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HomeMy Public PortalAboutAB 03-110 Attachment CFR David H. Sparks Jacquie Cochran Fire Chief Deputy Chief-EMS McCall Fire & EMS and McCall Police Department First Responder Fact Sheet FIRST RESPONDER TRAINING: Idaho EMS Bureau approved training course with the scope of practice established by the State Board of Medicine, per IDAPA 16.02.03.205. TESTING: National Registry of Emergency Medical Technicians First Responder written and practical tests used for National Registry Certification for First Responders. IDAHO CERTIFICATION: After National Registry Certification applications are submitted to Idaho EMS Bureau for Idaho First Responder Certification. EMS UNIT AFFILIATION: McCall Police Department Idaho Certified First Responders will be affiliated with McCall Fire & EMS as our First Response Unit for life-threatening emergencies within the city limits of McCall and for life-threatening emergencies within the north end of the county upon request of the EMS Officer-In-Charge and based upon availability. SCOPE OF PRACTICE: First Responders receive training for the following acts and duties: Obtain vital signs Obtain a medical history Assess mechanism of injury Assess nature of illness Perform an initial patient assessment Perform a detailed physical examination Perform patient reassessments Perform manual techniques to assure a patent airway Provide ventilatory support for a patient Insert airway adjuncts in the oral and nasal cavity Attempt to resuscitate a patient in cardiac arrest and provide post-resuscitative care Use oxygen delivery system components Provide treatment for a patient in respiratory distress or experiencing chest pain/discomfort Pro vide care for external and internal bleeding, hypoperfusion (shock), a penetrating chest injury, soft tissue injury, open abdominal injury, impaled object, or an acute amputation Provide care to a patient with an altered mental status, a history of diabetes, experiencing a seizure, having an allergic reaction, possibly exposed to a poisoning, suspected of overdosing on a substance, experiencing a behavioral problem, or has been exposed to cold or heat Provide care to a patient who is involved in a near-drowning incident, has been bitten or stung by an animal or insect, sustained a burn injury, has a suspected head or spinal injury , or has a painful, swollen, deformed extremity Provide care for the obstetric and the gynecological patient and assist with the delivery of an infant Perform cardiac defibrillation using a semi-automated external defibrillator Extricate a patient from entrapment The main purpose for First Responders is to stabilize a patient until the ambulance arrives. Anytime First Responder skills are used by a police officer, a McCall Fire & EMS Ambulance will be dispatched to the scene to take over patient care. McCall EMS will determine whether or not a patient needs transport by ambulance or by some other means. Our primary team goal is to provide emergency medical care to our customers in any emergency situation. The following are designated as “high-priority” situations: Poor general impression Unresponsive, with no gag or cough reflexes Responsive but unable to follow commands Difficulty breathing Pale skin/poor perfusion Uncontrolled bleeding Severe pain Decreasing levels of consciousness Chest pain with systolic BP less than 100mm Hg Complicated childbirth SCENE MANAGEMENT: In Emergency Services the first priority is SCENE SAFETY which includes police officers, responding Fire & EMS units, patients and bystanders. We recognize that the main priority for police officers being First Responders to an Emergency situation is to make the scene safe. It is our mutual desire to be able to provide rapid emergency medical care in life-threatening situations. We also recognize that McCall Police Officers will be responding as OFFICERS FIRST with training as First Responders. As First Responders our officers know how to establish these priorities and are able to recognize life-threatening situations and treat appropriately until EMS arrives. OUTSIDE OF CITY REQUESTS: McCall EMS-Officer-In-Charge may request a McCall Police Officer to respond to “high-priority” situations outside of the city but still within the boundaries of McCall Fire Protection District. Requests will be based on these criteria: 1. Based on availability of police officer 2. How far out of the City the police will respond will depend upon the nature of the call, the availability and response time of McCall EMS and the availability of police personnel as related to other priorities that the department may be involved in. This determination will be made based upon the discretion of the McCall PD Officer as well as the input received from the Officer in Charge from McCall EMS. 3. Nature of request – high priority patients needing skills that can be administered to by a First Responder. 4. Need for MPD will be considered based upon availability of McCall EMS (i.e. weekday vs. after hours and weekends). Normally the PD would not respond outside the City if the call is during the week and the EMS response will be immediate. 5. Once a police officer responds and begins treatment they cannot leave that patient until EMS takes over the scene. 6. Once EMS arrives, the police officer will conduct a handoff of the patient to EMS and respond to the City as quickly as practical. ICRMP Approval: Chief Appa spoke to Jim McNall on July 30, 2003 and briefed him on our program intentions. Jim stated that ICRMP does not have any issue with outside City responses based upon the parameters we have set for this program. We are looking forward to this new partnership, and feel it is a tremendous asset to the customers we both serve in public service to our community.