CFR-D Chapter 2 - Unit Procedures - Operational Guidelines Flashcards

1
Q

The COMPANY COMMANDER shall ensure the greatest likelihood that AT LEAST ___ CFR-D qualified F/F’s will report for duty at any given tour?

A

Two (2)

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2
Q

Company Officers of CFR-D Units shall ENSURE that ___ CFR-D F/F’s will be working each tour?

A

Two (2)

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3
Q

In order to be in service as a CFR_D Unit there shall be a MINIMUM of ___ trained members (F/F’s OR OFFICER) with current CFR-D Certification?

A

A minimum of two (2).

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4
Q

If the minimum number of CFR-D certified members falls below the minimum, who shall the officer notify?

A

The dispatcher and battalion.

Make a company journal entry.

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5
Q

Without ___ CFR-D members, the company shall not respond to any CFR-D calls.

A

Two (2)

*the company may still be dispatched for calls received directly from the public.

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6
Q

What are the assignments of the CFR-D company members?

A

A - Airway - Maintain airway, administer O2;
In response to cardiac arrest, begins ventilation
Carries the Oxygen bag.
B - Boss - Officer; Carries portable radio and handlight.
C - Checker - Conducts patient assessment:
In response to cardiac arrest, checks pulse/begins compressions
Carries Trauma bag.
D - Defib/Documenter - Completes the PCR;
In response to cardiac arrest, hooks up/operates the defib.
E - Equipment - Remains w/ apparatus/carry any additional equipment needed.

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7
Q

If a company expects to be operating for MORE THAN ____ minutes, they are instructed to use signal ____?

A

MORE THAN 30 minutes and

Signal 10-99

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8
Q

An individual is considered a patient if?

A

a) The individual is SICK or Injured, or
b) The individual was exposed to a situation or condition that could have the potential to cause injury, e.g., smoke condition, C.O. poisoning, MVA.

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9
Q

A PCR is ________ when a CFR-D Company is on-scene (10-84) at any CFR-D assignment UNLESS patient care is provided.

A

NOT REQUIRED.

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10
Q

What information must be provided to EMD when requesting an ambulance?

A

CCCRAP

  • CUPS Status
  • Age
  • Chief complaint
  • If CPR is initiated
  • Pulse
  • Respiratory rate
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11
Q

Which criteria is required in order for a Company to become unavailable for both FIRE DUTY and CFR-D responses?

A
If decontamination of
 1) a member
2) PPE or
3) the equipment used is required,
the Company will not be available until the situation has been rectified.
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12
Q

A company is UNAVAILABLE for CFR-D responses but AVAILABLE for fire duty when?

A

When the company does not have the minimum amount of CFR-D supplies. The company is to go back into service for fire duty but advise the borough fire dispatcher and the Battalion that it is not available for CFR-D responses.

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13
Q

A company will begin resuscitation efforts UNLESS the following conditions exists?

A

DR DOV

  • Decomposition
  • Rigor Mortis
  • Dependent Lividity
  • Obvious death
  • Valid Do Not Resuscitate Order
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14
Q

Is a PCR required if a company encounters an obvious DOA?

A

YES. The CFR-D Unit MUST complete a PCR even if the patient is DOA.

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15
Q

What is the procedure to be followed in the event a CFR-D company is having difficulty ascertaining the location of a patient?

A

1) The Officer in Charge shall review the response printout for additional information.
2) Verify the info with the dispatcher.
3) After re-verification of the dispatch info, attempt to contact neighbors.
No patient found - transmit a 10-92
Officer will make a notation in the Co.Journal upon r/t to qtrs.

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16
Q

Are EMS personnel tasked with safeguarding a premise?

A

NO. This shall not be delegated to EMS personnel.This includes awaiting the arrival of PD.

17
Q

Is a PCR required when a patient refuses medical aid?

A

YES. It must be completed. Notify dispatch if pt. insists on leaving the scene.

18
Q

When a patient is exhibiting altered mental status or appears to be an EDP, declines treatment, what should a unit do?

A

The Officer in charge should

a) Request police assistance AND
b) Remain on scene until the arrival of EMS.

19
Q

When operating at a CFR-D response and an individual states that they are a physician and would like to offer their assistance, what should we do?

A

a) Ask for their identification
b) Accept their assistance and notify our dispatcher
c) Obtain their six (6) digit NYS license number and include on the PCR.
* Members are not to do anything that they are not trained to do.*

20
Q

If NYPD ESU has already initiated patient care PRIOR TO our arrival, what are we responsible for?

A

They retain responsibility for patient care.
The Officer will ascertain if our assistance is required.
IF NOT - Transmit a 10-91 and go 10-8
IF YES - They have medical authority until the arrival of an ambulance.

21
Q

IF NYPD ESU arrives after we have already initiated patient care, what is the procedure?

A

The CFR-D unit retains responsibility for patient care until a transporting agency assumes responsibility of the patient.
If NYPD ESU assumes the role of HIGHER LEVEL pre-hospital care provider and assumes responsibility for patient care, RELEASE to ESU.
IF ESU is not equipped with a SAED - The CFR-D Unit shall retain patient care responsibilities. DO NOT RELEASE!

22
Q

Are fire apparatus or vehicles other than NYS certified ambulances be used to transport patients?

A

NO. Under no circumstances.

23
Q

Where is the telemetry phone number posted?

A

It shall be kept posted on the chart holding the Unit’s PCR forms.

24
Q

What should a CFR-D Unit do BEFORE calling the telemetry?

A

The Unit shall have

a) completed the primary survey
b) CUPS status determination
c) Identify themselves as a CFR-D Unit
d) Be prepared to give a concise report to the physician.

25
Q

What should a CFR-D Unit do with the advice given by the telemetry physician?

A

They should follow advice given AND note all instructions given on the PCR.

26
Q

In addition to medical consultation, what else mat the telemetry be utilized for?

A

Access to the International Language Bank.

27
Q

Is a CFR-D permitted to give immediate medical intervention to a minor suffering from a LIFE THREATENING ILLNESS OR INJURY?

A

YES. Regardless of whether the parent/guardian is available OR refuses to give consent, treatment for a LIFE THREATENING ILLNESS or INJURY requires IMMEDIATE medical intervention.

28
Q

Who does a CFR-D Unit report the circumstances of suspected child abuse to?

A

Circumstances of suspected child abuse shall be reported to EMS personnel at the scene.
Officer shall make a Co. journal entry (Names/Unit designation)

29
Q

What is the MINIMUM requirement that a valid DNR issued by a nursing home MUST contain?

A

A physician’s signature.

A nursing home DOES NOT have to utilize the NYS Out of Hospital DNR form.

30
Q

Does a current date need to be on a DNR order?

A

No. A DNR order need not have a current date.

31
Q

Is a Living Will valid in the pre-hospital setting for pre-hospital emergency care?

A

No. It is not valid.

32
Q

Is a Health Care Proxy valid in the pre-hospital setting for pre-hospital emergency care?

A

No. It is not valid.

33
Q

Who is designated the I/C whenever fire units and EMS are operating at an incident?

A

The RANKING fire officer on the scene is the I/C.
With the exception of patient care matters.
The I/C is responsible for evaluating the scene and providing safety of all patients and operating personnel.

34
Q

Who shall the ranking Fire Suppression officer consult with and be guided by regarding patient care decisions?

A

The HIGHEST LEVEL pre-hospital emergency medical provider at the scene. (e.g., Volunteer PARAMEDIC)

35
Q

With regard to a pre-hospital care provider receiving an order believed to be DETRIMENTAL to the patient’s condition, who will the pre-hospital care provider contact?

A

A written statement, through channels, to the Office of Medical Affairs (OMA).