Copies needed:
|
q
Current driver license |
q
State certification card |
q
Current BLS card |
|
q
Current ALS card |
q
Certificate from Hazmat |
q
Physical |
|
q
Employee health information sheet |
q
Respiratory function history questionnaire |
q
Hepatitis B vaccination |
|
q
Physician’s Statement of respiratory evaluation |
q
Fit test report |
q
Confidentiality statement |
Provide copies of:
|
q
Standard operating procedures |
q
Hazardous material guide book |
q
Patient care protocols |
|
q
Exposure control plan |
q
Maps (Eagle Grove Wright Co.) |
q
Emergency driver training books |
Explain location of all
items in the squad room:
|
q
File cabinet |
q
AV equipment |
q
Check out procedure/AV |
|
q
Phone |
q
Phone number list |
q
Phone book |
|
q
Department Library |
|
|
Explain location of all
items in the Ambulance garage:
|
q
Oxygen |
q
Tools |
q
Communication boards |
|
q
Schedule board |
q
Shore lines |
q
Extra equipment |
|
q
Bathroom/shower |
q
Disposable supplies |
q
Extra linen |
|
q
Zoll batteries |
q
LP 250 batteries |
q
Extra run reports/charge sheets/supplemental |
|
q
Wastes cans |
q
Power sprayer |
q
Battery charger |
|
q
MSDS sheets |
q
Chemicals |
q
Portable radios |
|
q
Extra pager |
q
CPR manikins |
q
Training equipment |
|
q
First Responder Bags |
q
Box for completed run reports/charge sheets |
q
Cleaning area for dirty equipment |
|
q
Phone numbers |
q
Pop machine |
q
Turn out pants |
Describe Service Area:
|
q
Eagle Grove City Map |
q
Wright County Map |
q
Flat Books |
|
q
Area nursing homes |
q
Dr. offices |
q
Foot ball field |
|
q
Area Hazmat |
q
Trains |
q
Goldfield |
Vehicle Orientation:
|
q
Function of each unit |
q
Orientation to cab and starting procedure |
q
Orientation to radios and procedures |
|
q
Orientation to portable radios and procedures |
q
Communication and map books |
q
Cellular phone |
|
q
Use of siren and emergency lights |
q
Fueling cards |
q
Cleaning |
|
q
Practice backing in and out of the garage |
q
Practice non-emergent driving |
q
Seat belt uses |
|
q
Adjust mirrors |
q
Orientation to capartment switches |
q
Cleaning exterior |
Contents:
|
q
Go through each compartment |
q
First out bag |
q
Intermediate bag |
|
q
Paramedic bag contents exchange/documentation policy |
q
Complete Zoll in-service questionnaire |
q
Cardiac monitors use and checkout, incl. Charger |
|
q
BP pouch |
q
Doppler |
q
Mast |
|
q
Vacuum splints |
q
Spinal immobilization equipment |
q
O.B. pack |
|
q
Oxygen portable |
q
Demand valve |
q
In-line |
|
q
Replacement and storage |
q
Pulse oximeter |
q
Suction devices |
|
q
Inverter |
q
Cots-operation |
q
Clean up Linens etc. |
|
q
Stair chair |
q
Fire extinguishers |
q
Turn out coats |
|
q
Flash lights |
q
Disaster bag |
q
Body substance isolation equipment |
Dispatching:
|
q
Pager tones |
q
Driving speed etc. see policy |
q
Eagle Grove Police and Fire Department |
|
q
Medical control for orders |
q
Radio report format |
q
Calling for times from W.C.C.C. |
|
q
Communication with each other |
q
Communication with the area emergency rooms |
q
Communication with area Agencies |
Documentation:
|
q
Run reports-completion and storage |
q
Supplemental forms |
q
Transfer authorization |
|
q
Charge sheets |
q
Audit forms |
q
Patient release forms |
|
q
Skills program |
q
Variance reports |
q
DNR/SIDS Death |
Keys:
|
q
Vehicles |
q
Drug cabinet |
q
Ambulance garage_______________ |
I have been informed and understand each of the above policies/procedure and requirements and agree to follow them to the best of my abilities.
Signature__________________________________________
Date_________________
EMS Chief Signature
_______________________________ Date_________________