Brooklyn College Emergency Medical Squad Standard Operating Procedures
A. NYS and NYC Operation Procedures
1. General Regulations
2. House rules
3. Staffing
4. Rank Classifications
5. Age and Physical requirements
6. Response Are
7. Hospitals of Final Destinations
8. Relatives or Friends Accompanying Patients
9. Patient Searches and Personal Property
10. Refusal of Medical Aid/Transport
11. Minor Patients
12. Uniform Regulations
13. Paperwork and documentation
14. Medical Equipment
15. Squad Out of Service
16. Leaving Equipment at the Hospital
17. Change of Tour
18. Scheduling
19. Officer Responsibilities
20. QA/QI Committee
21. Intra-Squad Communication
22. Public Relations
23. Crew Responsibilities
24. Dispatcher Responsibilities and Radio Procedures
25. Driving Regulations
26. Training for Ambulance Riding Personnel
27. Responding to Calls
28. Actions at the Scene of Calls
29. Multiple Casualty Incidents (M.C.I.)
30. Relationship with Other Emergency Agencies
31. Notifications and Standbys at Emergency Department
32. Unconscious Patients or Patients Requiring ALS care
33. Dangerous Conditions as the Scene of Calls
34. Cardiac Arrest, Anaphylaxis, Drug Administration, Suspected Poisoning & Asthma
35. Crimes
36. Required notifications to the Chief of Operations
37. Emergency Driving Operations
38. D.O.A.s
39. Disciplinary Actions
40. Grievance
41. The Presidential Advisory Committee For Emergency Medical Care
A.1 The Brooklyn College Emergency Medical Squad operates under the New York State Department of Health Bureau of Emergency Medical Services guidelines. Brooklyn College Emergency Medical Squad is to follow Chapter VI, of Title10, Part 800, of the New York State Department of Health, established under the statutory authority of Article 30 of the New York State Public Health Law.
A.1.1 Brooklyn College Emergency Medical Squad is registered under the New York State Department of Health, and is issued agency code # 07606 by the agency.
A.2 The Brooklyn College Emergency Medical Squad also operates under FDNY-EMS and is identified as 93-J (93-John) within MARS (Mutual Ambulance Response System).
A.3 Brooklyn College Emergency Medical Squad utilizes Methodist Hospital for On Line Medical Control. Upon contacting Online Medical Control the crew must identify themselves as members of Brooklyn College EMS.
A.4 Per Federal and State Law BC- EMS operates under a Medical Director who is the supreme authority over all medical policies. The Medical Director must approve all medical regulations and policies.
1 General Regulations
1.1 No member shall divulge information concerning patients or calls other than the patients name, gender, general impression, and final disposition, to anyone except:
1.11 Medical personnel involved in patient care.
1.12 Brooklyn College Public Safety Chief, the President of Brooklyn College, Vice Presidents or representatives of Brooklyn College Administration are not entitled to receive personal information regarding a call, but at their request non-sensitive information can be relayed to them.
1.13 A friend or relative as to what facility the patient was transported to and the time of transport.
NOTE: Any other requests must be forwarded to the BC-51, BC-52 or BC-50 for approval.
1.14 The information that is given to the Police, FDNY-EMS, and various administrators on campus should be given by hard copy only, NOT via e-mail as per HIPPA regulations. Although the squad is not bound by HIPPA regulations we will follow them all the time.
1.2 If a psychiatric patient is to be transported, a Brooklyn College Public Safety Officer or a police officer shall ride in the back with the patient. The Patient should be transported to the nearest 911 receiving hospital that has the appropriate facilities for the care of the patient.
1.3 While on duty, no member of BCEMS shall be under the influence of any substance, which may impair their mental or physical abilities.
1.4 Members of BCEMS are not permitted to accept gratuities for services. Persons wishing to donate money shall be referred to the Treasurer or the Administrative Director.
1.5 Crew members shall be available for their entire assigned shift unless they have made arrangements with the Scheduling Officer or another squad member of equal or higher duty status to fill in for them.
1.6 Smoking is not permitted:
1.61 In the Ambulance at any time.
1.62 In the office at any time.
1.7 No squad member is to ever give out any information regarding another squad member without the consent of that member or the BC-51, 52, or 50.
1.71 Brooklyn College Emergency Medical Squad should comply with HIPPA regulations at all times.
2 House Rules
2.1 Only members of the Board of Directors are permitted in the Board Office, exceptions to this can only be granted by a board member. All members of the Board of Directors are to receive a copy of the key to the Board office. However, the drawers of the office desk are to be locked at all times, and only BC- 50, 51, 52, 50a, and 57 are to have a key.
2.2 Each Crew Chief is responsible for the cleanliness of the main office during his/her tour of duty.
2.21 When a member opens the squad room he/she is responsible for its cleanliness. But as soon as a Crew Chief opens starts their shift, he/she assumes responsibility for the office and is therefore responsible for its cleanliness.
2.22 All crewmembers are required to make sure the squad is clean before and after every shift. No member is exempt from assisting in this cleaning by virtue of his or her position, such as a board member or Crew Chief.
2.221 Any member who is not assisting in the clean-up of the squad without a sensible reason can be asked to leave the office by the Crew Chief and signed off shift.
2.3 No notices are to be placed on the walls, doors, or other areas within the office without permission from a board member.
2.31 The House Officer or Chief of Operations may remove any article that he/she feels is not proper for display, or is not being cared for in a proper manner.
2.4 The office will not be a sanctuary for any illegal acts or substances. Any illegal act or substance in the squad must immediately be reported to the Chief of Operations or Deputy Chief of Operations who will then notify Brooklyn College Public Safety and the Administrative Director.
2.5 All off-duty members and any visitors are considered to be guests of the on-duty crew. The on-duty Crew Chief may ask anyone other than the BC-51, 52 or 50 to leave the squad room at any time. When the Crew Chief is not in Headquarters, the on-duty Dispatcher is in charge of Headquarters and has the above-mentioned power.
2.51 Squad members on official business are exempt from rule 2.5.
2.6 No animals are permitted in Headquarters for any extended period of time. Any mess created by the animal must be cleaned by whoever brought it in the squad.
3 Staffing
3.1 The minimum crew shall consist of a Driver and a Crew Chief, or a Driver/Crew Chief and an EMT for a transport. To respond to an emergency, only a Crew Chief is needed.
3.11 When using the Ambulance for squad business, or getting gas, a Driver and a Crew Chief, or a Driver/Crew Chief and an EMT are required.
3.12 Should the above requirements not be met, the Ambulance may be used with an “Out Of Service” sign in the window for official squad business only, and with the consent of the crew chief or the BC-51, 52, or 55.
3.2 If there is no Dispatcher signed in, a crewmember will be designated by the Crew Chief to dispatch the call.
3.21 If there are no crewmembers or Dispatchers available, Public Safety will be notified that we will operate on their frequency.
3.3 No Dispatcher Trainee may sign in without a Dispatcher signed in.
3.4 No more than four individuals excluding the patient are permitted to ride on the Ambulance. All crew members and family members are to wear seatbelts when riding in the back of the ambulance.
3.5 Crewmembers are required to notify the base or Scheduling Officer when they are unable to make their regular shift and notices shall be posted accordingly.
3.51 All crewmembers must make reasonable attempts to find a replacement when missing their shift.
3.6 Crew Chiefs and Drivers are required to notify the Scheduling Officer directly when unable to make their shift when a replacement has not been found.
4 Rank Classifications
4.1 Each member’s rank is determined by his/her position in the BC-EMS’ hierarchy, under the Medical Director and The Board of Directors.
4.2 Radio Designation Name
BC-52 Deputy Chief of Operations
BC-53 Training Officer
BC-54 Equipment Officer
BC-55 Safety (Fleet Operations) Officer
BC-56 Communications Officer
BC-56a Deputy Communications Officer
BC-57 Personnel (Records) Officer
BC-58 House Officer
BC-59 Scheduling Officer
BC-60 Faculty Advisor
Med-1 Crew Chief
Med-2 Crew Chief Trainee/Backup Crew Chief
BC-1 Driver
BC-2 Driver Trainee/Backup Driver
BC-Unit 1 Attendant/ Att (t)/ Att (o)
BC-Unit 2 Attendants/ Att (t)/ Att (o)
BC-Unit 3 Attendants/ Att (t)/ Att (o)\
Operations Officers 51, 52, and 60 (when a medical provider).
Administrative Officers 50, 50a, 50b and 57.
Operational and Administrative officers can issue directives as relates to their job responsibilities pending the approval of the Board of Directors.
5 Age and Physical Requirements
5.1 All members who wish to ride on the ambulance must be a minimum of 17 years of age.
5.2 Under no circumstances will a member be allowed to ride as a crewmember on the ambulance if either the Chief of Operations or the Deputy Chief of Operations feels that they are not physically capable of performing all possible assigned duties.
5.3 Medical leaves of absence may be granted by the Personnel Officer after the Chief of Operations, Deputy Chief of Operations, or the Administrative Director recommends it. Medical leaves must be requested in writing, stating your expected length of leave and your medical reason for that leave. When returning from your leave, you may be required to undergo retraining and you may be asked to submit a letter from your physician stating that you are able to return to active duty.
6 Response Area
6.1 Our response area is as follows:
6.11 Brooklyn College Campus and surrounding communities bounded on the north by Glenwood Road, on the Northeast by Flatbush Avenue, on the East by Nostrand Avenue, on the south by Avenue I, on the West by Ocean Avenue.
6.12 Brooklyn College Campus
6.13 Hillel House
6.14 Student Center (SUBO)
6.15 Midwood High School
6.16 Newman House
6.17 Public School 152 & 315
6.18 The BC President’s House. 115 Westminster Rd (E 12) btw. Albemarle Rd. & Beverly Rd.
6.2 If an out of district call is received, the dispatcher should advise the calling party to call 911 for an ambulance or refer them to the volunteer corps covering their area, if there is one.
6.21 If an out of response area call is received from FDNY-EMS, the call should be turned down unless approved by the 51, 52, or 60 (when a medical provider). This should be relayed to the EMS operator.
6.22 These rules are not applicable during a genuine MCI as per MARS.
6.3 No crew is to respond to any house calls, unless they are flagged down.
7 Hospital of Final Destination
7.1 When deciding to transport to a hospital, the Crew Chief will then find, via the dispatcher, the status of that hospital. If the hospital is requesting a diversion the Crew Chief should try and honor the hospital’s request unless the Crew Chief feels it is medically necessary to disregard that request. The Crew is to treat diversions as a courtesy, not as a law.
7.11 If a problem arises with E.R. staff, the Crew Chief should request to speak to the E.R. Administrator. BC- 51, 52 or 60 (when a medical provider), should then be contacted ASAP.
7.2 At no time will a derogatory remark be made concerning a hospital to which a patient wishes to go. All hospitals are to be given equal respect.
7.3 Brooklyn College EMS should transport to the nearest appropriate 911 receiving Hospital. As per REMAC protocols the hospitals BCEMS usually goes to are: Brookdale, Community, Coney Island, Kings County, Beth Israel Kings Highway, Maimonides Medical Center, Methodist, Kingsbrook Jewish Medical Center or appropriate Specialty Center (Cornell Medical Center, Staten Island University Hospital (north) etc. as per DOH and REMAC protocols).
7.31 In some cases, and only with the approval of the BC-51, 52 or 60 (when a medical provider), a patient may be transported to hospital not on the list above. If attempts to reach the above-mentioned officers fail, the Crew Chief may use his/her discretion as to the validity of the request, the stability of the patient, as well as any other pertinent information. The attempts to contact the BC-51, 52 or 60 (when a medical provider), should continue, and once reached they should be made aware of the unusual circumstances, and an incident report filed.
7.32 This does not apply to members of BCEMS or their families when in need.
7.33 Brooklyn College EMS does not transport to any facilities other than 911 receiving hospitals.
7.4 Routine Transports:
7.41 A crew may not perform a routine transport (non-emergency). The Crew Chief should explain that we are not permitted by our New York State Operating Charter to engage in routine transports and that to do so would mean depriving someone of an emergency ambulance.
7.42 Exceptions to this can only be made by BC 51, 52 or 60 (when a medical provider).
8 Relatives or Friends Accompanying the Patient
8.1 Whenever possible, it is desirable to have a relative or friend accompany a patient to the hospital, in the ambulance. This is particularly important in cases where the patient is a minor, unconscious, female, or an EDP.
8.11 The number of relatives or friends accompanying the patient should not be more than two. But under no circumstances may the number of people in the rear exceed four, excluding the patient.
8.12 Under no circumstances shall the number of people exceed the point where it becomes difficult to administer proper patient care.
8.13 No person will be allowed to ride in the ambulance if that person cannot be secured with a seat belt. If young children cannot be secured with a seat belt Brooklyn College Public Safety or the NYPD must be contacted to take custody or transport them to the hospital.
8.2 Emergency workers involved with patient care will be transported to insure continuity of patient care; family or friends in this case should be limited to no more than one and should be placed in the cab of the ambulance.
8.3 A relative or friend who wishes to take a private auto to the hospital will be instructed not to tailgate the ambulance, and that they must obey all traffic laws.
9 Patient Searches and Personal Property
9.1 The crew is responsible for all the patients’ belongings.
9.2 Crewmembers may search the neck, wrist, and ankle areas of the patient for medical alert devices.
9.21 Further searches should only be done by a Police Officer or a Public Safety officer when deemed absolutely necessary.
9.22 The crew may search for the patients ID if the patient is not alert, but should preferably have a Police Officer do it.
9.3 Secondary exams shall be done according to REMAC protocols.
9.4 Any squad member suspected of stealing from a patient will be subject to immediate suspension and other possible disciplinary actions, and if appropriate will be referred to the NYPD or Student Affairs.
9.5 Any found property recovered by a crewmember is to be brought to the Public Safety office at 0202 Ingersoll to be vouchered by the Public Safety department. A log entry by dispatch must include the officer receiving the found property’s name as well as the time and a brief description of the property.
10 Refusal of Medical Aid/Transport
10.1 Aid should not be given to a patient who knowingly and willingly refuses it. Every effort should be made to convince the patient and the family of the need for aid if, in the opinion of the Crew Chief, aid is in fact necessary. OLMC is to be consulted as necessary.
10.2 Any adult patient or emancipated minor who understands what he/she is doing by refusing care can refuse aid. BCEMS will not administer aid to these persons. A minor may not be RMA’d if the EMT feels they need care. PD and Medical Control must be contacted for transport instructions.
10.21 Any patient over the age of 65 years old cannot RMA unless the patient is stable and Alert based on the status of NYS-DOH EMT curriculum. If the patient’s condition is more severe (i.e. High BP) OLMC must be contacted for further instructions. When unsure, the Crew Chief should consult with OLMC about the RMA.
10.22 If a family member signs for the patient, that individual should indicate his/her relationship to the patient on the RMA form.
10.23 The person refusing care must be able to be classified as “Alert” according to NYS-DOH EMT protocols.
10.24 If there is a patient who is not “Alert,” according to NYS-DOH EMT protocols, and wants to RMA, the OLMC Physician must be contacted for approval. If OLMC advises against releasing the patient then they should be kept on scene, if possible, without endangering the crew. FDNY-EMS must be contacted.
10.3 All RMA signatures should be witnessed by a BC Public Safety Officer, Police Officer, Fire Personnel or EMS Personnel, if at all possible.
10.31 All PCR work on RMA’s must be completed in the presence of the patient.
10.4 If while refusing medical aid, the patient and family member refuse to sign the RMA form, BC Public Safety or NYPD should be notified.
10.41 If the call is off campus, NYPD should be called to witness it.
10.5 If care is given and transport is refused, the same procedures as above (10.2-10.41) should be followed.
10.6 A minor as defined in Section 11.1 cannot refuse medical attention. If the call is on campus, Brooklyn College Public Safety must be called to respond on scene.
10.61 The Principal of a school is permitted to sign an RMA if the Crew Chief and principal determine that the minor in question does not need to be transported to a hospital.
10.7 The Crew Chief has at all times, his/her discretion to call FDNY-EMS to assist in the evaluation of the patient if there is a question as to the “Alertness” of such a patient wishing to RMA.
10.8 Any patient that received any medications (Albuterol Sulfate, Epinephrine, Aspirin, etc) and wishes to RMA, OLMC must be contacted and On Line Medical Control Physician’s approval must be made.
10.81 If Epinephrine was administered, Operations must be notified.
11 Minor Patients
11.1 A minor patient is defined as anyone less than 18 years of age unless:
11.11 The minor is emancipated.
11.12 The minor is the parent of a child.
11.13 The minor is enlisted in the armed forces.
11.14 The minor is requesting treatment for STD's drug abuse or child abuse.
11.2 A minor patient must be accompanied by a parent or legal guardian when transported to a hospital, except in the case of medical necessity as determined by the Crew Chief.
11.3 If no relative is present, a responsible adult should be sought, including Police Officers, Brooklyn College Public Safety Officers or school personnel from the K-12 schools.
11.31 The dispatcher will notify BC Public Safety of such emergencies if they occur on campus or the NYPD dispatcher if the call is off campus, should the minor need a legal guardian.
11.4 Under no circumstances should removal to a hospital be delayed while trying to find a responsible adult, if medically necessary.
12 Uniform Regulations
12.1 Only uniform insignia authorized herein are permitted to be worn by squad members.
12.11 The official uniform when on shift:
12.111 The uniform is to be worn by all personnel when on duty during their regularly assigned tour(s) of duty. This includes all individuals who ride as fill-ins or replacements when they have been notified 48 hours in advance. Those members who are called in on short notice for replacement or back-up crews are not required to wear uniform, but these members shall display their ID cards and attempt to borrow a uniform from the storage room.
12.112 The official uniform is a navy polo shirt or white or navy military-type shirt with flap pockets and epaulets.
12.1121 [a] The shirt should have on its right sleeve, a patch denoting your highest medical authority. It should be sewn on 1" below the shoulder seam of your epaulets. On your left arm should be the official Brooklyn College EMS patch sewn neatly 1" below the shoulder seam of your epaulets.
[b] A CPR patch may be worn ½" below one’s highest medical authority.
[c] EMT’s are permitted to wear rockers denoting their advanced training.
[d] Persons who wish to wear an American Flag patch on their shirt may wear it 1" below the right shoulder seam. Patches denoting your highest medical authority shall be worn ½" below the flag.
12.1122 The navy polo shirt or sweatshirt must have identifying logo of BCEMS.
12.12 Special Event Uniforms:
12.121 When on duty during a special event, members must wear a full uniform.
12.122 Full uniform includes: Dark blue uniform pants/skirt, dark shoes (preferably black), dark hose, white uniform shirt and a black belt.
12.3 All uniforms must be kept clean at all times.
13 Paperwork and Documentation
13.1 The Crew Chief is responsible for all documentation on PCRs, incident reports, and unusual occurrence reports that occur on his/her shift.
13.2 The Dispatcher is responsible for the call log sheets and any documentation in the logbook, crew board and call logbook.
13.21 The Crew Chief is ultimately responsible for the Dispatcher’s paperwork.
13.3 An incident report must be filled out for the following situations:
[a] The ambulance is involved in any type of MVA.
[b] The malfunction or disappearance of medical equipment encountered on an emergency.
[c] The ambulance exhibits a mechanical malfunction during emergency operations.
[d] A squad member violates the S.O.P.
[e] All calls regarding a criminal activity/ crime scene including but not limited to:
[f] Patient/Family complaint regarding a crewmember.
[g] Crew experiences difficulty with the E.R. staff.
[h] Crewmember has contact with a possible Infectious Disease.
[I] Security breach of Headquarters/Ambulance.
[j] NYS-DOH protocols were violated.
[k] Any other situation in which the Crew Chief deems it necessary.
In addition, incident reports must be filled out in the following situations:
I. Child abuse/neglect or suspicions thereof.
{Ҥ 415 of the Social Services Law states that, "Reports of suspected child abuse or maltreatment made pursuant to this title shall be made immediately by telephone or by telephone facsimile machine on a form supplied by the commissioner. Oral reports shall be followed by a report in writing within forty-eight hours after such oral report. Oral reports shall be made to the statewide central register of child abuse and maltreatment unless the appropriate local plan for the provision of child protective services provides that oral reports should be made to the local child protective service." Oral Reports of suspected child abuse or maltreatment shall be made by calling the NYS Child Abuse and Maltreatment Register at: 800-635-1522}
Should the crew come upon a call where a violent crime, sexual assault or rape occurred, on campus, BC Public Safety must be notified and the crew must wait for their arrival. If the same type of emergency should occur off campus, NYPD must be notified and crew must wait for their arrival unless high priority transport is medically necessary. Do not confront or accuse any individuals on scene.
III. Obvious/Pronounced death
13.31 Incident reports or unusual occurrence reports must be submitted to Operations unless grievance is with BC-51, then it is to be given to BC-52 or the next highest Board Member not involved.
13.4 DOCUMENTATION of On Line Medical Control:
If at anytime OLMC Physician was contacted, the Crew Chief must identify himself as Brooklyn College EMS. Crew Chief must document on the PCR, the Physician’s Name and NYS License number and must fill out appropriate BC-EMS OLMC form.
13.5 Documentation of Exposures
13.51 In the event of an accidental exposure to chemical agents or infectious pathogens, seek medical attention immediately and submit an incident report within 2 working days. The report is to be submitted in a sealed envelope to the attention of the Administrator.
14 Medical Equipment Inspection
14.1 At the beginning of each shift all riding members are to check one bag or the bus.
14.11 Devices such as the traction splints, O2 regulators and tanks, stair chair, scoop, BP cuffs, etc. must be physically tested to assure that all parts are present and in proper working order.
14.12 The Attendants (or the Crew Chief) shall complete all required checklists.
14.121 The checkout sheets must be filled out completely and signed by the Crew Chief.
14.2 All irregularities shall be brought to the attention of the Crew Chief who shall in turn contact the Equipment Officer.
14.21 If the irregularity is a major factor in keeping the ambulance operational, the Equipment Officer (or in his absence, Operations) shall be contacted immediately.
14.3 The Crew Chief is ultimately responsible for ensuring the presence and condition of any Equipment.
14.4 It is the responsibility of the driver, at the beginning of his/hers shift, to check out the bus.
14.5 After a call, it is the responsibility of the on-duty crew to check and replace all equipment used on the call. Nevertheless, the next crew that signs on is still responsible to check out all the kits whether or not they were used.
14.6 Decontamination of Equipment:
14.61 All equipment is to be kept clean, and, where applicable, sterile.
14.611 Any equipment that has come into contact with bodily fluids is NOT to be placed into kits, but is to be held separately to be decontaminated.
14.612 All disposable items used on a call are to be thrown out in the proper waste containment units.
14.613 All non-disposable equipment is to be brought back and decontaminated as per NYS-DOH protocols.
14.6131 If non-disposable equipment is contaminated, then the Crew Chief is to be told and the matter should be brought to the Equipment Officer’s attention. In his/hers absence, an Operational Officer must be notified ASAP.
14.62 It is the on-duty Crew Chief’s responsibility to clean and decontaminate the equipment. No attendant is to clean the equipment without a Crew Chief or operational officer present.
14.63 In the unlikely event that contaminated equipment is put into a kit, the whole kit is to be decontaminated. All equipment is to be dealt with as stated in 14.612-14.613. If decontaminating a kit from blood, spot-checking the kit with peroxide for contact will suffice. If other fluids were present the bag is to be taken out of service and cleaned according to NYS DOH protocols. The kit is to be taken out of service and will remain out of service till placed back into service by the Equipment Officer or in his absence an operational officer.
15 Squad Out Of Service
15.1 If it becomes necessary to put the squad out of service during peak hours due to a lack of a Crew Chief, Operations shall be notified immediately.
15.11 If the squad must be shut down due to a lack of a Crew Chief, a replacement Crew Chief should be contacted immediately.
15.12 An immediate investigation shall be made by Operations in the case of a staffing problem, and disciplinary action is mandatory where warranted.
15.121 If a Crew Chief misses a shift without securing a replacement and therefore the squad must be shut down, this Crew Chief may be reprimanded at the consent of Operations Officers.
15.2 When closing the squad at the end of the day, the following must be done:
15.21 All radios will be turned off and returned to their respective chargers.
15.22 The ambulance will be put away.
15.221 The mileage shall be recorded in the logbook and the power supply shall be plugged in.
15.23 The Dispatcher shall notify BC Public Safety of the fact that we are closing, get the name of the Officer, sign off the air, and turn off the base station. All of the preceding actions must be logged in the logbook.
15.24 When locking up, the Crew Chief, or last remaining officer shall make sure all doors and windows are locked and the alarm is turned on. Additionally, he/she is responsible for making sure the office is clean prior to leaving.
16 Leaving Equipment at the Hospital
16.1 Only disposable items should be left at the hospital and, whenever possible, replacement items should be requested from the on-duty nurse.
16.2 If unable to retrieve non-disposable equipment during the same tour, the next shift’s Crew Chief shall be requested to attempt to retrieve the equipment.
16.21 All non-disposable equipment left at the hospital should be documented in the logbook, and the Equipment Officer shall be notified.
16.3 Any equipment left behind which is required under the NYS DOH part 800.21 mandates that the ambulance be placed “OUT OF SERVICE” (with sign visible on dashboard) until the item(s) can be retrieved or replaced, and the BC-51, 52 or 60 (when a medical provider), will be advised of such withdrawal from service no later than the close of the affected shift.
17 Change of Tour
17.1 It is the responsibility of the oncoming crew to note any problems with Headquarters, the ambulance or radio equipment in the logbook and to notify the proper officer and the next crew.
17.2 If the on-duty crew is on a call when the time comes for the next crew to take over, the on-duty Crew Chief remains the Crew Chief until his/her return to Headquarters.
17.21 In the event of a second simultaneous call, the on-duty Crew Chief will be notified and his/her instructions will be followed.
18 Scheduling
18.1 Vacant Positions:
18.11 If two members want the same position on a shift, the member without a steady shift shall have priority over the member who already has a scheduled shift.
18.111 If two members hold more than one shift, and are competing for the same shift, the member with fewer shifts shall get the shift.
18.12 If two members are competing for the same shift and neither have a shift, then the member with the most time served will get the shift.
18.2 Filled Positions:
18.21 If one member is pulling two or more shifts, that person may be asked to give up one of his/her shifts, so that someone else who has no shift may pull a shift.
19 Officer Responsibilities
19.1 Administrative Director
19.2 The Administrative Director shall oversee the Emergency Medical Squad to assure that it is in compliance with applicable laws, and College policy. If any deficiencies are found he/she is to present them to the Chief of Operations to correct. If the Chief of Operations does not deal with the issue, he/she can take the complaint to the Presidential Advisory Committee or Student Affairs.
19.3 Prepare annual budget in consultation with the treasurer of the BC-EMS and present it to the Board of Directors for approval, and then to the Presidential Advisory Committee for review.
19.4 Report, advise, and meet with the Presidential Advisory Committee for Emergency Medical Care.
19.5 Ensure that the BC-EMS has all applicable licenses and permits for the operation of the ambulance and Emergency Medical Squad.
19.6 Develop long term fiscal plan for BC-EMS to make major purchases (eg. Ambulance); Seek alternative sources of funding (eg., grants.)
19.7 Liaison with BC-EMS Chief of Operations.
19.8 Assist in the implementation of the recruitment and training plan for members of the BC-EMS.
19.9 Liaison with the Dean of Student Affairs or her designee to assure that expenditures are in accordance with the University’s Fiscal Accountability Guidelines and other policies and procedures of the College.
19.10 Attend BC-EMS Board meetings and Student Affairs Executive Committee meetings.
19.11 Consult with the BC-EMS Faculty Advisor from time to time, as appropriate
19.12 The Administrative Director shall report to the Dean of Student Affairs or her designee, and shall submit a monthly activity report to the Dean of Student Affairs, in addition to an annual report.
19.13 Coordinate with Facilities/Planning regarding area related issues.
19.14 Designated officer under the Ryan White Act. Responsible for seeking medical help for any requesting crew member. Maintain up-to-date BC-EMS infection control plan.
19.15 Serve as patient care ombudsman.
19.16 Other related duties, as assigned.
19.17 Responsible to submit for review upon the request of the BC-51, 50a, or 57, any squad paperwork requested.
19.18 Assist in implementing club policies and administrative duties as requested by the Board of Directors or treasurer, as appropriate.
19.19 Responsible to submit his/her employment hours and duty log to the Personnel (Records) Officer, who is to forward them to the Office of Student Affairs for review and approval. Failure to submit required hours may result in his/her not being paid
19.2 Chief of Operations
19.21 Serves as President of the club and is responsible for supervising all officers. Responsible for making sure that each officer and member is doing his/her prescribed jobs. Is the ultimate authority on Operational issues, under the Medical Director. Responsible for all disciplinary actions, in conjunction with the BC-57.
19.22 Responsible for reviewing PCR’s, notifying Crew Chiefs of any deficiencies and notifying the QA/QI committee as necessary.
19.23 Reports to the NYS DOH Area Office.
19.24 Responsible for the auditing and mailing of PCR’s to NYS DOH.
19.25 Is the designated liaison to the DOH area office.
19.26 Is the Chair of the Board of Directors.
19.27 Is to meet periodically with the Dean of Student Affairs/ or her designee to discuss squad operations.
19.3 Deputy Operational Director
19.31 Responsible to the Chief of Operations
19.32 Supervisor of all operational and non-operational officers.
19.4 Training Officer:
19.41 Responsible for training of all Attendants and Crew Chiefs and for the certification of all Attendants and Crew Chiefs.
19.42 Responsible for keeping the Personnel Officer abreast of all new Crew Chiefs, Crew Chief Trainees, Attendants and Attendant Trainees.
19.43 Responsible for arranging CPR, Blood Bourne Pathogens, and first aid classes, as needed, and student placement in these classes.
19.44 Responsible for the development of a training policy.
19.45 Responsible for the development of in-service training for crews.
19.46 Responsible for monitoring undesirable medical practices.
19.47 Responsible for use and maintenance of training mannequins.
19.5 Equipment Officer:
19.51 Responsible for inventory of all medical equipment and supplies.
19.52 Responsible for replenishing of equipment and supplies including necessary purchases and repairs.
19.6 Safety (Fleet Operations) Officer:
19.61 Responsible for the training and certification of all drivers.
19.62 Responsible for maintenance of the ambulance, including the supervision of all repairs, preventive maintenance and daily inspections.
19.63 Responsible for supervision of all drivers and all unsafe driving practices.
19.64 Responsible for the development of a safety policy.
19.65 Responsible for all paperwork regarding all ambulance operations.
19.7 Communications Officer:
19.71 Responsible for maintenance of all communications equipment, including all radios, beepers and phones.
19.72 Responsible for all dispatcher training and for the certification of all dispatchers.
19.73 Responsible for the development of a communications policy.
19.74 Responsible for the supervision of all dispatchers.
19.75 Responsible for the maintenance of all Dispatcher/Communication supplies.
19.76 Responsible for the proper logging of all calls in the database.
19.77 Deputy Communications Officer
19.78 Supervisor of all Dispatchers.
19.79 Responsible for administrating the dispatcher exam.
19.791 Responsible to the Communications Officer.
19.8 Personnel (Records) Officer:
19.81 Responsible for processing all new members.
19.82 Responsible for keeping a file on every member. This file will include, but is not limited to, member’s application, picture, and changes in status, certifications, licenses, and disciplinary notices. A medical file of required information will be kept by the 57, with only the 51, 57, and 50 having access.
19.83 Responsible for sending notices relating to squad functions and meetings.
19.84 Responsible for seeking and maintaining all members’ positional qualifications.
19.85 Responsible for keeping a record of all the employment hours of the BC-50 and forwarding them to the Office of Student Affairs.
19.86 Responsible for all the paperwork of the squad. Is to consult with the treasurer in maintaining financial records.
19.87 Is the Chair of the Disciplinary Committee.
19.9 House Officer:
19.91 Responsible for maintenance of Headquarters, including cleanliness, furniture, bulletin notices and repairs.
19.92 Responsible for ordering new uniforms and office supplies for the squad.
19.100 Scheduling Officer:
19.101 Responsible for filling openings in shifts.
19.102 Responsible for seeking and maintaining all members’ availability for shift.
19.103 Responsible for setting policy regarding scheduling and keeping a record for SERVA, when requested.
19.200 Public Relations Officer:
19.201 Responsible for arranging blood pressure and membership drives.
19.202 Responsible for setting up crews for special events and first aid demonstrations to public schools.
19.203 Responsible for maintaining a good public relations policy in order to insure the good name of BCEMS.
19.204 Responsible for press releases relating to regular squad activities. Press releases relating to issues that may need to involve the college administration and/or be a public interest must be coordinated with the college’s Public Relations Office.
19.205 Before issuing any press releases, the Public Relations Officer will consult the Chief of Operations and the Administrative Director, and if appropriate the college’s Public Relations Office.
19.206 Liaison between the Board of Directors and the General Membership.
19.207 Function as the advocate for the General Membership
19.208 Help create recruitment plans.
19.300 Treasurer
19.301 Responsible for the custody of all squad funds in conjunction with the Administrative Director And Chief of Operations, and compliance with the rules governing Brooklyn College Club Fees as mandated by the CUNY fiscal guidelines.
19.302 Responsible to receive all monies due to the squad and deposit in the name of the squad in the Central Depository.
19.303 Responsible to keep a detailed and accurate record of all funds received and disbursed by line.
19.304 Responsible to produce upon request of the Administrative Director, Chief of Operations, Presidential Advisory Committee, or Board of Directors a complete report of the financial condition of the squad, and present the report at the specified Board, Advisory or General Membership meeting.
19.305 Consult with the Administrative Director in the preparation of the annual budget, which will then be submitted to the Board of Directors and Presidential Advisory Committee for approval.
19.306 Responsible for implementing payment to the Administrative Director as per his/her contract with the squad.
19.307 No payment orders may be signed in advance and left to be filled in at a later date. Payment Orders must be filled out only when they’re due.
19.400 Secreta