MCFRS Respiratory Protection Policy Quiz
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Questions and Answers

What is the recommended action when the heat index is below 80 degrees?

  • Continue with current protection levels. (correct)
  • Increase protection levels.
  • Monitor the heat index more frequently.
  • Reduce protection levels immediately.

    • Which of the following is used to determine the heat index according to established procedures?

  • Manual calculations based on temperature only.
  • Outdoor thermometer readings.
  • Local weather broadcast.
  • Heat index derived from NOAA guidelines. (correct)

    • Which factor is NOT considered when evaluating if personnel can downgrade their level of respiratory protection?

  • Presence of visible smoke.
  • Existence of forced air ventilation.
  • Use of a CO generating fan. (correct)
  • Heat index is 80 degrees or greater.

    • What action must a meter user take if any alarm on the meter activates?

    <p>Recommend the immediate return to SCBA use.</p> Signup and view all the answers

    What should be done if there are insufficient resources to implement the respiratory protection downgrade process?

    <p>Downgrade should not be allowed.</p> Signup and view all the answers

    Which component is NOT part of the minimum sensor compliment for meter use?

    <p>Carbon Dioxide (CO2) sensor.</p> Signup and view all the answers

    Which condition permits the continued use of forced air ventilation?

    <p>Use of a non CO generating fan prior to meter readings.</p> Signup and view all the answers

    When is a meter user strictly limited to monitor the atmosphere?

    <p>In the presence of visible smoke.</p> Signup and view all the answers

    What is the effect of adding 10 degrees to the air temperature when measuring heat index?

    <p>It provides an accurate measure of heat retention.</p> Signup and view all the answers

    Which of the following conditions would NOT require the immediate use of SCBA?

    <p>Source of functioning ventilation is visible.</p> Signup and view all the answers

    What is the primary responsibility of MCFRS personnel regarding station and equipment security?

    <p>To secure stations, apparatus, and equipment</p> Signup and view all the answers

    Under what circumstances can apparatus and equipment be left unattended at MCFRS facilities?

    <p>If they are within sight of MCFRS personnel</p> Signup and view all the answers

    What action must crews take before leaving the station?

    <p>Ensure all apparatus doors are closed or will close automatically</p> Signup and view all the answers

    How should suspicious activity or theft be handled according to the Fire Chief’s order?

    <p>Report it immediately to the unit officer</p> Signup and view all the answers

    What is the consequence of leaving equipment unattended during routine business?

    <p>It could lead to potential theft and misuse</p> Signup and view all the answers

    Who is assigned the specific responsibility for maintaining security of a unit’s equipment?

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

    When can apparatus bay doors remain open at MCFRS stations?

    <p>Only while personnel are actively engaged in activities in the apparatus bays</p> Signup and view all the answers

    What is the reason for ensuring the security of MCFRS equipment and stations?

    <p>To protect sensitive information and community safety</p> Signup and view all the answers

    What is required for personnel to downgrade from SCBA to particulate filter masks during overhaul operations?

    <p>A Safety Officer must evaluate all compartments individually.</p> Signup and view all the answers

    Which of the following is NOT listed as part of the minimum PPE required during overhaul operations?

    <p>Firefighting hood</p> Signup and view all the answers

    What specific action must be taken before testing air quality conditions in a compartment?

    <p>The compartment must be free of visible smoke.</p> Signup and view all the answers

    Which of the following is a requirement for using non-carbon-monoxide generating fans?

    <p>They must be operational before taking meter readings.</p> Signup and view all the answers

    What must be done with grossly soiled gear before it can be donned again after decontamination?

    <p>It must be brushed off to remove visible contamination.</p> Signup and view all the answers

    In which scenario can personnel downgrade their respiratory protection?

    <p>Upon approval of the Incident Commander and meeting all safety conditions.</p> Signup and view all the answers

    What is the primary health risk associated with firefighting that MCFRS aims to reduce?

    <p>Exposure to toxic fumes and cancer risk.</p> Signup and view all the answers

    What is required to transport grossly soiled gear back to the station?

    <p>It must be placed in a separate compartment whenever possible.</p> Signup and view all the answers

    What must personnel do with their skin after returning from overhaul operations?

    <p>Wipe exposed surfaces with cleansing wipes.</p> Signup and view all the answers

    How often should firefighting gloves be washed according to the policy?

    <p>At least once a month or after gross contamination.</p> Signup and view all the answers

    Which safety measure is NOT stipulated for the rehab area?

    <p>Personnel must wear helmets at all times.</p> Signup and view all the answers

    What condition must be met regarding the atmosphere before personnel can change their respiratory protection?

    <p>Atmospheric conditions must be within limits established by Safety Section Chief.</p> Signup and view all the answers

    What must personnel avoid while riding in the apparatus to prevent contamination?

    <p>Transferring contaminants hand-to-mouth.</p> Signup and view all the answers

    What is the acceptable heat index for allowing the downgrade of respiratory protection according to the policy?

    <p>Above 80 degrees.</p> Signup and view all the answers

    What must be ensured regarding the apparatus bay doors when leaving the station?

    <p>They must be closed or will close automatically.</p> Signup and view all the answers

    What is required of a crew during emergency incidents regarding equipment and apparatus?

    <p>One crew member must stay with the apparatus.</p> Signup and view all the answers

    What is the main responsibility of the unit officer concerning equipment security?

    <p>To maintain the security of the unit and its equipment.</p> Signup and view all the answers

    What should be done if suspicious activity or theft is observed?

    <p>Report it immediately to the station officer.</p> Signup and view all the answers

    Under what condition can MCFRS apparatus and equipment be left unattended?

    <p>Only when locked and within sight of personnel.</p> Signup and view all the answers

    What action should personnel take regarding stations during non-emergency conditions?

    <p>Keep stations secured at all times.</p> Signup and view all the answers

    When can members of MCFRS leave equipment unattended during routine business?

    <p>If a crew member stays within sight of the equipment.</p> Signup and view all the answers

    What is the consequence mentioned for not securing MCFRS stations and equipment?

    <p>Theft and illegal use of equipment.</p> Signup and view all the answers

    Which condition must be present to allow personnel to downgrade their respiratory protection levels?

    <p>The heat index is below 80 degrees.</p> Signup and view all the answers

    What must a meter user do when observing a person complain of shortness of breath?

    <p>Immediately recommend the use of SCBA.</p> Signup and view all the answers

    What should personnel do if the OSHA Heat Index Smartphone App is unavailable?

    <p>Calculate the heat index using temperature and humidity.</p> Signup and view all the answers

    What is the maximum frequency for meter checks in any compartment?

    <p>Every 15 minutes.</p> Signup and view all the answers

    Which scenario necessitates an immediate switch back to SCBA usage?

    <p>Any alarms activate on the monitoring equipment.</p> Signup and view all the answers

    Which factor is NOT directly considered when evaluating if it's safe to downgrade respiratory protection?

    <p>The air temperature exceeding safety standards.</p> Signup and view all the answers

    For which of the following should personnel always use a SCBA?

    <p>When in a confined space without ventilation.</p> Signup and view all the answers

    What additional measure is taken when the heat index is high according to guidelines?

    <p>An extra 10 degrees is added to the air temperature.</p> Signup and view all the answers

    What must personnel do prior to any meter readings in an area with visible smoke?

    <p>Wait for the smoke to clear.</p> Signup and view all the answers

    Which of the following is true about the minimum sensor complement for meters?

    <p>A CO sensor set at 25 PPM is one of the required sensors.</p> Signup and view all the answers

    What must be true about the compartment being evaluated before personnel can downgrade their respiratory protection during overhaul operations?

    <p>It must be evaluated by a designated officer.</p> Signup and view all the answers

    Which factor does NOT determine whether personnel can appropriately downgrade from SCBA to particulate filter masks during overhaul operations?

    <p>The temperature of the compartment.</p> Signup and view all the answers

    What is the primary purpose of requiring the use of appropriate RPE during overhaul operations?

    <p>To reduce the incidence of cancer among MCFRS personnel.</p> Signup and view all the answers

    Which of the following items is NOT part of the minimum PPE required during overhaul operations?

    <p>Firefighting axe</p> Signup and view all the answers

    What must unit officers ensure regarding the transportation of grossly soiled gear?

    <p>It is transported back to the station in a separate compartment.</p> Signup and view all the answers

    Before any atmospheric readings are taken in a compartment, which condition must be met?

    <p>Forced-air ventilation must be operational.</p> Signup and view all the answers

    Which of the following is a responsibility of personnel to minimize contamination while cleaning equipment on the scene?

    <p>Wear issued EMS grade gloves.</p> Signup and view all the answers

    What is the minimum requirement for personnel entering the rehab area regarding their gear?

    <p>No turnout gear should be present in the rehab area.</p> Signup and view all the answers

    Which of the following actions regarding food hygiene in the rehab area is mandatory?

    <p>Food must be consumed without touching by bare hands unless washing is available.</p> Signup and view all the answers

    What must personnel do after returning from overhaul operations to minimize health risks?

    <p>Change into clean clothes and remove soot.</p> Signup and view all the answers

    What is the acceptable heat index for allowing the downgrade of respiratory protection according to the policy?

    <p>Greater than 80 degrees Fahrenheit.</p> Signup and view all the answers

    Which of the following must personnel avoid while riding on the apparatus to prevent contamination?

    <p>Transferring contaminants from hand-to-mouth.</p> Signup and view all the answers

    What method should unit officers use to ensure air quality after personnel return from suppression or overhaul operations?

    <p>Open apparatus windows for at least 1 hour.</p> Signup and view all the answers

    What additional protection must personnel maintain after each fire to promote personal hygiene?

    <p>A second set of gear available.</p> Signup and view all the answers

    What is the maximum number of transport units included in the Multi-Patient Dispatch?

    <p>Five transport units</p> Signup and view all the answers

    Which resource combination can fulfill the requirements for the two manpower units in a Multi-Patient Dispatch?

    <p>One Paramedic Engine and one Paramedic Tower</p> Signup and view all the answers

    Who can request the Multi-Patient Dispatch to be activated?

    <p>The Incident Commander or ECC Supervisor</p> Signup and view all the answers

    What is the primary function of Multi-Patient Dispatch personnel on the scene?

    <p>Treat, package, and transport patients</p> Signup and view all the answers

    Which of the following characteristics defines Utility Task Vehicles (UTVs)?

    <p>Bench seating with protective structures</p> Signup and view all the answers

    Which type of vehicles does the Fire Chief’s General Order not address?

    <p>Both A and B</p> Signup and view all the answers

    What protocol is established for the Multi-Patient Dispatch before being directed to the scene?

    <p>To remote stage until directed into the scene</p> Signup and view all the answers

    Which piece of equipment is NOT part of the Multi-Patient Dispatch resources?

    <p>Fire Truck</p> Signup and view all the answers

    What immediate action must MCFRS personnel take within 24 hours of being arrested or charged with a violation of any law?

    <p>Notify their on-duty Division Officer or LFRD President</p> Signup and view all the answers

    Under what conditions may the 24-hour reporting requirement be waived for MCFRS personnel?

    <p>Based on extenuating circumstances evaluated by the Fire Chief</p> Signup and view all the answers

    What is the minimum personal protective equipment (PPE) required for clinicians in direct contact with patients?

    <p>Only gloves</p> Signup and view all the answers

    How often must the Infection and Exposure Control guidelines be reviewed and updated?

    <p>Every two years, or more frequently if regulations require</p> Signup and view all the answers

    Which of the following does NOT constitute a situation that must be reported by MCFRS personnel?

    <p>A minor traffic violation that does not involve injury</p> Signup and view all the answers

    What authority does the Fire Chief have concerning the establishment of new manuals for Infection Control?

    <p>Can initiate the creation at their discretion due to immediate threats</p> Signup and view all the answers

    What additional protections are encouraged but not required for personnel during direct patient encounters?

    <p>Eye protection and surgical masks</p> Signup and view all the answers

    When must MCFRS personnel initiate the reporting protocol for a drug/alcohol related offense?

    <p>Immediately, regardless of duty status</p> Signup and view all the answers

    Who should personnel direct queries regarding Infection Control and Hazard Exposure Reduction Manuals to?

    <p>The Division Chief of Human Resources</p> Signup and view all the answers

    Which of the following situations would typically require personnel to report their arrest within 24 hours?

    <p>A DUI charge</p> Signup and view all the answers

    What is the primary purpose of the roll-over protection required in UTV operations?

    <p>To prevent injuries to occupants in case of a rollover.</p> Signup and view all the answers

    Who is authorized to operate MCFRS UTVs?

    <p>Personnel who have completed specific UTV training programs.</p> Signup and view all the answers

    Which condition allows for travel on public roadways by UTVs?

    <p>During a defined public event with road closures.</p> Signup and view all the answers

    What is the recommended action regarding vehicle speeds during UTV operations?

    <p>Vehicle speeds must match the prevalent conditions to ensure safety.</p> Signup and view all the answers

    What is the protocol regarding communication for crews deployed on a UTV?

    <p>They should maintain communication with supervisors at all times.</p> Signup and view all the answers

    What is required of personnel regarding PPE while riding in a UTV?

    <p>All personnel must wear a helmet, eye protection, and gloves.</p> Signup and view all the answers

    What must be done to UTV windows and screens during off-road transit?

    <p>They must be secured in place to protect occupants.</p> Signup and view all the answers

    What should be avoided when transporting cargo in UTVs?

    <p>Exceeding the manufacturer-recommended payloads.</p> Signup and view all the answers

    What is the criteria used to classify an incident as a significant incident?

    <p>Specific incidents that extend past the room of origin or require technical rescue.</p> Signup and view all the answers

    What is the role of the Incident Commander in the After Action Review process?

    <p>To complete the Initial Written AAR for all significant incidents.</p> Signup and view all the answers

    Under which condition can UTVs travel adjacent to open public roadways?

    <p>If a marked travel area is available and safe.</p> Signup and view all the answers

    When leaving the hospital, what status should MCFRS transport units report?

    <p>Leaving Hospital unless not ready for service.</p> Signup and view all the answers

    What must crews do before leaving the station on an emergency call?

    <p>Ensure all personnel are accounted for.</p> Signup and view all the answers

    What must be done with unsecured equipment prior to transit in a UTV?

    <p>All equipment and personnel must be secured before transit.</p> Signup and view all the answers

    Which of the following protocols applies when a roadway must be crossed during UTV operations?

    <p>Cross perpendicular to the roadway with minimal exposure to traffic.</p> Signup and view all the answers

    What is the purpose of the Multi-Patient Dispatch personnel after being activated?

    <p>To treat, package, and transport patients</p> Signup and view all the answers

    Which of the following best describes the condition for activating a Multi-Patient Dispatch?

    <p>At the request of the Incident Commander or ECC Supervisor</p> Signup and view all the answers

    What is one method of decontamination described that allows hazardous substances to dissipate over time?

    <p>Off-gassing</p> Signup and view all the answers

    How many ALS resources are included in the Multi-Patient Dispatch capabilities?

    <p>Three</p> Signup and view all the answers

    Which decontamination method involves the use of water for particulate removal?

    <p>Wet-Decontamination</p> Signup and view all the answers

    What is the initial response requirement for the Multi-Patient Dispatch on scene?

    <p>To stage remotely until directed by Incident Commander</p> Signup and view all the answers

    Which option best describes personal decontamination?

    <p>The process of removing contaminants from the skin</p> Signup and view all the answers

    In the context of the Multi-Patient Dispatch, what does 'Command Officer Notifications' entail?

    <p>Informing higher officials of resource deployment</p> Signup and view all the answers

    Which process is required before an ALS clinician decides on a downgrade of care?

    <p>Patient assessment completion</p> Signup and view all the answers

    What should be included in the downgrade checklist when assessing a patient for ALS to BLS downgrade?

    <p>Chief complaint and vital signs</p> Signup and view all the answers

    Under what conditions may MCFRS personnel transport a mobility-limited but otherwise stable resident?

    <p>If it is deemed necessary to prevent further harm</p> Signup and view all the answers

    What is the primary criterion for making a downgrade decision from ALS to BLS?

    <p>The existence of a high-risk chief complaint</p> Signup and view all the answers

    What documentation is required if an ALS clinician deviates from the downgrade checklist recommendations?

    <p>A thorough narrative in the patient care report</p> Signup and view all the answers

    When must a downgrade timeout be conducted in the ALS to BLS downgrade process?

    <p>During the arrival of the BLS unit</p> Signup and view all the answers

    Which statement accurately reflects the operational protocol for MCFRS regarding non-medical transports?

    <p>Non-medical transports are generally not allowed without prior authorization.</p> Signup and view all the answers

    What key element must be assessed to maintain consistent ALS to BLS downgrade decisions?

    <p>Objective data and reliable findings</p> Signup and view all the answers

    What must ALS clinicians document after a downgrade assessment?

    <p>A detailed narrative explaining the downgrade decision</p> Signup and view all the answers

    Which option accurately describes the role of the EMS Duty Officer in the downgrade process?

    <p>To communicate decisions regarding downgrades in writing</p> Signup and view all the answers

    What is a primary advantage of using wet decontamination over dry decontamination?

    <p>It reduces airborne particulates available for inhalation.</p> Signup and view all the answers

    Which method is preferred for the decontamination of personnel after exposure to hazardous substances?

    <p>Soap and water decontamination.</p> Signup and view all the answers

    What must personnel do immediately after returning from a hazard area?

    <p>Shower using a mild soap and wipe skin.</p> Signup and view all the answers

    What is a critical action to be taken during decontamination of outer textiles?

    <p>Remove them and place in fresh air.</p> Signup and view all the answers

    Which area is NOT suitable for conducting decontamination procedures?

    <p>Close to vehicle exhaust or smoke.</p> Signup and view all the answers

    What does off-gassing refer to in the context of decontamination?

    <p>Removing volatile substances from gear in a well-ventilated area.</p> Signup and view all the answers

    Who is primarily responsible for determining the decontamination needs at an incident?

    <p>The incident commander.</p> Signup and view all the answers

    Which step is essential when using the soap and water method for decontamination?

    <p>Thoroughly rinse immediately after applying soap.</p> Signup and view all the answers

    What principle should personnel follow regarding exposure to contaminants?

    <p>Seek to minimize contact with the environment.</p> Signup and view all the answers

    Which practice is recommended for decontaminating personal protective equipment after a structure fire?

    <p>Dry brushing first, followed by soap and water.</p> Signup and view all the answers

    What is one responsibility of a unit officer in terms of decontamination?

    <p>To document decontamination actions in FireApp.</p> Signup and view all the answers

    When should personal decontamination occur in a hazardous area?

    <p>After every work cycle.</p> Signup and view all the answers

    What is an important consideration when decontaminating gear at the station?

    <p>Knowing the manufacturer's specifications for cleaning.</p> Signup and view all the answers

    In the context of post-fire decontamination, what is the order of effectiveness for various methods?

    <p>Off-gassing, dry brush, wet decontamination.</p> Signup and view all the answers

    Study Notes

    Station, Apparatus, and Equipment Security

    • Theft of fire/rescue equipment has been reported in some jurisdictions, leading to criminal activities.
    • MCFRS personnel are responsible for securing stations, apparatus, and sensitive equipment critical for community safety.
    • Unit officers must maintain equipment security; during emergencies, at least one crew member must stay with the apparatus.
    • Apparatus should never be left unattended during routine activities; one crew member must always remain with it.
    • Apparatus can only be left unattended at stations if within sight of MCFRS personnel.
    • Stations must remain secured and ready for response; crews must ensure bay doors are closed when leaving.
    • All suspicious activities or thefts must be reported to the station officer.

    Respiratory Protection and Cancer Risk Reduction

    • The Respiratory Protection Policy mandates using appropriate RPE in Immediately Dangerous to Life and Health (IDLH) environments and hazardous atmospheres.
    • Scientific links between firefighting and cancer risks necessitate mandatory RPE usage during overhaul operations.
    • Safety evaluations must be performed by a designated officer before reducing respiratory protection.
    • Conditions to downgrade from SCBA to particulate filter masks include:
      • Compartment assessment showing no visible smoke.
      • Use of forced-air ventilation prior to readings.
      • Compliance with meter readings and atmospheric conditions set by the Safety Section Chief.
    • Minimum PPE requirements for overhaul operations include issued particulate mask, gloves, and other protective clothing.

    Health and Wellness Focus

    • Monitoring air quality and heat index is essential; protective gear can be downgraded when the heat index is 80 degrees or higher.
    • The heat index combines air temperature and humidity, adjusted for the heat retention of turnout gear.
    • If visible smoke is detected or alarms activate on meters, SCBA must be reapplied immediately.
    • Mandatory meter sensors include O2, CO, HCN, and PID for atmospheric monitoring.
    • Personnel must maintain stringent hygiene practices post-operation to mitigate contamination risks.

    Additional Procedures

    • Personnel must separate grossly soiled gear from clean areas and ensure thorough sanitization after incidents.
    • Self-cleaning practices are essential; personnel should shower and change clothes promptly after firefighting.
    • Keeping a clean second set of gear available for emergencies is advised.
    • Staff are responsible for avoiding hand-to-mouth transfer of contaminants while on apparatus.

    Compliance and Training

    • This policy supersedes previous regulations, reinforcing the importance of implementing safety protocols effectively.
    • Additional resources and training materials are accessible through MCFRS platforms for ongoing education and adherence.

    Station, Apparatus, and Equipment Security

    • MCFRS apparatus and stations hold sensitive equipment critical for community safety.
    • Personnel must ensure the security of stations, apparatus, and equipment.
    • Unit officers are accountable for the unit's security and equipment oversight.
    • During emergency incidents, at least one crew member must stay with the apparatus.
    • Apparatus should never be left unattended during routine tasks like inspections or shopping.
    • Unattended apparatus may only be left in sight of MCFRS personnel when parked at stations.
    • Stations must remain secured and responsive at all times.
    • Crews must verify that bay doors close securely upon departure.
    • All suspicious activities or theft must be reported immediately to the station officer.

    Respiratory Protection & Cancer Risk Reduction

    • Respiratory Protection Equipment (RPE) is mandatory in Immediately Dangerous to Life and Health (IDLH) atmospheres.
    • Hazardous atmospheres pose respiratory risks during MCFRS activities, including overhaul operations.
    • RPE use aims to lower cancer incidence in MCFRS personnel.
    • Personnel must use SCBA until a compartment is assessed free of visible smoke and meets safety criteria.
    • Safety conditions must include forced-air ventilation and atmospheric testing before downgrading from SCBA.
    • Required PPE during overhaul includes particulate masks, long sleeves, gloves, eye protection, helmets, and turnout pants/boots.

    Incident Commander Responsibilities

    • Incident Commanders verify adherence to PPE standards, ensuring no turnout gear enters rehabilitation areas and maintaining a clean environment.
    • Personnel must cleanse soot from exposed skin post-operations and change clothes as soon as possible.
    • Grossly contaminated gear should be cleaned before reuse and should be transported separately when feasible.

    Health & Safety Procedures

    • Monitoring of atmospheric conditions is crucial, particularly concerning heat index levels.
    • Air quality solutions are engineered when the heat index exceeds 80 degrees Fahrenheit.
    • Elevated core body temperatures can negatively affect blood chemistry, impacting firefighting health.
    • Continuous atmospheric monitoring is mandated, with readings taken every 15 minutes in compartments.
    • A specific minimum sensor setup is required, including O2, CO, HCN, and PID sensors with established alarm thresholds.

    Additional Protocols

    • Immediate SCBA usage return is mandated if meters indicate an alarm or personnel report respiratory issues.
    • Care should be exercised to maintain clean equipment and minimize soot transfer during operations.
    • Resources and personnel limitations may affect the downgrade of respiratory protection protocols.

    Multi-Patient Dispatch Capabilities

    • Effective December 12, 2017, the Multi-Patient Dispatch includes five transport units, three ALS resources, two manpower units, one EMS Duty Officer, and Command Officer Notifications.
    • The Emergency Communications Center (ECC) manages the assembly of the Multi-Patient Dispatch by combining or splitting dispatched resources.
    • Three medic units can fulfill requirements for three transport and ALS resources.
    • The dispatch is activated by the Incident Commander (IC) request or ECC Supervisor discretion if multiple patients are anticipated.
    • Multi-Patient Dispatch personnel focus on treating, packaging, and transporting patients, staging remotely until directed to the scene by the IC.

    Utility Task Vehicle (UTV) Usage Protocol

    • Utility Task Vehicles (UTV) come with safety features like roll-over protection and occupant enclosures.
    • Key protocols include keeping body parts inside the vehicle, using seat belts, and avoiding public roadways for operations if practical.
    • When crossing roads, UTVs should do so at the shortest distance possible to minimize traffic exposure, traveling adjacent to roadways where allowed.
    • Operators must adhere to reasonable speed limits and stay within manufacturer specifications for operation and loading.
    • UTV crews should ensure communication and accountability are maintained at all times, ideally consisting of two personnel.

    Significant Incident Reporting

    • Significant incidents warranting reporting include structure fires that extend beyond the room of origin, collisions requiring extended extrication, hazmat incidents requiring suited-entry, and declared mass casualty incidents.
    • Protocol for After Action Reviews (AAR) is outlined in Policy and Procedure 24-01.
    • FireApp narrative section modification has introduced a Significant Incident selection box for Incident Commanders to classify incidents appropriately.

    Leaving Hospital Status

    • From April 8, 2019, transport units must status 'Leaving Hospital' unless unavailable due to equipment issues.
    • After returning to the assigned battalion, units must status as Available on Radio (AOR) to optimize availability for calls.
    • Leaving Hospital status impacts AVR calculations, increasing likelihood of units being recommended for calls.
    • MCFRS personnel must report license changes, violations, and convictions related to drug/alcohol offenses.
    • Reporting obligations are specific to legal actions such as arrests and protective orders, required within 24 hours.
    • Exceptions to the reporting timeline may be evaluated on a case-by-case basis by the Fire Chief.

    Infection Control and Hazard Exposure Guidelines

    • Guidelines are vital for personnel exposed to chemical, biological, and particulate hazards.
    • Human Resources Division must maintain Department-level Infection and Exposure Control guidelines.
    • At minimum, guidelines should be reviewed biennially or in line with regulatory requirements when new threats arise.
    • Creation of new manuals may be initiated by the Fire Chief to address immediate health and safety threats.

    Personal Protective Equipment (PPE) for EMS

    • Minimum PPE for EMS clinicians includes gloves, with eye protection and surgical masks recommended during direct patient encounters.
    • Masks are mandatory when requested by patients or family, required by facilities, or during interventions for respiratory illnesses.

    Multi-Patient Dispatch Capabilities

    • Effective from December 12, 2017, includes five transport units, three ALS resources, two manpower units, one EMS Duty Officer, and Command Officer Notifications.
    • Emergency Communications Center (ECC) can assemble the Multi-Patient Dispatch by combining or splitting resources as necessary.
    • Dispatch initiated by the Incident Commander (IC) or ECC Supervisor when multiple patients are likely.
    • Personnel to treat, package, and transport patients upon arrival, while staging remotely until directed by the IC.

    Decontamination Methods

    • Off-gassing: Gases and vapors from uniforms and equipment naturally disperse in fresh air; allowing time for off-gassing reduces personnel exposure.
    • Personal decontamination: Involves removing hazardous substances from the skin using wet cloths or wipes.
    • Dry decontamination: Mechanically removes particulates; larger particles brushed off before washing down.
    • Wet decontamination: Utilizes water to wash away particulates, reducing inhalation risk.
    • Soap and water decontamination: Mild detergent used for washing, especially effective post-fire and for unknown hazardous substances.

    Decontamination Principles

    • Incident Commander responsible for determining the necessity of decontamination at each incident.
    • Required for structure fires with personnel exposure to smoke or hazardous substances.
    • Minimization of contaminant exposure is crucial; decontamination should occur quickly post-exposure.
    • Preferred method is soap and water before disconnecting SCBA facepieces.

    Post Fire Decontamination Process

    • Off-gassing and wet decontamination: Remove outer layers of gear and allow materials to air out.
    • Personal decontamination: Use wet cloths to clean skin immediately after exposure, followed by a thorough shower with soap.
    • Dry and soap/water decontamination: Wash personnel starting from chest-down, avoiding facepiece and helmet until after removal.
    • Assistance among crew members emphasized for effective decontamination.

    Decontamination Responsibilities

    • Incident Commander and Unit Officers: Ensure completion of necessary decontamination before returning gear and personnel to the station, with proper documentation.
    • Unit officers may assign a decontamination officer and ensure crews comply with decontamination protocols.
    • All equipment and personal attire used in incidents must be decontaminated before returning to service.

    Decontamination Officer Checklist

    • Determine decontamination type and communicate with the IC.
    • Assemble decontamination equipment and secure a water supply.
    • Monitor personnel for emotional and physical stress and coordinate with Rehab Officer as needed.

    Personal Decontamination Checklist

    • Prioritize dermal exposure management, focusing on hands, neck, and exposed skin during each work cycle in hazardous areas.
    • After returning to quarters, shower thoroughly focusing on hair and other vulnerable areas.

    MCFRS Ambulances and Non-Medical Transports

    • MCFRS ambulances are primarily for patient transportation to medical facilities, not for non-medical or law enforcement transfers.
    • Non-medical transport decisions require consultation with EMS Duty Officer for approval.

    ALS to BLS Downgrade Process

    • Utilizes tiered EMS response and involves assessment by ALS clinicians followed by potential transfer to BLS.
    • "Downgrade timeout" initiated by ALS clinician for discussions between ALS and BLS teams.
    • A downgrade checklist ensures patient safety and documentation in eMEDS ELITE is mandatory for downgrade processes.

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    Description

    Test your knowledge on the MCFRS Policy 26-06AMll regarding Respiratory Protection Equipment (RPE) in hazardous and IDLH atmospheres. This quiz covers definitions and applications related to respiratory hazards in various MCFRS activities, including overhaul and EMS operations.

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