G-EMSR Emergency Medical Response Part 4

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Questions and Answers

What can Paramedic Services do if they have made patient contact and assistance is not required?

Cancel a TFS response through notification of the TFS Communications Centre (correct)

Provide care to the patient without TFS assistance

Request backup from TFS

Clear the scene immediately

What should the TFS crew do if the Paramedic Services crew has not yet made patient contact?

Clear the scene immediately

Accompany the Paramedic Services crew to the patient's side (correct)

Provide care to the patient

Wait for further instructions from Paramedic Services

Why can't TFS employees access patient information?

Because Paramedic Services personnel are not obligated to share information

Because TFS employees are not trained to handle patient information

Due to the patient's request for privacy

Due to the Personal Health Information Protection Act (PHIPA) (correct)

What should TFS personnel do when completing reports?

Indicate 'Unknown' or 'CNO' when necessary Signup and view all the answers

Who is responsible for documenting their actions?

TFS personnel Signup and view all the answers

Under what circumstances can paramedics share patient information?

When agencies are providing care for the patient Signup and view all the answers

Who is responsible for patient transport?

Paramedic Services Signup and view all the answers

What should TFS personnel do if they provide care to the patient?

Gather approximate age, vital signs, actions taken, and services provided Signup and view all the answers

What is the responsibility of the Company Officer regarding patient updates?

Providing relevant updates to Paramedic Services through Communications Signup and view all the answers

What is the primary role of healthcare providers on scene?

Providing medical care to patients Signup and view all the answers

What should TFS personnel do when healthcare providers are administering care?

Cooperatively assist the healthcare providers Signup and view all the answers

What should TFS personnel do when presented with a valid DNRC form?

Honor the patient's wish and not resuscitate Signup and view all the answers

What is the purpose of a DNRC form?

To express the patient's wish to not be resuscitated in the event of a cardiac arrest Signup and view all the answers

What is the responsibility of TFS personnel at a 'Do Not Resuscitate' incident?

Make all reasonable efforts to provide the expected levels of emergency medical care Signup and view all the answers

What should TFS personnel do when they become aware of the existence of a DNRC at the scene?

Immediately obtain the form from the patient's family member or caregiver Signup and view all the answers

What is required for a DNRC form to be considered valid?

All of the above Signup and view all the answers

What should TFS personnel do after providing care to a patient with a valid DNRC?

Document the event in the Narrative of the Emergency Incident Report Signup and view all the answers

What should all personnel attending a 'Do Not Resuscitate' incident do upon return to the fire station?

Complete a Witness Statement to document their actions and observations Signup and view all the answers

Study Notes

Toronto Paramedic Services and TFS Response

If Paramedic Services cancels a TFS response, they notify the TFS Communications Centre.
If TFS arrives on the scene and the Paramedic Services crew has made patient contact, they offer assistance (e.g., egress route, blocker vehicle, vehicle stabilization, disconnecting batteries, setting up a stretcher).
If no assistance is needed, the TFS crew may clear immediately.

Patient Care and Information

Paramedics are Health Information Custodians under PHIPA, responsible for keeping patient information private.
TFS personnel are not entitled to patient information unless providing care.
If TFS provides care, they gather approximate age, vital signs, actions taken, and services provided for continuity of care.

Patient Transport

Paramedic Services are responsible for patient transport using a provincially regulated unit.
TFS staff are not permitted to transport patients in TFS apparatus.

Other Healthcare Providers on Scene

Other healthcare providers (e.g., doctors, nurses, Hatzoloh) operate in the greater Toronto area.
TFS personnel cooperate with these providers, but do not prevent their delivery of care if it exceeds TFS capabilities.
TFS personnel assist with patient care within their training level.

Do Not Resuscitate Incidents

All TFS personnel must be familiar with Ontario Office of the Fire Marshal/Ontario Ministry of Health and Long-Term Care Do Not Resuscitate Confirmation (DNRC) forms.
DNR orders express a patient's wish to not be resuscitated in the event of a cardiac arrest.
Firefighters honor a DNR order only when presented with a valid DNRC form, which contains a unique serial number, OFM and Ministry of Health logos, and completed fields (patient's name, tick box, and physician/nurse signature).
TFS personnel perform a patient assessment, confirm the physical condition, and take appropriate steps to maintain dignity and inform family/caregivers.

Incident Reporting

The Company Officer documents the event in the Narrative of the Emergency Incident Report, including the unique DNRC serial number.
All personnel attending the incident complete a Witness Statement to document their actions and observations.