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According to Palm Beach County Fire Rescue's SOG 500-01, what is the primary purpose of this standard operating guideline?
According to Palm Beach County Fire Rescue's SOG 500-01, what is the primary purpose of this standard operating guideline?
- To provide guidelines for fire rescue personnel in determining when a citizen is considered a patient. (correct)
- To outline the procedures for conducting mass casualty incident triage.
- To establish protocols for patient refusal of medical assessment and treatment.
- To define the roles and responsibilities of the Fire Rescue Administrator and Medical Director.
Under what circumstances should a citizen encountered by Fire Rescue personnel be assumed to be a patient, according to SOG 500-01?
Under what circumstances should a citizen encountered by Fire Rescue personnel be assumed to be a patient, according to SOG 500-01?
- If there is any doubt as to whether the citizen is a patient. (correct)
- If the citizen requests assistance with a non-emergency issue
- If the citizen is undergoing a blood pressure check at the fire station.
- If the citizen is present at the scene of a motor vehicle collision, regardless of complaints or injuries.
According to SOG 500-01, in which scenario related to motor vehicle collisions (MVCs) should Fire Rescue personnel consider an occupant a patient, thus requiring a full patient assessment?
According to SOG 500-01, in which scenario related to motor vehicle collisions (MVCs) should Fire Rescue personnel consider an occupant a patient, thus requiring a full patient assessment?
- The vehicle sustained only minor damage.
- The occupant has no visible injuries and denies any pain or discomfort.
- There is damage to the steering wheel noted upon assessment. (correct)
- The occupant was using a safety restraint properly at the time of the collision.
What is the MOST appropriate next step if a citizen is determined to be a patient, but refuses medical assessment, according to SOG 500-01?
What is the MOST appropriate next step if a citizen is determined to be a patient, but refuses medical assessment, according to SOG 500-01?
According to SOG 500-01, what BEST describes 'capacity' in the context of determining if a specific citizen is a patient?
According to SOG 500-01, what BEST describes 'capacity' in the context of determining if a specific citizen is a patient?
While on duty, Fire Rescue personnel encounter multiple intoxicated citizens in a crowded bar. According to SOG 500-01, under what circumstances would this MOST likely be considered a mass casualty incident?
While on duty, Fire Rescue personnel encounter multiple intoxicated citizens in a crowded bar. According to SOG 500-01, under what circumstances would this MOST likely be considered a mass casualty incident?
Fire Rescue personnel are called to assist a citizen found on the ground. According to SOG 500-01, what determines whether this individual is considered a patient?
Fire Rescue personnel are called to assist a citizen found on the ground. According to SOG 500-01, what determines whether this individual is considered a patient?
Crews are dispatched to a residence for a 'lift assist,' where an individual requires help getting up. How should the crew determine whether this individual should be classified as a patient, according to SOG 500-01?
Crews are dispatched to a residence for a 'lift assist,' where an individual requires help getting up. How should the crew determine whether this individual should be classified as a patient, according to SOG 500-01?
According to the information provided in SOG 500-01, who has the authority to implement the guidelines outlined in this document?
According to the information provided in SOG 500-01, who has the authority to implement the guidelines outlined in this document?
In the context of SOG 500-01, how should Fire Rescue personnel approach a situation where a citizen denies any medical complaints or obvious injuries after a fall, yet seems confused?
In the context of SOG 500-01, how should Fire Rescue personnel approach a situation where a citizen denies any medical complaints or obvious injuries after a fall, yet seems confused?
According to SOG 500-01, when responding to a motor vehicle collision, what specific observation should MOST heighten a Fire Rescue responder's suspicion of potential injury, even if the occupant initially reports no pain?
According to SOG 500-01, when responding to a motor vehicle collision, what specific observation should MOST heighten a Fire Rescue responder's suspicion of potential injury, even if the occupant initially reports no pain?
What action should Fire Rescue personnel take, according to SOG 500-01, when encountering a chronic 'lift assist' patient who may need ongoing assistance?
What action should Fire Rescue personnel take, according to SOG 500-01, when encountering a chronic 'lift assist' patient who may need ongoing assistance?
A bystander approaches Fire Rescue personnel at an incident scene requesting a blood pressure check. According to SOG 500-01, under what condition does this bystander become considered a patient?
A bystander approaches Fire Rescue personnel at an incident scene requesting a blood pressure check. According to SOG 500-01, under what condition does this bystander become considered a patient?
According to the guidelines in SOG 500-01 regarding contact with citizens, which of the following BEST describes a situation where a citizen should be considered a patient?
According to the guidelines in SOG 500-01 regarding contact with citizens, which of the following BEST describes a situation where a citizen should be considered a patient?
What is indicated by the statement 'Anything indicative or suggestive of acute illness or injury about a citizen's assessment makes them a patient' in SOG 500-01?
What is indicated by the statement 'Anything indicative or suggestive of acute illness or injury about a citizen's assessment makes them a patient' in SOG 500-01?
According to SOG 500-01, what is Fire Rescue personnel's immediate procedure upon encountering a citizen who is determined to lack capacity to understand the risks of refusing treatment?
According to SOG 500-01, what is Fire Rescue personnel's immediate procedure upon encountering a citizen who is determined to lack capacity to understand the risks of refusing treatment?
Following SOG 500-01, if Fire Rescue personnel encounter a citizen who is found on the ground, is able to get up on their own, but is denying any complaints or obvious injuries, what MUST personnel assess?
Following SOG 500-01, if Fire Rescue personnel encounter a citizen who is found on the ground, is able to get up on their own, but is denying any complaints or obvious injuries, what MUST personnel assess?
According to SOG 500-01, to what specific document should Fire Rescue personnel refer when needing direction on patient refusal situations?
According to SOG 500-01, to what specific document should Fire Rescue personnel refer when needing direction on patient refusal situations?
According to Palm Beach County Fire Rescue's SOG 500-01, under which circumstance should the Fire Rescue Personnel create a MIH referral?
According to Palm Beach County Fire Rescue's SOG 500-01, under which circumstance should the Fire Rescue Personnel create a MIH referral?
According to SOG 500-01, upon arriving at the scene of an MVC, even if the vehicle occupant appears uninjured and denies any complaints, what specific observations should elevate the index of suspicion for injury and necessitate a full patient assessment?
According to SOG 500-01, upon arriving at the scene of an MVC, even if the vehicle occupant appears uninjured and denies any complaints, what specific observations should elevate the index of suspicion for injury and necessitate a full patient assessment?
Flashcards
Purpose of SOG 500-01
Purpose of SOG 500-01
To lay out a consistent method for first responders in Palm Beach County to decide whether someone needs medical attention.
Defining a patient
Defining a patient
A person is considered a patient if they have a medical complaint, obvious injury, or appear to be in distress.
Rule of Doubt
Rule of Doubt
If uncertainty exists about whether an individual is a patient, they should be presumed to be a patient.
Citizen on the ground
Citizen on the ground
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Motor Vehicle Collision
Motor Vehicle Collision
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Patient Capacity
Patient Capacity
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Acute inability to ambulate
Acute inability to ambulate
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Chronic inability to ambulate
Chronic inability to ambulate
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MIH referral
MIH referral
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Study Notes
- This SOG (Standard Operating Guideline) provides guidelines to determine if a patient exists.
- Applies to all Fire Rescue Personnel.
- Issue Date: 12/21/2020
- Effective Date: 1/18/2021
Authority
- Fire Rescue Administrator
- Medical Director, Palm Beach County Fire Rescue
General Procedure
- According to policy PPM FR-M-201, all incidents must be documented according to Incident Reporting
- Always assume a citizen is a patient if there is doubt.
- If a citizen is determined to be a patient, they shall receive a full assessment.
- Refer to SOG 520-03 Patient Refusal if a patient refuses assessment
Contact With A Citizen
- Fire Rescue personnel encounter citizens in a variety of settings and citizens may become patients at any time.
- A patient exists if a citizen has a medical complaint, obvious injury, or appears to be in possible distress.
- A patient exists if anything indicative or suggestive of acute illness or injury about a citizen's assessment.
Specific Citizens
- Specific citizens who are called upon to assess, and are determined to lack capacity are patients.
- Capacity is the ability of a patient to understand the benefits and risks of a proposed treatment, and the alternatives to that treatment.
- Professional judgement is necessary in determining capacity, and walking through a crowded bar while on duty, with multiple intoxicated citizens who could all be deemed to lack capacity, is not a Mass Casualty Incident.
Refusals
- Refer to SOG 520-03 Patient Refusal for all patient refusals.
Specific Incidents, Minors
- Refer to SOG 520-03 Patient Refusal for all minors.
Specific Incidents, Motor Vehicle Collisions
- Fire Rescue personnel often arrive on motor vehicle collisions (MVC's) to find occupants who have no complaints and show no outward signs of injury.
- If injury is suspected based on the mechanism-of-injury the citizen is a patient.
- A full patient assessment is required as outlined in the PBCFR Patient Care Protocols for the following:
- Greater than minor damage noted to the vehicle
- No restraint use
- Airbag deployment
- Steering wheel damage noted
- Other occupants have complaints, injuries, or deaths
- The appearance, behavior, or emotional state of the occupant is not normal
- Refer to SOG 520-03 Patient Refusal to determine if a PBCFR Patient Refusal Form is required.
Specific Incidents, Citizens Found On The Ground
- A citizen that is unable to get up without assistance, is a patient.
- A citizen that is able to get up on their own, is denying complaint, has no obvious injury, shall be assessed for capacity, and if that citizen does not have that capacity, they are a patient.
- A citizen that is able to get up on their own, is denying complaint, has no obvious injury, shall be assessed for capacity, and if that citizen does have that capacity, they are not a patient.
Specific Incidents, Request for Help from One Location to Another
- Crews shall dtermine if the individual's reason for their inability to ambulate is new (acute) or old (chronic).
- If acute, the citizen shall be classified as a patient
- If chronic, the crew may document this patient as Public Assist and should inquire about the need for ongoing assistance. Based upon the need for ongoing assistance, the crew can create an MIH referral.
Public Assist Referral
- Refer to SOG 510-01 Public Assist.
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