Lemhi County Medical Supervision Plan Emergency Medical Service Patient Care Protocols



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1) EMS Unit is unable to respond in a timely fashion due to lack of man power i.e.—

* All available ambulances and personnel in that service area are already responding to other calls.

* Mechanical difficulties

* Environmental hazards---flood, fire, inaccessibility

2) After scene evaluation it is felt that the circumstances, location, or number of victims will overwhelm the capabilities of the ambulance unit and EMS personnel on scene.































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Lemhi County Idaho Emergency Medical Service Special Event

Stand-By Deployment Plan

To cover: Leadore Advanced Ambulance, Salmon Advanced EMT’s ,Salmon Search and Rescue ,Elk bend QRU, EMS personnel and ambulances/resources that are deployed to Special events such as Rodeos, Races, Football games etc.



Establishing a planned deployment, this will allow eligible Idaho EMS personnel to provide EMS at a Special Event Stand -By

1. Requests must be submitted at least one month prior to the intended event.

2. Ambulance and Crew will be a stand-by service only no transportation of any person or persons that are injured or become ill at event will be provided. Any transport needed to nearest receiving facility will be accomplished by a transporting ambulance dispatched through dispatch center (S.O. 911) per request of stand-by ambulance/crew

3. Every attempt will be made to keep an ambulance at this special event for the entire duration of the event. However, a 911 call will take precedence over this event and the ambulance will have to leave to respond to perform its primary duties.

4. Fees: Organization will be charged at contract specified rate (see contract for non-profit organizations).

5. All crew members (“2”) covering this event shall practice within their Idaho licensed scope of practice.

Lemhi County Idaho Emergency Medical Service Wild Land Fire Deployment Plan


To cover: Leadore Advanced Ambulance, Salmon Advanced EMT’s ,Salmon Search and Rescue ,Elk bend QRU, EMS personnel and ambulances/resources that are deployed to Wild land fires as part of the operational aspect of incident.



Establishing a planned deployment, this will allow eligible Idaho EMS personnel to provide EMS at a wild land fire incident that is out of their affiliated jurisdiction.

1. Any EMS personnel planning to deploy as EMS provider to a wild land fire need to be preapproved by their authorizing Medical Director (see credentialing form) and affiliation department Leader (President)

2. Any EMS personnel planning to deploy as EMS provider to a wild land fire will practice at their current scope of practice level.

3. Any EMS personnel planning to deploy as EMS provider to a wild land fire will have a planned deployment form filled out and signed my authorizing Medical Director. Form can be accessed per State of Idaho Web site. A new form must be completed for each incident responding to.

4. Ambulances that are deployed as single resource unstaffed. A contract with Requestor for the resource and department will be signed by affiliation department head. Ambulance on return will be cleared of any medication, equipment, and solutions that are not in the present ambulance license level.

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Lemhi County Idaho Emergency Medical Service Self Deployment Plan

To cover: Leadore Advanced Ambulance, Salmon Advanced EMT’s ,Salmon Search and Rescue ,Elk bend QRU, EMS personnel and ambulances/resources that are deployed to Wild land fires as part of the operational aspect of incident.

Establishing a planned deployment, this will allow eligible Idaho EMS personnel to provide EMS out of their affiliated jurisdiction.

1. Any EMS personnel planning to deploy as EMS provider for an Institution (school, work), Camp (Boy Scout/Girl Scout etc.), need to be preapproved by their authorizing Medical Director (see credentialing form) and affiliation department Leader (President)

2. Any EMS personnel planning to deploy as EMS provider will practice at their current scope of practice level.

3. Any EMS personnel planning to deploy as EMS provider will have a planned deployment form filled out and signed my authorizing Medical Director. Form can be accessed per State of Idaho Web site. A new form must be completed for each deployment responding to.

4. Ambulances that are deployed as single resource unstaffed. A contract with Requestor for the resource and department will be signed by affiliation department head. Ambulance on return will be cleared of any medication, equipment, and solutions that are not in the present ambulance license level




















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Lemhi County Emergency Medical Personnel

Exposure Protocol/Plan

Exposure Matrix




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Post Exposure Follow-up Procedure

Immediately following exposure:
1. Determine Exposure Type


  • Flush area with H2O thoroughly with water

  • Eyes should be irrigated with clean water, saline, or sterile irrigate.

  • Evaluate risk factors of source patient

  • Skin: contact of blood or body fluids to non-intact skin

  • Wash with soap & H2O

  • Evaluate risk factors of source patient


2. Report exposure to Department Manager or charge person.
3. Report exposure to Infection Control Officer) , (Jean Anders, Janet Nelson), or the Nursing Supervisor.
4. Report to the E.R. for post exposure evaluation and lab draw of Hepatitis B surface antibody,

Hepatitis C and HIV
6. Employee to complete Employee Incident/Exposure Report Form obtained at the Courthouse from Clerk to have on file and give copy to Infection Control.

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