BEACH HAVEN FIRST AID SQUAD
STANDARD OPERATING PROCEDURES
SECTION 1: GENERAL
1. Standard Operating Procedures, hereafter referred to as SOP’s, are established to inform members of Squad policies and the procedures they should follow. Should any provisions herein be in conflict with the Squad By-Laws, the By-Laws shall govern. Each member is expected and required to be familiar with these provisions.
2. The Squad SOPs will be maintained by the Squad Captain, with the assistance of others, as deemed appropriate by the Captain. Its provisions may be changed from time to time by the Captain to maintain conformity and continuity with the Squad By-Laws and all unexpected or extenuation circumstances facing the Squad.
3. These SOPs represent the best judgment of the Captain for the efficient operation of the Squad. Since written SOPs cannot cover all situations, the exercise of good judgment is expected of all members. Under extenuating circumstances, all members should be prepared to justify any deviation from the SOPs to the Captain.
SECTION II : APPLICATIONS AND NEW MEMBERS
1. Applications may be picked up from the Captain or any Line Officer. Completed applications must be returned to the Captain.
2. A completed application MUST include the following:
a. A completed physical examination section
b. A sponsor signature
c. A photocopy of a current CPR card and a First Aid, First Responder, or EMT certification card.
d. Copies of any other EMS-related training certificates the applicant holds.
3. Prospective members with a completed application will be screened by the membership committee. Approved applicants will be notified by the Captain who will do the following:
a. Assign a mentor;
b. Assign a unit number;
c. Issue uniforms, radio, car-plate, Squad By-Laws and SOPs.
4. New members will be assigned a mentor who will work with him/her to practice and improve required skills, commensurate with the member’s level of certification.
5. New members must be willing to accept responsibility for covering duty hours and/or duty shifts on a scheduled basis as part of a duty crew, and to abide by the Squad’s By-Laws and SOPs.
SECTION III – CADETS
1. Cadets are those members between the ages of 16 and 18. Such members will be assigned a mentor for indoctrination and initial training within the Squad. Cadet members will be taught the same skills as other probationary members, commensurate with their level of certification.
2. Cadets attending school will not answer calls after 2000 hours Sunday through Thursday and after 2200 hours on Friday and Saturday during the school term. During holidays and vacations, calls may be answered up to 2200 hours unless approval is given by the duty-crew Line Officer to exceed this limitation.
3. All Squad cadets must maintain passing grades while in school. A copy of each report card must be presented to the Captain within 7 days of receipt by student.
4. Cadets will be issued Squad uniforms and radios for Squad use only. Radios and/or pagers will NOT be taken to school under any circumstances. The rules and guidelines for radio use, as outlined in the SOPs, will apply to all members, inclusive of cadets.
5. Cadets will have the privilege of using the Squad building PROVIDED a regular member is present.
6. Cadets are encouraged to participate in all activities of the Squad within the limitations set forth in the Squad By-Laws and SOPs.
SECTION IV: PROBATIONARY SKILLS REQUIRED OF ALL MEMBERS
1. Identify and locate equipment and supplies carried in all rigs;
2. Fill out a rig check list
3. Mechanically operate and make up a stretcher;
4. Operate the rear control panel:
a. Heat and air conditioning;
b. Lights;
c. Oxygen controls, including flow meter;
d. Suction equipment;
5. Apply a nasal cannula and non-rebreather mask;
6. Operate the portable and on-board oxygen systems;
7. Apply straps to a long board; long, quick-clip and spider;
8. Operate and clean portable and on-board suction units;
9. Assemble a suction cannula;
10. Understand and promote the use of BSI measures, providing gloves to all members prior to arriving on scene;
11. Contact the Emergency Department from the back of the rig and be able to give a concise report to the hospital;
12. Fill out a Patient Call Report (PCR);
13. Know and understand the following terms:
a. Assault
b. Abandonment
c. Battery
d. False Imprisonment
e. Express and Implied Consent
f. DNR Orders
SECTION V: OPERATIONS AND CONDUCT ON CALLS
1. CHAIN OF COMMAND – The Chain of Command shall be as follows:
a. Captain
b. Lieutenants
c. 1st Sergeants
d. 2nd Sergeants
e. Crew Chief
2. AMBULANCE DRIVERS – Ambulances may not be operated by anyone under 21 years of age unless authorized by the Captain. Under emergency circumstances, any Line Officer may authorize an individual who holds the proper license to act as an Ambulance Driver for that call only.
a. Driver-Trainees may drive the rig to the scene, but may NOT drive with a patient in the back. Driver-Trainees become drivers only after a qualification drive is performed to the satisfaction of the division Lieutenant or Line Officer designated by the Lieutenant or Captain.
b. All Ambulance Drivers will operate the rig in a safe manner and demonstrate respect for the rights, safety and property of others at all times.
c. When driving without lights and siren, all motor vehicle laws in the municipalities in which the Squad operates MUST be observed, inclusive of posted speed limits.
d. The following are the responsibilities of the Driver:
The Driver shall have full control of the lights, siren and radio communications UNLESS responsibility is delegated by the Driver;
The Driver will follow the direction of the Crew Chief relative to vehicle speed and patient comfort:
The Driver will be responsible for ensuring there is at least ¾ tank of fuel in the vehicle before completing each call;
The Driver will report ANY accident to the Police Department in the town in which it occurred and simultaneously to the Captain or division Lieutenant. If the ambulance sustains damage, the Driver will be responsible for any written reports required by the Municipality and/or the insurance company. The Captain or division Lieutenant will make the initial notification to the Municipality and insurance company;
In all situations, the Driver will be courteous to other drivers REGARDLESS of the actions or behavior of the latter;
Any Driver who has NOT driven a call or stand-by event for 1 year or longer shall automatically relinquish his/her Driver status until checked out by his/her division Lieutenant or Captain.
3. BEFORE LEAVING THE HOSPITAL AND RETURNING TO THE SQUAD BUILDING, THE CREW IS RESPONSIBLE FOR:
a. Cleaning all instruments and equipment used;
b. Replacing all oxygen tanks at or below 500 psi with a spare tank;
c. Replacing used oxygen non-rebreather masks, nasal cannulas, collars, linens, towels, etc., from that which is provided by the hospital;/
Notify the appropriate hospital personnel for replacement of equipment not readily available to the Squad member.
d. Preparing the ambulance for use for the next call;
e. Sweeping out the front and rear of the ambulance;
f. Cleaning up any biohazard material left in the back of the rig;
g. Retrieving from the hospital any equipment used in prior calls; cleaned and available for use and returned to the Squad building;
h. Completing all necessary paperwork, especially if members are to be dropped off prior to the return of the ambulance to the Squad building.
4. UPON RETURNING TO THE BUILDING, EACH CREW-MEMBER AND DRIVER IS RESPONSIBLE FOR THE FOLLOWING:
a. Rinsing off the ambulance if it has come in contact with road salt or salt water;
b. Cleaning all instruments or equipment used during the call;
c. Replacing all used equipment and supplies; if certain equipment is unavailable, this is to be noted on the Sergeant’s Supply Request Form;
d. Completing all necessary forms;
e. Reporting any and all mechanical defects to the engineer in a timely manner.
5. CALLING IN THE REPORT TO THE HOSPITAL - EMTs are to use EMS Channel 2 to contact the hospital. Do NOT try more than 3 times to contact the hospital; if a call has not been answered after the 3rd attempt, it is indicative that either they are busy or not monitoring their radio. After acknowledgement has been given by the hospital, the report must be given in a clear and concise manner. The report should contain the following information:
a. Patient’s age
b. Sex
c. Chief Complaint
d. Vitals
e. ETA
6. CREWS: No call shall be answered without at least 1 active EMT member or, by authorization of the Captain, a probationary EMT when a regular EMT is not available. Probationary and non-EMT/Ambulance Attendant members will be used as 3rd or 4th crew members as needed. At no time are Cadet members to enter the scene of any public bar or establishment where alcoholic beverages are served.
7. ORGANIZATION OF CREWS: Organizing a crew to respond to a call will begin with radio acknowledgement by a regular EMT member and Driver. Only AFTER both an EMT member AND Driver have responded may any non-EMT/Ambulance Attendant member acknowledge, by radio communication, his/her availability to respond. The Driver will change radio frequencies to inform the County that Squad 14 has a crew to respond to the call. Simultaneously, the EMT/Crew Chief will assemble the remainder of the crew as deemed appropriate, based on the nature of the call and availability of Squad personnel.
No member may respond to the scene of ANY call without acknowledgement and dispatch by the Crew Chief or Line Officer. Unless so authorized to respond, “Scene Queen” members will NOT be noted on the respective PCR or given credit with respect to the requirements of LOSAP.
SECTION VI: RADIOS AND PAGERS
1. The Captain will be responsible for the issuance of Squad radios to active members. Pagers will be issued according to availability. Radios are for Squad business; primarily for responding to calls for service. Radios exhibiting operational problems will be referred to the Captain or Radio Committee for attention. The Captain will issue a replacement and document the exchange. At no time may Squad members exchange radios among themselves without the express authorization of the Captain.
SECTION VII: RADIO PROCEDURE
1. At the time a radio is issued to a Squad member, the member shall sign for it. Minimally, the serial number, model, manufacturer, member identification and date of receipt will be recorded; a copy of which will be included in the member’s personnel file.
2. Squad members who have been issued a radio are responsible for its whereabouts and for ensuring that it is properly maintained as specified by the manufacturer. Loss of a radio must be reported immediately to the Captain or division Lieutenant. Malfunctioning radios must be turned in to the Captain or division Lieutenant in a timely manner; the disposition of which will be the responsibility of the Captain.
3. Squad members shall follow proper radio procedures at all times when using Squad radios.
4. Members shall identify the unit they are calling FIRST, and then identify themselves. Wait for acknowledgement before giving your message.
5. An active regular EMT member or Driver will take responsibility for organizing and dispatching a crew to respond to a call. Non-EMT/Ambulance Attendant members will respond ONLY AFTER a regular EMT and Driver have responded. Non-EMT/Ambulance Attendant members MUST await acknowledgement and dispatch PRIOR to responding to any all.
6. Plain language, only, will be used in all radio communications, except for the acknowledgement of a 10-29 (DOA).
7. When communication with the Ocean County Radio Dispatcher the Driver shall complete a series of steps. Always wait to be acknowledged BEFORE sending your message! After being recognized by the County Dispatcher, you must provide the following information:
a. Tell the County you are ON THE RAMP awaiting your crew;
b. Tell the County you are ENROUTE TO THE SCENE;
c. Tell the County you have ARRIVED AT THE SCENE;
d. Tell the County you are getting an RMA as soon as possible;
e. Tell the County you are ENROUTE TO THE HOSPITAL by its name, i.e. SOCH;
f. Tell the County you are ARRIVING AT THE HOSPITAL by its name;
g. Tell the County you are clear of the hospital and RETURNING;
h. Tell the County you are BACK AT QUARTERS AND OFF THE AIR.
SECTION VIII: UNIFORMS AND INSIGNIAS
1. The Standard uniforms provided by the Squad are EMS jumpsuits, uniform tee shirts and jackets or coats. Any aged, worn or torn garments shall be replaced by the Uniform Committee. No uniforms or insignia bearing the name of the Beach Haven First Aid Squad will be issued to any person who is not a member of the Squad in good standing, and is not certified with the minimum training requirements set forth by the New Jersey State First Aid Council. Patches will only be affixed to uniforms as approved by the Squad.
2. No Squad jackets, jumpsuits, or other apparel affixed with the insignia of the Squad shall be worn in any public bar at any time unless the member is responding to a call at that location.
SECTION IX: DRIVER TRAINING
1. Squad members must be at least 21 years of age and have at least 6 months of service PRIOR to being considered for Driver-Training. They must also be recommended by the division Lieutenant or Captain. During this 6-month period, they must have been actively engaged in riding in the back of the rig during patient care and to have experienced, firsthand, the activities of the crew during transport to and from call scenes.
2. Driver-Training will be provided by the division Lieutenant or his/her designee.
3. Driver-Training will begin with an orientation of the rigs. Driver-Trainees will be instructed on how to properly check the various systems of the rig as well as the mechanical aspects of the vehicles. Initial driving will take place locally; where the “feel” of the rig can be acquired. Backing the vehicle as well as parking maneuvers will be practiced in addition to other necessary skills.
4. After demonstrating a satisfactory level of proficiency to the division Lieutenant or Captain, Driver- Trainees may be approved to drive back from the hospital. During this period, the safe use of radios while driving will be demonstrated.
5. During this training phase, the use of emergency lights and sirens will be explained. After demonstrating several satisfactory performances of these skills, the Driver-Trainee may bring the rig to the scene him/herself to meet a regular driver and the rest of the crew. This will not only expedite the response time but will provide added experience for the Driver-Trainee.
6. The division Lieutenant will make the final determination, after final check-out and verification of driver skills, to provide the member with a full Driver status.
7. Due consideration will be given to those Driver-Trainee members who ride and drive for other squad with respect to shortened qualification times. This determination will be made by the division Lieutenant and Captain.
SECTION X: SUSPENSIONS
1. The Captain may, at his/her discretion, suspend any member for any reason deemed appropriate for the well-being, image and efficient operation of the Squad.
2. Any member who is suspended will adhere to the following:
a. S/he will not answer calls, occupy Squad buildings, or attend Squad meetings or functions.
b. S/he will not wear any Squad uniforms or apparel with Squad insignia.
c. S/he will immediately turn over to the Captain his/her radio and/or pager;
d. S/he will attend a Board of Review, if one is requested or deemed necessary.
3. Upon completion of a suspension term, privileges will be restored and radios and pagers will be returned by the Captain. The decision of a Board of Review will be enforced and may further restrict some or all privileges.
SECTION XI: STAND-BYS
1. ROUTINE – This type of stand-by is for certain events held in our coverage area, i.e. Chowderfest, life-guard races etc. Crews will be made up of members from both divisions. Requests for crews will be posted in both buildings. The duration of the stand-by will determine if crews will be designated to cover specific time intervals. Stand-by crews will NOT respond to regular calls unless they go unanswered by other Squad members. Crews should report early enough to check out the assigned rig for supplies and cleanliness. There will be one run-sheet per rig for stand-by duty. If there is a patient attended to at the scene, a patient assessment sheet will be used and attached to the run-sheet. If a patient requires transport to the hospital, a P.C.R. is to be filled out.
2. STORMS AND FLOODING – During periods of flooding, snow, severe weather and power outages any member available to work stand-by at either of the Squad’s buildings is encouraged to do so for as long as necessary. If a long term stand-by is anticipated, food supplies may be authorized to be purchased and provided to the stand-by crew members, if not provided for by the Office of Emergency Management. During flooding and ice/snow conditions, the oldest available rig at each division is to be designated “1st rig out”. It should be noted that Beach Haven Office of Emergency Management has a 6 X 6 emergency vehicle available for Squad use, if necessary.
3. FIRE CALLS – These stand-bys, for the most part, are for the support and protection of area firefighters. Rigs responding to fire calls must stay a safe distance from the incident and, if possible, upwind of any smoke. AT NO TIME will a rig be parked in such a way that it interferes with the duties of the firefighters or the use of their apparatus. Once the fire apparatus is in place, responding rigs may be moved closer. Drivers are cautioned NOT to park where the rig may be blocked in and unable to be moved. If additional rigs or squads are needed to cover the incident, the Driver or Crew Chief should request such assistance without hesitation. If it is known to be a “working” fire, crews should load up water and Gatorade from the building to be distributed to firefighters at the scene. The EMT or Officer in Charge will determine the safest area for Squad members to station themselves. At least 1 member will stay with the rig at all times. THIS IS IMPERATIVE! Vitals should be taken as deemed necessary. Those firefighters whose vitals are out-of-line should be reported to the Fire Officer in Charge or the company Safety Officer. It should be recommended that such firefighters be restricted in their duties until their vitals are closer to normal levels. There will be 1 main P.C.R. per rig for each fire call. Vitals taken and minor injuries treated shall be written up on patient evaluation sheets and attached to the main P.C.R. If a patient is transported to the hospital or a doctor’s office, a full and separate P.C.R. will be used. Any firefighter treated by the Squad shall be reported to the Fire Officer in Charge. A rig will respond with the fire company/Police Officer in charge. A rig will respond with the fire company ONLY when dispatched by the County. Rigs will remain on site until released by the fire company. When dispatched for alarm activations and arcing wires, the rig and its crew may provide stand-by coverage at Squad headquarters, advising the County of such measures.
SECTION XII: RESPONDING TO CALLS
1. PERSONAL VEHICLES - Members responding in their own vehicles should drive in a safe manner at all times. Speed should be limited to that posted. When coming to a red light, you MUST, at a minimum, STOP, and then proceed with caution. AT NO TIME should a member travel in the opposite lane of traffic to pass other cars. The turn lanes should be used only when absolutely necessary and only for short distances. Blue lights may be used, but a permit must be obtained and kept current. Applications are available from the Captain and are approved by the Mayor of the Borough of Beach Haven. The Municipal Clerk will forward the member’s application to the State of New Jersey. Blue Light permits must be obtained by each member; they are NOT issued to a specific vehicle, but to the individual member. Members are cautioned that a blue light permit DOES NOT give them the right to break motor vehicle laws. Squad members are advised to check with their auto insurers with regard to the use of such lights by their insured. A copy of the blue light permit will be kept in the member’s personnel file maintained by the Captain. The use of blue lights is a privilege; not a right! Improper use of the blue light may result in revocation of the member’s permit and possible motor vehicle citations issued by the Police Department. UNDER NO CIRCUMSTANCES may a member respond to a call using blue lights unless dispatched to the scene by the EMT/Driver/Crew Chief.
2. RIGS – Rigs responding to calls will, within reason, follow the motor vehicle codes for safe driving. Any codes broken by a responding rig and “waived” by local law enforcement represents a courtesy; nothing more. Rigs will be operated reasonably close to, or, at the posted speed limit, and will stop traffic control devises; i.e. stop-signs and red lights. If a “rolling stop” is performed, it will only be done when SAFE to do so and there exists NO possibility of causing an accident or injury to another. At all times, a rig’s speed should be slow enough to stop within a reasonable distance. Lights are a MUST when responding, and the siren will be used as traffic and the patient’s condition dictates. If an on-scene Police Officer or Squad member request a driver to “expedite”, it is NOT a license to break the driving rules and regulations. The Squad’s rigs are normally responding as quickly as safely possible. All Squad members are expected to heed the instructions of the Police Department and are absolutely prohibited from entering a scene until deemed safe to do so.
SECTION XIII: SQUAD VEHICLES
1. MOVEMENT OF AMBULANCES – Squad ambulances may be taken from the building in which they are housed under the following circumstances:
a. When dispatched for a call;
b. When removed by the Squad Engineer or a mechanic, at the Engineer’s request, for maintenance, inspection, etc., with the knowledge of the Captain;
c. When removed by the Lieutenant to be housed in another division, with the knowledge of the Captain;
d. For Driver-Training exercises;
e. For any other reason deemed appropriate by the Captain.
3. PURPOSE OF THE SQUAD VAN:
a. To provide transportation for Squad members attending training classes and seminars;
b. To provide transportation for a Squad member to a scene, when necessary;
c. To provide transportation when members are performing legitimate Squad errands.
SECTION XIV: CONDUCT OF MEMBERS
1. CONFIDENTIALITY – Any member violating the confidentiality of meetings and/or calls of the Squad shall be subject to expulsion or other disciplinary action, as warranted.
2. DUTY – All members of the Squad, except Honorary Members, are expected to make themselves available for as many meetings and drills as possible throughout the year. Members are also expected to consider answering of calls of the utmost importance and, further, to consider their attendance at Squad meetings equally important.
SECTION XV: TRAINING CERTIFICATIONS AND CEU’S
1. Training classes and seminars will be posted at both buildings. It is the responsibility of each member to take the necessary courses to maintain his/her certification. CEU vouchers will be issued upon request for EMT re-certification. All records of training and fulfillment of CEU requirements must be provided to the Captain for inclusion in the personnel files of the Squad. Failure of a Squad member to provide proof of current certification/renewals will result in suspension of that member’s riding privilege and may impact that member’s ability to meet LOSAP requirements.
SECTION XVI: MANDATORY TRAINING
1. All members are expected to maintain their CPR, EMT, Driver and Ambulance Attendant status, pursuant to the Minimum Required Standards for New Jersey State First Aid Council Member Squads, of which Squad 14 is a member. In addition, the following courses or classes must be attended by ALL members on an annual basis:
a. Right to Know
b. Blood-Borne Pathogens
c. Radiological Emergency Response (RERP)
SECTION XVII: MEMBER INJURIES AND SERIOUS ILLNESSES
1. Any member who suffers a serious illness, i.e. CVA, heart attack, etc., or has surgery for medical reasons, must get a signed release from his/her physician prior to returning to duty. This release MUST be provided to the Captain PRIOR to resuming duty or responding to calls.
2. Any member who is seriously injured, which impacts his/her ability to work, or on disability due to an injury or illness, MUST get a signed release from his/her physician PRIOR to resuming duty or responding to calls. Any member receiving workers compensation or disability benefits will NOT be permitted to ride until such time as it is determined that the disability no longer exists and benefits are no longer provided.
3. All injuries sustained by a member in the performance of his/her Squad duties MUST be reported to the Municipal Clerk of the Borough of Beach Haven within 1 business day of the injury. A copy of all reports filed in conjunction with such injury must be provided to the Captain in a timely manner.