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Lisbon Fire Department Standard Operating Guidelines and Policies

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Internet and Email Usage Policy
Lisbon Fire Department


1. Electronic Mail Security Policy
Electronic messages generated on or handled by electronic communications systems are the property of the Lisbon Fire Department and are not the private property of any users of the electronic communications services.

The Lisbon Fire Department’s communications systems shall be used for authorized Town business only. Users are forbidden to intentionally use electronic communications systems for unauthorized, non-Town related charitable endeavors, religious or political causes, private business activities, personal activities, amusement/entertainment purposes, or other non job-related communications.

2. Offensive Messages
The Lisbon Fire Department prohibits the display or transmission of sexually explicit images, offensive or disruptive messages and cartoons, gender-specific comments, as well as the use of ethnic slurs, racial epithets, any comment that offensively addresses someone's age, sexual orientation, religious or political beliefs, national origin, disability, or anything that may be construed as harassment.

3. User Accountability
Employees are expected to not divulge their individual passwords. To prevent unauthorized parties from obtaining access to electronic communications, users shall choose passwords which are difficult to guess. Passwords to avoid are family member names or pet names, or obvious work-related words.

4. Employee Responsibilities
Except as otherwise specifically provided, employees may not intercept, disclose, or assist in intercepting or disclosing electronic communications that are not sent to them or they are not the intended recipient. The Lisbon Fire Department is responsible for servicing and protecting the electronic communications networks. To accomplish this, it occasionally may be necessary to intercept or disclose electronic communications. Management reserves the right to enter an employee's E-mail file for business purposes. To this end, employees are required to make their computer passwords available to management of the fire department. Management may examine E-mail communications at any time without prior notice or approval of the user.

5. Retrieval of Information
Employees shall not use a code, access a file, or retrieve any stored information, unless authorized to do so. Employees should not attempt to gain access to other employee's electronic data without their permission. All computer pass codes must be provided to management.

6. Purging Electronic Messages
Messages no longer needed for business purposes must be periodically purged by users from their personal electronic storage areas. After a certain period (generally 6 months) electronic messages not backed-up to a separate data storage media (disk, CD-ROM, etc.) may be deleted.

7. Policy Violation
Any employee who discovers a violation of this policy shall immediately notify management of the fire department, who shall inform the Chief. An employee who violates this policy or uses the electronic communications for improper purposes shall be subject to disciplinary action and may be subject to the following:

1. Internet and E-Mail access may be revoked.

2. Access times may be restricted

8. Internet Security Policy
This policy describes the Lisbon Fire Department’s policy regarding Internet use and security. All Internet users shall be familiar with and comply with these policies. Questions and concerns about specific policy applications should be directed to an officer.

8a. Information Movement
All software downloaded from non-Town sources via the Internet must be screened with virus detection software prior to being invoked. If the downloaded software contains a virus, worm, or Trojan horse, then the damage will be restricted to the involved machine.

8b. Information Protection
Wiretapping and message interception is straightforward and frequently encountered on the Internet. Confidential, proprietary, or private information of the fire department must not be sent over the Internet unless security measures are in place.

Credit card numbers, SCAN numbers, telephone calling card numbers, log-in passwords, and other parameters that can be used to gain access to goods or services, shall not be sent over the Internet in readable form.

Exchanges of software between the fire department and any third party shall not proceed unless a written agreement has first been signed by the Chief. Such an agreement shall specify the terms of the exchange, as well as the ways in which the software is to be handled and protected.

Copying of software in a manner that is not consistent with the software vendor's license is strictly forbidden. Likewise, off-hours participation in pirate software bulletin boards and similar activities is prohibited. Reproduction of words posted or otherwise available over the Internet shall be done only with the permission of the author/owner.

8c. Expectation of Privacy
Fire Department employees using town information systems and/or the Internet should realize that their communications are not automatically protected from viewing by third parties.

At any time and without prior notice, the fire department reserves the right to examine E-mail, personal file directories, and other information stored on fire department computers.

8d Access Control
Fire Department employees shall not establish Internet or other external network connections that could allow non-Town users to gain access Lisbon Fire Department systems and information.

8e. Reporting Security Problems
Whenever passwords or other system access control mechanisms are lost or suspected of being stolen or disclosed, management must be notified immediately. All unusual behavior, such as missing files, frequent system crashes, misrouted messages, etc. shall be immediately reported management.

I _______________________________________ have fully read and understand the Internet and Email Usage Policy of the Lisbon Fire Department. I understand that I am fully responsible for my actions and access while using any communication systems of the Lisbon Fire Department. By signing below I accept the terms and conditions of this policy and will report any such security breach or such prohibited activities to the appropriate officer.

Signature: _____________________________________________ Date: ___________

Witness Signature: _____________________________________________






I. Definitions


II. Purpose


III. Responsibilities


IV. Exposure determination


V. Methods of compliance

A. Universal precautions

B. Engineering controls

C. Work practices

D. Housekeeping


VI. HIV/HBV laboratories/production facilities


VII. Hepatitis B vaccination


VIII. Bloodborne exposure evaluation and follow-up


IX. Labeling


X. Training


XI. Records




I. Definitions

A. Blood – Human blood, human blood components and products made from human blood

including immune globulin, albumin and factors 8 and 9.

B. Bloodborne pathogen – Microorganisms capable of causing disease that are present in human blood or other potentially infectious material. These include, but are not limited to, hepatitis B virus, human immunodeficiency virus, hepatitis C virus, malaria, syphilis, adult T-cell leukemia/lymphoma, viral hemorrhagic fever.

C. Body substance isolation – Assumption that all body fluids are potentially contaminated with blood and should be handled appropriately.

D. Contaminated – Presence or reasonably anticipated presence of blood or other potentially infectious material.

E. Decontamination – Use of physical or chemical means to remove, inactivate or destroy bloodborne pathogens on a surface or item to the point where they are no longer capable of transmitting infectious particles.

F. Engineering controls – Devices that isolate or remove bloodborne pathogen hazards from the workplace.

G. Exposure incident – Specific eye, mouth, other mucous membrane, non-intact skin or parenteral contact with blood or other potentially infectious material.

H. HBV – Hepatitis B virus.

I. HCV – Hepatitis C virus.

I. HIV – Human immunodeficiency virus.

J. Occupational exposure – Reasonably anticipated skin, eye mucous membrane or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee’s duties.

K. Other Potentially Infectious Materials

1. The following human body fluids: 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; semen, vaginal secretions, cerebrospinal fluid, synovial (joint) fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures.

2. Any unfixed tissue or organ from a human except intact skin.

3. HIV-containing cell or tissue cultures, organ cultures and HIV- or HBV-containing culture medium or other solutions; and blood, organs or other tissues from experimental animals infected with HIV or HBV.

L. Parenteral – Piercing mucous membrane or skin barrier through such events as needle sticks, human bites, cuts and abrasions.

M. Personal Protective Equipment (PPE) – Specialized clothing or equipment worn by an employee for protection against a hazard. General work clothes not intended to function as protection against a hazard are not considered to be personal protective equipment.

N. Specimen – Any human or animal solid or liquid which requires or may require special handling to control potential pathogens, germs and/or other physical or chemical hazards (e.g. avulsed tissue, amputated body parts, blood soaked clothing.

O. Source individual – Any individual, living or dead, whose blood or other potentially infectious material may be a source of occupational exposure to the employee.

P. Universal precautions – The approach to infection control which assumes that all human blood and certain human body fluids are treated as if known to be infectious.

II. Purpose - The purpose of the Lisbon Fire Department Exposure Control Plan is to:

A. Eliminate or minimize occupational exposure of employees to blood or other potentially infectious material

B. Inform employees of their rights and responsibilities related to potential exposure to bloodborne pathogens.

C. Outline procedures and engineering controls to eliminate or minimize occupational exposure of employees to blood and other potentially infectious materials.

D. Comply with OSHA Bloodborne Pathogens Standard 29 CFR 1910.1030.

III. Responsibility

A. It is the responsibility of the Director of EMS to:

1. Review the exposure plan annually.

2. Provide education and training for employees.

3. Recommend engineering controls and work practices to eliminate or minimize employee exposure to blood or other potentially infectious material.

4. Assure the equipment and supplies in appropriate sizes are readily available and accessible at the work site.

B. It is the responsibility of the Lisbon Fire Department officer or senior emergency medical technician at the scene of an emergency to mandate/enforce the use of the engineering controls and work practices outlined below to eliminate or minimize employee exposure to blood or other potentially infectious material.

C. It is the responsibility of all Lisbon Fire Department employees to:

1. Apply the dictates of the Exposure Control Plan during all fire department operations.

2. Report exposures promptly.

3. Attend training programs as scheduled.

4. Complete recommended screening and follow-up procedures.

IV. Exposure Determination

A. The potential for exposure to bloodborne pathogens exists for all employees of the Lisbon Fire Department in the job classifications of:

1. Firefighter

2. Emergency medical technician

3. Equipment operator

4. Officers

5. Director of EMS

6. Deputy Chief

7. Chief

B. Additional tasks and procedures performed by member of the Lisbon Fire Department that could result in occupational exposure include:

1. Maintenance/repair of facilities in a contaminated equipment area.

2. Inadvertently entering a contaminated area before clean up/decontamination is completed.

V. Methods of compliance

A. Universal precautions (see work practices, section V (D) below) will be observed by all members of the Lisbon Fire Department to prevent or minimize contact with blood or other potentially infectious material. Since differentiation of body fluid types is difficult in emergency medical care, all body fluids from all patients will be considered potentially infectious.

B. Engineering controls

1. The needle portion of intravenous catheters and syringes will be placed directly into contaminated sharps containers as soon as feasible following the procedure without recapping. If extraordinary circumstances require recapping, it will be accomplished by the one-hand scoop technique. No needle will be bent, broken or sheared before disposal. The Lisbon Fire Department purchases and requires the use of safety-engineered sharps (needles, blood lancets) to prevent accidentally needle-stick exposure to blood/body fluids.

2. Automatic retractable lancets will be used for all blood glucose measurements. The device will be placed into a contaminated sharps container as soon as feasible following the procedure.
3. All medications will be supplied in a prefilled state when commercially available to minimize the use of needles and syringes to draw up medication. Injectors for prefilled medications will have needle guards whenever commercially available.
4. Needles and syringes with needles attached will be deposited into a contaminated sharps container as soon as feasible following use. Needles/contaminated sharps will not be bent, broken, sheared or recapped before disposal.
5. Contaminated sharps containers will be of suitable size to entirely contain the discarded devices. They will be:

a. Closable

b. Puncture resistant

c. Leak-proof on sides and bottom

d. Labeled with the biohazard symbol

e. Color-coded red if the biohazard symbol is not present.

6. All contaminated sharps containers will be maintained in an upright position. They will be positioned in an easily accessible location to the patient care area. When the contents reach the “full” line, the container is to be closed and transported to Elmbrook Memorial Hospital for disposal. Single use contaminated sharps containers will meet the same criteria listed above and be carried to the patient location if care will be provided outside the ambulance. Single use contaminated sharps containers will be closed at the end of the call and transported when convenient to Community Memorial Hospital for disposal.
7. No reusable sharps will be used by the department.

C. Work practices

1. Handwashing

a. Handwashing facilities are provided in multiple locations in with appropriate liquid hand soap dispensers and paper toweling. Bar soap and/or community-use cloth towels will not be used.

b. Handwashing will not be done in the sink where food preparation and dishwashing occur.

c. At the scene of the emergency where handwashing is not feasible, an appropriate antiseptic hand cleanser will be used (e.g., Calstat, Hibistat). As soon as feasible, hands will be washed with soap under running water.

d. Hands will be washed with soap and running water as soon as feasible following removal of gloves and other personal protective equipment.

e. Skin and mucous membranes will be washed/flushed as soon as feasible following contact with blood or other potentially infectious material.

2. Work area practices

a. Eating or drinking in the patient compartment of the ambulance is prohibited. Food or drink may only be present in the driver’s compartment (cab) if there is no possible contamination by blood or other potentially infectious material. Personnel must wash and change contaminated clothing before entering the cab.

b. No cosmetics, including lip balm, may be applied in the patient care area. Contact lenses cannot be removed or replaced in the patient care areas.

c. No blood or other potentially infectious material may be placed at any time in a refrigerator, freezer or other area where food is stored or prepared.

d. All visible contamination spills will be wiped up immediately using germicidal disposable wipes and decontaminated as soon as feasible using Cavicide or other appropriate solution provided by the Lisbon Fire Department for that purpose.

e. All potentially contaminated waste will be removed from the scene of an emergency by Lisbon Fire Department personnel using appropriate precautions as outline in this document.

f. Any specimen transported must be contained in a leak-proof, spill-proof container appropriately labeled/identified as a biohazard.

g. No DeLee mucous traps or other devices will be used if they require the application of suction by mouth.

3. The Director of EMS is responsible for assuring that all equipment has been appropriately decontaminated or labeled prior to shipping or servicing.

4. Personal Protective Equipment

a. The Lisbon Fire Department will provide appropriate personal protective equipment to all employees without charge. Such equipment will be cleaned and replaced as necessary by The Lisbon Fire Department without charge to employees.

b. All personal protective equipment will be present and readily accessible at the work site.

c. Gloves

(1) Disposable gloves will be worn on all EMS calls during patient contact:

(a) When any blood or other potentially infectious material are present or when

contact can be reasonably predicted.

(b) When suctioning or performing any airway procedure.

(2) Powder-free non-latex gloves are provided for general use.

(3) Disposable gloves will be changed as soon as feasible when obviously contaminated or when the integrity is compromised (tear, puncture).

(4) Disposable or utility gloves will be worn when cleaning or disinfecting equipment or environmental surfaces.

(5) Utility gloves may be decontaminated and reused but must be discarded and replaced when cracked, peeling, torn, punctured or no longer functions as an effective barrier.

(6) Disposable gloves will not be reused.

d. Masks, eye protection and/or face shields covering the eyes, nose and mouth will be worn whenever splashes, sprays, splatter or droplets of blood or other potentially infectious material can be anticipated to contaminate the face or mucous membranes of the employee(s).

(1) Masks will cover the nose and mouth, be changed whenever moist and be discarded at the conclusion of the call.

(2) Goggles or glasses will be equipped with solid side shields.

(3) Face shields will extend from the forehead above the eyebrows down past the chin and be wide enough and shaped to prevent splashes/spray contamination from the side.

(4) HEPA masks, size to be determined by the annual fit test, will be worn whenever there is the potential for exposure to active respiratory tuberculosis.

e. Gowns, aprons and other protective body clothing will be worn whenever there is risk of contamination of clothing. Water-repellent gowns and Tyvek suits will be available on all calls.

f. Guidelines for the use of personal protective equipment include:


Eye Protection


Turn Out Gear/Gown/

Tyvek suit

Uncontrolled bleeding





Controlled bleeding



Eye Protection


Turn Out Gear/Gown/

Tyvek suit














IV/IM procedures


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