2024 EKMISA Captain Sheet PDF

Page 1 2024 EKMISA Captain Sheet Judge: Team (Please Circle one): FRO GHO LCO EVO CMM Captain: Please Leave No Blanks (Zero's for no points given) Comments are madatory when points are deducted Captain Sheet Note: If line item is not applicable to task, please utilize N/A , do not delete line item f...

Page 1 2024 EKMISA Captain Sheet Judge: Team (Please Circle one): FRO GHO LCO EVO CMM Captain: Please Leave No Blanks (Zero's for no points given) Comments are madatory when points are deducted Captain Sheet Note: If line item is not applicable to task, please utilize N/A , do not delete line item for task continuity Observes scene from a safe distance Identifies self and team & takes control with authority Captain is calm and composed Checks on each member for readiness Team PPE in place Team discusses use of communication and signals Designates Specific Duties for each member Designates Safe Access & Egress point for rescuers Identifies Safe Treatment/Staging Area Enters scene only after ensuring it is safe to do so Assigns team member to inventory equipment Confirms means of external communication (No red herrings for comms, arrive rescue ready) Ensures scene survey/360 complete (Flagging can be verbalized) Hazards Managed & Cached 1 2 3 4 5 COMMENTS Possible Points PAGE 1 POSSIBLE POINTS ACTUAL POINTS Ensures all members are aware of Incident Action Plan (Objectives & Priorities) P1 P2 P3 P4 Captain communicates any shift in objectives or priorities on scene Captain completes team checks throughout task (Includes: Fatigue, priorities, Status of tasks etc) Page 1 Points Given Ensure these points are objective based and not prescriptive (allows team variability) Page 2 Patient Care & Safety: Captain emphasizes to team that patients are to be treated with respect, handled without aggression, and are packaged without harm throughout the scenario Captain Information provided to dispatch (Provide in scene prior to final captains report) Time team arrived on scene, command established Confirms nature of incident Confirms call back number or Radio Channel # of Casualties Hazard(s) Identified & Controlled (Task specific, Maximum of 5 pts) HEI Fall/Travel Restraint Air monitoring Equipment securement General hazards PAGE 2 POSSIBLE POINTS ACTUAL POINTS Page 2 2024 EKMISA Captain Sheet Page 3 2024 EKMISA Captain Sheet External Resource Notifications 911 Provides location of scene BCAS STARS Emergency Link Center/BC Life Flight Fire RCMP Search & Rescue Coroner Deduct 2 points for every external resource that is requested/called for that is not required. Do not tie up external resources, this includes "Standby" Internal Resources Incident Area Supervisor LPO Senior Management Team Site specific resources Mutual Aid Mine Rescue Teams Captains Report Scene map review Time of Arrival at Scene Description of what happened Hazards That Were Controlled Summarize actions taken Condition of Patient(s) on Arrival (Triage Priority based on Primary Survey ) 1 2 3 4 Condition of Patient(s) at Handover (Triage Priority based on Last Patient Assessment ) 1 2 3 4 PAGE 3 POSSIBLE POINTS ACTUAL POINTS Witnesses located/Interviewed Captain offers to post guards Captain offers to assist in the investigation & and notify OHSC Reminds team to discard any barriers/biohazard(s) as required through first aid training Page 1 Page 2 Page 3 TOTAL TASK JUDGE SIGNATURE: Page 3 /75 Page 4 Page 4 2024 EKMISA Captain Sheet