ambulance relay the following info to dispatch: 1 2 3 4 5
- CUPS status
- age
- chief complaint
- if CPR initiated
- pulse and respiratory rate
If a CFR-D co goes OOS for decon they are unavailable. If the CFR-D Company goes OOS to restock they are also unavailable to respond to any runs.
T/F
False
in service for fire duty but advise dispatch and batt not available for CFR-D runs
CFR-D runs involving a suspected crime in progress companies shall request police assistance from fire dispatcher and confirm police arrival at a scene before intervening to begin medical care.
T/F
true
CFR-D must transmit 10-99 for the following reasons:
1
2
3
- confirmed cardiac/respitory arrest(co performing CPR/defib)
- Co off determines the Co will likely remain on the scene for 30+ min
- request for ETA –no units available
[CFR-D]FD personnel will begin resuscitation efforts unless the following conditions exist:
1
2
3
4
- obvious death
- dependent lividity
- rigor mortis
- decomposition
- valid DNR
[CFR-D]If the patient is DOA no PCR is required.
T/F
false
its required to document that the Co properly examined the patient to confirm the patient exhibited the criteria for obvious death.
CFR-D can’t find patient the following procedure shall be used:
1
2
3
if these 3 steps have been exhausted the co off shall transmit a 10-__ and make a notation in the Co journal
- off in charge review response printout
- if after rechecking info off shall verify address
- attempt to contact neighbors, super, security
10-92
If forced entry is the only option notify PD. If others within the premise deny access to patient office in charge shall immediately request_______assistance. They will determine the appropriate action to be taken:
A. PD
B. FM
C. BC
D. EMS
A. PD
If on a CFR-D run FE is required office run command officer in command must have premisses safeguarded by member until custodianship is turned over to:
choose the incorrect choice
A. owner B. occupant C. EMS D. PD E. responsible person
C
EMS can’t safeguard premises
[CFR-D] If a patient RMA does a PCR need to be completed?
If the RMA patient exhibits altered mental status or EDP who shall officer request and when can he leave scene?
no PCR
request PD
remain until EMS arrives
unit may go 10-8 and remain on scene to observe
If a CFR-D unit arrives of a med emergency and ESU is already on scene and needs no further assistance, the off in charge shall transmit a 10-___ and go 10-8.
10-91
if we’re there first we can’t release care to ESU EMT unless ESU has a SAED
When can fire app. be used to transport patients?
under no circumstances
Can a CFR-D unit turn a patient over to non 911 system, but certified NYS EMTs?
yes
notify dispatch
