CFR-D MANUAL CHAPTER 2 UNIT PROCEDURES -
OPERATIONAL GUIDELINES
Assignments for scene survey and patient assessment begin at the start of each tour
when the Officer in Charge assigns CFR-D responsibilities. Assuming everyone on the
apparatus is certified, which member is responsible for completing the PCR? 2.1.4
A: The "A" Firefighter
B: The "B" Boss - Officer in charge
C: The "C" Firefighter
D: The "D" Firefighter - Answers :D: The "D" Firefighter
D. The "Defib/Documenter" Firefighter is responsible for completing the PCR. In a
response to a cardiac arrest, he or she hooks up and operates the defibrillator.
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A. The "Airway" Firefighter maintains an open airway and administers 02 if needed.
2.1.1
B. The "Boss" carries a portable radio and a handlight. 2.1.2
C. The "Checker" conducts patient assessment and checks for a pulse and begins
compressions when necessary. 2.1.3
Individuals may identify themselves as patients or may be identified to the Company as
such by family, friends or bystanders. Once an individual has been identified as a
patient, the Company has the duty to evaluate, render appropriate treatment and
generate a PCR. An individual is considered a patient if:
A. the individual is sick or injured, or
B. the individual was exposed to a situation or condition that could have the potential to
cause injury: e.g., smoke condition, CO poisoning, MVA.
E231 arrives on the scene of an EMS run and finds a patient who is having difficulty
breathing. The members of E231 should be guided by which choice below? (3.11, 3.12,
3.13, 3.14)
A. When requesting an ambulance, Companies must provide the CUPS status, sex,
chief complaint, if CPR has been initiated and the pulse and respiratory rate. Since the
,patient is potentially unstable, perform the appropriate focused physical exam for the
patient.
B. When requesting an ambulance, Companies must provide the CUPS status, age,
chief complaint, if CPR has been initiated and the pulse and respiratory rate. Since the
patient is unstable, packaging efforts must begin immediately while treating life threats. -
Answers :B. When requesting an ambulance, Companies must provide the CUPS
status, age, chief complaint, if CPR has been initiated and the pulse and respiratory
rate. Since the patient is unstable, packaging efforts must begin immediately while
treating life threats.
E231 has just operated at a CFRD run where a patient had a broken ankle after getting
hit by a car. The patient was put on a back board, a cervical collar was placed on the
patient and dressings were used to cover lacerations on the patients leg. None of the
FFs, their PPE or their equipment was contaminated at this incident. The FFs will have
to restock the equipment that was left with the patient and the supplies that were
expanded. In this situation the officer of E231 would be correct to: (3.16.1 3.16.2)
A. Place E231 OOS for both fire duty and CFRD runs.
B. Stay in service for both fire and CFRD runs but immediately return to quarters to
replace equipment and supplies.
C. Notify the administrative Battalion Chief and be guided by his instructions.
D. Go back in service for fire duty but advise the borough fire dispatcher and the
Battalion that E231 is not available for CFR-D responses. - Answers :D. Go back in
service for fire duty but advise the borough fire dispatcher and the Battalion that E231 is
not available for CFR-D responses.
If this occurs, the Company is to immediately return to quarters to replace equipment
and supplies, and notify the borough dispatcher when it is available for CFR-D
response.
E231 is responding to an EMS run for a report of a child who is choking. As they are
responding they are flagged down by a group of people who are standing around an
elderly male appears to be unconscious and is lying on the ground. One of the civilians
states that they think the elderly man had a heart attack. In this situation the officer of
E231 would be correct to? (3.18)
A. Continue to the original run since it is for a choking victim but immediately notify the
dispatcher of the second incident so that appropriate resources can be dispatched.
B. Make every attempt to make patient contact with the unconscious elderly male and
notify the dispatcher. If contact is made with the 2nd patient the company shall not leave
the scene until relieved by EMS. - Answers :B. Make every attempt to make patient
,contact with the unconscious elderly male and notify the dispatcher. If contact is made
with the 2nd patient the company shall not leave the scene until relieved by EMS.
If a patient's whereabouts are not known, the responding Company will make every
effort to ascertain the location of said individual. If, after a complete search of the area
in question, no patient is found, the following procedure shall be used: Listed below are
the three steps of this procedure. 4.7
1. If after rechecking the information provided no patient is found the Officer in Charge
shall verify the information with the dispatcher.
2. After re-verification of the dispatch information, the responding Company shall
attempt to contact neighbors, building superintendent and/or security personnel.
3. The Officer in Charge shall review the response printout for additional information as
to incident location, cross street, dwelling or unit number, and any other pertinent
information provided by the EMD or 911 comment section of the printout.
Choose the correct order that these steps should be carried out.
A. 1, - Answers :D. 3, 1, 2
During a study group, a group of lieutenants were discussing CFRD staffing among
other things. Which statement made during this study group was incorrect? (1.5, 1.6,
1.7, 1.8)
A. In order to be in service as a CFR-D Unit, there shall be a minimum of two (2)
firefighters and at least 1 officer with current CFRD certification.
B. Fire Companies will provide CFR-D level care for all patients until the arrival of an
EMS Unit or other certified ambulance agency, with a higher level provider, and when
assistance is no longer needed, will go back in service.
C. Company Commanders shall assign CFR-D certified members to groups that ensure
the greatest likelihood that at least two (2) CFR-D qualified Firefighters will report for
duty on any given tour.
D. Company Officers of CFR-D Units shall ensure that two (2) CFR-D Firefighters will
be working each tour. Officers shall notify their respective Battalion for needed detai -
Answers :A is incorrect
minimum of 2 (FF or Officer)
In order to be in service as a CFR-D Unit, there shall be a minimum of two (2) trained
members (Firefighters or Officer) with current CFR-D Certification.
, While CFR-D Units must begin each tour with two (2) certified Firefighters, in the event
that during a tour the minimum CFR-D staffing reduces to 1 Firefighter and 1 Officer, the
Company shall remain available for CFR-D response.
Assignments for scene survey and patient assessment begin at the start of each tour
when the Officer in Charge assigns CFR-D responsibilities. Which CFRD assignment
listed below is not entirely correct? (2.1)
A. The firefighter designated as the A-Airway firefighter is responsible for manually
stabilizing the patient's spine (if trauma is suspected) while opening the airway,
maintaining the airway, and administering oxygen if needed. In a response to a cardiac
arrest, begins ventilation. This firefighter should carry the oxygen bag.
B. The Officer in Charge is designated as the B-Boss. The officer should carry a
portable radio and a handlight. Also is responsible for completing the PCR.
C. The C-Checker firefighter responsible for conducting the patient assessment and
performing any hands-on care. In response to a cardiac arrest, this Firefighter checks
pulse and begins compressions and shall carry the Trauma Bag. - Answers :B is
incorrect
PCR is assigned to D-Defib firefighter
D Defib/Documenter - Firefighter responsible for completing the Pre-Hospital Care
Report (PCR). In a response to a cardiac arrest, hooks up and operates the defibrillator.
Individuals may identify themselves as patients or may be identified to the Company as
such by family, friends or bystanders. Once an individual has been identified as a
patient, the Company has the duty to evaluate, render appropriate treatment and
generate a PCR. An individual is considered a patient if: 3.9.1
1. the individual is sick
2. the individual is injured
3. the individual was exposed to a situation or condition that could have the potential to
cause injury
A. 1 and 2
B. 1 and 3
C. 2 and 3
D. None
E. All - Answers :E. All
The Officer in Charge shall review the response printout for additional information as to
incident location, cross street, dwelling or unit number, and any other pertinent
OPERATIONAL GUIDELINES
Assignments for scene survey and patient assessment begin at the start of each tour
when the Officer in Charge assigns CFR-D responsibilities. Assuming everyone on the
apparatus is certified, which member is responsible for completing the PCR? 2.1.4
A: The "A" Firefighter
B: The "B" Boss - Officer in charge
C: The "C" Firefighter
D: The "D" Firefighter - Answers :D: The "D" Firefighter
D. The "Defib/Documenter" Firefighter is responsible for completing the PCR. In a
response to a cardiac arrest, he or she hooks up and operates the defibrillator.
----------
A. The "Airway" Firefighter maintains an open airway and administers 02 if needed.
2.1.1
B. The "Boss" carries a portable radio and a handlight. 2.1.2
C. The "Checker" conducts patient assessment and checks for a pulse and begins
compressions when necessary. 2.1.3
Individuals may identify themselves as patients or may be identified to the Company as
such by family, friends or bystanders. Once an individual has been identified as a
patient, the Company has the duty to evaluate, render appropriate treatment and
generate a PCR. An individual is considered a patient if:
A. the individual is sick or injured, or
B. the individual was exposed to a situation or condition that could have the potential to
cause injury: e.g., smoke condition, CO poisoning, MVA.
E231 arrives on the scene of an EMS run and finds a patient who is having difficulty
breathing. The members of E231 should be guided by which choice below? (3.11, 3.12,
3.13, 3.14)
A. When requesting an ambulance, Companies must provide the CUPS status, sex,
chief complaint, if CPR has been initiated and the pulse and respiratory rate. Since the
,patient is potentially unstable, perform the appropriate focused physical exam for the
patient.
B. When requesting an ambulance, Companies must provide the CUPS status, age,
chief complaint, if CPR has been initiated and the pulse and respiratory rate. Since the
patient is unstable, packaging efforts must begin immediately while treating life threats. -
Answers :B. When requesting an ambulance, Companies must provide the CUPS
status, age, chief complaint, if CPR has been initiated and the pulse and respiratory
rate. Since the patient is unstable, packaging efforts must begin immediately while
treating life threats.
E231 has just operated at a CFRD run where a patient had a broken ankle after getting
hit by a car. The patient was put on a back board, a cervical collar was placed on the
patient and dressings were used to cover lacerations on the patients leg. None of the
FFs, their PPE or their equipment was contaminated at this incident. The FFs will have
to restock the equipment that was left with the patient and the supplies that were
expanded. In this situation the officer of E231 would be correct to: (3.16.1 3.16.2)
A. Place E231 OOS for both fire duty and CFRD runs.
B. Stay in service for both fire and CFRD runs but immediately return to quarters to
replace equipment and supplies.
C. Notify the administrative Battalion Chief and be guided by his instructions.
D. Go back in service for fire duty but advise the borough fire dispatcher and the
Battalion that E231 is not available for CFR-D responses. - Answers :D. Go back in
service for fire duty but advise the borough fire dispatcher and the Battalion that E231 is
not available for CFR-D responses.
If this occurs, the Company is to immediately return to quarters to replace equipment
and supplies, and notify the borough dispatcher when it is available for CFR-D
response.
E231 is responding to an EMS run for a report of a child who is choking. As they are
responding they are flagged down by a group of people who are standing around an
elderly male appears to be unconscious and is lying on the ground. One of the civilians
states that they think the elderly man had a heart attack. In this situation the officer of
E231 would be correct to? (3.18)
A. Continue to the original run since it is for a choking victim but immediately notify the
dispatcher of the second incident so that appropriate resources can be dispatched.
B. Make every attempt to make patient contact with the unconscious elderly male and
notify the dispatcher. If contact is made with the 2nd patient the company shall not leave
the scene until relieved by EMS. - Answers :B. Make every attempt to make patient
,contact with the unconscious elderly male and notify the dispatcher. If contact is made
with the 2nd patient the company shall not leave the scene until relieved by EMS.
If a patient's whereabouts are not known, the responding Company will make every
effort to ascertain the location of said individual. If, after a complete search of the area
in question, no patient is found, the following procedure shall be used: Listed below are
the three steps of this procedure. 4.7
1. If after rechecking the information provided no patient is found the Officer in Charge
shall verify the information with the dispatcher.
2. After re-verification of the dispatch information, the responding Company shall
attempt to contact neighbors, building superintendent and/or security personnel.
3. The Officer in Charge shall review the response printout for additional information as
to incident location, cross street, dwelling or unit number, and any other pertinent
information provided by the EMD or 911 comment section of the printout.
Choose the correct order that these steps should be carried out.
A. 1, - Answers :D. 3, 1, 2
During a study group, a group of lieutenants were discussing CFRD staffing among
other things. Which statement made during this study group was incorrect? (1.5, 1.6,
1.7, 1.8)
A. In order to be in service as a CFR-D Unit, there shall be a minimum of two (2)
firefighters and at least 1 officer with current CFRD certification.
B. Fire Companies will provide CFR-D level care for all patients until the arrival of an
EMS Unit or other certified ambulance agency, with a higher level provider, and when
assistance is no longer needed, will go back in service.
C. Company Commanders shall assign CFR-D certified members to groups that ensure
the greatest likelihood that at least two (2) CFR-D qualified Firefighters will report for
duty on any given tour.
D. Company Officers of CFR-D Units shall ensure that two (2) CFR-D Firefighters will
be working each tour. Officers shall notify their respective Battalion for needed detai -
Answers :A is incorrect
minimum of 2 (FF or Officer)
In order to be in service as a CFR-D Unit, there shall be a minimum of two (2) trained
members (Firefighters or Officer) with current CFR-D Certification.
, While CFR-D Units must begin each tour with two (2) certified Firefighters, in the event
that during a tour the minimum CFR-D staffing reduces to 1 Firefighter and 1 Officer, the
Company shall remain available for CFR-D response.
Assignments for scene survey and patient assessment begin at the start of each tour
when the Officer in Charge assigns CFR-D responsibilities. Which CFRD assignment
listed below is not entirely correct? (2.1)
A. The firefighter designated as the A-Airway firefighter is responsible for manually
stabilizing the patient's spine (if trauma is suspected) while opening the airway,
maintaining the airway, and administering oxygen if needed. In a response to a cardiac
arrest, begins ventilation. This firefighter should carry the oxygen bag.
B. The Officer in Charge is designated as the B-Boss. The officer should carry a
portable radio and a handlight. Also is responsible for completing the PCR.
C. The C-Checker firefighter responsible for conducting the patient assessment and
performing any hands-on care. In response to a cardiac arrest, this Firefighter checks
pulse and begins compressions and shall carry the Trauma Bag. - Answers :B is
incorrect
PCR is assigned to D-Defib firefighter
D Defib/Documenter - Firefighter responsible for completing the Pre-Hospital Care
Report (PCR). In a response to a cardiac arrest, hooks up and operates the defibrillator.
Individuals may identify themselves as patients or may be identified to the Company as
such by family, friends or bystanders. Once an individual has been identified as a
patient, the Company has the duty to evaluate, render appropriate treatment and
generate a PCR. An individual is considered a patient if: 3.9.1
1. the individual is sick
2. the individual is injured
3. the individual was exposed to a situation or condition that could have the potential to
cause injury
A. 1 and 2
B. 1 and 3
C. 2 and 3
D. None
E. All - Answers :E. All
The Officer in Charge shall review the response printout for additional information as to
incident location, cross street, dwelling or unit number, and any other pertinent
