Wednesday, July 29, 2009
EMS NOTES
FROM: Fire Chief John Vance
RE: Various EMS Issues / Stock Issues
DATE: July 28, 2009
Here are a few EMS issues that need your immediate attention:
1. Diltiazem & Succinylcholine are to be changed out every 30 days on the 1st of the month, not every 60 days. This is a quality control issue. The cost to replace these meds are minimal compared to having a med with a compromised efficacy.
2. Manual intraosseous needles will be placed on both of the medic units (when they are returned to service!). These needles will most likely be placed on one of the shelves in the patient compartment of the truck. The needles are being placed on the truck to be used as a "back up" option should the battery powered EZ-IO fail for some reason. These needles should not be removed from the apparatus. They are there in case there is an equipment failure and we need to attain intraosseous access in a critical patient.
3. EMS stock (equipment & supplies in the EMS store room and the yellow cart) is for Harris Fire Department use only. We are working on system that will track our inventory better. In the mean time I am counting on everyone to be “on the honor system” and use supplies purchased by the department for official use only. Taking any kind of stock for any use other than restocking for emergency calls for service will be considered theft from the fire department.
4. Please see the adjustment in the scope of practice for non-lead personnel posted on the memo boards.
Thank you for your attention when it comes to these very important matters.
Monday, June 22, 2009
PEP CLASS DATES
July 9 & 10
or
July 23 & 24
Classes will run from 8:00 AM - 3:00 PM and are two days long. Please sign up with Captain Yoder for one of the two classes (they are mandatory for all ALS providers).
They will be held at the Memorial Hospital Education Facility (THE HUT).
Thanks,
Chief Vance
Tuesday, June 16, 2009
Territory Update
The good news is that all of the items are either very attainable or minor hurdles to overcome in the great scheme of things. We discussed having the proper focus of providing the very best service for the people that we are sworn to protect, and that focus REALLY puts it all into perspective.
The really great news is that with the talent and abilities of the people of this new department, there isn't really anything that we can not accomplish!
As we begin to bring these departments together, I ask that the number one item on YOUR agenda is to ask "how can we provide the very best service to the entire community that we serve". Putting forth our energy and efforts into making a positive outcome for the those who are having a bad day (and making it better) will really make a difference. Especially when we combine the resources and staff on this new department!
It is an exciting time for all of us with a lot going on. I ask you to share any concerns, comments and ideas with your Battalion Chief or myself.
Assignments
Effective immediately Jim Williams has been assigned as the Station Officer at Station 2 / A-Shift. Jim has proven himself to be a strong Acting Company Officer on 441 and has prepared himself with the necessary education from Southwest Michigan College and the necessary certifications. I am confident that with his performance in the last promotional process that he will do a great job. Jim will carry the rank of Lieutenant.
Bob Price has been assigned as the Company Officer / Lieutenant of Station 1 / A-Shift. Having Bob in this position will enable better command and control of company level operations at Station / A-Shift and will enhance the safety and mentoring of Firefighters. Bob will continue all of his other duties outside of the regular assignment (SCBA’s, etc).
A strong officer corps is essential to the growth and survival of Firefighters and the entire department. I ask that you give Lieutenant Williams and Lieutenant Price your full support, as you always have with other officers that work hard to provide command and leadership for the troops.
If you have any questions regarding this, please feel free to see me.
Wednesday, June 10, 2009
TRIVIA FOR GOOD CAUSE
If so, then we want you!!!
Join us for a fun filled evening of trivia to benefit O’Hana Heritage Foundation and A Rosie Place!
When: Friday, June 12, 2009
Doors open at 6pm, game starts promptly at 7pm
Where: Firefighter’s Union Hall, 4025 Lincoln Way West, SB
Cost: $100 per table of 10 players
Raffles available throughout the night too!
Bring your own tailgate food to share.
Beer, mixed drinks, soda and water will be available for purchase. (Please no outside beverages)
Reserve your table today by contacting Chris Haas at 273-4612 or Donna O’Hara at 288-8608. $50 holds your table.
Learn more about O’Hana Heritage Foundation and
A Rosie Place at www.ohanaheritage.org
Tuesday, June 9, 2009
SUMMER CAMP HELP NEEDED
The Harris Township Fire Department is still accepting applications for its 5th annual Fire Camp. The camp will run from 9 a.m. – 3 p.m. June 15-19, 2009. We currently have 21 campers.
Harris Township Fire Camp is an excellent opportunity that allows children to experience and understand what a Firefighter / EMT does on a regular basis. This program is targeted for children aged 10 – 13 years of age and the activities will be directed accordingly. Campers will actually participate “hands on” with equipment and have the opportunity to learn skills while performing at mock fire and rescue situations. It is the mission of our instructors to inspire the participants and to teach them teambuilding and valuable life saving skills while having fun.
It is important to understand that additional help will be needed. The on-duty crew will be asked to help out, but we cannot rely on their presence. Each day will have its own teambuilding skill such as a bucket brigade, firefighter combat challenge, packaging patients, or “first water”.
To help out, firefighters should sign up at station 1 on the Fire Camp Sign-up Sheet. The Fire Camp Sign-up Sheet will have the all 5 days’ agendas. Please fill in as best as possible
If you have any questions, contact Battalion Chief Justin Stopczynski (574)-532-7884. Email: jstopczynski@sbcglobal.net
Monday, June 1, 2009
FREE Cardiac Screening at Memorial
Find out if you may be at risk for having
a stroke or heart attack in this FREE screening.
• Carotid artery screening
• Abdominal aortic aneurysm screening
• Blood pressure
• ABI
• Nurse consultation
Screenings are intended for patients with diabetes, hypertension, leg pain with walking or exercise, high cholesterol, a smoking history, high risk professions, or slow-healing wounds.
Physicians will be notified of any abnormal results from the screening. Space is limited and reservations are required. To make an appointment, call the Memorial
Health Discovery Center at 574-647-6880.
Flex attack Nozzle
Just as a reminder and to clear up any confusion, please read the following information on the new Flex Attack Nozzle.
As we know from our use of CAFS in the past, the only way to adjust the wetness of the foam is at the pump panel by adjusting the air/water mixture. This makes the wording on the Flex Attack misleading by labeling it: Water - Wet CAF - Dry CAF. CAFS as well as water can be flowed through any of these settings, what we are looking for is getting the most GPM out of the nozzle.
Discharge Orifice Size
Setting Size (inches)
Water 15/16"
Wet CAF 1 1/8"
Dry CAF 1 3/8"
Looking at the chart above we can see that the “Dry CAF” setting gives us the largest opening, which gives use the most GPM. The reason we went with this nozzle was to give us the ability to switch from CAFS to water without having to change a nozzle or takeoff/add a tip.
A better way to think of this nozzle is as an adjustable smoothbore nozzle. If you are looking for max GPM as you would for fire attack operations, you want to turn the tip to the Dry CAF setting giving you a 1 3/8” smoothbore. If you switch to water and you are not getting the reach you need, turn it to the Wet CAF or Water setting and decreasing the orifice size to a smaller smoothbore giving less GPM but more reach.
One last thing to remember we have preached for year “right for fight, left for lobster”, unfortunately this nozzle is the exception. The 1 3/8” (Dry CAF) setting is all the way to left on this nozzle and the 15/16” (water) setting is to the right. Please take time to do some training with this nozzle and become familiar with its operation. Do not let the first time you look at this equipment be when you need to use it in a real situation.
Friday, May 1, 2009
SWINE FLU PRECAUTIONS
As a reminder, it is policy that all staff involved in patient care of suspected Swine Flu Patients are wearing appropriate PPE including: gloves and N95 or better respirators. PPE should be donned and doffed according to published guidelines to prevent cross contamination, including faceshield/eye and gown protection when splash or airborne contamination is possible.
Also, please remember to thoroughly wash your hands after any contact with all patients.
Tuesday, April 28, 2009
Swine Flu Update
FROM: Chief Vance
RE: Swine Flu Precautions
DATE: April 28, 2009
With cases of the swine flu now suspected in Indiana, we all need to be on the same page when it comes to dealing with suspected cases.
Please observe the flowing as policy:
Request additional information from Dispatch when sent to respiratory, sick person and fever related calls if limited initial dispatch information is provided.
Perform initial interview of all patients from at least 6 feet (2 meters) away to determine if personal protective equipment precautions are necessary.
Place a mask on all patients with suspected influenza symptoms before approach. Use a surgical mask or, when oxygen is required, a non-rebreather mask.
Avoid droplet producing procedures whenever possible including nebulizers, bag-valve-mask, suctioning or intubation. If bag-valve-masks are needed, use BVMs with HEPA filters whenever possible.
Recommended PPE for taking care of ill/potentially infected patients includes: gloves and N95 or better respirators. PPE should be donned and doffed according to published guidelines to prevent cross contamination, including faceshield/eye and gown protection when splash or airborne contamination is possible.
Alert receiving hospital personnel of the possibility of an infectious patient as soon as possible and hold suspected infectious patients in the ambulance until their destination in the hospital is known, rather than immediately moving them into the emergency department.
Perform a thorough cleaning of the stretcher, ambo and all equipment that has come in contact with or been within 6 feet (2 meters) with an approved disinfectant, upon completion of the call following CDC interim guidelines for cleaning EMS transport vehicles (www.pandemicflu.gov/plan/healthcare/cleaning_ems.html).
Wash your hands and use anti-bacterial lotions as soon as gloves and other PPE have been doffed.
Report any suspected cases of the swine flu to the on duty Battalion Chief and Fire Chief immediately.
Wednesday, April 22, 2009
Truck Detail
FROM: Chief Vance & BC Brentlinger
RE: Truck Detailing
DATE: April 22, 2009
All of the truck in the fleet need to be detailed. This includes waxing, cleaning the diamond plate, detailing the cab, removing equipment from the compartments and cleaning the compartment and tools, power washing the underside of the truck and cleaning around the engine compartment.
We will be doing this quarterly from now on and will rotate each time. This should be completed by your shift by May 22, 2009.
Truck assignments will be posted at the stations.
Thanks for your efforts to keep our trucks in excellent condition. If you have any questions, please let us know.
SPRING CLEAN!
FROM: Chief Vance
RE: Spring Cleaning
DATE: April 22, 2009
We are going to spruce up the stations for spring and each shift will get an area of concentration. This will be a time to “detail clean” all areas of the station. This includes cleaning out cabinets and drawers, wiping down walls, getting all dust, dirt and cobwebs out of corners.
Please see the assignments posted at the stations.
All tasks should be completed before June 1, 2009. Please let me know when you have completed your assignments.
Thanks for your efforts to make our stations look great!
Build Value Now
Thursday, March 26, 2009
Three Things
Second, great job at the fire on Sunday. So many things about our capabilities and strategies have become standard that we forget about a time (not long ago) that a small incident like this would have stretched our systems capabilities. Thanks for supporting the system and great stop on the fire guys!
The third thing is this illustration of brotherhood from Oakland California:
California Firefighters Serve Food, Kind Words to Grief-Stricken Police
............
Meredith May, Chronicle Staff Writer
The San Francisco Chronicle (California)
When awful, unexplainable things happen, sometimes the best thing is a warm meal served by a friend who has been there before.
That's why Oakland firefighters loaded up on hamburger and tri-tip steak and took over the kitchen at the Oakland Police Officers Association, to serve comfort food to a force reeling from the slaying of four of its officers last weekend.
Firefighters lit the grill and worked the room, offering round-the-clock meals and conversation since Monday morning.
"We are there to talk to the guys," said Lt. Chuck Garcia, president of the Oakland branch of the International Association of Firefighters. "This is a big, crazy city. We have to be there for each other."
Two professional counselors and a medical doctor also are offering their services.
Grief is rippling from department headquarters on Seventh Street throughout the city after the shooting deaths Saturday of Sgts. Mark Dunakin, 40, of Tracy, Ervin Romans, 43, of Danville, and Daniel Sakai, 35, of Castro Valley, by Lovelle Mixon, a 26-year-old parolee whom police had pulled over in a routine traffic stop. Mixon was killed in a shootout with SWAT officers.
Removed from ventilator
Motorcycle Officer John Hege, 41, of Concord was removed from a ventilator Monday night at Highland Hospital in Oakland after donating organs.
"Everyone is trying to understand what the hell just happened here," said Sgt. Dom Arotzarena, president of the Oakland Police Officers Association.
The outpouring of support from the firefighters - and from elected officials such as city Councilman Larry Reid and state Attorney General Jerry Brown, who have been coming to the association offices every day since the killings - has been an enormous help to officers who want to talk, he said.
Many officers also have opened their homes for grief gatherings, Arotzarena said.
Libraries are collecting cards, condolence books are coming from City Hall, Whole Foods sent more food, and flowers are taking up half the police station foyer.
Jeff Thomason, spokesman for the Oakland police, said he is getting several hundred e-mails a day from well-wishers.
"It's overwhelming," he said. "Police agencies from all over the country are coming to the funeral. Boston is sending 50, I've heard from New York, Baltimore, and all the California agencies are coming."
$40,000 donation
Although Arotzarena had not yet tallied the donations, the largest one so far came Tuesday from the Morongo Band of Mission Indians in Palm Springs. The tribe sent $40,000, to be divided equally among the four officers' families, along with a personal letter from tribal Chairman Robert Martin.
Dennis Miller, a member of the tribal council, said the tribe was touched by similar violence in the late 1990s, when two sheriff's deputies were murdered during a domestic violence call in Riverside County.
"There are ... orphans now," said Miller, referring to the children of the slain Oakland police officers. "Our donation is a way to send a signal that we're not going to tolerate this kind of violence anymore."
Funeral for the officers The public memorial for Oakland's four fallen police officers will be 11 a.m. Friday at Oracle Arena, 7000 Coliseum Way.-- The services will be led by the Rev. Jayson Landeza, chaplain of the Oakland Police Department. Organizers are expecting more than 12,000, including uniformed officers from police agencies around the country.-- Overflow crowds will be invited to the Oakland-Alameda County Coliseum, where a big screen will broadcast the service.-- Parking lots open at 7:30 a.m., and the arena will open by 9 a.m.-- Drivers should use the 66th Avenue exit off Interstate 880. Guests are encouraged to take public transportation to the arena, accessible by the Coliseum BART Station and AC Transit.-- Find more information and directions at www.opoa.org/funeral.DonationsThe Deputy Sheriffs' Association of Alameda County has established a memorial fund. Mail contributions to San Francisco Police Credit Union, attn.: OPD Memorial Fund, 6689 Owens Drive, Suite 125, Pleasanton, CA 94588. Make checks payable to OPD Memorial Fund.
Monday, March 9, 2009
FROM DC KAZ - QUARTERLY TRT DRILL PLEASE SIGN UP
I NEED A LIST OF WHO IS GOING TO ATTEND WHAT DAY ASAP SO WE CAN MAKE SURE WE HAVE THE PROPER # OF VEHICLES GOING, PRE-ROSTERING A TEAM, ETC.
Thursday
Lamb
Hummell
Richards
Grabowski
Kazmierzak
Bolinger
Callaway
Barker
Friday
Iwaniuk
VanEs
Miller
Orlowski
Roark
Brubaker
Iden
Schmitt
Barker
Saturday
Ginevicki
Dempler
Brown
Hester
Price Sr.
Shilling
Veracautern
Barker
We will roster a team, divide into squads; use the 800MHZ radios, etc just like this was a real deployment.
IN ORDER TO MAINTAIN DEPLOYABILITY STATUS WITH THE MABAS 201 TRT YOU MUST HAVE MADE THREE OF THE LAST FOUR QUARTERLY DRILLS, IN ADDITION TO YOUR MONTHLY SHIFT TRAININGS WITH YOUR DEPARTMENT. ANY MEMBER NOT MAKING THESE REQUIREMENTS WILL BE CONSIDERED UNDEPLOYABLE AND WILL NOT BE ALLOWED TO GO ON DEPLOYMENTS UNTIL THE MEMBERS MEETS REQUIREMENTS AGAIN.
TO SEE WHERE YOU STAND VISIT: TRT Roster
Please let me know ASAP if you have any questions - I want to have this drill organized WELL IN ADVANCE!
Thursday, March 5, 2009
A NEW WAY TO COMMIT SUICIDE
Does this sound like a routine call that most of us would respond to and take similar action? It’s Sunday morning 0730 hours, you respond to a person down in auto. You locate a car in the empty parking lot of a business. The engine and med unit pull up near the vehicle and personnel see a person inside that appears to be asleep or unconscious. Wearing safety glasses and medical gloves, you walk up to the car and knock on the window. The patient does not respond to your knock on the window, and the doors are locked. What action will you take? Will you hurry to make patient access? Will you use a lockout tool, center punch, or halligan to make entry? You make access, a rush of warm air comes out of the vehicle and you smell a sharp odor. You have just become a victim and have been exposed to a noxious possibly fatal gas.
What could you have done differently? You are the first-in unit. How should you respond to this type of incident? 1. Do not become complacent! Your response should be similar on every call. 2. Be well trained, know your job, do your job. 3. Start your size-up from the time a call is dispatched. 4. Establish a strong command and control the scene. 5. Don’t go rushing in. 6. Survey the scene. 7. Does the scene look routine? 8. Do you see anything unusual? (Example: A note on the window, containers inside the vehicle and taped windows or vents). 9. Is the scene safe? 10. Wear the appropriate PPE. 11. Establish a Hot Zone. 12. Develop a plan of action and coordinate activities. 13. Call for additional resources. (Hazmat Team, PD, etc.) 14. Did PD arrive prior to FD and become contaminated requiring emergency decon and first aid?
The call listed in the first paragraph of this document started as a routine person down call. This type of incident can easily expand into a full blown Hazardous Materials Incident with a multijurisdictional response. Be aware of this new way to commit suicide and don’t become a victim. Use common sense and stay safe. To review a newspaper article and pictures regarding the suicide in Pasadena, California, visit: http://beaconmedianews.com/2008/08/26/23-year-old-man-commits-suicide-with-chemicals-inside-2003-vw-bug/ To review a newspaper article and pictures regarding the suicide in Barton, Georgia visit: http://www.daily-tribune.com/index.cfm?event=news.view&id=674BB0CD-19B9-E2E2-676...
Thursday, February 26, 2009
EMS NOTES
-- There is now an IV Cooler In-Service on Medic 41. This unit will be used to chill Sodium Chloride for use in Induced Hypothermia following Return of Spontaneous Circulation (ROSC) after cardiac arrest. Please remind all personnel to review the Induced Hypothermia Protocol. Research indicates that in order for the chilled IV fluids to be effective, they should be cooled and stored at 4C (39.2F). The instruction manual for our unit indicates that "Setting Level 1" will chill the fluids to the therapeutic recommendation. Personnel inspecting the apparatus should vigilantly ensure that the temperature adjustment control switch is turned to level "1". The apparatus check sheet for Medic 41 will reflect this change.
-- When Medic 41 transports a patient following an ALS Intercept from a different agency, the "Blue Billing Form" should not be sent to our Billing Company. The invoice for the transport will be billed to the BLS Agency that receives the intercept. It will be the responsibility of the BLS Agency to submit payment to Harris Township for the ALS care. Personnel completing the Patient Care Report should document this fact on the face of the "Blue Billing Form", including the name of the agency that received the intercept.
-- When personnel transfer care of a patient to the staff at Memorial Hospital, they must also personally deliver their completed Patient Care Report to the nurse they transfered the care to. It is no longer an accepted practice to leave the PCR on the chart or the counter top at MHSB. The nurse will place the pre-hospital run report on his / her copy of the Patient's chart in the ED. There have been several recent cases where the continuum of a Patient's care was jeopardized because the staff at the hospital could not locate the EMS Run Report.
-- Please have all personnel direct any changes they note to the daily / weekly apparatus inspection forms to Paramedic Schmitt. He will make any necessary adjustments to the form(s). The most up-to-date version of all apparatus inspection forms will be available for personnel to print from the G:\ Drive at the following location: G:\Forms\Apparatus & Equipment Inspection Forms.
Wednesday, February 25, 2009
SR 23 Widening News From The GBA
I wanted to take this opportunity to give you the results of the informational meeting held last night regarding the State Road 23 widening project. The GBA invited Aimee Kindred with the Indiana Department of Transportation to present the construction plans for the project
There was some good news. The widening will be a 2 year project. The phase that will be done in 2009 (from April to November) is only going to entail utility moves. The actual widening of the roadway will not start until March of 2010.
Some of the highlights were
- The project will go from Adams Road to Bittersweet Trails
- The project will result in a 5 lane road with sidewalks on both sides
- The project will be let to the lowest bidder on April 8, 2009
- The utility move phase will begin immediately
- In 2010 when the actual widening will begin, State Road 23 will be closed for at least 1 week at the railroad crossing. The detour will be Capitol>Cleveland Rd>Bittersweet.
- As part of the project, whenever construction effects a business entrance, there will a gravel approach into the business provided to insure that there will still be access.
- Aimee indicated that when construction begins, there will be a contractors trailer onsite where the construction supervisor will be located. She urged that if there are any concerns that develop as construction takes place to contact the supervisior and let them know there is a problem. If they are not responsive then let the State know.
- The GBA will sponsor another informational meeting in February of 2010 to get an update of the next phase. Aimee agreed to come to that meeting as well & indicated she would also try to bring the construction supervisor to the meeting.
Lastly, please join me in thanking Gene Nichols who's hard work made it possible for this meeting to take place & Aimee Kindred for coming up from Indianapolis to share her time with us.
Thanks for your support of Granger!
Todd ZaseckGBA President
Friday, February 20, 2009
Indiana Departments Scramble To Reorganize
http://www.firegeezer.com/2009/02/19/indiana-vfds-scramble-to-reorganize/
If we fail to chart our future, it will be done for us!
ATTENTION! DEPARTMENT MEETING
Thursday, February 12, 2009
SB 512 VOTE DELAYED
For more read here:
http://www.indy.com/posts/twp-workers-pack-statehouse-hearing
I will keep you updated.....
Tuesday, February 10, 2009
PEER FITNESS COURSE
- an initiative of the International Association of Fire Fighters, International
Association of Fire Chiefs, and American Council on Exercise. This program
offers training that is consistent with a national fitness standard for the fire
service.
DATES: APRIL 20-24, 2009
TIME: 8:00 a.m. - 5:00 p.m.
TUITION: $700 per person
LOCATION: Pleasantview Fire Protection District
1970 Plainfield Rd
LaGrange Highlands, IL 60525
REGISTER: Department Purchase Order or Department/Personal Checks will
guarantee registration.
Class size limited to 30 persons.
Registration Deadline: April 10, 2009
Participants will develop skills required to implement a department fitness program,
improve the wellness of fellow fire fighters, and design a physical training program for
new recruits. Successful completion of a written exam is required at the conclusion of
this five-day session.
• Exercise Psychology
• Wellness
• Exercise Programming
• Professional Responsibilities
• Task-Specific Knowledge
Students will be required to demonstrate knowledge in the following content domains
that articulate the sciences and disciplines that Peer Fitness Trainers rely on to perform
their duties:
• Anatomy
• Kinesiology
• Exercise Physiology
• Nutrition
• Exercise Techniques
• Fire Service-Specific Knowledge
All textbook and study reference material is furnished with course registration
and will be mailed directly to the student by the IAFF with paid registration.
Tuesday, February 3, 2009
30 Car Pile Up In Fishers
Check out the pictures and the triage system used to mark the cars:
http://www2.indystar.com/autofocus/galleries/show/5115/1
Fishers did a great job with multiple extractions and handling a large volume of patients.
Thursday, January 29, 2009
TOLL ROAD RESPONSES
Anytime Clay is dispatched to an entrapment (including possible entrapment) on the Toll Road the on-duty SC will request Harris Fire to stand-by at our Toll Road entrance with a rescue.
We should request Clay with a rescue anytime we are dispatched to an entrapment to stand by at their entrance. A more formal policy will follow.
From Chief Vance
Wednesday, January 28, 2009
The Last Lecture
Randy Pausch - The Last Lecture
Monday, January 26, 2009
Instructor Clinic
Mandatory ALS In-Service
Monday, January 12, 2009
James Watson Passes
| Watson, James |
| ||
| Jan. 8, 2009 GRANGER - James Watson, 17, of Granger, Indiana, died Thursday, January 8, in South Bend's Memorial Hospital from injuries sustained December 1 in an automobile accident. He is survived by his parents, Justin and Carlotta, and his sister and brother, Samantha and Patrick. James was a senior at Penn High School and was finishing his Eagle rank with BSA Troop 562. He was planning on attending Holy Cross College after his high school graduation. The family would like to thank the St. Joseph County Police, Harris and Penn Fire Departments, the medical professionals of Memorial Hospital, families of Troop 562, Holy Cross College, the PHM community, friends and caring neighbors. A memorial service will be held in the spring. Kaniewski Funeral Home is handling arrangements. Memorial contributions may be made to your local food bank or to Pet Refuge. | |||
