Firefighter Retrieval Engine/Truck Status Downgrading to Basic Life Support Transport Minimum Standard Wildland Equipment

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1 TITLE: TABLE OF CONTENTS NUMBER: 500 DATE: 03/01/2012 Page 1 of STANDARD OPERATING PROCEDURES Tactical Paramedic Program Firefighter Retrieval Engine/Truck Status Battalion Back Up Coverage Single Resource Assignments Downgrading to Basic Life Support Transport Minimum Standard Wildland Equipment Patient s Personal Belongings Modification of Medical Aid Responses After Action Review Procedure Accountability System Equipment Emergency Vehicle Operation PPE Care, Maintenance and Response Attire

2 TITLE: TACTICAL PARAMEDIC PROGRAM NUMBER: DATE: 03/01/2012 Page 1 of 4 PURPOSE It is the purpose of the Tactical Paramedic Program is to prevent and reduce incidents of injury and death to police, fire, and civilian victims of criminal violence, by administering immediate life support measures and safe evacuation during tactical operations. POLICY The department shall utilize this procedure to determine eligibility, training, equipment, call out process and command and control for Tactical Paramedics. APPLICABILITY Heartland Fire & Rescue, City of El Cajon Fire Department. DEFINITIONS SWAT Tactical Paramedic A Firefighter/Paramedic who has been selected to participate in, and successfully completed and maintained the qualifications and training outlined in this procedure. Call Out When a SWAT Tactical Paramedic is summonsed for a SWAT mission. AUTHORITY Fire Chief

3 TITLE: TACTICAL PARAMEDIC PROGRAM NUMBER: DATE: 03/01/2012 Page 2 of 4 PROCEDURE Tactical Paramedics shall work in conjunction with the El Cajon Police Department SWAT team. They will respond to SWAT emergencies consisting of, high risk warrants and other missions as requested by the SWAT Commander. Tactical Paramedics will be specially trained in SWAT tactics and in providing emergency Paramedical care during SWAT actions. The Paramedics shall operate within the inner perimeter of the operation and perform as an intricate component of the team. Paramedics should not be specifically involved with any police action. Tactical Paramedics will be trained in SWAT tactics to enable them to respond appropriately and predictably in a tactical environment. Tactical Paramedics are permitted to carry an authorized firearm while deployed at a SWAT mission. The firearm may be utilized in any self defense situation while activated as part of SWAT. When not in use, the firearm shall remain stored in the SWAT Command Vehicle. At no time shall a firearm be brought into a City building unless it is done so during an organized training session or an activation involving a City building. ELIGIBILITY All team members shall meet the following minimum requirements to be considered for the SWAT program. Application shall be voluntary. Regular full time status. Satisfactory or above ratings in all categories on last Performance review. Pass annual physical fitness test. Three year active commitment to the SWAT team.

4 TITLE: TACTICAL PARAMEDIC PROGRAM NUMBER: DATE: 03/01/2012 Page 3 of 4 TRAINING Tactical Paramedics are required to successfully complete the 832 P.C. P.O.S.T. Certification Class and must quarterly qualify with their firearm in accordance to El Cajon Police specifications. Tactical Paramedics must successfully complete a Police SWAT Academy. The academy specifications will be designated by the El Cajon Police SWAT Commander. Tactical Paramedics must fulfill the minimum number of continued training hours as determined by the SWAT Commander to maintain active status in the SWAT Paramedic program. CALL OUTS All SWAT Paramedic deployments shall be pre authorized by the Deputy Fire Chief of Operations Chief or Duty Battalion Chief. Team members will be activated by SWAT pager and/or telephone. The Operations Chief or the Duty Chief shall be notified by the SWAT Commander of the impending activation in advance whenever possible for back staffing purposes. All back filling options are to be exercised prior actual activation. Any potential staffing reductions resulting from a SWAT Tactical Paramedic request shall be pre authorize by the Fire Chief or Operations Chief. Activated SWAT members will report to the location given upon official activation notification. At no time shall any Paramedic that has not been properly trained be allowed to function in the role of a SWAT Paramedic. Qualified SWAT Paramedics will be distributed between the three Divisions. Off duty SWAT Paramedics will be called first for activation. If a member is on duty at the time of activation, overtime personnel shall be called for relief prior to the Tactical Paramedic relinquishing his/her staffed position whenever possible to minimize effects on daily staffing levels. Management maintains full authority to deny an SWAT Tactical Paramedic request based upon the operational needs of the Fire Department at that time.

5 TITLE: TACTICAL PARAMEDIC PROGRAM NUMBER: DATE: 03/01/2012 Page 4 of 4 EQUIPMENT All required Tactical Paramedic equipment shall be provided by the El Cajon Police Department. It shall be the responsibility of the SWAT Paramedics to ensure that all Paramedical equipment is inventoried and replaced based upon use and expiration dates. COMMAND AND CONTROL Upon SWAT activation Tactical Paramedics shall be under the command of the SWAT Commanding Officer. Paramedical protocol for the treatment of persons in a tactical environment shall be in compliance with the San Diego County Division of Emergency Paramedical Services.

6 TITLE: FIREFIGHTER RETRIEVAL ENGINE/TRUCK STATUS NUMBER: DATE: 03/01/2012 Page 1 of 3 PURPOSE To identify a process for retrieval of Fire Personnel when utilized to accompany ambulances to a hospital. APPLICABILITY Heartland Fire & Rescue, City of El Cajon, City of La Mesa, City of Lemon Grove. DEFINITIONS This guideline is in reference to the retrieval of Fire Personnel who ride as a third and/or fourth person on an ambulance for assistance with critical patient care from an emergency scene to a receiving hospital. This guideline also identifies Engine/Truck status while staffing is reduced on that unit during the transport/retrieval process. NOTE Due to the difference in medical transport systems among the Cities of El Cajon, La Mesa, and Lemon Grove, this Guideline outlines one procedure for El Cajon and one procedure for both La Mesa and Lemon Grove. AUTHORITY Fire Chief PROCEDURE El Cajon For medical incidents requiring a Firefighter to assist with patient transport to Grossmont or Alvarado Hospitals:

7 TITLE: FIREFIGHTER RETRIEVAL ENGINE/TRUCK STATUS NUMBER: DATE: 03/01/2012 Page 2 of 3 The Engine/Truck shall be placed Out of Service (OOS) and the Duty Battalion Chief shall be notified of unit s status. The Engine/Truck shall follow and retrieve the firefighter from the receiving hospital. Once fully staffed, the Engine/Truck shall go to Available on Radio (AOR) from that location. Once placed back into service, the Duty Battalion Chief shall be notified. Medical incidents requiring a Firefighter to assist with patient transport to a hospital other than Grossmont or Alvarado Hospitals: The Engine/Truck shall be placed Out Of Service (OOS) and the Duty Battalion Chief shall be notified of unit status and for firefighter retrieval arrangement. The Engine/Truck Company Officer shall monitor the dispatch channel for responses in their area. It shall be at the discretion of that unit s Company Officer to add that Unit to a call if they feel they can positively impacts the incident/patient outcome. Once fully staffed, that unit shall be place back into service and the Duty Battalion Chief shall be notified. La Mesa and Lemon Grove Medical incidents requiring firefighter(s) to assist with patient transport to Grossmont, Alvarado or Paradise Valley Hospitals (PVH Lemon Grove Engines only): The Engine/Truck shall be placed OOS and the Duty Battalion Chief shall be notified of the unit s status. The Engine/Truck shall follow and retrieve the firefighter from the receiving hospital. Once fully staffed, the Engine/Truck shall go AOR from that location. Once placed back into service, the Duty Battalion Chief shall be notified. Medical incidents requiring firefighter(s) to assist with patient transport to a hospital other than Grossmont, Alvarado or Paradise Valley Hospitals: Any time an Engine/Truck staffing is reduced to two personnel, the apparatus shall be placed OOS and the Duty Battalion shall be notified. The Company Officer will ensure arrangements are made through AMR Dispatch for a taxi to retrieve the firefighter. If any delay of firefighter retrieval is anticipated, the Duty Battalion Chief shall be notified immediately for possible firefighter retrieval arrangements. The Company Officer shall monitor the Dispatch channel for responses in their area. It shall be at the discretion of that Company Officer to add that Unit to the call if they feel they can positively impacts

8 TITLE: FIREFIGHTER RETRIEVAL ENGINE/TRUCK STATUS NUMBER: DATE: 03/01/2012 Page 3 of 3 the incident/patient outcome. Once fully staffed, that unit shall be placed back into service and the Duty Battalion Chief shall be notified.

9 TITLE: BATTALION BACK UP COVERAGE NUMBER: DATE: 03/01/2012 Page 1 of 2 PURPOSE To provide adequate, timely Back up Chief Officer Coverage for emergency incident management. POLICY Personnel assigned to the Back up Chief Officer responsibility shall adhere to the procedure for response availability and capability requirements. APPLICABILITY Heartland Fire & Rescue, City of El Cajon Fire Department, City of La Mesa Fire Department and City of Lemon Grove Fire Department. DEFINITIONS Jurisdictional Boundary The boundaries of the combined cities of El Cajon, La Mesa and Lemon Grove. Travel time The time that it takes to travel from one point to another on city streets and highways following the code three driving policy. Emergency Response Capable vehicle a vehicle that is capable of responding lights and siren in compliance with the California Vehicle Code. AUTHORITY Fire Chief PROCEDURE The Back up Chief Officer responsibility is assigned to personnel on a rotating basis. An assignment calendar shall be developed and distributed to all appropriate parties.

10 TITLE: BATTALION BACK UP COVERAGE NUMBER: DATE: 03/01/2012 Page 2 of 2 Responsibilities of the Back up Chief Officer: Remain positioned in a ready to respond status that allows for a travel time of 20 minutes or less to the jurisdictional boundary. Be available to respond to communications from the Communications Center through the use of paging, radios and phones. To place himself/herself in an available status when incidents within the jurisdiction are anticipated to be more than 20 minutes in duration with the shift battalion chief committed. Be available to respond in an emergency response capable vehicle at all times. Refrain from any activities that would inhibit or delay a response throughout the duty rotation cycle (i.e.: consuming alcohol, staying close to the vehicle). Operate in accordance to the Heartland Fire & Rescue Take Home Vehicle Policy

11 TITLE: SINGLE RESOURCE ASSIGNMENTS NUMBER: DATE: 03/01/2012 Page 1 of 2 PURPOSE To establish a fair and comprehensive method of tracking and distributing Single Resource Assignments that maintains the operational effectiveness of the agency. APPLICABILITY Heartland Fire & Rescue, City of El Cajon Fire Department, City of La Mesa Fire Department, and the City of Lemon Grove Fire Department. DEFINITIONS LEMT Line Emergency Medical Technician LEMTP Line Emergency Medical Technician Paramedic LEMTP must be agency supported through acquisition of required LEMPT equipment. Qualified Documented accomplishment of minimum qualifications based upon FireScope and Heartland Fire & Rescue criteria. ROSS The Resource Ordering and Status System will be updated with qualified personnel annually during the season of low fire activity. AUTHORITY Fire Chief PROCEDURE Assignments are to be offered based upon the established agency rotation, managed by Heartland Communications. El Cajon, La Mesa, and Lemon Grove are to be recognized as individual agencies on the Central Zone Overhead Assignment rotation list until further notice. Line EMT and EMTP positions will be authorized to fill up to 2 requested positions per agency rotation per request order. All other position requests will be filled as a single resource request per agency rotation.

12 TITLE: SINGLE RESOURCE ASSIGNMENTS NUMBER: DATE: 03/01/2012 Page 2 of 2 All assignments filled/offered will count toward a person s rotation for all qualified positions. i.e. if a person is qualified in multiple positions, rotation will be based upon single opportunity, not by each individual qualified position. Assignments offered will count towards that person s rotation whether it is accepted, declined, or unavailable for contact. Tracking of Accepted, Declined or No Contact will be maintained by the Operations Chief. Assignments will be offered in the following sequence: 1. To the agency up for rotation based upon the Heartland Communications listed agency rotation. 2. To those from that agency who are qualified and pre listed in ROSS, based upon the established rotation criteria outlined in this guideline. The tracking of Single Resource Assignments will be the responsibility of the Operations Chief via an assignment rotation list of qualified personnel. This rotation will be based upon the last assignment offered and not based on last assignment filled. Operations will maintain the tracking of Single Resource Assignments delegated to El Cajon, La Mesa, and Lemon Grove qualified personnel via spreadsheet and an Assignment Board. The annual updating of ROSS will be the responsibility of the Operations Chief. It will be the responsibility of those requesting to be placed into ROSS to provide all documentations of training necessary to qualify them for the position sought.

13 TITLE: DOWNGRADING TO BASIC LIFE SUPPORT TRANSPORT NUMBER: DATE: 03/01/2012 Page 1 of 1 PURPOSE To establish a common approach to the medical downgrading of transporting units in El Cajon when applicable. While working within this guideline, it will remain the preferred method of operation to transport patients by way of an El Cajon resource if it can be accomplished without jeopardizing patient care. APPLICABILITY Heartland Fire & Rescue, City of El Cajon Fire Department. DEFINITIONS Medical Downgrading Lowering responding transport capabilities from Advance Life Support (ALS), to Basic Life Support (BLS). AUTHORITY Fire Chief REFERENCE County of San Diego Division of Emergency Medical Services Policy S 412 PROCEDURE In an effort to support Operational and training needs of the organization, the following guidelines have been established for the purpose of downgrading medical aid responses within El Cajon: When an El Cajon Medic Unit is the initial unit dispatched to an incident, that unit will transport both ALS and BLS level transports from the City of El Cajon jurisdiction. When a non El Cajon Medic Unit is the initially dispatched unit to an El Cajon incident, the Company Officer at scene shall have the discretion of downgrading the transport to a BLS level. This includes El Cajon Medic units that are in an altered response level i.e. Third and Seventh Responder training status.

14 TITLE: MINIMUM STANDARD WILDLAND EQUIPMENT NUMBER: DATE: 03/01/2012 Page 1 of 3 PURPOSE To provide a standard for wildland equipment accompaniment to be carried on all Heartland Fire & Rescue engines. APPLICABILITY Heartland Fire & Rescue, City of El Cajon Fire Department, City of La Mesa Fire Department, and the City of Lemon Grove Fire Department. DEFINITIONS Strike Team Engine The Engine identified as the primary response apparatus on the Zone Strike Engine rotation list for each agency. Engine All Engines not identified as the agency s primary Strike Engine. NH National Hose (thread) NPSH National Pipe Straight Hose (thread) AUTHORITY Fire Chief PROCEDURE Minimum Wildland Equipment Accompaniment for Heartland Fire & Rescue Strike Team Engines: HOSE 800 of 1 ½ single jacket WL hose total. A minimum of 3 hose packs of 200 each will be preassembled. T to be pre attached to the inside bundle of each pack for lateral capabilities every of 1 single jacket WL hose w/ NPSH threads

15 TITLE: MINIMUM STANDARD WILDLAND EQUIPMENT NUMBER: DATE: 03/01/2012 Page 2 of 3 HARDWARE 6 Total 1 ½ FSS Ts (1 ½ NH thread and 1 NPSH thread) 3 WL Hose clamps with Sheaths 6 1 WL nozzles (NPSH) 2 1 ½ WL nozzles (at least one w/ interchangeable tips, minimum one of each tips: 3/8 ; 1/2 ) TOOLS 1 hand tool per position (can be any combination of the following wildland hand tools: wildland shovel, McCloud, or Pulaski) 1 2 mill/flat bastard files for sharpening tools ADDITIONAL REQUIRED EQUIPMENT Approved PPE Per Person 1 VHF Radio per position 3 Boxes MRE 4 Cases H2O Minimum Wildland accompaniment for all Heartland Fire & Rescue Engines: HOSE 600 of 1 ½ single jacket WL hose total. A minimum of 3 hose packs of 200 each will be preassembled. T to be pre attached to the inside bundle of each pack for lateral capabilities every 200, 200 of 1 single jacket WL hose w/ NPSH threads HARDWARE 4 Total 1 ½ FSS T s (1 ½ NH thread and 1 NPSH thread) 2 WL Hose clamps with Sheaths 4 1 WL nozzles (NPSH)

16 TITLE: MINIMUM STANDARD WILDLAND EQUIPMENT NUMBER: DATE: 03/01/2012 Page 3 of ½ WL nozzles (at least one w/ interchangeable tips minimum one of each tips: 3/8 ; 1/2 ) TOOLS 2 hand tools (can be any combination of the following wildland hand tools: wildland shovel, McCloud, or pulaski) ADDITIONAL REQUIRED EQUIPMENT Approved PPE Per Person 3 VHF Radios 1 case H20

17 TITLE: PATIENT S PERSONAL BELONGINGS NUMBER: DATE: 03/01/2012 Page 1 of 1 PURPOSE To establish a common approach to accessing the personal belongings of a patient and to protect Heartland Fire & Rescue employees and the City from allegations of wrong doing. APPLICABILITY Heartland Fire & Rescue, City of El Cajon Fire Department, City of La Mesa Fire Department and City of Lemon Grove Fire Department. DEFINITIONS Personal Belongings Purse, Wallet, Backpack, dresser or any other item containing any of the patient s personal effects. AUTHORITY Fire Chief PROCEDURE It is necessary to access a patient s personal belongings from time to time in order to access vital medical information or ID/ Insurance cards. When accessing a patient s personal belongings, the following guidelines shall be observed. The same guidelines shall apply to the search of quarters outside the perimeter of the patient s view: When appropriate, have the patient obtain the required items him/herself. Ask the patient if a family member or an entrusted person on scene can obtain the required items or witness the process if performed by Fire personnel. If law enforcement is present, request that they obtain the items or witness the process if performed by Fire personnel. If as a last resort, the above options are not viable, Fire personnel must access the personal belongings of a patient it shall be in the presence of another Fire Department member to serve as a witness. It is strongly encouraged that this option be documented in the Patient Care Report and/or the Firehouse Report.

18 TITLE: MODIFICATION OF MEDICAL AID RESPONSES NUMBER: DATE: 12/5/2013 Page 1 of 3 PURPOSE To establish a common approach to medical aid response standards based on nationally recognized scientifically validated criteria. POLICY Established criteria for modifying medical aid responses in El Cajon jurisdiction APPLICABILITY Heartland Fire & Rescue El Cajon Fire Department, La Mesa fire Department, Lemon Grove Fire Department. DEFINITIONS HCFA Heartland Communications Facility Authority MPDS Medical Priority Dispatch System ALS Advanced Life support BLS Basic Life Support EMS Emergency Medical Service AUTHORITY Fire Chief REFERENCE N/A

19 TITLE: MODIFICATION OF MEDICAL AID RESPONSES NUMBER: DATE: 12/5/2013 Page 2 of 3 PROCEDURE In an effort to support operational needs of the organization and to ensure delivery of the appropriate level of medical care, the following guidelines have been established regarding medical aid responses within El Cajon: All Heartland units will be dispatched as quickly as possible in an effort to respond to requests for service in the quickest possible manner. All EMS responses will initially consist of a minimum of one ALS fire apparatus (engine or truck) and one ALS ambulance. If HCFA personnel have established the 911 call to be a Level O, A, or Level B response, the Company Officer may elect to modify the response to the call (if the call is within the El Cajon City limits). The Company Officer may seek input from the personnel assigned to the medic unit prior to making the response modification. If the Company Officer decides to modify a Level A response, the medic unit will respond no code to the incident and the ALS fire apparatus (engine or truck) will cancel. It is important to note that the medic unit personnel can always re request that the appropriate ALS fire apparatus (engine or truck) respond for assistance. If the Company Officer decides to modify a Level B response, an ALS fire apparatus (engine or truck) and an ALS ambulance will respond. The closest unit in proximity to the call will respond code 3 and the more distant unit will respond no code. In the case where both units are responding from the same location, the medic unit will respond code 3 and the engine/truck will respond code 2. Fire personnel may not downgrade an HCFA established Level B call to a Level A call. 911 calls for medical assistance that have not been screened by HCFA personnel using MPDS shall not be modified by field personnel. Sometimes the screening process can create a delay in assigning a call level. Crews are not to delay their response while waiting for the response level to be assigned.

20 TITLE: MODIFICATION OF MEDICAL AID RESPONSES NUMBER: DATE: 12/5/2013 Page 3 of 3 Personnel shall not modify any FALL call where the age of the patient is reported to be 65 years of age or greater. Typical reasons why a call will not be screened are: high volume in dispatch, language barrier with the caller, calls originating from a medical facility and calls originating from the Police Department. This policy only applies to incidents within the city limits of El Cajon and only when Heartland Fire & Rescue units are assigned to the incident. If a first response unit from another jurisdiction is responding into El Cajon, the response shall not be modified. If a Heartland Fire & Rescue (El Cajon) ambulance is on scene first and performs a medical assessment through direct patent contact and does not require assistance from an ALS fire apparatus (engine or truck), they may cancel that unit. If an ALS ambulance from outside El Cajon is responding into El Cajon and the patient has been evaluated by an ALS fire apparatus (engine or truck) personnel, the Company Officer may elect to cancel the ALS ambulance and request a BLS ambulance to respond in lieu (if ETA for BLS is 20 minutes or less).

21 TITLE: AFTER ACTION REVIEW PROCEDURE NUMBER: DATE: 08/28/2013 Page 1 of 9 PURPOSE To establish a consistent process for evaluating operations on emergency incidents as a training tool and to examine the performance of operational strategies and tactics deployed. The overall goal of the After Action Review (AAR) Program is to improve safety and operational effectiveness of all fire personnel. Heartland Fire & Rescue has a duty to its members to provide effective feedback from emergency incidents and continually strive to improve effectiveness and safety in emergency operations. The objective of this policy is to provide all Department members the experience of those who actually participated in the incident; to highlight what went well and to address areas of concern. The process will be positive and constructive in nature to better achieve maximum benefits. This process of incident analysis will improve future performance by building upon successes, identifying deficiencies in procedures or department policies, and identifying training needs. By examining an incident with these goals in mind, we will provide all personnel with an opportunity to identify, examine, and employ best work practices based upon experience and not entirely on theory. Heartland Fire & Rescue shall use the After Action Review (AAR) as an educational tool for Incident Commanders, Command Staff, Battalion Chiefs, Company Officers, and Fire Personnel to: highlight positive performance, good decision making, leadership skills, and tactics; show personnel the impact their actions had on the general outcome of the incident; compare how different strategies and tactics affected the outcome of the incident; identify safety and/or tactical concerns during operations; serve as a catalyst for revising tactical plans and Standard Operating Procedures; help identify additional training needs; disseminate critical lessons learned; identify fire prevention and code enforcement deficiencies; identify contributing factors to firefighter injuries and fatalities.

22 TITLE: AFTER ACTION REVIEW PROCEDURE NUMBER: DATE: 08/28/2013 Page 2 of 9 POLICY N/A APPLICABILITY Heartland Fire & Rescue El Cajon Fire Department, La Mesa Fire Department, Lemon Grove Fire Department. DEFINITION N/A AUTHORITY Fire Chief REFERENCE N/A PROCEDURE There are two types of After Action Reviews that should be performed: Informal and Formal. Both are vitally important for the professional development and safety of firefighters. Informal AAR This review is usually initiated on scene by the Incident Commander or Company Officer prior to leaving the incident. This Tailboard Review is a brief discussion to identify the effectiveness of strategies and tactics used during the incident. This informal review is a valuable educational tool and is most effective when performed on scene or directly following the stabilization of the incident. Formal AAR This incident review is utilized for critiquing larger, more complex, or tactically challenging incidents. A Formal AAR will be required of any incident involving a Firefighter injury which requires emergency care or as requested by the Fire Chief or his/her designee. The Training Chief will act as the AAR Coordinator to lead and direct the preparation of the AAR, its presentation, and the discussion of the incident response.

23 TITLE: AFTER ACTION REVIEW PROCEDURE NUMBER: DATE: 08/28/2013 Page 3 of 9 The Training Chief may elect to appoint a Chief Officer other than the Incident Commander to be the AAR Coordinator, provided he/she was not assigned to the incident. The AAR Coordinator will notify the Incident Commander of record that a Formal AAR is to be conducted. The Incident Commander is then responsible for coordinating the compilation of information for the AAR, including Company Officers First In interviews, fire reports, pictures, maps, diagrams, and copies of all incident radio communications from the dispatch center. The AAR Coordinator will be responsible for coordinating the date and location of the AAR. It will always be the goal to deliver the AAR as close to the date of the initial incident as possible. Every effort must be made to have all personnel from the incident present at the AAR. The Training Chief shall notify and include all resources, units, and personnel from responding outside agencies/disciplines (ex. FD, PD, SDGE, MTS, Public Works, Fire Investigation, etc.) to participate in the AAR. It is understood that due to scheduling conflicts all personnel may not be able to attend the AAR. Video recording of the AAR is strongly advised and will prove useful in disseminating vital information to those unable to attend. A copy of the Formal AAR will be kept on file by the department Training Division. When to Conduct a Formal AAR: Structure fire where unusual extinguishment problems existed Any incident that an unusual event occurs e.g.; explosion, collapse, etc. Close call incident where a firefighter experiences a near miss or when injury occurs Major Hazardous Materials incident Mass Casualty Incident Specialty Rescue Operations with multi company involvement Any large scale event or incident (multiple alarm fire, major vegetation fire, etc.) As requested by the Fire Chief or his/her designee

24 TITLE: AFTER ACTION REVIEW PROCEDURE NUMBER: DATE: 08/28/2013 Page 4 of 9 Preparing for a Formal AAR Preparation is essential for delivery of an educational and thought provoking AAR. Some key points to remember in preparing for an AAR include: The AAR is a training function to improve emergency operations, not an attempt to find fault Horseplay or criticism during an AAR will not be tolerated Ground rules must be set for an open, honest, and respectful discussion Every action had a reason; finding out why may assist in future tactical decisions Talk about what worked, what didn t, what could be done better next time, and how to train to accomplish those goals This Section Left Blank Intentionally

25 TITLE: AFTER ACTION REVIEW PROCEDURE NUMBER: DATE: 08/28/2013 Page 5 of 9 Heartland Fire & Rescue values open and honest communication throughout the organization and understands that communication strengthens unity and morale in the department. We must strive for perfection in our operations while being willing to share our mistakes and allow others to learn from them. It is in the collective sharing of this information that Heartland Fire & Rescue will continue to build organizational trust and operational excellence. FORMAL AFTER ACTION REVIEW WORKSHEET Officer Company Complete the areas of the form in which you have information to benefit the review. It may not be necessary to fill out every area listed. Submit the completed form to Chief Officer in charge of Training within 48 hours of the incident. Dispatch information Time of alarm? Was the dispatch information accurate? Was the map page accurate? Was the Pre Plan accurate? Was the MDC on line and working? Alarm Response Was the response appropriate/adequate? Did the closest company respond? Any unusual response issues (trolley, road closure, traffic, etc.)? Was the apparatus placement appropriate?

26 Were non fire vehicles obstructing access? Could the response be improved? Size Up Was the size up adequate and clear? Was Command established? Were appropriate, prioritized orders given? Were the appropriate amount and type of resources available on scene? Rescue Was rescue potential considered? Was rescue a problem? Was it a coordinated effort? Could rescue efforts be improved? Exposures Exterior exposure problems? Interior exposure problems? How were exposures protected? Could exposure protection be improved? Fire Strategy What was the leader s intent? What was the strategy? Did the strategy or overall goal change? Was the attack plan effective? Could the overall strategy have been improved? Safety Were Utilities secured in a timely manner?

27 Was RIC established? Was an Accountability Officer assigned? Was the Accountability Tag System utilized by crews in IDLH? Were hazards identified and communicated to IC and personnel on the incident? Was the safety of the public considered? Was Rehab initiated? Ventilation How was ventilation accomplished? Was ventilation coordinated with Fire Attack? Could ventilation efforts be improved? Confinement/Extinguishment Was confinement strategy effective? How did fire extend? Were there adequate hose lines/gpms on the fire? Could tactics be improved? Was water supply adequate? Salvage & Overhaul What action was taken? Was it effective? Could it have been improved? Apparatus Placement/Staging Did the first in units use the most effective location available? Were there access issues to the incident location? Was the Truck able to access the structure (if applicable)? Could placement of apparatus have been improved?

28 Investigation Was fire scene preserved? Was fire cause suspicious? Appropriate comments on investigation Command Who took initial command? Where was command post location? Was location effective? Was command transferred? _ How was transfer achieved? Was transfer effective? Why? Was it clear who was in command? What positions of the ICS were filled? Was divisioning used? Was it effective? Were ICS assignments clear & understood? Conclusions & Recommendations List all recommendations on policies, procedures, SOGs, and specific lessons learned:

29 Plot Map (To be completed by First In Officer) Please include fire building, location of units, hydrants, main sizes, hose lines, appropriate features of structure, utility shut off, etc. Incident Address: Officer Creating Plot Map:

30 TITLE: ACCOUNTABILITY SYSTEM EQUIPMENT NUMBER: PROCEDURE DATE: 9/21/2012 Page 1 of 4 PURPOSE To establish a consistent method of maintaining Heartland Fire & Rescue s Accountability System Equipment. POLICY Accuracy of all accountability systems will be the responsibility of all personnel. All MDC and Accountability systems shall reflect an accurate depiction of personnel and positioning at the beginning of each shift through the Daily accountability Check, and shall be maintained as needed throughout the entirety of each shift. APPLICABILITY Heartland Fire & Rescue El Cajon Fire Department, La Mesa Fire Department, Lemon Grove Fire Department. AUTHORITY Fire Chief REFERENCE San Diego Operational Area Policy #5 A dated 2/1/2012 PROCEDURE To insure that all Accountability System components are in place and reflect an accurate display of unit personnel, seat assignment, and are in serviceable condition whenever a unit is in service.

31 TITLE: ACCOUNTABILITY SYSTEM EQUIPMENT NUMBER: PROCEDURE DATE: 9/21/2012 Page 2 of 4 Daily Accountability Checks Shall Include: Mobile Data Computer (MDC) MDC is to reflect appropriate staffing configuration from the onset of shift Company Officer is responsible for accuracy of daily accountability Update immediately as required with personnel movement throughout the shift Must be accurate to ensure accountability at incidents Tag System Placement Confirm Accountability Tags (and Company Tags if appropriate) are attached to metal ring on left shoulder strap of BA with proper seat assignments for all positions at beginning of shift Equipment Inventory: Engine and Truck Accountability Tag for each BA with appropriate seat designator Captain Tag #1 Engineer Tag #2 Firefighter (behind Captain) Tag #3 Firefighter (behind Engineer) Tag #4 Company Tag for Captain and Chief Officer BAs Accountability Clipboard (stored in an accessible location in the cab of each apparatus) Writing utensils Timer Accountability Tracking Reports (ATRs), minimum of five

32 TITLE: ACCOUNTABILITY SYSTEM EQUIPMENT NUMBER: PROCEDURE DATE: 9/21/2012 Page 3 of 4 Equipment Inventory: Ambulances NOTE: The Tag numbers assigned at the beginning of the shift will follow those persons on that ambulance throughout the shift, regardless of seat/position rotation. Accountability Tag for each BA with appropriate seat designators. Driver Tag #1 Passenger Side Firefighter Paramedic Tag #2 Reserve Firefighter Tag #3 Company Tag on BA with Accountability Tag #1 Equipment Inventory: Command Vehicles Accountability Tag for BA Company Tag Accountability Clipboard Writing utensils Timer Accountability Tracking Reports (ATRs)

33 TITLE: ACCOUNTABILITY SYSTEM EQUIPMENT NUMBER: PROCEDURE DATE: 9/21/2012 Page 4 of 4 Reserve Apparatus Accountability System There may be certain situations that require additional systems to be placed in service, such as upstaffing for major events, backfilling engines for strike teams, or lost/damaged tags. For this purpose, spare BLANK tags will be kept in the move up boxes in the Captains offices of Stations 6, 10, 11. In addition, pre labeled tags for routinely used reserve units (i.e. Engine 206, Engine 209) will be kept in the move up boxes at those respective stations. If there are no pre labeled tags available, blank red engine tags will be utilized to label the BAs. A permanent marker shall be used to label the unit number and identify the seat assignment on the Accountability Tags and Company Tag. For example, if Engine 8 was out on strike team assignment, the replacement engine Accountability Tags would be labeled E208 1, E208 2, E208 3, and E208 4 and the Company Tag would be labeled E208. The marker labeling is to be removed at the conclusion of its use with denatured alcohol. REMINDER: El Cajon and La Mesa will utilize the 200 series Engine identifiers only if the original engine is still in service. If the original engine is out of service and a reserve engine is taking its place, the replacing engine assumes the original engine s designator i.e. E8 and not E208. This holds true for El Cajon Ambulances. Lemon Grove will utilize this same numbering sequence except that the 200 series will be 300. All tags are to be replaced in their identified stored location immediately upon the apparatus going out of service. Passport Accountability System The previous accountability system, the Passport System, will be retained as a backup in the event an MDC is not installed or available on an apparatus. In this event, the Passport System of plastic/velcro name tags will be put in service as an additional means of incident personnel management alongside the current system. Lost or Damaged Tags In the event Accountability Tags are lost or damaged, temporary replacement(s) must be placed in service immediately for crew safety. The Duty Battalion Chief is to be notified of lost or damaged

34 TITLE: ACCOUNTABILITY SYSTEM EQUIPMENT NUMBER: PROCEDURE DATE: 9/21/2012 Page 5 of 4 Accountability equipment immediately for permanent replacement(s) to be ordered. At no time shall an apparatus or BA be placed in service without the appropriate Accountability Tag and/or Company Tag in place. Additional Accountability Tracking Report (ATR) Forms Additional ATRs are available for printable download through Heartland Fire & Rescue s Website. The ATRs are located by selecting the Employees section from the website homepage, then selecting Forms, and choosing Accountability Tracking Report Form. Adequate supplies of ATRs are to be kept in the Accountability Clipboard. Intra Agency Time Exchanges and Overtime During Intra Agency Time Exchanges (HFR P&P /01/2012) and Overtime opportunities, it will be the responsibility of the exchanging personnel to transfer their department specific BAs and update the Accountability Tags to reflect the apparatus they are assigned to. Upon completion of the assignment, the proper BA for that unit will be replaced with the Accountability Tags attached.

35 TITLE: Emergency Vehicle Operation NUMBER: DATE: 02/05/2015 Page 1 of 6 PURPOSE To provide for a common approach to ensure safe emergency vehicle operations. APPLICABILITY Heartland Fire & Rescue, City of El Cajon, City of La Mesa, City of Lemon Grove. DEFINITIONS California Basic Speed Law: No person shall drive a vehicle upon a highway at a speed greater than is reasonable or prudent having due regard for weather, visibility, the traffic on, and the surface and width of, the highway, at a speed which endangers the safety of persons or property. Due Regard: A reasonably careful person performing similar duties and under similar circumstances, would act in the same manner. This includes, but is not limited to, the concept that an emergency vehicle should exercise reasonable driving tactics intended to avoid all traffic collisions. Code Three: The operation of an authorized department vehicle in response to an emergency call, or while actively engaged in an emergency call, but not returning from an emergency call, when such emergency requires an expeditious response. Only those personnel, who are properly trained, licensed, and whose duties necessitate driving Code Three shall do so. Code Two: All regular operation of authorized department vehicles except for that which involves the use of lights and sirens. This includes routine driving and non emergency responses. AUTHORITY Fire Chief REFERENCE California Vehicle Code (CVC) Sections 21055, and 22350, NFPA 1500

36 TITLE: Emergency Vehicle Operation NUMBER: DATE: 02/05/2015 Page 2 of 6 PROCEDURE Fire Department vehicles shall always be operated with caution and courtesy at all times. In addition to the principles of the California Basic Speed Law, the Vehicle Code does not exempt emergency vehicles from driving with due regard for public safety. Any person driving or riding as a passenger in a department vehicle shall have their seatbelt on at all times when the vehicle is in motion. It is the operator s responsibility to ensure that all passengers have their seatbelts fastened. The lone exception to the seatbelt requirement is when patient care in the back of an ambulance does not momentarily allow for it. Every effort shall be made by Fire Department personnel to resume wearing a seat belt when in the back of an ambulance, as soon as possible. Anytime a Fire Department vehicle is not operating Code Three (including Code Two responses to 911 calls), the vehicle must be operated in accordance with all applicable traffic laws. Whenever a fire apparatus is parked, besides in quarters, the vehicle will be chocked on the engineer s side of the apparatus, on the downhill side when applicable. When two chocks are available, both sides of the tire shall be chocked. Apparatus not equipped with chocks (i.e. ambulances, staff vehicles, etc.) are exempt from this clause. BACKING The ultimate responsibility of backing rests solely on the operator of the vehicle. A spotter will be used as a backer when available.

37 TITLE: Emergency Vehicle Operation NUMBER: DATE: 02/05/2015 Page 3 of 6 Prior to backing, the operator shall inform the spotter(s) of the intended route. Use only the four approved hand signals to guide the vehicle. In addition to the STOP hand signal, shout STOP for all emergency stops. Turn rear to LEFT Turn rear to RIGHT Come Straight Back Emergency Stop or Stop

38 TITLE: Emergency Vehicle Operation NUMBER: DATE: 02/05/2015 Page 4 of 6 At all times during backing maneuvers: Emergency lights will be activated (additional rear working lights, if available, are encouraged) The operator will have their window rolled down. The operator will not be wearing a headset. All personnel will exit the vehicle and assist with backing. The backer will be located on the driver s side of the vehicle, so that they have a clear view of the driver in the side view mirror and a clear view of the rear of the vehicle. The driver shall only follow signals from the backer to avoid confusion caused by multiple spotters. Eye contact with the backer will be maintained throughout the operation. If at any time, the driver loses sight of the backer, the vehicle is to be immediately stopped. A backup camera is not to be used in place of a backer and is not to be used with the vehicle in motion. If backing occurs at night, a hand light shall be used by the backer. If no backer is available, then it shall be the responsibility of the operator to survey the area for obstacles and hazards prior to performing the backing maneuver. During times of technical backing needs such as obstacle congestion or unusual maneuvering, the company officer should be positioned at the most advantageous point to survey the entire backing maneuver, paying close attention to the entire scene, traffic control, crew positions, topography changes, personnel protective equipment and the path of the apparatus. CODE THREE DRIVING When an emergency vehicle is operating Code Three the sirens and warning lights must be in use at all times the vehicle is in motion. The Hi Lo tone is not an authorized sound and is not to be used. Code Three driving shall never violate the Basic Speed Law. Emergency vehicle operators shall never employ aggressive techniques to force other drivers to yield the right of way. Code Three driving is not to be regularly used on the freeway/highway. The use of lights and sirens on the freeway/highway should be limited to operating on the shoulder and with slowed

39 TITLE: Emergency Vehicle Operation NUMBER: DATE: 02/05/2015 Page 5 of 6 or stopped traffic in the lanes. The use of rear amber warning lights is permitted for freeway/highway responses. Passing is permissible on the left only. Exceptions: when vehicles are in the left turn lane, passing the vehicles is permitted on the right side. When using a designated right turn only lane, passing is permitted on the right side, but only with extreme caution. When a vehicle does not yield the right of way and has stopped in such a manner that passing on the left is not possible, then passing is permitted on the right side, but only with extreme caution. When approaching an intersection, the operator shall reduce the speed of an emergency vehicle so as to allow the vehicle to come to a complete stop, if necessary, based on the position and actions of cross and opposing vehicle and pedestrian traffic. Prior to movement through the intersection, the operator of the emergency vehicle shall visually account for the vehicles in each of the lanes of the cross and opposing traffic. It is permissible to use oncoming lanes at intersections if it is clear and extreme caution is used. When blocked at an intersection, whether by signal or traffic, and passage via opposing traffic lane is not possible, turn off all emergency warning devices and wait for the light to change. Do not force other drivers into the intersection. Operators shall maintain situational awareness of other responding vehicles at all times. Operators should coordinate their response routes with other emergency vehicles which may be responding Code Three in the same area. Actions to support this practice include announcing anticipated intersections crossings via radio and use of the Automatic Vehicle Locator (AVL) system on the Mobile Data Computer (MDC). Operators are reminded that the use of AVL to track other vehicles is not 100% accurate and should not be relied upon accordingly. Units responding from the same location shall take the same route unless the incidents operational needs require approaching from different directions. At railroad crossings, emergency vehicles shall slow enough to only proceed once it is visually confirmed that there is no imminent rail traffic. Apparatus shall never be parked on railroad or trolley tracks for any reason.

40 TITLE: Emergency Vehicle Operation NUMBER: DATE: 02/05/2015 Page 6 of 6 EMERGENCY ENCOUNTERED ENROUTE If while on an emergency response, a unit encounters another incident, (fire, traffic, medical, etc.), that unit will stop to investigate, advise Dispatch if the unit is required to remain at new incident, and request additional resources for the initial response if needed.

41 TITLE: PPE CARE, MAINTENANCE AND RESPONSE ATTIRE POLICIES & PROCEDURES NUMBER: DATE: Page 1 of 9 PURPOSE To standardize the use of personal protective clothing and equipment within the Heartland Fire and Rescue cooperative agencies. To ensure the protection, health and safety of emergency response personnel during emergency and non emergency operations. To make certain all personnel are in compliance with applicable NFPA standards. AUTHORITY Fire Chief APPLICABILITY Heartland Fire & Rescue, City of El Cajon, City of La Mesa, City of Lemon Grove. POLICIES & PROCEDURES Personnel shall adhere to the following procedures during emergency and non emergency operations. DEFINITIONS ELEMENTS Individual, compliant pieces of PPE, that when worn together as an ensemble, provide protection to the upper and lower torso, arms, legs, head, hands and feet. FLAME RESISTANCE (FR) Flame Resistance can be an inherent property of a material, or it can be imparted by a specific treatment. INDEPENDENT SERVICE PROVIDER (ISP) An independent third party utilized by an organization to perform one or any combination of advanced inspection, advanced cleaning, and/or repair service. INHERENT FLAME RESISTANCE (IFR) Flame Resistance that is naturally derived from the essential characteristics of a fiber or polymer.

42 TITLE: PPE CARE, MAINTENANCE AND RESPONSE ATTIRE POLICIES & PROCEDURES NUMBER: DATE: Page 2 of 9 NATIONAL FIRE PROTECTION AGENCY (NFPA) Agency responsible for the design, performance, testing, and certification of protective clothing and equipment used by the fire service. All references to NFPA compliancy shall refer to the most recent edition. PERSONAL PROTECTIVE EQUIPMENT (PPE) Compliant protective clothing and equipment that when worn properly provide protection from some of the risks involved in emergency operations. PPE EQUIPMENT OFFICER The individual responsible for selection, care, maintenance and approval of department PPE. LEVEL OF RESPONSE ATTIRE FULL STRUCTURAL FIREFIGHTING PPE Shall consist of department provided, NFPA 1971 compliant structural firefighting helmet, eye protection, protective hood, structural firefighting jacket, structural firefighting pant, structural firefighting gloves, structural firefighting boots and a Self Contained Breathing Apparatus (SCBA). Removal of goggles from helmets may be approved to preserve their condition during live fire training. MODIFIED STRUCTURAL FIREFIGHTING PPE Shall consist of department provided, NFPA 1971 compliant structural firefighting helmet, eye protection, structural firefighting jacket, structural firefighting pant, leather or extrication gloves (medical gloves are permitted while performing patient care) and protective toe boots. FULL WILDLAND FIREFIGHTING PPE Shall consist of department provided, NFPA 1977 compliant wildland or structural firefighting helmet with shroud, goggles, wildland jacket, wildland pant, wildland gloves, leather boots (wildland boots where agency provided) and web gear including fire shelter. Note: Nomex or FR station pants and an IFR cotton, wool or FR t shirt (long sleeved t shirt if using a single lined jacket) must be worn under wildland firefighting PPE jacket. Short sleeve t shirt may be worn when wearing a dual lined wildland jacket. All t shirts worn while engaging in wildland or vegetation fire operations shall be 100%, non dyed, cotton or FR material with no silk screen or heat transfer identifications applied to them. Single layering wildland PPE shall consist of department approved, NFPA compliant helmet with shroud and goggles, gloves, web gear including fire shelter, wildland boots (where agency provided), non lined wildland jacket and a NFPA 1975/1977 dual compliant pant. A long or short sleeve 100%, non dyed, cotton or FR material with no silk screen or heat transfer identifications applied to them.