{"id":547,"date":"2021-08-15T13:57:07","date_gmt":"2021-08-15T17:57:07","guid":{"rendered":"https:\/\/tuxedoems.org\/wp\/wordpress\/?page_id=547"},"modified":"2021-08-15T14:35:14","modified_gmt":"2021-08-15T18:35:14","slug":"standard-operating-guide","status":"publish","type":"page","link":"https:\/\/tuxedoems.org\/wp\/wordpress\/?page_id=547","title":{"rendered":"Standard Operating Guide"},"content":{"rendered":"\n

Important Notice<\/u><\/strong><\/p>\n\n\n\n

This guideline is effective immediately and applies to all riding personnel, members, and paid staff.  This policy supersedes any previous edition.<\/p>\n\n\n\n

Table of Contents<\/u><\/strong><\/p>\n\n\n\n

S.O.G. 1 \u2013 House Rules  <\/p>\n\n\n\n

  1. Building<\/u><\/strong><\/li>
  2. Corps Property<\/u><\/strong><\/li>
  3. Guests<\/u><\/strong><\/li>
  4. Smoking<\/u><\/strong><\/li>
  5. Ambulances<\/u><\/strong><\/li>
  6. Ambulance\/Medic Bay<\/u><\/strong><\/li>
  7. Kitchen<\/u><\/strong><\/li>
  8. Laundry Room<\/u><\/strong><\/li>
  9. Bedroom<\/li>
  10. Jr. Corps Members<\/li><\/ol>\n\n\n\n

    S.O.G.  2 \u2013 Applications for Membership  <\/p>\n\n\n\n

    1. Application
      1. Denial of Membership to Applicants<\/li><\/ol>
        1. New Member Orientation<\/li><\/ol>
          1. EMS Certifications<\/li><\/ol><\/li><\/ol>\n\n\n\n

            S.O.G.  3 \u2013 Responsibilities of Riding Members<\/p>\n\n\n\n

            1. Mandatory Duties<\/li><\/ol>\n\n\n\n

              S.O.G.  4 \u2013 Active Members<\/p>\n\n\n\n

              1. Hierarchy of Active Members<\/li>
              2. Duty Hours\/Requirements<\/li>
              3. Uniform Policy<\/li>
              4. Photo IDs<\/li>
              5. Green Lights (Cards & Usage)<\/li>
              6. Equipment<\/li>
              7. Cell Phones<\/li>
              8. 2nd<\/sup> Calls in the District<\/li>
              9. NYS BLS Protocols<\/li><\/ol>\n\n\n\n

                S.O.G.  5 \u2013 Paid Staff<\/p>\n\n\n\n

                1. Coverage and Responsibilities<\/li><\/ol>\n\n\n\n

                  S.O.G.  6 \u2013 Social Members<\/p>\n\n\n\n

                  1. Requirements<\/li>
                  2. Requests to Ride<\/li><\/ol>\n\n\n\n

                    S.O.G.  7 \u2013 Sexual Harassment Policy<\/p>\n\n\n\n

                    1. Commitment to Members and Paid Staff<\/li><\/ol>\n\n\n\n

                      S.O.G.  8 \u2013 Equipment Checks<\/p>\n\n\n\n

                      1. Taking Equipment Out of Service<\/li>
                      2. A Proper Rig Check<\/li>
                      3. NYS DOH Part 800<\/li><\/ol>\n\n\n\n

                        S.O.G.  9 \u2013 Personal Equipment<\/p>\n\n\n\n

                        1. Allowable Items and Exchange<\/li><\/ol>\n\n\n\n

                          S.O.G.  10 \u2013 Radio Communications<\/p>\n\n\n\n

                          1. Communications to Dispatch<\/li>
                          2. Communications to the Hospitals<\/li><\/ol>\n\n\n\n

                            S.O.G.  11 \u2013 Ambulance Responses<\/p>\n\n\n\n

                            1. Ambulance Responses<\/li>
                            2. Emergency Vehicle Operation<\/li>
                            3. Member Responses<\/li>
                            4. On-Scene Behavior<\/li>
                            5. Loss of Driving Status<\/li><\/ol>\n\n\n\n

                              S.O.G.  12 \u2013 Scene Safety<\/p>\n\n\n\n

                              1. The Basics of Scene Safety<\/li><\/ol>\n\n\n\n

                                S.O.G.  13 \u2013 Types of Calls<\/p>\n\n\n\n

                                1. A Note Regarding All Calls<\/li>
                                2. Non-Emergency Transports<\/li>
                                3. Stand-bys<\/li>
                                4. Fire Scene Stand-bys<\/li>
                                5. Helicopter Requests<\/li>
                                6. Refusal of Medical Attention (RMAs)<\/li>
                                7. Cancellations<\/li>
                                8. Unfounded Calls\/No Patient Found<\/li>
                                9. Unattended Deaths<\/li>
                                10. Motor Vehicle Accidents (MVAs)<\/li>
                                11. On the Thruway<\/li>
                                12. Psychiatric Emergencies<\/li>
                                13. Restraints<\/li>
                                14. Patients That Are In Police Custody<\/li>
                                15. Crime Scenes<\/li>
                                16. Inclimate Weather<\/li>
                                17. Mutual Aid<\/li><\/ol>\n\n\n\n

                                  S.O.G.  14 \u2013 Transferring Care of a Patient<\/p>\n\n\n\n

                                  1. Transfer of Care at the Hospital<\/li>
                                  2. Transition of Care From a First Responder<\/li><\/ol>\n\n\n\n

                                    S.O.G.  15 \u2013MCI Operations<\/p>\n\n\n\n

                                    1. MCI Operations<\/li><\/ol>\n\n\n\n

                                      S.O.G.  16 \u2013 Choosing the Appropriate Hospital<\/p>\n\n\n\n

                                      1. Patient\u2019s Choice of Hospital<\/li><\/ol>\n\n\n\n

                                        S.O.G.  17 \u2013 Hospital Diversions<\/p>\n\n\n\n

                                        1. The Basics of a Hospital  Diversion<\/li><\/ol>\n\n\n\n

                                          S.O.G.  18 \u2013 Advanced Directives<\/p>\n\n\n\n

                                          1. Do Not Resuscitate Order (DNR)\/MOLST<\/li>
                                          2. Medical Orders for Life Sustaining Treatment (MOLST)<\/li>
                                          3. Health Care Proxies and Living Wills<\/li><\/ol>\n\n\n\n

                                            S.O.G.  19 \u2013 Medical Control<\/p>\n\n\n\n

                                            1. The Basics of Medical Control<\/li><\/ol>\n\n\n\n

                                              S.O.G.  20 \u2013 Calls That Require Special Attention<\/p>\n\n\n\n

                                              1. Child Abuse<\/li>
                                              2. Abandoned Infants<\/li>
                                              3. On-Scene Photography<\/li>
                                              4. Forcible Entries<\/li>
                                              5. DOH Policy 02-01<\/li><\/ol>\n\n\n\n

                                                S.O.G.  21 \u2013 Types of Abuse<\/p>\n\n\n\n

                                                1. Reporting Child Abuse<\/li>
                                                2. Elder Abuse, Patient Abuse and Other Domestic Violence Reporting<\/li><\/ol>\n\n\n\n

                                                  S.O.G.  22 \u2013 Emergency Incident Rehabilitation<\/p>\n\n\n\n

                                                  1. Emergency Incident Rehabilitation<\/li>
                                                  2. Responsibilities
                                                    1. Incident Commander (IC) Responsibilities<\/li><\/ol>
                                                      1. EMS Sector\/Medical Command Personnel Responsibilities<\/li><\/ol>
                                                        1. On-Scene Personnel Responsibilities<\/li><\/ol><\/li>
                                                        2. REHAB Dispatch Guidelines<\/li>
                                                        3. REHAB Dispatch Classifications<\/li>
                                                        4. REHAB Response<\/li>
                                                        5. REHAB Sector
                                                          1. Location of the REHAB Sector<\/li><\/ol>
                                                            1. Site Characteristics<\/li><\/ol>
                                                              1. Site Designations<\/li><\/ol>
                                                                1. Resources<\/li><\/ol><\/li>
                                                                2. REHAB Operational Guidelines
                                                                  1. Hydration<\/li><\/ol>
                                                                    1. Nourishment<\/li><\/ol>
                                                                      1. Recovery Phase (with important notice at end)<\/li><\/ol>
                                                                        1. Medical Evaluation<\/li><\/ol>
                                                                          1. Heart Rate and Temperature<\/li><\/ol>
                                                                            1. Notes Relative to Blood Pressure Assessment<\/li><\/ol>
                                                                              1. Documentation<\/li><\/ol><\/li>
                                                                              2. Accountability
                                                                                1. References Used<\/li><\/ol>
                                                                                  1. Appendices
                                                                                    1. REHAB Officer Checklist<\/li><\/ol>
                                                                                      1.  Heat Stress Index<\/li><\/ol>
                                                                                        1. Wind Chill Index<\/li><\/ol>
                                                                                          1. REHAB Flowchart<\/li><\/ol>
                                                                                            1. REHAB Log Sheets<\/li><\/ol>
                                                                                              1. Check In and Check Out Sheets<\/li><\/ol><\/li><\/ol><\/li><\/ol>\n\n\n\n

                                                                                                S.O.G.  23 \u2013 Critical Incident Stress Management (CISM)<\/p>\n\n\n\n

                                                                                                1. The Purpose of a CISM<\/li>
                                                                                                2. Process<\/li>
                                                                                                3. The Critical Incident<\/li>
                                                                                                4. Activation of the Debriefing Process<\/li>
                                                                                                5. Location<\/li>
                                                                                                6. The Debriefing Team<\/li>
                                                                                                7. Relieving Members From Duty<\/li>
                                                                                                8. Confidentiality<\/li><\/ol>\n\n\n\n

                                                                                                  S.O.G.  24 \u2013 Ambulance Accidents & Breakdowns<\/p>\n\n\n\n

                                                                                                  1. Ambulance Accidents<\/li>
                                                                                                  2. Reportable Incidents<\/li><\/ol>\n\n\n\n

                                                                                                    S.O.G.  25 \u2013 Pre-Hospital Care Reports<\/p>\n\n\n\n

                                                                                                    1. Using the PCR<\/li>
                                                                                                    2. The Importance of Good PCR Writing<\/li>
                                                                                                    3. Elements of a Good PCR<\/li>
                                                                                                    4. Parts of the NYS PCR<\/li>
                                                                                                    5. The Top One-Third<\/li>
                                                                                                    6. Chief Complaint\/Subjective Assessment<\/li>
                                                                                                    7. Presenting Problem<\/li>
                                                                                                    8. Past Medical History<\/li>
                                                                                                    9. Vital Signs<\/li>
                                                                                                    10. Objective Physical Assessment<\/li>
                                                                                                    11. Comments<\/li>
                                                                                                    12. Treatment Given (with important note)<\/li>
                                                                                                    13. Continuation Forms<\/li>
                                                                                                    14. Data Entry<\/li><\/ol>\n\n\n\n

                                                                                                      S.O.G.  26 \u2013 Cleaning of Equipment<\/p>\n\n\n\n

                                                                                                      1. Decontamination of Equipment<\/li>
                                                                                                      2. Cleaning<\/li>
                                                                                                      3. Disinfection<\/li>
                                                                                                      4. Sterilization or High-Level Disinfection<\/li>
                                                                                                      5. Laundry<\/li>
                                                                                                      6. Linens<\/li>
                                                                                                      7. Care of Specific Contaminated Equipment<\/li><\/ol>\n\n\n\n

                                                                                                        S.O.G.  27 \u2013 Bloodborne Pathogens<\/p>\n\n\n\n

                                                                                                        1. Exposure Determination<\/li>
                                                                                                        2. Implementation<\/li>
                                                                                                        3. Method for Evaluation of Exposure Incidents<\/li>
                                                                                                        4. Review of Expose Control Plan<\/li>
                                                                                                        5. Accessibility of Bloodborne Exposure Control Plan<\/li>
                                                                                                        6. Methods of Compliance<\/li>
                                                                                                        7. Body Substance Isolation<\/li>
                                                                                                        8. Potentially Infectious Material<\/li>
                                                                                                        9. Engineering Controls
                                                                                                          1. Handling Sharps<\/li><\/ol>
                                                                                                            1. Disposal of Sharps<\/li><\/ol>
                                                                                                              1. Hand Washing and Shower Facilities<\/li><\/ol><\/li>
                                                                                                              2. Safe Work Practices<\/li>
                                                                                                              3. Hand Washing<\/li>
                                                                                                              4. Storage and Consumption of Food<\/li>
                                                                                                              5. Smoking, Cosmetics, Lip Balm, and Contact Lenses<\/li>
                                                                                                              6. Procedures Likely to Splash\/Spray Blood or OPIM<\/li>
                                                                                                              7. Potentially Infectious Specimen Samples<\/li>
                                                                                                              8. Blood Samples<\/li>
                                                                                                              9. Emises Samples<\/li>
                                                                                                              10. Avulsed\/Amputated Tissue\/Body Parts
                                                                                                                1. Decontamination of Equipment<\/li><\/ol>
                                                                                                                  1. Cleaning<\/li><\/ol>
                                                                                                                    1. Disinfection<\/li><\/ol>
                                                                                                                      1. Sterilization\/High-Level Disinfection<\/li><\/ol>
                                                                                                                        1.  Laundry<\/li><\/ol><\/li>
                                                                                                                        2. Personal Protective Equipment
                                                                                                                          1. Protective Barriers<\/li><\/ol>
                                                                                                                            1. Removal of Protective Clothing<\/li><\/ol>
                                                                                                                              1. Emergency Resuscitative Equipment<\/li><\/ol>
                                                                                                                                1. Face Shields and Masks<\/li><\/ol>
                                                                                                                                  1. Gloves<\/li><\/ol><\/li>
                                                                                                                                  2. Housekeeping
                                                                                                                                    1. Vehicles<\/li><\/ol>
                                                                                                                                      1. Equipment<\/li><\/ol>
                                                                                                                                        1. Regulated Waste<\/li><\/ol>
                                                                                                                                          1. Storage and Disposal of Regulated Waste<\/li><\/ol><\/li>
                                                                                                                                          2. Exposure, Evaluation, and Prevention
                                                                                                                                            1. Hepatitis B Vaccination<\/li><\/ol>
                                                                                                                                              1. Post Exposure Evaluation and Follow Up<\/li><\/ol>
                                                                                                                                                1. Information Provided to Health Care Professional<\/li><\/ol><\/li>
                                                                                                                                                2. Communication of Hazard to Members
                                                                                                                                                  1. Member Training<\/li><\/ol>
                                                                                                                                                    1. Medical Recordkeeping<\/li><\/ol>
                                                                                                                                                      1. Confidential Medical Records<\/li><\/ol>
                                                                                                                                                        1. Transfer of Records<\/li><\/ol><\/li><\/ol>\n\n\n\n

                                                                                                                                                          S.O.G.  28 \u2013 Airborne Pathogens<\/p>\n\n\n\n

                                                                                                                                                          1. Exposure Determination<\/li>
                                                                                                                                                          2. Implementation<\/li>
                                                                                                                                                          3. Method for Evaluation of Exposure Incidents<\/li>
                                                                                                                                                          4. Review of Expose Control Plan<\/li>
                                                                                                                                                          5. Accessibility of Bloodborne Exposure Control Plan<\/li>
                                                                                                                                                          6. Methods of Compliance<\/li>
                                                                                                                                                          7. Body Substance Isolation<\/li>
                                                                                                                                                          8. Potentially Infectious Material<\/li>
                                                                                                                                                          9. Personal Protective Equipment<\/li>
                                                                                                                                                          10. Protective Barriers<\/li>
                                                                                                                                                          11. Emergency Resuscitation Equipment
                                                                                                                                                            1. Housekeeping
                                                                                                                                                              1. Vehicle<\/li><\/ol>
                                                                                                                                                                1. Equipment<\/li><\/ol>
                                                                                                                                                                  1. Decontamination of Equipment<\/li><\/ol>
                                                                                                                                                                    1. Cleaning<\/li><\/ol>
                                                                                                                                                                      1. Disinfection<\/li><\/ol><\/li><\/ol>
                                                                                                                                                                        1. Exposure, Evaluation, and Prevention
                                                                                                                                                                          1. Post Exposure Evaluation and Follow Up<\/li><\/ol>
                                                                                                                                                                            1. PPD Vaccination<\/li><\/ol>
                                                                                                                                                                              1. Information Provided to Health Care Provider<\/li><\/ol><\/li><\/ol>
                                                                                                                                                                                1. Communication of Hazards to Members
                                                                                                                                                                                  1. Member Training<\/li><\/ol>
                                                                                                                                                                                    1. Training Content<\/li><\/ol>
                                                                                                                                                                                      1. Medical Recordkeeping<\/li><\/ol>
                                                                                                                                                                                        1. Confidential Medical Records<\/li><\/ol>
                                                                                                                                                                                          1. Transfer of Records<\/li><\/ol><\/li><\/ol><\/li><\/ol>\n\n\n\n

                                                                                                                                                                                            S.O.G.  29 \u2013 Quality Assurance Quality Improvement<\/p>\n\n\n\n

                                                                                                                                                                                            1. The Basics<\/li>
                                                                                                                                                                                            2. CQI Committee<\/li>
                                                                                                                                                                                            3. Process for Quality Review<\/li>
                                                                                                                                                                                            4. Record Keeping<\/li>
                                                                                                                                                                                            5. Communications<\/li><\/ol>\n\n\n\n

                                                                                                                                                                                              S.O.G.  30 \u2013 Sharps & Bioharzard Disposal<\/p>\n\n\n\n

                                                                                                                                                                                              1. Proper Disposal<\/li><\/ol>\n\n\n\n

                                                                                                                                                                                                S.O.G.  31 \u2013 Training<\/p>\n\n\n\n

                                                                                                                                                                                                1. Drills and In-service Training<\/li>
                                                                                                                                                                                                2. Driver\u2019s Training<\/li>
                                                                                                                                                                                                3. Loss of Driver\u2019s Status<\/li>
                                                                                                                                                                                                4. Violations<\/li>
                                                                                                                                                                                                5. Class A Violations<\/li>
                                                                                                                                                                                                6. Class B Violations<\/li>
                                                                                                                                                                                                7. Training for EMTs to be Crew Chiefs<\/li><\/ol>\n\n\n\n

                                                                                                                                                                                                  S.O.G.  32 \u2013 Annual Review<\/p>\n\n\n\n

                                                                                                                                                                                                  1. Guarantee of Validity<\/li><\/ol>\n\n\n\n

                                                                                                                                                                                                    p 119 \u2013 Abbreviations Used Throughout These Guidelines<\/p>\n\n\n\n

                                                                                                                                                                                                    S.O.G. 1<\/u><\/strong><\/p>\n\n\n\n

                                                                                                                                                                                                    House Rules<\/u><\/strong><\/p>\n\n\n\n

                                                                                                                                                                                                    1. Building:<\/u><\/strong><\/p>\n\n\n\n