ERT Medical Volunteers
Century Emergency Response Team
Century Emergency Response Team
Century Baptist Church has a team of volunteers from among the congregation, who are trained to respond to emergencies arising on the Colt Avenue property during Sunday morning gatherings and some other special large-group gatherings on site.
Part of that emergency response team is a medical assist group, comprised of volunteer responders who are licensed by the state of North Dakota to at least Emergency Medical Responder level. Additional volunteers assist these actively-licensed persons to the extent allowed by state statute.
TRUE OR FALSE: Century Baptist is recognized by the state as a bona fide pre-hospital medical response team
Century's medical response volunteers who are actively licensed are certified to at least the following care level (CHOOSE ONE)
Paramedic
EMR
RN
EMT
TRUE OR FALSE: Only licensed pre-hospital caregivers can volunteer with Century's medical assist team
The care offered by these individuals has certain limitations:
It follows Century’s ERT Policy Manual
It is confined to pre-hospital assessment and allowable treatment or stabilization, at a basic, state-defined EMR level.
Because Century Baptist is located within city limits, professional ambulance response following a call to 9-1-1 is usually within ten minutes unless that service is overextended at the time of the Century emergency. Therefore the working window for volunteer care will likely be 10-15 minutes, before pass-down to the professional units arriving.
Therefore, any currently-licensed medical professionals who primarily practices in a hospital or clinic setting are expected to understand and follow the state-established expectations, liabilities, and limitations which guide a medical professional who volunteers outside of his or her clinical/hospital setting in a pre-hospital emergent environment.
Century Baptist Church is not a state-recognized ambulance service. So medcal volunteers must maintain their own state-issued license, which is most often tied to their affiliation with one or more state-recognized ambulance services. Therefore, while training and internal post-incident review are conducted by Century ERT members, additional formal licensing actions or remedial requirements could be issued by the state of ND and could affect the individual licensed volunteer as well as his or her affiliated ambulance service. Each volunteer should be aware of his or her affiliated ambulance service’s limitations and not go beyond those limitations during an incident at Century to which the volunteer responds.
TRUE OR FALSE: Century medical volunteers are guided by the Century ERT Policy Manual
TRUE OR FALSE: The amount of time during which a Century medical volunteer can assist someone in medical distress is 10-15 minutes
TRUE OR FALSE: An ND-licensed RN or paramedic may volunteer medical assistance at Century to the extent of his or her license, as long as it follows pre-hospital emergency limitations
Licensure of medical volunteers is maintained by affiliation with (CHOOSE BEST ANSWER)
ND Hospital Association
An ambulance service recognized by the state of ND
Century Baptist Church's ERT
The state which originally issued the volunteer's license
All medical volunteers must be Christians, must be followers of Jesus Christ (Matt 7:21-23), be attendees or members of Century Baptist Church (Heb 10:25), and be dedicated wholeheartedly to serving God (Mark 12:30).
Medical volunteers must be an attendee and/or member of Century Baptist Church for one (1) year prior to admission (unless granted a waiver from the ERT Director).
Must complete an ERT Application Form,
Must be twenty-one (21) years old at the time of their application,
Must not be a prohibited person pursuant to 18 U.S. Code § 922(g), or 62.1-02-01 § N.D.C.C.,
*In essence, this includes but is not limited to, being a felon, being a user or dependent on controlled substances, being adjudicated to be mentally ill, or having temperance problems
Must possess a valid and current Class D North Dakota Driver’s License,
The license may only have a restriction of corrective lenses. Insurance restrictions, and *SR-22 filing requirements are not acceptable under any circumstances.
*Statement saying an individual has obtained liability insurance required by the state or an insurance company (usually as a result of a high-risk driving incident)
Must submit to a complete criminal and personal background check upon application,
The criminal and personal background check will consist of professional and character reference-checking, interviews, independent investigation, credit checks, FBI and NDBCI criminal checks, and NDDOT Driver’s License Division checks.
Must comply with drug screening if requested.
Some exclusions:
persons with long-term communicable disease
persons convicted of predatory conduct or domestic abuse against another person
persons evidencing desire to exercise controlling influence over others
Any such persons wishing to volunteer for the church may be encouraged to help in other roles aside from medical assistance.
TRUE OR FALSE: only members of Century can be part of the ERT's medical volunteers
TRUE OR FALSE: you do not need to have applied to be an ERT medical volunteer, in order to render aid in a medical emergency on Century property or at recognized Century gatherings
TRUE OR FALSE: prior drug convictions preclude a person from being part of the ERT's medical volunteers
Be physically capable of accomplishing the mission of the medical assist team. Physical requirements include at least the following:
Using verbal and non-verbal communication skills to coordinate and respond to medical incidents and to communicate with people.
Ability to walk and/or stand for prolonged periods of time.
Ability to jog, run, or sprint for short bursts of time to close distances.
Ability to remain calm despite a constantly evolving incident.
In this paragraph Physically capable means (select all which apply):
Able to communicate with others
Able to walk and stand unassisted
Able to remain composed during a chaotic situation
Medical Team members should be at minimum trained to Emergency Medical Responder (EMR), and currently licensed by the State of North Dakota.
Medical Team volunteers are responsible to keep their certification up to date. If certification is close to expiring, the volunteer shall advise the ERT Director or EMS coordinator, who reports to the ERT Director and shall seek advice from that leader for acquiring the needed training.
Medical Team volunteers are expected to participate in training sessions provided specific to Century Baptist needs, to be determined by the ERT Director and EMS coordinator based on current best EMS practice. This Century-related training will be in addition to continuing education required to maintain current state licensure.
Those with expired licensure may initiate emergency response to the extent allowed by current state law but may not lead in an incident response when currently licensed responders are present and must pass incident lead to responders with current license when such responders arrive on scene. A person with an expired license may assist a currently licensed responder as requested by that responder.
TRUE OR FALSE: a volunteer for the ERT's medical group needs to be currently licensed at some level by the state, for pre-hospital emergency care
Keeping current with training includes: (select all that apply)
Training which satisfies the licensure requirements for maintaining the volunteer's level of care
Training provided specifically by Century's ERT leaders
Training which is provided on specific EMS training channels within YouTube
Patient Confidentiality: Absolute patient confidentiality is required per applicable federal and state privacy regulations (HITECH and HIPPA). Medical discovery, details of the incident, etc. may not be shared among church staff or congregation members. No person may discuss or share any part of an incident electronically with others except in communication with a medical assist team supervisor or with a principle/patient in the event, unless it is to clarify incident details for reporting. A medical assist or ERT member may not discuss an incident in public with a patient, after the fact. Violation of patient confidentiality by a medical assist team member will result in dismissal from the medical assist team.
Training Scenarios: Details of a medical incident may be shared via PCR to the appropriate supervisor, or among responding medical assist or other ERT members as part of debriefing. For training purposes only, details of an incident which contain no personally-identifiable information may be used among the medical assist or ERT later for training sessions. If a team member thinks he or she recognizes a person based on scenario details, the member shall not discuss that possibility with anyone.
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When possible, no medical responder shall provide care to a minor, or to a patient of the opposite gender, alone in an enclosed room. In a life-threatening incident, as soon as possible the first caregiver shall deputize another person until a second medical assist team member arrives.
Multiple Responders: The minimum level of licensure does not prohibit a licensed EMT, Paramedic, RN or physician response during an incident.
If a medical responder higher than EMR-level certification is present either as scheduled or last-minute involvement, a higher level of care may be administered to the patient provided the higher level of response is
(a) is consistent with the availability of unexpired medical equipment or supplies, and
(b) is consistent with NDEMS common procedures and practice for the responder’s level of certification.
During a medical incident requiring a 911 response (see 8 below), if an unscheduled or visiting medical responder volunteers during the incident, the scheduled Century Medical Assist Team is encouraged to use said volunteer’s expertise related to the specific care of the patient. Said volunteer shall not be given full incident responsibility, but shall be allowed to focus on patient care with the Century responders.
When more than one medical responder comes to the aid of a stricken person, the responder with the highest level of medical certification will lead the care plan.
Multiple patients: If multiple persons need care at the same time, MCI response shall be followed, with a competent EMR or higher level of training providing medical incident command until relieved by ambulance service incident command. This will allow responders with higher certification to render higher level of care to those stricken.
Patient reporting to Ambulance Crew: Once the ambulance service arrives on scene, the Medical Team will give report to the arriving crew and allow the ambulance crew to assume oversight of the incident. The responder with the highest level of certification and who has been an active part of patient care, shall give report to the receiving ambulance crew.
Mandatory 911 call: The following incidents shall automatically trigger a 911 request for ambulance response. If a patient or patient’s guardian states no ambulance, an ambulance shall nevertheless be called, with the opportunity for the patient or guardian to sign a refusal of transport provided by the responding ambulance.
Any life-threatening condition (A-B-Cs)
Known or suspected cardiac incident
Known or suspected respiratory crisis
Altered mental status of any kind
Any known or suspected acute allergic reaction or anaphylaxis emergency
Head trauma or head strike
Loss of consciousness
Known or suspected compound fracture
Any substantial damage to extremities or sensory organs
Any 2nd degree burns over more than 5% of body, and all 3rd degree burns
OB emergencies
If a patient or guardian states for the medical team not to call an ambulance, but one of the conditions listed above exist, 911 will still be called and the patient or guardian will be instructed they can sign a waiver with the ambulance crew. In no case shall the Century medical assist team decline or permit waiver of response. Only the ambulance crew can offer such a waiver to the patient or guardian.
Initiation of Care by Unlicensed Person: In the event of a life-threatening health emergency, to the extent allowed by state statute, if a person other than a medical assist team member has initiated care, the responding medical assist team member(s) shall work with the initial caregiver to assure knowledgeable transfer of care into the hands of Century’s medical assist team. If the initial caregiver wishes to continue helping, the Century medical assist team may deputize said person for the remainder of the incident if it is in the best interest of patient care.
Who may use AED: To the extent allowed by state statute, no one will be prohibited from initiating CPR or proper use of an AED. As soon as possible, a member of Century’s medical assist team shall assume patient care in such instances, until an ambulance crew arrives and the patient is transferred to their care. It is our desire that anyone performing CPR be current in their CPR certification.
Movement of a patient: If a patient is on the ground and the cause is unknown, and if no witness can verify that the fall was not related to a trauma incident, the patient shall not be moved but shall be treated in place until the ambulance crew arrives.
If the patient is to be stabilized via longboard or similar device, and in absence of appropriate devices on hand, Century medical team will initiate C-spine protection throughout patient care, and may assist ambulance crew members in placing the patient on long board if the crew desires such assistance.
If a patient is conscious and has not suffered a possible trauma, the patient can be assisted to the front foyer, or to the closest numbered doorway for further assistance.
If the conscious person is unable to stand but no potential for skeletal injury is present, the patient may be moved to the front foyer or to a numbered doorway via wheelchair. A wheelchair is located in the ushers’ room, right-front door into the main sanctuary.
If the patient can stand and walk, the patient may be assisted on his or her own to the front foyer or numbered doorway, and then be seated for further evaluation and treatment.
Incident Reporting: For every patient contact a PCR shall be completed by midnight the day of the incident and given to the EMS coordinator, the ERT Director, or the Century Director of Operations (or designate). The church Director of Operations will be guardian of all PCRs, and will work with the ERT Director to provide PCR retrieval for review when legal, ethical, appropriate, and necessary.
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