Equipment Fundamentals for the Crew Chief  McGregor Memorial EMS
Objectives <ul><li>Upon completion of this module the crew chief candidate will demonstrate competency with : </li></ul><u...
How will we do this? <ul><li>Brief PowerPoint presentation outlining expectations </li></ul><ul><li>Hands on demonstration...
Stretchers <ul><li>We currently have two types in service </li></ul><ul><ul><li>Ferno-Washington Model 35P </li></ul></ul>...
You will be expected to demonstrate: <ul><li>Proper loading and unloading technique </li></ul><ul><li>Ability to collapse ...
Car Seats <ul><li>NH RSA 265:107 requires all children to be properly restrained when riding in a vehicle. </li></ul><ul><...
Car Seats <ul><li>All patients are required to be secured to the stretcher, even children. </li></ul><ul><li>Car seats or ...
Using a car seat <ul><li>Children under 20 pounds always need to be in a rear facing car seat. </li></ul><ul><li>Other chi...
Securing the car seat <ul><li>Must be installed and secured per manufacturers instructions </li></ul><ul><li>If the patien...
Using the patient’s own car seat <ul><li>Generally preferable  </li></ul><ul><ul><li>Patient is familiar, comfortable </li...
What if the child is not a patient? <ul><li>Transport in another vehicle is best </li></ul><ul><li>No completely appropria...
Stair Chair <ul><li>McGregor has 2 types </li></ul><ul><ul><li>Stryker StairPro 6252 in both front line ambulances </li></...
You will be expected to <ul><li>Demonstrate proper lifting mechanics for carrying patients downstairs </li></ul><ul><li>De...
Pedi-Pac® <ul><li>Serves as both a spinal immobilization device and restraint device </li></ul><ul><li>Patients must be be...
You will be expected to: <ul><li>Demonstrate proper usage technique </li></ul><ul><li>Demonstrate proper decontamination t...
Traction Splints <ul><li>Each ambulance is equipped with two types of traction splints </li></ul><ul><ul><li>Hare Splint <...
You will be expected to: <ul><li>Demonstrate an understanding of differences between the two splints </li></ul><ul><li>Dem...
Vacuum Splints <ul><li>Vacuum splints are essentially bags of glass beads that become rigid when air is evacuated from the...
You will be expected to: <ul><li>Demonstrate proper size selection </li></ul><ul><li>Demonstrate proper application techni...
Cardiac Monitors <ul><li>McGregor currently utilizes four Physio-Control LifePak 12 monitors. </li></ul><ul><li>Able to be...
You will be expected to: <ul><li>Demonstrate proper procedure to apply monitoring leads </li></ul><ul><li>Demonstrated pro...
Tablet Computers <ul><li>Each ambulance and the paramedic intercept unit are equipped with tablet computers </li></ul><ul>...
Tablet Computers (cont.) <ul><li>Docking stations in ambulances and intercept have keyboards with integrated track pads </...
You will be expected to: <ul><li>Properly log into the tablet </li></ul><ul><li>Properly log into the Field Bridge </li></...
Communications <ul><li>Each ambulance is equipped with a dual head VHF radio </li></ul><ul><li>Each ambulance also has two...
You will be expected to: <ul><li>Mobile </li></ul><ul><li>Properly change banks and channels </li></ul><ul><li>Properly ch...
Suction <ul><li>Suction units operated by McGregor are two types. Hard mounted in the ambulance or battery powered portabl...
You will be expected to: <ul><li>Demonstrate the ability to activate the onboard and portable suction units </li></ul><ul>...
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Crew chief equipment

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Crew chief equipment

  1. 1. Equipment Fundamentals for the Crew Chief McGregor Memorial EMS
  2. 2. Objectives <ul><li>Upon completion of this module the crew chief candidate will demonstrate competency with : </li></ul><ul><ul><li>Use of stretchers (both Stryker and Ferno) </li></ul></ul><ul><ul><li>Use of stair chairs (both Stryker and Ferno) </li></ul></ul><ul><ul><li>Use of car seats </li></ul></ul><ul><ul><li>Use of the pediatric immobilizer </li></ul></ul><ul><ul><li>Use of traction splints (both Hare and Sager) </li></ul></ul><ul><ul><li>Use of vacuum Splints </li></ul></ul><ul><ul><li>Use of the LifePak 12 (including obtaining and transmitting a 12 lead, pulse oximetry, capnography, NIBP, and interfacing with the TEMSIS Field Bridge </li></ul></ul><ul><ul><li>Use of the tablet computers in each ambulance including the TEMSIS Field Bridge </li></ul></ul><ul><ul><li>Radio communications including the use of mobile radios and portable radios </li></ul></ul><ul><ul><li>Use of suction (both onboard and portable) </li></ul></ul>
  3. 3. How will we do this? <ul><li>Brief PowerPoint presentation outlining expectations </li></ul><ul><li>Hands on demonstration and practice </li></ul><ul><li>Self study guide </li></ul>
  4. 4. Stretchers <ul><li>We currently have two types in service </li></ul><ul><ul><li>Ferno-Washington Model 35P </li></ul></ul><ul><ul><ul><li>Operates manually </li></ul></ul></ul><ul><ul><li>Stryker Power-Pro™ XT Model 6500 </li></ul></ul><ul><ul><ul><li>Raising and lowering of undercarriage is powered </li></ul></ul></ul><ul><ul><ul><li>All other functions manual </li></ul></ul></ul>
  5. 5. You will be expected to demonstrate: <ul><li>Proper loading and unloading technique </li></ul><ul><li>Ability to collapse and extend the head section </li></ul><ul><li>Proper operation of side rails </li></ul><ul><li>Proper procedure for height adjustment </li></ul><ul><li>Ability to raise and lower the foot </li></ul><ul><li>Proper cleaning and decontamination </li></ul><ul><li>Proper replacement of straps </li></ul><ul><li>Maneuvering in tight quarters </li></ul><ul><li>Procedure for use of the Manual override (Stryker only) </li></ul><ul><li>Procedure of battery change (Stryker only) </li></ul>
  6. 6. Car Seats <ul><li>NH RSA 265:107 requires all children to be properly restrained when riding in a vehicle. </li></ul><ul><li>This also applies to sick children in ambulances. </li></ul><ul><li>NH Patient Care Protocol 6.9 addresses Pediatric Restraint for Transportation </li></ul><ul><li>“ The method of restraint will be determined by various circumstances including the child’s medical condition and weight.” </li></ul>
  7. 7. Car Seats <ul><li>All patients are required to be secured to the stretcher, even children. </li></ul><ul><li>Car seats or specialty harnesses should be used for all patients who are not tall enough to have the stretcher straps secure them without falling across their head or neck. </li></ul><ul><li>It is NEVER OK to have anyone just hold onto a child while the vehicle is in motion. </li></ul>
  8. 8. Using a car seat <ul><li>Children under 20 pounds always need to be in a rear facing car seat. </li></ul><ul><li>Other children need to be restrained in car seats, 5 point harnesses, or using stretcher straps depending on their weight and medical condition. </li></ul><ul><li>Generally it is best to use the patient’s own car seat if available and appropriate. </li></ul>
  9. 9. Securing the car seat <ul><li>Must be installed and secured per manufacturers instructions </li></ul><ul><li>If the patient’s car seat cannot be secured properly use the McGregor car seat. (Where is it stored?) </li></ul><ul><li>Practice is a much better teacher than words. We’ll practice this. </li></ul>
  10. 10. Using the patient’s own car seat <ul><li>Generally preferable </li></ul><ul><ul><li>Patient is familiar, comfortable </li></ul></ul><ul><ul><li>The patient has a car seat to go home in </li></ul></ul><ul><li>The car seat must: </li></ul><ul><ul><li>Not have any cracks or deformities </li></ul></ul><ul><ul><li>The vehicle the car seat was in must be capable of being driven from the scene </li></ul></ul><ul><ul><li>The vehicle door nearest the car seat must be undamaged </li></ul></ul><ul><ul><li>The air bags must not have been deployed </li></ul></ul><ul><li>Other things to think about </li></ul>
  11. 11. What if the child is not a patient? <ul><li>Transport in another vehicle is best </li></ul><ul><li>No completely appropriate place for them to ride. </li></ul><ul><li>Possibilities if no other options: </li></ul><ul><ul><li>Forward facing captains chair </li></ul></ul><ul><ul><li>Front seat (front facing car seats only) </li></ul></ul><ul><li>Not possibilities: </li></ul><ul><ul><li>Held by the person on the stretcher </li></ul></ul><ul><ul><li>In a car seat on the bench seat or the CPR seat </li></ul></ul>
  12. 12. Stair Chair <ul><li>McGregor has 2 types </li></ul><ul><ul><li>Stryker StairPro 6252 in both front line ambulances </li></ul></ul><ul><ul><li>Ferno Model 40 in the reserve ambulance </li></ul></ul><ul><li>Stair chairs can be very useful for moving patients who can sit upright down stairs or from tight situations. </li></ul><ul><li>Not so useful if the patient can’t sit upright on their own. </li></ul>
  13. 13. You will be expected to <ul><li>Demonstrate proper lifting mechanics for carrying patients downstairs </li></ul><ul><li>Demonstrate the proper method of securing a patient in the stair chair </li></ul><ul><li>Demonstrate proper technique for rolling a patient </li></ul><ul><li>Demonstrate proper technique for “gliding” downstairs (Stryker only) </li></ul><ul><li>Proper procedure for strap replacement </li></ul><ul><li>Proper decontamination procedures </li></ul>
  14. 14. Pedi-Pac® <ul><li>Serves as both a spinal immobilization device and restraint device </li></ul><ul><li>Patients must be between 20 and 90 pounds and 28” to 54”. </li></ul><ul><li>Practice </li></ul>
  15. 15. You will be expected to: <ul><li>Demonstrate proper usage technique </li></ul><ul><li>Demonstrate proper decontamination technique </li></ul>
  16. 16. Traction Splints <ul><li>Each ambulance is equipped with two types of traction splints </li></ul><ul><ul><li>Hare Splint </li></ul></ul><ul><ul><li>Sager Splint </li></ul></ul><ul><li>Both accomplish the same thing but use different technique </li></ul><ul><li>Practice </li></ul>
  17. 17. You will be expected to: <ul><li>Demonstrate an understanding of differences between the two splints </li></ul><ul><li>Demonstrate an understanding of when each splint would be appropriate </li></ul><ul><li>Demonstrate proper use of each splint for unilateral use </li></ul><ul><li>Demonstrate proper use of the Sager Splint for bilateral use </li></ul><ul><li>Demonstrate proper decontamination procedure. </li></ul>
  18. 18. Vacuum Splints <ul><li>Vacuum splints are essentially bags of glass beads that become rigid when air is evacuated from the inside. </li></ul><ul><li>Excellent at splinting extremities that are not completely straight. </li></ul><ul><li>Frequently more comfortable for the patient. </li></ul>
  19. 19. You will be expected to: <ul><li>Demonstrate proper size selection </li></ul><ul><li>Demonstrate proper application technique </li></ul><ul><li>Demonstrate proper decontamination procedures </li></ul>
  20. 20. Cardiac Monitors <ul><li>McGregor currently utilizes four Physio-Control LifePak 12 monitors. </li></ul><ul><li>Able to be utilized as manual defib for or AED </li></ul><ul><li>Can obtain and transmit 12 lead ECGs </li></ul><ul><li>Pulse Oximetry, Capnography, NIBP </li></ul>
  21. 21. You will be expected to: <ul><li>Demonstrate proper procedure to apply monitoring leads </li></ul><ul><li>Demonstrated proper procedure to obtain a 12 lead ECG </li></ul><ul><li>Demonstrate proper procedure to transmit a 12 lead ECG to the ED </li></ul><ul><li>Demonstrate changing the printer paper </li></ul><ul><li>Demonstrate changing batteries </li></ul><ul><li>Demonstrate transmitting ECG, vital sign data and event markers to TEMSIS Field Bridge </li></ul><ul><li>Demonstrate proper procedure for switching to AED mode and back to manual mode </li></ul><ul><li>Demonstrate proper use of various types of pulse ox probes </li></ul><ul><li>Demonstrate proper use of NIBP </li></ul><ul><li>Demonstrate proper BP cuff selection </li></ul><ul><li>Demonstrate setup for use of capnography with intubated and non-intubated patients </li></ul>
  22. 22. Tablet Computers <ul><li>Each ambulance and the paramedic intercept unit are equipped with tablet computers </li></ul><ul><li>Each computer is equipped with TEMSIS Field Bridge software for patient documentation, mapping software </li></ul><ul><li>It is expected that Field Bridge use will decrease the amount of time needed to complete the PCR after the call and allow for electronic note taking at the bedside. </li></ul>
  23. 23. Tablet Computers (cont.) <ul><li>Docking stations in ambulances and intercept have keyboards with integrated track pads </li></ul><ul><li>Coming soon, HazMat references, additional mapping software, medical references, and more </li></ul><ul><li>Each tablet is equipped with 802.11g wireless networking for data transfer </li></ul><ul><li>Additional capabilities will be added over the next several months </li></ul>
  24. 24. You will be expected to: <ul><li>Properly log into the tablet </li></ul><ul><li>Properly log into the Field Bridge </li></ul><ul><li>Properly complete the shift setup </li></ul><ul><li>Properly create a new run using the included templates </li></ul><ul><li>Demonstrate proper procedure for signature capture </li></ul><ul><li>Properly post calls to TEMSIS </li></ul>
  25. 25. Communications <ul><li>Each ambulance is equipped with a dual head VHF radio </li></ul><ul><li>Each ambulance also has two portable radios that transmit directly to Fire Alarm. </li></ul><ul><li>Due to longstanding and consistent operation problems, vehicle repeaters have been disabled. </li></ul>
  26. 26. You will be expected to: <ul><li>Mobile </li></ul><ul><li>Properly change banks and channels </li></ul><ul><li>Properly change channels to contact Durham Fire, mutual aid dispatch centers, and hospitals </li></ul><ul><li>Properly switch control of the radio from front to rear and back. </li></ul><ul><li>Properly use the scan, home, and programmed “speed dial” buttons </li></ul><ul><li>Portable </li></ul><ul><li>Demonstrates ability to change portable frequencies </li></ul><ul><li>Demonstrates the ability to change portable batteries </li></ul>
  27. 27. Suction <ul><li>Suction units operated by McGregor are two types. Hard mounted in the ambulance or battery powered portable devices </li></ul><ul><li>Needs to be brought in on any call where an airway problem might occur </li></ul><ul><li>Hard catheter used for most applications </li></ul><ul><li>Soft catheter used for suctioning through airway adjuncts </li></ul>
  28. 28. You will be expected to: <ul><li>Demonstrate the ability to activate the onboard and portable suction units </li></ul><ul><li>Demonstrate the ability to change suction canisters both onboard and portable </li></ul><ul><li>Demonstrates the ability to change batteries or recharge the portable suction unit </li></ul><ul><li>Demonstrates the ability to decontaminate the onboard and portable suction unit after use. </li></ul>

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