Radio Users Training EMS Communications System. Santa Clara County Communications Santa Clara County EMS Agency

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1 Radio Users Training EMS Communications System Santa Clara County Communications Santa Clara County EMS Agency

2 Today s Objectives Introduce the EMS Communications System 2004/2005 Enhancement Plan Status of Implementation Grant Funding Election/Holiday Preparedness Radio Users Guide Equipment Overview Questions

3 Plan Mission Enhance the operations of the Santa Clara County EMS Communications System through the addition of technology, revision of operational practices, implementation of policy, and adoption of standardized incident management practices related to prehospital communications.

4 Plan Objectives Integrate ICS/FIRESCOPE Plain Language Typing of Units Decrease non-essential radio traffic. Decrease 911 Ambulance Response Times Self-Initiated Hospital Ring Downs Establish Communications Standards for Large Incidents Integrate BayMACS Identify Funding Mechanisms to Cover Costs Ensure Communications between all Ambulances in the County

5 Where are We Today? 911 Fleet Changes Almost Complete Timeline Update (Handout) Next big step Non- Contracted Providers Executive Level Radio Users Group Radio Users Group

6 Funding State Homeland Security Grant. EMS Trust Fund Centers for Disease Control Grant Urban Area Strategic Initiative AMR related to Contract Requirements.

7 Funding ~ Use of Funds Specialty Pots of Money Not able to put in one big budget. Requirements for use in various sources (ie: UASI Regional Connect). Digital, MDT s, CAD to CAD linkages, etc.. Silicon Valley Interoperability Project

8 Election/Holidays Increased Awareness Period We have the tools. Tie to November drill Little training required Immediately expands available resources.

9 Radio Users Guide

10 Santa Clara County Communications EMS Duty Chief EMS 1-9* EMS Managers (Units ) County Health Officers EMS Supervisors (Units ) Public Health Administration/DOC Public Safety Officers Field Units (Contracted and Non-Contracted ambulance providers, Public Health Staff)

11 Channels July 2004 Med 91 (800 MHz) Command 92 (800 MHz) Frequency 9 (UHF)

12 Channels October 2004 Med 91 Primary Dispatch Command 92 Countywide Command/Hospital Communications Command 93 Geographic Command 94 - Geographic Tactical 95 Geographic Tactical 96 Geographic Tactical 97 Geographic Bay MACS Multidisciplinary/ Mutual Aid Command Coordination UHF Radio Paging/Dispatch Channel (Frequency 9)

13 Med 91 Primary Dispatch Countywide Call Sign Med 91 Always monitored by a dispatcher

14 Command Channels Call sign Command (#) Not monitored by a dispatcher EMS Duty Chief can request a dispatcher be assigned to a channel. Field Command to Communications Units do not communicate with Com Mostly geographic based. Large/potentially complex events will be assigned a Command Channel as appropriate.

15 Command 92 - Differences Daily use as a self-initiated hospital ringdown frequency. Countywide coverage Countywide Command Channel if necessary Status buttons = Interruptions Could become an Area Dispatch Channel based on the needs of the incident.

16 Tactical Channels Geographic based Car-to-car communications on-scene Not monitored by Communications or Command Staff (some exceptions may apply) Must be assigned to avoid crashes Not Countywide

17 BayMACS Multidisciplinary Multijurisdictional Command and Control Functions May be assigned to respond on BayMACS by public safety partners (fire, law, EMS Agency). EMS Duty Chief may initiate use of BayMACS for an event (MCI, standby, drill, etc.).

18 UHF Radio Paging/Dispatch Countywide simulcast UHF band (old BLS fleet frequency) Back-up to 800 MHz system

19 FAQ s Can our service request the use of a Command or Tactical Channel for a drill or standby? Yes, Complete an EMS Communications System Request Form Must be for a System Event. Subject to reallocation based on the needs of the System.

20 FAQ s How do I know which Command or Tactical Channel to use? County Communications will assign a channel. If in doubt, contact Med 91.

21 FAQ s Do I update my status on Med-91 or the assigned Command Channel? Advise responding on Med-91 On approach, contact Transportation on the assigned channel for an assignment. Advised Med-91 when onscene and then do the same with Transportation on the assigned channel. When leaving the scene, same process.

22 Format & Alerting Simulcast to Minitor Pager and one Portable Radio. Discontinued ringdown attempts at multiple portables and mobile radio. Alphanumeric Page sent on dispatch rather than enroute. The radio pager is the primary notification device used for the dispatch of units; all other methods of notification are supplemental.

23 Receipt of a Call Pre-alert Do not answer Trigger to hold the air. Immediately followed by the dispatch. Acknowledge with Unit ID, Responding from (location). Use digital playback feature if call information is missed.

24 Dispatch Format Unit Type & Number Code of Response Location w/map Grid Nature of Call Scene Safety Instructions Unit Type & Number, Event Number

25 Plain Language Terms Responding On-Scene Transporting Available Scene Secure Emergency Traffic On-Scene, Investigating Report on Conditions

26 Emergency Traffic Not Code-30, 10-33, etc. Used when an event may cause imminent injury to any person. Examples include structure fires with no units on scene, assaults, etc. Should not be used for minor traffic collisions (still alarms), non-life threatening conditions, etc.

27 Radio Codes 10-1 Poor Reception 10-2 Good Reception 10-4 Message Understood Dead Body Code 1 Low Priority Information Code 2 Response without RLS Code 3 Response with RLS Code 4 No Further Assistance Needed Code 7 Meal Break

28 Audible Tones Steady Alert Tone APB s, hospital status, major road closures, etc. Initiated by County Communications. Wobbler Tone Emergency Action Required, may include evacuation, shelter in place, etc. Marker Tones Rare, used for special circumstances. Low background beeps.

29 Emergency Buttons Only active for 911 System Units Used when unable to make a verbal request for assistance. County Communications will attempt to contact if no contact, notifications/response. Code 4 Required Nothing else stops the response.

30 What County Communications? Alert tones All Communities Action Prompts Immediate Attempts to Make Contact with Unit. Notifications Dispatch of Resources You become #1 Priority

31 Supervisor Level Actions May amend response to a button push. Immediate follow up required UOR s required for all pushes submitted to provider agency with copy to EMS Agency. Accidents will happen (accidental pushes). Equipment must be logged on for an emergency button to activate an alert.

32 Interfacility Transfers Dispatch contains Unit/ID, Code of Response, Location, and Call Type. All other details are provided by pager. Additional information requests to be routed directly to Burlingame. County Communications can not support supplemental actions for private calls (RP contact, directions, further information details, etc.).

33 IFT to a System Call What resources do you need that you don t have? Will elicit a fire response. Call falls into all non-ift policies. This means diversion applies, destination, etc.

34 Hospital Notifications Not On-Line Medical Control Not required Serves as a notice of impending arrival. Priority to Stroke, Cardiac, and Trauma Alerts through radio ring downs. Self-Initiated on Command 92 if not restricted Back-up is cellular contact.

35 Continued County does not mandate what equipment is capable of doing self-initiated ring downs (ie: mobile vs. portable). MCI situations Route through Transportation Supervisor. Hospital notifications on County frequencies are for 911 responses only not interfacility transports.

36 EMSystem Hospital bed availability in significant events. Ambulance Service availability query. System notices and updates. Can be launched by Field Supervisors. All dispatch centers and field units may view to check diversion status.

37 Updates Non-critical updates will be provided by alphanumeric pager. Field crews are not to request updates for non-critical issues such as patient condition, reason for up/downgrades, etc. County Communications will notify crews whenever updates are provided. Scene safety is always a priority.

38 Unit Typing Medic Paramedic ambulance or ALS non-transport unit. Squad EMS System BLS Unit nontransport. Utility Support units, supply, MCI trailers, etc. Duty Chief EMS System Duty Chief EMS EMS Agency Staff numbered in management order (Numbers 1-9). Company/ID BLS non-contracted ambulance.

39 Continued Manager Private service numbered in managers/directors order (Numbers ) Supervisor First line field supervisor (Numbers ) Health Officer The County Health Officer

40 Radio Equipment

41 Motorola XTS 1500 s BLS/Non-Contract Units 8 Available Channels Emergency Button is NOT programmed Works with most Motorola chargers.

42 Motorola XTS 3000 s STAR Units/Dispatch Centers/Contractors Supervisors 8 Available Channels Emergency Button is programmed and logged on. Works with most Motorola chargers. LCD Display Can Elicit Ring-Downs

43 Motorola MCS 2000 Model III Ambulance Dispatch Centers (Air/Ground) 8 Available Channels Ring-Down Capable Estimated December Delivery. Desk Set Configuration

44 Minitor IV Radio Pager Digital Recording Feature for 911 Units. One for every unit in the EMS System. Later stages include private service managers/supervisors. Base/Amplifier Batteries

45 Iridium Satellite Telephones Ambulance Dispatch Centers Redundant Communications Method Airtime Provided (Start-Up)

46 EMSystem Computers Flat Screens Requested Central Processing Unit Keyboard Internet Capability

47 Questions?

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