Fire Mobile Crisis Team Policy Quiz

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Questions and Answers

What conditions must be met for a client to be transported to a psychiatric emergency service?

The client must voluntarily agree to the transportation.

Transportation must be pre-arranged with an FMCT Licensed Clinician. (correct)

The client must be accompanied by a family member.

The transportation must be done via public transport.

What is the role of FMCT if elder or dependent adult abuse is suspected?

Simply monitor the situation without reporting.

File verbal and written reports and contact appropriate authorities. (correct)

Encourage the client to seek legal advice themselves.

Only consult with Family members before taking action.

If a client is not transported, what document must be signed by FMCT?

Transfer Notice Form.

Service Acknowledgment Form.

Client Consent Form.

Non-Transport Form. (correct)

What action will FMCT take if a senior is identified in need of further care?

Refer the client to the Long-Term Care State Ombudsman. Signup and view all the answers

Which of the following is an updated element mentioned in the review/revision section?

Changed reference from EMS protocols to EMS Guidelines. Signup and view all the answers

Who initiates the request for service from the Fire Mobile Crisis Team?

The on-scene law enforcement officer or fire personnel Signup and view all the answers

What is the primary function of the Fire Mobile Crisis Team?

To respond to low acuity mental crisis events Signup and view all the answers

Which action is NOT part of the FMCT Paramedic's responsibilities during the scene size-up?

Identifying the law enforcement officer in charge Signup and view all the answers

When should the FMCT paramedic log into the CAD?

At the start of the shift Signup and view all the answers

What must the FMCT evaluate during their scene size-up?

Surroundings for potential weapons and drug paraphernalia Signup and view all the answers

What criterion must be met for the FMCT to be requested?

Low acuity must be deemed by on-scene personnel Signup and view all the answers

What does the FMCT paramedic need to ensure regarding scene safety?

Recognition of hazards and establishing a safe treatment area Signup and view all the answers

Which of the following is considered a medical emergency intervention rather than a behavioral health emergency intervention?

A patient showing signs of severe intoxication Signup and view all the answers

What is generated if a client needs emergency psychiatric care and is unwilling to be transported voluntarily?

Certificate of Evaluation (C of E) Signup and view all the answers

Who must transport the client if a Certificate of Evaluation (C of E) is generated?

A Law Enforcement MCT Signup and view all the answers

Under what conditions will transportation be determined based on EMS Guidelines?

Client is determined to be gravely disabled or a danger to themselves or others Signup and view all the answers

What is the first step if a client requires immediate intervention but does not meet criteria for transportation?

Refer the client to Mental Health Services Signup and view all the answers

What should be included in the EHR for urgent or routine referrals?

Direct referral contact and follow-up plan Signup and view all the answers

In the case of routine referrals, what will be provided based on the FMCT's assessment?

Referral information to the client or decision maker Signup and view all the answers

What must be completed by the clinician for all clients/patients?

A psychiatric assessment EHR Signup and view all the answers

If a patient is handed over to an ambulance, what documentation must the transporting paramedic complete?

An ePCR Signup and view all the answers

What is the role of the Mental Health Clinician (MHC) upon arrival at a service call?

To establish rapport and document a mental health assessment Signup and view all the answers

When is a Paramedic required to complete an electronic patient care report (ePCR)?

When the crisis is due to a medical condition Signup and view all the answers

What is a critical factor in differentiating between dementia and delirium?

Onset and progression of symptoms Signup and view all the answers

What indicates that a client must be transported to an emergency department?

If they voluntarily accept transportation Signup and view all the answers

What must be documented during a pain assessment?

Any complaint of pain or discomfort Signup and view all the answers

What is used to help determine if a client is gravely disabled or a danger to themselves or others?

Mental health assessment and EMS protocol Signup and view all the answers

What should a client be offered if a psychiatric emergency is suspected?

Transportation to a psychiatric facility or emergency department Signup and view all the answers

What action should be taken if a Paramedic assessment reveals an abnormality?

Begin treatment and request transport by Albuquerque Ambulance Signup and view all the answers

Study Notes

Fire Mobile Crisis Team (FMCT) Policy

The FMCT was designed to respond to low-acuity mental health crises with a master's level clinician and a BCFR Paramedic.
The FMCT is dispatched upon request from on-scene law enforcement or fire personnel.
The FMCT is a joint effort between Bernalillo County Fire and Rescue (BCFR) and Mental Health Services.

FMCT Responsibilities

Scene size-up:
- FMCT Paramedic is responsible for recognizing hazards, ensuring scene safety, establishing a safe area for treatment, utilizing appropriate isolation precautions, protecting evidence, and activating EMS or Fire Dept. as needed.
- Mental Health Clinician (MHC) is responsible for making contact with law enforcement, observing the client's position, and obtaining consent from the client for the Paramedic to conduct an assessment.
Documentation:
- The MHC will complete a mental health assessment on the Electronic Health Record (EHR).
- All calls for service require an NFIRS report at minimum.
- If the client's crisis is due to a medical condition, the Paramedic will complete an electronic patient care report (ePCR).
- The MHC and Paramedic will evaluate the client's mental status, including baseline status, onset, progression, and preceding symptoms.
- The MHC will be the first to make contact with the client to establish rapport.
Treatment and Disposition:
- If the Paramedic assessment is abnormal, the client will become a patient.
- If the client voluntarily accepts transportation to an emergency department, the Paramedic will treat and request transport by Albuquerque Ambulance (AAS).
- If the client requires advanced care, the Paramedic will request AAS and/or fire department to respond.
- If the client needs medical care but refuses voluntary transportation, disposition is based on the mental health assessment and current EMS protocols.
- If the client is determined to be gravely disabled or a danger to themselves or others, the disposition will be based on the Bernalillo County/Albuquerque EMS Guidelines and/or Consortium Physician Consultation and transportation decision will be based on patient choice or EMS Guidelines.
- If a psychiatric emergency is suspected, the client will be offered voluntary care and transportation to a psychiatric facility or emergency department.
- If the client requires psychiatric care but refuses voluntary transportation, a Certificate of Evaluation (C of E) will be generated, or transportation will be based on the Bernalillo County/Albuquerque EMS Guidelines and/or Consortium Physician Consultation. In this case, Law Enforcement must transport the client.
- Clients may be transported to a psychiatric emergency service receiving facility, mental health provider office/clinic, shelter, or emergency housing in the FMCT vehicle.
Referral and Priority of Referral:
- If a client needs immediate intervention but does not meet criteria for mental health or medical transportation, the FMCT will attempt to refer the client to Mental Health Services.
- Adult Protective Services (APS) may be contacted for immediate referral of a dependent or elderly adult if concerns regarding safety, abuse, or neglect arise.
- For urgent or routine referrals, the EHR will include necessary documentation, including a direct referral contact and follow-up plan.
- Routine referral information will be provided to the client and/or designated decision maker.

FMCT Documentation

An EHR, including elements of the psychiatric assessment of the client, will be completed for all clients/patients by the clinician.
If the patient is turned over to an ambulance for medical transportation, the transporting paramedic will complete an ePCR. The FMCT Paramedic will also complete a separate ePCR with details of assessment/findings up to the time of transfer of care, or while en route to the hospital.

FMCT Dispositions

Clients assessed by the FMCT may be transported to a psychiatric emergency service receiving facility, mental health provider office/clinic, shelter, or emergency housing in the FMCT vehicle.
Transportation to an office, clinic, shelter, or emergency housing must be pre-arranged by the FMCT Licensed Clinician.
If a client is not transported, a FMCT program Non-Transport Form will be signed.

FMCT Precautions and Comments

If abuse or neglect of an elder or dependent adult is suspected, the appropriate verbal and written reports will be filed, and appropriate authorities contacted.
If a senior is identified in need of further care or services, the FMCT will refer the client to the Long-Term Care State Ombudsman and if there are concerns about safety, they will ensure this is also reported to APS.
The FMCT will make all transportation and referral decisions in accordance with existing patient care protocols, as well as Bernalillo County/Albuquerque EMS Guidelines and/or Consortium Physician Consultation.

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Description

Test your knowledge on the policies and responsibilities of the Fire Mobile Crisis Team (FMCT). This quiz covers the protocols for responding to low-acuity mental health crises, the roles of the FMCT staff, and their documentation processes. Perfect for those in emergency services or mental health fields.