| Last Updated 04-09-08 | ||||||
|
|
|
|
|
|
|
 |
|||
|
Stony Brook Volunteer Ambulance Corps 4780 SUNY Stony Brook, NY 11790 HQ Office 631-632-6737 Headquarters 631-632-6899 Fax 631-632-4108 mouse here for more contact information
September 11th, 2001 Never Forget
Dedication to members of the SBVAC family serving in Iraq
|
Standard Operating Procedures Revised August 2004
Table of Contents
Article Title
I: Definitions II: Definition of this Document III: General Policies and Regulations IV: Uniform and Appearance Policies V: Training and Qualifications VI: The Division of Duties VII: Public Information Policies VIII: Interdepartmental Relations IX: In Quarters Shift Procedures X: General Procedures of Emergency Service XI: Procedures of an Emergency Call XII: ALS Company Policies XIII: Multiple Casualty Incident Procedures XIV: Infectious Control Procedures XV: Training Procedures XVI: Special Events Coverage XVII: Health Standards XVIII: First Responder Vehicle XIX: Summer Service
Article I: Definitions
A.) AEMT – Advanced Emergency Medical Technician including the certifications of EMT-I, EMT-CC, and EMT-P B.) ALS – Advanced Life Support C.) BLS – Basic Life Support D.) BSI – Body Substance Isolation (formerly known as Personal Protective Equipment (PPE)) E.) CC – Crew Chief F.) Chief – Chief of Operations G.) Chief’s Office – Refers to the office positions of Chief of Operations, 1st Assistant Chief, and/or 2nd Assistant Chief. H.) CME – Continuing Medical Education I.) CPR – Cardiopulmonary Resuscitation J.) DOH – Department of Health K.) DOT – Department of Transportation L.) Drugs – Shall include all non-prescription drugs including alcohol or medications taken for recreational purposes, and all prescription medications that may cause drowsiness, inattentiveness, or any mind-altering drug or alcohol. M.) EH&S – Environmental Health & Safety N.) EMT – Emergency Medical Technician including the certifications of EMT-B O.) EVO – Emergency Vehicle Operator P.) FTO – Field Training Officer Q.) HAZMAT – Hazardous Materials R.) HQ – Headquarters S.) MCI – Multiple Casualty Incident T.) MVA – Motor Vehicle Accident U.) NYS – New York State V.) OSHA – Occupational Safety and Health Administration W.) PCR – Prehospital Care Report X.) Police Officer – Shall include State University Police at Stony Brook, Suffolk County Police and New York State Police unless specifically stated otherwise. Y.) President’s Office – Refers to the positions of President and Vice President. Z.) Primary Operating Territory – The State University of New York at Stony Brook campus. May be used interchangeably with “District”, and does not include any portion of Niccoll’s Rd (Suffolk County Route 97), the Long Island State Veteran’s Home, or the University Hospital Medical Center at Stony Brook. a.) RMA – Refusal of Medical Assistance b.) SOPs – Standard Operating Procedure c.) Top Five Officers – Refers to the office positions within the Chief’s Office and the President’s Office.
Article II: Definition of this Document
Section 2.1: General Purpose The purpose of the Stony Brook Volunteer Ambulance Corps., Incorporated, henceforth known within this document as the SBVAC, Standard Operating Procedures shall be to define policy and procedure, as well as, to aid in the smooth functioning of the SBVAC during the course of normal operations.
Section 2.2: With Regard to Future Administrations The SBVAC SOPs will serve as a guide to future administrations to refer to when making policy and procedure modifications as necessary at any future date.
Section 2.3: With Regard to Membership The SBVAC SOPs will serve to give the members of the SBVAC a listing of policies and procedures to follow during emergency and non-emergency situations.
Section 2.4: Scope of this Document These SOPs are designed to be complete and to supplement the brevity and any ambiguities of the SBVAC By-Laws. These SOPs shall cover all aspects of operation ranging from day to day of all emergency and non-emergency procedures.
Section 2.5: Applications of this Document These SOPs shall be the procedures and protocols by which the SBVAC shall follow. All aspects of these SOPs shall apply to all members of the SBVAC unless specifically stated otherwise. At no time shall these SOPs supersede any item or section stated within the SBVAC By-Laws. It shall be the duties of all the designated officers of the SBVAC to ensure that all members adhere to these SOPs, as well as the By-Laws of this organization.
Article III: General Policies and Regulations
Section 3.1: Attendance It shall be mandatory that all active members of the SBVAC be present at SBVAC HQ for all assigned weekday and weekend shifts. If a member of the SBVAC cannot be present due to extenuating circumstances, said member must find a replacement with the same, or greater, medical and shift qualifications. Said member must also notify the Crew Chief of the shift that will be missed as well as the Vice President, either verbally or in writing prior to said shift. Invalid excuses or any other violation of this section is punishable by immediate suspension and subsequent dismissal.
Subsection 3.1.1: Advanced Life Support Providers In the event that an ALS provider cannot secure coverage from another ALS provider, said member may attempt to find coverage from a BLS provider.
Subsection 3.1.2: Difficulties with Shift Coverage In the event that a member of the SBVAC is unable to find an adequate replacement, and said member has an excuse with extenuating circumstances involving situations such as medical, family, etc., said member may then contact the Vice President to arrange for coverage. Notification for coverage must be at least twenty-four (24) hours in advance. Such notice shall be delivered both verbally and in writing.
Section 3.2: Absences Any absences from shift by a member of the SBVAC in which said member has found an adequate replacement as per Section 3.1 of these SOPs will be tolerated so long as such absences are not deemed excessive. Absences from shift by a member of the SBVAC due to medical or personal reasons must be discussed with the Vice President and then be brought forth to the officers to determine the allowable extent of such absences. Any problems requiring extended or repeating periods of absence from shift by a member of the SBVAC must be similarly addressed. Violations of this section will not be tolerated and will result in suspension and subsequent dismissal.
Section 3.3: Lateness All members of the SBVAC are required to report to shift on time. No members of the SBVAC should be consistently late to shift for any reason. Exceptions may be granted by the Vice President only. Repeated lateness by a member as per this section must be reported to the Vice President, both verbally and in writing, and will subject said member to disciplinary actions which may include suspension and subsequent dismissal.
Section 3.4: Physical and Mental Condition
Subsection 3.4.1: Definition of Ailments or Injuries When reporting for duty, a member of the SBVAC shall be in good physical and psychological condition. There must be no ailment or injury, which may prevent said member from the performing and completion of any required duties. There must also be no ailment or injury, which may pose a risk to patient or crew.
Paragraph 3.4.1.1: Reporting of Ailment or Injury Any ailment or injury that may prevent said member from the performing and completion of any required duties must be immediately reported to the Crew Chief, Chief, and the Vice President. If such ailment or injury prevents said member from completing their responsibilities, said member must find a replacement as per the aforementioned guidelines.
Subsection 3.4.2: Use of Intoxicants and Drugs The use of any material satisfying the definition of drugs is strictly forbidden eight (8) hours prior to shift, responding to calls, or operating or riding in any company vehicle. It is also strictly forbidden to report for shift, operate or ride in any company vehicle, or respond to calls if any substance satisfying this definition was used more than eight (8) hours prior and the effects are still seen. Any violation of this subsection shall result in the immediate suspension and subsequent dismissal of such member. No lesser actions are permissible as punishment.
Section 3.5: Gratuities No member of the SBVAC shall at any time accept or receive any money, gift, item, or service in return for services rendered in the capacity as a member of the SBVAC. If any persons or organization would like to thank the SBVAC for any services rendered, they should be directed to mail a donation to the SBVAC.
Section 3.6: Parking
Subsection 3.6.1: SBVAC Vehicle Parking The three parking spaces located adjacent to Stimson College, reserved for the SBVAC shall be used for the vehicles belonging to the SBVAC. Exceptions may be deemed valid by office only. Violations will result in the ticketing and/or towing of the offending vehicle at the owner’s expense and the loss of all parking privileges.
Subsection 3.6.2: Ambulance Personnel Parking Parking should be reserved in the parking area adjacent to Stimson College. If any problems involving ticketing occur, it should be brought to the on-duty crew chief’s attention, who shall inform an officer. This should be done promptly, both verbally and in writing. Members of the SBVAC may utilize the spaces designated in this subsection only while on shift, while conducting SBVAC business, or while in headquarters, and must remove their vehicles upon termination of such activities. At no time is any SBVAC member to park in the handicapped spaces or fire zones near Stimson College.
Section 3.7: Presence in SBVAC Office No personnel other than the designated officers of the SBVAC shall be allowed to enter or remain in the Corps office without the permission and presence of an officer. Any repeated or multiple violation of this Section shall result in immediate suspension and subsequent dismissal. No lesser actions are permissible as punishment.
Section 3.8: Presence in the Fanny Brice Building SBVAC HQ shall consist of all rooms allocated to the SBVAC in the Fanny Brice building. All policies set forth in this section shall be strictly adhered to. Any violations of this section may be punishable by suspension and subsequent dismissal and possible Police intervention.
Subsection 3.8.1: Non-SBVAC Personnel Non-SBVAC personnel are those persons who are not members of the SBVAC. Such persons shall be permitted in the SBVAC HQ by accompaniment of SBVAC personnel and shall not be left alone at any time. No more than three (3) non-SBVAC personnel are permitted to accompany one (1) SBVAC member. The SBVAC member accompanying the non-SBVAC personnel shall be responsible for and held accountable for such personnel's actions.
Paragraph 3.8.1.1: Exceptions Non-SBVAC personnel who are permitted to be left alone in SBVAC HQ shall include any police officer or EH&S Fire Marshall. Other exceptions may be granted by a Top Five Officer at any time.
Subsection 3.8.2: Other Areas in Fanny Brice All areas in the Fanny Brice building not allocated to the SBVAC henceforth shall be known as the Fanny Brice Area. All members and their guests should refrain from entering rooms in the Fanny Brice Area when the room is not open to the general public.
Section 3.9: Messages for Members Personal calls and messages for members of the SBVAC should be kept to a minimum, but will be tolerated as long as the frequency of such messages are not deemed excessive. Any message for a SBVAC member not present at quarters will be recorded on a slip of paper detailing the date, time, and name of the person taking the message, and the message itself. Such paper will then be placed in the Member Correspondence box near the entrance to HQ or in the appropriate officer’s mailbox. At no times are there to be any messages or personal memos to be taped or tacked up in any of the rooms without an officer’s initial. The dry erase boards in the crew room are designated for important imminent announcements only.
Section 3.10: Posting of Memoranda Due to the large number of members in the SBVAC, it is necessary to utilize memos to communicate policy, procedure, and any other pertinent information. All such memos shall be placed upon the appropriate boards as described herein. All SBVAC members must read all posted memoranda when they report for shift, and are held accountable for any information posted if the said member has had adequate time to read such memos.
Subsection 3.10.1: Recreation Room Bulletin Boards There are three bulletin boards located inside the SBVAC recreation room. Any officer may authorize the posting of SBVAC memoranda on the bulletin boards after initialing such memoranda. At no times shall any unapproved or Non-Corps memoranda be posted in the SBVAC quarters. Such memoranda will be removed and the poster subject to disciplinary action.
Section 3.11: Securing of Equipment All SBVAC equipment must be kept secure to prevent loss and theft at all times. All SBVAC vehicles will be kept locked while not in use and in view by the duty crew.
Section 3.12: Securing of Quarters All doors to HQ shall be locked whenever the on-duty crew leaves, regardless of purpose or any members that remain behind. The SBVAC Office shall remain closed and locked at all times except when a designated Officer of the SBVAC is within. Any problems securing HQ shall be brought forth to the Vice-President immediately. Any problems securing HQ shall be concluded with the filing of a Standard Incident Report form.
Section 3.13: Use of Personal Property The use of personal property of a member of the SBVAC while serving on the ambulances is permitted, but not encouraged. Any member of the SBVAC can carry and use personal property and items while serving on the ambulances provided such personal property and items are regularly stocked by SBVAC. Any member of SBVAC can carry and use personal property and items not regularly stocked by the SBVAC while serving on the ambulances provided such personal property and items are approved by the Chief (30) and the Lieutenant (60) prior to use.
Section 3.14: Pre-hospital Care Report (PCR) Confidentiality and Filing Procedures
1. The Agency (white) copy of the PCR must be filed in a secure location, with access limited to the Chief’s Office, the Secretary, and the authorized Quality Improvement Coordinator or their designees. 2. The PCR or its contents are not to be discussed with any individual not authorized to have access to such information. 3. Prior to filing the PCR, the document shall be kept in a secure location with limited access. 4. Agency copies of PCRs shall be kept on file for no less than six (6) years or three (3) years after the individual receiving medical treatment named on the PCR reaches eighteen years old, whichever period of time is longer. 5. Agency copies of PCRs generated for non-transport activity (RMAs, Standbys, etc.) must be kept on file by the agency for at least six (6) years from the date of the activity. The yellow copy is to be sent to Medical Control by the Secretary for inclusion in the NYS database by the 20th of each month. The pink copy may be destroyed. 6. When using PCRs for QA/QI or training purposes, the patient’s name, address, telephone number, and the NYS certification numbers of those providing medical treatment should be blocked out. A photocopy of the document should be produced for these purposes with the original document left intact and maintained in accordance with this policy. Copies of the PCR prepared for QA/QI purposes should be destroyed when such copies are no longer needed for QA/QI purposes. 7. When an agency receives a PCR (yellow) copy with a request for the completion of essential fields, it is to be kept in a secure location until reviewed and completed by the Chief, 1st Assistant Chief, or their designee. The completed PCR should be mailed back to the designated PCR collection location as soon as possible. 8. All PCRs must be completed in black ink. 9. PCRs may only be released upon the receipt of a release form signed by the patient or when subpoenaed by an attorney on behalf of a patient. Patients shall have uninhibited access to their own records, and a record of disclosure shall be kept. PCR can only be picked up in person by the patient. The patient must present with a photo I.D. prior to releasing any records. As per Section 7.4, all requests for PCRs shall be forwarded to the President or Vice President of the SBVAC.
Section 3.15: Quality Improvement SBVAC shall participate in Suffolk County EMS’s quality improvement program in addition to internal PCR review performed by the Chief or 1st Assistant Chief. Additionally, formal QA/QI review of all ALS calls and randomly selected BLS calls shall be performed at least bi-monthly by one of the SBVAC’s physician advisors.
Section 3.16: Medications Used by EMT-Bs This policy shall cover all medications regionally approved for administration by EMT-Bs, including Albuterol for inhalation, Epinephrine auto-injectors,and Mark I Chemical Agent Antidote kits. Subsection 3.16.1: Storage in Vehicles Albuterol shall be stored in the oxygen bags and oxygen therapy cabinets in each ambulance. Adult Epinephrine auto-injectors shall be stored in the trauma bags in each ambulance. Pediatric Epinephrine auto-injectors shall be stored in the pediatric bags in each ambulance. Mark I Chemical Agent Antidote kits shall be stored in a designated cabinet on each ambulance.
Paragraph 3.16.1.1: Quantity in Vehicles The Lieutenant, in consultation with the Chief, shall determine the appropriate quantity of each medication to be carried in the ambulances.
Line 3.16.1.1.1: Epinephrine Auto-Injectors As per SBVAC’s agreement with Suffolk County, at least three adult and three pediatric, and at most six adult and six pediatric Epinephrine auto-injectors must be carried in each ambulance.
Subsection 3.16.2: Storage in Headquarters All BLS medications shall be secured behind the cage in the Equipment Room and may only be accessed by an Officer.
Subsection 3.16.3: Restocking All medications used on a call that are unable to be restocked at the hospital are to be restocked at headquarters as soon as possible after the call. The Lieutenant shall be responsible for ensuring that all medications are not expired and that sufficient quantity as per Paragraph 3.16.1.1 is maintained at all times. The ambulance is not to go back in service unless it is in compliance with the minimum equipment requirements of DOH Part 800.
Subsection 3.16.4: Administration Administration of medications for use by EMT-Bs shall only be performed in accordance with NYS and Suffolk County BLS protocols. Medical Control MUST be contacted immediately following the call in accordance with Subsection 11.5.2 of these SOPs.
Section 3.17: Residence Hall Access Cards In each company vehicle there shall be proximity key card programmed to grant access to any residence hall in the University. These cards are individually assigned to each vehicle and are not interchangeable between vehicles. Each crew shall verify the presence of this card at the beginning of every shift as part of their required rig check, and shall notify the Chief immediately if it is absent. These key cards are not to be removed from their assigned location in the company vehicle for ANY reason other than gaining entry to the scene of an emergency call. If a key card is removed for this purpose, it shall be returned to its proper location within the vehicle immediately upon the return of the crew to the ambulance. Any violation of this section shall be grounds for immediate suspension. Subsequent termination from the SBVAC may be considered at the discretion of the Chief’s Office., dependant upon the circumstances surrounding the incident. Subsection 3.17.1: Out of Service Vehicles If a vehicle is temporarily placed out-of-service for repair or any other reason, and will be accessed by non-corps personnel, the Chiefs shall remove the key card from the vehicle and place it in HQ for safe keeping. The key card shall be returned to the vehicle immediately upon its return to in-service status.
Article IV: Uniform and Appearance Policies
Section 4.1: On-Duty Uniform
Subsection 4.1.1: Probationary Members All non-certified probationary members shall wear the company jumpsuit and black shoes while on shift. Clothing underneath the jumpsuit shall consist of at minimum, shorts and a t-shirt. Underneath uniform clothing shall consist only of the following colors: white, grey, black or blue.
Paragraph 4.1.1.1: Certified Probationary Members Certified probationary members shall be permitted to wear the uniform described in Subsection 4.1.2. If this uniform is unavailable, the jumpsuit must be worn.
Subsection 4.1.2: General Membership All members while on shift are required to wear the approved company polo shirt, EMT/BDU equivalent blue-black pants, and black shoes as approved by office. Shirts must be tucked in. If this uniform is unavailable for adequate reasons, the jumpsuit may be worn as stipulated in Subsection 4.1.1.
Paragraph 4.1.2.1: Overnight Crews Overnight crews are not required to wear their company uniform while remaining in HQ on the condition that they are prepared to don an appropriate uniform prior to leaving the building for either emergency or non-emergency reasons.
Subsection 4.1.3: Service Patch Each jumpsuit or polo shirt for the members of the SBVAC shall have the patch of the SBVAC sewn on the left sleeve with the top of the patch one inch below the seam of the shoulder. The SBVAC patch shall not be used or displayed in any other fashion whatsoever.
Subsection 4.1.4: Level of Training Patch Each jumpsuit or polo shirt for the members of the SBVAC shall have the patch bearing the highest level of training for such member that the suit belongs to sewn on the right sleeve with the top of the patch one inch below the seam of the shoulder.
Paragraph 4.1.4.1: Misrepresentation No member shall wear a uniform or borrow another member’s uniform bearing another member’s name, or a patch of training higher than their current certification. At no point shall any member respond to a call bearing the insignia or name of another agency.
Subsection 4.1.5: OSHA Gear Pants and jackets approved by the Occupational Safety and Health Administration as resistant to blood borne pathogens (OSHA gear) shall be available in HQ at all times for use by the on duty crew or personnel responding to ambulance calls. These garments are intended to supplement, and not replace, the standard on-duty uniform as described in Subsection 4.1.1 and Subsection 4.1.2. Any member of the on-duty (or responding) crew may choose to wear the OSHA gear when responding to emergency calls at his or her own discretion.
Paragraph 4.1.5.1: Removal From HQ OSHA gear is not to be removed from HQ except for use on an emergency call, or by the duty crew if they are leaving HQ for any reason. Non-contaminated OSHA gear shall be returned to the proper location in HQ immediately upon the return of the crew to HQ. Contaminated gear is to be placed in a red bag and left in HQ. The Lieutenant shall be notified immediately of the presence of contaminated OSHA gear.
Line 4.1.5.1.1: Chief’s Vehicles The Chief and Assistant Chiefs, at the Chief’s discretion, may store one set (jacket and pants) of OSHA gear in their personal vehicles for use when responding as a Chief of SBVAC to the scenes of emergency calls. No other use shall be permitted.
Paragraph 4.1.5.2: Required Use at Roadway Scenes All personnel responding to any emergency call known to be situated on a roadway shall don the appropriate OSHA gear prior to responding.
Paragraph 4.1.5.3: Required Use at Mutual Aid Calls All personnel responding to any emergency call outside of the SBVAC’s primary operating territory shall don the appropriate OSHA gear prior to responding. Calls to the Long Island State Veterans Home shall not be considered mutual aid calls under this Paragraph.
Paragraph 4.1.5.4: Crew Chief or Officer’s Discretion At the scene of an emergency call, or when responding to an emergency call, the Crew Chief or any Operational Officer may require all or some members of the crew to don OSHA gear.
Paragraph 4.1.5.5: Scheduled Cleaning and Decontamination The Lieutenant shall ensure that any OSHA gear that is not contaminated with any chemicals or bodily fluids is cleaned regularly in an interval and manner in accordance with all of the manufacturer’s recommendations. Additionally, the Lieutenant shall ensure that any contaminated OSHA gear is decontaminated and cleaned as soon as possible after the incident in accordance with all of the manufacturer’s recommendations. Section 4.2: Officer Dress Uniform When deemed appropriate, the dress uniform for the designated Officers of the SBVAC shall consist of a long sleeve white uniform shirt, blue-black uniform pants, matching blue tie, black belt, and black shoes. A SBVAC Officer pin shall be placed in the center of the tie, and pins designating the officer’s rank shall be worn on the collar. An approved nametag bearing the officer’s name and title shall be worn on the right side of the chest. An official SBVAC Officer’s badge designating the officer’s rank shall be worn on the left side of the chest. The only acceptable commendation bars shall be those issued by the Chief’s Office as described in Section 4.5. Additional pins and bars are to be worn above the badge on a badge holder, subject to prior approval by the Chief. A short sleeve white uniform shirt may be substituted on certain occasions at the discretion of the Office. Ties shall not be worn when a short sleeve uniform shirt is used.
Section 4.3: Member Dress Uniform When deemed appropriate, the dress uniform for the members of the SBVAC shall consist of a long sleeve light blue uniform shirt, blue-black uniform pants, matching blue tie, black belt, and black shoes. An official SBVAC general member’s badge may be worn on the left side of the chest. The only acceptable commendation bars shall be those issued by the Chief’s Office as described in Section 4.5. Additional pins and bars may be worn above the badge on a badge holder, subject to prior approval by the Chief. Non-officers are not to wear collar pins, with the exception of service awards. A short sleeve blue uniform shirt may be substituted on certain occasions at the discretion of the Office. Ties shall not be worn when a short sleeve uniform shirt is used.
Section 4.4: On Call Status During periods that the SBVAC is on “On Call” Status, it is recommended but not required that all members responding don their uniform as per Section 4.1 prior to arriving on the scene of the emergency call. If this uniform is unavailable, a blue, white or grey SBVAC T-shirt may be substituted. At no time may a member bear the insignia or name of another company or department.
Section 4.5: Commendation Bars Commendation bars shall be worn only with the Member Dress Uniform and the Officer Dress Uniform, and shall be worn above the official SBVAC badge on a black badge holder. Commendation bars shall be worn, from top to bottom, in the order that they appear within this section.
Subsection 4.5.1: Meritorious Service Award Deserving members shall be awarded a Meritorious Service Award for intelligent and valuable actions during an emergency call that are deemed to be “above and beyond the call of duty.” Nominations for this award shall be made in writing to the Chief’s Office.
Subsection 4.5.2: Mark Frumkin Memorial Chief’s Award The Mark Frumkin Memorial Chief’s Award shall be awarded once per semester, excluding the summer session, to the CC deemed to have provided the most dedicated service to the SBVAC during that semester. Recipients shall be determined solely by the Chief of Operations.
Subsection 4.5.3: Pre-hospital Save Award A pre-hospital save award shall be awarded for the successful resuscitation of a cardiac arrest patient. To be considered for a pre-hospital save award, the patient must have had no pulse upon arrival of the first emergency unit (including PD or EH&S), or must have had no pulse at any time while under the care of the SBVAC crew. The patient must be brought into the receiving hospital with a pulse, and the patient must survive until hospital admission (transfer out of the Emergency Department to another unit of the hospital). Any crew wishing to be considered for this award must submit a written request to the Chief’s Office including the number of the PCR for the call. This award shall be given to all members of the SBVAC who were participants in the eligible call.
Subsection 4.5.4: Childbirth Award A childbirth award shall be awarded for the complete and successful delivery of a child by a SBVAC crew. The child must not have been born prior to the arrival of SBVAC personnel, and must have been born prior to arrival at the hospital. Cutting of the umbilical cord and/or delivery of the placenta are not necessary for a crew to be eligible for this award. Any crew wishing to be considered for this award must submit a written request to the Chief’s Office including the numbers of the PCRs for the call. This award shall be given to all members of the SBVAC who were participants in the eligible call.
Subsection 4.5.5: Field Training Officer Bar The Field Training Officer bar may only be worn by FTOs and Chiefs of the SBVAC.
Subsection 4.5.6: World Trade Center Bar An approved World Trade Center memorial bar may be worn by any member desiring to wear one. Only bars with the approved design may be worn.
Section 4.6: Mourning Badge Covers A black elastic band may be worn horizontally over the center of the badge to signify mourning when attending a funeral. A mourning band may also be worn upon notification of the line of duty death of a member of any EMS or fire department in Suffolk County, until the funeral occurs. Other uses of a mourning band must be approved by the Chief.
Article V: Training and Qualifications Policies
Section 5.1: Minimum Progress Rate The Minimum Progress Rate for members of the SBVAC shall be defined as those minimum requirements set forth in regards for training and advancement of all members of the SBVAC as defined by the Captain (50) at the beginning of every semester.
Subsection 5.1.1: Definition of Minimum Progress Rate The Minimum Progress Rate will include, but may not be limited to, requirements for the completion of First Aid Classes, CPR, and EMT Courses, as well as CME's and/or departmental training sessions by every member of the SBVAC as defined by the Captain.
Section 5.2: SBVAC Members
Subsection 5.2.1: All Members All members must possess at all times a valid and current CPR certification deemed appropriate by the Captain. CFR, EMT and AEMT certifications do not imply CPR certification, and are NOT acceptable substitutes for a valid and current CPR certification under this subsection. Any member in violation of this subsection shall complete an acceptable CPR certification or refresher course within a reasonable period of time as determined by the Captain, not to exceed one semester.
Subsection 5.2.2: Crew Chiefs To hold the rank of CC in SBVAC, the member in question must successfully complete the following: · Be currently certified as a New York State EMT or AEMT · Have a complete working knowledge of all SBVAC policies and procedures including but not limited to the By-Laws and SOPs of SBVAC · Have a working knowledge of emergency medical care and practical skills at their current level of their training. · Prior to becoming a CC, said member must complete the "Driver AB class”. The member in question need not hold the position of EVO, or possess a valid New York State driver’s license. · Pass a certification examination issued by the 1st Assistant Chief (31) in consultation with the Chief. · After completing the CC exam, satisfactorily run two (2) emergency calls in the presence of a Field Training Officer and one (1) emergency call with a Bravo or greater response level in the presence of any Chief. · Within six (6) months of becoming a CC, complete an approved HAZMAT awareness course or higher certification as deemed appropriate by the Chief or Captain.
Paragraph 5.2.2.1: EMT-Critical Care Certification Prior to taking an EMT-Critical Care course, the said member must hold the rank of CC and attendance of the course must be approved by the Chief’s Office.
Paragraph 5.2.2.2: Field Training Officers Field Training Officers (FTOs) shall be the only crew chiefs who, at their own discretion, are permitted to allow EMTs or AEMTs who are not CC’s to be “in charge” of any emergency call. The FTO must supervise all contact between the patient and the trainee, and must remain in the patient compartment with trainee during transport to the hospital. Additionally, the FTO may override any decision, medical or otherwise, the trainee may make, and shall be ultimately responsible for the outcome of the emergency call. This paragraph shall be strictly enforced.
Line 5.2.2.2.1: Evaluation Forms Upon completion of any emergency call during which an FTO permitted a non-CC EMT or AEMT to act in an “in charge” capacity, the FTO shall submit a completed evaluation form as supplied by the 1st Assistant Chief.
Line 5.2.2.2.2: Level of Care A trainee under the supervision of an FTO may operate to the highest extent their level of training allows, however they may NOT operate at a higher level of care than that of the FTO. Only Suffolk County Advanced Life Support Preceptors, approved by the Chief and 1st Assistant Chief, are permitted to supervise non-crew chief AEMTs and AEMT students operating at the Advanced Life Support level.
Line 5.2.2.2.3: Chief’s Office as FTOs Each member of the Chief’s Office shall automatically hold the status of Field Training Officer unless otherwise stated by the Chief, and may, at their option, act in the capacity of FTO without being remaining in the passenger compartment of the ambulance during transport.
Subsection 5.2.3: EVOs To operate a vehicle registered to the SBVAC, the member in question must hold a valid, non-restricted New York State Driver’s License, eyeglass restrictions not withstanding so long as they are adhered to. EVOs shall have a thorough understanding of the laws governing Emergency Vehicle Operations, campus roadways, and routes to all local hospitals.
Paragraph 5.2.3.1: EVO Requirements To hold the rank of an EVO in SBVAC, the member in question must pass certification through a written and oral examination as well as a practical evaluation driving the ambulance, and must complete and comply with any additional requirements as set forth by the 2nd Assistant Chief (32) and Chief. Within six (6) months of becoming an EVO, the member must complete an approved HAZMAT awareness course or higher certification as deemed appropriate by the Chief or Captain.
Line 5.2.3.1.1: Ineligibility Members may not operate a SBVAC vehicle in any capacity if they: 1. Have more than nine (9) points on their license if driving more than two (2) years. 2. Have more than six (6) points on their license if driving less than two (2) years. 3. Have had two (2) or more chargeable accidents within the previous eighteen (18) months if driving more than two (2) years. 4. Have had one (1) chargeable accident if driving less than two (2) years. 5. Have a DUI or DWI conviction.
Line 5.2.3.1.2: Driver Trainers Driver Trainers shall be appointed at the beginning of each semester by the 2nd Assistant Chief and shall be the only members permitted to train non-EVOs on the operations any SBVAC vehicle. With the exception of the driver trainer, absolutely no passengers may be present in any vehicle while it is being operated by a driver trainee.
Line 5.2.3.1.3: Senior Driver Trainers Senior Driver Trainers shall have the ability to recommend to the 2nd Assistant Chief driver trainees whom they feel may be qualified to take the EVO exam. Additional responsibilities may be granted by the 2nd Assistant Chief and the Chief on an individual basis. Such responsibilities may include but are not limited to: the ability to perform initial in-servicing training sessions, lights and sirens training sessions, and the ability to evaluate a driver trainee on their required final emergency call.
Paragraph 5.2.3.2: Miscellaneous All drivers must submit their license numbers for verification to the company. This information will be held as confidential. All drivers shall be reevaluated annually by the 2nd Assistant Chief or Chief.
Subsection 5.2.4 Continuing Education The office of SBVAC shall conduct a minimum of four (4) company-training sessions per semester under the supervision of the Captain. The office shall announce the four (4) training dates at the first general membership meeting of each semester in order to ensure an adequate time period in which the members may free time for the allotted dates. The Captain shall also announce at this meeting the required number of company trainings each member shall be required to attend.
Paragraph 5.2.4.1: Penalties Any active full member failing to attend the aforementioned training requirements will be subject to immediate disciplinary action. Any probationary member failing to complete the aforementioned required trainings shall have their application for membership in the following semester denied.
Article VI: The Division of Duties
All Officers of the SBVAC shall have the additional following duties, and shall have the authority to appoint aides as per Section 6.3 of these SOPs.
Section 6.1: The Operational Board The Chief shall be responsible for the day-to-day operational duties of SBVAC.
Subsection 6.1.1: Duties of the Chief of Operations The Chief shall be responsible for the day-to-day operational duties of the SBVAC.
Paragraph 6.1.1.1: Temporary Changes by the Chief The Chief may substitute temporary changes in operational policy and procedure when such changes are needed immediately. The Chief must notify all Operational Officers of the SBVAC of changes to operational policy and procedure as soon as possible. The Chief shall convene a meeting of the Officers of the SBVAC, who shall determine if such changes shall remain in effect.
Paragraph 6.1.1.2: Scene of an Ambulance Call The Chief shall be the Officer in charge of all operations at the scene of an ambulance call involving the SBVAC.
Paragraph 6.1.1.3: Absence of the 1st Assistant Chief and/or 2nd Assistant Chief The Chief shall, in the absence of the 1st Assistant Chief and/or 2nd Assistant Chief, assume all duties and responsibilities of the absent officer or officers.
Paragraph 6.1.1.4: Best Interest of the Corps The Chief shall at all times work in the best interest of the SBVAC as determined by the Officers of the SBVAC.
Paragraph 6.1.1.5: In Charge of Inquiries The Chief shall be in charge of all inquiries of the day-to-day operations of the SBVAC as well as the business of the Operational Board of the SBVAC.
Paragraph 6.1.1.6: Special Events CC/EVO The Chief, in consultation with the 1st Assistant Chief may appoint a special event’s CC. The Chief, in consultation with the 2nd Assistant Chief may appoint a special event’s EVO.
Paragraph 6.1.1.7: Relations With Outside Agencies The Chief shall act as the liaison between the SBVAC and all outside agencies related to emergency operations and the like, including (but not limited to) neighboring fire or EMS departments, Suffolk County EMS, and the NYS Department of Health.
Subsection 6.1.2: Duties of the 1st Assistant Chief The 1st Assistant Chief shall be responsible for the supervision of all Operational Officers of the SBVAC with the exception of the Chief.
Paragraph 6.1.2.1: Temporary Changes by 1st Assistant Chief The 1st Assistant Chief may substitute temporary changes in the operational policy and procedure when such changes are needed immediately. The 1st Assistant Chief must notify all Operational Officers of the SBVAC of changes to operational policy and procedure as soon as possible. The 1st Assistant Chief shall convene a meeting of the Officers of the SBVAC, who shall determine if such changes shall remain in effect.
Paragraph 6.1.2.2: Scene of an Ambulance Call The 1st Assistant Chief shall, at the scene of an ambulance call involving the SBVAC, be the second in command, in charge of all operations, or in the absence of the Chief, be the first in command.
Paragraph 6.1.2.3: Supervision of Operations The 1st Assistant Chief shall be in charge of supervising all of the daily SBVAC operations.
Line 6.1.2.3.1: Advanced Life Support The 1st Assistant Chief shall be responsible for all ALS equipment and training. If the 1st Assistant Chief is not a qualified ALS provider, he or she shall appoint and oversee, in consultation with the Chief the most suitable ALS provider for these duties.
Line 6.1.2.3.2: Communications Equipment The 1st Assistant Chief, in consultation with the Chief, shall be responsible for the inventory, maintenance, installation, and distribution of all communications assets and related accessories belonging to the SBVAC. Communications assets shall include, but not be limited to: pagers, portable two-way radios, mobile two-way radios, base station two-way radios and tone encoders, and cellular telephones. The 1st Assistant Chief shall keep a detailed record of each piece of equipment and the location or member to which it is assigned.
Paragraph 6.1.2.4: CC Training The 1st Assistant Chief shall, in consultation with the Chief, be directly responsible for the training of CCs and potential CCs.
Line 6.1.2.4.1: CC Meetings The 1st Assistant Chief shall hold at least one (1) CC meeting, mandatory for all CCs, and at least ten (10) CC training sessions per semester.
Line 6.1.2.4.2: CC Selection The 1st Assistant Chief shall, in consultation with the Chief, have the power to appoint qualified members of the SBVAC to the rank of CC. The 1st Assistant Chief shall inform the office of any new CCs.
Line 6.1.2.4.3: Field Training Officer Selection The 1st Assistant Chief shall, in consultation with the Chief, appoint highly qualified crew chiefs of the SBVAC to the position of Field Training Officer (FTO). The 1st Assistant Chief shall, in consultation with the Chief, also have the power to remove any member from the position of FTO. Each semester, the 1st Assistant Chief shall post in HQ a list of all current FTOs.
Subsection 6.1.3: Duties of the 2nd Assistant Chief
Paragraph 6.1.3.1: Drivers The 2nd Assistant Chief shall be responsible for the oversight and training of all EVOs and operators of any SBVAC vehicles.
Line 6.1.3.1.1: EVO Meetings The 2nd Assistant Chief shall hold at least one (1) EVO meeting, mandatory for all EVOs per semester.
Line 6.1.3.1.2: Senior Driver Trainers The 2nd Assistant Chief, in consultation with the Chief, shall appoint highly qualified driver trainers of the SBVAC to the position of Senior Driver Trainer. The 2nd Assistant Chief, in consultation with the Chief, shall have the power to remove any member from the position of Senior Driver Trainer. Each semester, the 2nd Assistant Chief shall post in HQ a list of all current Driver Trainers and Senior Driver Trainers.
Line 6.1.3.1.3: Driver Training The 2nd Assistant Chief shall driver train each member actively pursuing driver training at least once per semester for the purpose of evaluating the trainee’s progress. The 2nd Assistant Chief shall also driver train, within two weeks of notification, any member recommended in writing by the Chief, 1st Assistant Chief, or any Senior Driver Trainer for the purpose of determining whether the member should take the EVO exam.
Paragraph 6.1.3.2: Vehicle and Maintenance Operations The 2nd Assistant Chief, in consultation with the Chief, shall have the authority to make policy and procedure with regard to SBVAC vehicle and maintenance operations.
Line 6.1.3.2.1: Driver check The 2nd Assistant Chief shall ensure that a mechanical check (driver check) shall be done each shift ensuring the vehicle is fit for use as per NYS DOT and DOH requirements, and shall complete a driver check at least once per month on each vehicle. During on-call periods and the summer session, the 2nd Assistant Chief shall complete a driver check at least once weekly on each vehicle.
Line 6.1.3.2.2: Vehicle maintenance This operations policy addresses Section 800.21(p)(8) of the New York State EMS Code which requires that every certified ambulance service “shall have and enforce written policies concerning” preventive maintenance requirements for all authorized EMS response vehicles and patient care equipment.
The following Inspection/Maintenance shall be done every 2,500 miles:
1. Change oil and filter. 2. Lubricate all chassis fittings, king pins, and inspect front suspension. 3. Lubricate the universal joints. 4. Check the level of the power steering, transmission, and differential fluid. 5. Check the batteries (gravity per cell) and clean connection terminals. 6. Inspect emission control system canister (for damage). 7. Check return lines from carburetor/fuel injector system to canister and fuel tank. 8. Check pump and belt drive. 9. Check the fuel filler cap (must be original equipment). 10. Inspect fuel lines for leaks. 11. Turn air conditioning/heating system on for 10 minutes to determine proper distribution and or heating or cooling devices. 12. Check coolant system and hoses. 13. Inspect all alarm and warning devices. 14. Check operation of wipers and blades. 15. Inspect radios and antennas. 16. Road test by 2nd Assistant Chief. 17. Set wheel lug nuts to proper torque.
The following Inspection/Maintenance shall be done every 5,000 miles:
1. Inspect, clean and lubricate face cam of fuel injector pump (if applicable). 2. Check engine idle speed, throttle operation and idle return spring. 3. Inspect and lubricate body mechanisms. 4. Drain water from fuel filter bowl (diesel vehicles).
The following Inspection/Maintenance shall be done every 10,000 miles:
1. Change the air cleaner, fuel filter and positive crankcase ventilation (PCV) filter. 2. Change the automatic transmission fluid and filter. 3. Check the battery switch and isolator system. 4. Replace spark plugs. 5. Check distributor cap, rotor and spark plug wiring. 6. Check the operating temperatures at both the front and rear for air conditioning and heating. 7. Check the condition of the coolant fluid/gas and all parts of the air conditioning system. 8. Adjust all doors. 9. Inspect and lubricate the weather stripping, latches, door positioners, hood latch, and spare tire support system. 10. Inspect all cabinets, tighten and adjust all screws. 11. Inspect and repair upholstery. 12. Polish all paint and chrome. 13. Inspect braking system.
The following Inspection/Maintenance shall be done every 20,000 miles:
1. Replace battery cables. 2. Test battery and starter voltage draw. 3. Check radiator thermostat. 4. Check radiator cap, inspect radiator for leaks, and replace hoses as needed. 5. Check brake master cylinder fluid level.
Line 6.1.3.2.1: Record of Vehicle Failures The 2nd Assistant Chief shall, in consultation with the Chief, maintain a record of all unexpected Ambulance and Emergency Ambulance Service Vehicle failures and corrective actions taken on a DOH approved form. A copy of this record shall be submitted to the DOH with the SBVAC’s biennial recertification application.
Paragraph 6.1.3.3: Insurance Matters The 2nd Assistant Chief shall, with consultation from the Vice President and the Treasurer, assist in matters pertaining to insurance.
Subsection 6.1.4: Duties of the Captain (Training Officer)
Paragraph 6.1.4.1: Organization of Courses The Captain shall have the responsibility for the organization of all training courses offered to and required of SBVAC members.
Line 6.1.4.1.1: Selection of Members The Captain shall select SBVAC members for various training courses.
Paragraph 6.1.4.2: Training Requirement The Captain shall dictate the training requirements for all members of the Stony Brook Volunteer Ambulance Corps. The Captain shall forward to the Vice President a list of all members, who did not complete their training requirements.
Line 6.1.4.2.1: On Shift Training The Captain shall create a portfolio of trainings to be completed by all probationary members while on shift. These trainings shall be done under the supervision of a CC or designated aide as assigned by the Captain.
Line 6.1.4.2.2: Minimum Progress Rate The Captain shall set the minimum progress rate of all SBVAC members at the beginning of every semester.
Subsection 6.1.5: Duties of the Lieutenant (Equipment Officer) The Lieutenant shall be responsible for the stocking of all SBVAC vehicles as per NYS DOT Part 800 requirements. The Lieutenant shall be responsible for the ordering of all SBVAC supplies and uniforms, and shall have the authority to make policy and procedure regarding the checking, care, maintenance, and replacement of all SBVAC equipment. Preventive maintenance for medical equipment shall be completed as per manufacturer suggestions. Equipment variety and changes in types are too numerous to delineate in a single administrative policy. Preventive maintenance for the stretchers and stairchairs shall be conducted at least every six months or as recommended by the manufacturer.
Paragraph 6.1.5.1: Rig Checks The Lieutenant shall ensure that an ambulance equipment check is completed every shift and all necessary supplies are on the ambulance. The Lieutenant shall also ensure that all patient care equipment is in a clean and working order. If any discrepancies arise, the on-duty CC shall inform the Lieutenant and note such discrepancies on the rig check sheet. All completed rig check sheets are to be filed and stored for easy future reference. These records are subject to inspection by the New York State Department of Health.
Line 6.1.5.1.1: On-Call Periods During on-call periods, the Lieutenant shall ensure that rig check is completed at least once weekly on each vehicle.
Line 6.1.5.1.2: Record of Equipment Failures In the event of the discovery of any failed of defective patient care equipment that could have resulted in harm to a patient, the Lieutenant shall, in consultation with the Chief’s Office, maintain a record of such failures and corrective actions taken on a DOH approved form. A copy of this record shall be submitted to the DOH with the SBVAC’s biennial recertification application. If the equipment failure causes harm to a patient, the procedures described in Paragraph 11.2.7.1 must also be followed.
Paragraph 6.1.5.2: Uniforms The Lieutenant shall ensure that uniform orders are placed in a timely fashion at the beginning of every semester, and shall be responsible for distributing them when they arrive. The Lieutenant shall ensure that all uniforms and jumpsuits that are owned by the company are washed regularly and kept in usable condition.
Section 6.2: The Executive Board Subsection 6.2.1: Duties of the President The President (90) shall have the major function of acting as a liaison between the SBVAC and the State University of Stony Brook Administration.
Paragraph 6.2.1.1: Temporary Changes by the President The President may substitute temporary changes in administrative policy and procedure when such changes are needed immediately. The President must notify all Officers of the SBVAC of changes to administrative policy and procedure as soon as possible. The President shall convene a meeting of the Officers of the SBVAC, who shall determine if such changes shall remain in effect. The President is not to institute any changes in any operational proceedings.
Paragraph 6.2.1.2: Public Relations Officer Status The President shall serve as the public relations officer of the SBVAC.
Paragraph 6.2.1.3: Best Interest of the Corps The President shall at all times work in the best interest of the SBVAC as determined by the Officers of the SBVAC.
Paragraph 6.2.1.4: In Charge of Inquiries The President shall be in charge of all inquiries related to the business of the Executive Board of the SBVAC.
Subsection 6.2.2: Duties of the Vice President The Vice President (91) shall be responsible for the day-to-day administrative duties of the SBVAC. The Vice President shall, with consultation from the Treasurer (92) and the 2nd Assistant Chief, shall be in charge of matters pertaining to insurance. The Vice President shall also be responsible for the assignment of the weekday and weekend shifts for all members. The Vice President shall be responsible for maintaining accurate records of all the members’, including but not limited to, awards, citations, disciplinary actions, etc… The Vice President shall also maintain member health records as described in Section 17.3.
Paragraph 6.2.2.1: Selection of Members The Vice President shall oversee a committee comprised of the Office and any members who participate in the applicant interview process. This committee shall be responsible for the selection of all SBVAC personnel.
Subsection 6.2.3: Duties of the Treasurer The Treasurer (92) shall have the duties and responsibilities of the SBVAC financial accountability, including the budget.
Paragraph 6.2.3.1: Disbursement of Funds The Treasurer shall, with the approval of the Officers of the SBVAC, pay bills, issue checks, and reimburse parties for services rendered.
Paragraph 6.2.3.2: Sponsoring Agencies The Treasurer shall, along with the President, meet with all agencies that provide the SBVAC with funding.
Subsection 6.2.4: Duties of the Secretary The Secretary (93) shall conduct all the correspondences of the SBVAC. The Secretary shall issue notices of all meetings of the SBVAC and keep attendance of all those that attend.
Paragraph 6.2.4.1: Record of Calls The Secretary shall keep a confidential record of all ambulance calls and the personnel involved.
Paragraph 6.2.4.2: Statistics of Calls The Secretary shall provide monthly statistics of the response of all ambulance calls including records of the personnel responded from the SBVAC.
Paragraph 6.2.4.3: Quality Assurance of Patient Care Reports The Secretary shall examine all PCRs, in recording calls, to ensure that all data is filled in appropriately and report any shortcomings to the Chief or the 1st Assistant Chief.
Section 6.3: Aides to the Officers Aides are not Officers themselves, nor shall they have the authority of Officers, keys to the office, nor appointed a radio call sign. Aides shall have a term of office concurrent with the Officer who so appointed them.
Subsection 6.3.1: Definition of Aides Aides shall be defined as the assistants to that Officer of the SBVAC who appointed them.
Subsection 6.3.2: Approval of Aides Aides must be approved by a majority vote of the Officers of the SBVAC before appointment to their position.
Subsection 6.3.3: Responsibilities of Aides Aides shall have the duties and responsibilities assigned and so designated by the Officer whom they were appointed by.
Subsection 6.3.4: Command Authority of Aides Aides shall, at the scene of an ambulance call involving the SBVAC, act only in their capacity, Attendant, EVO, etc., and seniority, and shall not exercise any special command authority.
Subsection 6.3.5: Removal of Aides Aides may be removed from their position at any time, without prior consent from the Office of SBVAC, by the Officer who appointed them.
Section 6.4: Chain of Command at an Emergency Scene The Chain of Command at an emergency scene is defined as the order of authority of all those present at an emergency scene in charge of scene control.
Subsection 6.4.1: The Chain of Command The chain of command at an emergency scene will be as follows: - Chief of Operations (30) - 1st Assistant Chief (31) - 2nd Assistant Chief (32) - Line Officer Crew Chiefs in accordance to rank - Field Training Officers (FTO) in order of arrival - On-Duty Crew Chiefs - Additional Crew Chiefs in order of arrival
Paragraph 6.4.1.1: Officers Who Are on the Duty Crew If any line officer crew chief is a member of the primary crew that responded, such officer is only within the chain of command as an “On-Duty Crew Chief” unless relieved by someone of equal standing. This Paragraph shall not apply to any Chief Officer. At any scene where the Incident Command System is invoked, the Chain of Command shall no longer apply in a linear fashion as described in this Subsection. Instead, the highest member in the Chain of Command, as described in this Subsection, shall assume the role of, or appoint another person to the role of, the Incident Commander.
Section 6.5: Duties of the CCs
Subsection 6.6.3: Emergency Response CCs shall, in consultation with the EVO, decide upon the proper type of response needed during an ambulance call. All decisions regarding type of response shall be made in accordance with Subsections 11.1.1 and 11.3.4 of this document.
Section 6.6: Duties of the EVOs EVOs shall have the responsibility of driving the ambulances to the scene of an emergency call, to the hospital, and back to base in a manner approved by the 2nd Assistant Chief. Must possess a current valid driver’s license issued by the State of New York. EVOs must operate the service vehicles in compliance with all applicable provisions of the Vehicle and Traffic Laws of the State of New York, and agree to periodic reviews of the New York State Department of Motor Vehicle records by an authorized officer or member of the agency. In addition, they must meet all requirements described in Subsection 5.2.3 of this document.
Subsection 6.6.1: Radio Transmissions EVOs shall be responsible for transmitting their status to the dispatcher.
Subsection 6.6.2: Status in Ambulance EVOs may be directed by the CC (or by any member in the chain of command) to remain in the ambulance at the scene of an emergency call. If this is the case, the EVO shall remain in the ambulance, in radio contact, until called by the CC to render aide, or to transport equipment between the ambulance and the scene, or otherwise directed by any member listed within the chain of command. Exceptions are to be made accordingly, such as in the placing of flares at the scene of an auto accident.
Section 6.7: Duties of the Attendants Attendants shall provide assistance to the CC in the rendering of emergency medical care as so designated by the CC.
Subsection 6.7.1: Equipment Check Attendants shall be responsible for the checking of all equipment at the beginning of every shift and as so designated by the Lieutenant and must have a thorough working knowledge of all ambulance equipment and its use.
Section 6.8: Duties of Probationary members Probationary Members shall be responsible for assisting the Attendant(s) in equipment check on every shift and shall only participate in patient care at the discretion of the CC.
Section 6.9: Emergency Medical Technicians
Subsection 6.9.1: EMT-B Must demonstrate competency when assessing a patient, and handling emergencies using Basic Life Support equipment and techniques. Must be able to perform CPR, control bleeding, provide non-invasive treatment of hypoperfusion, stabilize / immobilize injured bones and the spine, and manage environmental emergencies and emergency childbirth. Must be able to use a semi-automatic defibrillator. Must be able to assist patients with self-administration or administer emergency medications as described in state and local protocol. Must keep EMT-B and CPR certifications current.
Subsection 6.9.2: AEMT-Intermediate Must demonstrate competency in all EMT-B skills and equipment usage. Must be able to provide Advanced Life Support using intravenous therapy, defibrillator and advanced airway adjuncts to control the airway in cases of respiratory and cardiac arrest. Must keep EMT-I and CPR certifications current.
Subsection 6.9.3: AEMT-Critical Care Must demonstrate competency in all EMT-B skills and equipment usage. Must be able to provide Advanced Life Support using the AEMT-Intermediate skills and equipment. Must be able to administer appropriate medications. Must keep EMT-CC, ACLS and CPR certifications current.
Subsection 6.9.4: AEMT-Paramedic Must be capable of utilizing all EMT-B and AEMT-intermediate skills and equipment. Must be able to perform under Advanced Cardiac Life Support (ACLS) and Basic Trauma Life Support (BTLS) standards. Must be knowledgeable and competent in the use of a cardiac monitor/defibrillator and intravenous drugs and fluids. Must keep EMT-P, ACLS and CPR certifications current. The EMT-Paramedic has reached the highest level of pre-hospital care certification.
Section 6.11: All Positions Complies with regulations in handling deceased, notifies authorities and arranges for protection of property and evidence at scene. Replaces supplies, properly disposes of medical waste. Properly cleans contaminated equipment according to established guidelines. Checks all equipment for future readiness. Maintains ambulance in operable condition. Ensures cleanliness and organization of ambulance, its equipment and supplies. Determines vehicle readiness by checking operator maintainable fluid, fuel and air pressure levels. Maintains familiarity with all specialized equipment.
Article VII: Public Information Policies
Section 7.1: Privileged Information Any information contained on a call sheet shall be treated as confidential information and shall not be discussed with or disclosed to anyone except the SBVAC members or observers personally involved in the call, the SBVAC Officers, Hospital Staff as necessary for patient care, or any Police Officer present at the scene of an emergency call.
Subsection 7.1.1: Police Officers Requesting Privileged Information Police Officers not present at the scene of an emergency call may NOT be given confidential information regarding any patients at said call. Any such requests shall be forwarded to the Chief and President immediately.
Section 7.2: Public Information Any queries that may ensue at the completion of a call must be promptly referred to the Chief or the President. The CC may disclose that there was a call, the nature of the call, and the hospital to which the patient was transported. No other information shall be disclosed.
Section 7.3: Media The President and Chief must be advised as soon as possible of any inquiries from the press. If the President is not available, then the Vice President must be notified. Any release of information must be deemed appropriate in accordance with Section 7.1 and Section 7.2 of this document and any applicable sections of the By-Laws of the SBVAC by the Chief of Operations.
Subsection 7.3.1: Cooperation with Media At all times, the SBVAC shall make every attempt to cooperate with the media without sacrificing patient confidentiality, unless such cooperation interferes with patient care.
Subsection 7.3.2: Difficulties with Media If the media is interfering with patient care at the scene of any emergency call, a Police Officer shall be requested to intervene.
Subsection 7.3.3: Operational Inquiries In accordance with Paragraph 6.1.1.5 of this document, the Chief shall be in charge of all inquiries of the day-to-day operations of the SBVAC as well as the business of the Operational Board of the SBVAC. Additionally, the Chief shall be in charge of any inquiry relating to any specific emergency call.
Subsection 7.3.4: Executive Inquiries In accordance with Paragraph 6.2.1.4 of this document, the President shall be in charge of all inquiries related to the business of the Executive Board of the SBVAC.
Section 7.4: Release of Documents PCRs shall only be released to the receiving hospital.
Subsection 7.4.1: Request for Documents Any requests for copies or viewing of the PCR should be referred to the President or the Vice President, to whom at their discretion may grant permission to comply with such requests. As per Section 3.14, all requests must be received in writing, and must be accompanied by permission to release the PCR executed by the patient or someone authorized to grant such release on behalf of the patient. The Chief of Operations must be consulted before the President or Vice President may release any documents.
Article VIII: Interdepartmental Relations
Section 8.1: Police Officers The CC on duty will handle all dealings with Police Officers at the scene of an ambulance call, including any requests for information by an Officer at the scene.
Subsection 8.1.1: At the Scene While the Police Officer is in charge of the scene, the SBVAC crew is in charge of patient care.
Subsection 8.1.2: Discrepancies with Police Officers Any conflicts arising on the scene of an emergency call with the Police Department should not be addressed until after the patient is appropriately cared for. Conflicts should be avoided at all costs. Any problems shall be reported to the Chief’s Office both verbally and in writing.
Section 8.2: Residence Life Building Staff Residence Life Building Staff shall consist of Residence Assistants (RAs), Residence Hall Directors (RHDs), and Quad Directors. Their responsibilities are limited to the filing of incident reports as per University Guidelines. At no time should patient care be delayed due to resident life staff.
Section 8.3: University Health Service Administrators If a University Health Service Administrators requests information or has questions pertaining to the service rendered by the SBVAC, they shall be referred to the Chief’s Office.
Section 8.4: Student Health Service Center Staff Student Health Service Center has a varied medically experienced staff. It is urged to obtain a full report from any health care provider passing patient care to the SBVAC. All patient care should be reinitiated as if no previous knowledge was obtained. In addition, hospital staff should be notified origin of patient when giving hospital present via radio.
Section 8.5: Long Island State Veterans Home All calls that are received from the Veterans Home must be regarded as an emergency. Patient care can never be jeopardized in order to wait for paperwork to be photocopied. Due to the general severity of patients and inaccuracy of dispatch information in regards to the nature of calls received from the Long Island State Veterans Home, any mutual aid calls to the LISVH received from the Emergency Dispatch system regardless of graded response shall be upgraded to a lights and sirens response. After contact with patient, it is at the discretion of the crew chief to downgrade to a cold response.
Section 8.6: Local Fire Departments The Stony Brook University campus is jointly protected by the Stony Brook Fire Department and the Setauket Fire Department. Either agency may be called upon for mutual aid or encountered at the scene of an incident requiring a fire department response. The Incident Commander, or the SBVAC member on scene who places highest within the SBVAC Chain of Command shall coordinate with the person in command of any fire department operation.
Subsection 8.6.1: Emergency Calls Outside the SBVAC’s District The situation may arise where a SBVAC ambulance is flagged down for or mistakenly dispatched to an incident that is outside our Primary Operating Territory as defined in Article I. While operating at any such incident, no additional SBVAC resources are to be requested to the scene without first requesting the resources or permission from the agency having jurisdiction over the incident. Line 8.6.1.1: Flagged Down Outside the SBVAC’s District Upon being flagged down at any incident outside the SBVAC’s district, the crew shall immediately notify MEDCOM via radio or telephone of the exact nature, exact location, and (if known) which fire or EMS district the incident is located within. The crew shall direct MEDCOM to notify the appropriate agency, and MEDCOM shall notify SBVAC’s crew via radio if the outside agency will be responding to the incident.
Line 8.6.1.2: Dispatched to an Incident Outside the SBVAC’s District Immediately upon the discovery that an incident to which the SBVAC has been dispatched is not entirely located within our district, the crew shall immediately notify MEDCOM via radio or telephone of the exact location of the incident, and (if known) which fire or EMS district the incident is located within. The crew shall direct MEDCOM to notify the appropriate agency, and MEDCOM shall notify SBVAC’s crew via radio if the outside agency will be responding to the incident.
Line 8.6.1.3: Exceptions This Subsection shall not apply to any incident at the Long Island State Veterans Home or at University Hospital Medical Center at Stony Brook. Additionally, this Subsection shall not apply to any incident to which the SBVAC is dispatched for a signal 24 (mutual aid).
Article IX: In Quarters Shift Procedures Section 9.1: In House Duties The following duties are required to be completed on every shift in the order listed below. It is also the responsibility of the crew to check the memo boards for any additional duties required or changes in procedure.
Subsection 9.1.1: Rig Check and Driver Check The EVO on the shift must complete a Driver Check sheet at the start of the tour as specified by the 2nd Assistant Chief. The attendants and probationary members of the shift must complete a Rig Check sheet as per the Lieutenant. Any AEMTs permitted to operate at the Advanced Life Support Level, regardless of their position on the crew, must complete an ALS Rig Check sheet as per the 1st Assistant Chief or ALS Coordinator.
Subsection 9.1.2: On-Shift Training All on-shift training, as set forth by the Captain shall be completed before the end of the tour. It is the CC’s responsibility to complete all on-shift training. In the event of ambulance calls preventing the completion of on-shift training, it shall be completed the following week.
Subsection 9.1.3: HQ Cleanliness It is the responsibility of the CC to ensure that HQ is in a clean and usable state at all times. The incoming CC does not need to accept the responsibilities of the shift until HQ is in a clean and usable state. If any problems arise, an Officer of SBVAC should be notified verbally and in writing. If the incoming CC accepts the responsibilities of the shift, it becomes that CC’s responsibility to ensure HQ is in a clean and usable state at the completion of the tour regardless of the origin of any discrepancies.
Subsection 9.1.4: Miscellaneous Responsibilities Any other tasks as required by the office shall be completed before the conclusion of the tour.
Section 9.2: Food in Company Vehicles Absolutely no eating or drinking will be tolerated in any company vehicle at any time. Exception shall only be made for the purpose of providing rehabilitation at an incident. Food and beverages may be transported in an ambulance provided that at no time shall there be any food or beverage in the patient compartment. Alcoholic beverages may not be present in any company vehicle at any time, without exception.
Subsection 9.2.1: Plastic containers As per NYS Part 800 requirements, any volume of liquid in excess of 249 milliliters must be in a plastic container to be transported on the ambulance.
Section 9.3: Non-Corps. Work Any work not related to the SBVAC may only be done when all Corps work has been completed. The SBVAC should be considered a responsibility similar to a paying job.
Section 9.4: State of Readiness The on duty crew of the SBVAC will always be in a state of readiness as stated by NYS DOT protocols and the SBVAC SOPs.
Section 9.5: Change of Tours
Subsection 9.5.1: General Information All members of the SBVAC should arrive promptly to each shift so as to assure a smooth transition of personnel at the change of tours. If any members are late, those from the preceding tour must remain until adequate coverage is maintained. No member may leave until dismissed by the duty CC within reasonable limits.
Paragraph 9.5.1.1: Procedure for Missing Personnel If any SBVAC personnel fail to arrive at the appointed time for their assigned shifts, the Crew Chief should attempt to contact them by telephone and notify the Vice President.
Article X: General Procedures of Emergency Service
Section 10.1: Pagers Officers and other personnel are to be given pagers to respond to calls. Each pager is the responsibility of the member to whom it is assigned. At no time shall a member give a pager to any other member without the direct approval of the Chief’s Office. If a member shall be unavailable for response for an extended period of time, the pager must be returned to the Chief’s Office.
Subsection 10.1.1: Use of Pagers Pagers shall be utilized whenever the SBVAC is providing on-duty service to its District or if the on-duty crew is not in headquarters. If there is no scheduled on-duty crew, members may respond to the ambulance or first responder vehicle in an “on-call” capactiy as necessary.
Section 10.2: Additional Personnel Any personnel as approved by the Chiefs of SBVAC, wishing to respond to the scene of an emergency call with the intent of providing emergency care prior to the on-duty crew’s arrival must have in their possession a “Crash Kit” with the necessary supplies to provide BLS care as approved by the Lieutenant.
Subsection 10.2.1: Officers Chief Officers may respond to the scene of any emergency call to oversee the functioning of the crew and ensure their safety. Other operational line officers may not respond to the scene of any emergency call unless granted specific prior permission by the Chief’s Office.
Subsection 10.2.2: AEMTs Any AEMT credentialed to provide Advanced Life Support by SBVAC as per Section 12.1 may respond to the scene of any emergency call they reasonably believe may require ALS interventions.
Subsection 10.2.3: Other Personnel Off-duty personnel may not respond to any scene unless granted prior approval from the Chief’s Office. Exception shall only be made if a signal 3 for additional personnel is requested by the duty crew or an officer. Additional personnel responding to the scene shall assist the duty crew and shall serve at the expense of the duty Crew Chief.
Paragraph 10.2.3.1: At Scene Prior to Crew If any off duty personnel are at the scene prior to the on duty crew's arrival, they will give a report of any information they have obtained and relinquish aid to the CC unless otherwise instructed.
Paragraph 10.2.3.2: Emergency Calls at a Roadway With the exceptions of personnel listed in Subsection 10.2.1 and Subsection 10.2.2, and personnel responding for a signal 3 requesting additional personnel to the scene, no personnel may respond to the scene of an emergency call situated on a roadway type setting.
Section 10.3: Use of Personal Property Responding personnel as per Section 3.13 of the SOPs may use personal property.
Subsection 10.3.1: Personal Vehicles Personal vehicles are not to be used to respond to calls unless given approval by the Chiefs of SBVAC. At no times shall a member drive in any area designated as “inner quad” or “academic mall” unless otherwise directed by an Officer.
Paragraph 10.3.1.1: Green Light It is advised, but not required, that personnel who regularly respond with their personal vehicles purchase a green light for their vehicle as outlined by the NYS DOT. In addition, said member must contact the Chief to receive a “green light card” to authorize the use of such lights.
Paragraph 10.3.1.2: Blue lights The use of blue lights is prohibited when responding as a member of SBVAC, unless prior consent is granted by the Chief’s Office.
Paragraph 10.3.1.3: Red Lights (Emergency Ambulance Service Vehicles) The use of red lights in a personal vehicle is strictly regulated by NYS law. The use of red lights may be granted solely at the discretion of the Chief and is strictly prohibited otherwise. Authorizing a personal vehicle to display red lights requires that the vehicle be classified as an Emergency Ambulance Service Vehicle (EASV) and that the appropriate paperwork is filed with the NYS DOH. The procedure for DOH authorization of an EASV is found in NYS EMS Policy Statement 01-01. It is strongly recommended that a copy of the policy statement and these SOPs be carried in the vehicle for reference purposes.
Line 10.3.1.3.1: Training Requirements The owner of a personally owned vehicle classified as an EASV must hold a minimum NYS certification of EMT. In addition, SBVAC shall require that the member using their personal vehicle as an EASV be a Crew Chief and an EVO with the company.
Line 10.3.1.3.2: Equipment Requirements The EASV must be stocked to meet the requirements of Part 800.26 at all times. All equipment shall be the responsibility of the member. The equipment must be checked and inventoried at least biweekly using a NYS DOH Inspection Worksheet for EASVs. This form may be found in the NYS EMS Agency Operational Resource Guide. Completed forms must be given to the Lieutenant who will file them accordingly, as these forms are subject to state inspection.
Line 10.3.1.3.3: Maintenance The member shall be responsible for maintaining the EASV and equipment in accordance with all manufacturers’ recommendations.
Line 10.3.1.3.4: ALS Equipment As per Suffolk County protocols, ALS equipment, such as sharps, and medications, is not to be carried in a personally owned EASV except as stated in Subsection 12.2.5.
Line 10.3.1.3.5: Insurance Coverage The EASV must be insured by the owner of the vehicle, however any accident that occurs while responding to a call shall be covered by SBVAC’s insurance policy.
Line 10.3.1.3.6: Vehicle Response Policy The EASV is to respond using the protocols specified in Subsection 11.1.1 and may respond to Headquarters or the scene of any call unless otherwise specified by the Chief.
Line 10.3.1.3.7: SBVAC Records SBVAC shall keep on file copies of the following for any vehicle certified as an EASV: EMT certification, Driver’s License, Vehicle Registration, Proof of Insurance, DMV Safety/Emissions inspection verification, a copy of the DOH issued Emergency Vehicle Authorization Card, and Equipment Checklists.
Line 10.3.1.3.8: Expiration of Authorization The expiration date of the EASV authorization shall be determined by the Chief, but must not exceed the expiration of the member’s NYS EMT certification. The authorization shall be automatically considered invalid if the individual is no longer an active member of SBVAC or if the individual is not a currently certified NYS EMT or AEMT.
Line 10.3.1.3.9: Inspection by SBVAC Any EASVs authorized by SBVAC are subject to state inspection, and SBVAC will be held accountable by the DOH for any violations. Therefore, any vehicle authorized by SBVAC as an EASV may be inspected by any member of the Chief’s Office at any time for the purpose of ensuring compliance with Part 800 and correcting any potential violations. It is recommended that such an inspection be conducted at least once per semester.
Line 10.3.1.3.10: Revocation of Authorization The Chief may revoke an EASV authorization for any reason at any time with or without explanation. When an authorization is revoked or expired, the Chief shall mail a written notice to the NYS DOH.
Section 10.4: Non-Corps. Personnel in Company Vehicles No Non-Corps personnel shall ride in any vehicle owned by the SBVAC at any time with the following exemptions:
Subsection 10.4.1: Patients and Acquaintances Non-SBVAC personnel permitted in the ambulances shall include the patient and no more than one of the patient's acquaintances. The patient’s acquaintance must ride in the front passenger seat and remain buckled for the duration of the trip. Exceptions may be granted at the discretion of the CC (i.e. transporting a minor).
Subsection 10.4.2: Medical Staff Non-SBVAC personnel permitted in the ambulances shall include any nurses, Physicians, or EMS personnel of higher medical ability, or as deemed appropriate by the CC.
Subsection 10.4.3: Police and Fire Marshals Any police officer or fire marshal may be permitted to ride in any company vehicle as deemed appropriate by the CC.
Subsection 10.4.4: Observers
Section 10.5: Crew Chief Responsibilities
Subsection 10.5.1: CC Responsibilities
Paragraph 10.5.1.1: Patient Care The CC on duty will be responsible for the administration of all patient care while on shift and the safety of the crew.
Paragraph 10.5.1.2: Ambulance The CC on duty will be responsible for the ambulance and its equipment while on shift.
Paragraph 10.5.1.3: Problems on Shift The CC on duty will be responsible for the notification to the Officers of the SBVAC of any problems or difficulties that occurred while on shift.
Paragraph 10.5.1.4: Communications The CC on-duty will be responsible for communicating with hospital staff concerning any patients being transported to the hospital. The CC shall assist the EVO in communicating with the dispatcher.
Paragraph 10.5.1.5: Incidents Requiring Immediate Notification The CC on-duty will be responsible for the immediate notification to the Officers of the SBVAC by telephone no later than the following business day and by writing no later than five (5) business days in every instance in which the crew encounters a situation outside of normal operating procedures.
Subsection 10.5.2: EVO Responsibilities The EVO will be responsible for the driving operations of the emergency vehicle at all times and its contents while on shift.
Paragraph 10.5.2.1: Communications The EVO shall be responsible for all radio communications with the assistance of the CC to MEDCOM. MEDCOM must be kept advised of the vehicle’s status at all times during a call situation, including, but not limited to, Signals 2, 18, 21, 28 and 5.
Paragraph 10.5.2.2: On Scene Vehicle Procedures All SBVAC vehicles shall be positioned in a manner to facilitate crew accessibility to the scene and the equipment on the ambulance.
Line 10.5.2.2.1: Ambulance Unsupervised As appropriate, the engine shall be left running in high idle, any needed warning lights left on, the parking brake engaged, the ignition override engaged and the keys removed. The driver shall also ensure that all doors are locked before leaving the vehicle unattended. Paragraph 10.5.2.3: Collision with Ambulance If involved in a collision, the crew shall: 1. Protect the scene with warning lights or flares. If the vehicles are in a hazardous location and they are drivable, they may be moved to the side of the street. 2. Notify MEDCOM, preferably by telephone, that the unit is involved in an collision, and: a. Request the Chief’s Office and Police to respond to scene as well as any necessary fire apparatus. b. If the ambulance was en route to the scene of a call, instruct MEDCOM to dispatch another ambulance to that assignment. c. If the ambulance is transporting a patient and has been rendered inoperable, instruct MEDCOM to send an additional ambulance to transport the patient. If the ambulance has not been rendered inoperable, inform MEDCOM that an additional ambulance for the current patient is not necessary. 3. Ascertain if there are any injuries to any SBVAC personnel or others involved in the collision. 4. If the ambulance is transporting a patient who is critical or unstable, the ambulance is not rendered inoperable, and there are no other critical or unstable patients at the scene, instruct the other vehicle operator to remain at the scene and await the return of the ambulance. Give the involved party our company name, vehicle identifier, and the EVO’s name, and record their name, vehicle type, make, and license number before leaving the scene with the patient. If the crew has an extra person, leave them at the scene to begin paperwork. 5. Administer patient care to any injured persons and request additional ambulance(s) as necessary. 6. Not make any statements to other drivers concerning the collision, and speak only with police and patients until a Chief arrives on scene. Exchange necessary information with others involved. Record the police officers name, shield number, any tickets issued, and draw a rough sketch of the accident scene. 7. Obtain name, address, telephone number, and brief statement from any witnesses. 8. Ensure that even the minor injuries are well documented and receive appropriate emergency department follow-up as needed. 9. Complete an incident report within twenty-four (24) hours of any collision. 10. Any driver involved in an accident will be immediately suspended from driving pending a safety hearing and review of driving skills by the Chief’s Office.
Paragraph 10.5.2.4: Vehicle Breakdown In the event that a SBVAC vehicle breaks down either during the course of an emergency call or under normal operating procedures, the EVO will advise MEDCOM and request a Chief of SBVAC to respond to the scene. The incident shall be recorded as per Line 6.1.3.2.1 of these SOPs. If the vehicle failure occurs during normal operations, an Incident Report is not required, but may be requested at the discretion of the Chief’s Office.
| ||
