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1 Lincoln Park EMS Standard Operating Guidelines (SOG) MANUAL Revised 08-01-2013

Lincoln Park EMS Standard Operating Guidelines (SOG) · PDF fileLincoln Park EMS Standard Operating Guidelines (SOG) ... By notification to the Chief or Ambulance Officer the vehicles

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Lincoln Park EMS

Standard Operating Guidelines (SOG) MANUAL

Revised 08-01-2013

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Table of Contents 83/84 GUIDELINES .......................................................................................................... 3 CREW POLICY ................................................................................................................. 4 EMERGENCY CALL POLICY .......................................................................................... 5 ACCOUNTABILITY SYSTEM .......................................................................................... 7 LONG TERM/MCI INCIDENTS ......................................................................................... 8 DRIVERS .......................................................................................................................... 9 FIRE GUIDELINES ........................................................................................................... 10 REHAB GUIDELINES ...................................................................................................... 11 FLOOD GUIDELINES ....................................................................................................... 13 VEHICLE EXTRICATION GUIDELINES .......................................................................... 14 DISASTER PROTOCOL ................................................................................................... 16 LPEMS STORM OPERATIONS ....................................................................................... 17 ICE RESCUE GUIDELINES ............................................................................................. 20 PARADE GUIDELINES .................................................................................................... 22 RADIO GUIDELINES ........................................................................................................ 23 UNIFORM ALLOWANCE GUIDELINES .......................................................................... 24 DISPATCH GUIDELINES ................................................................................................. 25 CARBON MONOXIDE DETECTOR GUIDELINES .......................................................... 27 BLOODBORNE PATHOGENS AND HAZARD COMMUNICATIONS POLICY ............... 28 Policy: The purpose of this policy is to set forth guidelines that will enable the officers to complete their responsibilities in and organized and efficient manner and to make members responsible of their own personal duties.

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83/84 GUIDELINES

Primary use

83 and 84’s primary use is for the towing of the trailers and for fire rehab purposes

Additional Use

Due to 83 and 84’s primary use, the vehicle needs to be available within short notice. The vehicles will be kept at the building in the bay with the keys left in them. By notification to the Chief or Ambulance Officer the vehicles will be available for use by any Driver or EMT squad member for transportation to squad or First Aid Council related functions only. These vehicles are not to be used for personal errands. Any Driver or EMT member may request use of the vehicle during duty time (if their own vehicle is unavailable or unsuitable) with the approval of the Chief or Ambulance Officer. Members using the vehicle for this reason must make arrangements for the repair of their own vehicle in a timely manner. The vehicle can only be used for going back and forth to the building and cannot be used for their personal errands during this time. Cadet and Probationary members will not be given use of 83 or 84. Any member using the 83 or 84 must log the vehicle out on the white board with the time left, destination, and contact #. You must also take a portable radio with you. A logbook is also in the console of the vehicle for you to log in your use and miles. If both rigs are tied up on calls, 83 or 84 can be used as a first responder vehicle to start treatment on a patient until a mutual aid rig can respond.

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CREW POLICY You are responsible to be available for the shift you were assigned by the Operations Officer. If your schedule changes, you may ask the Operations Officer to change your assigned shift. You are responsible for logging your own hours of being on duty. If you miss a call, any hours you logged in for that shift will be deleted. If you are on second call and PD hits a 2nd time and you do not respond, you will lose all hours from that point until the end of duty shift. Check with the Crew Chief of how your crew does 1st and 2nd call as each crew does this differently. Crews will meet each duty shift to do a rig check and fill out the rig check form. The crew can train together during their duty shift. This training may include GPS, radios and use of the street directory, or equipment on the rigs or trailers. At the beginning of the year, each crew will meet with the Chief and decide who is going to be the designated Crew Chief and back-up Crew Chief for the crew. Choice must be approved by the line officers. Any member who cannot pull their assigned duty must contact the Crew Chief prior to your assigned shift. The Crew Chief will determine if you need to get coverage. Do not assume that there is sufficient coverage. If you do not notify the Crew Chief and get permission not to get coverage, you will be written up on charges, except for extenuating circumstances. If you are required to get coverage, notify the Crew Chief of who will be covering you. The consumption of any alcoholic beverage prior to or while on duty is strictly prohibited. You need to notify your Crew Chief of any medication that may affect you motor skills (such as pain medication, muscle relaxants, cold medications with codeine, etc.) and will need to get coverage. Consumption of any alcoholic beverage while wearing any squad issued uniform is grounds for immediate suspension and review by the grievance committee. If you are available anytime during the daytime please contact the Operations Officer or person assigned to setting up daytime coverage of your availability. This will allow the Operations Officer to assign a crew for that day. Any damage that occurs to the rig must be documented on an Addendum Sheet. Include if you were responding to a call, what call #, time, date, circumstances etc. Notify the Deputy Chief or covering officer immediately. Any MVA with the ambulance requires immediate notification to the Chief and Police Department and detailed documentation including a filed Police Report.

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EMERGENCY CALL POLICY All members responding to a call must call in to the police desk via radio or telephone (694-5533). Your message should only include your squad ID number and member status (driver, probationary, EMT etc), Ex: “801 EMT is responding”. When responding to a call the member is required to bring their ID card and accountability tags and wear a squad issued uniform. Work uniform consists of a jumpsuit or EMS pants with grey shirt or job shirt and work boots (no sneakers). Responding to a call the member is permitted the use of a blue light as long as they have a permit. Permits for blue lights can be obtained by contacting the Chief. Driving laws are not waived just because of a blue light. Anyone issued a ticket when responding to a call is personally responsible for that ticket. You are to report directly to the building for a call unless the call is within reasonable distance from your home or you would pass the scene to go to the squad. If you are going to the scene, you must notify the police of your actions so the rest of the crew can be notified. If there is a call in your immediate area or you are passing a scene of a call and you are not on duty, you may go to that scene and help out until the crew responds. At that time you are to give report and hand over care of that patient to the responding crew. Polaroid or digital photographs of MVA's can be taken to give to the hospital. No pictures may be taken of the patient. If there is car debris at an accident scene, members are required to wear turnout gear. Any member entering a vehicle for care of an entrapped patient must have full turnout gear. Turnout gear consists of: turnout coat and pants or extrication jumpsuit; boots, helmet, and extrications gloves. Professional demeanor is required at all scenes. Any information pertaining to a call must be kept confidential. If there is a problem with any member of the squad, police, fire, paramedic or hospital personnel you are not to disagree at the scene. Once the patient is transported you may discuss the incident. If you cannot resolve the issue or feel that it is necessary you are to contact the Chief or another Line Officer immediately and document incident in writing. Explain the problem, and include the call number, the date and time and persons involved. There are addendum sheets for this use. Daytime emergencies should go to the nearest hospital if possible due to the lack of daytime coverage.

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We do not handle any non-emergency daytime transportations such as patient needing transport home from hospital. All transportation requests must go through the Operations Officer. Members are required to wear seatbelts whenever possible in the ambulance. This includes in the back of the rig. The crew leader may decide if ALS is necessary and may cancel if they had been dispatched and you feel their services are not needed. If a family member is going to the hospital with you in the ambulance, if possible have them sit up in the cab. They must have seat belt on.

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ACCOUNTABILITY SYSTEM

Upon implementation of the new accountability system, each member will be issued 4 name tags. Two tags will be issued and signed for by each member. Two tags will be kept at base in the event a member shows up without his/her tags. Base tags must be returned to base upon completion of a call or event at which the base tags had been used. It is the driver’s responsibility to have all members tags placed on the ring before rolling with the rig. If the driver stays in the rig at the scene, he has possession of the ring. If driver goes into the scene, his tag goes on the driver section of the ring. Ring then gets hooked onto the shift lever of the steering wheel of the vehicle until the rig leaves the scene. The two color tags are blue and yellow. The blue tag will stay clipped to the member and the yellow tag gets clipped to the ring. There are separate green cadet tags and orange probationary tags to be worn with the other tags for cadets and probationary EMT’s and drivers. At hospital, the ring will get clipped onto the shift lever of the steering wheel again or stays with the driver if they remain with the vehicle. Rigs should be turned off at the hospital and keys should be taken with driver if he/she goes into the facility with the crew. At end of call, tags will be returned to members or base hooks. Under no circumstances will the base tags be taken home with member. Member will be responsible for coming on all calls with their tags in addition to the member picture ID tag/badge. No one will leave base for an MCI call without their picture ID tag/badge, training certification, and name tags.

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LONG TERM/MCI INCIDENTS

No member will respond to an MCI incident without their picture ID tag/badge, training certification, and 2 accountability tags. Initial yellow tag will go on the ring upon leaving base. Ring with yellow tag gets handed into Command Post to signify which members came in with that vehicle. Blue tag stays on member until they are assigned a task such as Triage, Treatment, Transport, Staging or Rehab. Blue tag will go on ring assigned to that task. Driver and EMT assigned to a particular rig will put their blue tags on ring designated for that task. Example: 81 driver and EMT are stationed at Rehab only to transport an injured EMS worker. Their tags stay at Command on 81 Transport ring. 82 is assigned to Rehab. They are backup for 81 Transport for EMS personnel. They go on Rehab ring unless assigned to transport an injury, at which time their tag moves to 82 Transport ring. EMS Command will keep all rings and Command Board at Command Post. At end of incident all members must return to command to pick up their blue tag. Drivers will pick up rings with members they brought to scene and those members will go back with that vehicle and be given their yellow tags on completion of call.

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DRIVERS

Anyone applying for Driver Status on the LPEMS must have the following:

Valid Driver’s License

Acceptable Driving Record/Driver’s Abstract (per squad insurance company)

National Safety Council’s CEVO course (Coaching the Emergency Vehicle Operator) or DOR Ambulance Operations

Ambulance and equipment familiarization

Driver Training form filled out

Valid CPR card Once the applicant’s entry has been posted for 309 days, he/she gets called to the next business meeting. At that time, he/she will be assigned a duty crew and the crew can begin training them on the equipment and where it is located since the driver may be called upon to go to the ambulance for needed equipment at an emergency scene and must know the names and locations of said equipment.

A driver trainer can start taking the applicant out on driver training on all vehicles. Some of the training may include backing up, parallel parking, parking between vehicles, and driving on dimly lit or narrow roads. A new driver can start by driving back from the hospital but will not be allowed to drive to the scene or to the hospital with a patient in the back of the ambulance until the driver log is complete and he/she is found to be a competent driver. Training on the radio and lights system should be included in the driver’s training.

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FIRE GUIDELINES This policy outlines the procedure for responding to and operations at the scene of a fire or other incident requiring rehab of firefighters.

1. Lincoln Park EMS will be dispatched to all fire department calls. Once the crew is assembled, respond directly to the scene. Members should place turn-out gear in rig and use on scene if necessary. DO NOT call command to request if you are needed. Always respond to the scene, even if Command states “Holding Units On Scene”. Always respond to the scene until Command specifically cancels EMS or tells ALL units to return. If Command advises units to respond “Code2” or “Proceed With Caution”, adjust your response appropriately.

2. Any large structure fire or brush fire will require additional personnel. The crew will

respond immediately with one ambulance to the scene. The remaining members will remain on stand by at the building and only respond to the scene on orders from a line officer or crew leader at the scene.

3. Fire alarms at the Lincoln Park Sub Acute, JDT Rehab Center and Renaissance

Nursing Home will be “ALL CALL" situations. All available members are required to respond to the squad building and stand by for further orders from a line officer or crew leader at the scene.

4. If there is a working structure fire the crew will respond immediately with one

ambulance. Additional members will stand by at the squad building and await further instructions. The line officer or crew leader at the scene will contact the squad building via telephone or radio to provide further instructions to the line officer or senior EMT at the squad building. See “Rehab Guidelines” for further information.

5. When arriving at the scene of a fire related call, care must be taken in positioning of

the ambulance at the scene, making sure not to get blocked in, or block additional responding units. The driver must stay with the vehicle if at all possible.

6. Upon arrival at the scene, the crew leader or senior line officer will report to the

command post, with a portable radio, and will become EMS Branch Director.

7. An ambulance is to stay on the scene of the incident until the fire department has completed operations, or until released by the Incident Commander.

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REHAB GUIDELINES

1. At all working structure fires or long term incidents, a rehab area will be set up as soon as possible after arrival of the first ambulance.

2. Depending on the scale of the incident, the EMS Branch Director will consult

with Incident Command on the amount of rehab needed. The EMS Branch Director will contact the squad building to instruct the members to either bring Special Operations Unit T1, 83, or a second ambulance.

3. If it is a small scale incident, which will not require major rehab, limited rehab

supplies (coolers, water, ice, red rehab bags) can be brought to the scene in either 83 or a second ambulance.

4. If the incident will require long term rehab, the EMS Branch Director will request

the Special Operations Unit T1 to be dispatched to the scene along with mutual aid. See “Special Operation Unit Guidelines” for further information.

5. The EMS branch director, with the input of the Incident Commander, will decide

the most appropriate location for the rehab area to be located. Once this area has been established and set up, Incident Command will be notified. The following supplies will be brought to the rehab area:

Tarp

Oxygen

Water

Red Bag

Towels

Stair Chair

Stretcher

Rehab Container

Towel bucket (filled with water)

Mister (weather permitting)

6. As firefighters are sent to the rehab area, a baseline set of vital signs will be recorded Fire Rehab Report and repeated every 15 minutes thereafter. When the firefighter enters the rehab area they are to hand over their green tag. Officers will have white tags. Any firefighter with unstable vital signs or injury will not be permitted to return to duty and the FD Safety Officer must be notified immediately. If a firefighter refuses treatment or transport a release form must be signed by a FD Officer and the FD safety officer notified. When firefighters are cleared from rehab their tags are to be returned to them.

7. If both ambulances are dedicated to the scene, mutual aid will be requested to cover the town.

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PLEASE NOTE:

The fire chief and deputy fire chiefs will be in WHITE COATS with WHITE HELMETS

Lieutenants and captains will be in BLACK COATS with YELLOW HELMETS

Safety officer will be in BLACK COAT with a RED HELMET.

8. If LPEMS is unable to assemble a crew for rehab, Wayne EMS may be requested by the LPPD at the discretion of the Fire Command.

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FLOOD GUIDELINES

1. No vehicle is to go into water.

2. Vehicles are to be placed in high areas away from rising water.

3. A crew will be dispatched whenever the FD boats or OEM trucks go in the water for any reason. All crew members must take a PFD from the building. All members must wear a PFD if they go near the water.

4. At the discretion of the LPEMS Chief or designated officer, one EMT may be assigned to each of the flood rescue vehicles – OEM 1 & OEM 2 for a shift of 4 – 6 hours, to be decided by the LPEMS Chief or designated officer in coordination with the Fire Dept officer in charge. At the end of that shift, the EMT’s will return to the EMS building and two new EMT’s will be sent out to replace them.

5. No squad member is to get into a boat for evacuation unless first aid is required

prior to evacuation. This member should at all times be equipped with a PFD. Under no circumstances should said member be in a boat without a PFD.

6. A second crew will be dispatched and must remain at the squad building during

tour of duty if evacuation is being carried out in any part of town.

7. Only the duty crew and a second call crew will remain at the squad building with officers. All other members will be called on an as-needed basis.

8. If the second crew has been sent home, they will respond to the squad building

immediately upon the duty crew being called out.

9. Use Flood Evacuation Logs to record all evacuation calls. Call sheets are only to be used for actual patients who require First Aid Treatment. If the patient is in a flood area, that call also goes on the Flood Evacuation Log.

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VEHICLE EXTRICATION GUIDELINES

OBJECTIVES:

To provide basic first aid to the injured victims of MVA's

To safely and expeditiously entrapped victims from victims from motor vehicles with the assistance of rescue personnel from the fire department.

NEEDS:

Incident Commander-Highest ranking officer or crewmember

Ambulance #1: Driver, Officer/Crew Leader, 2 EMT's

Ambulance #2: Driver, Officer/Crew Leader, 2 EMT's

RESPONDING TO MUTUAL AID:

Officer reports to Mutual Aid Commander

Report to staging until ordered to work by incident Commander.

DUTIES OF CREW MEMBERS:

Drivers:

Place ambulances in best operating position.

Light up scene if needed

Open blue tarp in appropriate place

Gathers necessary equipment from ambulance and place on tarp area

Assists crew members with tasks

Officers/Crew Leaders

Performs inner circle looking in for hazards

Evaluates and checks scene

Determines what is needs

Reports to incident Commander

Maintains action circle

Assumes control of all first aid operations

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Crew Members

All first aid members on the scene of extrication must have turnout gear on. This includes: Turnout coat and pants or extrication jumpsuit, helmet, extrication gloves and work boots. Goggles must be worn when in or around the vehicle.

One crew member will be designated by the crew leader/officer to go inside the car and hold stabilization throughout the extrication

All other crew members will be rendering care to the injured

If two or more rigs are needed the crew leader/officer of the 2nd rig will report to the crew leader or officer already in charge of the scene for direction.

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DISASTER PROTOCOL All available members must report to the building when there is a pending known disaster i.e.: flood, blizzard (after your own family is safe).

ITEMS TO BRING WITH YOU: o Pagers with chargers and radio's if applicable o Squad I.D. o Accountability Tags o Jumpsuit or Duty Uniform o Change of clothes o Toiletries o Any maintenance medication, glasses, contact solutions

You will not be personally called. If necessary, a pager message will go out requesting all members to report to the building. Sign up your availability on the large white Disaster Board. If you are not on immediate call, you may return to your home after release from the Chief. If the incident goes on for longer than days already planned, please return to the building and update your availability for the rest of the days. Shifts will be in 12-hour increments. 2 crews will be on call at all times. One duty crew and one backup crew. Additional members will be assigned positions as needed i.e.: liaison to OEM, Special Operations Units (83, 84, T1 or T2, Shelter standby, Ride along member with FD If 1st crew goes out the second crew must report to the building if they are not already assembled there. If the second crew goes out members on standby are to report to the building. One person is to remain at the building at all times if possible. No one is to go off duty until the Chief dismisses you or if you are needed at your home by your family.

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LPEMS STORM OPERATIONS

This document provides guidance for LPEMS operations during hurricanes and other severe storms in order to minimize the risk to LPEMS personnel responding to dispatches. Overview One of the most difficult decisions in severe weather events is the determination to halt emergency response. It is the culture and nature of emergency responders to go into any storm in order to save the lives of those they serve, even if it means taking unwarranted risks. However, responding at the height of a major storm the safety of LPEMS CES personnel and may place in jeopardy LPEMS vehicles as well as the near- and long-term safety of the citizens they mean to protect. Sustained winds or significant gusts can cause ambulances/vehicles to be pushed off the roadways, or into oncoming traffic, or cause them to overturn. Falling trees or large branches can pose severe hazards. When winds reach a certain force, flying debris becomes a lethal weapon that can cause significant injuries or death. Overall Policy During hurricanes and other severe storms, LPEMS will maintain a safe work environment for its personnel and will provide essential emergency medical services only as long as the safety of LPEMS personnel is not endangered by the storm conditions. Pre-Storm Preparations Well before the storm reaches Lincoln Park, LPEMS will initiate the following actions:

Maintain all vehicle fuel tanks at no less than three-quarters (¾) full.

Organize crews for 2 ambulances and 2 support vehicles, and make arrangements for these crews to stay at the Squad building if warranted by the predicted severity of the storm. Organize relief crews incase the period of storm operations is projected to exceed 12 hours.

Conduct or participate in joint planning sessions with the Lincoln Park Offices of Emergency Management and Police Department.

When the local Emergency Operations Center (EOC) are opened by the Borough, ensure the Squad is represented at or in communication with the EOC at all times. In addition, consider establishing a LPEMS specific operations center

Develop an alternate communications plan with the dispatch center in case of a system failure.

Check the physical condition of the LPEMS building and assure that all surface-area drains around the exterior of the building are free and clear of all debris to allow for proper drainage

Stock Squad building with additional supplies of drinking water and food.

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Storm Operations The following special operational guidance shall be implemented during the storm:

No member shall ride alone in a squad vehicle during the storm. All vehicles will have at least 2 certified members on board (2 EMT’s). Members shall not respond directly to the scene in their private vehicles. In addition, driving conditions may make it imprudent to respond to the Squad building in other than 4-wheel-drive vehicles.

First call ambulance will be determined by the Squad Chief or designee.

All crews shall wear helmets and turnout coats and use the built-in eye protection when outside during a storm, to provide protection from falling or flying debris.

All off-duty members shall keep their pagers/radios on their person or within hearing, set to the monitor (Channel C, D) setting or FD/EMS Channel (Channel 1) on radio.

When roads start to become impassible, ask dispatch to recommend the best route to the scene and then to the hospital. Consider asking for police escort in extreme conditions.

For the safety of the members, LPEMS may discontinue response to all dispatches if storm conditions become sufficiently severe. The decision to suspend operations shall be made in partnership with the local OEM coordinators and police department and, if implemented, shall be announced to the membership by the dispatch center, toning out an appropriate paging message. Note that ambulances are not susceptible to overturning until the wind speeds exceed 90 mph, which means that vehicles can function in much higher winds than their crew. Accordingly, suspension of operations will be predicated on considerations other than ambulance stability, such as debris in the air and on the roads, flooding, and the difficulty in working outdoors in severe winds and heavy rains. Serious consideration must be given to suspension of operations when the sustained wind speed exceeds 45 mph.

Prior to suspension of operations, any LPEMS crew chief who feels the situation is sufficiently dangerous to the safety of personnel may cease operations and return to the Squad building. The crew chief must advise the EOCs, the dispatch center, and the Squad Chief or designee, who will determine whether all Squad operations are to be suspended.

LPEMS crew chiefs shall notify the EOCs, the dispatch center, and the Squad Chief or designee of all hazardous conditions they encounter including high water, road blockage, etc.

Use extreme caution when walking through water. Six (6) inches of moving water can knock a person off their feet. Be aware of hazards in the water such as downed electrical wires and wildlife such as snakes.

When around any body of water, a PFD must be worn

Be alert to tree damage which may result in hazards such as falling branches or downed or drooping live electrical wires.

Use extreme caution and limit speed when driving. Be especially cautious where the ground is saturated or flooded – the road could be washed away.

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LPEMS will not accept any transport dispatches during the storm, but will honor mutual-aid requests. The Squad Chief or designee will decide when we stop accepting transport dispatches and will notify the dispatch center.

Crew chiefs shall request DPW and/or fire department assistance if needed to clear trees, walkways, snow, etc. Such requests shall be made via the dispatch center.

If the Squad building must be evacuated, the Squad’s Buildings and Grounds shall ensure that utilities are shut off and the building is secure.

Hurricane Eye Operations The calm during the passage of the eye of the hurricane is misleading, because storm conditions will return suddenly. If operations were suspended before the arrival of the eye, they shall not be resumed during the passage of the eye. Instead, operations in the eye shall be limited to re-securing Squad building. Members shall help citizens who come to the Squad building when it would be a danger to release them. Resuming Operations After the Storm

If operations during the storm were suspended, the Squad Chief or designee shall make the determination when LPEMS can resume operations. This decision shall be announced by the dispatch center as a resume-response toned out over the pagers.

Crew chiefs and/or officers who believe it is safe to resume operations before receiving the resume-response order shall contact the Squad Chief or designee and state the conditions at their location and their rational for resuming operations.

The transition from storm operations to normal operations may span many hours to days while streets are cleared, fallen wires are secured, power restored to most if not all of town, and the backlog of 9-1-1 calls is resolved. During this transition period, members shall continue to operate in teams until the situation normalizes. The Squad Chief or designee shall determine how and when the Squad’s multiple standing crews are released from duty and normal operations resume.

LPEMS personnel conducting emergency operations after the storm must realize that their own safety and well-being is their first priority. Many hazards may be encountered after a storm, including but not limited to live wires down, gas leaks, building fires, unsafe structures, flooding, hazardous materials, heat stress, traumatized victims, civil disturbance, and displaced animals.

Duty crew chiefs shall assess the personnel status of their crews and report to the Squad Chief or designee any problems affecting their crew readiness. They shall also assess the readiness of Squad vehicles. And report availability to the Squad Chief or designee.

The Buildings and Grounds Manager shall assess the status of the Squad building, identifying any hazards in or adjacent to the building as well as repairs that must be made.

The Rig Maintenance Manager shall assess the status of all Squad vehicles and take appropriate action in case of damage.

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ICE RESCUE GUIDELINES

Objectives:

To provide basic first aid to the injured victims and to provide for the safety of rescue personnel. To safely and expeditiously remove and transport victims from the scene with the assistance of rescue personnel from the fire department.

Needs

1. Officer in charge* 2. Ambulance #1- Driver/2 EMTs (PFDs for all crew members) 3. Ambulance #2- Driver/2 EMTs (PFDs for all crew members) 4. Paramedics 5. Mutual aid 6. Special Operations Units as needed

Responding to Mutual Aid:

1. Officer in charge* will report to incident commander. 2. Crew remains with rig until direction is received by the officer in charge*

Duties of Initial (duty) Crew:

Driver:

1. Places ambulance in best operating position 2. Prepares rig and equipment as needed.

Officer:

1. Evaluates and checks scene 2. Reports to incident commander 3. Becomes EMS Branch Director

Determines what is needed

Assumes control of medical operations

Crew:

Crew will set up tarp next to fire department tarp in the designated warm zone. All necessary equipment that will be needed to render first aid will be brought to the tarp.

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Duties of Second Crew:

Driver:

1. Places ambulance in best operating position 2. Prepares rig and equipment as needed

Officer:

1. Reports to EMS branch command

Crew:

Crew will take necessary equipment and report to the tarp in the warm zone and prepare to render first aid. All first aid members in the hot zone will wear PFD's (Personnel Flotation Devices). Mutual aid will be called to assist with anything more than we can handle. The initial duty crew will always remain at the scene to provide first aid to any rescuer. We will be released by the fire department incident commander.

Additional First Aid Members:

Reports to EMS Branch Director for assignment. *If officer is unavailable crew chief will be in charge.

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PARADE GUIDELINES

1. Town must be covered at all times when a crew responds to a parade.

2. Members shall act in a professional manner at all times. This includes before and after parades as well as during.

3. Members who are going to a parade shall be in good standing according to the By-

laws.

4. A full dress uniform* or jumpsuit of the Lincoln Park First Aid Squad shall be worn. If you change into regular street clothes you are no longer representing the squad as far as receiving trophies or awards of any kind. This should be delegated to someone still in the uniform of the squad as specified above.

5. There will be no consumption of alcohol before, during or after the parade as long

as you are still in squad uniform.

6. Crew going to the parade decides who will be spokesperson at parade. This should preferably be a senior member or officer.

7. A two week notice to the Chief or his/her designee should be made before any rig

goes to a parade. The Operations Officer must also be made aware that the town is down one rig.

8. When ambulance is being readied for a parade, before leaving the building that

ambulance is to be left in condition that it can be responding as a second rig. A note is to be visibly left in the ambulance noting what equipment is left out: e.g., jack, oxygen unit, stretcher, etc.

9. Preference to participation in the parade will be given to people who worked on the

rig.

* Full Dress uniform is defined as black pants, white shirt with flag on Left sleeve, squad patch on right sleeve, black tie and tie bar, black socks, black shoes and black belt. Officers wear gold insignia, gold tie bars and badges. Membership badge and award citation pins, CPR Saves, Births, and Service Pins shall be worn on left side of shirt front. Only personal name badges should be worn on right side above pocket. At the discretion of the officers, members will wear the black sweater over the shirt and tie. Badges and pins shall be worn on the same locations as the shirt.

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RADIO GUIDELINES

1. All radios are to be used in a professional manner

2. Transmissions are to be kept to a minimum

3. The Fire/EMS frequency will be used to transmit the following information:

When unit calls in service (82 in service)

When unit arrives at scene (82 is out at 123 Main Street)

When unit leaves scene, indicating destination hospital (82 enroute to Chilton)

i. It is not necessary to state how many patients are being transported, unless there is more than one patient.

When unit is back in service (82 is clear from Chilton and available)

When unit is back at building (82 back at quarters)

4. Any other necessary information will be transmitted as quickly and as precisely as possible

5. Language will remain professional in nature and in plain English

6. On all fire calls, the Fire/EMS frequency shall only be used to communicate with the

Police Desk. If instructed by the Line Officer or crew chief, all other transmissions between EMS units on the scene shall be made on the LP EMS or LP EMS TA(talk around) frequencies. The TA frequency shall be used if repeater is not in service.

7. EMS radio communication on the FIRE/EMS frequency takes priority on all MVA calls.

8. The MIRS (Morris Interoperable Radio System) is used for communicating with all

municipalities in Morris County for mutual aid calls. For more information, refer to the “MORRIS INTEROPERABLE RADIO SYSTEM (MIRS) POLICY AND PROCEDURES”.

9. Anyone who abuses the radio system will have a grievance filed against them and

the charges will be investigated by the grievance committee and appropriate action will be taken

10. Cadets, 17 and older with a valid permit/driver’s license, will be issued Pagers only, if available. If no pager is available, a radio will be issued and programmed with ONLY the LP FD/EMS frequency and will not be able to transmit.

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UNIFORM ALLOWANCE GUIDELINES Total Moneys allotted: $6750.00 (will vary depending on town) $6000 to be divided by 12 = $500 total allotment for each month to be divided by the number of members who meet hours required Active/driver Member 44 hours Members who leave before the end of the year are ineligible. Members on probation are not eligible. Cadets are not eligible. The balance of $750 will be divided among those members who meet the qualification of member in good standing: Active/Driver members:

Average 44 duty hours per month

Not be on suspension

Not be on Leave of Absence

Maintain N.J.S.F.A.C. training requirements

Attend 50%/6 business and educational meetings combined. Uniform allowance must be reviewed and approved by trustees prior to payout.

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DISPATCH GUIDELINES

WEEKDAY DAYTIME:

1. The police department will tone out a call and wait 2 minutes for a response. 2. If there is no response, the dispatcher will call Mutual Aid. 3. If it becomes apparent there is an EMT and no Driver, the EMT will call the dispatcher and ask if the officers on scene would like us to respond to the scene to assist in stabilizing the patient until mutual aid arrives. 4. If the answer is yes, the EMT will proceed in 83 to the scene and render care until the responding mutual aid unit arrives, at which time the EMT will transfer care to the responding unit.

5. If the answer from dispatch is no, the dispatcher will cancel the squad.

6. If the squad is toned out and there is no response heard and mutual aid is called, when the mutual aid signs on the dispatcher will cancel the squad.

7. During daytime hours, if there is no ambulance available from LPEMS, the LPPD will ask the Fire Incident Command Officer if an EMS Mutual Aid is needed for Rehab. They will then contact Wayne PD to dispatch Wayne EMS for Fire Rehab as per discussion between LPEMS and Wayne EMS Chiefs. LPPD will also call MICCOM to dispatch Chilton EMS at same time in case transport is needed for a patient. Chilton EMS can be released if not needed. In case of a Larger Scale Incident, the LPEMS Chief will be contacted by LPPD by cell phone.

NIGHTS AND WEEKENDS:

1. The police department will tone out a call and wait 3 minutes for a response.

2. If there is no response, they will tone out a second time and wait 3 minutes for a response.

3. If there is no response they will call mutual aid.

MISCELLANEOUS:

1. The minimum crew needed to respond is one (1) EMT and one (1) Driver. Probationary and Cadet members do not count as part of the minimum crew.

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2. If a crew is assembled after a mutual aid crew is already enroute, the PD will cancel

the unit that is furthest out and the closer crew will respond to the call.

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Carbon Monoxide Detector Guidelines

Carbon Monoxide (CO) detectors are permanently attached to the jump kits o Do not remove them

As part of the daily rig check, test the unit o Press the “TEST” button momentarily one time. A 1 second test of the

alarms will occur, which includes: Display Alarm lights Vibrator Horn

o If the unit shows any errors, take the unit out of service and inform the Lieutenant

Alarm Activation o If CO concentration reaches 25 ppm, the “LO Alarm” will be activated o If CO concentration reaches 100 ppm, the “HI Alarm” will be activated o Alarms can be silenced for 5 seconds by pressing the “TEST” button o The unit will automatically reset once CO levels fall below the set points o If the alarm activates

Immediately move any patients and bystanders to fresh air or provide oxygen for patients who cannot be moved quickly

Request the Fire Department be dispatched for a CO alarm When they arrive on scene, inform the Fire Department of the alarm

location and whether it was a LO or HI alarm and the ppm. o If alarm activates outdoors, check for conditions causing alarm, DO NOT call

the Fire Department Be aware of false alarms if you are near

Running engines

Stoves

Water heater or furnace exhausts outside of a building o Monitor patients for signs of CO poisoning and treat if necessary

Shortness of breath Nausea Headache Dizziness Light-Headed Fatigue Loss of consciousness

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Bloodborne Pathogens and Hazard Communications Policy

The Lincoln Park EMS is committed to providing a safe and healthful work environment for our entire staff. In pursuit of this goal, the following exposure control plan (ECP is provided to eliminate or minimize occupational exposure to bloodborne pathogens in accordance with OSHA standard 29 CFR 1910.1030, “Occupational Exposure to Bloodborne Pathogens.” The ECP is a key document to assist our organization in implementing and ensuring compliance with the standard, thereby protecting our employees. The ECP includes

Determination of employee exposure

Implementation of various methods of exposure, including o Universal precautions o Engineering and work practice controls o Personal protective equipment (PPE) o Housekeeping

Hepatitis B vaccination

Post-exposure evaluation and follow-up

Communication of hazards to employees and training

Recordkeeping

Procedures for evaluating circumstances surrounding exposure incidents Implementation methods for these elements of the standard are discussed in the subsequent pages of the ECP.

Program Administration

The Chief of Lincoln Park EMS is responsible for implementation of the ECP. The Chief will maintain, review, and update the ECP at least annually, and whenever necessary to include new or modified tasks and procedures. Contact location/phone number: 973-694-3304

Those employees who are determined to have occupational exposure to blood or other potentially infectious materials (OPIM) must comply with the procedures and work practices outlined in this ECP.

The Supply Lieutenant of Lincoln Park EMS will provide and maintain all necessary Personal Protective Equipment (PPE), engineering controls (e.g. sharps containers), labels, and red bags as required by the standard. The Supply Lieutenant of the Lincoln Park EMS will ensure that adequate supplies of the aforementioned equipment are available in the appropriate sizes. Contact location/phone number: 973-694-3304.

The Chief of Lincoln Park EMS will be responsible for ensuring that all medical actions required by the standard are performed and the appropriate employee

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health and OSHA records are maintained. Contact location/phone number : 973-694-3304

The Training Committee will be responsible for training, documentation of training, and making the written ECP available to employees, OSHA, and NIOSH representatives. Contact location/phone number: 973-694-3304.

Employee Exposure Determination

The following is a list of all job classifications at our establishment in which all employees have occupational exposure: EMT Lincoln Park EMS Driver Lincoln Park EMS Cadet/Sr. Cadet Lincoln Park EMS First Responder Lincoln Park EMS The following is a list of job classifications in which some employees at our establishment have occupational exposure. Included is a list of tasks and procedures, or groups of closely related tasks and procedures, in which occupational exposure may occur for these individuals: Job title: EMT/Driver/Cadet/Sr. Cadet/First Responder Potential exposure of OPIM is very likely when performing the functions of an emergency responder in providing care to patients.

Methods of Implementation and Control Universal Precautions: All employees will utilize universal precautions.

Exposure Control Plan Employees covered by the bloodborne pathogens standard receive and explanation of this ECP during their initial training session. It will also be reviewed in their annual refresher training. All employees can review this plan at any time during their work shifts by contacting the training staff. If requested, we will provide an employee with a copy of the ECP free of charge within 15 days of the request. A copy of the plan will be available at the Lincoln Park EMS duty office at all times.

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Engineering Controls and Work Practices Engineering controls and work practice controls will be used to prevent or minimize exposure to bloodborne pathogens. The specific engineering controls and work practice controls used are listed below: Sharps are to be taken care of by the paramedic unit generating the sharps. All members are required to us the appropriate PPE for each call. This facility identifies the need for changes in engineering controls and work practices through Review of OSHA records, employees interviews and review of any exposure incident. We evaluate new procedures and new products regularly by literature reviewed, supplier info, products considered for purchase by the Lincoln Park EMS. All Lincoln Park EMS members are involved in this process by having input on materials to be purchased and being offered training on all new materials. The Chief of Lincoln Park EMS is responsible for ensuring that these recommendations are implemented.

Personal Protective Equipment (PPE) PPE is provided to our employees at no cost to them. Training in the use of the appropriate PPE for specific tasks or procedures is provided by the Training Committee and Crew Leaders of the Lincoln Park EMS. The types of PPE available to employees are as follows: Nonlatex gloves, heavy duty utility gloves, masks, safety glasses, goggles, reflective vests, flotation vests and uniforms. PPE is located in each ambulance and may be replaced from the supply cabinet. If something is not there, it is the responsibility of the EMS member to contact the Supply Lieutenant. All employees using PPE must observer the following precautions:

Wash hands immediately or as soon as feasible after removing gloves or other PPE. If facilities for hand washing are not immediately available, waterless hand sanitizer liquid is located in each ambulance and support vehicle.

Remove PPE after it becomes contaminated and before leaving the work area.

Used PPE may be disposed of in garbage container located in each ambulance. If blood soaked, there are appropriate red bags kept in each ambulance.

Wear appropriate gloves when it is reasonably anticipated that there may be hand contact with blood or OPIM, and when handling or touching contaminated items or surfaces; replace gloves if torn, punctured or contaminated, or if their ability to function as a barrier is compromised.

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Utility gloves may be decontaminated for reuse if their integrity is not compromised; discard utility gloves if they show signs of cracking, peeling, tearing, puncturing, or deterioration.

Never wash or decontaminate disposable gloves for reuse.

Wear appropriate face or eye protection when splashed, sprays, or droplets of blood or OPIM pose a hazard to the eye, nose, or mouth.

Remove immediately or as soon as feasible any garment contaminated by blood or OPIM, in such a way as to avoid contact with the outer surface.

Housekeeping

Regulated waste is placed in containers which are closable, constructed to contain all contents and prevent leakage, appropriately labeled or color-coded and closed prior to removal to prevent spillage or protrusion of contents during handling. The procedure for handling sharps disposal is: to require paramedics to be responsible for the sharps they generate. Bins and pails (e.g. wash or emesis basins) are cleans and decontaminated as soon as feasible after visible contamination. Broken glassware that may be contaminated is only picked up using mechanical means, such as a brush and dustpan.

Laundry The following contaminated articles will be laundered by this company: Laundering will be performed at the Lincoln Park EMS building. The following laundering requirements must be met:

Handle contaminated laundry as little as possible, with minimal agitation

Place wet contaminated laundry in leak-proof, labeled or color-coded containers before transport. Use (specify either red bags or bags marked with the biohazard symbol) for this purpose.

Wear the following PPE when handling and/or sorting contaminated laundry: (List appropriate PPE)

Labels The following labeling methods are used in this facility: Biohazard symbols are printed on the red bags used for contaminated wastes The Supply Lieutenant of the Lincoln Pak EMS is responsible for ensuring warning labels are affixed or red bags are used as required. If regulated waste or contaminated equipment is generated, it must be left at the hospital where the patient was taken.

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Employees are to notify the Chief of the Lincoln Park EMS if they discover regulated waste containers, refrigerators containing blood or OPIM, contaminated equipment, etc., without proper labels.

Hepatitis B Vaccination Chief of the Lincoln Park EMS will provide training to employees on hepatitis B vaccinations, addressing safety, benefits, efficacy, methods of administration, and availability. The hepatitis B vaccination series is available at no cost after initial employee training and within 10 days of initial assignment to all employees identified in the exposure determination section of this plan. Vaccination is encouraged unless: 1) documentation exists that the employee has previously received the series; 2) antibody testing reveals that the employee is immune; or 3) medical evaluation shows that vaccination is contraindicated. However, if an employee declines the vaccination, the employee must sign a declination form. Employees who decline may request and obtain the vaccination at a later date at no cost. Documentation of refusal of the vaccination is kept in the personnel medical file. Vaccination will be provided by Valley Health Medical Group at 72 Hamburg Turnpike, Riverdale, NJ 973-835-7290. Following the medical evaluation, a copy of the health care professional’s written opinion with be obtained and provided to the employee within 15 days of the completion of the evaluation. It will be limited to whether the employee requires the hepatitis vaccine and whether the vaccine was administered.

Post-Exposure Evaluation and Follow-up Should an exposure incident occur, contact the Chief of the Lincoln Park EMS at the following number, 973-694-3304. An immediately available confidential medical evaluation and follow up will be conducted by Chilton Hospital Occupational Health Department. Following initial first aid (clean wound, flush eyes or other mucous membrane, etc.), the following activities will be performed:

Document the routes of exposure and how the exposure occurred.

Identify and document the source individual (unless the employer can establish that identification is infeasible or prohibited by state or local law).

Obtain consent and make arrangements to have the source individual tested as soon as possible to determine HIV, HCV, and HBV infectivity; document that the source individual’s test results were conveyed to the employee’s health care provider.

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If the source individual is already known to be HIV, HCV, and/or HBV positive, new testing need not be performed.

Assure that the exposed employee is provided with the source individual’s test results and with information about applicable disclosure laws and regulations concerning the identity and infectious status of the source individual (e.g. laws protecting confidentiality)

After obtaining consent, collect exposed employee’s blood as soon as feasible after exposure incident, and test blood for HBV and HIV serological status

If the employee does not give consent for HIV serological testing during collection of blood for baseline testing, preserve the baseline blood sample for at least 90 days; if the exposed employee elects to have the baseline sample tested during this waiting period, perform testing as soon as soon as feasible

Administration of Post-Exposure Evaluation and Follow-Up

The Chief of the Lincoln Park EMS ensures that health care professional(s) responsible for employee’s hepatitis B vaccination and post-exposure evaluation and follow-up are given a copy of OSHA’s bloodborne pathogens standard. The Chief of the Lincoln Park EMS ensures that the health care professional evaluating an employee after an exposure incident receives the following:

A description of the employee’s job duties relevant to the exposure incident

Route(s) of exposure

Circumstances of exposure

If possible, results of the source individual’s blood test

Relevant employee medical records, including vaccination status (Name of responsible person or department) provides the employee with a copy of the evaluating health care professional’s written opinion within 15 days after completion of the evaluation. Procedures for Evaluating the Circumstances Surrounding and Exposure Incident

The Chief of the Lincoln Park EMS will review the circumstances of all exposure incidents to determine:

Engineering controls in use at the time

Work practices followed

A description of the device being used (including type and brand)

Protective equipment or clothing that was used at the time of the exposure incident (gloves, eye shields, etc.)

Location of the incident (O.R., E.R., patient room, etc.)

Procedure being performed when the incident occurred

Employee’s training

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The Chief of the Lincoln Park EMS will record all percutaneous injuries from contaminated sharps in a Sharps Injury Log. If revisions to this ECP are necessary, the Chief of the Lincoln Park EMS will ensure that appropriate changes are made. (Changes may include an evaluation of safer devices, adding employees to the exposure determination list, etc.)

Employee Training

All employees who have occupational exposure to bloodborne pathogens receive initial and annual training conducted by the training staff of the Lincoln Park EMS. All employees who have occupational exposure to bloodborne pathogens receive training on the epidemiology, symptoms, and transmission of bloodborne pathogen diseases. In addition, the training program covers, at a minimum, the following element:

A copy and explanation of the OSHA bloodborne pathogen standard

An explanation of our ECP and how to obtain a copy

An explanation of methods to recognize tasks and other activities that may involve exposure to blood and OPIM, including what constitutes and exposure incident

An explanation of the use and limitations of engineering controls, work practices and PPE

An explanation of the types, uses, location, removal, handling, and disposal of PPE

An explanation of the basis of PPE selection

Information on the hepatitis B vaccine, including information on if efficacy, safety, method of administration, the benefits of being vaccinated, and that the vaccine will be offered free of charge

Information on the appropriate actions to take and persons to contact in an emergency involving blood or OPIM

An explanation of the procedure to follow if an exposure incident occurs, including the method of reporting the incident and the medical follow-up that will be made available

Information on the post-exposure evaluation and follow-up that the employer is required to provide for the employee following an exposure incident

An explanation of the signs and labels and/or color coding required by the standard and used at this facility

An opportunity for interactive questions and answers with the person conducting the training session

Training materials for this facility are available at the EMS building.

Recordkeeping Training Records Training records are completed for each employee upon completion of training. These documentations will be kept for at least three (3) years at 34 Chapel Hill Rd, Lincoln Park EMS in each members personnel file.

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The training records include:

The dates of the training sessions

The contents or a summary of the training sessions

The names and qualifications of persons conducting the training

The names and job titles of all persons attending the training sessions Employee training records are provided upon request to the employee or employee’s authorized representative within 15 working days. Such requests should be addressed to the training committee of the Lincoln Park EMS. Medical Records Medical records are maintained for each employee with occupational exposure in accordance with 29 CFR 1910.1020 “Access to Employee Exposure and Medical Records.” The Chief of the Lincoln Park EMS is responsible for maintenance of the required medical records. These confidential records are kept in the personnel medical file for at least the duration of employment plus 30 years. Employee medical records are provided upon request of the employee or to anyone having written consent of the employee within 15 days. Such requests should be sent to the Lincoln Park EMS at 34 Chapel Hill Rd, Lincoln Park, NJ 07035. OSHA Recordkeeping An exposure incident is evaluated to determine if the case meets OSHA’s Recordkeeping Requirements (29 CFR 1904). This determination and the recording activities are done by the Chief of the Lincoln Park EMS. Sharps Injury Log In addition to the 1904 Recordkeeping Requirements, all percutaneous injuries from contaminated sharps are also recorded in a Sharps injury Log. All incidences must include at least:

Date of the injury

Type and brand of the device involved (syringe, suture needle)

Department or work area where the incident occurred

Explanation of how the incident occurred This log is reviewed as part of the annual program evaluation and maintained for at least five (5) years following the end of the calendar year covered. If a copy is requested by anyone, it must have any personal identifiers removed from the report.

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Hepatitis B Vaccine Declination (Mandatory) I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated with hepatitis B vaccine, at no charge to myself. However, I decline hepatitis B vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring hepatitis B, a serious disease. If in the future I continue to have occupational exposure to blood or other potentially infectious materials and I want to be vaccinated with hepatitis B vaccine, I can receive the vaccination series at no charge to me. Signed: (Employee Name)____________________________ Date:_______________________ The hazard communication standard requires you to develop a written hazard communication program. The following is a sample hazard communication program that you may use as a guide in developing your program.

Part 2 Hazard Communication Standard The following model Hazard Communication Program is based on the requirements of the OSHA Hazard Communications Standard, 29 CFR 1910.1200. The intent of this model is to provide an easy-to-use format to tailor to the specific requirements of you establishment.

Hazard Communication Program

1. Company Policy To ensure that information about the dangers of all hazardous chemicals used by the Lincoln Park EMS is known by all affected employees, the following hazardous information program has been established. Under this program, you will be informed of the contents of the OSHA Hazard Communications standard, the hazardous properties of chemicals with which you work, safe handling procedures and measured to take to protect yourself from these chemicals. This program applies to all work operations in our company where you may be exposed to hazardous chemicals under normal working conditions or during an emergency situation. All work units of this company will participate in the Hazard Communication Program. Copies of the Hazard Communication Program are available in the Duty Office for review by an interested employee. The Chief of the Lincoln Park EMS is the program coordinator, with overall responsibility for the program, including reviewing and updating this plan as necessary.

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2. Container Labeling The Supply Lieutenant will verify that all containers received for use will be clearly labeled as to the contents, note the appropriate hazard warning, and list the manufacturer’s name and address. The Supply Lieutenant of the Lincoln Park EMS will ensure that all secondary containers are labeled with either an extra copy of the original manufacturer’s label or with labels marked with the identity and the appropriate hazard warning. For help with labeling, see the Supply Lieutenant. The Supply Lieutenant of the Lincoln Park EMS will review the company labeling procedures annually and will update labels as required. 3. Material Safety Data Sheets (MSDSs) The Supply Lieutenant of the Lincoln Park EMS is responsible for establishing and monitoring the company MSDS program. He/she will ensure that procedures are developed to obtain the necessary MSDSs and will review incoming MSDSs for new or significant health and safety information. He/she will see that any new information is communicated to affected employees. The procedure below will be followed when a MSDS is not received at the time of initial shipment: the Supply Lieutenant of the Lincoln Park EMS will contact the manufacturer in writing requesting MSDS. A copy of the request and the response will be filed in the MSDS binder. Copies of MSDSs for all hazardous chemicals to which employees are exposed or are potentially exposed will be kept in the duty office. MSDSs will be readily available to all employees during each work shift. If an MSDS is not available, contact the Supply Lieutenant of the Lincoln Park EMS. When revised MSDSs are received, the following procedure will be followed to replace old MSDSs: The Supply Lieutenant will remove the old MSDS from the file and destroy it and replace it with the new MSDS. 4. Employee Training and Information The Chief of the Lincoln Park EMS is responsible for the Hazard Communications Program and will ensure that all elements are carried out. Everyone who works with or is potentially exposed to hazardous chemicals will receive initial training on the hazard communication standard and this plan before starting work. Each new employee will attend a health and safety orientation that includes the following information and training:

An overview of the OSHS hazard communication standard

The chemicals present at his/her work area

The physical and health risks of the hazardous chemicals

Symptoms of overexposure

How to determine the presence or release of hazardous chemicals in the work area

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How to reduce or prevent exposure to hazardous chemicals through use of control procedures, work practices and personal protective equipment

Steps the company has taken to reduce or prevent exposure to hazardous chemicals

Procedures to follow if employees are overexposed to hazardous chemicals

How to read labels and MSDSs to obtain hazard information

Location of the MSDS file and written Hazard Communication program Prior to introducing a new chemical hazard into any section of this company, each employee in that section will be given information and training as outlined above for the new chemical hazard. The training format will be as follows: members will be trained at the training meeting or by their crew chief. The member will be required to sign off on a sheet that they have been trained. 5. Informing Other Employers/Contractors It is the responsibility of the Chief of the Lincoln Park EMS to provide other employers and contractors with information about hazardous chemicals that their employees may be exposed to on a job site and suggested precautions for employees. It is the responsibility of the Supply Lieutenant of the Lincoln Park EMS to obtain information about hazardous chemicals used by other employers to which employees of this company may be exposed. Other employers and contractors will be provided with MSDSs for hazardous chemicals generated by this company’s operations in the following manner: by the Supply Lieutenant of the Lincoln Park EMS. In addition to providing a copy of a MSDS to other employers, other employers will be informed of necessary precautionary measures to protect employees exposed to operations performed by this company. Also, other employers will be informed of the hazard labels used by the company. If symbolic or numerical labeling systems are used, the other employees will be provided with information to understand the labels used for hazardous chemicals for which their employees may have exposure. 6. List of Hazardous Chemicals A list of all known hazardous chemicals used by our employees is attached to this plan. This list include the name of the chemical, the manufacturer, the work area in which the chemical is used, dates of use, and quantity used. Further information on each chemical may be obtained from the MSDSs, located in the duty office of the Lincoln Park EMS. When new chemicals are received, this list is updates (including date the chemicals were introduced) within 30 days. To ensure any new chemical is addend in a timely manner, the following procedures shall be followed: the Supply Lieutenant of the Lincoln Park EMS will be responsible for updating the list. The hazardous chemical inventory is compiled and maintained by the Supply Lieutenant of the Lincoln Park EMS.

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7. Program Availability A copy of this program will be made available, upon request, to employees and their representatives by contracting the Supply Lieutenant of the Lincoln Park EMS.