Post by thecutman on Mar 30, 2008 14:40:52 GMT -5
If you think you are a rescue technician, and I see this on some peoples helmets, they need to read this whole standard and a few more. Most of which I have posted in the above seperate forums are the applicable standards with some newer changes coming.
This is just the vehicle and machinery requirements to be a tech. There are three levels awareness, operations and technician.
This does not include rope rescue, confined space rescue, trench rescue, structural collapse rescue, water search and rescue, wilderness search and rescue, or swiftwater rescue.
Most people may be to the operational level, but there aren't many technicians around!
NFPA1006
Chapter 8 Vehicle and Machinery Rescue
8.1 General Requirements.
The job performance requirements defined in 8.1.1 through 8.1.10 shall be met prior to certification in vehicle and machinery rescue.
8.1.1 Plan for a vehicle/machinery incident, given agency guidelines, planning forms, a vehicle/machinery incident or simulation, so that a standard approach is used during training and operational scenarios, emergency situation hazards are identified, isolation methods and scene security measures are considered, fire suppression and safety measures are identified, vehicle/machinery stabilization needs are evaluated, and resource needs are identified and documented for future use.
(A) Requisite Knowledge: Operational protocols, specific planning forms, types of vehicles and machinery common to the AHJ boundaries, vehicles/machinery hazards, incident support operations and resources, vehicle/machinery anatomy, and fire suppression and safety measures.
(B) Requisite Skills: The ability to apply operational protocols, select specific planning forms based on the types of vehicle/machinery, identify and evaluate various types of vehicle/machinery within the AHJ boundaries, request support and resources, identify vehicle/machinery anatomy, and determine the required fire suppression and safety measures.
8.1.2* Establish “scene” safety zones, given scene security barriers, incident location, incident information, and personal protective equipment, so that action hot, warm, and cold safety zones are designated, zone perimeters are consistent with incident requirements, perimeter markings can be recognized and understood by others, zone boundaries are communicated to incident command, and only authorized personnel are allowed access to the rescue scene.
(A) Requisite Knowledge: Use and selection of personal protective equipment, traffic control flow and concepts, types of control devices and tools, types of existing and potential hazards, methods of hazard mitigation, organizational standard operating procedure, and types of zones and staffing requirements.
(B) Requisite Skills: The ability to select and use personal protective equipment, apply traffic control concepts, position traffic control devices, identify and mitigate existing or potential hazards, and apply zone identification and personal safety techniques.
8.1.3* Establish fire protection, given an extrication incident and fire control support, so that fire and explosion potential is managed and fire hazards and rescue objectives are communicated to the fire support team.
(A) Requisite Knowledge: Types of fire and explosion hazards, incident management system, types of extinguishing devices, agency policies and procedures, types of flammable and combustible substances and types of ignition sources, and extinguishment or control options.
(B) Requisite Skills: The ability to identify fire and explosion hazards, operate within the incident management system, use extinguishing devices, apply fire control strategies, and manage ignition potential.
8.1.4* Stabilize a vehicle or machine, given a basic extrication tool kit and personal protective equipment, so that the vehicle or machinery is prevented from moving during the rescue operations; entry, exit, and tool placement points are not compromised; anticipated rescue activities will not compromise vehicle or machinery stability; selected stabilization points are structurally sound; stabilization equipment can be monitored; and the risk to rescuers is minimized.
(A) Requisite Knowledge: Types of stabilization devices, mechanism of vehicle and machinery movement, types of stabilization points, types of stabilization surfaces, AHJ policies and procedures, and types of vehicle and machinery construction components as they apply to stabilization.
(B) Requisite Skills: The ability to apply and operate stabilization devices.
8.1.5* Isolate potentially harmful energy sources, given basic extrication tool kit and personal protective equipment, so that all hazards are identified, systems are managed, beneficial system use is evaluated, and hazards to rescue personnel and victims are minimized.
(A) Requisite Knowledge: Types and uses of personal protective equipment, types of energy sources, system isolation methods, specialized system features, tools for disabling hazards, and policies and procedures of the AHJ.
(B) Requisite Skills: The ability to select and use task- and incident-specific personal protective equipment, identify hazards, operate beneficial systems in support of tactical objectives, and operate tools and devices for securing and disabling hazards.
8.1.6 Determine the vehicle access and egress points, given the structural and damage characteristics and potential victim location(s), so that victim location(s) is identified; entry and exit points for victims, rescuers, and equipment are designated; flow of personnel, victim, and equipment is identified; existing entry points are used; time constraints are factored; selected entry/egress points do not compromise vehicle stability; chosen points can be protected; equipment and victim stabilization is initiated; and AHJ safety and emergency procedures are enforced.
(A) Requisite Knowledge: Vehicle construction/features, entry and exit points, routes and hazards operating systems, AHJ standard operating procedure, and emergency evacuation/safety signals.
(B) Requisite Skills: The ability to identify entry and exit points and probable victim locations and assess and evaluate impact of vehicle stability on the victim.
8.1.7 Create access and egress openings for rescue, given basic extrication tool kit, specialized tools and equipment, personal protective equipment, and an assignment, so that the movement of rescuers and equipment complements victim care and removal, an emergency escape route is provided, the technique chosen is expedient, victim and rescuer protection is afforded, and vehicle stability is maintained.
(A) Requisite Knowledge: Vehicle construction and features, electrical, mechanical, hydraulic, pneumatic, and alternative entry and exit equipment, points and routes of ingress and egress, techniques and hazards, agency policies and procedures, and emergency evacuation and safety signals.
(B) Requisite Skills: The ability to identify vehicle construction features, select and operate tools and equipment, apply tactics and strategy based on assignment, apply victim care and stabilization devices, perform hazard control based on techniques selected, and demonstrate safety procedures and emergency evacuation signals.
8.1.8 Disentangle victim(s), given an extrication incident, a basic extrication tool kit, personal protective equipment, and specialized equipment, so that undue victim injury is prevented, victim protection is provided, and stabilization is maintained.
(A) Requisite Knowledge: Tool selection and application, stabilization systems, protection methods, disentanglement points and techniques, and dynamics of disentanglement.
(B) Requisite Skills: The ability to operate disentanglement tools, initiate protective measures, identify and eliminate points of entrapment, and maintain incident stability and scene safety.
8.1.9 As a member of a team, remove a packaged victim to a designated safe area given a victim transfer device, designated egress route, and personal protective equipment, so that the team effort is coordinated, the designated egress route is used, the victim is removed without compromising victim packaging, undue injury is prevented, and stabilization is maintained.
(A) Requisite Knowledge: Patient handling techniques; incident management system; types of immobilization, packaging, and transfer devices; types of immobilization techniques; and uses of immobilization devices.
(B) Requisite Skills: Use of immobilization, packaging, and transfer devices for specific situations, immobilization techniques, application of medical protocols and safety features to immobilize, package, and transfer and all lifting techniques of the patient.
8.1.10* Terminate a vehicle/machinery incident, given personal protective equipment specific to the incident, isolation barriers, extrication tool kit, so that rescuers and bystanders are protected during termination operations; the party responsible for the operation, maintenance, or removal of the affected vehicle/machinery is notified of any modification or damage created during the extrication process; scene control is transferred to a responsible party; potential or existing hazards are communicated to that responsible party; and command is terminated.
Chapter 9 Confined Space Rescue
9.1 General Requirements.
The job performance requirements defined in 9.1.1 through 9.1.9 shall be met prior to certification in confined space rescue.
9.1.1 Preplan a confined space incident, given applicable guidelines and regulations and a preplan form, so that a standard approach is used during a confined space rescue emergency, hazards are recognized and documented, isolation methods are identified and documented, all accesses to the location of the entry opening are identified and documented, all types of entry openings are identified and documented, and internal configurations and special resource needs are documented for future rescuer use.
(A) Requisite Knowledge: Operational protocols, specific preplan forms, types of hazards common to jurisdictional boundaries, hazards that should and must be identified on preplans, isolation methods and issues related to preplanning, issues and constraints relating to the types of confined space openings, internal configuration special resource needs of a confined space, and applicable legal issues.
(B) Requisite Skills: The ability to select a specific preplan form; draft or draw a sketch of confined spaces; complete supplied forms; identify and evaluate various configurations of confined spaces, access points, entry openings, isolation procedures, and energy control locations; recognize general and site-specific hazards; document all data; and apply all regulatory compliance references.
9.1.2* Assess the incident, given a preplan of the space or size-up information, information from technical resources, monitoring equipment, and personal protective equipment required to perform the assessment, so that general area and space-specific hazards are identified, bystanders and victims are interviewed, immediate and ongoing monitoring of the space is performed, the victims’ conditions and location are determined, a risk–benefit analysis is performed, methods of ingress and egress for rescuer and victims are identified, rescue systems for victim removal are determined, and an emergency means of retrieval for rescue entrants is established.
(A) Requisite Knowledge: Use of preplans, size-up, and interviewing techniques; types of personal protective equipment; monitoring equipment protocols, rescue and retrieval systems; permit programs; types of and uses for available resources; risk–benefit analysis methods; common hazards and their influence on the assessment; methods to identify egress from and ingress into the space; and processes to identify size, type, and configuration of the opening(s) and internal configuration of the space.
(B) Requisite Skills: The ability to select and interpret preplan and size-up information, conduct interviews, choose and utilize personal protective equipment, operate monitoring equipment, identify hazard mitigation options, identify probable victim location, perform risk–benefit analysis, recognize characteristics and hazards of confined spaces, and evaluate specific rescue systems for entry and retrieval of rescuers and victims during confined space incidents.
9.1.3* Conduct monitoring of the environment, given monitoring equipment reference material, personal protective equipment, accurately calibrated detection and monitoring equipment, and size-up information, so that a representative sample of the space is obtained, accurate readings are made, readings are documented, and effects of ventilation in determining atmospheric conditions and the conditions of the space have been determined for exposures to existing or potential environmental hazards.
(A) Requisite Knowledge: Capabilities and limitations of detection and monitoring equipment, ways to confirm calibration, defining confined space configuration as it applies to obtaining a representative sample of space, basic physical properties of contaminants, and how to determine contents of a confined space.
(B) Requisite Skills: The ability to use and confirm calibration of detection and monitoring equipment and acquire representative sample of space.
9.1.4 Control hazards, given personal protective equipment and a confined space tool kit, so that the rescue area is established; access to the incident scene is controlled; rescuers are protected from exposure to hazardous materials and atmospheres, all forms of harmful energy releases, and physical hazards; and victims are protected from further harm.
(A) Requisite Knowledge: Proper personal protective equipment; safety protocols; monitoring equipment and procedures; ventilation equipment and procedures; incident hazards; types of hazardous materials exposure risks; forms, sources, and control of harmful energy and physical hazards in the confined space.
(B) Requisite Skills: The ability to utilize personal protective equipment, place scene control barriers, operate atmospheric monitoring equipment, isolate dangerous forms of energy, and mitigate physical and atmospheric hazards.
9.1.5 Prepare for entry into the confined space, given a confined space and a confined space rescue tool kit, so that victim communication is established when possible, continuous atmospheric monitoring is initiated, rescuer readiness is verified, rescuers’ limitations are identified and evaluated, rescuers unsuitable to entry operations are reassigned and replaced, route and methods of entry are determined, and rescuer evacuation is planned.
(A) Requisite Knowledge: Effects of hazardous atmospheres on victims and rescuers, types and operation of required hazard-specific monitoring equipment, organization protocol for medical and psychological evaluation related to entry, methods of entry into confined space in accordance with operational protocols, and rescuer evaluation methods.
(B) Requisite Skills: The ability to operate monitoring equipment, perform rescuer pre-entry medical exam, evaluate rescuer capabilities and limitations, identify victim communication needs, evaluate for point and route of entry, and select evacuation methods.
9.1.6 Enter a confined space, given personal protective equipment; safety, communication, and operational protocols; and a confined space rescue tool kit, so that the victim is contacted, controlled entry is established and maintained, atmosphere is continuously monitored, the victim’s mental and physical condition is further assessed, patient care is initiated, the patient is packaged to restrictions of the space, and patient removal can be initiated.
(A) Requisite Knowledge: Principles of operation for atmospheric monitoring equipment; methods for patient care in confined spaces; safety, communication, medical, and operational protocols; and controlled entry and egress procedures for confined spaces.
(B) Requisite Skills: The ability to use and apply personal protective equipment and rescue-related systems and equipment; implement safety, communication, and operational protocols; use medical protocols to determine treatment priorities; use medical equipment specific to confined space victim needs; and reassess and confirm mode of operation.
9.1.7* Package the victim for removal from a confined space, given a confined space rescue tool kit, so that damage to the rescue/retrieval equipment is prevented, the victim is given the smallest possible profile, and further harm to the victim is minimized.
(A) Requisite Knowledge: Spinal management techniques, victim packaging techniques, how to use low-profile packaging devices and equipment, methods to reduce or avoid damage to equipment, and the similarities and differences between packaging for confined spaces and other types of rescue.
(B) Requisite Skills: The ability to immobilize a victim’s spine; package victims in harnesses, low-profile devices, and litters; recognize and perform basic management of various traumatic injuries and medical conditions; support respiratory efforts; and perform cardiopulmonary resuscitation as required based on the environment.
9.1.8 Remove all entrants from a confined space, given personal protective equipment, rope and related rescue and retrieval systems, personnel to operate rescue and retrieval systems, and a confined space rescue tool kit, so that internal obstacles and hazards are negotiated, all persons are extricated from a space in the selected transfer device, the victim and rescuers are decontaminated as necessary, and the victim is delivered to the emergency medical services (EMS) provider.
(A) Requisite Knowledge: Personnel and equipment resource lists, specific personal protective equipment, types of confined spaces and their internal obstacles and hazards, rescue and retrieval systems and equipment, operational protocols, medical protocols, EMS providers, and decontamination procedures.
(B) Requisite Skills: The ability to select and use personal protective equipment, select and operate rescue and retrieval systems used for victim removal, utilize medical equipment, and use equipment and procedures for decontamination.
9.1.9 Terminate the confined space incident, given isolation barriers, documentation forms, and a confined space rescue tool kit, so that all personnel are accounted for and removed from the space, injuries are avoided, further entry into the space is denied, and the scene is secure.
(A) Requisite Knowledge: Methods to secure a scene, forms for documentation, tools for securing space access points, accountability protocols, and methods for denying further entry.
(B) Requisite Skills: The ability to apply regulations as needed, use tools, complete reporting documentation of the incident, and apply protocols.
This is just the vehicle and machinery requirements to be a tech. There are three levels awareness, operations and technician.
This does not include rope rescue, confined space rescue, trench rescue, structural collapse rescue, water search and rescue, wilderness search and rescue, or swiftwater rescue.
Most people may be to the operational level, but there aren't many technicians around!
NFPA1006
Chapter 8 Vehicle and Machinery Rescue
8.1 General Requirements.
The job performance requirements defined in 8.1.1 through 8.1.10 shall be met prior to certification in vehicle and machinery rescue.
8.1.1 Plan for a vehicle/machinery incident, given agency guidelines, planning forms, a vehicle/machinery incident or simulation, so that a standard approach is used during training and operational scenarios, emergency situation hazards are identified, isolation methods and scene security measures are considered, fire suppression and safety measures are identified, vehicle/machinery stabilization needs are evaluated, and resource needs are identified and documented for future use.
(A) Requisite Knowledge: Operational protocols, specific planning forms, types of vehicles and machinery common to the AHJ boundaries, vehicles/machinery hazards, incident support operations and resources, vehicle/machinery anatomy, and fire suppression and safety measures.
(B) Requisite Skills: The ability to apply operational protocols, select specific planning forms based on the types of vehicle/machinery, identify and evaluate various types of vehicle/machinery within the AHJ boundaries, request support and resources, identify vehicle/machinery anatomy, and determine the required fire suppression and safety measures.
8.1.2* Establish “scene” safety zones, given scene security barriers, incident location, incident information, and personal protective equipment, so that action hot, warm, and cold safety zones are designated, zone perimeters are consistent with incident requirements, perimeter markings can be recognized and understood by others, zone boundaries are communicated to incident command, and only authorized personnel are allowed access to the rescue scene.
(A) Requisite Knowledge: Use and selection of personal protective equipment, traffic control flow and concepts, types of control devices and tools, types of existing and potential hazards, methods of hazard mitigation, organizational standard operating procedure, and types of zones and staffing requirements.
(B) Requisite Skills: The ability to select and use personal protective equipment, apply traffic control concepts, position traffic control devices, identify and mitigate existing or potential hazards, and apply zone identification and personal safety techniques.
8.1.3* Establish fire protection, given an extrication incident and fire control support, so that fire and explosion potential is managed and fire hazards and rescue objectives are communicated to the fire support team.
(A) Requisite Knowledge: Types of fire and explosion hazards, incident management system, types of extinguishing devices, agency policies and procedures, types of flammable and combustible substances and types of ignition sources, and extinguishment or control options.
(B) Requisite Skills: The ability to identify fire and explosion hazards, operate within the incident management system, use extinguishing devices, apply fire control strategies, and manage ignition potential.
8.1.4* Stabilize a vehicle or machine, given a basic extrication tool kit and personal protective equipment, so that the vehicle or machinery is prevented from moving during the rescue operations; entry, exit, and tool placement points are not compromised; anticipated rescue activities will not compromise vehicle or machinery stability; selected stabilization points are structurally sound; stabilization equipment can be monitored; and the risk to rescuers is minimized.
(A) Requisite Knowledge: Types of stabilization devices, mechanism of vehicle and machinery movement, types of stabilization points, types of stabilization surfaces, AHJ policies and procedures, and types of vehicle and machinery construction components as they apply to stabilization.
(B) Requisite Skills: The ability to apply and operate stabilization devices.
8.1.5* Isolate potentially harmful energy sources, given basic extrication tool kit and personal protective equipment, so that all hazards are identified, systems are managed, beneficial system use is evaluated, and hazards to rescue personnel and victims are minimized.
(A) Requisite Knowledge: Types and uses of personal protective equipment, types of energy sources, system isolation methods, specialized system features, tools for disabling hazards, and policies and procedures of the AHJ.
(B) Requisite Skills: The ability to select and use task- and incident-specific personal protective equipment, identify hazards, operate beneficial systems in support of tactical objectives, and operate tools and devices for securing and disabling hazards.
8.1.6 Determine the vehicle access and egress points, given the structural and damage characteristics and potential victim location(s), so that victim location(s) is identified; entry and exit points for victims, rescuers, and equipment are designated; flow of personnel, victim, and equipment is identified; existing entry points are used; time constraints are factored; selected entry/egress points do not compromise vehicle stability; chosen points can be protected; equipment and victim stabilization is initiated; and AHJ safety and emergency procedures are enforced.
(A) Requisite Knowledge: Vehicle construction/features, entry and exit points, routes and hazards operating systems, AHJ standard operating procedure, and emergency evacuation/safety signals.
(B) Requisite Skills: The ability to identify entry and exit points and probable victim locations and assess and evaluate impact of vehicle stability on the victim.
8.1.7 Create access and egress openings for rescue, given basic extrication tool kit, specialized tools and equipment, personal protective equipment, and an assignment, so that the movement of rescuers and equipment complements victim care and removal, an emergency escape route is provided, the technique chosen is expedient, victim and rescuer protection is afforded, and vehicle stability is maintained.
(A) Requisite Knowledge: Vehicle construction and features, electrical, mechanical, hydraulic, pneumatic, and alternative entry and exit equipment, points and routes of ingress and egress, techniques and hazards, agency policies and procedures, and emergency evacuation and safety signals.
(B) Requisite Skills: The ability to identify vehicle construction features, select and operate tools and equipment, apply tactics and strategy based on assignment, apply victim care and stabilization devices, perform hazard control based on techniques selected, and demonstrate safety procedures and emergency evacuation signals.
8.1.8 Disentangle victim(s), given an extrication incident, a basic extrication tool kit, personal protective equipment, and specialized equipment, so that undue victim injury is prevented, victim protection is provided, and stabilization is maintained.
(A) Requisite Knowledge: Tool selection and application, stabilization systems, protection methods, disentanglement points and techniques, and dynamics of disentanglement.
(B) Requisite Skills: The ability to operate disentanglement tools, initiate protective measures, identify and eliminate points of entrapment, and maintain incident stability and scene safety.
8.1.9 As a member of a team, remove a packaged victim to a designated safe area given a victim transfer device, designated egress route, and personal protective equipment, so that the team effort is coordinated, the designated egress route is used, the victim is removed without compromising victim packaging, undue injury is prevented, and stabilization is maintained.
(A) Requisite Knowledge: Patient handling techniques; incident management system; types of immobilization, packaging, and transfer devices; types of immobilization techniques; and uses of immobilization devices.
(B) Requisite Skills: Use of immobilization, packaging, and transfer devices for specific situations, immobilization techniques, application of medical protocols and safety features to immobilize, package, and transfer and all lifting techniques of the patient.
8.1.10* Terminate a vehicle/machinery incident, given personal protective equipment specific to the incident, isolation barriers, extrication tool kit, so that rescuers and bystanders are protected during termination operations; the party responsible for the operation, maintenance, or removal of the affected vehicle/machinery is notified of any modification or damage created during the extrication process; scene control is transferred to a responsible party; potential or existing hazards are communicated to that responsible party; and command is terminated.
Chapter 9 Confined Space Rescue
9.1 General Requirements.
The job performance requirements defined in 9.1.1 through 9.1.9 shall be met prior to certification in confined space rescue.
9.1.1 Preplan a confined space incident, given applicable guidelines and regulations and a preplan form, so that a standard approach is used during a confined space rescue emergency, hazards are recognized and documented, isolation methods are identified and documented, all accesses to the location of the entry opening are identified and documented, all types of entry openings are identified and documented, and internal configurations and special resource needs are documented for future rescuer use.
(A) Requisite Knowledge: Operational protocols, specific preplan forms, types of hazards common to jurisdictional boundaries, hazards that should and must be identified on preplans, isolation methods and issues related to preplanning, issues and constraints relating to the types of confined space openings, internal configuration special resource needs of a confined space, and applicable legal issues.
(B) Requisite Skills: The ability to select a specific preplan form; draft or draw a sketch of confined spaces; complete supplied forms; identify and evaluate various configurations of confined spaces, access points, entry openings, isolation procedures, and energy control locations; recognize general and site-specific hazards; document all data; and apply all regulatory compliance references.
9.1.2* Assess the incident, given a preplan of the space or size-up information, information from technical resources, monitoring equipment, and personal protective equipment required to perform the assessment, so that general area and space-specific hazards are identified, bystanders and victims are interviewed, immediate and ongoing monitoring of the space is performed, the victims’ conditions and location are determined, a risk–benefit analysis is performed, methods of ingress and egress for rescuer and victims are identified, rescue systems for victim removal are determined, and an emergency means of retrieval for rescue entrants is established.
(A) Requisite Knowledge: Use of preplans, size-up, and interviewing techniques; types of personal protective equipment; monitoring equipment protocols, rescue and retrieval systems; permit programs; types of and uses for available resources; risk–benefit analysis methods; common hazards and their influence on the assessment; methods to identify egress from and ingress into the space; and processes to identify size, type, and configuration of the opening(s) and internal configuration of the space.
(B) Requisite Skills: The ability to select and interpret preplan and size-up information, conduct interviews, choose and utilize personal protective equipment, operate monitoring equipment, identify hazard mitigation options, identify probable victim location, perform risk–benefit analysis, recognize characteristics and hazards of confined spaces, and evaluate specific rescue systems for entry and retrieval of rescuers and victims during confined space incidents.
9.1.3* Conduct monitoring of the environment, given monitoring equipment reference material, personal protective equipment, accurately calibrated detection and monitoring equipment, and size-up information, so that a representative sample of the space is obtained, accurate readings are made, readings are documented, and effects of ventilation in determining atmospheric conditions and the conditions of the space have been determined for exposures to existing or potential environmental hazards.
(A) Requisite Knowledge: Capabilities and limitations of detection and monitoring equipment, ways to confirm calibration, defining confined space configuration as it applies to obtaining a representative sample of space, basic physical properties of contaminants, and how to determine contents of a confined space.
(B) Requisite Skills: The ability to use and confirm calibration of detection and monitoring equipment and acquire representative sample of space.
9.1.4 Control hazards, given personal protective equipment and a confined space tool kit, so that the rescue area is established; access to the incident scene is controlled; rescuers are protected from exposure to hazardous materials and atmospheres, all forms of harmful energy releases, and physical hazards; and victims are protected from further harm.
(A) Requisite Knowledge: Proper personal protective equipment; safety protocols; monitoring equipment and procedures; ventilation equipment and procedures; incident hazards; types of hazardous materials exposure risks; forms, sources, and control of harmful energy and physical hazards in the confined space.
(B) Requisite Skills: The ability to utilize personal protective equipment, place scene control barriers, operate atmospheric monitoring equipment, isolate dangerous forms of energy, and mitigate physical and atmospheric hazards.
9.1.5 Prepare for entry into the confined space, given a confined space and a confined space rescue tool kit, so that victim communication is established when possible, continuous atmospheric monitoring is initiated, rescuer readiness is verified, rescuers’ limitations are identified and evaluated, rescuers unsuitable to entry operations are reassigned and replaced, route and methods of entry are determined, and rescuer evacuation is planned.
(A) Requisite Knowledge: Effects of hazardous atmospheres on victims and rescuers, types and operation of required hazard-specific monitoring equipment, organization protocol for medical and psychological evaluation related to entry, methods of entry into confined space in accordance with operational protocols, and rescuer evaluation methods.
(B) Requisite Skills: The ability to operate monitoring equipment, perform rescuer pre-entry medical exam, evaluate rescuer capabilities and limitations, identify victim communication needs, evaluate for point and route of entry, and select evacuation methods.
9.1.6 Enter a confined space, given personal protective equipment; safety, communication, and operational protocols; and a confined space rescue tool kit, so that the victim is contacted, controlled entry is established and maintained, atmosphere is continuously monitored, the victim’s mental and physical condition is further assessed, patient care is initiated, the patient is packaged to restrictions of the space, and patient removal can be initiated.
(A) Requisite Knowledge: Principles of operation for atmospheric monitoring equipment; methods for patient care in confined spaces; safety, communication, medical, and operational protocols; and controlled entry and egress procedures for confined spaces.
(B) Requisite Skills: The ability to use and apply personal protective equipment and rescue-related systems and equipment; implement safety, communication, and operational protocols; use medical protocols to determine treatment priorities; use medical equipment specific to confined space victim needs; and reassess and confirm mode of operation.
9.1.7* Package the victim for removal from a confined space, given a confined space rescue tool kit, so that damage to the rescue/retrieval equipment is prevented, the victim is given the smallest possible profile, and further harm to the victim is minimized.
(A) Requisite Knowledge: Spinal management techniques, victim packaging techniques, how to use low-profile packaging devices and equipment, methods to reduce or avoid damage to equipment, and the similarities and differences between packaging for confined spaces and other types of rescue.
(B) Requisite Skills: The ability to immobilize a victim’s spine; package victims in harnesses, low-profile devices, and litters; recognize and perform basic management of various traumatic injuries and medical conditions; support respiratory efforts; and perform cardiopulmonary resuscitation as required based on the environment.
9.1.8 Remove all entrants from a confined space, given personal protective equipment, rope and related rescue and retrieval systems, personnel to operate rescue and retrieval systems, and a confined space rescue tool kit, so that internal obstacles and hazards are negotiated, all persons are extricated from a space in the selected transfer device, the victim and rescuers are decontaminated as necessary, and the victim is delivered to the emergency medical services (EMS) provider.
(A) Requisite Knowledge: Personnel and equipment resource lists, specific personal protective equipment, types of confined spaces and their internal obstacles and hazards, rescue and retrieval systems and equipment, operational protocols, medical protocols, EMS providers, and decontamination procedures.
(B) Requisite Skills: The ability to select and use personal protective equipment, select and operate rescue and retrieval systems used for victim removal, utilize medical equipment, and use equipment and procedures for decontamination.
9.1.9 Terminate the confined space incident, given isolation barriers, documentation forms, and a confined space rescue tool kit, so that all personnel are accounted for and removed from the space, injuries are avoided, further entry into the space is denied, and the scene is secure.
(A) Requisite Knowledge: Methods to secure a scene, forms for documentation, tools for securing space access points, accountability protocols, and methods for denying further entry.
(B) Requisite Skills: The ability to apply regulations as needed, use tools, complete reporting documentation of the incident, and apply protocols.
;D
