River Falls Area Ambulance

River Falls Area Ambulance

Policies & Procedures

1.0.0 Organizational Structure

1.1.0 Mission Statement & Purpose

1.2.0 Job Descriptions

1.2.1 EMT Basic through Paramedic

1.2.2 Ambulance Director

1.2.3 Operations Supervisor

1.2.4 Assistant Training Officer

1.2.5 Medical Director

1.2.6 Assistant Medical Director

1.2.7 Vehicle/Equipment Officer

1.3.0 Constitution

1.4.0 Confidentiality & Dissemination of Patient Information

1.5.0 List of Privacy Officials

2.0.0 Organizational Policies

2.1.0 EMS Student & Civilian Ride Alongs

2.2.0 EMT Trainee

2.3.0 Probationary Members

2.4.0 Active Members

2.5.0 Hiring Procedure into Membership

2.6.0 Committees

2.6.1 Hiring/Personnel

2.6.2 Injury Prevention & Workplace Safety

2.6.3 Quality Assurance and Run Reviews

2.6.4 Public Relations and Awareness

2.6.5 New Product/Procedure

2.6.6 Protocols

2.7.0 Reporting Injuries on the Job

2.8.0 Leave of Absence

2.9.0 Sexual Harassment

2.10.0 Disciplinary Procedures

2.11.0 EMS Facilities and Property Etiquette

2.12.0 Privacy Training

2.13.0 Notice of Privacy Practices

2.14.0 Use of PHI, Security, Levels of Access & Limiting Disclosures

2.15.0 Use of Computer & Information Systems & Equipment

2.16.0 Patient Access, Amendment and Restriction of PHI

2.16.1 Patient Request for Access Form

2.16.2 Patient Request for Amendment of PHI Form

2.16.3 Patient Request for Accounting Form

2.16.4 Patient Request for Restriction Form

2.17.0 Designated Record Sets

2.18.0 Filing Complaints About Privacy Practices

2.19.0 Medical Records of Employees

2.20.0 Uniform Policy

2.21.0 Workplace Violence

2.22.0 Cellular Phones

3.0.0 Standard Operating Guidelines (SOG’s)

3.1.0 Responding to Calls

3.1.1 ALS Quick Response Vehicle

3.2.0 Back up Crew

3.3.0 Incident Command

3.3.1 Mass Casuality Plan

3.4.0 Mutual Aid

3.5.0 Critical Incident Stress Management

3.6.0 Stand-bys

3.6.1 Non-Working Fires and Alarms

3.6.2 Working Fires

3.6.3 Rodeo’s [Treatment Log]

3.6.4 UWRF Graduation

3.6.5 Kansas City Chiefs

3.6.6 River Falls Day’s Events

3.6.7 Police / Emergency Response Unit

3.7.0 Responding into Crime Scenes

3.8.0 Disabled Ambulance Procedure

4.0.0 Response & Scene Operation Guidelines

4.1.0 Patient Transportation

4.1.1 Red Lights & Siren

4.1.2 Patient Restraints

4.1.3 Emergency Detention & Protection

4.2.0 Patient Non-Transportation

4.2.1 Obviously Dead

4.3.0 Exposure Control Plan

4.4.0 Firefighter Rehabilitation [Firefighter Rehab Log]

4.5.0 Hazardous Materials

4.5.1 Responding to Terroristic Calls

4.6.0 Medical Control Communication

4.7.0 Run Report Charting

4.7.1 Accepted Abbreviations

4.8.0 Physician at Scene

4.9.0 Procedure for Mass Gatherings/Standby’s

4.10.0 Reporting suspected abuse of patients

4.11.0 Transportation of Overweight Patients (490 lbs +)

5.0.0 Patient Care & Medication Admin Guidelines

5.0.1 Medication Administration Guideline

5.0.2 IV/IO Access & Infusion Guideline

5.0.3 Controlled Substance Guideline

5.0.4 Continuing Education/Skills

5.0.5 Advanced Life Support Response Criteria

5.0.6 Basic Life Support Response Criteria

5.0.7 Interfacility Transfer Guideline

5.0.8 Quality Assurance/Quality Improvement

5.0.9 Criteria for Registered Nurses on Ambulance

5.1.0 Problem Oriented Guidelines

5.1.1 Airway Obstruction

5.1.2 Anaphylaxis

5.1.3 Burns

5.1.4 Cardiac Arrest (Adult & Pediatric)

5.1.4.1 Public Access Defibrillation

5.1.5 Cardiac Signs & STEMI

5.1.6 Conscious Sedation

5.1.7 Contaminated Patients

5.1.8 Decreased LOC & Unknown Medicals

5.1.9 Do Not Resuscitate (DNR)

5.1.10 Heat Related Emergencies

5.1.11 Hypoglycemia

5.1.12 Hypothermia & Frostbite

5.1.13 Nausea & Vomiting

5.1.14 OB Delivery

5.1.15 OB Emergencies

5.1.16 Pain Management

5.1.17 Respiratory Signs & Symptoms

5.1.18 Rapid Sequence Induction (RSI)

5.1.19 Seizures

5.1.20 Snake Bites

5.1.21 Trauma Signs & Symptoms

5.1.21.1 Stabilization of Pediatric Femur Fracture

5.1.21.2 C-Spine Clearance

5.1.21.3 Trauma ALS Intercepts & Transportation

5.1.22 TraumaDEX

5.2.0 BLS Medications [BLS Meds Summary Sheet]

5.2.1 Albuterol

5.2.2 Aspirin

5.2.3 Atrovent

5.2.4 Dextrose 25-50%

5.2.5 Epinephrine 1:1000 SubQ

5.2.6 Epinephrine Pre-measured (EpiPen)

5.2.7 Glucagon

5.2.8 Glutose, Oral

5.2.9 Metered Dose Inhalers

5.2.10 Narcan

5.2.11 Nitroglycerine

5.2.12 Oxygen

5.2.13 Mark 1 Autoinjector

5.3.0 ALS Medications (in addition to BLS) [ALS Meds Summary Sheet]

5.3.1 Adenosine

5.3.2 Alcaine

5.3.3 Amiodarone

5.3.4 Ativan

5.3.5 Atropine

5.3.6 Benadryl

5.3.7 Calcium Chloride

5.3.8 Dilaudid

5.3.9 Dopamine Drip [Dopamine Drip Chart]

5.3.10 Epi 1: 10,000

5.3.11 Etomidate

5.3.12 Haldol

5.3.13 Heparin [Heparin Bolus Chart]

5.3.14 Lasix

5.3.15 Lidocaine

5.3.16 Magnesium Sulfate

5.3.17 Metoprolol

5.3.18 Morphine

5.3.19 Nitro Drip [Nitro Drip Chart]

5.3.20 Phenegran

5.3.21 Sodium Bicarbonate

5.3.22 Succinylcholine

5.3.23 Terbutaline

5.3.24 Toradol

5.3.25 Valium

5.3.26 Vasopressin

5.3.27 Vecuronium

5.3.28 Versed

5.4.0 Equipment & Procedures

5.4.1 Blood Glucose Testing

5.4.2 Combitube

5.4.3 ET Tube

5.4.4 PASG

5.4.5 Demand Valve Resuscitator

5.4.6 Pulse Oximetry

5.4.7 Automatic Ventilator

5.4.8 FAST 1 Adult IO

5.4.9 EZ-IO

5.4.10 Ped IO (Illinois Needle)

5.4.11 Needle Chest Decompression

5.4.12 Continuous Positive Airway Pressure (CPAP)

5.4.13 Endotracheal Tube Introducer

5.4.14 12-Lead ECG Monitor

5.4.15 Pericardiocentesis

5.4.16 Needle Cricothyrotomy

5.4.17 Heimlich Valve

5.4.18 Univent 706

5.4.19 ResQ Pod

Policies in Italic = In the process and not complete yet.