Dispatch Screening and Procedures - Revision history

Treloars at 20:23, 31 March 2020

2020-03-31T20:23:11Z

← Older revision		Revision as of 20:23, 31 March 2020
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	\|+Box 1		\|+Box 1
	\|-		\|-
	\|Does anyone on scene have a fever (or hot to touch in room temperature) or <span style="color: red;">taking a fever reducing medicine (i.e.-Tylenol, ~~Ibprophen~~)?</span>		\|Does anyone on scene have a fever (or hot to touch in room temperature) or <span style="color: red;">taking a fever reducing medicine (i.e.-Tylenol, Ibprofen)?</span>
	\|-		\|-
	\|Does anyone on the scene have a cough?		\|Does anyone on the scene have a cough?

Treloars at 20:18, 31 March 2020

2020-03-31T20:18:30Z

← Older revision		Revision as of 20:18, 31 March 2020
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	As the number of potentially exposed citizens continue to climb, the number of SRP notifications has also climbed. Seminole County has now reached the point in which asking questions related to symptoms no longer accurately reflects a possible COVID-19 patient. It is known that some people are asymptomatic though test positive for COVID-19. We have also encountered inaccurate information from the patient being given to the ECC call taker. Additionally, all fire department agencies must continue to respond to fire related alarms in which some of the occupants or responders are, in fact, PUI with the DOH due to COVID-19. Therefore, an updated response procedure for all alarms dispatch through the ECC will begin effectively April 1, 2020, at 0700 hours.		As the number of potentially exposed citizens continue to climb, the number of SRP notifications has also climbed. Seminole County has now reached the point in which asking questions related to symptoms no longer accurately reflects a possible COVID-19 patient. It is known that some people are asymptomatic though test positive for COVID-19. We have also encountered inaccurate information from the patient being given to the ECC call taker. Additionally, all fire department agencies must continue to respond to fire related alarms in which some of the occupants or responders are, in fact, PUI with the DOH due to COVID-19. Therefore, an updated response procedure for all alarms dispatch through the ECC will begin effectively April 1, 2020, at 0700 hours.

	In conjunction with Emergency Management (EM) and DOH, a CAD caution note has been entered on every address where a person suspected of being exposed to or being positive for COVID-19 resides. This caution note can be seen in the ECT/MDT comments as “DOH Monitoring.” Note, this designation means anything from a person just being monitored to a person being a confirmed case of COVID-19. In order to streamline the dispatching process and continue to provide the field units with the best notification, the following changes are being made and procedures being implemented by all fire department agencies within Seminole County		In conjunction with Emergency Management (EM) and DOH, a CAD caution note has been entered on every address where a person suspected of being exposed to or being positive for COVID-19 resides. This caution note can be seen in the ECT/MDT comments as “DOH Monitoring.” Note, this designation means anything from a person just being monitored to a person being a confirmed case of COVID-19. In order to streamline the dispatching process and continue to provide the field units with the best notification, the following changes are being made and procedures being implemented by all fire department agencies within Seminole County.

Treloars at 19:57, 31 March 2020

2020-03-31T19:57:28Z

← Older revision		Revision as of 19:57, 31 March 2020
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	</ol>		</ol>

	'''Any (2) answered in box (1) AND any (1) in box (2) equals a Strict Respiratory Caution Alert” initiation.'''		'''Any (2) answered in box (1) AND any (1) in box (2) equals a "Strict Respiratory Caution Alert” initiation.'''
	{\| class="wikitable"		{\| class="wikitable"
	\|+Box 1		\|+Box 1

Treloars at 19:53, 31 March 2020

2020-03-31T19:53:50Z

@@ Line 1: / Line 1: @@
-In conjunction with EM and the Department of Health, we have been entering a CAD caution note on every address where a person suspected of being exposed to or being positive for COVID-19 resides.  This caution note can be seen in the MDT comments as “DOH Monitoring.”  Note that this designation means anything from a person just being monitored to a person being a confirmed case of COVID-19.
+On March 2, 2020, the Seminole County Chairman executed Executive Order 2020-001, declaring a Local State of Emergency due to the serious health threat related to the Coronavirus Disease 2019 (COVID-19). On March 4, 2020, the Emergency Communications Center (ECC) implemented COVID-19 screening questions during Emergency Medical Dispatch (EMD) for callers requesting emergency medical assistance. The initial COVID-19 questions where related to recent travel, especially hot zones, and current symptoms. Responding units would receive a “Strict Respiratory Precaution” (SRP) announcement from the ECC via radio for all patients answering questions that met COVID-19 possible criteria. Responding units receiving the SRP notification would utilized full PPE to prevent possible COVID-19 exposure.
-Proposed Comm Center Instructions:
+Throughout the month of March, the number of people under investigation (PUI) or monitored by the Department of Health (DOH) in Seminole County began to rise. Further evaluation of the initial PSAP SPR travel questioning became irrelevant as the number of exposures in the county were no longer related to travel. It became necessary to revise the initial questions, and in conjunction with CDC, DOH and the Joint Guidance for the Florida Fire Service recommendations, the PSAP SRP questioning was updated to current COVID-19 related symptoms followed by COVID-19 testing or DOH monitoring for anyone in the household.
-*Dispatchers will announce “This Location is Flagged by DOH Monitoring” at dispatch if the address has a DOH Monitoring caution note.
+As the number of potentially exposed citizens continue to climb, the number of SRP notifications has also climbed. Seminole County has now reached the point in which asking questions related to symptoms no longer accurately reflects a possible COVID-19 patient. It is known that some people are asymptomatic though test positive for COVID-19. We have also encountered inaccurate information from the patient being given to the ECC call taker. Additionally, all fire department agencies must continue to respond to fire related alarms in which some of the occupants or responders are, in fact, PUI with the DOH due to COVID-19. Therefore, an updated response procedure for all alarms dispatch through the ECC will begin effectively April 1, 2020, at 0700 hours.
-*The term SRP will no longer be used
-*DOH Address entry:
+In conjunction with Emergency Management (EM) and DOH, a CAD caution note has been entered on every address where a person suspected of being exposed to or being positive for COVID-19 resides. This caution note can be seen in the ECT/MDT comments as “DOH Monitoring.” Note, this designation means anything from a person just being monitored to a person being a confirmed case of COVID-19. In order to streamline the dispatching process and continue to provide the field units with the best notification, the following changes are being made and procedures being implemented by all fire department agencies within Seminole County
-**Manny will handle this during the day.
-**Supervisors and Asst Supervisors will handle this after 1700 and on the weekends.
-**It is important to enter the locations as soon as you get the email from EM.
-**It is also important to remove those locations listed as Cleared
+<ol>
-**Enter the CAD caution note as “DOH Monitoring”
+<li>The ECC call taker will no longer ask the designated series of COVID-19 questions or utilize the EVD tool in PROQA. </li>
-*Responding crews will screen patients on scene utilizing COVID-19 questioning and will determine if a “Strict Respiratory Caution Alert” is indicated. If yes, they will notify the ECC via radio of the alert.
+<li>This means discontinuation of the “Strict Respiratory Precaution” notification by the ECC to the responding units and the terminology of “SRP” will no longer be used.</li>
-*Communications will notify EMS1 of any DOH Monitoring alarm or “Strict Respiratory Cautions Alert”
+<li>For all address with a DOH caution note, the ECC dispatcher will announce via radio, this location “Flagged by DOH Monitoring” to responding crews. This also will display in the MDT notes section. </li>

Treloars at 13:49, 31 March 2020

2020-03-31T13:49:31Z

← Older revision		Revision as of 13:49, 31 March 2020
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	~~Proposed IB:~~

	In conjunction with EM and the Department of Health, we have been entering a CAD caution note on every address where a person suspected of being exposed to or being positive for COVID-19 resides. This caution note can be seen in the MDT comments as “DOH Monitoring.” Note that this designation means anything from a person just being monitored to a person being a confirmed case of COVID-19.		In conjunction with EM and the Department of Health, we have been entering a CAD caution note on every address where a person suspected of being exposed to or being positive for COVID-19 resides. This caution note can be seen in the MDT comments as “DOH Monitoring.” Note that this designation means anything from a person just being monitored to a person being a confirmed case of COVID-19.
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	*Communications will announce “This location is Flagged by DOH Monitoring” at dispatch when the address is known to be on the DOH monitoring list.		*Communications will announce “This location is Flagged by DOH Monitoring” at dispatch when the address is known to be on the DOH monitoring list.
	*Along with announcing DOH Monitoring, crews can view that information on their MDT notes.		*Along with announcing DOH Monitoring, crews can view that information on their MDT notes.
	*The responding crews will continue to ~~follow IB 20-033 ensuring~~ all mandatory PPE is utilized on EMS and public assist alarms or any time a potential exposure exists.		*The responding crews will continue to ensure all mandatory PPE is utilized on EMS and public assist alarms or any time a potential exposure exists.
	*Because Communications will no longer ask the screening questions, it is imperative for the crews to use social distancing and other measures on all alarms where it is applicable and safe.		*Because Communications will no longer ask the screening questions, it is imperative for the crews to use social distancing and other measures on all alarms where it is applicable and safe.
	*Once on scene, crews will screen the patient by asking the provided COVID-19 questions and determine if the patient meets the “Strict Respiratory Cautions Alert” criteria. If yes, crew will notify ECC of the alert via radio and will notify the receiving facility ~~per IB#20-030~~.		*Once on scene, crews will screen the patient by asking the provided COVID-19 questions and determine if the patient meets the “Strict Respiratory Cautions Alert” criteria. If yes, crew will notify ECC of the alert via radio and will notify the receiving facility.
	*Communications will notify EMS1 on alarms “Flagged by DOH” and any “Strict Respiratory Cautions Alert.”		*Communications will notify EMS1 on alarms “Flagged by DOH” and any “Strict Respiratory Cautions Alert.”
	*On the EMS report, utilize the Alerts section to document the “Strict Respiratory Precautions Alert.”		*On the EMS report, utilize the Alerts section to document the “Strict Respiratory Precautions Alert.”

Treloars: Created page with "Proposed IB: In conjunction with EM and the Department of Health, we have been entering a CAD caution note on every address where a person suspected of being exposed to or be..."

2020-03-31T13:09:34Z

Created page with "Proposed IB: In conjunction with EM and the Department of Health, we have been entering a CAD caution note on every address where a person suspected of being exposed to or be..."

New page

Proposed IB:

In conjunction with EM and the Department of Health, we have been entering a CAD caution note on every address where a person suspected of being exposed to or being positive for COVID-19 resides. This caution note can be seen in the MDT comments as “DOH Monitoring.” Note that this designation means anything from a person just being monitored to a person being a confirmed case of COVID-19.
As the number of potentially exposed citizens continues to climb, the number of SRP notifications has also climbed. In order to streamline the dispatch process and still provide the field units with the best notification, the following changes are being made:
*The call taker in ECC will no longer ask the designated series of COVID-19 questions which means they will no longer issue an SRP to responding units.
*The term SRP will no longer be used.
*Communications will announce “This location is Flagged by DOH Monitoring” at dispatch when the address is known to be on the DOH monitoring list.
*Along with announcing DOH Monitoring, crews can view that information on their MDT notes.
*The responding crews will continue to follow IB 20-033 ensuring all mandatory PPE is utilized on EMS and public assist alarms or any time a potential exposure exists.
*Because Communications will no longer ask the screening questions, it is imperative for the crews to use social distancing and other measures on all alarms where it is applicable and safe.
*Once on scene, crews will screen the patient by asking the provided COVID-19 questions and determine if the patient meets the “Strict Respiratory Cautions Alert” criteria. If yes, crew will notify ECC of the alert via radio and will notify the receiving facility per IB#20-030.
*Communications will notify EMS1 on alarms “Flagged by DOH” and any “Strict Respiratory Cautions Alert.”
*On the EMS report, utilize the Alerts section to document the “Strict Respiratory Precautions Alert.”

Proposed Comm Center Instructions:
*Dispatchers will announce “This Location is Flagged by DOH Monitoring” at dispatch if the address has a DOH Monitoring caution note.
*The term SRP will no longer be used
*DOH Address entry:
**Manny will handle this during the day.
**Supervisors and Asst Supervisors will handle this after 1700 and on the weekends.
**It is important to enter the locations as soon as you get the email from EM.
**It is also important to remove those locations listed as Cleared
**Enter the CAD caution note as “DOH Monitoring”
*Responding crews will screen patients on scene utilizing COVID-19 questioning and will determine if a “Strict Respiratory Caution Alert” is indicated. If yes, they will notify the ECC via radio of the alert.
*Communications will notify EMS1 of any DOH Monitoring alarm or “Strict Respiratory Cautions Alert”