The document outlines the roles and responsibilities of EMTs, including driver responsibilities for vehicle checks, attendant responsibilities for medical supplies, and paperwork duties. It discusses code 3 driving procedures and requirements for justifying emergency response. EMTs must operate safely and use maps to plan responses. Proper radio communication, documentation, safety procedures, and exposure risks are also summarized.

1. Ambulance Module Operations Reporting Record Keeping

2. EMT Roles - Driver Responsible for mechanical check Tires Gas level Oil brakes, etc..

3. EMT Roles - Attendant Responsible for medical supplies Back boards Oxygen Splints Bandages, etc..

4. EMT Roles - other Paperwork Radio reporting Verbal to ER staff

5. EMT Roles - on-scene Patient Contact Scene Manager THESE ARE 2 DISTINCT ROLES

6. Driving CODE 2 Non Emergency (normal driving) CODE 3 Emergency (operating as an emergency vehicle)

7. Code 3 driving MUST BE ABLE TO JUSTIFY! Valid reasons = ABC problems Airway Obstruction Respiratory Distress Shock

8. Code 3 driving Decision to Operate CODE 3 Dispatch decides initially You decide how to transport to Hospital (ABC problem?)

9. Code 3 driving Operating Code 3 - EMERGENCY Exempt from most traffic regulations 10 MPH over the posted speed limit Beware intersections

10. You are NEVER exempt from operating safely You can be charged with a crime if you operate unsafely

11. Responding Always use maps - BEFORE you begin to move! The attendant should help with the response. Make eye contact with other drivers and STILL DON”T TRUST THEM

12. Freeway Response No Light bar Forward steady red and Rear flashers only (think CHP) Can use all lights once parked (safety)

13. Scene Approach VIOLENT? Approach slow and silent Consider Staging 1-2 blocks away Beware dead ends and long alleys Park as a TACTIC, not as if you were shopping

14. Radio requests Composed Brief Be specific what you want State purpose of request

15. Radio reports Be composed Be prepared before you start Be structured - same format every time

16. Radio Report Unit to Base Location Age - sex - weight Chief Complaint (C/C) Expanded Chief Complaint Level of consciousness (LOC)

17. Radio Report Pupils & Skin signs Vital signs Past Medical History (PMH) Physical Exam (PE) Treatment given (RX) Destination Estimated Time of Arrival (ETA)

18. Verbal Reports Patient name C/C Expanded C/C LOC if altered Vital signs Treatment given

19. Documentation EMS Form - Run Sheet - Patient Chart It is a legal document, same as a will, trust deed, arrest record, etc It is a reflection of the care you provide

20. Documentation rules If you did not write it down, you did not do it. Incomplete paperwork equals incomplete care. Sloppy paperwork equals sloppy care.

21. Scene Safety and Personal Protection Prepare yourself when dispatched Inspect surroundings Mark the scene Check vehicle stability Take proper night time precautions

22. Communicable Diseases Transmitted from one person to another Minimize risk with proper protection Immunizations

23. Routes of Transmission Direct Vector-borne Vehicle (indirect) Airborne

24. Common Terms Exposure Universal precautions Body Substance Isolation (BSI) Exposure Control Plan

25. Body Substance Isolation (BSI) Hand washing Gloves Eye protection Mask Gowns

26. Immunizations Recommended: Tetanus-diphtheria boosters (every 10 years) Measles, mumps, rubella (MMR) Influenza vaccine (yearly) Hepatitis B vaccine

27. Duty to Act Cannot deny care to a patient with a suspected communicable disease Abandonment / breach of duty / negligence

28. Diseases of Special Concern HIV infection Hepatitis Meningitis Tuberculosis

29. General Post Exposure Management See a doctor immediately Ryan White law

30. Clinical & Ride-a-longs Arrive in proper uniform Arrive a few minutes early Ask questions Remember your scope of practice Patient information is confidential

31. Sign Ups If you sign up for a clinical or schedule a ride-a-long you are expected to be there. If you have to reschedule you will lose your priority

32. Sign ups If you fail to show up for a field experience the will be a penalty (50 points) Bring lunch money or a sack lunch

33. Paperwork Field Evaluation Form Patient Summary Sheet Notebook to take notes (when appropriate)

34. Thank You for Coming The END