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Emergency Medical Services Ordinance 01/03/89BARNETT COUNTY NORTH CAROLINA RESOLUTION HARNETT COUNTY EMERGENCY MEDICAL SERVICES I THAT WHEREAS, the policy procedures for the Harnett County Emergency Medical Serviced Department requites updating due to changes that have occurred affecting Emergency Medical Services requirements; and - WHEREAS, Policy procedures have been developed and require implementation by the Harnett Ccunty�Emergency Medical Services Department in order to ensure proper dnd dtandardized eervicea are being provided; and WHEREAS, immediate Implementation of policies for the Harnett County Emergency Medlcdl Services Department is required. - NOM, THEREFORE, BE IT RESOLVED that the Harnett County Board of Commissioners hereby adapts the Harnett County Emergency Medical Services ted in the attached Policies document, that the Harnett Policies as presdn m County Emargency.MedlcaY Services Policies document will be filed in the be implemented by the Harnett County Harnett 'County Ordinance Book, and will Emergency Medical Services Department on adoption. Duly adopted by the Harnett County Board of Commissioners this 3rd day of January,- 1989.4'_ Ll y G. Stewart, Chalaman ATTEST: w Vaneeea W. Youngi C1g4W to we aoara U TABLE OF CONTENTS Release of Information to News Media - 1.01 Secretarial Standards 2.01 Coverage of Special Events 2.02 Outside Employment 2.03 Dress Code 3.01 -. Disciplinary Action 3.02 Visitors at EMS Station 3.03 - Part -Tine fhiployees 3'04 Daily Station Clean -Up 3.05 Weekly and Monthly Clean -Up 3.06 Dual Response With Fire Department 3.07 Stretcher Handling 3.08 Billing Procedures 3.09 Dispatch 4.01 Radio Identification Codes for Harnett County EMS 4.02 Operations of Vehicles 5.01 Transportption of the Deceased 5.02 ' Individuals - Authorised': to -Ride. on Harnett County . FMS Units 5.03 Transportation of Cardioresplratory Arrest & 5.04 Severe Trauma 5.05 Transportation of the Sick & Injured '. Valid N.C. Driver's License as a Condition for 5.06 Continued Deployment North Carolina Departmen t of Correction Inmates 5.07 Uniform Standards for Communications with Hospital 6.01 6.02 ' Time at Hospitals i 166 GOUNTY OF HARNECf LILLINGION, NORTH CAROLINA HARNM COUNTY EMERGENCY MEDICAL SERVICES Policy Statement Number 1.01 SUBJECT! Release of Information to News Media 1. Purpose ! "To insure uniformity of practices pertaining to official infonretion ralasased to the News Media. 2.. Policy: , 2.1 All official news information concerning any patient or situation must first be authorized by the Director or a Supervisor. 2,2 The Director /Supervisors will comply with the same standards followed the area hospital emergency departments concerning patient ' ho nfidentialilty. 2.9 Questions pertaining to the administration and operation of County Government and Harnett County EMS should be directed to the County Manppr through the Director. ODUNTY OF HARNEIT LIILINGION, NORTH CAROLINA HARNEU COUNTY EMERGENCY MEDICAL SERVICES Policy Statement Number 2_01 `SUBJECTS' Secretarial Standards 1:. Purposes "To establish uniform standards within the section for the performance of secretarial work so as to help maintain a high level of proficiency and also insure that every member of the secretarial staff is fully aware of what is expected of him or her. 2. Policy: 2,1 All Harnett EMS secretarial personnel at expected to strive [o achieve and maintain the standards set forth in the attached document entitled "Harnett County Emergency Medical Services 'Standards for Secretarial Staff:' 2.2 The office manager shall utilize these standards in the Work Planning Performance Review process to evaluate the performance of each member of the secretarial staff. LILLINGION, NOR111 CAROLINA RARNEIf COUNLY UnGENCY MEDICAL SERVICES Policy Statement ACCURACY . A secretary should be especially accurate when typing material to be Aura it is prepared in the proper format. Special attention should be paid to accuracy in typing, punctuating capitaltring, spelling, hyphening an d dividing Horde. Every shheet of typ�ng should be carefully prop read. Be extremely careful in relating the correct phone number, spelling of name, area coder etc:du recording telephone messages. It is very Important to make sure that all material is filed in the proper. place.. , If'there to any question about where material should be filed, ask someone rather than .take a chance of filing it improperly. NEATNESS -. All material typed, in this office must be extremely neat without any noticeable erasurea,or emudge,marks: It should always be spaced - correctly, 'using proper vertical and horizontal margins. SPEED An efficient secretary should'. be able to :set _.priorities with his or her work. Usually top priority Wplaced on getting correspondence out first theesecretarythas t lIallowttthhee I stcuctions ofehiseor, herlemployerase, ari to es unlss some erence maanual ortcheckpwithieameonely refer t however, this shouldbedone as expeditiously as possible. deliver Also, everyone should be y careful to telephone the appropriate staff memberasown aspossible afterreceiv messages receiving call, ALERTNESS Alertness is very important in being a proficient secretary. A secretary should be were of his or her employer's schedule at oil times, should have a telephone number where he or she can be reached, and know approximately what time he or she will return to the office. He easerandebe should . also be officeeprocedure of work problem with s. You also have to be alert in order to catch your errors, not only typing errors but any type pertaining to your work. Try to anticipate mass mailings and pprepare for them in advance. When working on large pro ects, organize in your mind the things required and prepare as many Items in advance 'as possible. If you need assist - ,we, consult the office manager. VERSATILITY It is very other his or he for a retary to be able to perform other types of work .He or she should learn as much as possible about the other secretaries work in the office, and be able to assist anyone when necessary. It is also importapt to know how to operate and maintain any office equip- ment, i ORGANIZATION It is very important to organize your work in order for you to set priorities. you can usually accomplish a lot more if you have things ,organized in your mind as to what should be done and not jump from one organ an that thing to another. It is also impnMrtavnreonfywha[�a °8CS doingemployer ortehould be doing. 167 168 DEPENDABILITY It is necessary for your employer to be able to depend on you to perform office functions without hesitation. Every effort should be made not to abuse your sick leave. Always give the office manager as much notice as possible when requesting annual or petty leave, and also sick leave (if it is determined in advance that it is necessary for you to take sick leave.) PUNCIDALITY It is important that staff members be prompt when arriving for work in the mornings and after lunch. If you see that you are going to be late arriving at the office, always call your supervisor and advise what time you expect to be in. OONFIDENIIALITY A secretary must prove himself or herself to be the type of person an employer can trust with any type of confidential matters. A secretary - and employer cannot have a good working relationship . if the employer feels he or she cannot relate any type of confidential information, "whether it, be verbal or in writing, regarding functions of the office or pertaining to personnel. COOPERATION Make it a daily habit to work in a cooperative spirit rather than being a habitual fault - finder of other co- workers or of the agency. If you he" criticism regarding the operation of the agency or its personnel, please bring it to the attention of the Director or office manager. Always remember, the way you treat other people is usually the way they will treat you. INITIATIVE Take the initiative to improve present working conditions, office pro- cedures, etc., and volunteer for responsibility without being asked. DRESS CODE Dress in a professional manner at all times. COUNTY OF HARNEIT LIILINGTON, NORTH CAROLINA HARNEIT COUNTY EMERGENCY MEDICAL SERVICES Policy Statement Number 2.02 r— SUBJECT: Coverage of Special Events 1. se: To establish guidelines concerning the coverage of special events. 2, Policy: , 2.1 ' Harnett County Energency Services normally does not provide standby coveragge at special events. If for any reason e. volunteer rescue squad ie not available, the request should be presented to the Director and /or Asst. Director. T, LILLINGTON, NORTH CAROLINA 169'. HARNETT COUNTY EMERGENCY MEDICAL SERVICES S Policy Statement Number 2.03 SUBJECT: Outside Employment 1. se: To anphasize section 4 of the County Ordinance concerning outside employment. 2: Policy: 2.1 Permission to engage in gainful outside employment or self - employment must be requested in writing and approved by the employee's department head and the County Manager. 2.2 The telephone or EMS equipment will not be used for business related interest while the employee is on duty with Harnett County EMS. ODUN1Y OF HARHELT LILLINGTON, NORTH CAROLINA IMHEIT COUNTY MGFlIGY MEDICAL. SERVICES Policy Statement Number 3.01 i SUBIECP: Dress Cade 1. develop a Medical personnel working for l. Services 2. Policy: 2:1 Personal appearance is important when contacting members of the public under patient care situations and for safety factors dealing with unruly patients. The following guidelines will be mandatory for Harnett County EMS personnel: A. Hair Cuts - All personnel shall keep their hair neat and vell groomed at all times. No male personnel shall allow his hair to touch or cone over his shirt collar. No female personnel shall allow her hair below the shoulder. B. Sideburns - Male personnel may have sideburns as long as they do not grow below the lobe of the ear and are no more than two (2) inches in width at the bottom edge of the sideburn. C theyadoanot come bbeelownthe corners of thecmouth and do not extend over or cover the top lip. All mustaches will be neat and well groomed and there will be NO handlebar mustaches. D. Beard & Goatee - No personnel will be allowed to wear a beard or goatee w9le on duty with this service. Of 2.2 jacket! shirt and pants, belt three There will be as least one uniform issued each year thereafter. -' 2.3 The following items will. be provided as part of the uniform and worn as described In the following: A. Collar Brass & Certified Pins - Personnel will wear the collar brss ins theacenterdof to thn theeshirtIIcollarland brass will be m inch from the top of the shirt collar. Certified pins ore to emitted! the right shirt pocket. Only BITS & ACTS p Pe 170 B. Name Plates - Personnel will wear the name plate issued to ! - - them by EMS. Name plates will be worn over the right shirt pocket, just above the pocket stitches. C. Badge - Personnel will wear the badge issued to them by FMS. This badge will be worn over the left pocket in the center line of the shirt button. D. Patches - Personnel will wear two patches on their uniforms. 1. The North Carolina Emergency Medical Technician (FMT) patch will be worn on the right shoulder and will be sewn or placed one (1) inch below the shoulder seem. 2. The Harnett County Dnergency Medical Services (RIS) patch will be worn on the left shoulder and will be sewn one (1) inch below the shohlder seam. 3. Additional patches will be approved and provided by the State Office of EMS. E. EMS Caps - Ceps may be worn whenever jumpsuits are worn. 2.4 All uniforms will be clean and pressed. 2.5 The following items will be provided by each employee and will meet the described specifications: A. Jumpsuits - Personnel jumpsuits shall be light blue in color and all most be the same. Jumpsuits shall be worn between 9:00 p.m. and 6:50 a.m. B. Socks - Personnel will furnish their own socks. Socks worn while on duty will be dark blue or white. COUNTY OF HARNEIT LILLINGTON, NORTH CAROLINA HARNETT COUNTY NiUGENCY MEDICAL SERVICES Policy Statement Number 3.02 i i :, • SUBJECT:, Disciplinary Action 1i Purpose: To insuie that proper disciplinary action is taken when an employee fails to meet Harnett EMS Standards, Department Policy, and the Personnel ordinance for the County of Harnett. 2. Policy: 2.1 The shift supervisor has the authority to send off duty any employee who has acted or is acting in a detrimental manner towards his or her supervisor(s) of Harnett County EMS. 2.2 When a supervisor takes the above action, he or she will summit a written report, signed by that employee, immediately through proper channels. 2.3 A follow -up investigation will be conducted by the Asst. Director and Director with further action being made in accordance with the County Personnel Ordinance. 11 i LILLINGION, NORTH CAROLINA NARNETP O0UN1Y EMERGENCY MEDICAL SERVICES Policy Statement Number 3.03 SUBINCr: - Visitors at EMS Station 1, Purpose: To establish guidelines in regards in visitors at EMS Stations. 2: Policy: 2.1 Prolonged visits by anyone . at an EMS Station are prohibited. 2.2 Visitation after 10:00 p.m. is not allowed at any EMS Station without prior permission of the Shift Supervisor. 2.3 No visitors are allowed in the sleeping quarters of the ENS Station. COUNTY OF HARNEIT LILLINGTON, NORTH CAROLINA HARHEIT OouNTY EMERGENCY MEDICAL SERVICES Policy Statement Number 3.04 SUBJECT: Part -time Employees 1. Purpose: .To establish uniform guidelines for part -time employees. 2: Policy: 2.1 Harnett County EMS will use part -time personnel when a full -time employee is not available for shift duty. 2.2 Part -time employees will not be employed unless the guidelines established by the County Personnel Ordinance are net. 2.3 satisfactoemployees y ompletei antibn- serviceatrainingtprogram. until 2.4 will bbeerworn in compliance with furnished am uniform and it 2.5 All part -time employees will serve as attendants while working with Harnett County EMS, except the following: certain part - time employees may be designated as drivers by the Director. 2.6 Station r one - especiallytwhen they have will leaves o early. 171 WWII Ur N Vr`Ll 172 ULLINMN, NORTH CAROLINA //• HARNETT COUNTY EMERGENCY MEDICAL SERVICES Policy Statement Number 3,0- SUBIECf: Daily Station Clean -Up 1. se: To establish guidelines to insure that each EMS Station is properly . tleaned each day. _ 2. Policy: 2.1 The EMS workday will begin promptly at 7:00 a.m. and end the next morning at 7:00 a.m. or as soon thereafter as possible. Personnel may relieve a member of the off -going shift between the hours of .6:30 - 7:00 a.m. if approved in advance. 2.2 The first daily responsibility will be to check and supply each trait. This responsibility should start promptly at 7:00 a.m. and the driver should determine if the unit can be safely operated and the Attendant should check the equipment according to the standard checklist. 2.3 Each of the following areas should be cleaned daily: A. Bathrooms a. Floors swept and mopped b. Comrades cleaned and scrubbed c. laboratories cleaned and scrubbed d. Windows and mirrors cleaned A. Shelves and walls dusted I . Ample towel, tissue and soap g. Shower cleaned h. Trash cans emptied and new liner installed (at the beginning of each shift) B. Sleeping Area A. Floors cleaned f. Night Mattresses stands turned lned Mondaysted b. Shelves dusted Ashtrays cleaned and put up c. Windows cleaned h. lockers cleaned and dusted d. Trash removed C. Supervisor's Office a. Vacuun carpet b. Empty trash c. Dust and clean d. Empty and clean ashtrays D. Apparatus Floor s. Clean water cooler each day b. Clean and wash bay area each day E. Kitchen a. Stove will be cleaned each day inside and outside b. Clean anything Frozeniteo refrigerator swill be kept. 2:4 If a shift elects to cook at a station, it will be that shift's responsibility to clean the kitchen area as soon as possible after each meal. 2.5 If a crew elects to eat out during their 24 -hour shift, they must: a. Take the Ambulance, but remain 10 -8 during the meal. b. Remain within their respective service area. 2.6 Two Ambulance units from Station will not clear for meals at the same time away from the station. If one unit is being dispatched he is ' on a call, the second unit will remain At the station until the other unit is cleared for service (10 -8). 2.7 Wake -up time at all EP14 Stations will be no later than 6:30 a.m. ODUM OF NARNEIT LIL.INGION, NORTH CAROLINA NARNEIT ODUM EMERGENCY MEDICAL SERVICES Policy Statement Number 3.06 SUBJECT: Weekly and Monthly Clean -Up . 1. Purpose: To establish special cleaning assignments to insure each FMS station is properly cleaned. 2. Policy: 2.1 The following sequence will be used as cleaning assignments: A. Daily '1. Wash all vehicles. B. Weekly 1. F1onday - Strip and wax floors in ambulance, start generator run ten min. 2. Tuesday — Tighten screws and nuts and clean wails and cabinets on ambulances. 3. Wednesday - Clean stockroom and fold linen. 4. Thursday - Wrap acid restock supplies. C. Monthly 1. First Monday of each month - clean battery post and terminals. D. Tri- annually 1. The following schedule will be used for waxing ambulances and window cleaning at all stations: March of each year: Shift A - Outside windows Shift B - Wax all units Shift C - Inside windows July of each year: Shift A - inside windows Shift B - Outside windows Shift C - Wax all units November of each year: Shift A - Wax all units Shift B - Inside windows i Shift C - Outside windows E. Other cleaning assignments may be given by the Director, Assistant Director, or Shift Supervisor as needed. n 1'73 174 - COUNTY OF MRNEIT ULLINCIDN, NORTH CMOLINA . HARNEIT COUNTY ENENCENCY MEDICAL SERVICES . - Policy Statement - Number 3.07 i i SUBJECTg Duel Response with Fire Department 1, Puroosei To establish uniform policies and procedures for an adequate local Fire Department and Harnett E"S to " response by both the the scene of a medical /rescue. emergency. 2, Policy: 211 . Fm wit foraallncallstrequestingtmedical /rescue assistancessigned 2 2 the request is of a life- threatec nature, a first responder . and r s will hed, 2.3 the first stabilize the ee,mel will patient� tenderrlifetsupport cares 2.4 will render and transport withatotal patient ntcare responsibility. treeatment 2.5 Em assist m Efm enroute to the hospital. patientgcare� and provide assistance to 2,6 Nearest Crash Truck will be dispatched to a 10 -50 with a possible upon request of D S pinned patient construction site calls, or for rescue assi stance. 2.7 p calls Rescue be ileble, Rescue ewill ltemergency tth patient Squaitwiareanot and transport to an emergency facility. 2.8 ta,dbyrneernthe0scene� but fire s¢wunde serious endis assist with possible patient care other, units sreldispatched - when !0 -B for possible emergency -. 2.9 Eicelly requested This11e le i ntadditiondtooandcnot inr'e EitheraFir speci lieu of the attached response situations. - 2.10 policy,thEMSjwill not negotiated a department personnel tfor emer- while a joint effort is in effect. gency services i COUNTY OF HARNETT LILLINGION, NORTH CAROLINA HARNETT COUNTY EMERGENCY MEDICAL SERVICES Policy Statement Number 3.09 SUBJECr: Stretcher Handling 1: se: To establish standard operations procedures for the proper handling of stretchers. 2. Policy: 2.1 Al1 Hapnetcc EMS shift ppeersonnel are expected to atti¢e to achieve and mamtaia the procedures set forth 3n the attaches document entitled "Harnett County Emergency Medical Services Stretcher Handling." 2.2 The shift supervisor shall utilize these procedures in Work Planning Performance Review process to evaluate the performance of each member of his/her shift. - COUNTY OF HARNETT LILLLNGTCN, NORTH CAROLINA Willi COM EIERGUM MICAL SERVICES Policy Statement Number 3_08 PROCEDURES FOR STRETCHER HANDLING It when there is la patientconrthe stretcher. loifrthefstretcherinmes [obetraised or lowered while the patient is on the stretcher, one (1) attendant will go to the head position and the other attendant will go to the foot position. Once both attendants are in place, the stretcher may then be raised or lowered. 2: When e sidedofgthe stretcher into the h e bottom rail of he stretcher, lifting Lit the some time. It may be necessary to elevate the front portion of the stretcher-as to clear the unit's floor before entering. 3, 4. 5: 6: It t The unloading procedure is basically the same as loading. The one difference being the driver will press the stretcher release button and both men will grasp the stretcher from the end and roll it back to them. As the stretcher rolls back, both attendants will move along beside the stretcher and grasp the bottom rail to remove it from the unit to the hospital loading dock or whatever area they are to unload at. When bringing a stretcher down or up a set of stairs or down or up an incline of the shorer,manwonsthe end that doesnot have tonbeclittedt iIbistway the taller man it above his his Elms head under the i end that has to be raised and in many a l When moving a stretcher with a patient aboard, the stretcher will always be proved feet first. There are two (2) exceptions and this will be explained later. 'The attendant at the foot of the stretcher will walk in front of the stretcher and not to either side. The attendant at the head of the stretcher will walk in the same position (in the center line of the stretcher) and get either allows patient at all hallway, There are two (2) times you will go in head first. (1) When you have reached the entrance to the emergency room, you may go in head first. Remember, all the heads of the ER beds face away from the entrance doors. So if you!go'in head first you won't have to turn your stretcher and your patient around. (2) When you start to enter an elevator, let one attendant stand straddle the opening of the door. This will insure that [the doors don't ch se on Your patient levatorg it will berdonehthe same way. ready 175 176 i 7. At no time will any patient be left on an EMS stretcher unattended. here will be one attendant. with the stretcher and patient at all times. Always remember, as long as you have a patient on your stretcher, you and Harnett EMS are liable for the health and well -being of that patient. Once the patient is removed from your stretcher then and only then, your liability is over, but if the other emergency service needs help, you may do whatever you can to help. S, When you enter the ER with your patient and transfer the patient to the ER bed, remove your stretcher from the ER so it will not cause congestion in the ER area. If you are going to be tied up assisting the ER personnel, at least one attendant should make the stretcher so it will be ready if your unit receives another call. HWnjETlf AND CARE OF PATIENT 1. When you enter the emergency room with your patient, place the head of your stretcher at the foot of the ER'bed if you are going to have to move the patient yourself. the tint is abl to move without further medical danger, then pull yourestretcheralong sideofhe EE bed. 2. If the patient is going to be lifted to the ER bed, place the head of the MS stretcher at the foot of the Flt stretcher. Both attendants move to the side of the'ENS stretcher and let the side rail down. Place one foot on the bottom .rail of the M stretcher to stabilize it while you are preparing ERcstretchernandEremove attndants ready lift patient Co the rails. 3. If your patient is able to move, pull your stretcher to the side of the ER stretcher. Let your side tail down and place your hand on the side of the lowered side rail. Both attendants take position at the head and foot of the stretcher, placing their outside foot on the bottom rail of the Do stretcher. Next grasp the ER and EMS stretchers together with your hand. With these two steps neither stretcher will move when the patient slides from one to the other. Now ask your patient to move to the next stretcher for you. After this is done, put up both side rails. COUNTY OF HARNETT LILLINMN, NORTH CAROLINA imNEfr Cowry EMERGENCY MEDICAL sERV10P5 - Policy Statement Number 3_09 SUB=: Billing Procedures - 1. Purpose: To insure that nil customers are treated alike, the following policy will establish uniform procedures concerning billing of patients. 2. Policy: 2,1 It will be the responsibility of the attendant to correctly complete the trip ticket on every call requiring transport or transfer. 2,2 A fee of $75.00 will be charged for all In- County transports with _ the exception of situations that are covered by Harnett County anergency Medical Services Policies. 2.3 All Out -Of -Canty transfers will be charged $75.00 plus $1.00 per mile from the County line to the receiving facility. 2,4 In case a Volunteer Rescue Squad is transporting a patient to a ospiticket al xperie ceslvehicle edifficulty charges. i requiring mutual aid, the - 2,5 - If mutual as requested from a paid provider, the normal charges will be applied. 2 6 section ablank on has e trip ticket should be left blank and areferred to the Shift Supervisor. 2,7 $10.00 will be charged for oxygen used. .. 2,8 $20.00 will be charged for any ALS, $30.00 will be charged for Oxygen & ALS. 2.10 2.11 2.12 C circumstances mark ie for eri unless ng ex (suchasncubator on Personnel will Unit willdalways mark 10-8 from calls, 10-7gtoore urn equipment. D Central, oes not - traannspor10 unit 1 l8 ad1is19Central only - Unit will advise Central of its location and/or destination as applicable. A. TriVs for fuel, supplies, vehicle maintenance, or special ass B. Upon completion of asssignment. It will be the responsibility of the driver to document any problems in the above policy that prevent adequate communication of 10 -39 and /or 10 -40 communications. if an EMS unit calls Central and does not receive a reply, the unit should call again in the following manner: Central, EMS 36 - wait for acknowledgement - EMS 36, 10 -17 to location 10 -40 with I. 1'77 COUNTY OF HARNETT LILLINGICN, NORTH CAROLINA BARNET COUNTY EMERGENCY MEDICAL SERVICES Policy Statement ' Number 4.01 i SUBJECT: - Dispatch - 1. Purpose: To estdblish procedures for Dispatch, 2. Policy: 2:1 c i t ��( Despot& resfo i[�iinty wofmlm:etes. l��i�s [Lneffimneewiyl hear[ after Harnett Central has completed dispatch information. . 2.2 Undue delay beyond the two minute Limit will require a written explanation from the driver and attendant. 2.3 All radio traffic enroute to the scene will be handled by the attendant - 2.4 Upon arrival at the scene, all EMS units will advise Central they are 10 -23. This will be done in the following manner: CentraI,EMS 36 - 10 -23 @.given location. 2.5 First EMS, unit on scene will advise Central additional responding units are not needed or 10 -40 or 10 -39. 2.6 If additional backup is needed, advise Central in the following manner: Harnett Central - EMS (36) 10 -40 or 10 -39 traffic - advise Communications Center if medical or trauma code exists, advise type of backup needed: 1. Additional E45 unit. 3. Fire Department ' 2. Crash truck 4. Police or H.P. 2,7 After securing patient in unit, the driver will advise departure in the following manner: Central,EMS 36 - 10 -L7 to Good Hope or Betsy Johnson 10 -39 with number of patients on board. If using 10 -40 or 10 -39 traffic, advise Central of route unit will be taking. 2.8 Upon arrival at the hospital, the unit will advise Central as: EMS 36 - 10 -6 @ receiving facility. 2.9 Upon completion of assignment, the following communications will -. be transmitted: A. After marking 10 -6 @ receiving facility, unit will be ready to mark 10 -8. B. When leaving hospital, unit will advise Central, FMS 36 - 10 -8 - 10 -19 to location - returning to. 2.10 2.11 2.12 C circumstances mark ie for eri unless ng ex (suchasncubator on Personnel will Unit willdalways mark 10-8 from calls, 10-7gtoore urn equipment. D Central, oes not - traannspor10 unit 1 l8 ad1is19Central only - Unit will advise Central of its location and/or destination as applicable. A. TriVs for fuel, supplies, vehicle maintenance, or special ass B. Upon completion of asssignment. It will be the responsibility of the driver to document any problems in the above policy that prevent adequate communication of 10 -39 and /or 10 -40 communications. if an EMS unit calls Central and does not receive a reply, the unit should call again in the following manner: Central, EMS 36 - wait for acknowledgement - EMS 36, 10 -17 to location 10 -40 with I. 1'77 178 ODUNIY OF HARNETT LILLINGLON, NORTH CAROLINA HARNETT 010M EMERGENCY MEDICAL SERVICES Policy Statement Number 4.02 Sug,)EGT: Radio Identification Codes for Harnett EMS Personnel 1. Purpose: identifications when operating department- owed equipment. 2. Policy: 2.1 Harnett County Emergency Medical Services staff shall Identify their two -way radio communications originating from department - owned, licensed, and digit codes listed below. These identifiers shall be used when communicating between department -owed equipment or when coamunicating to other facilities or systems, such as Energency Operating Centers, Hospitals, or other licensed two -way radio systems. 2.2 "HARNEIT" toghelp prevent confusion shall confusionbetw between stations throughout the area of operation. 2.3 identifications shall nbe agiven6first,ofollowedaby the county the identifier. 2.4 No person shall use for identification the code assigned to another person or position. 2.5 Harnett County one or two digit identifiers are assigned by vehicle as follows: Harnett EIS 35 Vehicle Harnett EMS 36 Vehicle Harnett EMS 37 Vehicle Harnett EMS 38 Vehicle Harnett EMS 39 Vehicle 2.6 The Harnett County Emergency Medical Services two -digit identifiers are assighned as follows: Identifier Assigned To EIS 30 Director 31 Asst. Director Dig ES 32 Team 1 - Shift Supervisor EIS 33 Teem 2 - Shift Supervisor EMS 34 Team 3 - Shift Supervisor LIILINGION, NORTH CAROLINA HARNETT COUNTY EMERGENCY MEDICAL SERVICES Policy Statement Number 5.01 _ I I SUBJECT: Operation of Vehicles 1, Purpose: To establish a standard policy for the operation of Harnett County EMS Vehicles. 2. Policy: 2.1 The maxim speed of every EMS vehicle is not to exceed ten miles per hour over the posted speed limit. 2.2 All FMS vehicles shall cane to a complete stop at all intersections where stop signs are displayed in the FMS vehicle's direction of travel or where the DO vehicle must .proceed against a red light. FMS vehicles shall proceed only when it has been determined that traffic conditions will permit such action. At other intersections or hazards, all FNS vehicles shall be fully prepared to stop by pausing sufficiently to assure that movement can be made safely. 2.3 When any EMS Unit is being backed, there must be someone watching for clearance. 2.4 It will be the driver's responsibility to insure that the doors are fully open hefore leaving or entering the station. 2.5 A written report must be submitted to the Shift Supervisor concerning any damage that occurs to an FMS Unit. This report may be completed by either the driver /or attendant. 2.6 Seat belts will be worn at all times whenever EMS Units are in operation. COUNTY OF BARNETT LILLINGION, NORTH CAROLINA HARNETT COUNTY EMERGENCY MEDICAL SERVICES Policy Statement Number 5.02 . SUBJECT: Transportation of the Deceased 1. Purpose: It is not the responsibility of Harnett County ENS to transport deceased persons. This policy will establish guidelines to be used when confronted wit person. 2. Policy: 2.1 Upon arriving on the scene of any fatality or deceased person, FMS personnel shall contact Central and request assistance due to a Code 3. qq 2.2 commentsoconcerning the fatality orsdeceesed. uestions or questions should be referred to the investigating officer. 2.3 will answer rany lquestions by the officer andrImmedia personnel Immediately leave the scene. 2.4 examiners to ivestigating Office or permission from the shift supervisor prior to moving the deceased. 2.5 The shift supervisor will only authorize transportation of the extreme deceased in circumstances, and at no authori transportation of a deceased contagious diseases or decomposed body. 179 LILLINGION, NORTH CAROLINA 180 'i BARNETT awTV 8ERGENCY MEDICAL SERVICES Policy Statement Number 5.03 I SUBIECr: Riders on EMS Units 1: se: To establish uniform policy concerning individuals authorized to ride on Harnett EMS Units. 2. Policy: 2,1 - The following individuals are authorized to ride on a EMS Unit: A. Harnett County EMS employees. B. Uniformed law enforcement officers required for assistance in safely transporting a patient. C. A member of the Fire Department or First Responder who has been requested by EMS Personnel to assist with patient care. D. An EM' who is specially requested to assist on a particular call by an EMS employee at the scene of an emergency for the purpose of rendering necessary medical assistance on a specific emergency patient transport. E. A person(s) who has specifically been assigned to accompany the physician's patient to a care facility. F. A ember of the patients immediate family who may accompany the patient to a care facility by riding in the right front seat of the ambulance, provided that approval is obtained from the senior full -time county EMS employee an the scene. 2.2 Harnett County Employees (County Manager, Assistant County Manager, Human Services Administrator, act.) with the approval of the Director and /or Asst. Director. 2.3 Individuals authorized by the Assistant Director and /or Director. These persons must sign a Waiver of,Liability before riding on the vehicle. COUNri OF HARNETT LLLLINGION, NORTH CAROLINA HARNETT COUNTY EMERGENCY MEDICAL SERVICES Policy Statement Number 5_04 SLwwrt Transportation of Individuals in Cardiorespiratory Arrest L. ee: individualshin a uniform erdiorespira[ aneportetion of ory arrestL 2. Polio 2.1 If an individual is found to be in cerdiorespire[ory arrest, it shall be the policy of Harnett EMS to transport this individual to the nearest hospital department with full time emergency department yeicians on staff. 2.2 If,a duly qualified N.C. Physician is physically present at the patient scene with a physician Shall assume nthe r arrest, responsibility for the care �t and treatment of such individual, and if that physician shall ride to a medical facility in the EMS vehicle, then EMS will transport such individual to any medical facility within Harneta FMS Service area that such physician shall request. 2,3 If transportation of an individual in cardiorespiratory arrest is to a medical facility other than the nearest hospital, then EMS personnel shall notify the nearest hospital that they are transporting to another medical facility at the request of an on board N.C. Licensed Medical Doctor who has assumed respon- sibility for the care and treatment of the patient- 2.4 This policy shall also cover severe Trauma. 03UNrY OF HARNEIT LIILINGION, NORTH CAROLINA HARNEIT COUHIY EMERGENCY MEDICAL SERVICES ' - Policy Statement Number 5.05 I SUBJECr: Transportation of the Sick and Injured 1. Purpose: To establish a uniform policy for the transportation of the sick and injured. 2. Policy: 2,1 All sick or injured persons requesting transport, shall be transported to a hospital without delay. 2,2 Persons refusing or not requesting transport to a hospital shall sign the trip ticket in the space provided for refusal or an authorized person shall sign the refusal for them. 2,3 Harnett County ENS will not be responsible for transporting any patient (county resident or non - county resident) to any facility that exceeds 50 miles outside Harnett County. 2,y Harnett County EMS will be responsible for the transfer or transport of any patient (county resident or non - county resident) that is must be adcoceivingrfacilityatno [ oanree residence The 'transfer noOeer transport may not exceed Policy 2.3 of this section. Also, this for this transfer. If an ambulances is of available hen the trans- ferring facility most be responsible for securing another means of transport. Harnett attempting to locate Cthe al�nativectransportwith the facility in unit ' 2.5 Harnett County EMS will transport a County resident to his oc her residence from a hospital outside of Harnett County providing that the ptient's neds are such otherrammeans and - this transport hdoes enot exceed yPolicy e2.3 ofpthis section. 2.6 A County resident receiving medical care in a local medical facility may be transported to his or her residence anywhere within the boundaries of Harnett County provided that he or she may not be transported by any other moans. A Non- County resident receiving medical care in a Local medical facility may be transported to his or her residence provided that the mileage outside of Harnett County does not exceed Iifteen (15) miles and he or she may not be a transported by y 2.7 Harnett County EMS will not be responsible for the transfer of any patient (county resident or non - county resident) that is receiving to another medical facility oranursing outside Harnett or outside of County ' of a County resident tolSoutheastern RehabilitationeCenterniport Fayetteville, N.C. . I i i . zs zs 182 LILLINGION, NORIH CAROLINA HARNErr COUNTY EMERGENCY MEDICAL SERVICES Policy Statement Number 5.06 SUBIECr: Valid N.C. Driver's License as a Condition for Continued Fmployment 1, Purpose: 1'o establish a uniform policy on having and /or maintaining a valid N.C. driver's license. 2. Policy: 2.1 All Harnett County EMS employees directly involved with patient care who are expected to drive an EMS vehicle must have and maintain a valid N.C. drivers license. 2.2 Any Harnett County FMS employee covered under this policy who has his or her driver a license suspended by the Court System and /or the Department of Motor Vehicles, for a period of thirty (30) days or less shall be placed on administrative leave with pay if the employee has sufficient leave to cover such a period. If the employee does not have sufficient leave to cover such a period, the leave shall be without pay. 2.3 s Harnett riZF lemployee covered under this ptcu his or her dvera censesuspendedorrevokedbyheCort System and /or the Department of Motor Vehicles, for a period in excess of thirty (30) days, shall have their employment terminated effective upon such suspension. 2.4 Any Harnett County EMS employee covered under this policy who is convicted by the Court System of Driving While Impaired, shall have their employment terminated upon con c[ on. 2.5 Any Harnett County EMS employee covered under this policy who is convicted by the Court System of any other alcohol related traffic offense shall be subject to appropriate disciplinary action. 2.6 Any Harnett County EMS employee covered under thi policy who accumulates such a Harnett county causes so t s For purposes Of this to policy, a liability to Harnett County shall be defined as a driver with such a driving record so as not to be acceptable for the same insurance rates as other drivers with acceptable driving records. For the purpose of enforcement of this provision, determination of what is an acceptable or unacceptable driving record shall be in the sole direction of Harnett County. COUNTY OF HARNErr LttLINGI.ON, NOR1H CAROLINA FWRIM COUN14 EMPRGENCY MEDICAL SERVICES Policy Statement Number 5__07 SU&IECr: North Carolina Department of Correction Inmates 1. Purpose. To establish a uniform transportation policy for sick or injured inma a ma 2. Policy: 2.1 d ring emergencies the will be made by Prisons Harnett County�Emergeucy decisions Medical personnel in attendance. 2.2 na threatening situation in pona Correction inat e' HarnettCounE mergencymedialersonel shall transport to the closest medical facility. 2.3 n inmate, transportation tosCentrali Prisonertio Hospital is desirable; to anyrlocal medical facility atythe request the Department of Correction. 2.4 - Any inmate transported from the Harnett County Jail will not be charged. (Place on charge ticket County Jail) COUNTY OF HAFNEIT LIILINCICN, NORTH CAROLINA tMETT COUNIY E ERGENCY MEDICAL SERVICES Policy Statement Number 6.01 SUBJECT: Hospital Ck mmmications 1. Purpose: To establish uniform standards for proper comet nications with .hospital Staff. 2. Policy: 2.1 All hospital communications will be transmitted on frequency 155.340 - Channel 3. 2.2 The EMT responsible for the patient(s) will transmit the situation to the receiving hospital in the following manner: Receiving facility - EMS (36) on 340 - wait for acknowledgement - EMS (36) 10-17 to your facility with: A. Number of patients. B. If trauma case - advise type. C. Age and sex. D. Major complaints and personal observations about patient. E. Vital signs. F. Treatmeut rendered. G. Pertinent medical history. H. Advise patient's name and doctor, wily if requested by Emergency Roam. I. If more than one patient is being transported, after transmitting first patient information -make sure hospital has a 10 -2 copy - and go ahead with further communications. J. Advise Fmergency Room if patient is Ambulatory. K. Units estimated E.T.A. L. Acknowledge hospital on roam orders and clear unit. 2.3 7 . Ifestill unable -7 to r contact hospiial, 10- 5p only pert war to inent 0 information to Central. 2.4 Upon completion of patient information to the receiving emergency facilityy, the unit will switch back to Central. (Frequency 155.760 Channel ) COUNTY OF HARNEIT U LI%7W, NORTH CAROLINA HARNETT COUNTY EMERGENCY MEDICAL SERVICES Policy Statement Number 6.02 SUBJECT: Time at Hospitals 1. purpose: To insure that as ambulance unit Es available to respond to every emergency call. 2. Policy: - 2,1 Patient care is the number one responsibility; however, as soon es the patient is properly transferred to the emergency department personnel, the unit will return to the assigned station. 2.2 aEMS the ihospital xwhen e transporting town em rgency departmentnutes 2,3 If additional time is needed for patient care or observation, permission must be obtained from the shift supervisor to exceed the above- required fifteen (15) minute time limit. 183