EOG 300 pg 60-63 ems response
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Questions and Answers

What is the primary responsibility of the Scribe at an EMS scene?

  • Gather demographic data and medical history. (correct)
  • Perform a patient assessment and develop a care plan.
  • Apply ECG and monitor vital signs.
  • Responsible for transferring care to the transport provider.
  • Which crew member is responsible for the complete report of patient status upon transfer of care?

  • Company officer.
  • Support Care provider.
  • Primary Patient Care provider. (correct)
  • EMSA paramedic.
  • What should the company officer consider when retrieving firefighters from the hospital?

  • The social needs of the community.
  • The ability of the company to return to service. (correct)
  • The distance to the hospital.
  • The health status of the firefighters.
  • Which job position is tasked with obtaining a full set of vital signs?

    <p>Support Care.</p> Signup and view all the answers

    What is a primary function of the Primary Patient Care provider?

    <p>To develop and implement a care plan.</p> Signup and view all the answers

    When should EMS incidents be entered into Firehouse?

    <p>Before completing the duty shift.</p> Signup and view all the answers

    What is the role of the EMSA paramedic upon arrival at an EMS scene?

    <p>To assume patient care responsibilities after a report.</p> Signup and view all the answers

    Which of the following is NOT included in the patient status report during the transfer of care?

    <p>Date of birth</p> Signup and view all the answers

    Who is responsible for clinical patient care at medical incidents until relieved?

    <p>The member with the highest level of medical licensure with system clinical privileges</p> Signup and view all the answers

    What should TFD units do when supporting another agency that has established the ICS?

    <p>Support the existing management system</p> Signup and view all the answers

    What must crews be prepared to do regarding scene safety during incidents?

    <p>Take self-defense measures if appropriate</p> Signup and view all the answers

    How should accurate incident times be recorded by the company officer?

    <p>At the actual dispatched address</p> Signup and view all the answers

    What document does TFD adopt as EMS operational guidelines?

    <p>The current issue of 'Pre-hospital Operational Standards'</p> Signup and view all the answers

    Who is responsible for scene control and safety at the routine medical incident where TFD and EMSA respond?

    <p>The ranking TFD officer</p> Signup and view all the answers

    What should not be recorded until a TFD unit actually arrives on scene?

    <p>'On scene' arrival times</p> Signup and view all the answers

    Which of the following best describes TFD’s approach on scene with regards to other agencies?

    <p>They support the existing management structure as needed</p> Signup and view all the answers

    What is the first step in the elevator for ems operation procedure for the Tulsa Fire Department?

    <p>Release the Knox box key from apparatus while en route</p> Signup and view all the answers

    After an elevator car has been captured for use, what must be done to return it to normal operation?

    <p>Turn the car switch to 'Off' position and remove the key.</p> Signup and view all the answers

    During the elevator operation, which buttons must be held throughout the cycle?

    <p>Door close and door open buttons.</p> Signup and view all the answers

    What action should be taken if a firefighter is assigned to operate the elevator for additional emergency personnel?

    <p>The firefighter operates the elevator car as needed.</p> Signup and view all the answers

    What is the final step in the elevator operation procedure?

    <p>Return the fire service elevator key to the Knox box or security desk.</p> Signup and view all the answers

    What is the maximum weight limit for individual lifting by department personnel?

    <p>75 pounds</p> Signup and view all the answers

    What should be done for individuals needing lifting assistance who deny injury?

    <p>Conduct a brief medical exam</p> Signup and view all the answers

    In the case of a bariatric patient lift, what is required for the response?

    <p>At least two fire companies</p> Signup and view all the answers

    What should be activated when using an elevator for EMS operations?

    <p>Phase II feature</p> Signup and view all the answers

    What is required when responding to a lift assist with an injury?

    <p>Full patient assessment and EMSA response</p> Signup and view all the answers

    What should be used to lift or move a bariatric patient?

    <p>Disposable heavy patient movers</p> Signup and view all the answers

    What is the priority procedure when no building representative is available during EMS elevator operations?

    <p>Secure elevator key from the 24-hour security desk</p> Signup and view all the answers

    What is the appropriate response for lift assists that do not involve injury?

    <p>They do not require a response by EMSA</p> Signup and view all the answers

    Upon arrival of the EMSA paramedic, the TFD primary patient care provider will provide?

    <p>An orderly, accurate and complete report</p> Signup and view all the answers

    Who is considered a bariatric patient

    <p>Patients weighing in excess of 350 pounds</p> Signup and view all the answers

    Study Notes

    Scene Job Descriptions

    • Each EMS scene requires specific job positions assigned by the company officer.
    • Scribe: Gathers demographic data, including patient’s name, date of birth, medical history, current medications, drug allergies, and advanced healthcare directives.
    • Primary Patient Care: The crew member with the highest medical licensure is responsible for patient assessment and care plan implementation.
    • Support Care: Assigned to obtain vital signs, apply ECG monitor/AED, and assist in patient care under the guidance of the primary patient care provider.

    Transfer of Care

    • Upon EMSA paramedic arrival, TFD primary patient care provider must deliver a comprehensive report on patient status, including chief complaint and interventions.
    • EMSA paramedic assumes patient care responsibilities post-transfer.

    Retrieval of Fire Personnel

    • Company officers determine retrieval method for firefighters assisting EMSA based on service availability.
    • If the company can remain in service, a supervisor should return firefighters; otherwise, a swift pickup is preferred.

    Incident Documentation

    • Adhere to Medical Control Board and departmental documentation protocols.
    • EMS incidents must be recorded into Firehouse before the end of the duty shift.

    Lift Assist Procedures

    • General lifting limit is 75 pounds per person; however, higher weights may require appropriate techniques.
    • For individuals without injury, a brief medical exam is necessary before assisting with lifting.
    • Lift assists without injury do not require EMSA response; those with injuries demand full assessment and an EMSA response.
    • Bariatric patients (over 350 pounds) require at least two companies and use of heavy patient movers.

    Elevator Use for Medical Operations

    • Elevators with "Fire Service" features can be utilized for medical emergencies.
    • Best practice is to have a building representative operate the elevator; if unavailable, specific procedures must be followed.
    • Activation of Phase I involves using the key from the Knox box, allowing TFD to control elevator access during emergencies.

    EMS Response Protocols

    • TFD must implement Incident Command System (ICS) and establish an Incident Commander at medical incidents unless already in place by another agency.
    • The highest-credentialed member is responsible for clinical care until an equal or higher-level clinician arrives.

    Patient Care Protocols

    • TFD adopts current "Pre-hospital Operational Standards" as approved EMS operational guidelines.

    Scene Safety

    • All crew members must maintain situational awareness, especially in potentially hostile environments.
    • Preparedness for self-defense is crucial if circumstances warrant.

    Accurate Incident Times

    • Company officers must document precise "on scene" and patient contact times for quality assurance.
    • Accurate arrival time recording starts when the unit reaches the dispatched address, not merely the vicinity.

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