Fire/Rescue Print Date: 3/5/2013 Fire/Rescue Fire/Rescue Print Date: 3/5/2013 Table of Contents CHAPTER 1 - MISSION STATEMENT 1.1 - Mission Statement............1 CHAPTER 2 - ORGANIZATION CHART 2.1 - Organization Chart............2 2.2 - Combat Chain of Command............3 2.6 - Job Descriptions............4 2.7 - Personnel Radio Identification Numbers............5 CHAPTER 3 - TRAINING 3.1 - Department Training -Target Solutions............6 3.2 - Controlled Substance............8 3.3 - Field Training and Environmental Conditions............10 3.4 - Training Center Facility PAM............12 3.5 - Live Fire Training-Conex Training Prop............14 CHAPTER 4 - INCIDENT COMMAND 4.2 - Incident Safety Officer............18 CHAPTER 5 - HEALTH & SAFETY 5.1 - Wellness & Fitness Program............19 5.2 - Infectious Disease/Decontamination............20 5.3 - Tuberculosis Exposure Control Plan............26 5.4 - Safety............29 5.5 - Injury Reporting/Alternate Duty............40 5.6 - Biomedical Waste Plan............42 5.8 - Influenza Pandemic Personal Protective Guidelines 2009............45 CHAPTER 6 - OPERATIONS 6.1 - Emergency Response Plan............48 CHAPTER 7 - GENERAL RULES & REGULATIONS 7.1 - Station Duties............56 7.2 - Dress Code............58 7.3 - Uniforms............60 7.4 - Grooming............65 7.5 - Station Maintenance Program............67 7.6 - General Rules & Regulations............69 7.7 - Bunker Gear Inspection & Cleaning Program............73 7.8 - Apparatus Inspection/Maintenance/Response............75 7.9 - Backing Fire Apparatus & Rescue Units............79 7.18 - Station/Personnel Inspections............81 7.19 - Station Activity Book/Memorandums/Bulletins............82 7.20 - Payroll/Scheduling Procedures............84 7.21 - Pre-Fire Plans/Inspections............92 7.22 - Hydrant Inspections............97 7.23 - Departmental Reporting............100 7.24 - EMS & Fire Reporting............104 7.25 - Ride-Along............106 7.26 - Roadway Emergency Traffic Management............108 CHAPTER 8 - STANDARD OPERATING GUIDELINES Fire/Rescue Print Date: 3/5/2013 8.1 - Aircraft Crash............112 8.3 - Apparatus Response to Brush Fires............114 8.4 - Building Collapse............115 8.7 - Building Fire (Residential)............116 8.12 - Elevator Stuck............120 8.29 - Vehicle Accident with Extrication............121 8.35 - On Scene Operations............125 8.36 - Bomb Threat............132 8.37 - Headquarters Building Security............134 8.38 - Headquarters Fire Evacuation............136 8.41 - Fire Investigations............138 8.42 - Fire Stream Management............141 8.57 - Multi-Story Fire Response............144 CHAPTER 9 - SPECIAL OPERATIONS 9.1 - Personnel Deployment............146 CHAPTER 10 - DEPARTMENTAL EQUIPMENT OPERATING GUIDELINES 10.1 - Fire Hose............149 10.2 - SCBAs & Respiratory Program............152 10.3 - IT Support Requests............162 CHAPTER 11 - DEPARTMENT TEAMS AND CHARTERS CHAPTER 12 - PUBLIC INFORMATION 12.1 - Public Information............163 CHAPTER 13 - PERSONNEL ACCOUNTABILITY SYSTEM 13.1 - Personnel Accountability System............166 CHAPTER 14 - STADIUM OPERATIONS 14.1 - Ben Hill Griffin Stadium Medical Operations............173 CHAPTER 15 - RAPID INTERVENTION TEAM (R.I.T.) 15.1 - Rapid Intervention Team (R.I.T.)............183 CHAPTER 16 - MEDICAL TRANSFERS CHAPTER 17 - PARAMEDIC CLEARANCE PROTOCOL 16.1 - Medical Transfers............186 17.1 - Paramedic Clearance Protocol............188 CHAPTER 18 - DEPARTMENT CHAPLAIN 18.1 - Department Chaplain............190 CHAPTER 19 - MAY DAY EMERGENCY PROCEDURES 19.1 - MAY DAY Emergency Procedures............192 CHAPTER 20 - THE TFP PRO/PAK 20.1 - The TFP PRO/PAK............195 CHAPTER 21 - EMERGENCY ROOM BUSY STATUS (ERBS) 21.1 - Emergency Room Busy Status (ERBS)............197 CHAPTER 22 - KNOX BOX OPERATIONS 22.1 - Knox Box Operations............198 CHAPTER 23 - GATOR NATIONALS MEDICAL OPERATIONS PLAN 23.1 - Gator Nationals Medical Operations Plan............200 CHAPTER 24.1 - MEDICAL CARE PROTOCOLS 24.1.1 - General Considerations............206 24.1.2 - Radio Report............208 24.1.3 - Initiation of CPR............209 24.1.4 - Determination of Death............210 24.1.5 - Suppected Child/Elder Abuse............212 24.1.6 - Determination of Hospital Destination............213 Fire/Rescue Print Date: 3/5/2013 24.1.7 - Hospital Emergency Dept. EMS Bypass Guidelines............214 24.1.8 - Refusal of Service............215 24.1.9 - Physician On Scene............219 24.1.10 - Universal Precautions............220 24.1.11 - Quality Assurance Program............221 24.1.12 - Baker/Marchman Act............228 24.1.14 - Rapid Extrication............231 CHAPTER 24.2 - BASIC MEDICAL CARE PROTOCOLS 24.2.1 - Basic Medical Care Protocol............232 24.2.2 - Airway Management............234 24.2.3 - Oxygen Therapy............235 24.2.4 - Control of External Bleeding............236 24.2.5 - Shock............237 24.2.6 - MCI and Triage System............238 CHAPTER 24.3 - CARDIOVASCULAR PROTOCOLS 24.3.1 - Chest Pain-Suspected Cardiac............240 24.3.2 - Chest Pain Non-Cardiac............242 24.3.3 - Congestive Heart Failure/Pulmonary Edema............243 24.3.4 - Cardiac Arrest Management............244 24.3.5 - Dysrhythmia-Asystole/Pulseless Electrical Activity(PEA)............245 24.3.6 - Dysrhythmia-Atrial Fibrillation/Atrial Flutter............247 24.3.7 - Dysrhythmias-Bradycardia............248 24.3.9 - Dysrhythmias-Supraventricular Tachycardia............249 24.3.10 - Dysrhythmias-Polymorphous Ventricular Tachycardia(Torsades de Pointes)............250 24.3.11 - Dysrhythmias Ventricular Wide-Complex Tachycardia............251 24.3.12 - Dysrhythmias-Ventricular Fibrillation/Pulseless Ventricular Tachycardia............253 24.3.13 - Cerebrovascular Accident (CVA, Stroke)............254 24.3.14 - LVAD............256 CHAPTER 24.4 - EMERGENCY MEDICAL PROTOCOLS 24.4.1 - Allergic Reactions............258 24.4.2 - Abdominal Pain............260 24.4.3 - Altered Mental Status............262 24.4.4 - Carbon Monoxide Intoxication............263 24.4.5 - Diabetic Emergencies............264 24.4.6 - Dysbarism-Diving Accidents............265 24.4.7 - Gastrointestinal Bleeding............266 24.4.8 - Heat Illness............267 24.4.9 - Hypertension............268 24.4.10 - Hypothermia............269 24.4.11 - Nausea & Vomiting............270 24.4.12 - Overdose & Poison Ingestion............271 24.4.13 - Psychiatric Disturbances/Excited Delirium............274 24.4.14 - Respiratory Distress............276 24.4.15 - Seizures............277 24.4.16 - Shock-ALS............278 24.4.17 - Snake Bite............280 24.4.18 - Taser Removal............281 CHAPTER 24.5 - TRAUMA PROTOCOLS 24.5.1 - Trauma............282 24.5.2 - Burns............286 24.5.3 - Eye Emergencies............288 Fire/Rescue Print Date: 3/5/2013 CHAPTER 24.6 - OB/GYN PROTOCOLS 24.6.1 - Vaginal Bleeding............289 24.6.2 - Suspected Ectopic Pregnancy............290 24.6.3 - Pre-Eclampsia............291 24.6.4 - Eclampsia............292 24.6.5 - Prolapsed Umbilical Cord............293 24.6.6 - Emergency Delivery............294 24.6.7 - Neonatal Resuscitation............296 CHAPTER 24.7 - PROCEDURAL PROTOCOLS 24.7.1 - 12 Lead EKG............298 24.7.2 - Automatic External Defibrillation............299 24.7.3 - Blood Draw............300 24.7.4 - Chest Decompression............301 24.7.5 - Continuous Positive Airway Pressure(CPAP)............302 24.7.6 - Cricothyrotomy............304 24.7.7 - Cyanokit (Hydroxocobalamin for injection)............305 24.7.8 - End Tidal CO2 Monitoring............307 24.7.9 - Endotracheal Intubation (Nasal & Oral)............308 24.7.10 - External Cardiac Pacing............311 24.7.11 - EZ-IO Infusion System............312 24.7.12 - Intravenous Access/Saline Loc............314 24.7.13 - Nasogastric Tube Placement............315 24.7.14 - Oxygen Saturation Monitoring............316 24.7.16 - Ventilator............317 24.7.15 - Stemi Alert (St Elevation Myocardial Infarction)............319 24.7.17 - ZOLL® E Series™ Reference Guide............322 24.7.18 - Sepsis Alert with Lactate Scout............325 24.7.19 - ZOLL® Autopulse Battery Conditioning............327 24.7.20 - ZOLL® Autopulse® Model 100............329 CHAPTER 24.8 - APPENDICIES 24.8.1 - Pediatric Trauma Score............334 24.8.2 - Revised Trauma Score............335 24.8.3 - Pediatric Trauma Assessment Methodology............336 24.8.4 - Adult Trauma Triage Criteria & Methodology............337 24.8.5 - Normal Pediatric Vital Signs............338 24.8.6 - Alternate Routes Of Drug Administration............340 24.8.7 - Apgar Scoring............341 24.8.8 - Approved Abbreviations For Documentation............342 24.8.9 - Approved Medication List............343 CHAPTER 25 - TECHNICAL RESCUE GUIDELINES 25.1 - Technical Rescue Guidelines............344 CHAPTER 26 - WILDLAND TASK FORCE/STRIKE TEAM GUIDELINES Fire/Rescue Print Date: 3/5/2013 CHAPTER 1 Mission Statement Issued: February 2006 Revised: Submitted By:SOG Team Approved By: Improve the life, safety and protection of property through preparedness, response, mitigation and recovery. 1 of 349 Fire/Rescue Print Date: 3/5/2013 Organization Chart CHAPTER 2.1 Click to view ↓ Department Org Chart 2 of 349 Fire/Rescue Print Date: 3/5/2013 Chain of Command CHAPTER 2.2 Issued: January 2006 Revised: Sept. 2009, Feb 2011 Submitted by: Approved by: Director All personnel are subject to the Department's