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                    Probationary Employee Training Program

                                        EMS Module
                                         Period 1

Employee name                                     Station/Shift       Date


SKILL                                          SIGNATURE          DATE
Demonstrate an accurate knowledge of the
ambulance inventory.

Demonstrate the ability to properly utilize
all of the BLS equipment carried on an
EMS unit.

Properly apply a KED and package patient
on a cot for transport.

Properly apply a Hare or other brand
traction splint.

Demonstrate the use of the long backboard,
cervical collar, and a spinal immobilization
device.

Complete MIEMSS online training for
Shock Trauma Lecture Series – “The 60
Second Radio Report”.
Complete MIEMSS online training for
MOLST orientation

Complete a sample RESCUE MEDIC
report and print for your packet. Use
FIREHOUSE computer not EPCR




2012 MCFRS Probationary Employee Training Program
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 Using the inspection checklist for FERNO
 cots on EMS Quicklinks complete a
 monthly inspection of the cot assigned to
 your station.

 Proficiently demonstrate how to splint the
 following:

 Straight Knee
 Bent Knee
 Femur
 Shoulder
 Wrist
 Humorous




Written Assignments
A. Policy and Procedures

1.     Describe the scope and intent of the following FCGO 07-16R, 09-07, and 09-08
       MCFRS Policies 23-08. Also explain in your words why you think these policies
       are important

2.     Explain and describe the scope and intent for policy 605 and 606.

3.     According to Executive Regulation #22-03 how do you ensure a message is
       received and understood?

4.     Explain the requirements for patient transport information as indicated in
       Executive Regulation #22-03AM- 2006 edition




B. Communicable Diseases

1.     Explain the circumstances in which a firefighter / rescuer must wear eye
       protection during patient care.

2.     Define an exposure and the procedure to be followed when one has occurred.

3.     Explain the proper way to handle and dispose of a contaminated bite stick.




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4.        Explain the procedure used to dispose of blood-soaked patient shoes.

5.        Explain the procedure used to clean a stethoscope that has been soiled with blood.

6.        Explain the procedure when the mattress on the cot has become covered in blood
          and has a hole in the outer covering.

C. Textbook Questions



1. Which of the following structures is found in the upper airway?

     A)   Alveoli
     B)   Bronchi
     C)   Trachea
     D)   Epiglottis

2.    In which of the following positions should a breathing, non-trauma patient be
     placed to aid in airway management?

     A)   Rolled
     B)   Recovery
     C)   Restoration
     D)   Resuscitation

3. Describe how to artificially ventilate a laryngectomy patient.

4. The primary cause of cardiac arrest in pediatric patients is:

     A)   Respiratory arrest
     B)   Overdose
     C)   Trauma
     D)   Myocardial infarction

5. You have responded for a cardiac arrest. Your apneic, pulseless patient does not have
   a valid DNR form.
   You would start CPR despite the fact that:

     A)   Rigor mortis is present
     B)   The patient’s physician gives a DNR order by phone.
     C)   Dependent lividity is found
     D)    You receive a verbal DNR order from Medical Control




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6. The opening to the trachea is guarded by a leaf-shaped structure called the:

   A)   Bronchus.                                   .
   B)   Epiglottis.
   C)   Cricoid cartilage
   D)   Thyroid cartilage

7. The contraction of the diaphragm and intercostal muscles is called:

   A)   Atelectasis.
   B)   Exhalation.
   C)   Inhalation.
   D)   Paradoxical movement.

8. How many breaths per minute are considered adequate breathing for an infant?

   A)   12 to 20
   B)   15 to 30
   C)   20 to 30
   D)   25 to 40+

9. What is the most common cause of airway obstruction in an unconscious patient?

   A)   Vomitus
   B)   The tongue
   C)   Blood clots
   D)   Aspirated food

10. What percentage of oxygen does a nasal cannula with a flow rate of 6 liters per
    minute deliver?

   A)   24% to 28%.
   B)   32% to 36%.
   C)   40% to 44%.
   D)   48% to 52%.

11. What is the size of the oxygen cylinder that is mounted in the ambulance?

   A)   A
   B)   D
   C)   E
   D)   M




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12. You arrive at the scene of an electrocution and find a deeply unconscious man who
    has shallow respirations. To maintain his airway, you should:

   A) Insert an oropharyngeal airway by placing it upside down in the mouth, and
      rotating it 180°.
   B) Lubricate the tip of an oropharyngeal airway before inserting it.
   C) Insert an oropharyngeal airway until the flange rests inside the teeth.
   D) Hyperextend the neck, insert an oropharyngeal airway, and deliver breaths with
      positive pressure.

13. When is the best time to consider asking for additional help at an accident scene?

   A)   After you have triaged the patients
   B)   After all the patients have been counted
   C)   When the Incident Command System is operating
   D)   As soon as you have completed the scene size-up

14. When feeling for a pulse on an infant younger than one year, you should palpate
    which artery?

   A)   Fetal
   B)   Radial
   C)   Carotid
   D)   Brachial

15. A teenage girl is suspected of a drug overdose. As you approach her, you see that
    she is lying on her back, and you can hear gurgling respirations. This gurgling is
    most likely being caused by:

   A)   Fluid or vomitus in her upper airway.
   B)   Her tongue blocking her airway.
   C)   The drugs she took going into her lungs instead of her stomach.
   D)   A complete obstruction of her trachea, preventing air movement to her lungs.


16. What is the importance of noting the mechanism of injury when you are assessing
    a accident scene?

   A)   It helps you to complete your run sheet.
   B)   It reminds you of personal safety before patient safety.
   C)   It helps you to identify potential life-threatening injuries.
   D)   The police might ask you exactly what happened in the accident.




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17. A rapid trauma assessment is done to:

   A)   Quickly identify any deformities.
   B)   Quickly identify and treat immediate life-threatening injuries.
   C)   Minimize the time spent on the call so that you can get back into service.
   D)   Quickly identify life-threatening injuries.


18. You are assessing a 65-year-old man who is complaining of chest pain. Which of the
    following questions is the best way to ask the patient about the radiation of the pain?

   A)   Do you have pain anywhere else?
   B)   Does the pain travel to your jaw?
   C)   Does the pain travel to your left arm?
   D)   Do you have pain in your shoulders?


19. Your patient rates his pain 9/10, he is pale and diaphoretic. His list of medications
  include: Aspirin, Atrovent, Revatio, Nitro, and Vit D.
  Describe your treatment for this patient, and where he will be transported to.


D. Field Staffing

1. Explain the FRC staffing requirements for EMS transport units, both BLS and ALS.

2. Explain MCFRS staffing policies for EMS transport units, both BLS and ALS.

3. Explain the duties and responsibilities of EMS700.

4. Explain the duties and responsibilities of Safety 700 on a MCI on Interstate 270.




Probationary Employees’ Signature                                    Date


________________________________________________________________________
Station Officers’ printed Name                        Date


_______________________________________________________________________
Station Officers’ Signature                           Date




2012 MCFRS Probationary Employee Training Program