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Questions and Answers
What constitutes a citizen being classified as a patient?
What constitutes a citizen being classified as a patient?
What does capacity refer to in the context of identifying a patient?
What does capacity refer to in the context of identifying a patient?
In which situation is professional judgment required to determine if a citizen is a patient?
In which situation is professional judgment required to determine if a citizen is a patient?
Which factor is NOT an indicator that a citizen is considered a patient after a motor vehicle collision?
Which factor is NOT an indicator that a citizen is considered a patient after a motor vehicle collision?
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What should be referred to for all patient refusals?
What should be referred to for all patient refusals?
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What event does not qualify as a Mass Casualty Incident?
What event does not qualify as a Mass Casualty Incident?
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Which of the following situations would lead Fire Rescue personnel to suspect potential injuries?
Which of the following situations would lead Fire Rescue personnel to suspect potential injuries?
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When assessing whether a full patient assessment is required, which is a valid consideration?
When assessing whether a full patient assessment is required, which is a valid consideration?
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What indicates that an individual found on the ground is classified as a patient?
What indicates that an individual found on the ground is classified as a patient?
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How should a crew assess a person who is able to get up on their own but denies any complaint and shows no obvious injuries?
How should a crew assess a person who is able to get up on their own but denies any complaint and shows no obvious injuries?
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What distinguishes an acute condition from a chronic condition when assessing an individual’s inability to ambulate?
What distinguishes an acute condition from a chronic condition when assessing an individual’s inability to ambulate?
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What should crews do if they determine an individual’s condition is chronic?
What should crews do if they determine an individual’s condition is chronic?
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Which scenario would NOT classify an individual as a patient?
Which scenario would NOT classify an individual as a patient?
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What is the first action a crew should take when encountering an individual who cannot ambulate?
What is the first action a crew should take when encountering an individual who cannot ambulate?
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What is a potential outcome for an individual able to get up on their own but has been assessed to lack capacity?
What is a potential outcome for an individual able to get up on their own but has been assessed to lack capacity?
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What would be the correct action if an individual presents with steering wheel damage upon airbag deployment?
What would be the correct action if an individual presents with steering wheel damage upon airbag deployment?
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What should Fire Rescue personnel assume if there is doubt about a citizen being a patient?
What should Fire Rescue personnel assume if there is doubt about a citizen being a patient?
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Which of the following criteria indicates that a citizen should be classified as a patient?
Which of the following criteria indicates that a citizen should be classified as a patient?
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What action should be taken for any patient who refuses an assessment?
What action should be taken for any patient who refuses an assessment?
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Who holds the authority to implement the standard operating guideline for determining if a patient exists?
Who holds the authority to implement the standard operating guideline for determining if a patient exists?
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Which procedure must be followed when documenting incidents?
Which procedure must be followed when documenting incidents?
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Fire Rescue personnel may encounter citizens in which of the following situations?
Fire Rescue personnel may encounter citizens in which of the following situations?
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If a citizen appears to be in distress, what is the appropriate classification?
If a citizen appears to be in distress, what is the appropriate classification?
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What is the effective date of the standard operating guideline for determining if a patient exists?
What is the effective date of the standard operating guideline for determining if a patient exists?
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Study Notes
Purpose and Authority
- Guidelines establish a framework for Fire Rescue personnel to determine if a citizen is a patient.
- Authority is granted by the Fire Rescue Administrator and the Medical Director.
Scope of the Guidelines
- Applicable to all Fire Rescue personnel.
- Aims to assist in evaluating potential patients during citizen contact.
General Procedures
- Incidents must be documented as per policy PPM FR-M-201 Incident Reporting.
- Assume any uncertain citizen is a patient.
- Full assessment is mandatory for identified patients; refer to SOG 520-03 for patient refusals.
Contact with Citizens
- Fire Rescue personnel meet citizens in various situations that may or may not relate to an incident.
- Criteria for patient determination:
- Citizens with medical complaints, injuries, or signs of distress are patients.
- Signs of acute illness or injury make a citizen a patient.
- Citizens assessed for capacity who lack it are considered patients.
Capacity Determination
- Capacity involves understanding treatment benefits, risks, and alternatives.
- Professional judgment is crucial, especially in settings with intoxicated individuals.
Specific Patient Situations
- For minors, SOG 520-03 Patient Refusal guidelines apply.
- In motor vehicle collisions (MVCs):
- No complaints or injuries do not exempt from assessment.
- Full patient evaluations are required with any significant vehicle damage, lack of restraints, airbag deployment, steering wheel damage, existence of injuries in others, or abnormal behavior.
Citizens Found on the Ground
- A citizen unable to get up independently is deemed a patient.
- Citizens who can get up but deny complaints undergo a capacity assessment:
- If lacking capacity, they are patients; if capable, they are not.
Requests for Help
- Individual reasons for immobility need to be classified as acute or chronic.
- Citizens with acute conditions are classified as patients, while chronic conditions may be documented as a Public Assist request.
Supersession History
- This guideline supersedes previous versions to reflect updates made on various dates, with the last update issued on December 21, 2020.
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Description
This Standard Operating Guideline outlines the procedures for determining if a patient exists in emergency situations. It emphasizes the roles of the Fire Rescue Administrator and Medical Director in this process. Understanding these guidelines is crucial for effective emergency response.
