PAST POSTS

These are the previous posts: 1 to 15

UPDATE #015

 

Posted 04/02/2020

1)PPE

This will be number one everyday. Make sure you wear it. Make sure you only wear n95's that you were fitted for (brand and size). Make sure you use the paper bags to store your non contaminated mask and or structurally sound mask for reuse up to 5 times. See your sup or Luke with any questions. Be safe everyone! Put your name on the bag!

 

2) SOCIAL DISTANCING

I know it takes getting used to. You should not be shaking hands or fist bumping any other caregivers. If you are at a larger station you should be keeping in different areas as best as you can. When one crew eats the other crew lounges etc. Avoid gatherings as much as possible.  Do not approach other crews or personnel at stations and or hospitals. Keep your distance. 6 feet is the recommended distance. Go larger if possible. Separate gurneys at ER's when possible. Go farther down hallways when possible. Do what you can to create as much space as you can. And always wash your hands and clean your stations and rigs

 

3) COMMUNICATIONS CENTER

Currently only active duty Communications personnel are allowed inside the center.  If you are off duty comms, or a field caregiver please do not enter the facility. If you are at HQ on duty and need something please use your nextel to contact your dispatcher or the dispatch supervisor.

UPDATE #014

Posted 04/01/2020

The following info shall be utilized when transporting a patient to the USNS MERCY ship:

 

This map that illustrates the entrance for ambulances and the location of the ship. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

You will enter at the USS Iowa parking lot. You need to check in at the first gate with license plate number and patient MAC Order Number. You will then follow to the right and follow along the route. Be advised, there are stop signs about every 50 feet. 

 

After you follow this route you will come to a narrow path that the mod barely fits in. You will be greeted by another set of LA Port Police and USMC. They will confirm the MAC Order number and then direct you up a narrow ramp. Take it nice and slow. There is no rush and you must avoid ambulance contact in this narrow passage. At the top of the ramp you will find a large parking lot containing a pop up tent at the end. You will pull up to it and back up with the back doors to the tent. 

 

You will then be greeted by USN and USMC. They will ask you to exit the ambulance to be screened for crew temperature and ask if you have had Cough, SOB, N/V or fever.

 

Offload the patient out of the ambulance and wheel them into the building you see on the map listed as Los Angeles WORLD CRUISE CENTER. Once inside you will give a report and transfer care to the USN team. They will sheet patients onto their hospital gurney. 

 

They will ask for paperwork and MAC order number quite often to confirm at all steps. 

 

Make sure you are getting destination signatures. For IFTS destination is listed under call informations. Not under the signature boxes

 

After transferring care they will ask you to step back outside to the rig and ask that you wait until it is confirmed that the patient has been admitted to the ship. Do not leave until you have confirmation!

 

Additional Information:

They are not accepting certain types of patients. They will not take geriatrics, pediatrics, or anyone who needs ICU level care as of now. They are taking middle aged patients that are basically MED SURG level only. They have capability to take TELEMETRY(cardiac monitoring 24s hours a day) but at this time they are only taking MED SURG patients. 


 

If you are interested you can see photos of the inside on google. Type in USNS MERCY interior. It is pretty interesting. We do not enter the ship but the inside is built exactly like a hospital. Instead of your standard USNS steel there is drywall painted, rails on the walls, drop ceilings, full monitors, IV pumps, everything to make the patient feel like they're in a hospital and not a ship.

 

If you have any questions during or prior to transporting to the ship, contact your Supervisor.

 

Be advised that the Supervisors will not be allowed to enter the lot with the transporting crew.

The LA Port police are pretty strict at the site.

 

The mod ambulance fits. You just have to roll slow. It maybe allows 3-4inches of space at the wheels on either side as there is a high curb on the ramp up to the lot. 

 

Please be advised that the security both locally and federally for the ship and its current mission is very tight for a number of reasons.

 

Access to the ship will not be granted to our crews as it requires a thorough background check.

 

While there have been plenty of pictures and videos of the ship made public, you are NOT authorized to take any photos/videos as it is an ACTIVE MILITARY installation. This means that while we have minimal access, it is more than public access and we will be held to Federal laws and regulations. Photos are definitely prohibited. Failure to comply may result in disciplinary action.

OPERATIONAL UPDATES:

1) PPE/N95 REUSE

Please continue to be safe. Please don and dof according to standards. 

 

Respirator Reuse Recommendations

Safe N95 reuse is affected by a number of variables that impact respirator function and contamination over time. However, manufacturers of N95 respirators may have specific guidance regarding reuse of their product. The recommendations below are designed to provide practical advice so that N95 respirators are discarded before they become a significant risk for contact transmission or their functionality is reduced:

· Discard N95 respirators following use during aerosol generating procedures.

· Discard N95 respirators contaminated with blood, respiratory or nasal secretions, or other bodily fluids from patients.

· Discard N95 respirators following close contact with any patient co-infected with an infectious disease requiring contact precautions.

· Hang used respirators in a designated storage area or keep them in a clean, breathable container such as a paper bag between uses. To minimize potential cross-contamination, store respirators so that they do not touch each other and the person using the respirator is clearly identified. Paper bags should be disposed of after the N95 is no longer re-usable. (Please see supervisor if you need a paper bag)

· Clean hands with soap and water or an alcohol-based hand sanitizer before and after touching or adjusting the respirator (if necessary for comfort or to maintain fit).

· Avoid touching the inside of the respirator.

· Use a pair of clean (non-sterile) gloves when donning a used N95 respirator and performing a user seal check. Discard gloves after the N95 respirator is donned and any adjustments are made to ensure the respirator is sitting comfortably on your face with a good seal.

 

 

2) PCRS

All caregivers (drivers/attendants/trainees) are required to login in daily to look for pcrs that are either parked and or not transmitted. If you have one or more in your profile they must be completed immediately. All pcr's by policy should be completed shortly after a call but always prior to shifts end. If you have a device issue or some other question please contact your field supervisor.

 

3) SUCCESS FACTORS

Some of you may be receiving emails from Erin about outstanding online training. Please login in today utilizing your toughbook and complete any courses that have a due date. There are some other optional courses assigned to everyone with some important information. Please utilize your downtime and or hospital wait times to complete these modules.

 

4) TELESTAFF

You must punch in and out for every shift. This includes if you are on 48's.  You have to clock out and then back in between the 48s. You must check your online time card for accuracy. If you are missing a punch or made a wrong punch out must send an email to laurel.hickcox@gmr.net with your correct punch in order for the correction to be made. Please set reminders for yourselves. It creates a tremendous amount of work to compensate for a missed punch. Both on your side and ours. Please, please, please punch in and out on time. Thanks

 

5)UNIFORMS

Please remember to bring spare uniforms in case you need to shower and or wash them during shift. We have multiple washing stations to assist you.

 

6)OVERTIME

I know this is a topic of conversation. As you all are probably feeling, this epidemic has created a significant volume change in our operation. Call transport volume is down significantly. This as an organization is how we create the revenue needed to succeed. When volume is high and hospital wait times are long we as an industry have had to increase the number of units we have on the road to compensate. With the sudden drop of transport volume and the reduction in wall times the need for additional units is not currently necessary. Because we had those additional units currently staffed, we are using any openings as an opportunity to pair up single caregivers.  We are doing this to make sure everyone scheduled still works on those days. As openings occur on our master schedule we will be able to pair up the partners in advance on a permanent basis and eliminate any last minute changes hopefully. We do have a significant number of driver trainees right now and hopefully once they clear that will reduce the number of splits. We thank you for your patience in this time and appreciate your understanding of how we have to navigate through these changes.

 

7)CREW CHIEF OPENINGS

Currently Stations 8,9,14 and 18 have openings

 

 

 

UPDATE #013

Posted 03/31/2020

McCormick COVID-19 Monitoring for EMS Personnel

 

1. Personnel should be wearing goggles, n95’s and gloves on all patient contacts. Regardless of call type and cad notes

2. All McCormick personnel should self-monitor twice daily, once at the start of shift and the second, ideally timed approximately 12 hours later for possible symptoms of COVID-19 (i.e., elevated temperature >100.0 and/or cough or shortness of breath). Station thermometers should be utilized, and results should be reported to your on-duty supervisor after you have obtained your results.

3. If any personnel have symptoms before coming to work, they should contact their on-duty supervisor immediately for further instruction and stay home from work.

4. Personnel who develop a fever will be sent home and NOT allowed to work.

5. Personnel with mild respiratory symptoms without fever may continue to work once it has been more than 3 days without medication and improvement of symptoms if the onset was 7 days or more. If direct patient care is required, personnel should wear surgical masks and follow hand hygiene and infection control guidance.

6. EMS personnel who are in the same room and have NOT donned appropriate PPE while performing a high hazard, aerosol-generating procedure (e.g., intubation [King or direct laryngoscopy], bag mask ventilation, CPR, or nebulized treatments) on a confirmed or suspected COVID-19 patient should quarantine at home for 14 days and perform active monitoring as described by the CDC. They can return to work after 14 days if they never developed symptoms.

7. Testing is not recommended for asymptomatic persons, even if exposed during a high hazard procedure. Home quarantine is recommended as per above.

8. First responders with other healthcare exposures may work and follow self-monitoring guidelines.

9. Any EMS personnel with a fever should be presumed to have COVID-19. They can discontinue home isolation and return to work after they have met both of the following conditions:

• At least 3 days have passed since recovery defined as resolution of fever without the use of fever-reducing medications and improvement in respiratory symptoms (e.g., cough, shortness of breath); and, • At least 7 days have passed since symptoms first appeared. Upon returning to work, they should follow the recommended return to work practices, wear a mask and follow hand hygiene and infection control guidance.

10. COVID-19 testing of symptomatic staff is generally not recommended as it is not sufficient to discontinue isolation recommendations but may be obtained through EMS Provider Agency protocol.

Latest GMR Update for 03/31/2020

 

UPDATE #012

Posted 03/30/2020

 

USE YOUR PPE

Do not come in contact with patients without the proper ppe. N95, goggles and glove are a must. If you have a patient receiving aerosolized procedures make sure you have all of this and a gown on! With the amount of community transmission of Covid-19 it should be assumed all patients are carriers, even if they are asymptomatic.

 

PARKED PCRS

Login daily and make sure you check for any parked PCRS. You must clear them out daily, no exceptions please

 

TMH/TMMC update

TMMC is going to start checking temperatures on everyone entering our building including staff and EMS. TMMC staff will be getting a color coded sticker for each day to show that they have been screened for that shift already. I am trying to figure out a way to do this without backing up the Providers coming in, especially with critical patients. Just wondering if or what agencies are already monitoring the personnel temps prior to their shift? If the PM and EMT’s are already being checked at their stations, then maybe we can forgo checking them. I don’t know. Just trying to work this out the easiest and fastest way possible while making sure everyone is safe.

 

RESTOCK

please do not stock ambulances from stations other than your home base. If you need supplies please contact your on duty supervisor. Also, if you do not have what you need please take your unit out of service pending supervisor restock. Do NOT run any calls if you are missing any items. This is the crews responsibility to know whats on board their unit.

 

UPDATE #011

Posted 03/27/2020

Effective today 03/27/2020 responses with Compton Fire Department at time of dispatch will be as follows:

 

Code 3 response:

Full Arrest or Difficulty Breathing

 

Code 2 response:

All other responses.

               

 

The on scene Captain or Paramedic has the ability to upgrade a response. If this occurs dispatch will notify you of the change

 

UPDATE #010

Posted 03/26/2020

GMR COVID-19 Security Guidelines 

Do not put your unit in service if you are short supplies. Please contact your supervisor if you need an item. You have access to restock through your supervisor. 

 

 

UPDATE #009

Posted 03/25/2020

  1. We have fogger machines we are using to supplement your ambulance cleaning on some very specific call types. It is not a replacement for your traditional, it is in addition. Please note the solution is hard to get so we will do it while we can. The recommendation for fogging comes from your field supervisor

  2. Please make sure you are following Lukes/GMR’s recommendation on reusing masks when they have not been compromised and or exposed. It is critical that we keep good inventory .

  3. Open Crew chief spots. Please submit your request Stations 9,14 and 18

Latest COVID-19 Update from GMR

 

 

UPDATE #008

 

Posted 03/24/2020

GMR updated pay practice policy

 

Posted 03/24/2020

  1. Under no circumstance should your vehicle be in service if you are short equipment, this includes ppe. Advise dispatch immediately if you were to ever run out of something. If you respond to a call without equipment that is a violation of your responsibilities. 

  2. Crews should have ppe with them available to put on for all calls. You never know when it is needed, this includes a surgical mask for the patient.

  3. Make sure you always have spare uniforms with you. We do have washing stations for exposed clothes at multiple stations. Contact your sup if you have a uniform exposure that requires immediate washing, showering and changing

  4. Compton is looking at changing their response approach. We are looking at the request and will advise of any changes.

 

 

UPDATE #007

Posted 03/23/2020

This is a guide as to the care and transport of the suspected COVID-19 patient coming to Cedars- Sinai.

Prior to entry to the ED, the provider should doff the PPE and follow the plan for hand-off with the nurse triaging the patient.

Los Angeles County is experiencing an outbreak of the severe acute respiratory syndrome (SARS) – 2 coronavirus known as COVID-19. Based on the current outbreak, most infected persons experience mild illness and fully recover. Those at high risk for severe illness and/or complications are patients who are elderly or have underlying medical conditions. The Centers for Disease Control and Prevention recommends that low risk patients potentially infected with COVID-19 experiencing mild disease self-isolate at home unless symptoms worsen.

 

Current EMS Policy is:

A. Low-risk patients with mild symptoms of respiratory infection (e.g., fever, cough, upper

respiratory illness) should be advised that their current condition does not require transport to

the emergency department.

 

B. If the patient or the patient’s legal representative requests that the patient be transported after

assurance that the transport is not needed, EMS personnel should honor the request and

transport to the Most Accessible Receiving Facility (MAR) for adults and to the closest

Emergency Department Approved for Pediatrics (EDAP) for children.

 

1. EMS personnel transporting patients with suspected COVID-19 shall notify the receiving

facility in advance prior to arrival and may be directed to a screening area other than the

emergency department.

2. EMS personnel who are assessing, treating or transporting a patient with suspected

COVID-19 shall use appropriate PPE at all times to include a N95 mask, gown, gloves

and eye protection. Additionally, place a surgical mask on the patient.

3. On arrival at the hospital and after the transfer of care, doff your PPE and most

importantly wash your hands using soap and water.

 

We are expecting a significant number of respiratory infection patients over next few weeks. In order to reduce the spread of contamination through the ED, we are requesting that EMS personnel doff their PPE outside of the ambulance bay doors, transfer the more symptomatic patients to a clean gurney and notify the charge nurse of their arrival. Based on their symptoms, the charge nurse will designate the patients accordingly to:

A. Transport mildly symptomatic (walkable) patients to the Tent for triage and assessment.

B. Those that more symptomatic will wait outside of the ambulance bay until the bed is

clean so that they may proceed directly to their bed. Patients who are getting nebulizers

(even though they are trying to push for MDI in mildly symptomatic patients), they will

be required to discontinue this prior to entering the ED.

 

If the patient did use an MDI via paramedics, please make sure you get them from the paramedics. Studies show that MDI via spacers is just as efficacious as nebulizers. We expect to see an increase in shortage of MDIs going forward. If a patient is getting oxygen, it is recommended that a surgical mask be placed over the mouth and nose to prevent transmission.

 

Many patients in severe respiratory distress will likely only have a king airway or no intubation at all. It is imperative that the MICN ask the paramedics the type of airway the patient has before ED arrival so we can be prepared beforehand. Once the patient is intubated in the ED, it is recommended that hole be placed in the surgical mask and have the ET tube go through it. This will also help prevent transmission.

 

Although this policy may increase the “wall time” of the paramedics, it is imperative that these measures be taken in order to prevent the transmission of this disease.

 

 

 

Amar Shah MD, MPH, FACEP

Base Hospital Medical Director

Sam Torbati, MD, FACEP, FAEEM

Co-Chair and Medical Director

Claude Stang RN BSN MA CEN

Executive Director, Emergency Department

 

 

Posted 03/23/2020

1)This is the last week for the overtime raffle. All pickups this week are eligible. Program ends Saturday 3/28/20

 

2) County Public Health, County EMS  and CDC are reevaluating Health Care Provider home isolation times. We will send an update as soon as we have a finalized document from County personnel.

 

3) Please only use the N95 brand and size you were fitted for. Moldex is our provider unless you were specifically given stock as an individual because of a failed seal test with Moldex brand.

 

4) Please continue to decon thoroughly after ever call. Please continue to clean your stations thoroughly. Clean high contact points more frequently. Please make sure you are still doing your 30 minute ambulance deep clean.

 

5) DO NOT COME TO WORK SICK.

 

6) If you are a trainee, please contact Cristina before coming to HQ to be processed. More details to follow.

 

7)EMS sent an email to anyone licensed in LA County on how to renew your EMT card this year.

 

Any questions please contact your divisional field supervisor

 

Hawthorne M41 310-863-6337

Valley M51 818-968-0373

Carson M61 626-945-0244

 

 

Thanks everyone

UPDATE #006

Posted 03/20/2020

Latest PPE Guide from LACoFD

Field Guide for Management of Suspected COVID-19

Return to Work Criteria for HCP with Confirmed or Suspected COVID-19

 

Return-to-Work Criteria for Healthcare Workers | CDC

GMR is announcing the following guidelines for the temporary implementation of the Child Care Assistance Program for frontline caregivers and support personnel essential to continuing the operational mission of GMR during the Coronavirus Disease (COVID-19) pandemic.

Click HERE for details

 

UPDATE #005

Posted 03/19/2020

COVID-19 Potential Exposure Reporting Procedure

In an effort to streamline the reporting process for potential or suspected exposure to COVID-19, GMR Medicine and GMR Clinical Informatics have developed an online screening tool.

Posted 03/19/2020

 

As some of you may have heard, the LAX hourly rate has been temporarily increased to pay 65 dollars per hour for local operations caregivers that commit  to a full time 12 hour shift thanks to a government increase . Anyone selected would be responsible for getting to and from the airport. We are not sure how long the special project at this rate will last. Your current shift would be saved if you are selected for the program. You will most likely be scheduled 4 out of every 5 days and will not get to select the day or shift, that will be at our discretion. We have no additional details so please await us contacting you if you submit an interest. If you were interested in moving to a full time schedule at the airport please email David@mccormickambulance.com the following information

 

1)Your name

2)your cell phone

3)your email address

4) your current shift

 

Thanks!

Posted 03/19/2020

EFFECTIVE IMMEDIATELY:

McCormick will stage 1 block out for every call in Redondo Beach. Make sure the staging location allows us to visualize the address to confirm that Redondo is on scene. If they are not on scene we will await their arrival. 

 

Once Redondo is on scene we will make contact with the Captain or if the engine is not on scene the Medic and ask for direction on how and when to approach the patient.

2020 - Skills Dates
Class Schedule

Free for McCormick Employees

2020 - Global CPR BLS Skills
Class Schedule

Free for McCormick Employees

UPDATE #004

Posted 03/18/2020

1. PPE standards for dealing with suspected/confirmed COVID-19. 

  • If FD is already on scene, FD will be sending a Primary Health Care Provider (HCP) to interview patient and family to necessitate the need for additional PPE’s.  If the patient meets the criteria, McCormick crew members should don a N95 mask, goggles/eye protection, gown and gloves. A surgical mask or, if appropriate, a NRB should be placed on the patient to minimize exposure. Once patient care has been transferred to the receiving facility, the crew should doff the PPE’s and place in a red bio-hazard bag and dispose at the hospital in an appropriate container. Immediately wash hands thoroughly with soap and water. If hand washing is not possible, utilize a hand sanitizer followed up with hand washing as soon as possible. Decontaminate all equipment with the Pro-Tech Solution and allow 10 minutes of dry time before going back in service. 

  • If the McCormick crew is first on scene, every attempt should be made by one provider to question the patient/family regarding potential symptoms. Please try to avoid entering any building/structure before asking the following questions. At minimum, keep a six foot buffer between yourself and anyone you’re speaking with. 

 

Questions that should be asked;

  • “Is anyone at the location, including the patient having any flu like symptoms, runny nose, sore throat or fever?”

  • “Has anyone at the location, including the patient, been exposed to anyone confirmed to have COVID-19?”

  • “Has anyone at the location, including the patient, traveled outside of the USA in the past 21 days? 

 

When possible, all patient assessments shall start from a minimum distance of 6 feet away to assess for the possibility of flu like symptoms

NO PATIENT RIDE A LONGS unless a minor, or mandatory caregiver for special needs. All patients should bring their cell phone and charger for family communication. No exceptions. Hospitals will not allow family visitors


 

2. OSHA Update regarding use of N95’s and annual fit testing:

OSHA is temporarily suspending the annual fit testing of N95 respirators to preserve and prioritize the supply of respirators for use in situations where they are required to be worn. If you use an N95 mask and the patient does not meet the guidelines or PPE’s, please re use the mask unless the integrity of the mask has been compromised


 


WHEN WOULD AN ANNUAL FIT TEST BE WARRANTED?

  • If the employee/employer observe visual changes in the employee’s physical condition that could affect respirator fit (e.g., facial scarring, dental changes, cosmetic surgery, or obvious changes in body weight).

  • If your face shape has changed since your last fit test, you may no longer be getting a good facial seal with the respirator and, thus, are not being adequately protected.

Field Crews should inform their on-duty supervisor if the integrity and/or fit of their N95 filtering face piece respirator are compromised.


 

3. PREVENTION

Exposure to COVID-19 and other illnesses can be greatly reduced if proper prevention takes place. The following measures should be taken:

  • DO NOT COME TO WORK IF YOU ARE SICK. This includes cough, nasal mucous, fever (100.4 or higher), vomiting or diarrhea. 

  • Wash your hands on a regular basis. Before and after all patient contacts, after cleaning your ambulance, after your morning station decontamination and before you eat.

 

If you are exposed to a potential COVID-19 patient:

  • Try to isolate yourself.

  • At minimum try to maintain the 6 foot barrier between yourself and other people.

  • Contact the AMR nurse hotline immediately for guidance 855-361-1996.

  • Practice social distancing. Try to keep a minimum separation of 6 feet between yourself and others and avoid contact such as shaking hands or hugging.

  • Maintain good health. Get plenty of rest, maintain a moderate exercise program, eat healthy foods, avoid smoking and keep up to date on vaccinations.

  • HAND HYGIENE. Avoid touching your face and wash your hands frequently with soap and water for at least 20 seconds.

  • Thoroughly clean workstations daily. This should be done at shift exchange, or ASAP. This includes shared workplaces with a focus on screens, telephones, keyboards, computer mouse, door handles, light switches, restrooms, kitchens, sleep quarters, etc. 

  • Disinfect the front and rear cabs of the ambulance and all durable medical equipment after each patient contact utilizing the Pro-Tech solution. (See GMR Ground Vehicle COVID-19 Decontamination Standards.)

 

Note: Crews should visually inspect the N95 respirator to determine if the structural and functional integrity of the respirator has been compromised. Over time, components such as the straps, nose bridge, and nose foam material may degrade, which can affect the quality of the fit and seal. If the structural and functional integrity of any part of the respirator is compromised, or has been used on a confirmed or suspected infectious patient, or if a successful user seal check cannot be performed, discard the respirator and use a new one.

4. GMR GROUND VEHICLE COVID-19 DECONTAMINATION STANDARDS

Vehicle will be decontaminated after transfer of care of a confirmed or suspected COVID-19 patient at the receiving facility. Single person decontamination inside the vehicle should be performed to avoid incidental contact in the vehicle. 

Applicability:

Employees are engaged in the cleaning and decontamination of GMR ground vehicles (including maintenance staff and Vehicle Service Technicians).

 

Supplies:

  • PRO-TECH RTU. If needed, a 1:48 bleach to water solution may be used which is 1/3-cup bleach to 1-gallon water (allowed to dry for 10 minutes).

Note:

The Pro-Tech disinfectant and bleach solution are never to be used together.


 

  • N95 Mask

  • Disposable rags/disinfecting wipes.

  • Red Biohazard Bags/Yellow Melt Away Infectious Linen Bags

  • ≥60% Alcohol Based Hand Sanitizer (ABHS)


 

Required PPE

  • Disposable Gown

  • Gloves (Multiple Pairs for Glove Changes)

  • Face Shield or Goggles 

  • N95 or greater respirator


 

Decontamination Procedures:

    1. Vehicle doors should remain open for a minimum of 10 minutes prior to decontamination allowing sufficient air exchanges to remove airborne virus and throughout decontamination process to provide ventilation during use of decontaminants or bleach solution. 

    2. Note if ambulance doors require opening use clean gloves to touch door to avoid potentially contaminated door handles. 

    3. Properly don PPE.

    4. Lay two clean sheets at the back of the ambulance. One to be used to place potentially contaminated reusable equipment on and one to be used as a post-decontamination surface. (Place red biohazard bags/yellow infectious linen bags and extra gloves on each sheet).

    5. Place potentially contaminated reusable equipment (monitors, portable oxygen cylinders, etc.) on the decontamination sheet.

    6. Potentially contaminated equipment that requires manufacturer special cleaning instructions may be bagged for later cleaning.

    7. Place linen in yellow infectious linen bags for proper cleaning later.


 

    1. Remove any contaminated materials from reusable equipment and decontaminate by wiping down all surfaces and placing used rags/wipes in red biohazard bag (leave red bag on decontamination sheet close to accessible edge). 

    2. Place decontaminated equipment on post-decontamination sheet for drying. 

    3. Absorb/wipe any liquid or solid spills.

    4. Clean and decontaminate all potentially contaminated surfaces inside ambulance patient treatment area and driver/passenger compartment. Special attention should be given to high contact areas such as control panels, floors, walls, cabinet facings, seats, cot, mounts, door handles as well as main oxygen cylinder with recommended decontaminant and dispose of in red biohazard bag.

    5. Place red biohazard bag at edge of decontamination sheet. 

    6. Properly doff and leave PPE on decontamination sheet.

    7. Use alcohol-based hand sanitizer.

    8. Don clean pair of gloves from post decontamination sheet.

    9. Place used red biohazard bags in new ones from the post-decontamination sheet.

    10. Fold up the decontamination sheet with PPE inside and place the contents in red biohazard bags.

    11. Doff and dispose of gloves in red biohazard bag.

    12. After surfaces dry, place equipment back in vehicle.

    13. Dispose of post-decontamination sheet in yellow infectious linen bags for proper cleaning later.

    14. Wash hands thoroughly or use Alcohol based hand sanitizer

    15. Dispose of used red biohazard bags according to local procedures for regular medical waste.

    16. It may be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads (maintenance staff and Vehicle Service Technicians should utilize the protective equipment and procedures discussed in this document).

 

 

5. Effective immediately, all ambulances going to Providence Saint Joseph Medical Center are to drop off and pick up in the front of the hospital due to pop up tents and screening for Covid-19 taking place in the ambulance bay.

 

6. Long Beach Memorial Visitor Limitation

 

For adult patients:

  • NO visitors are allowed in the Emergency Department for general visitation.

  • If a visitor/family member is needed for crisis control/history/interpretation, or the patient is altered or dependent , ONE (same person) who must be a minimum of 16 years of age AND remain in the room for the duration of the patient’s stay may come in with the patient.

  • ALL VISITORS MUST BE MASKED

  • End of life patients – 2 visitors


 

For pediatric patients:

  • Minors under the age of 18 may have one parent who must remain in the room for the duration of the visit

  • End of life patients – 2 visitors

  • ALL VISITORS MUST BE MASKED


 

For labor and delivery patients:

  • 1 labor support person (must be same person throughout stay). No siblings.

  • ALL VISITORS MUST BE MASKED

UPDATE  #003a

 

Posted 03/16/2020

 

Today's update from GMR

Click

HERE

Linked to video (Takes a bit longer to load)

UPDATE  #003b

 

Posted 03/16/2020

 

Today's update is a link to information produced specifically for McCormick Employees.

 

Click

HERE

to be updated!

 

 

UPDATE  #002

Posted 03/14/2020

 

Torrance Memorial

 

A.Torrance memorial is implementing a new process while they deal with Covid-19. 

 

Inbound patient procedures:

 

1. Crews should should call Torrance when coming in with a BLS run  310-325-2223

   

2. At arrival the patient should not be brought in the ambulance entrance until a crew member checks in with the assigned nurse (they will be sitting at the entrance) and confirms chief complaint and evaluates if the patient is showing any symptoms related to Covid-19.

3. After checking in the nurse will direct whether the crew needs to enter through the main entrance where they have isolation or if they can enter through the regular entrance.

 

They are requesting we verify basic questions like recent fever, cough, shortness of breath, travel and potential exposures.

 

UPDATE  #001

Posted 03/11/2020

 

Hello everyone,

 

We have produced a qr code that has been placed at all stations that allows you to scan and get the most recent updates from us. It should reduce the emails you receive. It is important you check it daily when arriving on shift.

 

A) Please make sure you are doing a deep clean of your unit at shift change. We are allotting 30 minutes daily. If you get disrupted because of emergency traffic please handle at the next earliest interval.

 

B) Make sure you read the information regarding the new cleaning products. Luke sent it out yesterday. These are the 2 exclusive options until further notice

 

C) When switching out your house oxygen tank, please remember to place a cap on top of the used one and make sure the tank is chained back up with the rest of the empty house tanks

 

D) When you need to use the bio hazard disposal containers at one of our approved stations, please remember you gain access with your L3 key to the padlock

 

E) Make sure you are checking your temperature and looking for symptoms identified on the self check list at your stations. Do this every morning and every night. If you have a ride along or trainee have them check themselves too. Ride alongs must have their own ppe and proof it has been fit tested. 

    1. If the reading is above 100.4°F, please obtain your body temperature again to confirm the reading.

    2. If the second reading is found to be above 100.4°F, please keep a distance of 6 feet from other people and contact the Nurse Navigator Line at 855-607-1418.

    3. If at any point prior to, during, and/or after your shift you begin to experience a cough or shortness of breath, please notify your Supervisor and contact the Nurse Navigator Line at 855-607-1418 for additional assistance.

    4. If you have taken any over the counter medications for symptoms including fever and/or cough, please be sure to relay the information to the Nurse Navigator Line representative.

 

F) Do not come to work sick. If you are sick, call off. Not just because of this new virus, because its important to keep others healthy.

 

G) Lastly. Please wash your hands frequently for at least 20 seconds. Please clean your stations and units. Clean high touch common areas more frequently.

https://www.cdc.gov/handwashing/when-how-handwashing.html


Thanks. We look forward to the QR code era!

 

 

Michael Jones, EMT, SPO

Operations Manager

www.McCormickAmbulance.com

310-946-0345 (Office & Fax)