BC 1990 04 02 - Laserfiche WebLink

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347 o The first responder or agency will only be dispatched to emergency situations in their designated first responder area -- unless an emergency situation arises elsewhere in the county where their assistance will be needed. No first responder or agency will be allowed to cancel the dispatch of an ambulance unless a release is obtained by the first responder or unless the call is unfounded. If an ambulance is cancelled, the person cancelling must identify him/herself. A first responder or agency will be allowed to cancel a rescue unit that has been dispatched as a result of an entrapment or pin-in if the situation no longer exists. If rescue is cancelled, the person cancelling must identify him/herself. No more than four (4) first responders per patient shall be at the emergency scene unless the conditions warrant additional first responders. If more than the required number of first responders appear at the scene, they shall: a. Be held in reserve in case their services are required. b. Provide traffic control. If at any time a Cabarrus County Ambulance Service vehicle arrives on the scene'before the first responder, they may, at their discretion, cancel the first responder en route or slow their response. SECTION 8: Standards for Patient Care by First Responder Agency and the First Responder Member. o o At the scene of an emergency, the first responder agency shall administer basic life support and first-aid, including the taking of vital signs, to the sick or injured in a way that is consistent with the level of first responder training set forth. First responders are limited to basic care. If other skills are desired, the persons performing the skill must be certified by the State of N.C. to perform the skills, i.e., EMT, EMT-I, EMT-AI, EMT-P. At this point all skills above basic level requires medical control. Cabarrus County First Responders who possess current and valid North Carolina Emergency Medical Technician certification shall administer patient care which is consistent with the level of Emergency Medical Technician training set forth by the State of North Carolina. At the scene of the emergency and prior to the ambulance providers arrival, the senior first responder shall be in control of the emergency victim's care provided by that agency and its members. Upon arriving at the scene of the emergency, the crew on the ambulance shall assume control of the victim's care. The ambulance crew shall, at their discretion, release the first responders when he or she feels their service is no longer needed at the emergency scene or may request one or more first responders to assist in the transportation of the patient(s) to the hospital. The first responders shall act in a professional and courteous manner at all times when administering care to patients. The first responder and the first responder agency shall be liable for their actions pertaining to the care of the patient prior to the arrival of the ambulance provider. SECTION 9: Standards for Record Keeping. 1. Each first responder agency shall maintain the following records: A. Record of Patient Treatment; For each patient rendered assistance by the first responder agency, the following information will be recorded on a patient treatment form: (1) Name, age, and address of the patient. (2) Date and time treatment rendered. (3) Location of treatment rendered. (4) Patient complaints and condition at the time of treatment rendered. (5) Patient vital signs and time recorded. (6) Treatment rendered the patient by the first responder. (7) Name of the member of the ambulance provider to whom patient is relinquished. (8) Printed names and signatures of the first responders who provided patient care.