Lisbon Fire Department Standard Operating Guidelines and Policies

The following content will be considered the Guideline/Standard of care for the patient with a provider impression of:

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  Assure scene safety and observe universal precautions (see guideline #107).
  
• Assure patent airway (see guideline # 101,201).
• Assure adequate respiratory exchange, ventilate with supplemental oxygen in those patients with inadequate or absent respirations, consider advanced airway (see guideline # 2002-2009).
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  Determine the degree of respiratory distress (mild/moderate/severe).
  
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  Allow the patient to assume the position of comfort unless contraindicated by medical condition.
  
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  Administer supplemental oxygen (see guideline # 105, 2001) with a device and at a rate appropriate for the condition of the patient.
  
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  Assess for adequate circulation to perfuse the vital organs. Begin CPR as appropriate.
  
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  Complete the history and focused physical assessment (see guideline #103, 1001).
  
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  Obtain initial vital signs (see guideline #1002) and repeat at a minimum of 15-minute intervals. Critical patients may need more frequent monitoring.
  
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  Consider intravenous access (see guideline # 3002-3004).
  

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  Consider electrocardiograph monitoring (see guideline #3009). See appropriate dysrhythmia guidelines.
  

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  Consider 12-lead electrocardiogram (see guideline #3008). (Basic requires Operational Plan approval)
  
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  Contact medical control for orders as necessary.
  
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  Reassess and document the patient’s respiratory and cardiovascular systems frequently.
  
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  Complete a patient care report (see guideline #102) documenting all pertinent information received, procedures ordered/completed, results of interventions and changes in the patient’s condition.
  
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  Transport to the closest, most appropriate hospital.
  
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  Document reasons for any deviation from the preceding Guideline/Standard of care.
  

GUIDELINE/STANDARD OF CARE