Questions and Answers
What is the primary responsibility of the Scribe at an EMS scene?
Which crew member is responsible for the complete report of patient status upon transfer of care?
What should the company officer consider when retrieving firefighters from the hospital?
Which job position is tasked with obtaining a full set of vital signs?
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What is a primary function of the Primary Patient Care provider?
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When should EMS incidents be entered into Firehouse?
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What is the role of the EMSA paramedic upon arrival at an EMS scene?
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Which of the following is NOT included in the patient status report during the transfer of care?
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Who is responsible for clinical patient care at medical incidents until relieved?
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What should TFD units do when supporting another agency that has established the ICS?
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What must crews be prepared to do regarding scene safety during incidents?
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How should accurate incident times be recorded by the company officer?
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What document does TFD adopt as EMS operational guidelines?
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What is emphasized regarding situational awareness for crew members?
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What should not be recorded until a TFD unit actually arrives on scene?
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Which of the following best describes TFD’s approach on scene with regards to other agencies?
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What is the first step in the elevator operation procedure for the Tulsa Fire Department?
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After an elevator car has been captured for use, what must be done to return it to normal operation?
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During the elevator operation, which buttons must be held throughout the cycle?
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What action should be taken if a firefighter is assigned to operate the elevator for additional emergency personnel?
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What is the final step in the elevator operation procedure?
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What is the maximum weight limit for individual lifting by department personnel?
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What should be done for individuals needing lifting assistance who deny injury?
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In the case of a bariatric patient lift, what is required for the response?
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What should be activated when using an elevator for EMS operations?
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What is required when responding to a lift assist with an injury?
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What should be used to lift or move a bariatric patient?
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What is the priority procedure when no building representative is available during EMS elevator operations?
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What is the appropriate response for lift assists that do not involve injury?
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Upon arrival of the EMSA paramedic, the TFD primary patient care provider will provide?
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Who is considered a bariatric patient
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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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