New Hanover Regional New Hanover Regional EMS Medical Center

Document Sample
New Hanover Regional New Hanover Regional EMS Medical Center Powered By Docstoc
					                 New Hanover Regional
                                                            New Hanover Regional EMS
                 Medical Center
                                                             POLICY & PROCEDURE
       Title:                           Emergency Vehicle Operations and Maintenance
       Origination Date:                4/3/02                          Manual:
       Review Date(s):                  12/16/02, 9/8/03                Section:             Safety

       Revision Date(s):                12/16/02, 9/8/03                Policy No.:
       Effective Date:                  9/8/03                          Contact Dept.:       NHREMS

                                                                  Approval(s):


       J. E. Woodard, Jr., Chief                                          Eveline Saltmarsh, Asst. Chief
       Emergency Medical Services                                         Flight Operations & Critical Care Transport


       Patricia Fields, Asst. Chief
       Field Operations & Communications


 I.    POLICY
                 All personnel who operate NHREMS vehicles must receive adequate orientation and training to
                 ensure safe operation. In emergency situations, this may include personnel from Wilmington City
                 and New Hanover County Fire Departments who are authorized to drive emergency vehicles in
                 their current positions.

 II.    PROCEDURE
       1. All staff who operate network vehicles must meet the minimum driving requirements for all network
          employees. (See Environment of Care Safety Manual: Policy ___ Safe Driver’s Policy.)

       2. All staff who operate NHREMS vehicles are required to attend the departmental emergency driver’s
          training program.

       3. All staff who drive NHREMS vehicles during patient transports or emergency operations must receive
          training in Emergency Vehicle Operations.

       4. Primary responsibility for safe vehicle operation will always remain with the assigned driver. The
          assigned driver will make the final decision on which crewmembers or fire department personnel may
          drive the vehicle using the above guidelines and knowledge of the individuals skill level.

III.    PUBLIC SAFETY
       1. A second crewmember shall assist the driver in backing at all times when it does not interfere with the
          delivery of patient care. The crewmember will exit the vehicle and direct the driver from a position in
          the rear of the vehicle.

       2. Wheel chocks will be placed in the front and back of one tire anytime the vehicle is unattended by a
          driver.



                                                                    Page 1 of 4
NHREMS                                                               Emergency Vehicle Operations & Maintenance




3. NHREMS should not exceed the posted speed limit by 10 miles per hour and never faster than is safe
   avoiding careless and reckless operation.

4. NHREMS shall not pass stopped school buses loading or unloading students regardless of the type
   of emergency response. A school bus yielding the right of way to the unit may be passed.

5. The unit shall come to a complete stop at all intersections where stop signs are displayed in the unit's
   direction of travel or where a unit must proceed against a red traffic signal during emergency
   operations. The unit shall proceed only when it has been determined that traffic conditions shall
   permit such action.

6. Driving emergency traffic “10-18” during interfacility ground transports will not be warranted unless
   the attending RN and/or Paramedic cannot control life-threatening conditions or the patient is at high
   risk for deterioration during transport.

7. All emergency transports shall be conducted with the use of warning lights, headlights, and sirens at
   all times while the vehicle is in motion. 4-way vehicle flashers should not be used.

8. When responding to a non-emergency transport, NHREMS will not use warning lights or sirens.

9. Always remember that North Carolina State Law does not protect the driver of an emergency vehicle
   from the consequences of reckless disregard for the safety of others.

10. Only staff members and patients shall be allowed on the NHREMS Critical Care Transport (VitaLink)
    vehicle during transportation. Due to the critical condition of patients being transported, family
    members and friends should not accompany the patient in the vehicle. (At the discretion of the crew,
    exceptions may be made for pediatric patients or other special circumstances. If a family member
    must ride-along, they should be placed in the front seat of the ambulance and seatbelted.) Family
    members may not accompany a patient on the aircraft (AirLink).

11. No more than one family member or companion should accompany NHREMS Field Operations or
    PCTS vehicles during transport. Ride alongs should be seat-belted in the front passenger seat. (At
    the discretion of the crew, exceptions may be made for pediatric patients or other special
    circumstances. Ride-alongs in the patient compartment must be securely seat-belted.)

12. The driver must obey all local, state, and federal motor vehicle laws and regulations.

13. The driver will maintain an awareness of the effect of sudden starts and stops on the patient and staff
    in the back of the vehicle. The driver will make the flow of vehicle movement as smooth as possible.

14. Maximum Driving and On-Duty Time:

     The vehicle driver plays the most important role in maintaining the safety of the staff, patient, and
     vehicle. The assigned driver is the ultimate authority in regards to driving and vehicle safety issues.
     At all times, drivers should be aware of any condition, which may prevent them from performing their
     duties safely. These guidelines are industry recognized standards and are adopted from the Federal
     Motor Carrier Safety Regulations, U.S. Department of Transportation - Federal Highway
     Administration. They will serve as the foundation for all driver safety related issues.

     A. Definitions - As used in this section, the following words and terms are construed to mean:
            On-Duty time: All time from when a person begins work or is required to be in readiness
                 to work until the time he/she is relieved from work and all responsibility for performing
                 work.
            Driving time: The terms "drive" and "driving time" shall include all time spent at the driving
                 controls of a motor vehicle in operation.


                                                  Page 2 of 3
     NHREMS                                                                 Emergency Vehicle Operations & Maintenance




           B. Maximum Driving Time: NHREMS shall not permit or require any employee to drive nor shall any
              such employee drive:
                   more than 10 continuous hours following 8 consecutive hours off duty; or
                   for any period after having been on-duty 16 hours following 8 consecutive hours off duty,
                  if engaged in other full or part time employment, has not had a minimum of 8 hours of
                    rest immediately preceding his shift.

                      1. Exceptions may be required for disaster and hurricane operations.
                      2. 24-hour shifts are exempt from this restriction.

           C. Maximum On-Duty Time: NHREMS shall not permit or require any employee to remain on-duty:
                 for any period after having been on-duty 16 hours following 8 consecutive hours off duty,
                 if engaged in other full or part-time employment, without a minimum of 8 hours of rest
                   immediately preceding his/her shift.

                      1. Exceptions may be required for disaster and hurricane operations.
                      2. 24-hour shifts are exempt from this restriction.

     15. The driver shall not drive the vehicle while under the influence of alcohol, drugs, debilitating illness or
         any other condition, which could impair the driver's judgement.

     16. The driver shall not drive the vehicle if the vehicle is unsafe or if weather or other conditions would
         jeopardize the safety of the vehicle, crew or patient.

     17. The driver shall immediately report all accidents and incidents involving the vehicle. This includes
         physical damage and traffic violations. Drug testing will be performed as described in the Safe
         Driver’s Policy.

     18. The driver shall not tamper with, alter or destroy any vehicle operation-monitoring device.

IV. DRIVER EDUCATION:
     Every employee required to operate an emergency vehicle, as part of their job description will maintain
     annual competency in emergency vehicle operations throughout their employment with NHREMS.
     Documentation of the original education, authorization, and yearly continuing education will be kept in
     training files of each employee.

V. VEHICLE   MAINTENANCE:
     1. A preventative maintenance program will be maintained on all NHREMS vehicles.
     2. Expectations of the assigned driver are:
         a. Complete the daily vehicle inspection.
         b. Maintain an awareness of changes in the vehicle condition. When a mechanical difficulty is
             suspected, the assigned driver should:
                 (1) Safely stop the vehicle.
                 (2) Assess the vehicle’s status.
                 (3) Advise team members of the situation.
                 (4) Contact dispatch and the on-duty supervisor.
                 (5) Contact local mechanics and/or towing. (Contacts and phone numbers are located in the
                     driver’s handbook.)
                 (6) Remain with the vehicle until the situation is resolved.
     5. In the event mechanical difficulties occur while a patient is being transported and the vehicle is
        unable to continue the transport, the crew should:
            a. Notify dispatch, medical control, and the on-duty supervisor of patient and vehicle status.


                                                         Page 3 of 3
NHREMS                                                               Emergency Vehicle Operations & Maintenance



         b. Contact an appropriate transport service and ask for assistance to transport the patient.
         c. Remain with the patient to ensure continuity of care.




                                                  Page 4 of 3

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:72
posted:2/7/2012
language:Latin
pages:4