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CFRD Flashcards

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1
Q

When may Fire Communications dispatch a CFR unit?

A

To all EMS Segment 1 incidents and designated Segment 2 and 3 incidents.

[CFR-D – TQ 1.3]

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2
Q

What units are dispatched to a vehicular accident with persons trapped?

A

The nearest available Engine, Ladder, or Rescue Company.

[CFR-D – TQ 1.3.1]

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3
Q

When may additional CFR companies be requested?

A

By the Incident Commander at the scene following a size-up, via a 10-84.

[CFR-D – TQ 1.3.2]

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4
Q

What CFR staffing must Company Officers ensure each tour?

A

That two CFR-qualified firefighters are working each tour.
[CFR-D – TQ 1.7]

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5
Q

What is the minimum CFR staffing required for a company to remain in CFR service?

A

A minimum of two CFR-trained members; if staffing drops to one firefighter and one officer during the tour, the company remains available for CFR response.
[CFR-D – TQ 1.8]

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6
Q

What must be done if CFR staffing falls below the minimum?

A

The company shall not respond to CFR calls, must notify the dispatcher and Battalion, enter the event in the Company Journal, and have their status changed in STARFIRE.

[CFR-D – TQ 1.8.1]

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7
Q

Who is responsible for airway management and oxygen administration on a CFR-D response?

A

The “A – Airway” firefighter.
[CFR-D – TQ 2.1]

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8
Q

What types of incidents are Segment ONE CFR-D responses?

A

Cardiac or respiratory arrest and choking incidents.
[CFR-D – TQ 3.1]

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9
Q

Where must the CFR roster be posted? (List all required locations.)

A

• Company office
• Bulletin board in the kitchen area

[Cross Reference Regs Ch 15– 15.9]

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10
Q

What does a 10-37 Code 1 medical assignment indicate?

A

Victim is deceased.

[10-37 Medical Assignments – Comm Ch 8]

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11
Q

What does a 10-37 Code 2 medical assignment indicate?

A

Victim/patient is NOT breathing and requires resuscitation or is suffering from a serious, apparently life-threatening injury or illness.

[10-37 Medical Assignments – Comm Ch 8]

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12
Q

What does a 10-37 Code 3 medical assignment indicate?

A

Victim/patient IS breathing and is suffering from a non-serious, not life-threatening injury or illness.

[10-37 Medical Assignments – Comm Ch 8]

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13
Q

What conditions must exist for a 10-37 Code 4 to be transmitted?

A

• Unit is 10-84
• No patient contact
• EMS is on-scene

[10-37 Medical Assignments – Comm Ch 8]

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14
Q

When must Signal 10-45 be transmitted instead of Signal 10-37?

A

For thermal burn injuries that occur as a direct result of HEAT from a FLAME.

[Medical Signals – Comm Ch 8]

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15
Q

What additional action is required when an officer transmits a 10-45 for a thermal burn injury?

A

Request the response of a Battalion Chief to the scene.

[Medical Signals – Comm Ch 8]

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16
Q

If there is doubt about whether to transmit a 10-37 or 10-45, what must be done?

A

Request a Battalion Chief to respond to the scene.

[Medical Signals – Comm Ch 8]

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17
Q

What must the Fire Officer do when a CFR unit arrives and EMS is already on scene?

A

Confer with EMS to confirm both units responded to the SAME incident.
CFR remains on scene and assists until EMS determines assistance is no longer needed.

CFRD CH 2- 3.8.1

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18
Q

After conferring with EMS, CFR services are not required. What must the company do?

A

Transmit 10-37 Code 4 and go 10-8 via MDT.

CFRD Ch 2 -3.8.2

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19
Q

What must the Officer in Charge do when a patient is determined to be CRITICAL or UNSTABLE using CUPS?

A
  1. Ask for the ETA of the responding ambulance.
  2. Advise dispatch to RELAY the seriousness of the patient’s condition to EMS.
  3. Begin PACKAGING immediately while treating life threats.

Acro: E-R-P [ETA-Relay-Package]

[CFR Ch2 – 3.9.4]

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20
Q

Does packaging wait until EMS arrives when a patient is CRITICAL or UNSTABLE?

A

No. Packaging begins immediately while life threats are being treated.
[CFR Ch2 – 3.9.4]

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21
Q

What happens to a Companies availability if decontamination is required?

A

The Company is not available until decontamination is completed, and only then transmits the appropriate signal.

[CFR Ch2 – 3.12.1]

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22
Q

Can a Company go 10-8 if decontamination of members, PPE, or equipment is required?

A

No. The Company remains unavailable until decontamination is completed.

[CFR Ch2 – 3.12.1]

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23
Q

What is the procedure if CFR equipment is left with a patient or supplies are expended below minimum levels?

A

The Company returns to service for FIRE DUTY (only), advises the borough dispatcher and Battalion it is unavailable for CFR responses, returns to quarters to replace equipment/supplies, and notifies dispatch when CFR-available again.

[CFR Ch2 – 3.12.2]

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24
Q

Is a Company completely out of service if CFR equipment is expended below minimums?

A

No. The Company is available for fire duty but not CFR responses until equipment and supplies are replaced.
[CFR Ch2 – 3.12.2]

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25
What is required if a verbal alarm is received for an additional patient during a CFR response?
The Company shall attempt patient contact and notify the dispatcher. If contact is made, the Company shall not leave the scene until relieved by EMS or the patient leaves. [CFR Ch2 – 3.14]
26
What are the five conditions that prohibit CFR resuscitation? (Code LORD/DNR)
1. Dependent lividity 2. Obvious death 3. Rigor mortis 4. Decomposition 5. Valid Do Not Resuscitate (DNR) order [CFR Ch2- 4.4]
27
Does CFR still complete an ePCR if the patient is DOA?
Yes. An ePCR must be completed to document that the patient was properly examined and met criteria for obvious death. [CFR Ch2 4.4]
28
If a valid DNR is present, should CFR begin resuscitation?
No. A valid DNR is one of the five conditions that prohibit CFR resuscitation efforts. [CFR Ch2 4.4]
29
What steps must be taken when a CFR patient’s whereabouts are unknown and no patient is found after a complete search?
Review the response printout, verify information with the dispatcher, attempt contact with neighbors/building staff/security, then transmit a 10-31 and return to service. [CFR Ch2 4.6]
30
Can a Company transmit a 10-31 immediately if no patient is found on arrival?
No. A complete search and required verification steps must be completed before transmitting a 10-31. [CFR Ch2 4.6]
31
What must the Officer in Charge do if forcible entry is required to reach a CFR patient?
Ensure the premises are safeguarded in accordance with Uniform Force Regulations. [CFR Ch2- 4.7]
32
What is required if forced entry is the only way to reach a patient?
Request police response for security/safety and advise EMS of the situation. CFRD Ch2 4.7(1)
33
What action is required if someone inside the premises denies access to the patient?
Immediately request Police Department assistance; PD determines next action. CFRD CH2 4.7(2)
34
Who can custody of safeguarded premises be transferred to after operations? [P-O-O-R]
1. Police Department 2. Owner 3. Occupant 4. Responsible person. CFRD CH 2 -4.7
35
What signal is transmitted if no responsible person is available to secure the premises?
Transmit radio signal 10-47 for police security. CFRD CH2-4.7
36
Can safeguarding premises be delegated to EMS personnel?
No. Safeguarding premises is not an EMS responsibility. CFRD CH2- 4.7
37
What must CFR units ensure before accepting a patient’s refusal of medical aid?
The patient is alert, oriented, and understands the risks of refusal. CFRD CH2 -4.8
38
What must a CFR Company do after a patient refuses medical aid?
Notify the fire dispatcher, REMAIN with the patient, and encourage them to stay until EMS arrives. CFRD CH2 -4.8
39
Is documentation required for a refusal of medical aid?
Yes. An ePCR must be completed for all RMAs. CFRD CH2- 4.8
40
If a patient refuses care and leaves the scene, what must the Officer do?
Notify the dispatcher; the Company returns to service after the patient leaves. CFRD CH2 -4.8
41
What must the OIC do when a patient in an emotional crisis refuses treatment?
Request police assistance and remain on scene until EMS arrives. CFRD CH2 4.9
42
Is documentation required when a patient in an emotional crisis refuses treatment?
Yes. The Officer in Charge must complete an ePCR. CFRD CH2 -4.9(B)
43
Is documentation required when a patient in an emotional crisis refuses treatment?
Yes. The Officer in Charge must complete an ePCR. CFRD CH2 -4.9(B)
44
If ESU has already initiated patient care when CFR arrives, who retains patient care responsibility?
ESU EMTs retain responsibility for patient care. CFRD CH 2-4.12
45
If ESU arrives after CFR has initiated patient care, who retains responsibility?
CFR retains responsibility until a transporting agency assumes care. CFRD CH2- 4.12.1
46
When may CFR release a patient to ESU?
When ESU assumes responsibility as the higher-level pre-hospital care provider. CFRD CH 2- 4.12.1
47
What must CFR do if ESU is not equipped with an AED?
CFR must retain patient care responsibilities per REMSCO protocol. CFRD CH 2- 4.12.1
48
Under NYS DOH guidance, may fire apparatus transport patients?
No. Fire apparatus or non-NYS-certified vehicles shall not be used to transport patients under any circumstances. CFRD CH2-4.15
49
What must be completed before calling FDNY/EMS telemetry?
The primary survey and C.U.P.S. status determination. CFRD CH2-5.3
50
Besides medical advice, what else may telemetry be used for?
Medical consultation and access to the International Language Bank. CFRD CH2 -5.3
51
When a minor has a life-threatening illness or injury, can treatment be delayed due to lack of consent?
No. Immediate medical intervention must be provided regardless of parent or guardian availability or consent. Reference: [CFRD CH2 – 6.1.1A]
52
When may treatment be provided to a minor despite a parent’s refusal?
When the minor has a life-threatening illness or injury and any delay in treatment would jeopardize the child’s life. Reference: [CFRD CH 2 – 6.1.1B]
53
What actions are required when a parent refuses treatment for a minor with a non-urgent condition?
1. Explain the need for care 2. Notify dispatcher and EMS 3. Contact FDNY/EMS Telemetry 4. Complete an ePCR 5 Remain on scene until EMS arrives. Reference: [CFRD CH2 – 6.1.1C]
54
What actions are required when child abuse or maltreatment is suspected?
1. Immediately request Police 2. Request FDNY EMS Supervisor 3. Request an ambulance through the dispatcher. NOTE: The Ambulance crew files the mandated report. Reference: [CFRD CH2 – 6.1.1D (NEW 1/2020)]
55
When Fire Operations and EMS are operating together, who is the incident commander on scene ?
The Fire Suppression Officer Note: The IC shall be responsible for for all decisions at the scene with the EXCEPTION OF PATIENT CARE MATTERS. CFRD Ch2 -7.3
56
What must a pre-hospital care provider do if an Incident Commander issues an order believed to be detrimental to patient care?
Inform the Incident Commander, continue appropriate patient care, and if the order persists, prepare and forward a written statement to OMA through proper channels. Reference: [CFRD Ch2 – 7.7]
57
What medical interventions are prohibited under a valid DNR order?
CPR, including chest compressions, BVM ventilations, defibrillation, intubation, and arrest medications. Reference: [CFRD CH2 Add1 – 3.1]
58
When is an Out-of-Hospital DNR order valid in New York State?
Only when recorded on the New York State Department of Health standard form DOH-347. Reference: [CFRD CH2 AD1 – 3.2]
59
Is a New York State DNR bracelet considered a valid DNR order?
Yes. A NYSDOH DNR bracelet with the caduceus and “Do Not Resuscitate” is a valid DNR order. Reference: [CFRD CH2 AD1 – 3.3]
60
When may a Hospital or Nursing Home DNR form be honored by pre-hospital providers?
Only if the DNR form is current (not expired) and the patient originates from the same hospital or nursing home that issued the DNR order. Reference: [CFRD CH2 AD1– 3.5]
61
Do Out-of-Hospital DNR Orders expire if they are not updated every 90 days?
No. Out-of-Hospital DNR Orders do not expire. Although they should be updated every 90 days, they remain valid even if not updated. Reference: CFRD CH2 AD1-4.1.2
62
What should CFR providers assume if a valid DNR bracelet is presented?
It shall be assumed that a valid DNR Order is in place, and it is not necessary to locate the written DNR Order. Reference: CFRD CH2 AD1-4.1.3
63
What must providers do if a MOLST form is presented as evidence of a DNR Order?
The MOLST form must be reviewed to confirm that it contains a DNR Order. Reference: CFRD CH2 AD1-4.1.4
64
When may a Hospital or Nursing Home DNR Order be honored by pre-hospital providers?
Only if the DNR has not expired and is from the same facility from which the patient is being transported. Reference: CFRD CH2 AD1-4.1.5
65
Can a Health Care Agent override a valid DNR, DNR bracelet, or MOLST form?
No. A Health Care Agent may not contradict directions already documented on a valid DNR/DNI, DNR Bracelet, or MOLST form. Reference: CFRD CH2 AD1 -4.1.6
66
What must be done if a valid DNR Order is presented after resuscitative efforts have already begun?
All resuscitative efforts must be discontinued immediately, regardless of who initiated them, and the time resuscitation was stopped must be documented. Reference: CFRD CH2 AD1-4.2
67
List circumstances under which a DNR Order must be disregarded and full resuscitation initiated.
A DNR must be disregarded if there is: 1. Evidence it was revoked, 2. If a conscious patient requests resuscitation, 3. If a family member requests resuscitation and CONFRONTATION is likely, 4. A physician directs that the DNR be ignored. Reference: CFRD CH2 AD1-4.3
68
What action should be taken if there are questions about the validity of a DNR Order or a confrontation is likely at the scene?
Request an EMS officer and contact the OLMC Physician. Reference: CFRD CH2 AD1-4.7
69
How must infectious waste be handled and stored if FDNY EMS Command is not present at the scene?
Infectious waste must be placed in red biohazard bags, returned to quarters, and placed in an infectious waste container located in a light-traffic (remote) area on the apparatus floor. Reference: Ch3-5.14
70
Where must red bag waste be dropped off at ?
Red bag waste must be dropped at the CFR depot.
71
You are the officer on duty and a CFR Depot. You had red bag infectious waste that was never picked up. Who should you contact?
Depot officers contact Solid Waste Technologies for pickup. If a pickup is missed, the Resource Center is contacted, a work order is generated, OSHA expedites pickup, and red bags are never placed outside company quarters. Reference: Ch3 -5.15
72
Under what circumstances may a member temporarily decline the use of infection control PPE?
A member may briefly decline PPE under rare and unusual circumstances when professional judgment determines its use would prevent care delivery or increase hazard, and the incident must be investigated and documented. Reference: CFRD CH3-6.2
73
What are the requirements for nitrile glove use by members?
Members shall use non-sterile, disposable, single-use nitrile gloves whenever exposure to blood or potentially infectious material could occur, and such gloves shall not be washed, decontaminated, or reused. Reference: CFRD CH3-6.4
74
When must disposable nitrile gloves be changed?
Disposable nitrile gloves must be changed after contact with EACH PATIENT and during treatment if they become torn or otherwise damaged. Reference: CFRD CH3-6.4.5
75
When are fire duty gloves required to be worn over disposable gloves, and may they be reused?
Fire duty gloves shall be worn over disposable gloves when an assignment may compromise the integrity of disposable gloves, and fire duty gloves may be decontaminated and reused if their integrity is not compromised. Reference: CFRD CH 3-6.4.6
76
What is the approved bleach-to-water ratio for disinfecting equipment, and who supplies it?
The Bureau of Logistics supplies bleach packets and spray bottles that produce a solution of one part bleach to ninety-nine parts water, which is the CDC-approved mixture for disinfection. Solution-1:99 Bureau of Logistics -supplies Reference: CFRD CH3-8.2.1
77
What steps must be followed each day when preparing and using bleach solution for equipment cleaning?
The member shall empty the bleach packet into the container FIRST, then add water, wear appropriate PPE while cleaning, and dispose of any remaining solution after 24 HOURS in the SLOP SINK. Reference: CFRD CH3- 8.2.2
78
Who ensures that the bleach solution is prepared DAILY and old solution discarded?
The officer Reference: CFRD CH3 -8.2.3
79
Who determines whether minor decontamination is sufficient, and what is required if it is not effective?
The company officer determines whether minor decontamination will effectively clean the item and must supervise the procedure; if ineffective, the item shall be double clear-bagged and labeled for collection. Reference: CFRD CH3 8.3.2
80
How may boots and helmets be decontaminated after contamination with blood or body fluids?
Boots and helmets may be immersed in the slop sink. Hard-to-reach areas may be cleaned using a cloth soaked in the bleach solution. Reference CFRD CH3-[8.3.7]
81
Who must be notified when large-scale contamination of PPE occurs?
DSU Reference CH3-8.5.1
82
How must contaminated non-disposable PPE be bagged?
In double clear bags Reference CFRD CH3-[8.5.1.B]
83
How are contaminated disposable articles disposed of?
Placed into DOUBLE red biohazard bags. Reference CFRD CH 3-[8.6]
84
How are contaminated disposable articles disposed of?
Placed into DOUBLE red biohazard bags. Reference CFRD CH 3-[8.6]
85
Which substances must NEVER be mixed with bleach?
Hydrogen peroxide, ammonia, or any other cleansing agent Reference: CFRD CH3-[8.11.1]
86
For how long must eyes or skin be flushed after bleach exposure?
At least 15 minutes Reference CFRD CH3 [8.12.1]
87
How many ePCRs are required when two patients are treated at the same incident?
Two separate ePCRs CFRD CH 5-[Documentation / Record Keeping – 4.1]
88
Can a CFR document multiple patients on one ePCR if care is minor?
A: No CFRD CH5 [Documentation / Record Keeping – 4.1]
89
Is an ePCR required if a CFR company is 10-84 but provides no patient care?
No CFRD CH 5 [Documentation / Record Keeping – 4.1.2]
90
What report is required when a 10-31 is transmitted and no patient is located?
NYFIRS report CFRD CH 5 [Documentation / Record Keeping – 4.1.3]
91
Who is responsible for completing the ePCR?
The firefighter *D- Document CFRD CH 5 [Documentation / Record Keeping – 4.2.1]
92
Who is responsible for the accuracy of the ePCR?
CFR Company Officer CFRD CH 5 [Documentation / Record Keeping – 4.2.1]
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