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Chapter 48 - Chapter 48 Operations PART 1 Ambulance...

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Chapter 48: Operations PART 1: Ambulance Operations Ambulance Standards Essential equipment- equipment/supplies required on every ambulance. Minimum standards- lowest least allowable standards, set by government agencies. Gold standard- ultimate standard of excellence, set by local &/or regional EMS systems Ambulance Design DOT KKK 1822D specs - manufacturing and design specifications produced by the Federal General Services Administrative Automotive Commodity Center. o Type I - conventional truck cab-chassis w/modular body o Type II - standard van, forward control integral cab-body o Type III - specialty van, forward control integral cab-body Medical Equipment Standards Set up by: OSHA, NIOSH, NFPA, and Local medical direction boards. Additional Guidelines Commission on Accreditation of Ambulance Services (CAAS) provides a voluntary “Gold Standard” for EMS Checking Ambulances The shift checklist makes the work environment safer by assuring mechanical maintenance and the availability of personal protection equipment. Expiration dates on medications should be checked each shift, and the older, unexpired drugs marked appropriately so that they will be used first. It is your responsibility to report ambulance/equipment problems or failures to supervisors in accordance to SOP’s. Ambulance Deployment & Staffing Deployment Factors o Location of facilities to house ambulances o Location of hospitals o Anticipated volume of calls o Local geographic and traffic considerations Deployment - strategy used by EMS agency to maneuver its ambulances and crews in an effort to reduce response times. Demographic - pertaining to population makeup or changes. Peak load - the highest volume of calls at a given time. Primary area of responsibility (PAR)- stationing of ambulances at specific high-volume locations. System status management (SSM)- a computerized personnel and ambulance deployment system. Traffic Congestion o Tiered response system- system that allows multiple vehicles to arrive at an EMS call at different times, often providing different levels of care of transport.
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Operational Staffing o Reserve capacity- the ability of an EMS agency to respond to calls beyond those handled by the on-duty crews. Safe Ambulance Operations Educating Providers o Reportable collisions - collisions that involve over $1000 in damage or a personal injury. o Most safety-minded ambulance operators agree that the days of “blowing through “an intersection at high speeds w/lights blazing and siren blasting have come and gone. o A typical ambulance collision : a lateral collision that takes place on a dry road during daylight hours on a clear day in an intersection w/a traffic light.
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