Fire Rescue Patient Transportation Procedure

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Questions and Answers

What is the preferred position for a patient on a backboard when handcuffs are applied?

Supine (correct)

Sitting

Lateral

Prone

Who will accompany a restrained patient being transported to the hospital?

A fire rescue battalion chief

A hospital emergency department nurse

A law enforcement deputy (correct)

A paramedic team leader

What is the minimum number of paramedics required to accompany a restrained patient to the hospital?

Four

One

Three

Two (correct)

What should be done if a restrained patient's condition deteriorates during transport?

Remove the restraints and treat the patient according to fire rescue protocols Signup and view all the answers

What type of monitoring device is used to track a restrained patient's oxygen saturation?

Pulse oximeter Signup and view all the answers

Who is notified immediately when a restrained patient is being transported to the hospital?

A fire rescue battalion chief Signup and view all the answers

What is the purpose of continuously monitoring a restrained patient's airway?

To ensure the patient's safety Signup and view all the answers

When can monitoring devices be removed from a restrained patient?

After the patient is transferred to the hospital stretcher Signup and view all the answers

What is the primary intention of the Fire Rescue Physical Restraint Policy?

To protect the patient, other individuals, and our personnel from harm Signup and view all the answers

What is considered a restraint according to the policy?

Any mechanism that physically restricts a person's freedom of movement Signup and view all the answers

When may the use of a restraint and/or law enforcement assistance be necessary?

After feasible, less restrictive measures are deemed ineffective or unavailable Signup and view all the answers

What type of situation may require the use of a restraint?

Clinically justified situations, patients who attempt an act that poses an immediate threat of harm, and patients who exhibit harmful behaviors Signup and view all the answers

How should patients be positioned when using a partial or full restraint?

Supine on a long spine board or stretcher Signup and view all the answers

What is a critical consideration when using restraints according to the policy?

That restraints do not restrict a patient's breathing Signup and view all the answers

What is excluded from the definition of restraints in the policy?

Medical devices Signup and view all the answers

What is the purpose of continually assessing patients when using restraints?

To ensure restraints do not restrict a patient's breathing Signup and view all the answers

When is physically holding a patient necessary?

When there is an immediate need to protect the patient or others from harm Signup and view all the answers

What should fire rescue employees avoid when attempting a restraint?

Utilizing a choke hold Signup and view all the answers

What should law enforcement deputies attempt to receive before physically restraining a person who refuses medical treatment?

Direct supervision from a physician Signup and view all the answers

Who should be present during the restraint procedure?

Both law enforcement deputies and fire rescue employees Signup and view all the answers

What is a potential risk that fire rescue employees should be aware of during the restraint process?

Positional asphyxia Signup and view all the answers

What type of restraint may law enforcement deputies elect to use during a restraint situation?

Handcuffs or flex cuffs Signup and view all the answers

What is the primary goal of restraint methods?

To protect the patient or others from harm Signup and view all the answers

Why should the maximum number of fire rescue and law enforcement deputies necessary be utilized during manual restraint?

To limit the chance of harm to the patient or employees Signup and view all the answers

Study Notes

Fire Rescue Physical Restraint Policy

The policy aims to establish guidelines for physical and/or chemical restraint to protect patients, individuals, and personnel from harm.

Defining Restraint

Restraint is defined as any mechanism that restricts a person's freedom of movement, physical activity, or normal access to their body.

Circumstances for Restraint

Restraint may be necessary in clinically justified situations, when patients pose an immediate threat of harm to themselves or others, or exhibit harmful behaviors.

Methods of Restraint

Patients will be placed supine on a long spine board or stretcher, not in prone, hog-tie, or hobble positions.
Fire rescue employees will continually assess and ensure restraints do not restrict a patient's breathing.

Monitoring a Restrained Patient

Patients will be monitored continuously using:
- 12 or 3 lead ECG
- Oxygen saturation with a pulse oximeter
- Blood pressure (full vital signs)
- Mental status monitoring
Patients will be visually monitored for airway at all times.
At least two paramedics will accompany a restrained patient to the hospital.
Monitoring devices will remain attached until the patient is transferred to the emergency department stretcher.

Additional Guidelines

Physically holding a patient may be necessary when employing other methods of restraint to protect the patient or others.
Fire rescue employees will attempt to contact law enforcement for assistance when using manual restraint.
Manual restraint will be used to limit the chance of harm to the patient or employees.
Fire rescue employees will avoid using choke holds and placing excessive weight on the patient's back, abdomen, or chest.
Fire rescue employees will be aware of the potential for positional asphyxia.

Restraint by Law Enforcement Deputies

Law enforcement deputies may use handcuffs or flex cuffs during a restraint situation.
Before physically restraining a person who refuses medical treatment, a law enforcement deputy will attempt to receive direct supervision from a physician through two-way voice communication.

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Description

Learn about the procedures for transporting restrained patients in fire rescue vehicles, including the use of backboards and law enforcement accompaniment.