berkeley county emergency ambulance authority emergency medical services standard operating ...

249 Pages·2014·6.5 MB·English

BERKELEY COUNTY EMERGENCY
AMBULANCE AUTHORITY
EMERGENCY MEDICAL SERVICES
STANDARD OPERATING GUIDE –XXX
Segments Pre-Approved: Organization and Administration January 22, 2004
Training & Education March 25, 2004
Budget & Finance March 25, 2004
Employee Health & Safety October 28, 2004
Equipment & Supply Management May 27, 2004
Emergency Operations October 28, 2004
Approved Document of Combined Segments w/Approved Policies and Procedures through June
2013
RECORD OF CHANGES
CHANGE # DATE/CHANGE DATE CHANGE POSTED
1 January 27, 2005 December 15, 2006
Incentive Program Added
2 May 26, 2005 December 15, 2006
Participation Policy Added
3 July 28, 2005 December 15, 2006
Change to Previous SOG
Manual, Education
Requirements for Paramedic
4 July 28, 2005 December 15, 2006
Maintenance/Safety Manager
job description added
5 August 25, 2005 March 16, 2007
Revision to Hiring Process
Policy to one interview
6 October 27, 2005 March 16, 2007
EMT-I addendum added to
Incentive Program
7 December 7, 2005 March 16, 2007
Amendment to Reinstatement
Policy changing preceptor
8 January 26, 2006 March 16, 2007
Revising PALS to PEPP in
certification requirements
9 August 24, 2006 June 22, 2007
BCEAA Career Field Rank
Structure
10 August 24, 2006 June 22, 2007
Clearbrook Mutual Aid
Agreement
11 October 26, 2006 June 22, 2007
Volunteer Incentive Points
Program
Morgan County Rescue
Mutual Aid Agreement
12 December 6, 2006 June 22, 2007
Volunteer Auxiliary Program
13 January 29, 2007 June 22, 2007
Jefferson County Mutual Aid
Agreement
i
14 February 22, 2007 June 22, 2007
Precept and Orientation
Policy Updated
15 March 22, 2007 June 22, 2007
Volunteer Tuition
Reimbursement/Payment
Program
Addendum to Precept and
Orientation Policy – EMT
Basic 6 month prior
experience requirement
16 May 24, 2007 June 22, 2007
Added Rank Structure
Sergeant for Maintenance
and Safety
17 June 28, 2007 July 3, 2007
Addendum to Driver
Training and Operating
Guidelines to add Driving
Accidents Procedure for All
Drivers
18 August 24, 2006 October 18, 2007
Policy for Continual
Approved EMS Provider
Status, supercedes
participation requirements of
the participation policy dated
and approved 12-7-05.
19 EMSA Intermediate provider March 27, 2008
inclusion Section 3.13, 3.14
as well as inclusion into
existing policies within these
SOG’s
20 Personnel Title changes as March 27, 2008
reflected in rank structure,
example: Field Operations
Supervisor to Chief of Field
Operations, etc.
21 WV RRT MCI Trailer SOG, April 24, 2008
9-28-07
22 Return to Work Policy April 24, 2008
September 2007
23 EMT Basic Course Fees April 24, 2008
Reimbursement Policy
24 BCEAA Career Staff Duty April 24, 2008
Officer SOG
ii
25 Personnel Title changes as July 24, 2008
reflected in rank structure:
Assistant Chief for Training to
BCEAA Training Officer
26 Volunteer Incentive Awards July 24, 2008
Policy Revision
27 NIMS certification September 25, 2008
Requirement mandate
28 Revised Rank Structure, title September 25, 2008
changes, addition of Captain
29 ANSI 207 5-point breakaway September 25, 2008
vests and extrication gear
addition to Safety requirements
30 Addition of Driver/3rd Person October 23, 2008
annual requirements section
31 Infection Control Policy October 23, 2008
updated with minor text
changes.
32 Career Dress Code added October 23, 2008
33 HIPAA Compliance statement October 23, 2008
added
34 6.14 Update to 2 year ALS and January 22, 2009
3 year BLS recert requirements
35 Pandemic Flu Response Plan January 22, 2009
36 Participation Policy update: May 28, 2009
established providers in
BCEAA
37 Emergency Vehicle Operator May 28, 2009
Requirements: Accident
reporting
38 Clerical clean-up, deletion October 28, 2010
Co.40, changing Medical
Director, training classes hours,
etc.
39 Medication Control Policy January 20, 2011
Update
40 Patient Transportation. 8.1.13.1 April 28, 2011
Ground, Response to
Emergency Calls, Response to
the hospital
41 6.9 Policy for Continual April 28, 2011
Approved EMS Provider Status
revision changes effective
retroactive April 1st.
42 8.2.2 Revision to WV MCI December 7, 2011
Regional Response Unit SOG
43 8.0 Operations SOG May 24, 2012
Revision/Update
iii
44 6.15 SocialMedia Policy September 27, 2012
45 5.1.1 Patient Safety January 24, 2013
46 2.0 Mission Statement updates February 28, 2013
(race, ethnicity)
47 6.18 Documentation February 28, 2013
6.18.1 Medical Terminology
Abbreviations (changed to 6.19) May 23, 2013
48 6.16 CPR Training Policy May 23, 2013 (effective July
1, 2013)
49 6.11 Precept and Orientation June 27, 2013
amendment to Time Frame
General Requirements
50 6.12.1 Driver Training Section June 27, 2013
III New Driver
51 7.4 Medication Control Policy August 28, 2014
Updated
iv
SECTIONS
1.0 Scope
2.0 Mission Statement (revised 10-23-08)
3.0 Organization & Administration
.1 BCEAA Board
.2 Program Manager
.3 Medical Director
.4 Chief of Field Operations
.5 Deputy Chief of Field Operations
.6 BCEAA Squad Training and Q/A Officer
.7 Assistant Chief for Maintenance and Safety (7-28-05)
.8 Assistant Training Officer
.9 Administrative Training Coordinator and Field Operations Assistant
.10 Rank Structure (09-25-08)
3.11 Non-Paid Component Rescue Chief
3.12 Volunteer Auxiliary Program (12-6-06)
3.13 Emergency Medical Technician – Paramedic
3.13.1 Education Requirements
3.14 Emergency Medical Services Attendant – Intermediate
3.14.1 Education Requirements
3.15 Emergency Medical Technician – Basic
3.15.1 Education Requirements
3.16 Emergency Medical Services Attendant – First Responder
3.17 Rescue Aider
3.18 Personnel Management
3.18.1 Paid Component
3.18.2 Non-Paid Component
3.18.3 Medical and Patient Care Related Issue
3.19 Hiring Process Policy (8-25-05)
3.20 Dress Code – Career Personnel (10-23-08)
4.0 Budget and Finance
4.1 Revenue Generation
4.1.1 Non-Paid Component
4.1.2 Paid Component
4.2 Budget Development
4.3 Budget Allocation
4.4 Revenue Records and Reporting
4.5 Emergency Funding
4.6 Audit Requirements and Procedures
5.0 Employee Health and Safety
5.1 General Safety Requirements and Procedures (revised 10-23-08)
5.1.1 Patient Safety (January 24, 2013)
5.1.1.1 Five Point Restraints
5.1.1.2 Combative Patients
5.1.1.3 Adolescent Patients
5.1.1.4 Stair Chair
5.1.1.5 Stretcher
5.1.1.6 Bariatric Stretcher
5.2 Accident Reporting and Investigation
5.3 Infection Control
5.4 Workers Compensation Procedures
5.5 Fitness-For-Duty Requirements and Procedures
5.5.1 Tuberculosis Testing
5.5.2 Hepatitis B
5.5.3 Medication and Alcohol Use
5.5.4 Physical Fitness
5.5.5 Physicians Examination and Medical Clearance
5.5.6 Return to Work Policy (Modified Duty)4-24-08
6.0 Training and Education
6.1 Training Organization
6.1.1 WV Office of EMS
6.1.2 WV EMS Technical Support Network
6.1.3 BCEAA Training Office Personnel
6.1.3.1 Training Officer
6.1.3.2 Assistant Training Officer
6.1.3.3 Training Coordinator
6.2 EMS Certification Requirements and Procedures
6.2.1 Initial
6.2.2 Recertification
6.3 Training Sources
6.3.1 BCEAA
6.3.2 Other
6.4 Training Records
6.4.1 WV OEMS Continuing Education Unit Certification Numbers and
Certificate
6.4.2 Practical Skills Performance Forms
6.5 Incentive Program (1-27-05)
6.6 Volunteer Incentive Points Program (Revision 7-24-08)
6.7 Volunteer Tuition Reimbursement/Payment Program (March 22, 2007)
6.8 EMT Basic Course Fees Reimbursement Policy (4-24-08)
6.9 Policy for Continual Approved EMS Provider Status (8-24-06), (4-28-2011)
6.10 Public Education Program
6.11 Precept and Orientation Policy (June 27, 2013) updated
6.12 Emergency Vehicle Operator Requirements and Certification (May 28, 2009) updated
6.12.1 Driver Training Guidelines
6.13 Duty Officer Standard Operating Guideline 4-24-08
6.14 Forms, Policies-Annual requirements for all personnel (01-22-09)
6.15 Social Media Policy (9-27-2012)
6.16 CPR Training Policy (5-23-2013)
6.17 NIMS Compliance (9-25-08)
6.18 HIPAA Compliance (10-23-08))
6.19 Documentation
6.19.1 Medical Terminology Abbreviations
7.0 Equipment and Supply Management
7.1 Inventory Procedures
7.2 Vehicle Care and Maintenance
7.3 Supply and Re-supply Procedures
7.3.1 Routine
7.3.2 Emergency
7.4 Medication Control Policy (8-28-2014 updated)
7.4.1 Oversight, Ordering, and Compliance
7.4.2 Medication Storage Procedure
7.4.3 Medications used by BCEAA
7.4.4 Medication Restocking and Replacement Procedure
7.5 Equipment Care and Maintenance
8.0 Emergency Operations (revised May 24, 2012)
8.1 Emergency Response Procedures
8.1.1 Definitions and Acronyms
8.1.1.1 Definitions
8.1.1.2 Acronyms
8.1.2 Dispatch
8.1.3 Communications
8.1.3.1 Normal Communications Procedures
8.1.3.2 Communications Degraded/Out Procedures
8.1.4 On-Scene Activities
8.1.5 Safety
8.1.6 Staging
8.1.7 Scene Size-up
8.1.8 Access Control
8.1.9 Scene Preservation
8.1.10 Fatality Management
8.1.11 By-stander Intervention
8.1.12 Fire Department/EMS Operational Interface
8.1.13 Law Enforcement/EMS Operational Interface
8.1.14 Patient Transportation
8.1.14.1 Ground (4-28-2011)
8.1.14.2 Aviation
8.1.14.3 Privately Owned Vehicle (POV)
8.2 Special Operations
8.2.1 Mass Casualty Incidents (MCI)
8.2.2 WV MCIRegional Response Unit (RRU)
8.2.2.1 Components
8.2.2.2 RRU Administration
8.2.2.3 RRU Operations
8.2.3 Hazardous Materials (HAZMAT) Incidents
8.2.3.1 Overview
8.2.3.2 Decontamination
8.2.3.3 Contamination Control
8.2.4 Weapons of Mass Destruction (WMD)/Terrorism Incidents
8.3 Incident Command/Incident Management Systems
8.3.1 Chain of Command
8.3.2 Incident Command Structure
8.3.2.1 Incident Commander/Officer-in-Charge
8.3.2.2 Operations Section Chief
8.3.2.3 Extrication Unit Leader
8.3.2.4 Medical Group Supervisor
8.3.2.5 Triage Unit Leader
8.3.2.6 Treatment Unit Leader
8.3.2.7 Transportation Unit Leader
8.3.2.8 Safety Officer
8.3.2.9 Public Information Officer
8.3.3 Implementation
8.3.4 Notification
8.3.4.1 Notification of Dispatch
8.3.4.2 MCI/Disaster Scene Communications
8.3.5 Response
8.4 Mutual Aid Agreements
8.4.1 Local
8.4.2 Regional
8.4.3 State
8.4.4 Federal
8.4.5 Private Sector
8.5 Post Incident Procedures
8.5.1 Critical Incident Stress Management (CISM)
8.5.2 Major Incident Review Requirements
8.6 WV State ALS/BLS Procedures and Protocols
8.7 Pre-Hospital Care Report Documentation
8.8 Pandemic Flu Response Plan (1-22-09)
8.8.1 Purpose
8.8.2 Administration
8.8.2.1 Pandemic Response Coordinator
8.8.2.2 Planning Members and Their Roles
8.8.2.3 BCEAA OEMS Director
8.8.2.4 Health Department Official
8.8.2.5 Law Enforcement Official
8.8.3 BCEAA Infection Control Officer (ICO)
8.8.4 Response
8.8.4.1 Surveillance
8.8.4.2 Tracking System
8.8.5 Pandemic Influenza Communication Plan
8.8.5.1 Key Public Health Points of Contact
8.8.6 Education and Training
8.8.6.1 Influenza vs. Pandemic Influenza
8.8.6.2 Pandemic Influenza Precautions
8.8.7 Triage and Management
8.8.8 Occupational Health
8.8.8.1 Liberal/Non-Punitive Sick Leave Policy
8.8.8.2 Return to Dutyafter Recovery from Influenza