MERT FINAL

Director of Operations

• Chief authority of the EBoard 

• Responsible for the daily operations of the organization

• Serves as the primary contact for RC MERT and has the final say on all decisions made pertaining to the operations 

When to reach out to DO

• protocols

• general operations

Deputy Director of Operations

• Serves under the DO in the operations department

• Acts as the organizations disciplinary executor

INITIAL contact regarding all issues pertaining to vehicles under RC MERT

When to reach out to deputy director of operations

• vehicle 800

• IRS (incident reports)

Director of Training

• Coordinates the training department

• Responsible for the

  • Crew Chief Trannie program

  • Annual EMT class

  • Mass casualty incident drill

  • In services

  • Field training officer program

  • All other training related projects 

when to reach out to director of training

• reciprocity

• fast tracking

• ranking up

• 802 program

Assistant director of training

• Serves under the DOT

• Assist him/her in activities and the programs pertinent to the training department 

when to reach out to ADOT

• NMOP

• EMT Class

• Inservices

membership officer

• Responsible for

  • Running the application process

  • Tracking the status of each member

  • Maintaining certifications and paperwork

  • Taking attendance during GMM

  • Recording minutes during scheduled meetings 

when to reach out to membership officer

• GMM attendance

• LOA

Public relations officer

• Responsible for

  • Annual MERT banquet

  • Advertising

  • Community outreach

  • Updated any other channels pertaining to the public image of RC MERT

  • Keeping positive relations with other student groups on the UR campus

  • Coordinating the public health activities of RC MERT

When to reach out to public relations officer

• co-sponsorships

• social media

• preceptor/preceptee

Equipment manager

• Responsible for inventorying RC MERT equipment at least one timer per month

• Restocking all equipment as needed

• Maintaining the MERT bunk room

• Responsible for keeping in contact with UHS, public safety, and the operations department regarding all aspects of RC MERT equipment

when to reach out to equipment manager

• equipment

Webmaster

• Responsible for all aspects of the appearance and functionality if the RC MERT website

• Coordinating nightly, daily, and standby schedules for the organization

• Working in conjunction with other departments to update the RC MERT campus club connection website

when to reach out to webmaster

• scheduling shifts

• website

QA/QI Chair

• Responsible for

  • running the process of reviewing charts and submitting to emsCharts using the online system

  • Organizing regular QA/QI sessions

  • Acquiring statistics reports at the end of each semester as needed

when to reach out to QA/QI chair

• charting

General member responsibilities

• Attend all GMM

  • If you cannot make it, submit an absence form by 1200 Sunday

• Input shift availability 

  • Peter sends them out every month

  • At least 5 checkboxes

Leave of Absence (LOQ)

• You must file an LOA if you believe you cannot fulfill all membership requirements

• Members on LOA

  • Don't need to attend GMM

  • DOnt need to take shifts

• Guidelines for submitting LOA

  • Contact Trisha if submitting a LOA

  • Can only request a LOA for one semester at a time

  • Can not be on LOA from more than 3 semesters

  • Must be filed out by Sunday of the preceding week prior to the start of the LOA period

801: Crew Chief Responsibilities

• Legally responsible for everything that happens on call

• Trains 802s

• Reviews charts that 802s write

• Patient demographic information

802: EMT responsibilities

• Check out form

• End of shift form

• Broken equipment form

• Responsible for direct patient contact and assessment

• Charts calls 

803: Probationary EMT responsibilities

• Help with patient care

• Responsible for recording times

• Responsible for taking patients vitals

• Helps collect patient demographics

times 803 must take

• Dispatch

• En route

• On scene

• At patient

• Vitals (first, second, and third)

• Any interventions done during the call

• AMR dispatch

• AMR arrival

• MERT leave

• MERT back in service 

vitals 803 must take

• Oxygen saturation

• Blood pressure

• Pulse

• Respiratory rate

803 patient demographic

• Your 802 may ask you to write down patient demographic information for charting

  • Patientes birthday

  • Patients living address

shift times/shift timeline

Shift Times

• 2000-0700 (night shift)

• Fill out your availability on the shift sign up

• Arrive at spurrier MERT office @1945(7:45) on the day of your shift for shift checkout

• Help 802 with check out if they need

• Head to the theta chi bunk room

• Take any calls

• Head over to superior MERT office @6:45-7:00 to put the bags away and finish your shift

what is an incident report?

• A form used to report any violation of RC MERT protocol

who can file an IR?

anyone on MERT

When should you file an IR?

• Internal conflict

  • Member to member

• External conflict

  • Member and public safety

  • Member and patient conflict

  • Public safety and patient conflict 

how do I file an IR?

• Online form available in the #forms-and-links-channel on discord

what happens after you file an IR

• The person the IR was written about will be contacted

• The identity of the person who wrote the IR will remain anonymous

Who should I go to with questions on IRs?

Callahan (ADO)

who is the director of operations?

Sophie Black

who is the assistant director of operations?

Brennan Callahan-Stiles

who is director of training?

Emily Woodruff

Who is assistant director of training?

Jessica Kim

who is membership?

Trisha George

QA/QI

Noah Paradise

Public relations

Francisca Barria-Lopez

Equipment Manager

Isha Korgankar

Webmaster

Peter Wu

label the map

1. North field

2. Prince Athletic Complex

3. Pub Safe

4. Chambers

5. fairchild

6. gale

7. kendrick

8. munro

9. slater

label the map

1. o’brien

2. anderson

3. wilder

4. sage

5. spurrier

6. gannett

7. danforth

8. gates

9. Sue.B

10. Hollister

11. Morgan

12. genessee

13. fauver stadium

14. fauver field

label the map

1. GAC

2. gilbert

3. hoeing

4. crosby

5. tiernan

6. lovejoy

7. burton

label the map

1. Sig Ep

2. SAM

3. Sigma Chi

4. DLH

5. Dramma House

6. PsiU

7. Theta CHi

8. ADP

9. DKE

label the map

1. douglass

2. willson commons

3. rettner

4. morey

5. lechase

6. lattimore

7. Todd

8. strong suditorium

9. sloan

label the map

1. Rush Rhees

2. meliora

3. Bausch & Lomb

4. Hoyt

5. Dewey

6. Carol G. Simon

7. Schlegel

8. gleason

label the map

1. harkness

2. gavett

3. taylor

4. NYS Optics

5. wilmont

6. Goergen

7. computer studies

8. carlson library

9. hutchinson

10. hylan 

11. wegmans

12. hopeman

13. wallis

label the map

1. nothing opps

2. brooks landing

3. chabad house

4. brooks crossing

5. staybridge suites

label the map

1. F

2. A

3. B

4. G

5. C

6. nothing opps

7. D

8. E

label the map

1. deKiewiet

2. maisonettes

3. valentine

HIPAA Basics

• Health Insurance Portability and Accountability Act

• HIPPA is a federal law that establishes national standards to protect individual’s medical records and other individually identifiable health information

why is hippa important?

• Requires agencies to keep all personal information confidential

• Provides trust in health care providers and the system

• Sometimes is beneficial to remind your patients that HIPAA exist and that it is to their benefit to divulge all relevant information that we ask for

• Violations are serious and will result in disciplinary and/or legal action

  • Within MERT if you fail to abide by HIPAA, it will likely result in 

    • Your termination from RC MERT

    • Federal person time

    • Disbanding of RC MERT by University Administration 

how to abide my hippa

• Patient information is need to know basis

• Patient details should only be discussed within the presence of 

  • RC MERT members who were on the call with you

    • Once the chart has been locked, the details of the call should no longer be discussed

  • Other responding transporting EMS agencies

• Shared all documentation regarding patient information

  • Only exception are RMA’s (refusal of medical assistance) forms 

• ALWAYS ask your 801 before shredding anything

• What do I do if I’m approached by a former patient

  • Do not discuss the details of the call

  • Inform them that you are not authorized to discuss the details of any RC MERT response in public

MERT HIPPA

• 1 of 4 can be discussed

  • Location of call

  • date/time of call

  • Gender of patient

  • Details of assessment and interventions administered 

Public Safety and Hippa

• There is usually at least one security officer present at a MERT call

• Public safety may at times be DIRECTLY involved in patient care

  • Officers may ask for demographic information about the patient and may ask for the patient's medical condition to relay 

Patient friends/family/other & HIPPA

• Private patient information should NEVER be given to anyone not involved directly in patient care

  • If and RA comes up to you after a call and asks what happened you SHOULD NOT tell them

  • If a partner calls you about your patients you SHOULD NOT tell them

  • If a school official asks for information about the call, you SHOULD NOT tell them

  • If a friend comes up to you after a call and asks what happened to their friend, you SHOULD NOT tell them!

Bloodborne Pathogens

• Bloodborne pathogens are microorganisms present in human blood/body fluids and other potentially infectious materials that can cause disease in humans

kinds of BBP

• blood

• Saliva

• Semem

• Vaginal secretions

• CSF

• Synovial Pleural fluid

• Peritoneal fluid

• Pericardial fluid

• Amniotic fluid

how are bbp’s transferred?

• Accidental punctures and cuts with contaminated sharp materials

• Contact between mucous membranes or broken skin and infected body fluids

  • Mouth

  • Nose 

  • Ears

  • Eyes

• Contact with open cuts, nicks, and abrasions

• Sharing of needles

• Sexual contact 

Common BBP/ABP

• Bloodborne pathogens

  • HIV

  • Hepatitis B

  • Hepatitis C

• Common Airborne viruses

  • TB

  • Common cold

  • Influenza

  • Whooping cough

  • Measles

  • COVID 19

contaminated surfaces

• Surfaces can be contaminated without visible sings 

• HIV can survive on surfaces at room temperature for at least a week

• Clean all areas that were potentially exposed with appropriate cleaning solutions 

• Do not touch potentially contaminated surfaces with bare hands 

how to prevent BBP transmission

• Wear gloves in every call, whether there appears to be body fluids or not

• Wear other protective equipment when necessary such as face shields or gowns

• Do not keep food or drink on counters where infectious materials may be present

• Use gloves when cleaning potentially contaminated areas 

• The most effective way to prevent the spread of infection is to perform hand hygiene following the WHO five moments of hand hygiene

  • Before touching a patient

  • Before clean/aseptic procedures

  • After body fluid exposure risk

  • After touching a patient

  • After touching patient surroundings 

PPE

• Gloves

• Masks - surgical, N95, respiration, etc

• Aprons

• Faceshields

• Gowns

• Eyeware

• CPR pocket masks

• Any other equipment which may reduce contact with skin or other potentially infectious materials 

disposing contaminated BBP

• Sharps must be placed in the sharps container in the spurrier office

• Contained (anything that touches a body fluid) items must be placed in red biohazard bags 

• Contaminated equipment should be cleaned with appropriate cleaning solution 

• Contact equipment manager with contained equipment questions, or whenever you place biohazards in the spurrier office

Ryan White Care Act

• Requires EMS crops to have a designated officer for exposure control

• The designated officer will request that the hospital test for communicable disease

• If the hospital finds a communicable disease during the care of the patients

  • They will contact the provider within 48 hours

what to do in case of exposure

• Immediately wash hands and other skin surfaces with soap and water

• If you think you may have been exposed you must contact teh assistant director of operations (Callahan), who is MERTS exposure control officer

Trauma bag

• Left pocket

  • immediate trauma

    • bleeding control, tourniquet, biohazard bags, pocket mask

• Right pocket

  • adult BP cuff, pulse ox and nail polish remover, stethoscope, pens, notebook, trauma sheers, pen light, baindaids

• outside sleeve

  • clipboard w/ RMAs + PCRs

Trauma bag main compartment

burn sheet, multi-trauma dressing, foil blanket

trauma bag inside sleeve

biohazard bags, gloves

trauma bag small sleeve 1 & 2

small sleeve 1

• tounge depressors, tape, kling, ACE bandages

small sleeve 2

• ABD bandagees, 4 × 4 gauze sponges, roller gauze, coban wrap

trauma bag main compartment (floating)

hot/cold packs, SAM splint, adult C-collar

outside of Medical bag

inside mesh pocket

• gowns

left poket (airway)

• adult/peds NRBs + NCs, oxygen tubing, nebulizers

outside top pocket

• gloves, surgical + N95 mask

Right pocket (Vitals)

• adult/bariatric/child BP cuff, big pulse ox, nail polish removers, pen light, notebook, pens, shears

inside of medical bag

manual suction, emesis bags, biohazard, OPAs, NPAs + lube, triage tags

medical pouch

saline sleeve contents, aspirin, glucose, narcan, epi, sharps shuttle, o2 tank + regulator

small trauma pouch (medical bag)

bandaids, antiseptic towelettes, cravats, 4×4 gauze sponges, roller gauze, tape

medical bag main compartment (floating)

adult + peds BVM, tourniquet

vehicle 800 front seat

radio microphone, vehicle registration and hazmat book, light bar

Vehicle 800: trunk

spare tank, snow brushes, KED, hare traction, Kits: airway, peds/burns, extrication, board splints, scoop, backboard

vehicle 800: backseat

blankets, sheets, towels, bag compartment

Orange Bad: airway and breathing

Contains:

• Regulator

• (2) O₂ Tank Keys

• CPR Mask

• Adult BVM

• (2) Adult NRB

• (2) Adult Nasal Cannulas

• (1) O₂ Tubing

• (2) Nebulizers

• Set of 5 OPAs

• Set of 5 NPAs (with Lubricant) 

Peds/Burn bag

OPAs, saline, stethoscope, shears, OB kit, pediatric NPAs, Pediatric BP cuff, burn sheet, pediatric BVM

extrication bag

collars: pediatric and adult, head blocks, spider straps, tape

Standby/ D-Day bag main compartment

main compartment:

nebulizers, adult NRBs and NCs, burn sheet, multi-trauma dressing, clipboard with RMAs, oxygen tank, pediatric NRBs and NCs, adult BVM,

medications pouch: sterile water, epi-pens, albuterol, sharps shuttle, glucose, narcans

D-Day bad inside clear pocket

gowns, gloves, emesis bags, surgical masks, biohazard bags, triage tags, sterile water, manual suction, OPAs + NPAs

D-Day Bag Side Vitals Pocket

BP cuffs, stethoscope, pulse ox, adult + peds C-collars, pen, sharpie, pen light

D-Day bag side bleeding/splinting pocket

cold packs, bandaids + alcohol pads, SAM splint

big trauma pouch: ABD pads, gauze, occlusive patch, curity stretch bandage, kerlix bandage roll

small trauma pouch: cravats, trauma shears, tapes

anatomy of the radio

1. panic button

2. antenna

3. channel

4. mode switch (should be on B)

5. volume control

radio anatomy

1. squelch button

2. push-to-talk button

squelch button

• press this twice in 2 scenatios

  • after a tone test

  • after you completely finish a call on your way back to bunkroom

push-to-talk button

• push and hold down every time you need to talk on the radio

volume control

adjust radio volume

panic button

only press if you are in immediate danger

• forces every radio on campus to listen to you (all of pub safe will hear what you say)

when to use the radio

• When responding to the tone test

• When responding to a call

• If you need to contact your crew for a call-related reason

  • Please note: we only use the radio in abnormal situations, if you are confused about something or did not hear the dispatch information, call your 801 via cell phone.

tone test

• Every evening/weekend day shift will perform a tone test to ensure the radios are working effectively

  • A tone test - security sets off the radio tone and talks into the radio to make sure the tone and the radio speaker is working 

    • The crew then responds and security confirms they can hear MERT

tone test script

The 802 will call security on the cell phone and ask for a tone test, then the radios will sounds you will hear…

• DPS: Public Safety to R/C MERT for their nightly tone test at 2000 hours

  • 801: 801 tone test received thank you.

  • 802: 802 tone test received thank you.

  • 803: 803 tone test received thank you.

  • 801: Vehicle 800 tone test received thank you

Contacting crew via radio

1. Begin with: “[Rank 1] to [rank 2], over.”

2. Acknowledging response: [Rank 2] to [rank 1], go ahead.

3. From there, simply say what you needed to express

   1. Keep communications to less than 10 seconds

Example:

1. You: “803 to 801, over.”

2. Your 801: “801 to 803, go ahead.”

3. “I arrived on scene and the pt is actually located in the Tiernan 2 female bathroom, not the lounge”

getting a call

Toning out

1: Your radio will make a loud high pitched sound

2: The dispatcher will relay information about the call

The call location, what happened, any dangers, etc.

Acknowledging the tone

1: The 801 will acknowledge the call

2: The 802 will acknowledge the call

3: You acknowledge the call

example call

Tone sounds

• DPS: R/C MERT dispatch to Gilbert 3 bathroom for the female vomiting

  • 801: 801 responding from UHS to Gilbert ETA 5 minutes

  • 802: 802 Responding from UHS to Gilbert ETA 5 minutes

  • 803: 803 Responding from [location] to Gilbert [ETA]