EMERGENCY MEDICAL PLANNING AND SERVICES

• identifying hazards and assessing the risk, • mitigating, controlling or eliminating hazards, • making go/no-go decisions based on acceptability of remaining risk, and • evaluating effectiveness of hazard controls and continuously re-evaluating the situation. Firefighters shall have the right to a safe fire assignment or they can turn down an assignment. Refer to IRPG Grey Section.

Through successful completion of required NWCG training and completed task books, completed annual refresher, passing the work capacity test, issuance of an authorized red card, and Defensive Driving, employee’s address safety in their annual performance plan contract with measurable goals and objectives.

Any future reference or policy change from NWCG or interagency rulings will be communicated to your area through the State Fire Management Officer. The Fire Management Program Guide will reflect these changes online until the following year’s revision.

JOB HAZARD ANALYSIS (JHA)/RISK ASSESSMENT (RA) A completed Job Hazard Analysis is required for: • jobs or work practices that have potential hazards; • new, non-routine, or hazardous tasks to be performed where potential hazards exist; • jobs that may require the employee to use non-standard personal protective equipment (PPE); and • changes in equipment, work environment, conditions, policies, or materials.

It is required that supervisors and appropriate line managers ensure that established JHAs are reviewed and signed prior to any non-routine task or at the beginning of the fire season.

Alternatively, a blank JHA can be completed and used on site for risk assessments not pre-identified as mentioned above.

EMERGENCY MEDICAL PLANNING AND SERVICES

PROJECT AND INCIDENT EMERGENCY MANAGEMENT PLANNING To achieve successful medical response for incident and project work emergencies, agency administrators will take the steps necessary to ensure supervisors communicate an emergency response plan prior to engaging personnel in hazardous operations. Refer to 2018 IRPG pg. 2 to plan for emergencies. For the IRPG see (https://www.nwcg.gov/ publications/461) - for QR code see 4.3 on page 145. Coordinate an effective response plan that considers on-scene 1st aid provider capabilities and equipment, emergency transportation options, time required to get injured personnel to appropriate medical care and communications capabilities. Complete a Medical Plan/ICS-206 to identify and organize EMS providers, transportation services and communications options.

COORDINATION WITH IMTS Agency administrators must coordinate with IMTs to ensure their Incident Medical Plan satisfies requirements of memo NWCG#25-2010 Dutch Creek Serious Accident Investigation Report Response including: 1) Standardized Medical Emergency Procedures, 2) Standardized Communications Center Protocols using Medical Incident Report (IRPG pg. 118-119) and 3) an ICS-206 Medical Plan with expanded block six describing on-scene EMS responders, capabilities and equipment, emergency communications protocol, air/ground transportation options and approved helispots.

AIR AMBULANCE COORDINATION Unit and state/regional level fire program managers should ensure that procedures, processes, and/or agreements for use of local and regional air ambulance services are stated in writing and effectively coordinated between the fire programs, the dispatch/logistics centers, and the service providers. Effective May 1st, 2017 wildland fire agencies in Utah adopted VMED 28 as the primary air to ground frequency when dealing with air ambulance/ air medivac operations, and VMED 29 as the secondary. Air ambulance providers who may respond to incidents in Utah have been requested to ensure these frequencies are programmed into their radios if aircraft are equipped with a VHF FM radio.

“VMED 28” = RX 155.3400MHz, TX 155.3400 MHz with TC CTCSS Tone 156.7 “VMED 29” = RX 155.3475MHz, TX 155.3475 MHZ with TX CTCSS Tone 156.7

INCIDENT EMERGENCY MEDICAL SERVICES Agencies will follow the NWCG standards for Incident Medical Support issued by NWCG Memorandum EB-M-15-006 to assist wildland fire incident commanders with determining the level and number of emergency medical resources and related supplies needed based upon the number of incident personnel. This standard, as well as other incident medical information can be found on the NWCG Incident Emergency Medical Sub-committee website at: (https://www.nwcg.gov/committees/emergency-medical-committee/resources) - for QR code see 4.1 on page 145.

Incidents that have established Medical Units shall follow the direction outlined in the Clinical Treatment Guidelines for Wildland Fire Medical Units: (https://www.nwcg.gov/ committees/emergency-medical-committee/publications) - for QR code see 4.2 on page 145.

Home units that choose to utilize and support higher level medical responders to provide medical support for internal agency medical emergencies (beyond basic first aid/CPR) may do so, however certification and credentialing must follow respective state laws and protocols.

DEFINITIONS SAFETY: A measure of the degree of freedom from risk or conditions that can cause death, physical harm, or equipment or property damage.

HAZARD: A condition or situation that exists within the working environment capable of causing physical harm, injury, or damage.

RISK: The likelihood or possibility of hazardous consequences in terms of severity or probability.

RISK MANAGEMENT: The process whereby management decisions are made and actions taken concerning control of hazards and acceptance of remaining risk.