protocol for 911 in Or when an infant not breathing call comes in?

Question

What should the 911 operator be telling us to do ? what is needed to become the 911 operator?

Answer 1

What questions are asked and what instructions are given to the caller depend on the 911 center that receives the call. Policies determine what is done, and policies differ from center to center.

Hopefully the 911 center utilizes EMD (Emergency Medical Dispatch), whch is a protocol card set that allows the Dispatcher to give specific instructions, especially in a non-breathing situation you have given as an example.

Assuming the 911 center has EMD, they will give CPR instructions to a cooperative caller until EMS units arrive on scene to take over care of the infant.

To be a 911 Telecommunicator is also dependent on the training program at a 911 Center, it can be good or bad. If its good then training lasts several weeks, and the trainee is sent to multiple training classes and is not allowed to work solo until they have passed all related training programs.

If it's bad, then they sit with somone for a few days and are told tomorrow they'll be on their own and they receive little, if any, quality training.

Luckily, those bad places are getting fewer and far between now a days.

Answer 2

When an infant not breathing call comes in they should dispatch an ambulance and then talk the caller through CPR.

Lay baby down tilt the head back with a hand on the forehead and chin to open the airway. Then start breathing into the child by covering the child's mouth and nose. The chest should rise and fall. Give 2 breaths and check for pulse. If no pulse start chest compressions. If pulse continue to give rescue breathing.

Answer 3

This is the SOP for 911 which is carried out, and additional information is given, REMEMBER UNLESS YOU HAVE COMPLETE COMMAND ON CPR IN INFANTS DO NOT PASS ANY MESSAGE OF PROCEDURES AS DEATHS OFTEN OCCURS DUE TO E.G. BROKEN RIBS:

The Wyoming County 911 Center will follow the below guidelines when alerting the proper Emergency Services of an emergency call.
1.The proper equipment tones will be transmitted twice.
2.The involved fire department’s name/station number will be given.
3.The name of the residence will be given.

4.The location will be given to include the street address, landmarks, township or borough with all directions.

5.The nature of the call will be given.

6.Message repeated.

7.The military time will be given.

EXAMPLE:Pager tones, “Wyoming County, Station 12, the Jones residence, 25 King Road, Exeter Township, directions to the residence, for a report of a brush fire”.Message repeated and military time given.

Once dispatched to a call, the first due fire department will be given five (5) minutes from the end of the dispatch message to respond.If the apparatus has not responded at this point, the following options would apply:

A.If the 911 Center has had no contact with the first due station, the first due department will be dispatched again and the words “second request” will be added; mutual aid (second due) will also be dispatched.

B.If the 911 Center has made contact with a line officer/responding portable from the first due station, the dispatcher will ask if a second dispatch is needed.The officer/portable has the following options:

1.Respond in the negative, in which case no additional dispatches will be made at that time.

2.Request a second dispatch but no mutual aid (at that time*).

3.Request a second dispatch with mutual aid, in which case the 911 Center will dispatch the first and second due departments.

* If apparatus from the first due department has not responded at the ten (10) minute mark, mutual aid will automatically be dispatched.

ADDITIONAL CALLS

When an additional call is received for your department, the dispatch guideline will remain the same.

CANCELLATION / RECALL PROCEDURE

At times the individual that reported the incident will call back and ask the dispatcher to cancel the fire department.If this occurs, the dispatcher will advise your department of the cancellation request.It is then the responsibility of your department to determine what action will be taken and advise the 911 Center.Upon a request for cancellation from a field unit, the 911 Center will notify your department of a recall with an Alert Tone and an announcement stating who authorized the cancellation.

EXAMPLE: Alert Tone, “Wyoming County, Triton Fire, as per Triton 1, all units can cancel.”Message repeated and military time given.

ADDRESSING THE 911 CENTER

The 911 Center will be addressed as “Wyoming County”; such as, who you are(assigned by your department), Wyoming County and your message.Please follow the below examples.

EXAMPLE:MEHOOPANY ENGINE 6, WYOMING COUNTY, RESPONDING.

REPLY:Mehoopany Engine 6 responding, military time.

EXAMPLE:MEHOOPANY ENGINE 6, WYOMING COUNTY, ON SCENE.

REPLY:Mehoopany Engine 6 on scene, military time.

The use of ten codes on Fire/EMS frequencies is NOT allowed, with the exception of universally used 10-4.

Responding portables are to call the 911 Center by radio ONLY.

All fire ground operations that require extended internal communications must switch and operate on a secondary frequency, one not used for dispatching.

Allow sufficient time for the dispatcher to respond to your transmissions.Don’t assume that the dispatcher heard your transmission.Repeat your transmission until you receive an acknowledgement from the dispatcher.

PRIORITY AND EMERGENCY MESSAGES

The 911 Center, at times, becomes extremely busy.This may prevent immediate responses to your transmissions and the dispatcher may advise all units to stand-by.If you have an urgent (priority) message during this time, advise the 911 Center in the following manner: “Chief 12 to Wyoming County, Priority”.This will notify the dispatcher to have ALL other units stand by and clear the air for your transmission. When a unit has a life or death message to advise either field units or the 911 Center, advise the 911 Center in the following manner: “Chief 5 to Wyoming County, Emergency”.This will initiate the “Emergency Tone” on the radio.All units must immediately clear the frequency and follow instructions.

ECHOED TRANSMISSIONS

The following transmissions will be echoed by the 911 Center to our standard phrases:Responding – On Scene – Who is establishing command – Pertinent On-Scene Reports – Returning – In Service at Station.Portables and line officers responding will be echoed, however, it is recommended that your department establish crews, speak to other members, etc. on a separate frequency that is not used as a dispatch channel.

INCIDENT TIMES AND NUMBERS

Incident information will be faxed to each department after they complete a call.

HELICOPTERS / LANDING ZONES

When a helicopter has been placed on stand-by or requested to fly for calls in your coverage area, once it has been confirmed the helicopter is available, your department will be dispatched with directions to the scene of the incident.You must advise the 911 Center of the location of the landing zone and the landing zone officer.The dispatcher will advise you of the frequency to use for landing zone operations.

WRECKER REQUESTS

A wrecker may be requested by your department if it is needed for extrication purposes ONLY.Otherwise, the law enforcement agency will handle this request.

DRILLS

In order for the 911 Center to tone out your department for a drill, you must submit your request to the 911 Center in writing, on your department’s letterhead, two weeks in advance.Be sure to include in what way you would like for us to participate.The 911 Center will proceed with the drill providing the frequency is clear, and the drill will not interfere with actual emergencies.When a drill message is relayed by any communications source, the message must begin and end with the statement “THIS IS A DRILL MESSAGE”.If the frequency or the 911 Center is busy, the drill will be held until time allows for it to be done.If an emergency call must be toned out during the drill, or an emergency message needs to be relayed, ALL drill communication must cease until the emergency clears.

SPECIAL ANNOUNCEMENTS

The Wyoming County 911 Center WILL NOT make special announcements.According to Federal Communications (F.C.C.) regulations, the radio frequency is for emergency and dispatch purposes ONLY.

OUT OF SERVICE NOTIFICATION

You may notify the 911 Center of out of service apparatus.Also advise if there is a change in dispatch procedure or if you will be unable to provide a service.The Out of Service Announcement will be done daily at 0730 hours and 1930 hours.


TONE TESTS

A tone test may be requested to test new equipment or for equipment malfunctions.To request a tone test, call the 911 center at 570-836-6161.The dispatcher may delay a tone test due to emergency radio traffic.

CHANGES WITHIN YOUR DEPARTMENT

Any changes within your department (line officers, etc.) can be submitted in writing or e-mail to the Wyoming County 911 Center.Changes will not be made until this documentation has been approved by the Director of 911.Our mailing address is: Wyoming County 911, 880 SR 6 West, Tunkhannock, PA 18657.You can email the Director at [e-mail].

NEW APPARATUS

Prior to placing a new piece of apparatus into service, the Chief Officer of the organization must advise the 911 center in writing or e-mail of the type of unit and when it will be placed in service.If there is a conflict with other county field units (i.e. radio designation), the 911 center may assign a non-conflicting radio designation for this apparatus.

MDC RADIO IDENTIFIERS

MDC radio identifiers assist the dispatcher with identifying who is calling on the radio and on which frequency they are calling.In order to avoid confusion, every portable and piece of apparatus must have a unique identifying number.This number is then translated by the radio system into an identifiable name.If the 911 Center does not already have your identifier on file, please contact the Director with the number.If you plan on upgrading your radio, contact the Director who will assist with assigning a number to your radio.

PERSONAL PHONE CALLS

The 911 center will NOT make personal phone calls for emergency personnel in the field.This will include calling 911 on a cellular phone for the purpose of by-passing the cellular air time charge.

PERSONAL PAGING

The 911 center will not page individual fire personnel via department tones.