Altered Standards of Care. Welcome to the S-SV EMS Agency Altered Standard of Care Training Module. This training module is designed to provide an overview of the Altered Standard of Care protocol for local first responders, ambulance providers, and our other emergency response partners.
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Welcome to the S-SV EMS Agency Altered Standard of Care Training Module
This training module is designed to provide an overview of the Altered Standard of Care protocol for local first responders, ambulance providers, and our other emergency response partners.
This module will take approximately 2hour to complete. At the end of this module there will be a 20 question quiz. You must complete the quiz with an 80% success rate to pass. The questions will be based on the information learned during the training module.
NOTE: Completion of the quiz is required to receive CE credit.
The purpose of the Altered Standard of Care Training is to provide information regarding the alteration of the EMS system in response to an increased demand for medical aid services, beyond the capacity of the current system providers.
This training provides an example of how the current 911 system may be altered during a major disaster or pandemic outbreak. The scenario and changes shown in this module are hypothetical only and should not be assumed to reflect actual changes that will be made to the system. Changes to the system during an actual event could look very different than changes proposed in this training module.
A pandemic outbreak has affected a large portion of the population. It is a severe variation of the annual flu virus. The EMS system has increasingly become overwhelmed, and there is no estimated time when this impact will end.
We simply do not have the resources and personnel to handle the demand for more ambulances.
Ahead we will discover what changes can be made to the system to handle this type of overload.
Something has to change!
What can we do?
We know that things have to change in order to respond to the increased demand. But prior to being able to discuss system changes we must first go over some and a few
Altered Standard of Care
Altered Standard of Care simply refers to a level of medical care delivered to individuals under conditions of distress, such as after a disaster or when supplies are insufficient for the demand for emergency care.
Operational Area Coordinator
The "Medical/Health Operational Area Coordinator (MHOAC)" is the Public Health Officer and local EMS Agency Administrator or designee who is responsible, in the event of a disaster or major incident where mutual aid is requested, for obtaining and coordinating services and allocation of resources within the Operational Area (county) border.
Within the S-SV EMS Agency\'s member counties, the "Medical/Health Operational Area Coordinator (MHOAC)" is often a role filled just by the Health Officer, but in a few counties, it is a joint role of the Health Officer and EMS Agency Administrator.
Operational Area Coordinator
The Operational Area Emergency Operations Center or OA EOC is the designated
emergency services among all the major disciplines (law, fire, health/medical, public works, etc.) and local jurisdictions (cities, county, districts, etc.) within an Operational Area or county.
coordinating and supporting
A Quick Response Vehicle or QRV is a vehicle that is staffed with at least one paramedic, and equipped with Advanced Life Support (ALS) equipment/supplies per local EMS Agency protocol. Such vehicles may include: ALS supervisor vehicles, shared resources from other emergency response agencies, company cars, rental cars, private cars, etc.
As the EOC, we provide a central location from which government at any level can provide interagency coordination and executive decision making in support of the incident response.
We carry out the coordination function through:
Decisions we make at the EOC affect the incident response as well as the public response. In an isolated incident the decisions made are not tactical decisions, however, during an incident such as this pandemic flu we would make tactical decisions.
During this event who will be in charge of making sure that there is a multi-agency collaboration with all response agencies?
A. EMS Coordinator.
B. The EOC.
C. Incident Commander.
If you answered, B. The EOC, you are
Although tactical decisions during an isolated incident are made by the Incident Commander, the EOC will make tactical decisions during such a large scale incident due to there not being a particular incident location.
The EOC provides a central location from which government at any level can provide:
A. On-scene command.
B. Interagency coordination.
C. Legal responsibility.
If you answered, B. Interagency Coordination, you are
The EOC provides a central location from which government at any level can provide interagency coordination.
So far we have looked at some definitions as well as the overall role of the EOC.
Now we will explore the role Emergency Operations Centers play in multiagency coordination.
EOCs coordinate with on-scene incident managers and other agencies and organizations to:
EOCs are part of a larger system of multiagency coordination that is integral to domestic response as required by the National Incident Management System (NIMS).
NIMS—a nationwide, systematic approach to domestic incident management—consists of five components:
EOCs serve several main functions within a Multiagency Coordination System:
EOCs also are critical to:
NIMS is a nationwide, systematic approach to:
If you answered, C. Domestic Incidents of Any Type, you are
NIMS is a nationwide, systematic approach to domestic incidents of any type.
______________ defines the operating characteristics, interactive management components, and structure of incident management and emergency response organizations.
If you answered, B. ICS, you are
ICS defines the operating characteristics, interactive management components, and structure of incident management and emergency response organizations.
One of the key functions of an EOC within the larger MACS is to:
If you answered, C. Interoperable communications as necessary for the response, you are
One of the key functions of an EOC within the larger MACS is to establish interoperable communications as necessary for the response.
Don’t forget public information!
Some members of the media will go to great lengths for a story. It just makes good sense to provide the media with the information they—and the public—need.
NIMS requires public information be organized around a Joint Information System (JIS) that is overseen by a Public Information Officer (PIO).
Public Information should consider:
Public Information also provides critical information to elected officials, agency administrators, and responders. For example, elected officials and others can tell a lot about whether their message is effective by monitoring:
The JIS is an organized, integrated, and coordinated mechanism for delivery of understandable, timely, accurate, and consistent information to the public during an emergency.
The JIS includes the plans, protocols, and structures used to provide information to the public during incident operations.
The JIS encompasses all public information operations related to the incident:
The Public Information Officer (PIO) represents and advises the Incident Command.
Through the JIS, the PIO coordinates:
NIMS requires that public information be
organized around a(n):
If you answered, A. Joint Information Center, you are
NIMS requires that public information be organized around a Joint Information System.