MLFD Standard Operating Guidelines SOG# Subject: Patient Transfer of Care Initiated 1/30/2013

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "MLFD Standard Operating Guidelines SOG# 12-22 Subject: Patient Transfer of Care Initiated 1/30/2013"

Transcription

1 MLFD Standard Operating Guidelines SOG# Subject: Patient Transfer of Care Initiated 1/30/2013 Approved: Revised PURPOSE It is the purpose of this SOG to provide and ensure the highest level of patient care service delivery to our customers, by expediting transport to definitive treatment through the use of Advanced Life Support (ALS) ambulance/helicopter service. It is the practice of the MLFD to establish a consistent process for the response and transfer of care from MLFD personnel to ALS/BLS ambulance/helicopter providers. The policy will define: Response guidelines and expectations of ambulance/helicopter personnel Parameters for the transfer and continuation of patient care Outline the process of conflict resolution and accountability with MLFD members and ambulance/helicopter personnel Guidelines This SOG integrates the procedures within the framework of the Incident Management System, MLFD Policies, and Treatment Protocols. It is the responsibility of the first arriving Company Officer to implement these procedures on all EMS incidents. Emergency response should be conducted as safely and expeditiously as possible. MLFD personnel are expected to: Communicate the standard functions by radio (i.e. responding, staging, on scene, transporting, available on radio) at all times Utilize the proper order model when conducting radio communications 1 SOG# 12-22

2 If a transport unit (ambulance) arrives first on the scene of a non-routine incident (i.e. structure fire, multivehicle accident, etc.), the crew should: Park in a safe location that will not interfere with fire ground operations. Ambulances should park in a location at fire ground operations so the ambulance will not be blocked by fire apparatus and can still be utilized for transportation of patients from the scene. Provide a brief scene report that includes any obvious conditions (car on its top, victims trapped, etc.) Ambulance personnel should not enter the hazard zone, but should instead await further direction from the first due Company Officer or Incident Commander. On a fire incident, ambulance crews should avoid radio traffic, unless presented with extraordinary circumstances e.g. explosion, presentation of a victim etc. at which time they should give a brief explanation. If an ALS Ambulance arrives first on scene of a routine (EMS) incident, the crew is expected to don proper PPE/BSI and initiate appropriate treatment. Private Ambulance personnel are NOT to cancel responding MLFD units. Standard patient triage, treatment and transportation functions should take place at the direction of the Incident Commander, Company Officer or Paramedic on scene. Private ambulance companies and/ or outside fire district EMS Supervisors may be dispatched to respond to Multiple Alarm Medical incidents. Upon their arrival, they are expected to report to the Incident Commander. Unless otherwise instructed, place ambulances on the geographic side of the incident and direction of travel toward the most probable hospital destinations. The EMS Supervisor will assist the Transportation Sector Officer and may be assigned this responsibility at the discretion of the Incident Commander. The first arriving ALS unit on scene should initiate patient care. The first arriving MLFD Company Officer on scene will assume overall responsibility for the incident. The MLFD will retain its right as the incident authority for any patient encounter, regardless of the order of arrival on scene. This will allow for consistent command procedures and enhance overall patient care. 2 SOG# 12-22

3 Transfer of Care The transfer of patient care from the MLFD to ALS transport personnel should take place only after the following criteria have been met: Report has been given to transport personnel Report shall include a brief description of the patient s complaint(s), condition, any treatment initiated, response to treatments and any other pertinent patient information When a transport arrives on scene prior to MLFD arrival, the first arriving Company Officer will seek out the transport personnel and ask for report on all patients encountered. The Company Officer will then assume responsibility for the scene. Patch/courtesy notifications will be completed by personnel accompanying the patient during transport to the hospital. If a patch is required for medical direction or to obtain orders prior to transport, the patch will be made by MLFD Paramedics prior to transportation. The transport can, at the discretion of the Company Officer and in agreement of the Paramedic, be allowed to proceed to the hospital preventing further delay on scene. This should occur after two complete sets of vital signs have been obtained. If two complete sets of vital signs are unable to be obtained, the reason should be documented clearly on the encounter form. Medications will be restocked to MLFD companies from the ALS transport crews. Examples of Stable Patients to be transferred to ALS transport personnel: Level of Consciousness, A&O x 4 (with consideration of pre-existing conditions); non-traumatic altered mental status; GCS maintained at greater than 13, with stable vital signs. Respirations in normal range for the age group; no abnormal sounds (with consideration of pre-existing conditions) Heart Rate is in normal range for the age group; no irregularities (with consideration of pre-existing conditions) 3 SOG# 12-22

4 Blood Pressure in normal range for the age group; >90 systolic and <180 systolic (with consideration for pre-existing conditions) No uncontrolled bleeding Relief or improvement of chest pain; less than or equal to 3 on a 10 scale; do not anticipate further medications being given en route Any stable patient when the ALS Transport Paramedics on scene, along with the Company Officer and MLFD Paramedic are comfortable with transporting the patient. The following incidents are representative of where transfer of patient care should not take place to a BLS Transport, Search and Rescue or other agency and at minimum; one MLFD Paramedic should remain as primary caregiver and in medical control until ALS Transport is available. Medical cardiac arrest Trauma code Drowning/near drowning Level I/Immediate patient Facial burns, and/or any second or third degree burn covering more than 10% of the body; all electrical burns; burns to hands, feet, or genitalia Respiratory failure, severe respiratory distress Acute Coronary Syndrome with indicative changes on the 12 Lead EKG Chest pain unresponsive to treatment (>3 on a 10 scale) or anticipate giving medications en route to treat the chest pain (i.e. NTG, Morphine) Non-traumatic decreased LOC less than or equal to 13 or decreased LOC due to trauma Any patient who has been administered a narcotic (i.e. Morphine, Versed, Valium) Imminent Childbirth/recent childbirth Any unstable patient Abnormal blood pressure, heart rate, or respirations causing hemodynamic compromise Overdose or accidental poisoning which require treatment with medications (i.e. 4 SOG# 12-22

5 Narcan, Charcoal) Excessive body temperatures with convulsions or deliriums from extreme heat/cold Status epileptics or seizure patients that remain postictal Cerebral Vascular Accident (or possible stroke/tia) Severe orthopedic injuries, open fractures, multiple fractures Combative patients Sexual assault patients Treatment of any Fire Department or Police Department personnel Any patient where receiving Paramedic does not feel comfortable accepting patient Any patient whose presentation of signs and/or symptoms could lead to medication being administered while en route. Conflict Resolution and Accountability The MLFD Paramedic is in charge of the patient care until that patient care is transferred to an ALS transport unit or to a provider with a higher level of medical expertise. The accepting authority assumes ALL responsibility for the patient. Although the Captain is responsible to supervise the activities that take place under their command, the Paramedic is the primary authority for EMS related support or guidance. Any concerns, issues, or problems that may arise will be managed through the appropriate chain of command with assistance, as necessary, by the Fire Chief. 5 SOG# 12-22

COUNTY OF KERN EMERGENCY MEDCAL SERVICES DEPARTMENT. EMS Aircraft Dispatch-Response-Utilization Policies & Procedures

COUNTY OF KERN EMERGENCY MEDCAL SERVICES DEPARTMENT. EMS Aircraft Dispatch-Response-Utilization Policies & Procedures COUNTY OF KERN EMERGENCY MEDCAL SERVICES DEPARTMENT Final - May 2, 2002 Russ Blind Interim Director Robert Barnes, M.D. Medical Director TABLE OF CONTENTS Section: Topic: Page #: I. Definitions 3-4 II.

More information

STANDARD OPERATING PROCEDURES. Rapidly establish triage, treatment and transportation of multiple field casualties.

STANDARD OPERATING PROCEDURES. Rapidly establish triage, treatment and transportation of multiple field casualties. EMERGENCY MEDICAL SERVICE SOP #: Category: Mass Casualty Incidents Date: January 1, 2010 I. Purpose: STANDARD OPERATING PROCEDURES Rapidly establish triage, treatment and transportation of multiple field

More information

SAN FRANCISCO INTERNATIONAL AIRPORT - PARAMEDIC FIRST RESPONDER PROGRAM

SAN FRANCISCO INTERNATIONAL AIRPORT - PARAMEDIC FIRST RESPONDER PROGRAM SAN FRANCISCO INTERNATIONAL AIRPORT - PARAMEDIC FIRST RESPONDER PROGRAM APPROVED: EMS Medical Director EMS Administrator 1. Purpose 1.1 To establish policy and procedures for paramedic first response and

More information

EMS POLICIES AND PROCEDURES

EMS POLICIES AND PROCEDURES EMS POLICIES AND PROCEDURES POLICY #: 13 EFFECT DATE: xx/xx/05 PAGE: 1 of 4 *** DRAFT *** SUBJECT: TRIAGE OF TRAUMA PATIENTS *** DRAFT *** APPROVED BY: I. PURPOSE Art Lathrop, EMS Director Joseph A. Barger,

More information

TITLE: MEDICAL PRIORITY DISPATCH SYSTEM RESPONSE AND MODE ASSIGNMENTS FOR CARDS 1-34 EMS Policy No. 3202

TITLE: MEDICAL PRIORITY DISPATCH SYSTEM RESPONSE AND MODE ASSIGNMENTS FOR CARDS 1-34 EMS Policy No. 3202 PURPOSE: The purpose of this policy is to establish approved Medical Priority Dispatch System response and mode assignments for use by authorized Emergency Medical Dispatch Centers. AUTHORITY: Health and

More information

COUNTY OF KERN EMERGENCY MEDICAL SERVICES DEPARTMENT

COUNTY OF KERN EMERGENCY MEDICAL SERVICES DEPARTMENT COUNTY OF KERN EMERGENCY MEDICAL SERVICES DEPARTMENT AMBULANCE PATIENT TRANSPORT DESTINATION - HOSPITAL EMERGENCY DEPARTMENT STATUS POLICIES & PROCEDURES December 16, 1999 FRED DREW Director ROBERT BARNES,

More information

07/14/2014 REVIEWED/REVISED: DATE TO BE REVIEWED: 01/31/2016 EMERGENCY MEDICAL SERVICES ELECTRONIC PATIENT CARE REPORT DOCUMENTATION - EPCR

07/14/2014 REVIEWED/REVISED: DATE TO BE REVIEWED: 01/31/2016 EMERGENCY MEDICAL SERVICES ELECTRONIC PATIENT CARE REPORT DOCUMENTATION - EPCR POLICY NO: 701 DATE ISSUED: 08/2000 DATE 07/14/2014 REVIEWED/REVISED: DATE TO BE REVIEWED: 01/31/2016 EMERGENCY MEDICAL SERVICES I. PURPOSE: To define the use of standardized records to be used by Emergency

More information

ITEM FOR FINANCE COMMITTEE

ITEM FOR FINANCE COMMITTEE For discussion on 17 April 2015 FCR(2015-16)6 ITEM FOR FINANCE COMMITTEE CAPITAL WORKS RESERVE FUND HEAD 710 COMPUTERISATION Fire Services Department New Subhead Development of a computer system for provision

More information

APPENDIX IX. EMD Incident Codes

APPENDIX IX. EMD Incident Codes APPENDIX IX EMD Incident Codes 1. Abdominal Pain/Problems 1A1 Abdominal pain 1C1 Fainting/near fainting 50 1C2 Females fainting/near fainting 12 50 1C3 Males pain above navel 35 1C4 Females pain above

More information

Module Two: EMS Systems. Wisconsin EMS Medical Director s Course

Module Two: EMS Systems. Wisconsin EMS Medical Director s Course : EMS Systems Wisconsin EMS Medical Director s Course Objectives List the components of EMS systems Outline organizational and design options for EMS systems Outline system staffing and response configurations

More information

CHESTER COUNTY EMS COUNCIL, INC. Policies and Procedures Air Ambulance Utilization. Air Ambulance Utilization for Patients in Chester County.

CHESTER COUNTY EMS COUNCIL, INC. Policies and Procedures Air Ambulance Utilization. Air Ambulance Utilization for Patients in Chester County. CHESTER COUNTY EMS COUNCIL, INC. Policies and Procedures Air Ambulance Utilization TITLE: PURPOSE: POLICY: Air Ambulance Utilization for Patients in Chester County. The utilization of air ambulances for

More information

Nassau Regional EMS Council Basic Life Support Protocols and Supplements to State BLS Protocol Manual Table of Contents

Nassau Regional EMS Council Basic Life Support Protocols and Supplements to State BLS Protocol Manual Table of Contents Nassau Regional EMS Council Basic Life Support Protocols and Supplements to State BLS Protocol Manual Table of Contents Approved/ Revised Effective BLS Adult Nerve Agent/Organophosphate Poisoning Antidote

More information

Ambulance Transportation Services Audits. Bureau of Medicaid Program Integrity Agency for Health Care Administration March 2014

Ambulance Transportation Services Audits. Bureau of Medicaid Program Integrity Agency for Health Care Administration March 2014 Ambulance Transportation Services Audits Bureau of Medicaid Program Integrity Agency for Health Care Administration March 2014 Training Objectives This training is designed for Fire Rescue Chiefs, to:

More information

EMERGENCY MEDICAL SERVICES

EMERGENCY MEDICAL SERVICES POLICY NO: 402 DATE ISSUED: 08/2000 DATE REVIEWED/REVISED: 03/2008 DATE TO BE REVIEWED: 03/2011 CRITERIA FOR AIR MEDICAL TRANSPORT AND DISPATCH EMERGENCY MEDICAL SERVICES Purpose: To define criteria for

More information

Emergency Medical Services Agency. Report to the Local Agency Formation Commission

Emergency Medical Services Agency. Report to the Local Agency Formation Commission Emergency Medical Services Agency August 8, 2012 Report to the Local Agency Formation Commission The Relationship of Fire First Response to Emergency Medical Services On September 26, 2011, the Contra

More information

BLS TREATMENT GUIDELINES - CARDIAC

BLS TREATMENT GUIDELINES - CARDIAC BLS TREATMENT GUIDELINES - CARDIAC CARDIOPULMONARY ARREST - NON-TRAUMATIC (SJ-B101) effective 07/01/99 Defibrillation CPR Apply S-AED and assess rhythm as trained. Defib as indicated Simultaneous OXYGEN:

More information

EMSPIC State NEMSIS Datasets

EMSPIC State NEMSIS Datasets E01_01 Patient Care Report Number X X E01_02 Software Creator X X E01_03 Software Name X X E01_04 Sofware Version X X E02_01 EMS Agency Number X X E02_02 Incident Number X E02_03 EMS Unit (Vehicle) Response

More information

DOCUMENTATION TEMPLATES. All patient care reports should include the following information in the narrative:

DOCUMENTATION TEMPLATES. All patient care reports should include the following information in the narrative: DOCUMENTATION TEMPLATES All patient care reports should include the following information in the narrative: Patient Data: -Chief Complaint -Mechanism of injury/nature of illness -Associated signs and symptoms/pertinent

More information

1.20.2 Definitions. The following definitions are applicable to this OG:

1.20.2 Definitions. The following definitions are applicable to this OG: Blackwood Fire Company Operating Guidelines 1.20 Water Rescue and Recovery Operations 1.20.1 Scope This Operating Guideline (OG) will apply to all incidents (except swimming pools) where victims require

More information

Southern Stone County Fire Protection District Emergency Medical Protocols

Southern Stone County Fire Protection District Emergency Medical Protocols TITLE Pediatric Medical Assessment PM 2.4 Confirm scene safety Appropriate body substance isolation procedures Number of patients Nature of illness Evaluate the need for assistance B.L.S ABC s & LOC Focused

More information

PRINCE GEORGE S COUNTY, MARYLAND FIRE/EMERGENCY MEDICAL SERVICES DEPARTMENT GENERAL ORDER

PRINCE GEORGE S COUNTY, MARYLAND FIRE/EMERGENCY MEDICAL SERVICES DEPARTMENT GENERAL ORDER General Order Number: 05-16 Effective Date: January 2010 Division: Emergency Medical Chapter: Emergency Incident Rehabilitation By Order of the Fire Chief: Marc S. Bashoor Revision Date: N/A POLICY This

More information

EMS Aircraft Operations

EMS Aircraft Operations Page 1 Policy: Field Care Patient Management EMS Aircraft Operations I. AUTHORITY California Code of Regulations, Title 22, Division 9, Chapter 8, Articles 1-5 II. PURPOSE A. To establish guidelines for

More information

TN Emergency Medical Services

TN Emergency Medical Services TN Emergency edical ODULES AND UNITS ES System ES Providers: ER and ET Safety and Wellness Body echanics System Communication Documentation Therapeutic Communication Legal and Ethical Issues Intro to Respiratory

More information

STATE OF MAINE DEPARTMENT OF PUBLIC SAFETY MAINE EMERGENCY MEDICAL SERVICES 152 STATE HOUSE STATION AUGUSTA, MAINE 04333

STATE OF MAINE DEPARTMENT OF PUBLIC SAFETY MAINE EMERGENCY MEDICAL SERVICES 152 STATE HOUSE STATION AUGUSTA, MAINE 04333 STATE OF MAINE DEPARTMENT OF PUBLIC SAFETY MAINE EMERGENCY MEDICAL SERVICES 152 STATE HOUSE STATION AUGUSTA, MAINE 04333 PAUL R. LEPAGE GOVERNOR JOHN E. MORRIS COMMISSIONER SHAUN A. ST. GERMAIN DIRECTOR

More information

Snohomish County Fire Chiefs Association

Snohomish County Fire Chiefs Association Snohomish County Fire Chiefs Association DOCUMENT 60-06-09 ON SCENE REHABILITATION GUIDELINE Adopted December 2009 County Chiefs Meeting INTENT To provide standard operating guidelines to implement and

More information

Marin County EMS Agency. Attachment B Position Checklists

Marin County EMS Agency. Attachment B Position Checklists Marin County EMS Agency Multiple Patient Management Plan Attachment B s Excellent Care Every Patient, Every Time April 2015 *Denotes Marin Specific Additions Medical Group Incident Commander "IC" Operations

More information

City of Nashua, NH Monthly 9-1-1 Ambulance Activity Report

City of Nashua, NH Monthly 9-1-1 Ambulance Activity Report 380 West Hollis Street, Nashua, NH 03060 Business Phone: (603) 882-5330; Business Fax: (603) 598-9403 City of Nashua, NH Monthly 9-1-1 Ambulance Activity Report For the Period between: November 01, 2012

More information

EPINEPHRINE AUTO-INJECTOR TRAINING POLICY ALLERGIC REACTION / ANAPHYLAXIS

EPINEPHRINE AUTO-INJECTOR TRAINING POLICY ALLERGIC REACTION / ANAPHYLAXIS Page 1 of 1 EPINEPHRINE AUTO-INJECTOR TRAINING POLICY ALLERGIC REACTION / ANAPHYLAXIS All members/employees of (service) affiliate number must complete DOH training module #004124 and be familiar with

More information

County of Santa Clara Emergency Medical Services System

County of Santa Clara Emergency Medical Services System County of Santa Clara Emergency Medical Services System Policy #611: EMS Air Resource Utilization EMS AIR RESOURCE UTILIZATION Effective: Feburary 12, 2015 Replaces: May 5, 2008 Review: November 12, 2108

More information

SIERRA-SACRAMENTO VALLEY EMS AGENCY PROGRAM POLICY REFERENCE NO. 450

SIERRA-SACRAMENTO VALLEY EMS AGENCY PROGRAM POLICY REFERENCE NO. 450 SIERRA-SACRAMENTO VALLEY EMS AGENCY PROGRAM POLICY REFERENCE NO. 450 PURPOSE: To establish minimum standards for the integration of EMS aircraft and flight personnel into the EMS prehospital patient transport

More information

Operations Modified On:Nov 24, 2010 12:37

Operations Modified On:Nov 24, 2010 12:37 NOTE: EMS Aircraft utilized in Alameda County for prehospital emergency care will meet the qualifications specified in Title 22, Chapter 8. 1. DEFINITIONS 1.1 "EMS Aircraft" any aircraft utilized for the

More information

DRUG and ALCOHOL ABUSE

DRUG and ALCOHOL ABUSE M12 DRUG and ALCOHOL ABUSE EMS personnel must be aware that alcohol and drug ingestion can mask the symptoms of injury or illness. In addition, many injuries and illnesses can present as suspected alcohol

More information

Chapter 16 Emergency Incident Rehabilitation

Chapter 16 Emergency Incident Rehabilitation Division 05 Emergency Medical March 2009 PO LICY This General Order establishes specific, mandatory procedures and responsibilities developed in accordance with NFPA 1584: Standard on the Rehabilitation

More information

S.T.A.R.T SIMPLE TRIAGE AND RAPID TREATMENT

S.T.A.R.T SIMPLE TRIAGE AND RAPID TREATMENT S.T.A.R.T SIMPLE TRIAGE AND RAPID TREATMENT Incidents which produce multiple human casualties are somewhat rare but do occur and must be planned for. A multiple or mass casualty incident can be defined

More information

Intermedix Inc. EMR 2006 Data Element Name. Compliant. Data Number. Elements

Intermedix Inc. EMR 2006 Data Element Name. Compliant. Data Number. Elements D01_01 EMS Agency X D01_02 EMS Agency D01_03 EMS Agency State X D01_04 EMS Agency County X D01_05 Primary Type of Service D01_06 Other Types of Service D01_07 Level of Service X D01_08 Organizational Type

More information

SANTA CLARA COUNTY PREHOSPITAL CARE POLICY REVISION INVENTORY LIST- MAY 2013. Policy Title Proposed Modification

SANTA CLARA COUNTY PREHOSPITAL CARE POLICY REVISION INVENTORY LIST- MAY 2013. Policy Title Proposed Modification 201 Emergency Medical Technician (EMT) Certification REVISION: 1. Eligibility requirements updated. 2. Live scan language was updated to reflect correct terminology. 3. Applicants will be required to schedule

More information

MEDICAL AND HEALTH EMERGENCIES

MEDICAL AND HEALTH EMERGENCIES IX.041 MEDICAL AND HEALTH EMERGENCIES POLICY The Board shall provide medically appropriate, immediate, quality emergency care in the event of an accident or illness that may compromise the well-being of

More information

STRAIGHT BACK TRIAGE WILLIAM BEAUMONT HOSPITAL, ROYAL OAK CAMPUS

STRAIGHT BACK TRIAGE WILLIAM BEAUMONT HOSPITAL, ROYAL OAK CAMPUS Publication Year: 2007 STRAIGHT BACK TRIAGE WILLIAM BEAUMONT HOSPITAL, ROYAL OAK CAMPUS Summary: Instead of sending patients to the waiting room following triage, patients are sent to one of three treatment

More information

MASS CASUALTY INCIDENT (MCI)

MASS CASUALTY INCIDENT (MCI) MASS CASUALTY INCIDENT (MCI) AN OVERVIEW Atlanta bus crash (internet photo) wikimedia.org Jim Thomas, Captain EMT-B, EMSI, FF2, FSI, FI As emergency responders, we all respond to hundreds of emergency

More information

5.8 Staging Area: The location where incident personnel and equipment are assigned on immediately available status.

5.8 Staging Area: The location where incident personnel and equipment are assigned on immediately available status. KING COUNTY FIRE MODEL PROCEDURE Section 21 King County Rehab Guidelines Adopted 06/24/09 Revised 5/21/15 REHABILITATION AND MONITORING ON THE FIRE GROUND 1.0 PURPOSE: Provide rehabilitation & medical

More information

POLICIES AND PROCEDURES

POLICIES AND PROCEDURES July 1, 2011 Approved by R. Dale Horne Fire Chief Page 1 of 5 PURPOSE: A primary mission for Anderson City Fire IC is to identify, examine and evaluate the physical and mental status of fire-rescue personnel

More information

MODULE III PLANNING &TRIAGE

MODULE III PLANNING &TRIAGE MODULE III PLANNING &TRIAGE PLANNING By failing to prepare, you are preparing to fail Benjamin Franklin OBJECTIVES Discuss the components of disaster planning Review the levels of planning Discuss the

More information

Collaborative Agreement for Possession and Use of Epinephrine Auto-Injector

Collaborative Agreement for Possession and Use of Epinephrine Auto-Injector Collaborative Agreement for Possession and Use of Epinephrine Auto-Injector It is the intent of SUNY Geneseo First Response to possess and use an Epinephrine Auto- Injector for patients in anaphylaxis.

More information

Medical Priority Dispatch System

Medical Priority Dispatch System Medical Priority Dispatch System The Medical Priority Dispatch System (MPDS) is a way of categorizing and prioritizing EMS incidents. The MPDS assigns a number-letter-number format code to each type of

More information

M.I.E.M.S.S. REGION V ALERT STATUS SYSTEM

M.I.E.M.S.S. REGION V ALERT STATUS SYSTEM M.I.E.M.S.S. REGION V ALERT STATUS SYSTEM Approved by the Maryland Region V EMS Advisory Council January 28, 1999 Amended November 16, 2000 Reprinted with Corrections January 16, 2001 Note: Patients destined

More information

Policy # 7-A Effective Date: 6/1/2012 Pages: 8. San Diego County Operational Area. Rehabilitation

Policy # 7-A Effective Date: 6/1/2012 Pages: 8. San Diego County Operational Area. Rehabilitation San Diego County Operational Area Rehabilitation Policy # 7-A Effective Date: 6/1/2012 Pages: 8 Purpose: This guideline provides the San Diego County Operational Area procedures for fire personnel rehabilitation

More information

P.G. 216-01 Aided Cases General Procedure

P.G. 216-01 Aided Cases General Procedure P.G. 216-01 Aided Cases General Procedure Date Effective: 08-19-13 PURPOSE To render necessary aid, take corrective or summary action and prepare the prescribed forms. DEFINITION AIDED CASE - Any occurrence

More information

County of Santa Clara Emergency Medical Services System

County of Santa Clara Emergency Medical Services System County of Santa Clara Emergency Medical Services System Policy #611: EMS Air Resource Utilization EMS AIR RESOURCE UTILIZATION Effective: May 5, 2008TBD Replaces: January 22, 2007 May 5, 2008 Review: TBD

More information

EMERGENCY MEDICAL SERVICES POLICIES AND PROCEDURES Policy Number 910 Date 10-19-05. Date 10-19-05. Effective Date: December 1, 2005

EMERGENCY MEDICAL SERVICES POLICIES AND PROCEDURES Policy Number 910 Date 10-19-05. Date 10-19-05. Effective Date: December 1, 2005 COUNTY OF VENTURA HEALTH CARE AGENCY Policy Title: Emergency Medical Dispatch System Standards APPROVED: Administration: Barry R. Fisher, EMT-P APPROVED: Medical Director: Angelo Salvucci, M.D. Origination

More information

INSTRUCTOR NOTES: Introduction slide. The program may be taught in a group setting or self taught.

INSTRUCTOR NOTES: Introduction slide. The program may be taught in a group setting or self taught. Introduction slide. The program may be taught in a group setting or self taught. 1 Enabling objectives define the specific knowledge, skills, and/or abilities to be demonstrated, compared, listed, described,

More information

INTERFACILITY TRANSFERS

INTERFACILITY TRANSFERS POLICY NO: 7013 PAGE 1 OF 8 EFFECTIVE DATE: 07-01-06 REVISED DATE: 03-15-12 APPROVED: Bryan Cleaver EMS Administrator Dr. Mark Luoto EMS Medical Director AUTHORITY: Health and Safety Code, Section 1798.172,

More information

1st Responder to Emergency Medical Responder Transition Course

1st Responder to Emergency Medical Responder Transition Course 1st Responder to Emergency Medical Responder Transition Course Mandatory Training July 5, 2011 Authored by: Eddie Manley, Education Coordinator OSDH - EMS 1 st Responder to EMR Recommended Transition Course

More information

Southwest Region Emergency Medical Services and. Trauma Care Council. Patient Care Procedures

Southwest Region Emergency Medical Services and. Trauma Care Council. Patient Care Procedures Southwest Region Emergency Medical Services and Trauma Care Council Patient Care Procedures Revised: February 11, 2011 Adopted: November 6, 2002 Table of Contents 1. Definitions -WAC 246-976-010 2. Dispatch

More information

VIRGINIA DEPARTMENT OF HEALTH OFFICE OF EMERGENCY MEDICAL SERVICES PREHOSPITAL PATIENT CARE REPORTING (PPCR) MANUAL

VIRGINIA DEPARTMENT OF HEALTH OFFICE OF EMERGENCY MEDICAL SERVICES PREHOSPITAL PATIENT CARE REPORTING (PPCR) MANUAL VIRGINIA DEPARTMENT OF HEALTH OFFICE OF EMERGENCY MEDICAL SERVICES PREHOSPITAL PATIENT CARE REPORTING (PPCR) MANUAL TABLE OF CONTENTS Section Page I. Introduction 2 II. Incident Documentation and Data

More information

SAN LUIS OBISPO COUNTY EMERGENCY MEDICAL SERVICES AGENCY PREHOSPITAL POLICY

SAN LUIS OBISPO COUNTY EMERGENCY MEDICAL SERVICES AGENCY PREHOSPITAL POLICY SAN LUIS OBISPO COUNTY EMERGENCY MEDICAL SERVICES AGENCY PREHOSPITAL POLICY Policy Reference No: 214 [01/10/2013] Formerly Policy No: 126 Effective Date: 03/01/2013 Supersedes: 10/01/2008 Review Date:

More information

Administrative Policy 5201

Administrative Policy 5201 Administrative Policy 5201 Effective April 1, 2015 Expires March 31, 2016 Policy: EMS Aircraft Operations, Equipment, and... Approval: REMSA Medical Director Daved van Stralen, MD Signed Applies To: FR,

More information

King County EMS Stroke Quality Improvement Program

King County EMS Stroke Quality Improvement Program King County EMS Stroke Quality Improvement Program A Report from the King County EMS Medical QI Section March 2012 Prepared by Sofia Husain, Jim Duren, and Norm Nedell OBJECTIVE The goal of the King County

More information

Firefighter Rehabilitation. by Sandra Stoeckel RN,CEN,AEMT-P, Firefighter

Firefighter Rehabilitation. by Sandra Stoeckel RN,CEN,AEMT-P, Firefighter Firefighter Rehabilitation by Sandra Stoeckel RN,CEN,AEMT-P, Firefighter Goals We will discuss the need for firefighter rehab A review of the necessary components to a rehab area A discussion of the steps

More information

A. Policy Statement. B. Principles. (1) Phases of Emergency Medical Services (EMS)

A. Policy Statement. B. Principles. (1) Phases of Emergency Medical Services (EMS) A. Policy Statement B. Principles Each State-operated psychiatric inpatient facility is responsible for ensuring the provision of appropriate emergency medical care to patients, visitors and employees

More information

Standard Operating Guideline for

Standard Operating Guideline for MABAS DIVISION 5 Standard Operating Guideline SUBJECT: Emergency Incident Rehabilitation S.O.G. REHAB 2009 Approved: December 16, 2009 Revised: Standard Operating Guideline for Emergency Incident Rehabilitation

More information

Submitted By Dutchess County Emergency Response Coordinator John Murphy Date:

Submitted By Dutchess County Emergency Response Coordinator John Murphy Date: THE DUTCHESS COUNTY OFFICE OF EMERGENCY RESPONSE FIRE ~ RESCUE ~ EMS MUTUAL AID PLAN FOR THE COUNTY OF DUTCHESS RECOMMENDED FOR ADOPTION BY: DUTCHESS COUNTY FIRE AND SAFETY ADVISORY BOARD ORIGINAL DATED

More information

109-2-5. Ambulance service operational standards. (a) Each ground ambulance

109-2-5. Ambulance service operational standards. (a) Each ground ambulance 109-2-5. Ambulance service operational standards. (a) Each ground ambulance service in a county which has been assigned to the emergency medical services communications system by the board and which operates

More information

DEPLOYMENT PLAN Revised March 31, 2015

DEPLOYMENT PLAN Revised March 31, 2015 DEPLOYMENT PLAN Revised March 31, 2015 TABLE OF CONTENTS Introduction... 1 Strategy Statements... 2 Definitions... 3 Canadian Triage and Acuity Scale.... 5 Resources... 6 Organizational Chart.... 7 Emergency

More information

EMERGENCY MEDICAL DISPATCH CERTIFICATION GUIDELINES EMERGENCY MEDICAL DISPATCH RE-CERTIFICATION GUIDELINES

EMERGENCY MEDICAL DISPATCH CERTIFICATION GUIDELINES EMERGENCY MEDICAL DISPATCH RE-CERTIFICATION GUIDELINES Page: 1 Effective: October 6, 2008 Revised September 3, 2009 EMERGENCY MEDICAL DISPATCH CERTIFICATION GUIDELINES A. All current and future personnel employed in the positions of dispatcher or dispatch

More information

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health

CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health CENTRAL CALIFORNIA EMERGENCY MEDICAL SERVICES A Division of the Fresno County Department of Public Health Manual Emergency Medical Services Administrative Policies and Procedures Policy Subject Helicopter

More information

MABAS DIVISION XII REHABILITATION POLICY

MABAS DIVISION XII REHABILITATION POLICY MABAS DIVISION XII REHABILITATION POLICY Purpose To ensure that the physical and mental condition of employees operating at the scene of an emergency, training exercise, or other fire department activity

More information

Lightning Mass Casualty Incident at 13,000 feet. Will Smith, MD, Paramedic, FAWM www.wildernessdoc.com

Lightning Mass Casualty Incident at 13,000 feet. Will Smith, MD, Paramedic, FAWM www.wildernessdoc.com Lightning Mass Casualty Incident at 13,000 feet Will Smith, MD, Paramedic, FAWM www.wildernessdoc.com Disclaimer No financial relationships to disclose Drs. Wheeler and Smith are Co-Medical Advisors for

More information

EMS Subspecialty Certification Review Course. Learning Objectives 2. Medical Oversight of EMS Systems 2.1 Medical Oversight

EMS Subspecialty Certification Review Course. Learning Objectives 2. Medical Oversight of EMS Systems 2.1 Medical Oversight EMS Subspecialty Certification Review Course Medical Oversight of EMS Systems 2.1 Medical Oversight Version Date: 7.31.15 Learning Objectives 1 Upon the completion of this program participants will be

More information

DEVELOPING THE EMERGENCY PLAN By: Robert Sheffield INTRODUCTION. Overview

DEVELOPING THE EMERGENCY PLAN By: Robert Sheffield INTRODUCTION. Overview DEVELOPING THE EMERGENCY PLAN By: Robert Sheffield INTRODUCTION Overview The Emergency Plan can never be tested until there an emergency occurs. The incident range can extend from a minor or simple impairment

More information

Mass Causality Incident Response Plan

Mass Causality Incident Response Plan Robert McMahon Commissioner Putnam County BUREAU OF EMERGENCY SERVICES Adam B. Stiebeling Deputy Commissioner Thomas C. Lannon, Sr., Director Emergency Management Robert Cuomo, Director Emergency Medical

More information

AMBULANCE ALERT & RESPONSE

AMBULANCE ALERT & RESPONSE AMBULANCE ALERT & RESPONSE Purpose It is essential to provide prompt and efficient patient care to the citizens of Allegany County. As such, it is necessary to develop a policy to ensure that an ambulance

More information

TABLE OF CONTENTS 19. ANNEX M... 19-1

TABLE OF CONTENTS 19. ANNEX M... 19-1 TABLE OF CONTENTS 19. ANNEX M... 19-1 19.1 PURPOSE...19-1 19.2 SITUATION AND ASSUMPTIONS...19-1 19.2.1 SITUATION...19-1 19.2.2 ASSUMPTIONS...19-1 19.3 GENERAL PROCEDURES AND RESPONSIBILITIES... 19-1 19.3.1

More information

Special Events Medical Operations Form Instruction Sheet

Special Events Medical Operations Form Instruction Sheet Special Events Medical Operations Form Instruction Sheet Philosophy Monterey County has a vested interest in a safe environment during recreational events hosted at County facilities. Events hosted at

More information

San Benito County Emergency Medical Services Agency

San Benito County Emergency Medical Services Agency San Benito County Emergency Medical Services Agency Policy : 1060 Effective : May 1, 2014 Reviewed : April 1, 2014 Air Medical Services I. Purpose To authorize a standard of operation for Air Medical Services

More information

First Responder (FR) and Emergency Medical Responder (EMR) Progress Log

First Responder (FR) and Emergency Medical Responder (EMR) Progress Log First Responder (FR) and Emergency Medical Responder (EMR) Progress Log Note: Those competencies that are for EMR only are denoted by boldface type. For further details on the National Occupational Competencies

More information

EMS Patient Care Report Navigation Logic for Record Creation

EMS Patient Care Report Navigation Logic for Record Creation EMS Patient Report Navigation Logic for Record Creation This document serves to provide specifications regarding data entry and data element completion requirements for PreMIS Version 2 web-based application

More information

MARYLAND REGION IV ALERT STATUS SYSTEM

MARYLAND REGION IV ALERT STATUS SYSTEM MARYLAND REGION IV ALERT STATUS SYSTEM Revised September 20, 2011 - NOTE - Patients destined for specialty referral centers would not be governed by these policies and should be transported to facilities

More information

San Benito County Emergency Medical Services Agency

San Benito County Emergency Medical Services Agency San Benito County Emergency Medical Services Agency Policy : 1120 Effective : May 1, 2010 Reviewed : May 1, 2010 NON-CONTRACT AMBULANCE AND CONVALESCENT TRANSPORT I. Purpose To ensure appropriate patient

More information

Guideline Health Service Directive

Guideline Health Service Directive Guideline Health Service Directive Guideline QH-HSDGDL-025-3:2014 Effective Date: 17 January 2014 Review Date: 17 January 2016 Supersedes: qh-hsdptl-025-3:2012 Patient Access and Flow Health Service Directive

More information

Field Trauma Triage & Air Ambulance Utilization. SWORBHP Answers

Field Trauma Triage & Air Ambulance Utilization. SWORBHP Answers Field Trauma Triage & Air Ambulance Utilization SWORBHP Answers Presented by : Dr. Mike Lewell, Regional Medical Director Dr. Mike Peddle, Local Medical Director Introduction/History What s this all about?

More information

The American Heart Association released new resuscitation science and treatment guidelines on October 19, 2010.

The American Heart Association released new resuscitation science and treatment guidelines on October 19, 2010. ACLS Study Guide The American Heart Association released new resuscitation science and treatment guidelines on October 19, 2010. Please read the below information carefully This letter is to confirm your

More information

1 2 3 4 5 6 7 8 9 10 11 DISTRICT ACTIVITY 01/01/2015 through 01/31/2015 Medicals Calls Syncope, 15% Abdominal, 17% Respiratory, 2% Altered LOC, 10% Other, 15% Cardiac, 19% General Weakness, 17% Diabetic,

More information

Chisholm Trail Fire/Rescue First Responder Organization Standard Operating Procedures/Guidelines

Chisholm Trail Fire/Rescue First Responder Organization Standard Operating Procedures/Guidelines Chisholm Trail Fire/Rescue First Responder Organization Standard Operating Procedures/Guidelines Mission: Respond to emergency requests to provide prehospital care to the sick and injured. Personnel: Shall

More information

Ambulance Dispatcher II. Interpersonal Skills Physical Effort Concentration Complexity

Ambulance Dispatcher II. Interpersonal Skills Physical Effort Concentration Complexity Job Class Profile: Ambulance Dispatcher II Pay Level: CG-32 Point Band: 704-717 Accountability & Decision Making Development and Leadership Environmental Working Conditions Factor Knowledge Interpersonal

More information

Homeland Security and Protective Services CIP 43.9999 Task Grid

Homeland Security and Protective Services CIP 43.9999 Task Grid 1 Secondary Task List 100 EXPLAIN AND PERFORM SAFETY PROCEDURES 101 Demonstrate knowledge of the rules of conduct for the school and classroom. 102 Identify safety and standard operation procedures. 103

More information

EMR EMERGENCY MEDICAL RESPONDER Course Syllabus

EMR EMERGENCY MEDICAL RESPONDER Course Syllabus 6111 E. Skelly Drive P. O. Box 477200 Tulsa, OK 74147-7200 EMR EMERGENCY MEDICAL RESPONDER Course Syllabus Course Number: HLTH-0009 OHLAP Credit: No OCAS Code: 9373 Course Length: 66 Hours Career Cluster:

More information

Oxygen - update April 2009 OXG

Oxygen - update April 2009 OXG PRESENTATION Oxygen (O 2 ) is a gas provided in compressed form in a cylinder. It is also available in liquid form, in a system adapted for ambulance use. It is fed via a regulator and flow meter to the

More information

NORTH REGION EMS & TRAUMA CARE SYSTEM Operational Guidelines

NORTH REGION EMS & TRAUMA CARE SYSTEM Operational Guidelines PATIENT CARE PROCEDURES #1 Access to Prehospital EMS Care To define elements of the Regional EMS and trauma system necessary to assure rapid universal access to 911 and E-911, rapid identification of emergent

More information

Epinephrine Auto Injector Interim Policy (Amended March 12, 2008)

Epinephrine Auto Injector Interim Policy (Amended March 12, 2008) Epinephrine Auto Injector Interim Policy (Amended March 12, 2008) Pursuant to the authority conferred by N.J.S.A. 26:2K-47.1, et seq., the Department of Health and Senior Services (the Department) shall

More information

TSA Good Practice Guide. Telecare Service Providers in Scotland and the Scottish Ambulance Service working together to improve service delivery

TSA Good Practice Guide. Telecare Service Providers in Scotland and the Scottish Ambulance Service working together to improve service delivery TSA Good Practice Guide Telecare Service Providers in Scotland and the Scottish Ambulance Service working together to improve service delivery August 2013 TELECARE SERVICE PROVIDERS IN SCOTLAND AND THE

More information

OPERATIONS POLICY AND PROCEDURE

OPERATIONS POLICY AND PROCEDURE INTRODUCTION The San Ramon Valley Fire Protection District provides both First Responder Advanced Life Support (ALS) on the fire apparatus and ALS Ambulance transport. As an ALS provider, the District

More information

STANDARD OPERATING GUIDELINE

STANDARD OPERATING GUIDELINE STANDARD OPERATING GUIDELINE OPERATIONS REHAB EFFECTIVE: 11/26/2012 REVISED: S.O.G #: 320 PAGE: 1 of 6 1.0 Objective 1.1 To ensure the physical and mental conditions of personnel operating do not deteriorate

More information

Ambulance Services. Provider Manual

Ambulance Services. Provider Manual Provider Manual Provider 1 April 1, 2014 TABLE OF CONTENTS Chapter I. General Program Policies Chapter II. Member Eligibility Chapter IV. Billing Iowa Medicaid Appendix III. Provider-Specific Policies

More information

City of Nashua, NH Monthly 9-1-1 Ambulance Activity Report

City of Nashua, NH Monthly 9-1-1 Ambulance Activity Report 380 West Hollis Street, Nashua, NH 03060 Business Phone: (603) 882-5330; Business Fax: (603) 598-9403 City of Nashua, NH Monthly 9-1-1 Ambulance Activity Report For the Period between: June 01, 2014 through

More information

SBAR Communication CONCISE

SBAR Communication CONCISE SBAR Communication CONCISE CLEAR EFFECTIVE Contra Costa EMS is adopting a county-wide prehospital model for communicating patient care information between EMS and ED providers with the purpose of improving

More information

DNH 120 Management of Emergencies

DNH 120 Management of Emergencies Revised: Fall 2015 DNH 120 Management of Emergencies COURSE OUTLINE Prerequisites: None Course Description: Studies the various medical emergencies and techniques for managing emergencies in the dental

More information

REGIONAL SUSPECTED STROKE PROTOCOL

REGIONAL SUSPECTED STROKE PROTOCOL 1. Stroke refers to any spontaneous damage to the brain caused by an abnormality of the blood supply by means of a clot or bleed. Strokes should be treated emergently. During a stroke, up to 2 million

More information

Marin County Emergency Medical Services Excellent Care Every Patient, Every Time

Marin County Emergency Medical Services Excellent Care Every Patient, Every Time Marin County Multiple Patient Management Plan Training Module June 2013 This training presentation is intended for use by EMS, hospital and law enforcement personnel e in Marin County, California. a It

More information

15- EMERGENCY BUTTON ACTIVATION

15- EMERGENCY BUTTON ACTIVATION 15- EMERGENCY BUTTON ACTIVATION 15.1 GENERAL Responder safety is a top priority of York County DES. Each portable radio is equipped with an emergency button to alert all users on the network of an emergency.

More information

GUIDE TO RELEASE OF PATIENT INFORMATION

GUIDE TO RELEASE OF PATIENT INFORMATION GUIDE TO RELEASE OF PATIENT INFORMATION TO THE MEDIA A guide for hospital public relations professionals and the news media, as specified by California law and HIPAA QUICK REFERENCE GUIDE RELEASE OF PATIENT

More information