Chapter 1 Administrative Policy

Question 1

1010

Answer 1

Intro

Question 2

1020

Answer 2

Scope of practice

Question 3

1030

Answer 3

consent and competency

Question 4

Emergency care to minors

Answer 4

Fs 743.064

Question 5

Emergency exam and treatment of incapacitated persons

Answer 5

Fs 401.445

Question 6

1030 refusal to treat documentation

Answer 6

Mentally competent

Axo x4
No signicant mental impairment
Not mentally incompetent

If concerned for minor contact rescue dis/ bat chief for assistance with transport

Question 7

1030 a patient is

Answer 7

A person with subjective and or objective signs and or symptoms or complaints which results evaluation and or treatment

Question 8

1030 patient encounter

Answer 8

Patient encounter is dependent on neither treatment nor transport nor cooperation from the patient. If I technician perceives a medical problem that requires a valuation, patient encounter has been made in a full report must be completed.

Question 9

1030 baker act

Answer 9

A Baker act is involuntary mental health commitment by law-enforcement if the patient needs any of the following criteria

Mentally incompetent, danger to self or others
Suicidal
Homocidal

Jfrd members are not legally authorized to execute a baker act

Question 10

1040

Answer 10

Controlled substance

Question 11

1040 what days of the month are the Chiefs inspection for controlled substance

Answer 11

Monthly 23 24 25

Question 12

1040 who will restock all controlled substances

Answer 12

The rescue district/battalion chief

Question 13

1040 restocking should occur when

Answer 13

Minimum aLS inventory is reached

Minimum rescue inventory is reach

Month prior to expiration date

Prior to holiday or weekend when stock is close to minimum rescue inventory

Question 14

1060

Answer 14

Cooperation with law enforcement

Question 15

1070

Answer 15

Blood draw

Question 16

1080

Answer 16

Patient restraints

Question 17

1080 jfrd allowed restraints

Answer 17

Soft limb
Stretcher straps/harness
Wide cloth

Supine only
No hogtie
Restraints shall not prohibit eval of mental status or injure the patient in anyway
Frequently assess the patient- airway, distal limb is adequate and restraints can be release quickly if patients condition deteriorates
Check extremeties every five mintes
Never leave patient unattended

Question 18

1080 documentation of restraints

Answer 18

Behavior
Type
Status of circulation distal to res

Question 19

1090

Answer 19

PCR

Question 20

1090 rescue officers will provide what color ems copy to hospital

Answer 20

Rescue officers will provide the white copy to hospital

Question 21

1090 app ems field copies must be

Answer 21

Shredded after completion of EPCR

Question 22

Pcr 1090 cancelled by dispatch

Answer 22

Cancelled by frcc

Question 23

1090 cancel by ems agency

Answer 23

Cancelled by private ambulance

Question 24

Cancelled by law enforment

Answer 24

Jso, jbpd ect

Question 25

1090 citizen assist

Answer 25

Assist a citizen without a medical complaint

Question 26

1090 stand by meaning

Answer 26

Non transporting rescue/non-primary supression unit on a cardiac arrest, hostage situation, secondary units for education, MCI's or any additional manpower request

Question 27

1090 false call

Answer 27

No patient found any false call

Question 28

Doa

Answer 28

Any obvious death

Question 29

Pronouncement of death

Answer 29

Any patient that is pronounced dead on scene MVA,GSW

Question 30

Evaluation only

Answer 30

Patient evaluation only

Question 31

Lawn Enforcment

Answer 31

Patient evaluated by Jfrd but transported by law enforcement

Question 32

Refused evaluation

Answer 32

Anytime a patient refuses an assessment

Question 33

Refused treatment/transport

Answer 33

Patient refused treatment and/or transport after evaluation

Question 34

Treated and refuse transport

Answer 34

Patient treated on scene and refused transport

Question 35

Transfer to another EMS agency

Answer 35

Transferred to ATU

Question 36

Unit assist

Answer 36

Unit assist will be used every time a suppression unit arrives on scene at the same time or has the same patient contact time as a rescue unit

Question 37

Treated and transferred care within agency

Answer 37

Treated and transferred care within agency must be used when the suppression apparatus arrives on scene first and provide patient care prior to the arrival of the rescue unit. This documentation must also include all information from patient contact time to the transfer of care to the rescue unit

Question 38

Assessment times

Answer 38

Five for unstable patient 15 minutes if patient is stable Min two required, one at patient contact time, one at hospital Anytime als procedure is performed, must be listed on flow sheet

Question 39

Parent information must be

Answer 39

Added to the billing section underneath n0K (next of kin)for all pediatric patients

Question 40

Acquire the patients health insurance info from

Answer 40

Hospitals face sheet when Possible and document into billing section

Question 41

If the laptop is not functioning following a transport,

Answer 41

A paper responsibility signature must be completed. The form is located on our target solutions under Jfrd EMS resources The paper signature form must be delivered to rescue district/battalion chief he will then hand-deliver it to quality improvement officer

Question 42

Only approve Jfrd format for PCR narrative

Answer 42

Cc Hpi Pe Tx

Question 43

Cc

Answer 43

Patients main complaint

Question 44

Hpi

Answer 44

Exactly how the patient presented to Jfrd personnel Complete description of why patient called Include a detailed description of the patients compaints

Question 45

Physical exam

Answer 45

Evaluate objective and atomic Vinings through the use of observation, palpitation, percussion, and ausciltation Include location, quality, pain scale, duration and any associated signs or symptoms that may relate to the present illness Include pertinent positive and negative findings

Question 46

Tx

Answer 46

And sure that you document; How the patient was moved to stretcher and details of the ER transfer to include staff members name that receive the patient Any changes in patient condition that occurred during the transport and transfer of care at hospital The continuous monitoring of the patient

Question 47

Note section

Answer 47

The additional section will be used for any unusual circumstances that occurred during the entire duration of the incident

Question 48

Refusal

Answer 48

``` One set of vitals per patient Any improvement Phys exam: A + O x 4 TRauma medical psych toxins "TMPT" Competency of patient: Greater than or equal to 18 or court emancipated minor Is a +O x 4 No drugs or alcohol ``` Patient is competent Explain need for treatment risk associated with refusal willingness of ema to transport patient and that they should call 911 if anything changes

Question 49

Document of pcr for refusal

Answer 49

All cases of refusal All cases with an assessment of competency All refusal language Name of patent Signature of patient or guardian No one else can sign for a legally competent adult If patient refuses to sign document it Printed name, signature and phone number of competent witnes

Question 50

Appropriate witnesses in order of preference

Answer 50

Spouse, relatives, lawn force meant, friends, and other fire rescue personnel

Question 51

1110

Answer 51

Qi

Question 52

1120

Answer 52

Reporting abuse/neglect

Question 53

Vulnerable adult

Answer 53

Defined as one Hugh, due to their age or disability, maybe unable to adequately provide for their own care or protection

Question 54

Reporting abuse

Answer 54

Report suspicions to ED doc State of florida req: Oic verbal report to staye toll free # 1800-962-2873 Notify rescue district chief Notify div chiefbof rescue in 24 hours including only first name and id number of the contact person. NO patient info in email.

Question 55

Resuscitation protocol

Answer 55

1130

Question 56

Unquestionable death

Answer 56

``` Unresp Apneic Pulseless And Lividity Body decay Rigor mortis Open cranium Decapitated or severed trunk ```

Question 57

Trauma death criteria

Answer 57

Apneic Pulseless If rythmis asystile or wide complex vent ruthm of 30 or lesswithout a pulse, document time and call code

Question 58

Trauma patients of unstable nature should be transported

Answer 58

Within 10 minutes when possible

Question 59

If patient not assessed within 15 minutes talk to charge nurse If transfer of car delayed more than 30 minutes contact frcc

Answer 59

1140

Question 60

Atu should be considered for critically ill or injured patients at any time ground transport to the closedt appropriate hospital

Answer 60

exceeds 20 minutes

Question 61

Service animals are defined as

Answer 61

Dogs that are individually trained to do work or perform task for people with disabilities

Question 62

Service dog questions

Answer 62

Only two questions allowed Is the dog a service dog because of a disability What work or task has the dog been trained to perform

Question 63

Ada mini horses

Answer 63

Range inheigth from 24 inches to 34 inches measures to the shoulders and weigh between 60 and 100 lbs

Question 64

Trauma alert criteria 1160

Answer 64

Airway- assisted beyond o2 Circulation- no radial and heart rate greater than 120 or systolic of less than 90 Best motor response BMR gcs four or less or prescense of paralysis or suspicion of spinal cord injury with loss of sensation Cutaneous- 2nd or 3rd dregres burns to 15% or more of total body surface areas. Or proximal amp to wrist or ankle or any penetrating i jury to head. Neck or torso Long bone two or more

Question 65

Anytime two trauma alert

Answer 65

Airway 30 or greater Circulation sustained hr of 120 bpm or greater Bmr of 5 on the motor component of the glasgow coma scale Cutaneous soft tissue loss from degloving or major flap avulsion greater than 5 inches or has a gsw to extremeties of body Long body fracture- single long bone fracture resulting from motor vehicle collisoon or fall from an elevation of ten feet or greater Age-55 or greater Moi- ejected from a motor vehicle, of any type or impacted steering wheel causing deformity

Question 66

Pediatric criteria for trauma alert one of these

Answer 66

Airway airway is maintain by adjust suction intubation or jaw thrust Circulation non palpable carotid or femoral or systolic less than 50 Consciousness - ams, lethargy inibiloty to follow commands unresponsiceness to voice coma spinal iniurt Fracture long bone fracture open or multiple fracture sites Cutaneous- major flap or degloving; 2 or 3 degree burns to 10% of the body surface are. Amp promomal to wrist or ankle, penetrating injury to head. Neck or torso

Question 67

Pediatric two or more

Answer 67

Consciousness symptoms of amnesia or loss of consciouness Curculation cortid or femoral palpable but radial or pedal not; or the systolic pressure is less than 90mmhg Fracture signs or synptoms of a single closed long bone fracture Size pediatric trauma of 11 kilograms or less body length 33 inches

Question 68

Issuing a trauma alert

Answer 68

Jfrd call trauma alert Frcc shall notify satc or saptc Medical director or issuing ed physcian are only ones allow to change trauma alert status