Patient Contact Defined
Rapid Intervention Team
Vehicle Operations Procedures
Response to Active Threat
TEMS
Protocols
100

The Patient Contact Defined flowchart is to be used by who?

All members within NFR regardless of the apparatus. 

100

An atmospheric concentration of any toxic, corrosive or asphyxiate substance that poses an immediate threat to life or would cause irreversible or delayed adverse health effect.

Immediately Dangerous to Life and Health (IDLH)

100

In accordance with the Virginia EMS Regulation 12 VAC 5-31-1150, patients may be transported to a medical facility using emergency transported mode when...

The AIC has determined the patient's condition is unstable or life threatening. 

100

NFR personnel will not operate in which zone of an active threat incident?

Hot Zone (inner perimeter)

100

Glasgow Coma Score

What are Verbal Response scores? (1-5)

1. No verbal response

2. Incomprehensible sounds.

3. Inappropriate words.

4. Confused.

5. Oriented.

200

If an ambulance is responding and cleared by another NFR unit already on-scene, the unit on-scene must...

Complete the medical incident report (ie. No Patient or Patient Refusal)

200

Under normal circumstances, this shall consist of a minimum of 4 members, shall be fully equipped and available for rescue of a member or team as the need arises.

Rapid Intervention Team (R.I.T.)

200

When are members permitted to stand on the rear step or kneel in the hosebed when the apparatus is in motion?

Repacking 5" hose operations

Formal Ceremonies (ie. Funerals or Parades)

200

Responsible for the medical evaluation and evacuation of patients located in the Warm Zone.

Medical Task Force Leader

200

AOV (Airway/Oxygenation/Ventilation)

If medication is necessary to facilitate advanced airway, incorporate...

RSI Protocol

300

If the person has a medical complaint or requested an asssesment or to be "checked out", what documentation is required?

Complete the proper ePRC: 

Patient Treated and Transported or Patient Refusal

300

Radios do not constitute "___" between the interior team members.

"Contact"

300

Overhead Bay doors must remain...

Fully open or fully closed

300

A mneumonic used to describe a medical treatment process that is to be used in a hazardous area.

SCAB-E

Situation

Circulation

Airway

Breathing

Evacuation

300

Breathing Difficulty

If asthma patients have not responded to home medications, you may start with...

Albuterol/Atrovent as a first line treatment

400

If the treatment chart takes the provider to BOX 1A, they must..

Medically treat and transport the patient or obtain Patient Refusal.

400

When undertaking actions without an I.R.T., activities shall be limited to those required to ______.

Affect a rescue.

400

Units shall be en-route within ___ ___ following dispatch to an emergency incident. 

One Minute

400

Initial NFR response for an Active Threat Incident

(4) engine companies

(2) ladder companies

(1) rescue company

(5) medic units 

(2) battalion chiefs

All available Fire Marshals

400

Breathing Difficulty - Pediatric

Which medication is administered for Croup (Barking "seal" ciugh, stridor at rest, fever, cold like symptoms 

Name, Dose, Route

Epinephrine (1:1000) 2mg/2mL in 2mL normal saline via HHN 

*(Medical Control:I/P)

500

If an ambulance is responding and cancelled by dispatch prior to arrival, the crew must..

Complete a cancelled en route ePCR.

500

Once a second team is assigned or operating in the hazardous area, the incident shall no longer be considered in the "___ ____" and at least one R.I.T. is required.

"Initial Stage"

500

Potential for damage to hose is greatest when the line is...

Uncharged

500

Patients should be evacuated from the Warm Zone to which area established in the Cold Zone

Treatment Area

500

Hyper/Hypoglycemia

What is the medication for a patient with a glucometry reading of <70mg/dL that is conscious and able to swallow?

Name, Dose, Route

Oral Glucose 15 grams PO