EOG 300 pg 60-63 ems response

Questions and Answers

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

Responsible for transferring care to the transport provider.

Gather demographic data and medical history. (correct)

Perform a patient assessment and develop a care plan.

Apply ECG and monitor vital signs.

Which crew member is responsible for the complete report of patient status upon transfer of care?

Company officer.

Primary Patient Care provider. (correct)

Support Care provider.

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?

Support Care. Signup and view all the answers

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

To develop and implement a care plan. Signup and view all the answers

When should EMS incidents be entered into Firehouse?

Before completing the duty shift. Signup and view all the answers

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

To assume patient care responsibilities after a report. Signup and view all the answers

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

Date of birth Signup and view all the answers

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

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

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

Support the existing management system Signup and view all the answers

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

Take self-defense measures if appropriate Signup and view all the answers

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

At the actual dispatched address Signup and view all the answers

What document does TFD adopt as EMS operational guidelines?

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

What is emphasized regarding situational awareness for crew members?

All crew members should consistently maintain situational awareness Signup and view all the answers

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

'On scene' arrival times Signup and view all the answers

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

They support the existing management structure as needed Signup and view all the answers

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

Activate phase 1 at appropriate elevator bank, by keying the hall station switch to the on position 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?

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

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

Door close and door open buttons. Signup and view all the answers

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

The firefighter operates the elevator car as needed. Signup and view all the answers

What is the final step in the elevator operation procedure?

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

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

75 pounds Signup and view all the answers

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

Conduct a brief medical exam Signup and view all the answers

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

At least two fire companies Signup and view all the answers

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

Phase II feature Signup and view all the answers

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

Full patient assessment and EMSA response Signup and view all the answers

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

Disposable heavy patient movers Signup and view all the answers

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

Secure elevator key from the 24-hour security desk Signup and view all the answers

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

They do not require a response by EMSA Signup and view all the answers

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

An orderly, accurate and complete report Signup and view all the answers

Who is considered a bariatric patient

Patients weighing in excess of 350 pounds 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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