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Updated: August 28th, 2012 | Captain Mark H. ODonnell

RPI AMBULANCE

STANDARD OPERATING PROCEDURES

RPI Ambulance Standard Operating Procedures August 28th, 2012

Mark H. ODonnell, Captain 1

SOP 12-00 ORGANIZATION AND STRUCTURE ....................................................................................................................... 5

SOP 12-01 MISSION STATEMENT ......................................................................................................................................... 6

SOP 12-02 QUALIFICATION PROCEDURES - VOLUNTEER PERSONNEL................................................................................... 7

APPLICATION PROCEDURES ............................................................................................................................................................ 7 ORIENTATION .............................................................................................................................................................................. 7 HEALTH AND SAFETY ..................................................................................................................................................................... 7

SOP 12-03 OPERATIONAL MEMBER TYPES ........................................................................................................................... 9

INTRODUCTION ............................................................................................................................................................................ 9 MEMBERSHIP REQUIREMENTS ........................................................................................................................................................ 9

SOP 12-04 TRAINING AND PROMOTIONS .......................................................................................................................... 11

INTRODUCTION .......................................................................................................................................................................... 11 TRAINING.................................................................................................................................................................................. 11 TRAINING COMMITTEE ................................................................................................................................................................ 11 PROBATIONARY TRAINING ............................................................................................................................................................ 12 TRAINERS .................................................................................................................................................................................. 12 PROMOTIONAL BOARDS: STRUCTURE ............................................................................................................................................. 12 PROMOTIONAL BOARDS: VOTING .................................................................................................................................................. 12

SOP 12-05 OBSERVERS AND OBSERVERS ........................................................................................................................... 14

RIDE-ALONG OBSERVER .............................................................................................................................................................. 14 OBSERVER ................................................................................................................................................................................. 14

SOP 12-06 AMBULANCE ATTENDANT ................................................................................................................................ 15

INTRODUCTION .......................................................................................................................................................................... 15 TRAINING.................................................................................................................................................................................. 15

SOP 12-07 AMBULANCE DRIVER ........................................................................................................................................ 16

INTRODUCTION .......................................................................................................................................................................... 16 GENERAL DRIVING PROCEDURES ................................................................................................................................................... 16 EMERGENCY DRIVING PROCEDURES ............................................................................................................................................... 16 DRIVERS DUTIES ........................................................................................................................................................................ 17 SPOTTERS ................................................................................................................................................................................. 17 BACK-UP ALARM ....................................................................................................................................................................... 18 TRAVEL LIMITS ........................................................................................................................................................................... 18 WINTER DRIVING ....................................................................................................................................................................... 18 TRAINING.................................................................................................................................................................................. 19

SOP 12-08 AMBULANCE CREW CHIEF ................................................................................................................................. 21

INTRODUCTION .......................................................................................................................................................................... 21 GENERAL PROCEDURES ................................................................................................................................................................ 21 CREW CHIEFS DUTIES ................................................................................................................................................................. 21 TRAINING.................................................................................................................................................................................. 22

SOP 12-09 FIRST RESPONSE DRIVER ................................................................................................................................... 25

INTRODUCTION .......................................................................................................................................................................... 25 RESPONSIBILITIES ....................................................................................................................................................................... 25 GENERAL DRIVING PROCEDURES ................................................................................................................................................... 25



EMERGENCY DRIVING PROCEDURES ............................................................................................................................................... 25 TRAINING.................................................................................................................................................................................. 26

SOP 12-10 EVENT EMS SUPERVISORS ................................................................................................................................ 27

INTRODUCTION .......................................................................................................................................................................... 27 TRAINING.................................................................................................................................................................................. 27

SOP 12-11 DUTY SUPERVISORS .......................................................................................................................................... 28

INTRODUCTION .......................................................................................................................................................................... 28 QUALIFICATIONS ........................................................................................................................................................................ 28 DUTIES ..................................................................................................................................................................................... 28 GRIEVANCES .............................................................................................................................................................................. 29

SOP 12-12 COORDINATORS ............................................................................................................................................... 30

INTRODUCTION .......................................................................................................................................................................... 30 QI COORDINATOR ...................................................................................................................................................................... 30 CPR COORDINATOR .................................................................................................................................................................... 30

SOP 12-13 UNIFORMS ........................................................................................................................................................ 31

INTRODUCTION .......................................................................................................................................................................... 31 PATCHES ................................................................................................................................................................................... 31 PINS, COLLAR BRASS, BADGES ...................................................................................................................................................... 31 UNIFORM CLASSES ..................................................................................................................................................................... 31

SOP 12-14 DISPATCH AND RESPONSE PROCEDURES .......................................................................................................... 33

INTRODUCTION .......................................................................................................................................................................... 33 RESPONSE LEVELS ....................................................................................................................................................................... 33 RPI AMBULANCE UNAVAILABILITY.................................................................................................................................................. 33 EMS CALLS ............................................................................................................................................................................... 33 TRANSPORTATION CALLS .............................................................................................................................................................. 35 HAZARDOUS MATERIAL CALLS ...................................................................................................................................................... 35 STAND-BYS AND MCI ................................................................................................................................................................. 35

SOP 12-15 PATIENT TRANSPORT DESTINATIONS ............................................................................................................... 36

SOP 12-16 MUTUAL AID ..................................................................................................................................................... 38

SOP 12-17 OUT OF SERVICE ............................................................................................................................................... 39

INTRODUCTION .......................................................................................................................................................................... 39 DAY TO DAY TURNOVERS ............................................................................................................................................................. 39 EXTENDED PERIODS OF ABSENCE ................................................................................................................................................... 39

SOP 12-18 SPECIAL EVENT PROCEDURES ........................................................................................................................... 40

SPECIAL EVENT COVERAGE REQUESTS ............................................................................................................................................. 40 FIRST AID ROOM OPERATION ....................................................................................................................................................... 40 EVENT TYPE CLASSIFICATION ........................................................................................................................................................ 41 EVENT RADIO COMMUNICATIONS ................................................................................................................................................... 41 SPECIAL EVENT OPERATIONS ........................................................................................................................................................ 42 PAPERWORK AND EQUIPMENT MAINTENANCE ................................................................................................................................. 43

SOP 12-19 DOCUMENTATION ............................................................................................................................................ 44

INTRODUCTION .......................................................................................................................................................................... 44



GENERAL PROCEDURES ................................................................................................................................................................ 44 PAPER PCR RETENTION AND STORAGE ............................................................................................................................................ 44 REFUSAL OF MEDICAL ATTENTION (RMA) ...................................................................................................................................... 44

SOP 12-20 RADIO COMMUNICATIONS ............................................................................................................................... 46

SOP 12-21 AMBULANCE/EQUIPMENT INSPECTION, CARE, AND MAINTENANCE ................................................................ 47

INTRODUCTION .......................................................................................................................................................................... 47 AMBULANCE AND FIRST RESPONSE VEHICLE MAINTENANCE ................................................................................................................ 47 EQUIPMENT MAINTENANCE ......................................................................................................................................................... 47 CLEANING ................................................................................................................................................................................. 48 ACCIDENTS/DAMAGE TO RPI AMBULANCE VEHICLES .................................................................................................................. 48 FAILURES .................................................................................................................................................................................. 48

SOP 12-22 AMBULANCE LAYOUT/SETUP ........................................................................................................................... 50

INTRODUCTION .......................................................................................................................................................................... 50 STRETCHER ................................................................................................................................................................................ 50 SPARE MAKE-UP ........................................................................................................................................................................ 50 IV FLUID CLIPS/RETAINERS ........................................................................................................................................................... 50 PORTABLE OXYGEN TANKS ........................................................................................................................................................... 50 WALL OXYGEN REGULATORS ........................................................................................................................................................ 50 ONBOARD OXYGEN SYSTEM ......................................................................................................................................................... 51 COMPLETED PAPERWORK ............................................................................................................................................................ 51 OTHER EQUIPMENT, TOOLS, ETC. ................................................................................................................................................... 51 LAPTOPS ................................................................................................................................................................................... 51

SOP 12-23 DEFIBRILLATOR ................................................................................................................................................. 52

INTRODUCTION .......................................................................................................................................................................... 52 CARE AND MAINTENANCE ............................................................................................................................................................ 52 USE ......................................................................................................................................................................................... 52

SOP 12-24 CONDUCT ......................................................................................................................................................... 53

INTRODUCTION .......................................................................................................................................................................... 53 PATIENT CONFIDENTIALITY ........................................................................................................................................................... 53 WEAPONS................................................................................................................................................................................. 53 SMOKING .................................................................................................................................................................................. 53 ALCOHOL, CONTROLLED SUBSTANCES, AND MEDICATIONS ................................................................................................................. 53 VISITORS ................................................................................................................................................................................... 54

SOP 12-25 GRIEVANCES AND APPEALS .............................................................................................................................. 55

INTRODUCTION .......................................................................................................................................................................... 55 GRIEVANCES .............................................................................................................................................................................. 55 CHAIN OF APPEALS ..................................................................................................................................................................... 55 APPEALS ................................................................................................................................................................................... 55

SOP 12-26 SEXUAL HARASSMENT AND NONDISCRIMINATION .......................................................................................... 56

SEXUAL HARASSMENT ................................................................................................................................................................. 56 NONDISCRIMINATION .................................................................................................................................................................. 56 VIOLATIONS .............................................................................................................................................................................. 56

SOP 12-27 INFECTIOUS DISEASE EXPOSURE AND ON DUTY INJURY ................................................................................... 57



INTRODUCTION .......................................................................................................................................................................... 57 PRACTICES ................................................................................................................................................................................ 57 ON-DUTY INJURY OR EXPOSURE .................................................................................................................................................... 57

SOP 12-28 MISCELLANEOUS............................................................................................................................................... 58

INTRODUCTION .......................................................................................................................................................................... 58 LOCATING PATIENTS ................................................................................................................................................................... 58 SPECIAL PATIENTS ...................................................................................................................................................................... 58 CRIMES .................................................................................................................................................................................... 59 INCIDENT REPORTING .................................................................................................................................................................. 59 OBVIOUS AND UNATTENDED DEATH .............................................................................................................................................. 59 CHILD ABUSE AND MALTREATMENT ............................................................................................................................................... 60 GERIATRIC OR OTHER PATIENT ABUSE/MALTREATMENT .................................................................................................................... 61 ABANDONED INFANT................................................................................................................................................................... 61

SOP 12-29 APPROVAL/REVIEW DOCUMENT ...................................................................................................................... 62



SOP 12-00 ORGANIZATION AND STRUCTURE

This document is the Standard Operating Procedures (SOPs) of the Rensselaer Polytechnic Institute Ambulance.

If one section of the SOPs is amended, suspended, deleted, or otherwise changed, the remainder of this

document will remain unaffected.

This document is not to supersede any directives, guidelines, or protocols enacted by a higher authority such as

the State of New York, the Regional Emergency Medical Organization of the Hudson Mohawk Valley Region

(REMO-HMVI), or the County of Rensselaer. These guidelines are, furthermore, not to supersede good clinical

judgment on the part of the crew.

According to the RPI Ambulance Constitution, the Captain and Medical Director must agree upon the SOPs. The

Standard Operating Procedures must be reviewed on an annual basis by the same entities. Documentation of this

review will be attached as a separate Policy Statement (see SOP 12-29).

The RPI Ambulance SOPs were originally written in the early 1980s by George Holdsworth, and amended and

adjusted by Captains Ken Lavelle, John Kim, and Brian Wilde since that time. A major rewrite was initiated by

Captain Chris Holt, and completed by Captain Fabien Nicaise. The SOPs have since been amended and adjusted

by Captains Steve Mitchell, Benjamin Saunders, Veronica Voloshinov, and Eric Tesoriero. Restructuring of

sections and updates reflecting the new officers in the Spring of 2010 were made by Peter Ragone. Additional

changes during Fall 2010 and Spring 2011 made by Matthew Willett. A major reformatting and additional changes

were made during Spring 2012 by Captain Jovan Cruz. A major update was made by Mark ODonnell to combine

the Special Event SOPs, add First Response-59, new uniforms and ePCRs in the Fall of 2012.



SOP 12-01 MISSION STATEMENT

The mission of this agency is to provide Basic Emergency Medical Services to the Rensselaer Polytechnic

Institute community, and to transport the sick and injured to definitive care. This includes, but is not limited to the

following:

1. Develop standards, policies, and procedures pertaining to Emergency Medical Services in order to

maintain proper operation of the RPI Ambulance.

2. Provide Basic Life Support Ambulance Service and Special Event Medical Services to the RPI

community.

3. Conduct EMS Quality Improvement to improve the care provided by the RPI Ambulance.

4. Provide training and support services to maintain and improve the agencys equipment and personnel

resources.

5. Provide training to the Rensselaer community in order to improve the quality of first aid in the

community and the world at large.

6. Request and provide reciprocal services in accordance to the existing provisions of the Rensselaer

County Ambulance and Rescue Association Mutual Aid Plan in addition to any other Mutual Aid Plans

that the agency becomes involved in.



SOP 12-02 QUALIFICATION PROCEDURES - VOLUNTEER

PERSONNEL

APPLICATION PROCEDURES

1. Interested parties should obtain and complete, in its entirety, a membership form as supplied by the

administrative officers of the agency.

2. Membership is contingent upon the membership policies outlined in the Agencys Constitution.

3. Every member will resubmit a membership form to the administration of the Agency at the beginning

of each academic year for the purpose of maintaining an up-to-date membership list. This can be

done electronically on the Agency website.

ORIENTATION

1. Each new member shall participate in a Membership Orientation as prescribed by the Training

Committee.

2. The Membership Orientation shall include the following items:

a) RPI Ambulance History, Philosophy, and Structure

b) RPI Ambulance Standard Operating Procedures and RPI Ambulance Constitution

c) Risk Management

d) Liability and Confidentiality

e) Stress management/CISM

f) Health and Safety as outlined below

g) ePCRs, documentation, and Quality Improvement procedures

h) Basic scene support

i) Basic call mechanics

j) Working with other agencies

HEALTH AND SAFETY

1. All members will undergo an annual training in-service on proper procedures on how to protect self

and crew. This training will comply with and make use of the Agency Exposure Control Plan as

maintained by the Captain or designated Coordinator.

2. The Captain and Training Committee will jointly appoint instructors.

3. This training will include, but is not limited to, the following:

a) OSHA Blood-borne and Airborne Pathogens

b) Infection Control (Per OSHA-29 CFR 1910.1030)

c) Personal Protective Equipment (PPE)

d) NIOSH / N95 Healthcare TB Respirator Fit-Testing and usage

e) Exposure Control Plan

f) TB Testing and Documentation

g) Hepatitis-B Vaccination or Refusal and Documentation

h) Facilities safety (including Office, First Aid Rooms, Ambulance)

i) Safety during responses

j) Basic HAZMAT awareness training



k) RPI Ambulance does not require its members to undergo yearly physical examinations;

however, it asks all members to provide RPI Ambulance with a copy of or access to their

immunization records to insure the safety of all crews and patients.

4. The instructor will generate documentation of yearly Health and Safety training and the administration

will maintain this documentation in the persons permanent file.



SOP 12-03 OPERATIONAL MEMBE R TYPES

INTRODUCTION

In order to act as a volunteer for RPI Ambulance, the appropriate qualifications must be met and maintained for

the duration of involvement with RPI Ambulance.

MEMBERSHIP REQUIREMENTS

As stated in the Constitution, all members are required to renew membership every semester by attending one

General Meeting or providing written notice to the officer board. If a member fails to attend a General Meeting or

provide written notice to the officer board, they will be removed from membership all training previously

completed will be filed, and, upon any readmission to the agency, it will be the determination of the Captain and

Lieutenants as to accepting that member's previous training paperwork or requiring new training.

ACTIVE MEMBERSHIP

Active members are the members who participate regularly in Agency functions and regularly attend training drills

and General Meetings. An Active member meets the following qualifications:

1. Has submitted a membership form as outlined in SOP 12-02.

2. Has completed the orientation program outlined in SOP 12-02.

3. Has completed appropriate annual health and safety training and testing as outlined in SOP 12-02

and the agencys Exposure Control Plan.

4. Has attended all required training drills or been excused by the Captain or Training Committee.

5. Has attended all required General Membership meetings or been excused by the Administration.

6. Has staffed one night crew or special event in the last month.

INACTIVE MEMBERSHIP

Inactive members are members who are unable to meet all of the qualifications set forth for Active membership.

Former members who visit infrequently and who are unable to regularly attend agency drills and meetings should

fall into this category. Only the Captain may change an Inactive members status to Active. Conversely, it is the

responsibility of the Captain to assure that any Active members who do not meet all of the appropriate

qualifications are changed to Inactive membership. An Inactive member must meet the following qualifications:


2. Has completed the orientation program outlined in SOP 12-02.

3. Has completed appropriate annual health and safety training and testing as outlined in SOP 12-02.

4. Has staffed one night crew or special event in the last semester.



ADMINISTRATIVE MEMBERSHIP

An Administrative Member has been accepted by the membership through the guidelines set forth in the Agency

Constitution, but does not ride actively as part of an EMS crew. There are no operational qualifications to be an

administrative member. In addition, any member that does not qualify for Active or Inactive membership shall

default to Administrative Membership until such time that all paperwork and training can be brought up to date.

Administrative members do not have any Ambulance riding or event privileges. An Administrative Member must

meet the following qualifications:




SOP 12-04 TRAINING AND PROMOTIONS

INTRODUCTION

One of RPI Ambulances primary missions is to further the training of its members. Another is to provide

competent, professional medical care. This policy seeks to guarantee both.

TRAINING

Training is to be regarded as a priority second only to patient care, and whenever possible, the two should be

integrated.

For specific qualifications and promotion requirements, please see the appropriate sections:

Attendant SOP 12-06, pg. 17

Driver SOP 12-07, pg. 18

Crew Chief SOP 12-08, pg. 23

First Response Driver SOP 12-09, pg. 25

Event EMS Supervisor SOP 12-10, pg. 27

Duty Supervisor SOP 12-11, pg. 28

These requirements and qualifications are considered to be the minimum requirements for promotion. It is often

expected that members will do additional training and will be promoted when the Training Committee and Captain

are satisfied that they hold the necessary skills required for the promotion. If there are concerns about the

performance of a promotion candidate the Training Committee is to work with the individual to address the

concerns.

TRAINING COMMITTEE

The Captain shall establish a training committee, made up of as many members as he sees fit. The committee

should ideally contain a driver trainer, a crew chief trainer and a senior duty supervisor. The Captain may or may

not serve on the committee. The Captain may not be the only member of the Training Committee except with the

express permission of both Lieutenants.

Once established, removals and additions to the Training Committee must be approved by at least 50 percent of

the committee as well as the Captain, or by the unanimous decision of the Captain and both Lieutenants.

Additionally, once established, the Training Committee must elect a chairperson who will be the face and

responsible party of the Training Committee; issues that need to be brought to the Training Committee or issues

arising from the committee should pass through this individual.

The Training Committee shall be responsible for overseeing all training curricula (including all training documents

and the scheduling of classes) and shall also stand as the promotional board when necessary and applicable.

Ideally, the committee should meet on a weekly basis, and report back to the Captain fortnightly, or as frequently

as necessary.



PROBATIONARY TRAINING

A member who is considered a probationary in a position may act in that position provided there is a trainer for

that position on the crew. The trainer should make every attempt to be with the trainee during the course of the

call. Notable exceptions may include the transport to the hospital, where the trainer and trainee may be separate

briefly. A probationary and a trainer satisfy the requirements for a crew.

TRAINERS

The individuals entrusted with the training of other individuals in the Agency shall maintain Active membership

status. These trainers will be experienced members credentialed within the agency for the position they will train.

For example, someone who is experienced enough to be a Driver Trainer may not necessarily be a Crew Chief

Trainer. Trainers are appointed by the Training Committee. Consideration of appointees will not only consist of

individuals qualifications within a specific area of credentialing, but also of their ability to teach and train

effectively.

PROMOTIONAL BOARDS: STRUCTURE

The Promotional Board is a vehicle used by members of RPI Ambulance to progress through the ranks of the

organizations credentialing structure. The promotional board shall consist of:

1. Training Committee

2. Captain

The Promotional Board shall be chaired by the Training Committee Chairperson, except in the case of that

individuals promotion, when the Captain shall act as the Promotional Board Chair. The training committee and

Captain shall also establish a list of promotional board alternates to serve on the board in the case of a conflict of

interest.

It is understandable that not every member of the promotional board will have been involved with all aspects of a

candidates training. Therefore, any member is invited to speak for or against the candidate at the Promotional

Board as this is a time for the promotional board to learn about a candidates skills and competencies. Members

may speak about any aspect of the candidate but it is the chairs duty to ensure that comments remain relevant

and respectful (i.e. personal attacks should not be tolerated). During the voting portion, only the actual members

of the promotional board may be present.

While the candidate is present, the Promotional Board should take the opportunity to ask relevant questions of the

candidate about his or her competency in the position applied for. Outlandish questions and inappropriate

attitudes are not acceptable.

PROMOTIONAL BOARDS: VOTING

After the chair has presented the candidate for promotion, and when there are no more questions for the

candidate, the candidate will be asked to leave the room. The candidate will comply.

The chair is the parliamentarian for the voting proceedings. Any and all discussion behind closed doors is

understood to be confidential and will not be discussed with anyone. After discussion is complete to the

satisfaction of the chair, the members of the Promotional Board will vote on the candidate.



Voting will not take place by secret ballot. At least two-thirds members of the Promotional Board must give a

yes vote of confidence for the candidate to pass and be credentialed in the position applied for. No abstentions

are acceptable. Members with a potential conflict of interest should not be on the promotional board, and an

alternate should be present as outlined above. Thus, a conflict of interest is not a valid excuse for an abstention.

After the completion of the vote, the candidate will be called back into the room by the members of the

Promotional Board and advised by the Chairperson of the result.

Any member who voted no should be prepared to outline what additional demonstration of competence they

would like to see before they would register a yes vote. This should be done both in writing and verbally. The

candidate shall have the right to ask for a clarification of requests. This is to give the candidate a fair opportunity

to improve in weak areas and become a more viable candidate for the next promotional board that they petition.

Both promotion approvals and non-approvals will be logged in a Promotional Board Log that will contain every

attempt for promotion made by all members. This log will also contain dates of promotion to be used for

determining eligibility for promotion to trainer (i.e 4 months of in-service).



SOP 12-05 OBSERVERS AND OBSERVERS

RIDE-ALONG OBSERVER

The Ride-Along Observer position is for non-members who are interested in riding on an Ambulance Crew for

observational and/or informational purposes. The Ride-Along observer need not have any qualifications, but must

adhere to the following guidelines:

1. Be briefed in RPI Ambulance SOPs, Patient Confidentiality, Risk Management, and Infection

Control/OSHA.

2. The Ride-Along Observer will not engage in providing patient care of any kind.

3. At the discretion of the Crew Chief, the Ride-Along Observer may be asked to sit in the cab

compartment while patient care is being extended.

4. If the number of people on board the Ambulance becomes too large (with ALS providers, multiple

patients, family/friend of the patient, etc.), the Ride-Along Observer may be left at the scene by the

Crew Chief. If this happens, every effort will be made to assure that someone can bring the Ride-

Along Observer to the destination to meet up with the Ambulance.

5. The Ride-Along Observer will sign a form effective for a specified amount of time (to be indicated on

the form) agreeing to all of the above. In addition, the form shall indemnify and hold harmless RPI

Ambulance, Rensselaer Polytechnic Institute, and all of its members and subsidiaries from any

liability in the event of injury, illness, or death.

OBSERVER

The Observer shall be an Active or Inactive member who desires to ride on an Ambulance Crew for the purpose

of gaining experience, training, or otherwise familiarizing oneself with the operations of RPI Ambulance. The

Observer:

1. Shall assist in patient care as requested by the Crew Chief and will act only under the direction of the

Crew Chief.

2. May be asked to sit in the cab compartment by the Crew Chief while patient care is being extended.

3. If the number of people on board the Ambulance becomes too large (with ALS providers, multiple

patients, family/friend of the patient, etc., the Observer may be left at the scene by the Crew Chief. If

this happens, every effort will be made to assure that someone can bring the Observer to the

destination to meet up with the Ambulance.

OBSERVER TRAINING

As this is an entry-level position, there is no formal requirement and no training needed except for that which is

required to become a member of RPI Ambulance as stated in SOPs 12-02 and 12-03. This is meant to be a

temporary position. The goal of all Observers is to become an Ambulance Attendant. It is expected that

Observers begin Attendant training before their third night crew.



SOP 12-06 AMBULANCE ATTENDA NT

INTRODUCTION

The Ambulance Attendant shall be an Active or Inactive member who rides on an Ambulance Crew for the

purpose of assisting the Crew Chief with patient care as well as for the purpose of gaining further experience and

training in EMS. The Ambulance Attendant shall:

1. Be familiar with the location, use, and function of all medical equipment on board the Ambulance

2. Possess a working knowledge of RPI Ambulance Standard Operating Procedures

3. Be familiar with safe techniques for lifting and moving of patients using common equipment

TRAINING

It is highly recommended that the Ambulance Attendant trainee will begin their formal training with a class

provided by RPI Ambulance that will cover the basics and requirements. The Ambulance Attendant should also

practice their skills and knowledge when they are on a crew, with the help and guidance of the Crew Chief in

order to increase the knowledge of the trainee and to build Crew Chiefs confidence in the trainee. The trainee is

also encouraged to attend as many training drills as possible as they are a good source of knowledge and

additional training.

PREREQUISITES

1. Be a member of RPI Ambulance

PROMOTIONAL REQUIREMENTS

1. Hold a Professional Rescuer CPR certification.

2. Complete the Attendant Checklist as prescribed by the Training Committee.

3. Complete the Ambulance Equipment Checklist.

4. Actively participate in at least one (1) call or two (2) simulated calls and receive a passing evaluation

from the CC.

5. Optional: Attend the RPI Ambulance Attendant Training Class.

6. Receive a recommendation for promotion from a Crew Chief.



SOP 12-07 AMBULANCE DRIVER

INTRODUCTION

The driver of the ambulance holds a critical position in the care and treatment of the patient. It is the drivers

responsibility and obligation to deliver the crew and ambulance to the scene in a safe manner, to facilitate

transport of the patient into the ambulance, to transport the patient and crew while maintaining a suitable working

platform for effective patient care, and to return the crew to quarters or to another suitable drop off point in a safe

and professional manner. The ambulance is a moving representative of RPI Ambulance, and the Rensselaer

Polytechnic Institute community, Therefore the safe and professional operation of the vehicle are paramount to

conveying a positive image of both RPI and RPI Ambulance.

Any individual who drives the ambulance must be properly credentialed as an RPI Ambulance Driver or must be a

valid Driver Trainee with a Driver Trainer present, as described in SOP 12-07.

GENERAL DRIVING PROCEDURES

During all travel of the ambulance, including, but not limited to, travel to dinner or a class meeting, Priority II

operation or Priority I operations, the driver will adhere to the following rules:

1. A spotter must be used at all times whenever backing the ambulance.

2. Anyone sitting in any compartment of the ambulance must wear a seat belt anytime the vehicle is in

motion or in traffic. During patient care, providers in the rear compartment may remove their seatbelts

only if absolutely required.

3. Any non-member passengers should ride in the front compartment of the ambulance and wear their

seat belt at all times when the vehicle is in motion. In cases of pediatric patients or other special

cases where the passenger calms or soothes the patient, the passenger may ride with the patient but

must always wear their seat belt while the ambulance is in motion.

4. Headlights are to be used at any time the ambulance is in motion.

5. Respond to all calls in accordance with SOP 12-14

6. Return from the hospital in Priority II mode.

7. Transport from the scene to the hospital at the response level designated by the Crew Chief.

8. Leave the ambulance engine running in high idle at all times during a call until arrival at the hospital

9. Upon arrival at the hospital, shut down the engine prior to unloading the patient.

EMERGENCY DRIVING PROCEDURES

When the ambulance is being operated in Priority II mode, as defined in SOP 12-14, the driver will always adhere

to NYS Vehicle & Traffic laws. When the ambulance is operated in Priority I mode, as defined in SOP 12-14, the

Ambulance Driver will adhere to the following rules in addition to the above and to NYS Vehicle & Traffic laws:

1. A complete stop is mandatory before proceeding with caution at all red lights, stop signs, and railroad

crossings, regardless of response level.

2. If using the median, turning lane, or a lane of opposing traffic to enter an intersection, come to a

complete stop before proceeding with caution.

3. Come to a complete stop at all times for any school bus either in the same lane or in the opposing

lane with flashing red lights displayed.

4. Do not exceed posted speed limit by more than ten (10) miles per hour at any time.



5. Do not exceed posted speed limit at any time when passing through an intersection with the green

light.

6. When traveling in a lane of traffic in an opposing direction, do not exceed 20 mph.

7. Leave warning lights (no less than secondary lights) on if the ambulance is stopped on or at the edge

of a roadway, or if the ambulance will interfere with traffic, or at any time that the warning lights will

increase scene safety for EMS personnel.

DRIVERS DUTIES

1. Duties during a Scheduled Duty Crew:

a) Complete an RPI Ambulance Vehicle/Mechanical checklist once per shift

b) Notify the Duty Supervisor of any problems or discrepancies

c) If possible, and if the Crew Chief consents, familiarize self and crew with areas of our Primary

Territory and response areas

d) Drive crew where they need to go in a safe manner

2. Duties during a Call:

a) Be sure that the ambulance is clear of personnel and other obstructions or dangers, and that

all exterior doors are closed before getting into the drivers seat

b) Verify that all ambulance personnel are in secure positions before moving the ambulance

c) Upon starting the ambulance verify that all gauges and operation indicators are within

nominal ranges, especially fuel level and oil pressure

d) Drive to the scene in a safe and efficient manner at an appropriate level of response

e) Park at the scene in a position to provide optimal access to the patient while maintaining

scene safety.

f) Leave the vehicle running at all times while on scene

g) Assist the Crew Chief in providing care on scene as needed

h) Upon arrival at the hospital, turn off the ambulance and assist the crew in unloading the

patient from the patient compartment

i) Assist the crew in transferring the patient to the hospital bed

3. While at the hospital, the following drivers duties are to be done in the following order, highest priority

first:

a) After the patient is unloaded, return to the ambulance and shut off any non-essential items

(especially A/C, heat)

b) Clean and disinfect the ambulance as appropriate per the RPI Ambulance Exposure Control

Plan.

c) Get the stretcher ready for service

d) Ensure that the ambulance is still within NYS Part 800 equipment parameters

e) Contact Rensselaer County Dispatcher by phone to obtain dispatch times and run number as

needed by the crew chief

f) Assist the Crew Chief as requested

SPOTTERS

To reiterate the previously stated policy, whenever the ambulance is in reverse, all drivers must use a spotter in

order to maintain a safe service and a professional looking ambulance.



To properly spot the vehicle when it is backing up, the spotter should stand approximately 10 feet behind the

ambulance on the drivers side. The driver should be able to see the spotter at all times and must stop if the

spotter moves to a position where they cannot be seen. Conversely, the spotter should be able to see the drivers

mirror at all times as well.

The spotter should look out for obstacles and indicate that it is safe to continue in reverse with a left-handed

come here motion, palm facing the spotter. To indicate that it is unsafe to continue or that there is an obstacle in

the path of the vehicle, the spotter should make a fist with his or her left hand with the palm side facing the driver.

There are situations where using an external spotter is impossible. These situations are:

1. When backing into the hospital Emergency Department

2. During the reverse phase of the cone course.

In these two circumstances only, it is permissible for a vehicle occupant in the patient compartment (i.e. the Crew

Chief on a call, or the observing trainee in the cone course) to go to the tailgate end of the crew bench and look

out the back windows the entire time the vehicle is in reverse to be on the lookout for any obstacles, pedestrians,

or other items that would present a hazard to the ambulance.

BACK-UP ALARM

Use common sense when using the back-up alarm. When backing without an external spotter, it must be used.

However, if an external spotter is used, and a loud alarm is not advisable (e.g. backing up near residences late at

night, backing up at the garage after dark, etc.,) the back-up alarm may be temporarily deactivated. Unless scene

safety considerations prohibit its use, the back-up alarm should be used on all emergency scenes and when

backing at the hospital.

TRAVEL LIMITS

It is the drivers duty to ensure a speedy response to any incident on campus. As such, the driver will be

responsible for assuring the Ambulance is never too far from campus to respond in a safe and efficient manner.

As a minimum, the following boundaries should never be crossed, except on a properly dispatched mutual aid

call:

North: An east-west line even with TFD station 1 (115th St)

East: A north-south line even with McDonalds restaurant on Hoosick St.

South: An east-west line even with TFD station 6 (Canal Ave)

West: The Hudson River

It is also recommended that unless there is a specific reason for travel to the above limits, such as food or

training, the ambulance should remain as much as possible in the area immediately around the campus. This,

however, is left to the discretion of the driver so long as he or she can ensure a safe and efficient response.

WINTER DRIVING

Before drivers (trainees, probationary or full) are permitted to drive under winter conditions, they must gain the

approval of a driver trainer. Driver trainers will take the trainee on snow/ice covered roads where there are little to

no hazards and must demonstrate appropriate safe operation in those conditions. The purpose of this training is

to demonstrate the difference in handling of the vehicle in winter conditions including but not limited to: braking

distance, up and down hill operation, traction, maneuverability and visibility.



TRAINING

PROBATIONARY DRIVER

The Driver trainee will begin their formal training with a class provided by RPI Ambulance that will cover the

basics of what is required.

PREREQUISITES

1. Trainee must be an RPI Ambulance Attendant and hold an active CPR certification


1. Must possess a NYS Class D License or equivalent.

2. Attend an RPI Ambulance emergency vehicle training class to include:

a) Call Dynamics

b) Standard Operating Procedures

c) Applicable Laws

d) Basic Practical Orientation

3. Complete Driver Check Sheet and Vehicle Maintenance Sheet

4. Successfully pass Driver Practical Exam

5. Successfully pass the cone course prescribed by the 1st Lieutenant

6. Complete 5 hours of driver training as a third person with a qualified driver trainer and complete driver

log sheet to the Training Committee or the Captain which will be kept on file.

7. Drive two (2) Priority-II calls and receive passing evaluations from a trainer

8. Drive two (2) Priority-I calls and receive passing evaluations from a trainer

9. Receive recommendation to become a Probationary Driver from Trainer

10. Receive joint approval of the Captain and Training Committee

DRIVER

PREREQUISITES

1. Must be a Probationary Driver


1. Complete and pass one (or more) of the following emergency vehicle operator courses, with documentation kept on file by the Training Committee:

a. Coaching the Emergency Vehicle Operator (CEVO) Ambulance b. Emergency Vehicle Operator Course (EVOC) c. In House Emergency Vehicle Defensive Driving (EVDD)

2. Must complete the following FEMA sponsored classes: a. IS-100: Introduction to the Incident Command System (ICS) b. IS-200: Basic ICS c. IS-700: National Incident Management System (NIMS) d. IS-800: National Response Framework

3. Complete a driving tour of the Albany area hospitals with a trainer 4. Drive two (2) calls as a Backup Driver and receive passing evaluations from a Trainer.



5. Receive recommendation for promotion to become a Full Driver by Trainer. 6. Receive approval by the Promotional Board

DRIVER TRAINER

PREREQUISITES

1. Must be an RPI Ambulance Driver


1. Be a Driver for 4 months while the ambulance is in service

2. Drive three (3) EMS calls

3. Assist in teaching an RPI Ambulance Driver or EVDD class under the supervision of a Driver Trainer

4. Request to become a trainer

5. Receive recommendation for promotion from a Trainer

6. Receive joint approval of the Training Committee and the Captain



SOP 12-08 AMBULANCE CREW CHIEF

INTRODUCTION

The Crew Chief is the leader of the Ambulance Crew. The New York State Department of Health mandates that

there must be at least one current NYS EMT providing patient care in the patient compartment of the ambulance

in accordance to NYS BLS protocols. The RPI Ambulance Crew Chief has been trained not only in Basic Life

Support treatment of emergency patients, but also in how to appropriately handle situations that may arise during

any phase of operations. This includes, but is not limited to: dealing with problematic patients, decision-making,

MCIs, and interacting with other agencies. The Crew Chief is directly responsible for the conduct and appearance

of the Ambulance Crew. All members of the Ambulance Crew should feel comfortable communicating any

questions they may have to the Crew Chief. The Crew Chief may not necessarily be the highest medical authority

on scene, but at RPI Ambulance, the Crew Chief is procedurally in charge.

Any individual who acts in the capacity of Crew Chief must be properly credentialed as an RPI Ambulance Crew

Chief or must be a valid Crew Chief Trainee with a Crew Chief Trainer present. As such, any person acting as the

Crew Chief must meet the qualifications as set forth in SOP 12-08.

GENERAL PROCEDURES

1. If the Crew Chief does not feel comfortable with a situation, a member, or is uncertain how to handle

a predicament, they should contact the Duty Supervisor.

3. If a disagreement between RPI Ambulance and an ALS provider exists, the Crew Chief will put aside

any personal or agency differences and make decisions based in the best interest of the patient.

4. If a disagreement between RPI Ambulance and another EMS agency, dispatch center, Public Safety

Authority, or other official exists, the Crew Chief will not act on behalf of the agency in solving the

problem but rather will act in the best interest of the patient. The Crew Chief will also immediately

notify the Duty Supervisor, who will evaluate the situation and decide how best to handle it.

5. Maintain communications with any/all appropriate dispatch center(s) throughout operations, either

alone or by designating another crewmember. The Crew Chief is responsible for all of these radio

communications, though another member may use the radio with the express consent of the Crew

Chief.

6. Maintain control of the Ambulance Cellular Phone. No member may use the phone without the

permission of the Crew Chief.

CREW CHIEFS DUTIES

1. Duties during a scheduled Duty Crew:

a) Make sure that an Ambulance and First Response Vehicle Equipment Checklist is completed

by the Crew.

b) Report any discrepancies or problems to the Duty Supervisor.

c) Make sure that any vacancies on the crew are filled to assure that all members who want to

ride crews are able to do so in a timely manner.

d) If possible, provide training opportunities for the rest of the Crew.

e) Maintain Crew morale and try to accommodate the wishes of the Crew.

f) If a Crew member needs to study while on a duty crew, this will take precedence over driving

around and other endeavors. We are students first.

2. Duties during a Call:



a) Confirm that there is a crew, and try to include trainees on the call.

b) Advise the Ambulance Driver of the appropriate level of response to the scene if different

from the standard.

c) Respond to the scene in accordance with SOP 12-14

d) During travel to the scene, plan ahead for any equipment or additional resources (e.g. fire

apparatus, Hazmat Unit, additional Ambulances) that may be needed.

e) Upon arrival, notify appropriate dispatcher(s).

f) Prior to egress from the vehicle to the scene, the Crew Chief will assess the scene for safety

and advise the Ambulance Crew of how to appropriately protect themselves from any

hazards that may be present. The Crew Chief is responsible for the safety of the crew at all

times.

g) The Crew Chief will be in charge of all patient care and will act as the interface between the

RPI Ambulance Crew and a provider of a higher level of care.

h) The Crew Chief will attempt to allow other members to train in positions they are attempting

to gain RPI Ambulance credentialing in (e.g. Crew Chief, Attendant) within their level of

credentialing (i.e. if the Crew Chief is also a Crew Chief Trainer).

i) Provide BLS care at the level that RPI Ambulance is certified to provide.

j) Select the appropriate patient carrying device and use it to bring the patient to the

ambulance.

k) Transport to a Hospital Emergency Department in accordance with SOP 12-15.

l) While en route to the medical facility, provide medical care as appropriate.

m) Use the Ambulance VHF Radio to contact the Emergency Department with the following

information:

i. Age and gender

ii. Chief complaint

iii. History of chief complaint

iv. Pertinent past medical history and medications

v. Pertinent vital signs

vi. Treatment rendered by this agency and others (i.e. Oxygen by RPI, IV by TFD)

vii. Estimated time to arrival

n) Upon arrival at the medical facility, shut down any nonessential ambulance items. (E.g. dome

lights, heat or A/C, vent, etc.

o) Give a report to the appropriate Emergency Department staff member.

p) If at a hospital ER, assist the registration clerk in obtaining patient information and try to get a

face sheet.

q) Complete paperwork, obtain times and numbers, and notify appropriate dispatch center(s)

that the ambulance is available for the next call.

r) Verify that the Driver has prepared the ambulance for the next call.

s) Leave the medical facility in a reasonable amount of time and return to service as

appropriate.

TRAINING

The position of Ambulance Crew Chief is the highest credentialed position in the Ambulance Crew. Becoming an

Ambulance Crew Chief involves not only medical proficiency, but also thorough knowledge of all Operating

Policies and an ability to lead the crew effectively. The Crew Chief Trainee should, while training, act in the

capacity of Crew Chief to the best of his or her ability. The training period is a time to gain experience with a

trained Crew Chief on board. The Crew Chief Trainee is encouraged to attend as many drills as possible as they

are a good source of knowledge and training.



PROBATIONARY CREW CHIEF

PREREQUISITES

1. Trainee must be an RPI Ambulance Attendant

2. Host current certification as a NYS EMT-Basic or higher (no other state is acceptable)

3. Maintain active CPR for Healthcare Provider certification


1. Attend an RPI Ambulance Crew Chief training class to include:

a) Call Dynamics

b) Standard Operating Procedures

c) PCR writing

2. Crew Chief 1 simulated call

3. Complete PCR writing class

4. Complete Crew Chief checklist

5. Complete 1 mock call w/ passing evaluation from CC Trainer before taking a real call.

6. Crew Chief 2 calls with a crew chief trainer in the patient compartment and receive passing

evaluations for both.

7. Pass the practical exam, including PCR writing

8. Receive recommendation for promotion by Crew Chief Trainer

9. Receive joint approval of the Captain and Training Committee

CREW CHIEF

PREREQUISITES

1. Must be a Probationary Crew Chief


1. Must Crew Chief 2 calls as a Probationary Crew Chief, receive a passing evaluation and be

recommended for promotion by a Crew Chief Trainer.

2. Must complete the following FEMA sponsored classes:

a) IS-100: Introduction to the Incident Command System (ICS)

b) IS-200: Basic ICS

c) IS-700: National Incident Management System (NIMS)

d) IS-800: National Response Framework

3. Must student-teach one training course or drill and submit an evaluation form

a) This training drill must be approved and supervised by the training committee

b) The purpose of this course is to demonstrate proper training skills while teaching an

advanced topic to other members of the agency.


5. Receive approval by the Promotional Board



CREW CHIEF TRAINER

PREREQUISITES

1. Must be an RPI Ambulance Crew Chief


1. Be a Crew Chief for 4 months while the ambulance is in service

2. Crew Chief 3 emergency or non-emergency calls

3. Assist in teaching a Crew Chief class

4. Request to become a trainer


6. Receive joint approval of the Training committee and Captain



SOP 12-09 FIRST RESPONSE DRIVER

INTRODUCTION

The responsibility of the First-Response Driver is to drive First Response-59 safely to the scene of an EMS call,

from headquarters to the garage or to the location of a special event. The job of First Response Driver is very

different from that of Ambulance Driver; therefore the responsibilities and requirements are different. This position

is an additional certification of for RPI Ambulance Crew Chiefs and Drivers rather than an individual qualification.

RESPONSIBILITIES

The First Response Driver will perform a vehicle and equipment checklist at the start of every shift. He/She will

also be responsible for the security, care and upkeep of the vehicle for the duration of the shift.

GENERAL DRIVING PROCEDURES

During all operation of the first response vehicle the following procedures will be adhered to:

1. A spotter must be used at all times whenever backing the vehicle.

2. The driver and all passengers in the first response vehicle shall wear a seatbelt at all times during any

operation of the vehicle.

3. Headlights are to be used at any time the vehicle is in motion.

4. Respond to all calls in accordance with SOP 12-14.

5. The First Response Driver will adhere to the Travel Limits and Winter Driving rules designated in

SOP 12-07

6. Every effort should be made to have a Crew Chief with the vehicle in the event that it is flagged down

for assistance.

EMERGENCY DRIVING PROCEDURES

1. When the first response vehicle is being operated in Priority II mode, the First Response Driver will

always adhere to NYS Vehicle & Traffic laws. When the first response vehicle is operated in Priority I

mode the First Response Driver will adhere to the following rules in addition to the above and to NYS

Vehicle & Traffic laws:

a. A complete stop is mandatory before proceeding with caution at all red lights, stop signs, and

railroad crossings, regardless of response level.

b. If using the median, turning lane, or a lane of opposing traffic to enter an intersection, come

to a complete stop before proceeding with caution.

c. Come to a complete stop at all times for any school bus either in the same lane or in the

opposing lane with flashing red lights displayed.

d. Do not exceed posted speed limit by more than ten (10) miles per hour at any time.

e. Do not exceed posted speed limit at any time when passing through an intersection with the

green light.

f. When traveling in a lane of traffic in an opposing direction, do not exceed 20 mph.

2. Leave warning lights (no less than secondary lights) on if the vehicle is stopped on or at the edge of a

roadway, or if the ambulance will interfere with traffic, or at any time that the warning lights will

increase scene safety for EMS personnel.



3. If the emergency lights are left on at the scene, the vehicles engine should remain running.

4. Should the vehicle be left on scene during a transport to the hospital, the vehicle should be moved

out of the roadway to a safe parking spot, the lights and engine shut down and the vehicle locked and

secured. The vehicle should be retrieved as soon as possible after returning from the hospital.

TRAINING

PREREQUISITES

1. Be an RPI Ambulance Crew Chief or RPI Ambulance Driver

2. Hold a valid NYS Class D drivers license or equivalent


1. Perform a First Response-59 equipment and a vehicle checklist

2. Log 5 hours of driving time in First Response-59 under the supervision of a Driver Trainer

3. Pass the First Response-59 cone course

4. Pass the RPI Ambulance Driver Practical Exam in either 5939 or FR-59

5. Drive at least two (2) calls with at least one call being a priority 1 call, in either 5939 or FR-59 under

the supervision of a Driver Trainer

6. Request promotion to First Response Driver

7. Receive joint approval from the Training Committee and Captain



SOP 12-10 EVENT EMS SUPERVISOR S

INTRODUCTION

Event EMS Supervisors (EES) are qualified Crew Chiefs who manage personnel and resources at RPI

Ambulance Special Events. EES are trained in the supervision multiple field crews during large special events,

proper radio procedure and inter-agency operations and incident management. They are also capable of treating

and calling for the transport of patients.

TRAINING

Event EMS Supervisors (EES) should be trained in and show proficiency in the following skills:

1. Large scale event and personnel management

2. Radio communications

3. Decision making under stressful situations

4. Working with other agencies and organizations

5. Patient care

PREREQUISITES

1. Be an RPI Ambulance Crew Chief


1. Be the EES- In Charge of two (2) events under the supervision of an EES and receive a passing

evaluation

2. Complete the EES checklist.

3. Request promotion to EES from the Captain and Training Committee.



SOP 12-11 DUTY SUPERVISORS

INTRODUCTION

In the EMS field, many problems exist, from operations to interpersonal conflict. The position of Supervisor is

created to provide easy access to an experienced member who can act in the capacity of Crew Chief or Driver if

the need arises. The Supervisor also acts as a screen to the Captain so that matters that can be resolved by the

Supervisor dont need to unduly tie up the Captain. The position of Supervisor is not a Credentialed Promotion,

and as such, it does not fall under the auspices of Training Committee.

QUALIFICATIONS

The Supervisor Shall:

1. Be currently credentialed as a Crew Chief Trainer, Driver Trainer, First Response Driver and Event

EMS Supervisor by RPI Ambulance

2. Maintain at least 70% compliance in agency QI as a Crew Chief.

3. Have completed an interview with the Captain testing the knowledge of RPI Ambulance operations,

Standard Operating Policies, Mutual Aid, and the geography of Rensselaer County and Surrounding

Areas.

4. Be appointed by the Captain with input from other Line Officers and other Supervisors after the

successful completion of the aforementioned interview.

DUTIES

All Supervisors:

1. Will act as the scheduled Duty Supervisor for at least 24 hours per week.

2. Must remain within radio range of RPI Public Safety, the Rensselaer County Dispatcher, and the

Ambulance, and will be able to establish communication to the Ambulance Crew via Cellular Phone

during their on duty time.

3. Must carry appropriate Supervisor Identification while on duty.

4. Should notify the appropriate officer in the proper time, if the Supervisor notices anything that requires

attention from that officer. For example, the Captain and 1st Lieutenant need to know right away that

the Ambulance has a flat tire, whereas the Training Committee could probably be notified in the

morning if one of the CPR manikins is broken.

5. Will act in an appropriate manner at all times while acting on behalf of RPI Ambulance.

6. Will not take over care of a patient, driving responsibilities, or any other duties of the crew unless

patient or crew safety is in jeopardy.

7. Will file incident reports as necessary to maintain proper documentation of incidents.

8. The On-Duty supervisor is expected to assist the responding ambulance in the following situations:

a. MCI- Any incident that involves more than 2 patients or in which there are patients in excess

of the available resource

b. Any rescue incident that would involve a crew being on scene an anticipated time exceeding

20 minutes

c. Any incident where crowd control may cause an issue to the responding units. This includes

but is not limited to fraternity houses and large events

d. Any incident where ALS is requested, where an ALS unit is not available for immediate

response



GRIEVANCES

Any grievance with a Supervisor or the actions of a Supervisor will be forwarded as soon as possible, to the

Captain, who will investigate the matter fully. If an individual does not feel comfortable approaching the Captain,

another Supervisor may be notified of the grievance or the member may contact the Grievance Committee of RPI

Ambulance. Care should be taken to avoid a rumor mill when dealing with such grievances as matters can quickly

be blown out of proportion. Always try to use the proper communication channels.

If the Captain feels that the grievance has merit, the Captain will attempt to mediate any dispute between the

involved parties. If one or both parties are unsatisfied with this approach, the matter will follow SOP 12-25 for

grievances and appeals.



SOP 12-12 COORDINATORS

INTRODUCTION

To assist in the completion of their jobs, the line officers of RPI Ambulance are empowered to appoint

coordinators. This gives the coordinator selected powers that the appropriate officer may have while still referring

all responsibility for the job to the appropriate officer. Some specific positions follow.

QI COORDINATOR

The Quality Improvement Coordinator coordinates the completion of QI audits and tabulates the data and reports

to the Captain. The QI Coordinator and/or the Captain represent RPI Ambulance at meetings of the Rensselaer

County QI Committee. If desired, the Captain may elect to act as the QI coordinator.

The QI coordinator is responsible for ensuring compliance with the Rensselaer County QI program and thereby

the Region and State program. The Captain and QI coordinator should periodically review the Rensselaer County

QI program to evaluate its effectiveness to RPI Ambulance and to ensure it meets all State and Regional

requirements.

CPR COORDINATOR

The CPR Coordinator is in charge of coordinating CPR events sponsored by RPI Ambulance and reports to the

Training Committee. The CPR Coordinator need not be a CPR Instructor but instead assures that instructors are

available to hold scheduled CPR training. The CPR Coordinator should work closely with the Training Committee

and the Vice-President. If desired, the Training Committee may elect to act as the CPR coordinator.



SOP 12-13 UNIFORMS

INTRODUCTION

In an effort to gain respect and convey a professional manner to the community, RPI Ambulance has established

different categories of uniform standards. This will provide continuity and an easy way to communicate the

appropriate uniform to members of a Duty Crew.

PATCHES

RPI Ambulance patches will only be worn the black duty uniform shirt or red RPI Ambulance jacket. The RPI

Ambulance agency patch will be worn on the left shoulder. NYS DOH certification patches of the Excelsior

design with tombstone shape and navy blue background will be worn on the right shoulder. If a member does not

hold NYS DOH certification, a 2 inches x 3 inches American flag patch with gold border or NYS DOH Emergency

Medical Services tombstone patch may be worn on the right shoulder. No other patches may be worn on any

part of the uniform.

PINS, COLLAR BRASS, BADGES

Any pin to be worn on the RPI Ambulance uniform must be approved by the Captain. The Captain has the right to

ask a pin to be removed from any RPI Ambulance uniform.

Officer and Supervisor badges may be worn with the Duty Uniform and carried with the Casual Uniform to serve

as identification. In some cases, the different role we serve by being an EMS agency and not a Public Safety

agency can play in important role in patient rapport. It is for this reason that we must keep a clear distinction

between RPI Ambulance and other Public Safety agencies.

UNIFORM CLASSES

DUTY UNIFORM

This is issued uniform that is used by RPI Ambulance. It consists of:

Black collared RPI Ambulance uniform shirt with black T-Shirt worn underneath for Crew Chiefs,

Drivers and Officers

Officer bars for line officers, officer pins for administrative officers, silver caduceus for non-officers

Red Trainee polo for attendants, ride-along observers, observers, and trainees

Black slacks or black EMS-style pants

Black belt with silver or black buckle

No dangling earrings or jewelry

Black, shined, closed-toe shoes or boots. No high heels.

Black socks (if socks visible)

RPI Ambulance approved red jacket (Seasonal)



CASUAL UNIFORM

When not assigned to duty crews, RPI Ambulance members may wear RPI Ambulance apparel such as t-shirts or

sweatshirts with the RPI Ambulance name and logo on them. This apparel does not constitute any official

uniform; as such, duty crews must be in the duty uniform. Members responding to calls while not on a scheduled

duty crew do not have to wear the full Duty Uniform; however will wear the Casual Uniform.

The Casual Uniform consists of:

A plain neat un-torn shirt, preferably dark, if possible RPI Ambulance- or EMS oriented. No

fluorescent or obscene T-shirts are allowed.

Neat, un-torn pair of pants, preferably dark. Jeans are fine but shorts are not permitted.

Solid footwear. No open-toed shoes or sandals. No high heels.

RPI Ambulance approved red jacket



SOP 12-14 DISPATCH AND RESPONSE PROCEDURES

INTRODUCTION

Rensselaer County Bureau of Public Safety is the official dispatcher for RPI Ambulance. All medical emergency

calls originating on campus are transferred to the Rensselaer County Emergency Medical Dispatcher who assigns

the priority determinant for the call and dispatches RPI Ambulance. All non-emergency medical calls originating

on campus are transferred to Rensselaer County in the same fashion as the emergency calls from the Rensselaer

County Dispatcher or from the RPI Student Health Center.

Rensselaer County Emergency Medical Dispatcher will also dispatch RPI Ambulance for any mutual aid calls

originating in the county.

Rensselaer County can be reached via the following numbers:

Emergency Number: 911

Non-Emergency Numbers: (518)-270-5252 / (518)-270-1037

RESPONSE LEVELS

Priority II 5939 or First Response-59 operation using no emergency lights or sirens, following all V&T laws.

Synonyms: Routine, Code 2, Cold.

Priority I 5939 or First Response-59 operation using emergency lights and siren. Synonyms: Emergency, Code

3, Hot.

NB: The driver has responsibility and liability for safe operation and must maintain compliance with RPI

Ambulance driving procedures. The driver is personally liable for any injury or damage sustained during Priority I

operation.

RPI AMBULANCE UNAVAILABILITY

If RPI Ambulance is unavailable for a call the next available ambulance according to the mutual aid plan shall be

called. This will happen in accordance with SOP 12-16 and the current dispatch plan with Rensselaer County

Bureau of Public Safety.

EMS CALLS

The county dispatcher will notify the members of RPI Ambulance of the call, including nature and location, with

the accompanying paging tones via the high band portables broadcast over frequency 155.220, heard on channel

1 (one) or 2 (two) of the RPI Ambulance high band portable radios. Calls received from the county dispatcher will

include a determinant:

Alpha determinant calls will be treated as Priority II as defined above.

Bravo, Charlie, Delta, and Echo determinant calls will be treated as Priority I as defined above.



All radio communications between crew members before, during and after the call should be done over RPI

Ambulance high band radio (155.220MHz). Any communication to the Rensselaer County Dispatcher shall be

done via the 800MHz system. If the Crew Chief or Driver is unable to contact the Dispatcher via the 800MHz

system they may contact the Dispatcher via cellular telephone by dialing (518)-270-1037.

RESPONSE TO EMS CALLS

NO SCHEDULED DUTY CREW

1. Upon notification of an EMS call, all efforts sho

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