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Questions and Answers
According to the text, who can refuse medical care and/or transport?
According to the text, who can refuse medical care and/or transport?
What is the age range for an adult as per the text?
What is the age range for an adult as per the text?
In which situation should the refusal of care procedure be utilized?
In which situation should the refusal of care procedure be utilized?
Who should be assessed for competency to make decisions affecting their medical care?
Who should be assessed for competency to make decisions affecting their medical care?
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In which scenario should resuscitation on a trauma victim NOT be attempted?
In which scenario should resuscitation on a trauma victim NOT be attempted?
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Under what conditions may EMS personnel decide not to resuscitate an adult or pediatric patient?
Under what conditions may EMS personnel decide not to resuscitate an adult or pediatric patient?
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When should resuscitation on a patient with suspected hypothermia, barbiturate overdose, or electrocution be required?
When should resuscitation on a patient with suspected hypothermia, barbiturate overdose, or electrocution be required?
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Under what circumstances should EMS personnel contact medical direction for a 'determination of death'?
Under what circumstances should EMS personnel contact medical direction for a 'determination of death'?
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What is the purpose of the Refusal of Care form?
What is the purpose of the Refusal of Care form?
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What does the Health and Safety committee aim to promote?
What does the Health and Safety committee aim to promote?
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What are some benefits of the Behavioral Health Access Program (BHAP)?
What are some benefits of the Behavioral Health Access Program (BHAP)?
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What types of incidents require BHAP response?
What types of incidents require BHAP response?
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What does CISM stand for?
What does CISM stand for?
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When is Small group debriefing recommended?
When is Small group debriefing recommended?
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What does Florida Statute 401.30(4) (e) protect during CISM intervention?
What does Florida Statute 401.30(4) (e) protect during CISM intervention?
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What are some benefits of the Behavioral Health Access Program (BHAP)?
What are some benefits of the Behavioral Health Access Program (BHAP)?
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What types of incidents require BHAP response?
What types of incidents require BHAP response?
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What does CISM stand for?
What does CISM stand for?
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What does BHAP provide for first responders and their families?
What does BHAP provide for first responders and their families?
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What is the main focus of BHAP's early intervention efforts?
What is the main focus of BHAP's early intervention efforts?
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What do Chaplains provide as part of BHAP?
What do Chaplains provide as part of BHAP?
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What is the role of the Clinician Response Team (CRT) within BHAP?
What is the role of the Clinician Response Team (CRT) within BHAP?
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What do Family support programs aim to enhance?
What do Family support programs aim to enhance?
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What is recommended for the organizational mental health needs of fire departments?
What is recommended for the organizational mental health needs of fire departments?
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What should mental wellness programs be extended to include?
What should mental wellness programs be extended to include?
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What should effective insurance coverage be inclusive of?
What should effective insurance coverage be inclusive of?
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What is the aim of the Employee Assistance Programs mentioned in the overview?
What is the aim of the Employee Assistance Programs mentioned in the overview?
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What do Evaluated Recovery Centers provide first responder-specific treatment programs for?
What do Evaluated Recovery Centers provide first responder-specific treatment programs for?
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What does BHAP foster the development of dual certified Peer/CISM members for?
What does BHAP foster the development of dual certified Peer/CISM members for?
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What does BHAP identify and recommend appropriate resources for?
What does BHAP identify and recommend appropriate resources for?
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Who can be considered incompetent to refuse medical care and/or transportation?
Who can be considered incompetent to refuse medical care and/or transportation?
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In the absence of a parent or guardian, who can assume responsibility for a minor with traumatic injuries and sign the patient refusal form?
In the absence of a parent or guardian, who can assume responsibility for a minor with traumatic injuries and sign the patient refusal form?
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When should consultation with the supervising officer or medical direction be considered for patients refusing transport?
When should consultation with the supervising officer or medical direction be considered for patients refusing transport?
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When does implied consent allow for the treatment and transportation of an incompetent person?
When does implied consent allow for the treatment and transportation of an incompetent person?
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What should prompt contact with Medical Direction for high-risk refusals?
What should prompt contact with Medical Direction for high-risk refusals?
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Under what conditions can diabetic patients sign a Patient Refusal Form?
Under what conditions can diabetic patients sign a Patient Refusal Form?
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Can multiple patients be combined on a single EMS Run Report if they refuse all assistance?
Can multiple patients be combined on a single EMS Run Report if they refuse all assistance?
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What is important to determine before considering refusal of care or transport for a single patient?
What is important to determine before considering refusal of care or transport for a single patient?
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When should Medical Direction be contacted for further guidance?
When should Medical Direction be contacted for further guidance?
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What is important to document in cases of multiple participants in an incident?
What is important to document in cases of multiple participants in an incident?
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What color should the Florida DNRO form be printed on?
What color should the Florida DNRO form be printed on?
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Who can sign the patient identification device?
Who can sign the patient identification device?
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What should accompany the live patient during each transport?
What should accompany the live patient during each transport?
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Who can revoke a DNRO?
Who can revoke a DNRO?
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What will Florida be adopting in the near future for advance care planning?
What will Florida be adopting in the near future for advance care planning?
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What does the POLST form assure patients?
What does the POLST form assure patients?
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What is the purpose of the POLST program?
What is the purpose of the POLST program?
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What are the names of similar forms used by other states?
What are the names of similar forms used by other states?
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What was revised on December 22, 2021, regarding the Do Not Resuscitate Order and Determination of Death?
What was revised on December 22, 2021, regarding the Do Not Resuscitate Order and Determination of Death?
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What does the document provide for EMS providers?
What does the document provide for EMS providers?
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What should EMS do upon the presentation of an original or completed copy of DH Form 1896 or the patient identification device?
What should EMS do upon the presentation of an original or completed copy of DH Form 1896 or the patient identification device?
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What is the prime consideration for the CSFD Dive Rescue Team?
What is the prime consideration for the CSFD Dive Rescue Team?
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What does the SOP apply to?
What does the SOP apply to?
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What are the team goals outlined in the text?
What are the team goals outlined in the text?
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What does the SOP aim to establish guidelines for?
What does the SOP aim to establish guidelines for?
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Who is responsible for ensuring the currency of SCUBA tanks?
Who is responsible for ensuring the currency of SCUBA tanks?
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What is the frequency of the hydrostatic test for SCUBA tanks?
What is the frequency of the hydrostatic test for SCUBA tanks?
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Who is authorized to work on SCUBA regulators?
Who is authorized to work on SCUBA regulators?
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What action should be taken if any equipment malfunctions during a dive?
What action should be taken if any equipment malfunctions during a dive?
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What should be done if there is an injury or death from equipment malfunction during a dive?
What should be done if there is an injury or death from equipment malfunction during a dive?
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What is the requirement for the first visual inspection of a new SCUBA tank?
What is the requirement for the first visual inspection of a new SCUBA tank?
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What should be done with a tank that has a boot?
What should be done with a tank that has a boot?
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Who should be notified if there is an apparent problem with any SCUBA tank?
Who should be notified if there is an apparent problem with any SCUBA tank?
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Who is ultimately responsible for the actions of the Dive Team?
Who is ultimately responsible for the actions of the Dive Team?
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What is the role of the Deputy Chief of Operations in relation to the Dive Team?
What is the role of the Deputy Chief of Operations in relation to the Dive Team?
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What is the responsibility of the Dive Team Commander?
What is the responsibility of the Dive Team Commander?
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Who is designated for each dive site as an On-Site Supervisor?
Who is designated for each dive site as an On-Site Supervisor?
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What paperwork must be turned in to the Dive Commander within 24 hours of the call?
What paperwork must be turned in to the Dive Commander within 24 hours of the call?
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What is the purpose of the Surface support personnel within the Dive Team?
What is the purpose of the Surface support personnel within the Dive Team?
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What is the main responsibility of the Dive Team Shift Coordinator?
What is the main responsibility of the Dive Team Shift Coordinator?
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Who established the Dive Team for the Coral Springs Fire Department?
Who established the Dive Team for the Coral Springs Fire Department?
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What do volunteers offer their services for within the Dive Team?
What do volunteers offer their services for within the Dive Team?
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What is encouraged for mutual aid and greater flexibility in responding to crime scenes?
What is encouraged for mutual aid and greater flexibility in responding to crime scenes?
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What is used to track and document dive operations?
What is used to track and document dive operations?
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Who has overall responsibility for the Dive Team?
Who has overall responsibility for the Dive Team?
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Who is responsible for ensuring the currency of SCUBA tanks?
Who is responsible for ensuring the currency of SCUBA tanks?
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How often must a SCUBA tank undergo a hydrostatic test?
How often must a SCUBA tank undergo a hydrostatic test?
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Who is authorized to work on SCUBA regulators?
Who is authorized to work on SCUBA regulators?
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What should be done if any equipment malfunctions during a dive?
What should be done if any equipment malfunctions during a dive?
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What should be done if injury or death results from equipment malfunction?
What should be done if injury or death results from equipment malfunction?
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How often should the boot of a SCUBA tank be removed for inspection?
How often should the boot of a SCUBA tank be removed for inspection?
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Who is responsible for maintaining the warrantee of SCUBA regulators?
Who is responsible for maintaining the warrantee of SCUBA regulators?
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What must be submitted to the Supervisor/Coordinator prior to using malfunctioning equipment in further dives?
What must be submitted to the Supervisor/Coordinator prior to using malfunctioning equipment in further dives?
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Who is ultimately responsible for any action or inaction on the part of the Coral Springs-Parkland Fire Department (CSPFD) Dive Team?
Who is ultimately responsible for any action or inaction on the part of the Coral Springs-Parkland Fire Department (CSPFD) Dive Team?
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Who will be responsible for the immediate direction of all activities of the Dive Team?
Who will be responsible for the immediate direction of all activities of the Dive Team?
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Who will be responsible for overall direction of the team's activities at each dive site?
Who will be responsible for overall direction of the team's activities at each dive site?
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Who will assume the position of On-Site Supervisor in the absence of the Dive Team Commander?
Who will assume the position of On-Site Supervisor in the absence of the Dive Team Commander?
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Who will be responsible for coordinating activities of team divers?
Who will be responsible for coordinating activities of team divers?
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Who will provide the required support for the Officer to conduct the investigation at a scene requiring criminal or potential criminal investigation?
Who will provide the required support for the Officer to conduct the investigation at a scene requiring criminal or potential criminal investigation?
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Who will be responsible for filling out the Operations worksheet to track the divers' time in the water including their PSI and depths?
Who will be responsible for filling out the Operations worksheet to track the divers' time in the water including their PSI and depths?
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Where can all the required forms for dive operations be found?
Where can all the required forms for dive operations be found?
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When should the paperwork for dive operations be turned in?
When should the paperwork for dive operations be turned in?
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What must be completed within 24 hours of the call for dive operations?
What must be completed within 24 hours of the call for dive operations?
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What is the purpose of the Pre-dive checklist form?
What is the purpose of the Pre-dive checklist form?
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Who is responsible for turning in the paperwork for dive operations?
Who is responsible for turning in the paperwork for dive operations?
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Study Notes
Florida Do Not Resuscitate Order (DNRO) Form and Patient Identification Device
- The Florida DNRO form is the only form approved in the State of Florida.
- EMS shall withhold or withdraw cardiopulmonary resuscitation upon the presentation of an original or completed copy of DH Form 1896, Florida Do Not Resuscitate Order Form, or upon the presentation or observation of a Do Not Resuscitate Order patient identification device.
- The DNRO form should be printed on yellow paper with the words "DO NOT RESUSCITATE ORDER" displayed across the top in black.
- The patient identification device is a miniature version of DH Form 1896, intended to provide a portable DNRO which travels with the patient, and must be signed by the patient’s physician, the patient, or the patient’s healthcare surrogate or proxy.
- EMS should verify the identity of the patient through a driver’s license, photo identification, or witness documentation.
- During each transport, a copy of the DNRO form or the patient identification device must accompany the live patient, and EMS should provide comforting and pain-relieving care.
- A DNRO may be revoked at any time by the patient or their healthcare surrogate, proxy, or guardian, and oral orders from nonphysician staff members or absent physician requests are not acceptable.
- Florida will be adopting POLST (Physician Orders for Life Sustaining Treatment Paradigm) in the near future, emphasizing advance care planning conversations and shared decision-making between patients and healthcare professionals.
- The POLST form assures patients that healthcare professionals will provide only the care they wish to receive and is not for everyone, only for patients with serious illness or frailty.
- The POLST program is used by several states, and there are other similar forms used by these states, such as Medical Orders for Life Sustaining Treatment (MOLST), Medical Orders for Scope of Treatment (MOST), and the Physician Orders for Scope of Treatment (POST) form.
- Specific authorities and laws are implemented for the Do Not Resuscitate Order and Determination of Death, with revisions made on December 22, 2021.
- The document provides detailed instructions and guidelines for EMS providers to follow in honoring DNRO orders and ensuring patient care aligns with the patient's wishes and legal requirements.
Coral Springs-Parkland Fire Department Dive Team Procedures
- The Golden Hour starts at the time of dispatch for the Dive Team.
- The team is composed of volunteers who offer their services for Public Safety Diving and contribute unique skills, knowledge, and time to the team.
- Surface support personnel and diving personnel have specific roles and qualifications within the team.
- Sworn officers from law enforcement agencies are encouraged to participate, allowing for mutual aid and greater flexibility in responding to crime scenes.
- The Fire Chief of the Coral Springs Fire Department established the Dive Team and is ultimately responsible for its actions.
- The Deputy Chief of Operations has overall responsibility for the team, and the Dive Team Commander is responsible for immediate direction of activities.
- An On-Site Supervisor is designated for each dive site, and a Dive Team Shift Coordinator coordinates activities of team divers.
- Forms such as operations worksheets, dive call reports, dive call narratives, and pre-dive checklists are used to track and document dive operations.
- All forms can be found in the specified location and must be filled out on every dive operation.
- After completion, paperwork must be turned in to the Dive Commander within 24 hours of the call.
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Description
Test your knowledge of the Florida Do Not Resuscitate Order (DNRO) form and Patient Identification Device with this quiz. Explore the requirements, guidelines, and legal aspects of DNRO orders, patient identification devices, and the upcoming adoption of POLST in Florida.