STANDARD OPERATING GUIDELINES APPROVED: Chief Tyler Schmidt

March 8th, 2013

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ELDRIDGE FIRE DEPARTMENT

STANDARD OPERATING GUIDELINES

Table of Contents pg. 1 Mission Statement pg. 2 Membership pg. 4-7 Drivers License and Personal Property Insurance pg. 8 Workers Compensation pg. 9 Attendance / Training Requirements pg. 10-12 Personal Protective Equipment and Uniform Apparel pg. 13 Critical Incident Stress pg. 14 General Rules pg. 15 Information Release Guidelines (HIPPA) pg. 16

Communicable Diseases pg. 17 Occupational Exposure to Blood-Borne Pathogens pg. 18-23

Incident Command System pg. 24-25 Radio Procedures pg. 26-28 General Response Procedures pg. 29 Personnel Response Procedures pg. 30 Apparatus Response Procedures/Driving Policy pg. 31-33 EMS / Truck / Equipment Checks pg. 34 Emergency Medical Response pg. 35-36 Hazardous Materials Spills or Releases pg. 37 Fire Scene Procedures pg. 38-40 Motor Vehicle Accidents, Rope Rescue and Trench Rescue pg. 41-42 Biological Terrorism Procedures pg. 43-44 KNOX Box Procedures pg. 45 Tower 1 Operations pg. 46-47 Securing Tools and Equipment pg. 48 All Probationary and Active members have a responsibility to become familiar with and follow the department’s SOG’s (Standard Operating Guidelines). Personnel who do not follow the guidelines of the department may be subject to disciplinary action. APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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ORGANIZED 1904

Eldridge Volunteer Fire Co., Inc.

ELDRIDGE, IOWA

52748

MISSION STATEMENT

The Eldridge Volunteer Fire Company, Incorporated has been serving its residents, visitors and commuters for 100 years. The department is committed to protecting lives and property regardless of race, sex religion or creed. Tragedy can strike anywhere at any given time. We strive to do our best to help all people while remaining as safe and professional as possible. The department has been in service for 100 years and keeps

these promises every day. Being an all-volunteer service, we are special because at any given moment, we may be called away from our family to tend to the needs of another. We still complete our tasks and do not complain. The department is a very progressive department trying to keep up with all of the national standards. The members are very

dedicated spending countless hours training, keeping equipment inline and housecleaning of our station as well as responding to numerous emergency calls. We will continue to

serve with the spirit and pride long standing within the Eldridge Fire Department.

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MEMBERSHIP 1. The membership of the organization will consist of six (6) classifications:

• Applicant • Probationary • Active • Leave of Absence • Past • Retired (5 years of service minimum)

2. All Members (with the exception of Retired) must reside or be employed within the City of Eldridge, Iowa, or the portion of the First Fire District covered by the department and who are at least 19 years of age, hold a high school diploma (or GED) and physically capable of discharging the duties of the position at the time of appointment, will be eligible for application to membership in the department APPLICANTS

a. All prospective applicants must submit an application for membership to the Membership Committee. Successful applicants will be placed on a waiting list in the order of receipt. The Membership Committee, upon a declared vacancy, will make a recommendation on an applicant from the waiting list to the membership for a vote. This recommendation will take into consideration the eligibility and availability of the candidate.

b. Applicants may be denied membership pending the outcome of a background check and a driving record. c. Applicants must attend a business meeting or have been present at a sufficient amount of trainings to introduce themselves to the membership prior to their probationary vote being held. d. Applicants will be voted on at a regularly scheduled business meeting after a report on the applicant by the Membership Committee. e. Applicants may attend the business meeting upon invitation from the Membership Committee but may not be present in the room for the discussion and vote. f. If an applicant is unsuccessful in receiving enough votes to join the department, they may resubmit to the Membership Committee after six (6) months to be reconsidered but must follow the prescribed applicant procedures as before. Each applicant may only submit their name to the department a total of three (3) times. g. The Membership Committee will notify applicants not selected for the vacancy. h. Applicants will not have any voting privileges.

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PROBATIONARY

a. Members must serve a probationary period of one (1) year. Upon completion of this period the members present at a regular meeting will vote upon the probationary member, with recommendation of the Membership Committee. If the probationary member receives the simple majority vote of the voting members present, they become an active member, in good standing, of the department. The member will qualify for office by taking the oath of office prescribed by the EFD Bylaws.

b. All probationary members are required to receive any necessary inoculations. If the follow up inoculations are missed at the fault of the probationary member, it shall be their personal responsibility to reschedule and pay for the inoculations.

c. Probationary members will not operate any piece of equipment or apparatus of the Eldridge Fire Department nor that of any other fire department without first being properly trained and/or certified in the operation of said equipment as directed by the command staff. d. Probationary firefighters will not take part in any interior fire attack operations until such time as they have received the proper training in said operations and have been cleared for these activities by the command staff. e. Probationary firefighters shall not drive any fire apparatus to the scene of any alarm until the command staff has cleared them. (May drive non-emergency, at the direction of the command staff) ACTIVE a. If a member is absent from a majority of trainings and meetings, the member will be referred to the Membership Committee to seek a resolution. Possible solutions may be: 1) Demonstrate the willingness to participate within 30 days or request a leave of absence. 2) Be placed on retirement status (if qualifications are satisfied) 3) Referred to the Chief of the department for dismissal. RETIRED Retirement eligibility will be based upon the following criteria or by the recommendation of the Membership Committee: a. Any member who has served the department for ten (5) years or more with good standing may ask, in writing, to be placed on the retirement list. As a retired firefighter, they will be exempt from active duty except, as the member will choose to participate. The member will be entitled to attend social functions upon invitation by the membership. b. Any eligible member may be assigned Retirement status by virtue of the following:

o The Membership Committee recommends to membership that it be in the best interest of the department and/or the best interest of the individual that the member be placed on Retirement status.

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o The member who is recommended for Retirement status must be notified by certified return receipt mail at least fourteen (14) days before a vote will be taken at a regular business meeting.

o Retirement status is approved by simple majority vote of the voting members present at that regular business meeting.

c. Retired members will not have any voting privileges. d. Retired Members will not respond to the scene of any emergency call or operate any fire apparatus or equipment. LEAVES OF ABSENCE a. A leave of absence shall be required if an active member shall be absent for twelve (12) or more weeks. b. A request for a leave of absence shall be in writing and given to the Membership Committee within thirty (30) days (except in extreme hardship) in which the leave will take effect. Such request shall include the beginning date, duration, and reasons for leaving. c. Members with at least one (1) year of service may request for leave of absence. e. If a leave of absence is not received in writing, it may be considered as a resignation and the individual in question must reapply to regain membership. f. If the member returns within one (1) year of leave of absence and can demonstrate the necessary skills and/or meets all current requirements, the member may be returned to the previous position the member held. g. If member returns after two (2) years they must return as a firefighter. h. If member returns after three (3) years they must return as a probationary member. i. If member returns after four (4) years they must reapply to become a member. j. All other leaves not addressed herein shall not be unreasonably denied but must be requested in writing and be presented to the Membership Committee. Pregnancy Leave a. Pregnancy, childbirth or related medical conditions and recovery there from will be treated as any other non-work related disability. b. The members requesting the pregnancy leave shall present a doctor’s statement verifying when the member’s condition requires her to take leave and she will present a doctor’s statement following the birth or miscarriage or other related medical disabilities as to when the member is able to return to active duty. c. A pregnancy leave of not more than twelve (12) consecutive weeks in conjunction with the birth or adoption of a new family member shall be considered a reasonable purpose for leave of absence and shall not be denied.

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Military Leave a. Eldridge Fire Department will grant military leave in accordance with chapter 29A of the Iowa Code and any applicable Federal Regulations. Medical Leave of Absence b. Members with at least one (1) year of seniority who have exhausted all other leaves will be granted leave of absence, not to exceed one (1) year provided the appropriate medical verification is submitted. Family and Medical Leave a. Members will be granted up to twelve (12) weeks of leave per calendar year, (12 month period), for the birth of the member’s child, placement of a child with the member for adoption or for foster care, and in the case of a serious health condition where the member must care for their spouse, child, or parent. c. Upon return from leave the member on family medical leave will be returned to previous or an equivalent position prior to taking family medical leave with the equivalent terms and conditions. d. Member must give thirty (30) days advance notice to the Membership Committee of the need to take medical leave when it is foreseeable for the birth or placement of a child for adoption or foster care, or for planned medical treatment. e. When it is not practicable under the circumstances to provide such advance notice, (i.e. pre-mature birth, etc.), such notice must be given “as soon as practicable”, but no later than forty-eight (48) hours after the member learns of the need for such leave. f. The member must provide medical certification and verification from a health care provider to support the request for the family medical leave and upon return, the member must provide medical certification that the member is able to return to duty. 3. Any member of the department may be dismissed for cause, as defined in the EFD

Bylaws. 4. Charges made against a member must be made in writing and filed with the Fire Chief. The member against whom the charges are filed must be notified by certified mail within seven (7) days of filing. APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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DRIVER’S LICENSE and PERSONAL PROPERTY INSURANCE 1. Personnel must have a valid driver’s license prior to driving department

apparatus and vehicles. 2. Pursuant to Section 321.176A.2, volunteer firefighters are exempt from being

required to have a commercial driver’s license (CDL). 3. All personnel shall provide a copy of their license upon renewal. 4. Personnel are required to follow the EFD Emergency Driving SOG’s while

responding on a call. 5. If a volunteer member of the department, while driving his/her personal vehicle

on official department business, is involved in a vehicle accident, his/her personal vehicle insurance is the primary coverage with the EFD as secondary.

6. It is imperative that the law enforcement agency with jurisdiction be notified

immediately and the required paperwork be completed. He/she must then report the accident to his/her insurance company and the department’s vehicle accident report should also be completed.

7. If at any time a member has their license revoked for any reason or is required to

have SR-22 insurance filing, they must notify the Chief immediately and will NOT operate any department vehicles until their license is reinstated and/or SR-22 insurance filing is no longer required and proof of such given to the Chief.

8. Failure to notify the Chief of driving privilege status changes and/or the

requirement of SR-22 insurance may result in dismissal from the department.

APPROVED

Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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WORKERS COMPENSATION 1. In the event of an injury sustained in the line of duty acting in the capacity of a

volunteer firefighter, department personal are covered under the work comp policy for the State of Iowa.

In case of a life threatening workplace injury, injured worker notifies his/her supervisor and is transported immediately to a hospital ER. Injured worker’s supervisor then contacts the Chief or his/her designee to report the injury and completes the necessary paperwork.

In case of a non life threatening workplace injury, injured worker notifies his/her supervisor and injured worker or his/her supervisor immediately will gather information and call the Chief or his/her designee to help injured worker access appropriate medical treatment. Remember: That the prevention of accidents, injuries, and occupational illnesses is a primary goal of the department and that all personnel conduct their activities in the safest manner possible.

APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed : Origination Date: November 2009

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TRAINING/ATTENDANCE REQUIREMENTS 1. Each member of the department is encouraged to attend as much department sponsored training and functions as possible. a. Each Member is required to attend at least eight (8) monthly member meetings annually. b. Each Member is required to attend at least eight (8) monthly truck inspection/station cleaning days annually. 1st Tuesday: 6 pm Training/Monthly business meeting 3rd Tuesday: 6 pm Training Every Sunday AM Truck check/Station cleaning c. All members are expected to participate fully in all major projects/functions sponsored by the department such as, but not limited to: a. Fire prevention week b. Open Houses c. City Events 2. All probationary members are required to participate in and successfully complete a Firefighter I course (at the departments expense) prior to advancing to full membership status. If the probationary member is a previously certified Firefighter I-II, they will still be required to fulfill the one (1) year probationary period and NOT operate in a structure fire until certified by the Chief or by his/her designee. 3. Fire department members shall participate in at least 24 hours of continuing training annually, selected from the following subject areas. a. Personal Protective Equipment and respiratory protection b. Structural firefighting techniques including Standard Operating Guidelines c. Ground ladders d. Hose and hose appliances e. Ventilation f. Forcible entry g. Search and rescue techniques h. Firefighter safety i. Incident Management System or Incident Command Systems j. Emergency vehicle driver-operator h. Hazardous materials first responder – operations level i. Emergency Medical Service (EMS) training j. Additional training based on Standard Operating Guidelines k. Other OSHA related training, such as blood borne pathogen protection l. Specialty training such as confined space entry, vehicle extrication, rescue techniques, wildland or agricultural firefighting techniques m. Emergency Response to Terrorism n. Any other training designed to meet local training needs NOTE: Training to meet this requirement may also be provided by the fire service training bureau, a community college, a regional fire training facility, a local fire department, or any combination thereof.

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3. The Department will provide all required training (including CEH) to each member (at the departments expense) at regular scheduled training times with reasonable make up dates. If a member fails to be present for any of the department sponsored training it becomes the members responsibility to obtain the training to remain compliant, the department MAY reimburse the member for any out of pocket expense. 4. The Department will pay for training (if funds are available) on the following schedule: a. Firefighter II and instructor b. Haz-Mat up to operations level c. Any class sponsored by local agencies (Iowa/Quad Cities) that meet EFD criteria and are approved by the Chief. d. Fire Schools approved by the Chief. e. Medical up to the department’s current level. a. If a member fails to successfully complete any class the department WILL require the repayment of any fees including: tuition, books, supplies, travel, and room/board. b. The member will sign a contract with the department prior to enrollment in an EMT/FR class stating the following but not limited to: a. Agrees to participate with the department as stated in the SOG’s for calls, meetings and events for a minimum of three (3) years or will repay the department for the remainder of the obligation, total cost divided by the remaining days. 5. All members of Eldridge Fire Department are required to undergo communicable disease

training in recognition and prevention of communicable diseases within 90 days of the member’s affiliation with the department and on an annual basis thereafter.

a. Content and extent of communicable disease training shall be consistent with the Iowa Department of Public Health standards and with the OSHA standard on which this document is based, 29 CFR 1910.1030. 6. All active members are required to have current certification: a. Haz-Mat Awareness b. Blood Borne Pathogens c. CPR (American Heart) 7. All members that have a medical certification are required to maintain all required certifications. 8. Regularly scheduled training sessions, special training sessions, i.e.: initial EMS Certificate courses, are all considered department sponsored training. CEH’s are granted for attendance at the EMS training courses when available. 9. Any member of the department including Probationary members and medically and physically restricted personnel, may be assigned to support operations that serves in a capacity excluding structural fire fighting at an emergency incident. a. Support operations members shall have training based on the duties the member might perform at an emergency incident. These assignments may be temporary

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based upon release from, or completion of, the factor limiting the individual’s on- scene activity. b. Upon request and approval of the Chief or his/her designee, they may be permanently assigned. c. These personnel are not to be engaged in any activity requiring the use of SCBA (self-contained breathing apparatus) or any interior fire attack. d. If permanently assigned to support operations, the member may not be required to complete the Firefighter I course. The member will fill the need of the support operations division including, but not limited to: exterior support, engineers, rehab, EMS, traffic control etc. 10. If a member fails to meet the minimum required number of training hours or sessions, the member may be subject to progressive disciplinary actions as determined by the Chief and/or the Membership Committee. 11. It is the responsibility of each member to insure that their attendance is documented for each alarm to which they respond and for each training or special function which they attend. 12. Personnel will not operate any department apparatus or equipment without first being

properly trained and successfully completing check offs, approved by the Chief or his/her designee.

APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed : Origination Date: November 2009

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PERSONAL PROTECTIVE EQUIPMENT and UNIFORM APPAREL 1. All personnel shall be issued the following Personal Protective Equipment (PPE):

- Bunker Coat - Bunker Pants - Helmet w/eye protection - Boots - Gloves (Extrication and Fire Fighting, can be combined at the Chiefs

discretion) - Nomex Hood - Flashlight - SCBA facepiece

a. Any additional personal equipment carried by the member is the responsibility of the individual and must be approved by the Chief.

b. Any time that a department member finds a piece of equipment that is damaged or in need of repair said individual shall report this to the Chief as soon as possible.

c. All personnel will be sized for the proper fit of a SCBA facepiece annually. Once a size has been determined, personnel should wear only this size. d. Any time that a department member finds a piece of equipment that is damaged or in need of repair, said individual shall remove the item from service and report this to the member assigned to equipment. APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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CRITICAL INCIDENT STRESS DEBRIEFING 1. In the event that a critical incident occurs which involves Eldridge Fire

Department personnel, the Chief or his/her designee shall contact the department’s chaplain (if available) and/or Quad City Regional Critical Incident Stress Management team to conduct a defusing/debriefing. This contact may be during or immediately following an incident.

Examples of critical incidents are: a. Line of duty death b. Serious injury to emergency personnel c. Serious multi-casualty incident d. Suicide of emergency worker e. Traumatic/sudden death of children f. Serious injuries to children g. Events with excessive media interest h. Victim known to emergency personnel i. An event that has an unusually powerful impact on personnel APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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GENERAL RULES 1. No member shall respond to any alarm, meeting, communicate by radio, operate

any department owned equipment, participate in any training or activity of the department while under the influence of alcohol or any controlled substance.

3. The members of Eldridge Fire Department will not remove animals from trees, poles, or water obstacles (open or ice covered) unless it can be achieved without putting members in danger. 4. Each Member will be responsible for the conduct of visitors they bring into the department. At no time is any combination or key for the department to be given to any non-member of the department including friends and family members. 5. Any equipment issued to personnel, at the expense of the department, must be returned upon retirement or dismissal from the department. 6. No member will be guilty of using insulting, indecent or improper language, be guilty of conduct unbecoming of a gentleperson, or otherwise bring disgrace upon the department. Any member guilty of this behavior may be dismissed from the department at any time. 7. Any member of the department may be dismissed for misconduct or abuse of authority as provided in the city human resource guideline manual. 8. Charges made against a member must be made in writing and filed with the Fire Chief. The member against whom the charges are filed must be notified by certified return receipt mail within fourteen (14) days. 9. Should physical abuse occur between two or more members, the parties to such act may be immediately suspended. Pending further investigation and recommendation of the membership committee the parties may be released from the department. 10. No property of the Department will be removed from the station unless approved

by the Chief or his/her designee. Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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REPORT RELEASE INFORMATION (HIPPA) Any and all statements concerning an incident or specifics thereof to the press will be made through the Chief or his/her designated PIO (Public Information Officer). Firefighters will not speak to the press without approval of a senior officer. If additional information is requested, only office telephone numbers are to be provided.

The only exception shall be in reporting of response information to the media. As directed by the Chief the designated person in charge of reports shall deliver the information including: types of calls, address of structure fires, haz mat calls, and major incidents. No names or addresses of EMS calls may be given.

A news release may be issued after major incidents to which the department responds. The Administrative Assistant or Public Information Officer, when available, may prepare and issue the news release upon the direction of Command following the news release template. Review the following “Information Release Guidelines” to determine what “can and cannot” be released. Records Retrieval

- Records are available Monday – Friday, 9-3 p.m. (excluding holidays) - Records are only available from the Chief or his/her designee at a cost

determined by the Eldridge Fire Department. - Firehouse EMS patient reports are confidential and can only be obtained in

person by the patient or by the legal guardian. - Another person only through a court order or subpoena may obtain confidential

EMS patient records. For clarification, a confidential EMS patient record includes vehicle accident reports and all pages, including the NFIRS report.

- NFIRS reports must be sent to the Iowa State Fire Marshal’s office for statistical compilation.

APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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Eldridge Fire Information Release Guidelines

Personal Injury Accident/Crash Fire With or Without Injuries Just the facts… and only if positively known: CAN release hot zone boundaries & media safety zone CAN release and spell your name; provide your title CAN release and spell your name; provide your title CAN release how call was received by 911 center CAN release how call was received by 911 center CAN release address of fire and time of call CAN release address of crash and time of call CAN release what seen on arrival (e.g., smoke, fire, etc.) CAN release how many vehicles were involved CAN release what firefighters encountered (e.g., heat) CAN release number of apparatus/manpower CAN release number of apparatus/manpower CAN release if medical helicopter used CAN release number of patients transported to hospital

CAN release if civilians, firefighters, or police injured, but not by name

CAN release what hospital(s) CAN release if medical helicopter used CAN release and acknowledge any fatalities CAN release number of patients transported to hospital CAN release gender of patient(s) CAN release what hospital(s) CAN release safety hints (i.e., ice, fog, snow, etc.) CAN release and acknowledge any fatalities CAN release outside agency or mutual aid help CAN release gender of patient(s) CAN release bystander assistance provided CAN release safety hints (e.g., smoke detectors, etc.) CAN release crash investigation done by law enforcement CAN release outside agency or mutual aid help ------------------------------------------------------------------------------ CAN release bystander assistance provided CAN’T identify specific vehicle(s) with patient(s) CAN release fire investigated by Arson Investigator CAN’T release names, addresses, cities or ages CAN release damage estimates structure/contents CAN’T speculate or release why crash happened CAN release how fire started if positively known CAN’T release if special hospital (e.g., psychiatric) CAN release if fire accidental and under investigation CAN’T release treatment provided to patient(s) CAN’T release prognosis of patient(s)

CAN confirm and release owner’s name if news media provide name

CAN’T release disease, disability or injury of patient(s) ---------------------------------------------------------------------------- CAN’T release patient(s) health history CAN’T release if civilians were same family or friends CAN’T release names, addresses, cities or ages CAN’T release whether all lived at same address as fire CAN’T speculate why fire happened

CAN’T release crime nature – gunshot, abuse, or suicide

*Note: Patients are free to release their own information, and patients can consent to be interviewed by news media. *Note: The same rules apply to animals and/or pets involved. APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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COMMUNICABLE DISEASES The following section is written per OSHA 29 CFR 1910.1030, the standard on Occupational Exposure to Blood-Borne Pathogens. 1. EXPOSURE CONTROL PLAN

DEFINITIONS

a. Blood

Blood means human blood, human blood components, and products made from human blood.

b. Blood-Borne Pathogens

Means pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, hepatitis B virus and human immuno deficiency virus.

c. Contaminated

Means the presence or the reasonably anticipated presence of blood or other potentially infectious materials on an item or surface.

d. Decontamination

The use of physical or chemical means to remove, inactivate, or destroy blood borne pathogens on a surface or item to the point where they are no longer capable of transmitting infectious particles and the surfaces or item is rendered safe for handling, use, or disposal.

e. Exposure

A risk of contracting an infectious disease.

f. Significant Exposure

Defined as the transmission of blood or other potentially infectious fluids of a patient onto a mucus membrane (mouth, nose, eyes) of an emergency care provider, or the transmission of blood or bloody fluids onto an open wound or lesion with significant breakdown in the skin barrier, including a needle puncture with a needle contaminated with blood. (IAC 641-11.46)

g. HBV

HBV means Hepatitis B Virus.

h. HIV

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HIV means Human Immuno Deficiency Virus.

i. Infectious Materials

The following are human body fluids:

a) Semen, vaginal secretions, cerebral spinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids.

b) Any unfixed tissue or organ (other than intact skin) from a human

(living or dead).

c) Urine, feces, and vomitus.

j. Regulated Waste

Liquid or semi liquid blood or other potentially infectious materials, contaminated items that would release blood or other potentially infectious materials in a liquid or semi liquid state if compressed, items that are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during handling, contaminated sharps, and pathological and microbiological wastes containing blood or other potentially infectious materials.

k. Source Individual

Any individual, living or dead, whose blood or other potentially infectious materials may be a source of occupational exposure to an employee.

l. Universal Precautions

An approach to infection control wherein all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, and other blood borne pathogens.

2. TRAINING AND ORIENTATION

a. All members of Eldridge Fire Department are required to undergo training specific to this standard and in recognition and prevention of communicable diseases within 90 days of the member’s affiliation with the department and on an annual basis thereafter.

b. Content and extent of communicable disease training shall be consistent

with the Iowa Department of Public Health standards and with the OSHA standard on which this document is based, 29 CFR 1910.1030.

3. VACCINATIONS

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Hepatitis B vaccinations shall be made available to employees, at no cost to the individual, within 10 working days of initial assignment unless the employee has previously received the complete hepatitis B vaccination series, antibody testing has revealed that the employee is immune, or the vaccine is contraindicated for medical reasons. TB testing will be completed during the FF’s annual physical as required.

a. An employee who declines to accept the vaccination shall sign the

vaccination waiver form.

b. If an employee initially declines but later decides to accept the vaccination, it shall be made available at that time.

4. RECORD KEEPING

a. The department will keep a record of any and all exposures to blood or potentially infectious materials for each member. These records will be kept for the duration of each member's affiliation with the department and for 30 years after said member’s termination of affiliation.

b. All records pertaining to a member’s exposure history and medical follow-

up will be kept confidential with access to said records being limited to the member and only those others as named by written consent of the member.

c. Training records shall be maintained and include the dates and content of

the session, the name and qualifications of the instructor, and the name and job titles of attending employees.

5. CONTROL METHODS

a. Members have the responsibility to observe universal precautions, in that all human body fluids shall be considered potentially infectious materials and treated as if known to be infectious for HIV, HBV, and other blood borne pathogens.

b. Employees have the responsibility to use available appropriate personal

protective equipment when a reasonable likelihood of occupational exposure exists. Gloves shall be worn when it can be reasonably anticipated that the employee may have hand contact with blood, other potentially infectious materials, mucus membranes, non-intact skin, and when handling or touching contaminated items or surfaces. In the event an employee temporarily and briefly declines to use personal protective equipment under rare and extraordinary circumstances and it was the employee’s professional judgment then in the specific instant it was used would have prevented the delivery of health care or public safety services or would impose an increased hazard to the employee’s safety the circumstance shall be investigated and documented in order to determine whether changes can be instituted to prevent such occurrences in the future.

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a) Immediately after contact with a potentially infectious individual or

situation regardless of whether gloved or not, the employee will:

1) Wash their hands and any other contact of skin with anti-bacterial soap and water immediately or as soon as feasible after removal of gloves or other personal protective equipment.

2) Refrain from eating, drinking, smoking, applying cosmetics,

or handling contact lenses while in any areas of reasonably expected occupational exposure.

3) All equipment intended for reuse, which has a reasonable

likelihood of being contaminated, shall be cleaned and decontaminated immediately after use. Approved facilities of cleaning and decontamination include the shop sink in Station 1 bays, the shop sink in laundry room at Station 2, and the slop sink in the laundry room at Station 4. At no time shall contaminated items be brought into living quarters.

4) Garments that are penetrated by blood or other potentially

infectious materials shall be removed immediately or as soon as possible for decontamination and/or disposal and any underlying infected skin thoroughly washed.

6. Contaminated needles and other contaminated sharps shall not be bent,

recapped, sheared, or broken, but shall be placed in an appropriate puncture resistant labeled and leak proof sharps container for proper disposal or storage as evidence.

7. It is the member’s responsibility to ensure that any equipment or environmental

work areas which become contaminated be decontaminated immediately or as soon as feasible with an appropriate disinfectant or ensure that the equipment and/or work area be secured from further contact until such arrangements can be made.

8. All properly secured needles and other sharps, contaminated personal protective

equipment intended for disposal, cleanup waste, and other contaminated items or regulated waste intended for disposal shall be placed only in leak proof, closed, and properly color coded or labeled containers for disposal.

9. Bleach is to be applied to the blood or body fluid contaminated surface. This

surface is then to be flushed with copious amounts of water. Other means of disinfecting the area may be necessary if bleach could cause damage to the contaminated surface.

10. PERSONAL PROTECTION EQUIPMENT

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a. Exam gloves shall be worn when it can be reasonably assumed that a member may have contact with blood, other potentially infectious materials, mucus membranes, and/or non contact skin when performing IV catherization procedures, oral intubation procedures, and when handling or touching contaminated items or surfaces.

b. Eye and face protection shall be worn whenever splashes, spray, splatter,

or droplets of blood, or other potentially infectious materials may be generated and eye, nose, or mouth contamination can be reasonably anticipated.

c. Appropriate protective clothing such as but not limited to gowns, aprons,

lab coats, clinic jackets, or similar outer garments shall be worn in situations where gross contamination can be expected and/or depending upon the degree of exposure anticipated.

11. BLOOD-BORNE PATHOGEN EXPOSURE RESPONSE PROCEDURE

a. The designated office for Eldridge Fire Department is Genesis Occupational Health, 3319 Spring Street, Suite 103, Davenport, Iowa, 52807. Telephone number 563-324-0696.

b. The following procedures shall be followed in the event of an exposure to

blood or bodily fluids. All procedures should be conducted and completed within two hours of exposure per the Center of Disease Control (CDC).

a) The exposed member travels to the appropriate facility and goes

to the emergency room. (The employee should go to the same facility that the source person is going to: Genesis East, Genesis West, or Trinity at Terrace Park.) Should the source be transported to an Illinois facility or out of area in a helicopter flight service, the exposed employee should go to Genesis East for testing.

In the event of a sharp contamination, the sharp (needle, catheter, etc.) should be packaged in a sharp container, tagged as evidence, and transported with the employee.

b) The emergency room doctor will determine whether the incident is

a significant exposure or a contact.

1) If the incident is deemed a contact, First Aid measures will be instituted if necessary and the employee will return to work with the appropriate paperwork (i.e., the Iowa Department of Public Health Report of Exposure to Infectious Disease and a Workers' Compensation Claim form).

2) If the incident is deemed a significant exposure, the blood-

borne pathogen post exposure evaluation will be completed. This evaluation shall include:

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- exposure details, the date, the time - the route - circumstances in which the exposure occurred - the source name, history if known - Hepatitis B tetanus vaccination status

c) The source follow-up. The emergency room staff shall complete

pre-counseling and shall draw appropriate lab work (HIV-rapid: HbsAg, Anti-HCV).

d) The emergency room staff will develop a treatment plan.

e) The employee shall complete the Iowa Department of Public

Health report of exposure to infectious disease sheet, along with the worker’s compensation claim form.

- The emergency room staff shall draw appropriate lab work

(HIV, Anti-HbsAg, Anti-HCV). - The emergency room staff shall draw an extra tube for CBC

and BCP (keep on hold). - The emergency room staff shall receive the source lab results. - The emergency room staff shall consider the need for HIV

drug therapy. - The emergency room staff will counsel the employee on drug

therapy before initiating medications, giving the drug information sheet.

- The emergency room staff shall draw baseline lab work, sign the appropriate consents before dispensing the medication.

- The emergency room staff shall update Hepatitis B vaccination and tetanus as necessary and shall make a follow-up appointment for the exposed employee with Trinity Work Fitness.

- The employee shall then be discharged to return to work or home if deemed appropriate.

12. If a lay person/bystander is exposed to blood or other bodily fluids from a patient

they are to be directed to go to the emergency facility where the patient was transported (at their own expense). This would allow for follow-up to occur if they are exposed to any blood-borne or communicable disease.

APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: July 2009 Reviewed: Origination Date: July 2009

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INCIDENT COMMAND SYSTEM 1. INTRODUCTION

a. The Incident Command System is designed to be used for all types of emergencies and is applicable to both small day-to-day situations as well as very large and complex incidents. ICS was designed to be easily adaptable to any type or size of emergency. The ICS should be utilized on all calls responded to by Eldridge Fire Department.

b. The Incident Command System is designed to begin developing from the

time an incident occurs until the requirement for management and operations no longer exists. The structure of the ICS can be established and expanded depending on the changing conditions on the incident. On smaller scale incidents, the Incident Commander may function in one or more capacities.

c. The system can be used for any type or size of emergency ranging from a

minor incident involving only a few units to a major incident involving several agencies. The ICS allows agencies to communicate using common terminology and operating procedures. ICS is designed to be used in response to emergencies caused by fires, floods, tornadoes, hazardous materials, mass casualty situations, or any other large scale or complex incidents.

2. SYSTEM COMPONENTS and FUNCTIONAL AREAS

a. Command is responsible for the overall management of the incident including vehicle placement, vehicle utilization, personnel deployment, the development and implementation of strategic decisions and for approving the ordering and releasing of resources.

b. The Operations Officer shall be responsible for overseeing and directing

the tactical operations to achieve the strategy. Activates, directs and supervises operations in accordance with the Incident Action Plan and directs its execution. Directs the preparation of operational plans, makes expedient changes to the Incident Action Plan as necessary and reports such to command.

- Obtain briefing from Incident Command - Implement incident action plan - Supervise operations - Review sector assignments and incident activities with subordinates

and assign tasks - Determine need and request additional resources - Coordinate activities between sectors - Report information about special activities and occurrences to Incident

Command

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c. Planning is responsible for the collection, evaluation, dissemination and use of information about the development of the incident and status of resources.

- Obtain briefing from Incident Command - Assist in preparation of incident action plan - Compile and document incident status information - Perform predictions on incident potential - Identify need for specialized resources - Water supply - Advise Incident Command of any significant changes in incident

status - Prepare plan to disengage personnel and equipment

d. Logistics is responsible for providing facilities, services, and material in

support of the incident. This division participates in development and implementation of the Incident Action Plan and activates and supervises the branches and divisions within the logistics section.

e. Finance is responsible for all financial and cost analysis aspects of the

incident and for supervising members of the finance section.

f. The Safety Officer shall be responsible for overseeing all operations to insure they are being performed in a safe, efficient manner, for monitoring and assessing the hazardous and unsafe situations and developing measures to ensure personnel safety.

- Obtain briefing from Incident Command - Identify hazardous situations associated with the incident - Protective clothing properly worn - Tools and equipment used correctly - Identify potentially unsafe situation - Participate in planning meetings - Exercise emergency authority to stop/prevent unsafe acts - Investigate accidents that have occurred within incident area

APPROVED Tyler Schmidt , Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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RADIO PROCEDURES 1. All radio traffic is to be made using clear speech. All calls will be dispatched

using clear speech. The initial report from dispatch will be in the form of an abbreviated message (i.e., heart attack, house fire, injury accident, etc.) Once responding units have acknowledged receipt of the call and inform Dispatch that they are enroute, the dispatcher may offer additional information if available.

2. If available, each officer (or others designated by the Chief) will be issued a

portable radio. ALL members will be issued pagers. All personnel are responsible for any equipment issued to them.

3. The primary radio talk group will be SCOTT COUNTY FIRE, NORTH TOWER

and the dispatching of calls will occur on this talk group. The Incident Commander may designate FireGround 1, 2 or 3 as the operating talk group at an incident.

4. The dispatcher on the initial page will repeat the location and nature of alarms

only twice. 5. When calling Dispatch, repeat the message only twice unless the traffic is of an

immediate and emergency nature. 6. When a fire department vehicle is placed enroute, the officer or senior firefighter

shall inform Dispatch, identifying the vehicle and the crew count.

a. Officers or apparatus that are responding directly to the scene should advise Dispatch that they are “en route to .... (scene)”

Example: Dispatch, Squad 3 is en route to 21508 Utica Ridge Road.

b. Officers or apparatus that are responding to a station or location other

than the scene should advise Dispatch that they are “en route to ... (location other that the scene)”

Example: Dispatch, 120 is en route to Station.

7. When an apparatus arrives on scene, the officer shall notify Dispatch giving a

brief size-up report.

This report will answer the following questions:

Who is command? The answer to this question lets responding units know who to direct questions to. The first arriving officer may pass command to a later arriving officer.

What do I have?

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The answer to this question will be a brief description of the scene.

What am I doing? The answer to this question will let responding units know what your initial plan of action is.

What do I need?

The answer to this question lets other responders know what is needed at the scene.

Where additional apparatus should stage?

Specify the location.

Example of first arriving apparatus: Dispatch, Engine 1 is on scene at 516 S. 8th Street... (Dispatch 10-4...) Dispatch ______ will be in command. We are on scene of a split-level single family residence with light smoke showing from the upper floor. We are making an interior attack. Next in engine lay a supply line. We will also need positive pressure ventilation set up as soon as possible.

Example of second arriving apparatus:

Dispatch, Engine 2 is on scene at 516 S. 8th Street... (Dispatch: 10-4…) Command, Engine 2 is on scene with a crew of two, requesting staging location and assignment.

Example of third arriving apparatus:

Dispatch, Tanker 1 is on scene at 516 S. 8th Street... (Dispatch: 10-4...) Command, Tanker 1 is on scene with a crew of two, requesting staging location and assignment.

Examples of condition statements:

Nothing Showing Smoke Showing, estimate the amount of smoke Flames Showing, estimate the amount of flame Fully Involved, how many rooms, number of floors involved

8. Before leaving the scene, the officer shall inform Dispatch that their apparatus is

clear of the scene and their status.

Example: Dispatch, Engine 1 is clear from 516 S. 8th Street. The LAST OFFICER will clear the scene, all units to terminate the call.

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9. All NFIRS reports are to be entered into Fire House as soon as possible (Goal:

24 hours of when the call occurred). They should be entered immediately after the call, since recollection is best at this time. The officer in charge should make sure that someone is assigned to complete the report. The initial report must be turned in as soon as it is completed. Follow-up reports, narratives, fire investigation reports, and any other supplemental reports may be submitted after the initial report has been entered. However, these other reports should also be completed as soon as possible. Supplemental reports (at a minimum) must have the date, location, and report number of the call on them to make it easier to attach them to the original report.

APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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GENERAL RESPONSE PROCEDURES

1. Structure fires within our jurisdiction 1st Squad 3 with a maximum of four (4) personnel. 2nd Engine 1 with a maximum of six (6) personnel. 3rd Tower 1 with a maximum of five (5) personnel. Minimum of two (2) personnel, one authorized operator

4th Tanker 1 with a maximum of two (2) personnel. 5th Engine 2 with a maximum of two (2) personnel 2. Mutual-Aid assistance, structure fire 1st Engine 1 with a maximum of six (6) personnel. 2nd Tanker 1 with a maximum of two (2) personnel.

a. Tower 1 as requested and authorized by command staff.

b. Squad 3 will not leave our service area unless instructed to by command staff or if requested for a rescue situation.

3. Mutual-Aid assistance stand-by at their station. 1st Engine 1 with a maximum of six (6) personnel.

4. Mutual-Aid assistance for tanker operation 1st Tanker 1 with a maximum of two (2) personnel. 2nd Engine 1 with a maximum of six (6) personnel.

5. Grass and Brush Fires, including mutual aid 1st Engine 2 with a maximum of two (2) personnel. 2nd Brush 4 with a maximum of three (3) personnel. 3rd Tanker 1 with a maximum of 2 personnel. 6. Vehicle Fires 1st Squad 3 with a maximum of four (4) personnel. 2nd Engine 1 with a maximum of six (6) personnel.

7. Vehicle Accidents and Rescues 1st Squad 3 with a maximum of four (4) personnel. 2nd Engine 1 with a maximum of six (6) personnel. 3rd Brush 4 with a maximum of three (3) personnel.

8. EMS Calls Squad 3 with a maximum of four (4) personnel (MUST have an EFD EMT/FR or know that one is responding to the scene or MEDIC on scene) Engine 1 with a maximum of six (6) personnel (MUST have an EFD EMT/FR or know that one is responding to the scene or MEDIC on scene)

9. Station Stand-By When directed to stand by at our station, personnel should proceed non- emergent to the station and be prepared to respond with the appropriate apparatus. The IC will notify dispatch when prepared for response. APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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PERSONNEL RESPONSE PROCEDURES 1. Personnel should make every effort to respond to the station. If all apparatus are gone, contact the IC with the number of personnel standing by. Staffing updates and suggestions are not needed. The purpose is to inform the IC that at least one member is standing by and available.

2. Probationary Members MUST report to the station. They MAY be called to the scene by the command staff only.

3. Personnel may respond to emergency scenes in their private vehicle when the responding member is in the immediate vicinity of the call. Any time that it is necessary for personnel to respond to the scene of an emergency, said response is to be made in accordance with all applicable traffic laws. 4. Blue lights maybe used by members of the Fire Department in compliance with state law. Each Firefighter is responsible for maintaining proper state permits in each vehicle using a light.

5. Personal vehicles are not to respond to calls on Highway 61 unless requested to do so by the command staff.

6. Upon arriving at the scene of an alarm, all private vehicles are to be parked in such a manner so that they do not obstruct traffic flow nor interfere with on-scene operations.

ADDITIONAL RESPONSE

1. Incident Command should advise responding apparatus and personnel to cancel or continue their response depending on the need for additional personnel. If requested to cancel, personnel are to respond to the station to standby until cleared by command.

APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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APPARATUS RESPONSE PROCEDURES 1. All firefighters shall be in the cab, no one will be allowed to ride on the outside of any apparatus. 2. All personnel riding in any fire department vehicle should be seated with seatbelts in place any time said vehicle is in motion. 3. When responding to any alarm the driver is responsible for operating the apparatus in a safe manner within the departments guidelines. 4. If any fire department vehicle is involved in an accident, whether responding to

an emergency call or otherwise, said vehicle shall remain at the accident scene until released by a police officer. The departments vehicle accident policy including drug and alcohol policy shall be followed. Dispatch, Incident Command, and the Chief are to be notified immediately by cell phone or radio if possible.

FAILURE TO MAKE A VERBAL REPORT TO THE CHIEF(S) IMMEDIATELY FOLLOWING A COLLISION WITH A DEPARTMENT VEHICLE MAY RESULT IN IMMEDIATE DISMISSAL OF ALL MEMBERS WHO WITNESSED OR WERE INVOLVED IN THE COLLISION. IF DAMAGE IS FOUND ON A VEHICLE AND NOT REPORTED TO THE CHIEF(S), THE MEMBER(S) THAT WAS LAST ASSIGNED TO THAT VEHICLE MAY BE HELD RESPONSIBLE FOR THE DAMAGE. 5. The driver of each vehicle is responsible for making sure that the apparatus and equipment is back in a state of readiness upon return to the station. This includes making sure that the fuel tank is at least 3/4 full. 6. At no time will an Eldridge Firefighter drive or operate a vehicle belonging to another department or agency, unless directed by command staff. 7. New members with driving privileges will be oriented to the Eldridge Fire Department Driving Instruction Program which includes: a. Didactic training: a. State of Iowa Code(s) governing Authorized Emergency Vehicles b. Eldridge Fire Department policy on emergency and non- emergency driving: 1. Scene safety 2. Use of safety devices 3. Use of lights and sirens 4. Allowable speed 5. Backing of vehicles 6. Cell phone/PDA restrictions 7. Reporting of accidents b. Practical driving training

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a. Probationary: Observe emergency driving techniques and assist with map directions. b. Probationary: Performs all non-emergency driving duties under the supervision of an officer. c. Members: Performs all emergency and non-emergency driving duties under the supervision of an officer when available. 9. New members with driving responsibilities must successfully complete an initial driving test under the supervision of a designated evaluator as part their driving certification process. Components of this practical assessment include: a. Rig check b. Location of various physical addresses c. Traffic awareness d. Demonstration of emergency and non-emergency driving proficiency 10. Eldridge Fire Department will provide members with annual driving education. 11. Remediation training will be conducted on an individual basis as necessary based upon an employee’s driving performance. 13. The Department reserves the right to suspend or revoke members driving privileges due to improper vehicle usage. 14. Members will operate Eldridge Fire Department vehicles according to Department policy, unless specified as set by Iowa State Motor Vehicle Law sections 321.231, Authorized Emergency Vehicles: The driver of an authorized emergency vehicle, when responding to an emergency call…may exercise the privileges set forth in this chapter. The driver of any authorized emergency vehicle may: Park or stand an authorized emergency vehicle, irrespective of the provisions of this chapter. (Note: may park an emergency vehicle on streets or highways when necessary) Eldridge Fire Department policy requires that, operators will use the vehicle as defensive blockers protecting the members working at the scene if possible) Disregard laws or regulations governing direction of movement for the minimum distance necessary before an alternative route that conforms to the traffic laws and regulations is available. (Note: An emergency vehicle may travel the wrong way on a one-way street when necessary to the nearest intersection, where an alternative route is available.) The operator may: Proceed past a red or stop signal or stop sign, but only after slowing down as may be necessary for safe operation. Exceed the maximum speed limits so long as the driver does not endanger life or property. The exemptions granted to an authorized emergency vehicle shall apply only when such vehicle is making use of an audible signaling device or

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visual signaling device. (Eldridge Fire Department policy requires that when responding to an emergency call, the warning devices on the vehicles should be in operation unless terminated by the officer in charge of the vehicle. PD may ask that no lights or sirens used during sensitive operations as well. 15. Use of cell phones/PDA’s is NOT ALLOWED by the driver if the vehicle is not on PARK. 16. Collisions/Accidents/Moving Violations and Chargeable Collisions involving Department vehicles a. Any collision/accident/moving violation/chargeable collision involving a Department vehicle will result in the following disciplinary action(s): First Offense: Any collision will result in a written warning and driver training Second Offense: Any collision may result in dismissal 17. Many accidents occur while backing. In order to avoid backing accidents a spotter shall be used at all times when available. 18. If possible avoid backing. When parking, position the apparatus so that you will not be required to back up when leaving. Do not start to back up when unsure of the area. Do not put the apparatus in reverse gear before coming to a complete stop. a. If backing is necessary, make a reasonable attempt to get someone to act as a spotter. If a spotter cannot be obtained, get out of the apparatus and walk around it completely to survey the backing area. Before proceeding to back the unit, be sure to check the overhead clearance. b. Make verbal and visual contact with the spotter. If you cannot hear or see the spotter, don’t back up. APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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EMS EQUIPMENT CHECKLIST

EMS personnel must do thorough checks of medications and equipment as required by the Scott County EMS Protocol, pharmacy agreement, and department policy.

a. EMS Protocol indicates the departments EMT/FR members are

responsible for checking all EMS equipment monthly. b. The agreement between Eldridge Fire Department and the departments

Pharmacy requires that all medications be checked for expiration dates during monthly truck checks.

TRUCK/EQUIPMENT CHECKLIST 1. A weekly check of all equipment should be performed a. any missing or damaged items shall be replaced if possible. If a replacement is unavailable, notify the Chief or his/her designee to reorder. b. any non-functioning item shall be repaired immediately. If the repair is out of the departments scope of ability, notify the Chief or his/her designee so the proper repair company can be contacted. c. all checks shall be recorded on the current truck checklist. APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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EMERGENCY MEDICAL RESPONSE Emergency Medical responses shall be as outlined as in Iowa State Code: Chapter 147A EMS COMMAND 1. EFD will not make the scene unless it is known that an EMS certified member or MEDIC

is on scene or en route. 2. The ranking officer or the most senior firefighter will assume the roll of “Incident

Commander” and will be responsible for the overall scene. The most highly trained, senior/EMS-qualified firefighter will assume overall control of the patient(s). It will be the responsibility of the IC to provide any and all support to the EMS providers as needed, but to remain in control of the scene.

EMS SCENE RESPONSIBILITIES 1. When EFD is the first to arrive on such a scene, (prior to the arrival of the ambulance) the

most highly trained, senior/EMS-qualified firefighter will immediately assume the primary responsibility of patient care. This individual will maintain and continue to assume that responsibility until such time as patient care is formally transferred to a more qualified and more highly trained individual or entity exhibiting the appropriate, verifying credentials or the EFD IC directs otherwise based on concerns for the immediate safety and welfare of EFD and other scene personnel.

3. When EFD arrives on a scene after the ambulance, the EFD IC will order the most highly

trained, senior/EMS-qualified firefighter responding to assume the role of EMS officer, and as such, offer any assistance as necessary to the ambulance personnel. No other EFD personnel are to enter the scene unless specifically ordered to by the IC or the EMS Officer.

4. DOCUMENTATION a. Documentation of EMS responses and the patient care rendered is the responsibility of the care provider.

b. Any time that patient care is provided, an EMS narrative must be written detailing the care provided.

PERSONAL SAFETY 1. All Dispatches to suicides, attempted suicides, domestic assaults, fights or mental

subjects will be considered hazardous responses. 2. Safety vests should be worn to clearly identifying members of the fire department at a

scene, especially at a hazardous response. 3. Do not enter the scene of any hazardous location until law enforcement has arrived and

rendered the scene safe. 4. Provide medical assistance to the injured without disturbing the scene. (our safety and

patient care is our top priority) 5. Make note of the scene and provide law enforcement with details of what they observed

and did on scene.

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6. Do not secure any weapons or collect physical evidence at the scene unless properly

trained and only under the direct supervision of law enforcement personnel. 7. If the safety of a scene starts to decline, personnel should exit until law enforcement

regains control. APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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HAZARDOUS MATERIAL SPILLS OR RELEASES 1. All responses to Hazardous Materials incidents should be made from the upwind and/or

uphill side and apparatus is to be placed at a distance deemed to be safe by the initial command officer.

2. Any senior officer shall be notified of all hazardous materials incidents, all additional

response agencies and resources will then be directed by the chief or command officer. 3. Advancement into a hazardous materials incident will be prohibited until approved by the

incident commander. Additionally, mitigation/containment activities will be delayed until rehabilitation and decontamination needs have been met.

4. All personnel on the scene of any hazardous materials incident will wear the appropriate

protective gear, including SCBA, until directed otherwise by the incident commander. 5. The following individuals and agencies may be requested to respond as need dictates in

the event of a hazardous materials incident: • Law Enforcement Agencies • Iowa Department of Transportation • Iowa Department of Natural Resources • Scott County Health Department • Bettendorf haz-mat team • Scott County Emergency Management • Davenport haz-mat team • Fixed Site Manager\Carrier\Manufacturer (CHEMTREC)

This list is not inclusive. Any and all contacts may be necessary depending upon the situation designates at initial contact or during the event. REMEMBER: Call immediately and early during an incident if the potential for assistance from any agency exists. APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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FIRE SCENE 1. The Company Officer on the first arriving fire apparatus will be responsible for the initial

size-up and fire attack. This individual will be responsible for incident command until relieved by a higher ranking officer. This officer is also responsible for making a radio report informing dispatch and all incoming fire units of the situation and the conditions encountered, this report shall also include the initial action being taken to mitigate the hazard.

2. Determine if a KNOX BOX is located on the property and access. 3. The Driver/Operator of the responding apparatus is to remain with the vehicle upon

arrival at the scene and is responsible for operating the pump at the direction of the IC. 4. The Driver/Operator is also responsible for any and all equipment removed from the

vehicle. 5. Driver/Operator responsibilities should be turned over to an engineer if one becomes

available on the scene, or prior to leaving the station. AUTOMATIC FIRE GROUND PROCEDURES 1. All EFD members will work under the two firefighter policy, and will only pair up with other

EFD personnel. “Run With Our Own” Do not mix into other departments unless directed to do so by the command staff.

2. The first arriving Engine Company has responsibility for the initial size-up and fire attack,

they will also be charged with search and rescue tasks as the need arises. 3. The second arriving Engine Company has responsibility for establishing a water supply to

the fire ground. Once water supply has been set up extra personnel are to report to staging as back-up attack personnel.

4. On fire alarms occurring in high-rise and, or properties protected by sprinkler systems,

the first arriving Engine Company is responsible for establishing a hook-up to the sprinkler and stand-pipe systems.

The personnel assigned to truck company operations, the duties are as follows: a. Ventilation; vertical, horizontal, or positive pressure. b. Secondary search and rescue. c. Back-up fire attack crew as directed. d. Salvage and overhaul.

f. Assigned personnel are responsible for establishing a rehabilitation/medical division at all fire alarms.

g. An SCBA exchange area shall be set up on all alarms where their use is required ie: fire, hazardous materials, and confined space rescue alarms.

H. Apparatus/companies that are not assigned a division or responsibility are to standby at a designated staging area.

5. Upon verification of a major alarm the Incident Commander may request Dispatch to

contact the following personnel and agencies as their presence becomes necessary: • Gas and Electric Company • Water Company • Ground Ambulance Service • Air Ambulance Service • Mutual-Aid Fire Companies

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• Fire Investigators • State Fire Marshal • City Attorney • City Administrator • Public Works Department

6. Full personal protective gear will be required of all personnel at all fire scenes. Only those

persons not directly involved in fire ground operations and any personnel in rehabilitation will be exempted from this requirement.

SELF CONTAINED BREATHING APPARATUS WITH PASS DEVICE (SCBA) 1. A SCBA shall be worn and used by all personnel working in areas where the atmosphere

is hazardous, a hazardous atmosphere is suspected, or where the atmosphere may rapidly become hazardous. In addition, a SCBA is required any time that personnel are working below ground or in a confined space.

2. An SCBA shall be worn during all fire suppression and overhaul operations on structure,

vehicle and dumpster fires. SCBA shall also be required of all personnel involved in roof ventilation operations, hazardous materials incidents and any time the IC feels there is an environment to necessitate the wearing of this equipment and shall determine when it is safe for personnel to remove their SCBA.

3. Firefighters using SCBA shall operate in teams of two with a back-up crew of two in the immediate area. 4. Beards and/or goatees shall be prohibited for all members of the Eldridge Fire

Department who are required to don SCBA. INTERIOR ATTACK (At the discretion of the IC) 1. A minimum of two firefighters manning a 1 3/4” hose line will be required to initiate an

interior fire attack. 2. On fire calls to high-rise properties the initial attack crew shall establish control of the

buildings elevators. 3. All primary attack crews will be backed up by fully geared crews positioned so as to

provide protection to the attack crew and to protect the escape routes of all interior crews. 4. When an interior attack is utilized, appropriate ventilation of the structure shall be

conducted. 5. All efforts should be made to open windows and doors in their normal manner, when

ventilating, to prevent unnecessary damage.

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DEFENSIVE ATTACK (At the discretion of the IC) 1. On order of the IC or the Safety Officer, in the event that fire conditions or structural

integrity has deteriorated to the point of being a threat to interior personnel, an evacuation command will be issued over the radio and an evacuation signal shall be sounded consisting of all apparatus sounding their high-low siren. The signal shall be sounded until all personnel have been evacuated from the structure. Dispatch will also page Eldridge Fire pagers and announce the evacuation. All personnel are to leave the structure immediately.

2. All interior operations shall be suspended and all personnel evacuated from a structure

prior to initiation of an exterior attack operation. APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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MOTOR VEHICLE ACCIDENTS 1. The first arriving crew at a vehicle accident will first perform an inner and outer scene survey. The first arriving EMS provider shall enter the vehicle and provide C-Spine immobilization. 2. Control of all accident scenes shall utilize the Incident Command System. 3. All accident victims will be stabilized as needed before being removed from a vehicle involved in and accident. 4. All personnel working in direct proximity to a vehicle shall be outfitted in proper protective gear as necessary. 5. Only EFD personnel trained in the operation of rescue equipment will be allowed to operate said equipment at the scene of an accident. ROPE/HIGH ANGLE RESCUE The Eldridge Fire Department is neither trained nor equipped to perform most high angle rope rescues and will contact the mutual aid departments with the proper equipment and training for assistance. 1. Only personnel trained in the methods and uses of rope and rope rescue will be allowed to be directly involved in a rope rescue operation. Any other personnel responding to a call of this nature will be placed in a support role. 2. Ropes have been designated as either rescue lines or haul lines, only lines designated as rescue lines are to be used in rescue operations or training evolutions. Haul lines are for lifting or moving equipment only, a rescue line should never be used as a haul line. 3. At the completion of a rescue or training operation, all lines and hardware used will be checked for wear or damage and cleaned before being placed back in service. 4. All ropes are to be cleaned by washing in clear water, and then being hung up to dry, out of the sun. Ropes should be cleaned after every use. TRENCH RESCUE (LOW ANGLE) The Eldridge Fire Department is neither trained nor equipped to perform most trench or low angle rescues and will contact mutual aid departments with the proper equipment and training for assistance. “The primary hazard in a trench rescue is a secondary collapse while the rescue effort is underway.” 1. Keep all vehicles and equipment at least 150 feet away from the collapse area and walk up to avoid a secondary collapse. Shut down any vehicles not needed for the operation to avoid vibration.

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2. Consult immediately with site Foreman or crew to assess the nature of the emergency and to determine rescue considerations. 3. Take immediate action to secure the area by taking the following steps: a. Halt any nearby traffic. b. Check for electrical, gas, or water hazards. c. Monitor for flammable vapors and for oxygen deficient atmospheres. d. Place “ground pads/timbers” around the trench lip, to distribute weight. e. Set up a tape line to control the scene and establish a safety zone. APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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BIOLOGICAL TERRORISM RESPONSE The Eldridge Fire Department is neither trained nor equipped to perform most biological terrorism responses and will contact the mutual aid departments with the proper equipment and training for assistance. Purpose: These guidelines are intended to provide the Eldridge Fire Department with background information and initial actions recommended in regard to suspected or confirmed biological terrorism (bio-terrorism) responses. Personal Safety

Safety of Fire Department personnel at a suspected or confirmed bio-terrorism incident is of paramount importance. Responding members will utilize full personal protective equipment (PPE) including full structural firefighting clothing, self-contained breathing apparatus (SCBA) and latex gloves. It will be the responsibility of the Incident Commander (IC) to constantly evaluate conditions and determine whether or not Eldridge Fire Department personnel can operate safely at the scene.

Incident Types Most responses can be categorized into one of these two types: TYPE I: A suspicious package/item, opened or unopened, that has been handled by the building occupants. The contents are unknown; still contained and there is limited exposure to occupants. TYPE II: A suspicious package/item that has been handled and opened by building occupants which contains an unknown substance. Contents are unknown; NOT contained and the degree of exposure is undetermined. Response Response to suspected bio-terrorism incidents will be made by the Rescue with an EMT if possible and an Engine Company. The IC will request: Medic Ambulance Medic Supervisor Davenport Haz-Mat Bettendorf Haz-Mat Additional resources as required. On Scene Actions EFD personnel will take actions to mitigate Type I and Type II suspected bio-terrorism incidents in a defensive manner, with the safety of firefighters and civilians being of our number one priority. Responders should follow these basic guidelines:

• Utilize Incident Command System • Respond cautiously, Take Defensive (Safe) Positions • Isolate the incident • Evacuate/Detain occupants on site if Necessary • Summons appropriate resources • Seal the area and asset the Haz-Mat team • Notify appropriate authorities

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Based on the dispatch information and developing size-up, the responding IC may have Dispatch communicate preliminary instructions to the occupants via telephone prior to arrival. These instructions may include: 1. All occupants are to remain in the building until Fire Department arrival 2. The building’s HVAC systems should be shut down. 3. The facility owner/supervisor shall meet Firefighters at the building entrance. For Type I Incidents An entry team of two firefighters shall enter the building to recon, seal and remove the suspicious package/item. The entry team shall wear full PPE and shall enter with a digital camera and plastic sealing materials. The entry team shall be equipped with a portable radio. A back-up team of two firefighters in full PPE will be in service as long as the Entry Team is in service. For Type II Incidents

An evacuation team of two firefighters shall, from safe positions, assist with evacuation and detention of the building occupants. The entry team shall wear full PPE. A back-up of two firefighters in full PPE will be in service as long as the Evacuation Team is in service. A support team in appropriate PPE shall be available to isolate the surrounding area with scene tape to limit entry/exit and for emergency decontamination if required. EFD will summons the assistance of a formal hazardous materials team to mitigate the emergency.

Containment For a Type I incident, seal the item in two layers of plastic. Wear full PPE and SCBA during this procedure and keep contact with the item to a minimum. Wash hands thoroughly with soap and water, shower and launder clothing as soon as possible following the incident. Exposure Should civilians be encountered when arriving at a suspected or confirmed bio-terrorism incident that indicates they have come in direct contact with a suspicious substance, the Incident Commander may wish to proceed with Gross (Emergency) Decontamination procedures with Fire Department personnel wearing full PPE and SCBA. Further decontamination and examination may be performed by emergency medical personnel and formal hazardous materials teams. Resources EFD will summon the assistance of formal hazardous materials teams to mitigate and provide consultation regarding Type II bio-terrorism incidents. These resources include, but are not limited to: Bettendorf Haz-Mat, Davenport Haz-Mat, Rock Island Haz-Mat, Medic EMS, Med Force, Eldridge PD, Eldridge Public Works, Scott County Sheriff’s Department, Scott County Health, Iowa State Patrol, Iowa DOT, and Iowa DNR, for both Type I and Type II incidents. Notification Of Authorities EFD will work in conjunction with the Eldridge Police Department and/or the Scott County Sheriff’s Department to notify the appropriate authorities concerning suspected or confirmed bio-terrorism incidents. Notified agencies may include, but are not limited to, Scott County Health Department, Iowa Department of Public Health, Iowa State Police, local and/or state Emergency Management Agency, Iowa DNR and the appropriate Federal authorities. Decontamination Procedures

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Gross (Emergency) Decontamination shall consist of removing clothing as required and rinsing the skin with ample amounts of water. Avoid exposing victims to the public and to the elements as much as possible. Any removed clothing shall be segregated for containment in plastic bags by the formal hazardous materials team. Decontamination of turnout gear and clothing shall be performed by thoroughly washing turnout gear with soap and hot water. Personnel should wash hands and shower thoroughly with soap and hot water. Decontamination of tools, equipment and accessories shall be performed using a 0.5% hypochlorite solution (i.e. one (1) part of and household bleach to ten (10) parts of water). Post Incident Treatment Anyone experiencing flu-like or skin irritation symptoms following such a response should notify the EFD Command Staff immediately. APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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KNOX BOX PROCEDURES EMERGENCY 1. Enter the box but have Dispatch attempt to contact the property owner/representative to notify them of the situation. It is best to have a law enforcement officer with you and if one is not available, ask that one be dispatched as soon as possible. ROUTINE INSPECTION 1. Notify the Chief with the reason for accessing the box. 2. For your protection, have another member, a law enforcement officer or the property owner/representative with you. 3. Document the event. Secure the premises or turn it over to a responsible party and secure the keys back in the Knox Box. PLACE THE KNOX BOX KEY BACK IN THE APPROPRIATE APPARATUS AND REPLACE THE PADLOCK WHEN THE KNOX BOX KEY IS NOT IN USE. CURRENT LOCATIONS ARE AS FOLLOWS: American Finishing Resources 330 North 16th Avenue, Eldridge *Front office door, Left inside frame Cornerstone Baptist Church 775 East Leclaire Road, Eldridge *Rear entrance facing East, Inside North pillar Genesis Health Group of Eldridge 301 North 4th Avenue, Eldridge *Front door, Left side Grand Haven Retirement Community 201 East Franklin Street, Eldridge *Front Main Entrance door, Left side North Scott Foods 425 East Leclaire Road, Eldridge *Rear service door APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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Tower One Operations I. PURPOSE: To describe the response criteria, assignments, apparatus placement and safety precautions related to truck company operations. II. RESPONSE: Tower 1 will respond to all reports of fires in structures, regardless of size. The Truck will respond as the third unit after the engine from the station on fire calls. Unless otherwise requested by the ON_SCENE Incident Commander. III. APPARATUS PLACEMENT: Tower 1 shall be given priority in any structure fire situation to hold the front of the building. Even if aerial ladder operations are not indicated on arrival. The majority of tools and equipment needed for ventilation, forced entry and salvage are carried on the truck. No vehicle shall be parked within 40’ of the rear of the ladder truck to facilitate ladder and equipment removal. On situations where the aerial will be used, consideration to spotting vehicle in the most advantageous location is a priority. For buildings of three or more stories, the Truck should be positioned in front of the fire building to facilitate rescue operations. When rescue is not a concern, the Truck should be spotted at the building corner closest to the fire. If possible, the Truck could be placed on the windward side of a structure, especially in heavy fire or wind conditions. IV. TOOLS AND EQUIPMENT: For interior operations, the officer will determine the necessary equipment. Consideration should be given to: Halligan Flathead axe Pike pole, etc. For roof operations, the Officer will determine the necessary equipment. Consideration should be given to roof ladders, power saws, long pike pole, axe, shovel, etc. V. ASSIGNMENTS: Tower 1 assignments will be made by Incident Command. Priority will be given to those assignments for which the Truck Company is well equipped, such as: Forcible entry Search and rescue Ventilation Laddering Master stream operations Salvage and overhaul VI. SAFETY: Power saws shall not be utilized where footing is unstable or where roof slope is too steep to stand without assistance.

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All operations on a roof shall have a portable radio and be equipped with SCBAs. *One person must remain on the turntable when the ladder is extended. This would generally be the driver unless otherwise indicated by the Officer. APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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SECURING TOOLS AND EQUIPMENT The purpose of this operating instruction is to establish a uniform policy to address the procedures and responsibilities for the securing tools and equipment on department vehicles assigned to the department for the safety and health of fire protection members and other persons involved in those activities. This standard is intended to meet the requirements of the National Fire Protection Association (NFPA) 1500, Standards on Fire Department Occupational Safety and Health Program. This policy does not imply a comprehensive list of items that could occur. 1. RESPONSIBILITIES: All firefighters assigned to the Eldridge Volunteer Fire Department are responsible for compliance with the procedures as outlined in this operating instruction. 2. PROCEDURES: a. Securing of Tools and Equipment: (1) All hand tools and equipment needed in fire protection will be secured in a compartment or appropriate location on each vehicle. All compartment doors will be completely closed and /or latched prior to any vehicle being moved. (2) A walk-around of the vehicle will be completed after vehicle checkout and after returning from a response to ensure all compartments are properly latched. (3) If a problem is noted with any of the compartment latches or where the equipment is stored at, a member of the truck committee will be notified and the problems on the vehicle will be fixed as soon as it can be fixed. (4) All exterior mounted equipment will be secured to the vehicles by safety straps or latches. Breathing apparatus and spare air bottles will be secured by safety straps. (5) All personnel will ensure that all ground ladders are securely mounted in the brackets provided on the vehicles, at all times. (6) All vehicle operators will make a check of all safety straps during vehicle checkout and when returning from a response. If straps are not serviceable, immediately notify a member of the truck committee or the Fire Chief. APPROVED Tyler Schmidt, Chief ________________________________ Effective Date: November 2009 Reviewed: Origination Date: November 2009

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