One ill person at a home. The most common call in our system. Our dispatch refers to these calls as "house calls".

Incident Objectives

1. Operate on scene with zero injury to EMS providers and bystanders
2. Stabilization of injury or illness
3. Prepare patient for transport
4. Identify need for ALS or additional resources
5. Transfer patient to ambulance safely

Site Safety Plan

1. Provide open path from scene to ambulance
2. Not more than 2 in contact with patient
3. Use spotters for backing ambulance
4. Develop exit plan for patient that limits carrying while providing all necessary medical protection for patient:
   • Use of stair chair
   • Bring stretcher into scene, as close to scene/patient as possible
   • If patient must be walked, EMS personnel must guide & support patient.
5. Discourage the use of open toe shoes and shorts on scene.
6. Encourage the use of turnout gear, uniforms, safe working footwear
7. If scene involves hazards, develop a site specific safety plan & communicate with all present

Organization Assignment List

1. One EMS provider
   1. Assume Incident Command
   2. Inform KCF-415 that you are on-scene Introduce self to patient and family
   3. Perform medical evaluation
      1. If situation is significantly different then dispatched or patient is critical, then Communicate status to KCF-415 for relay to ambulance.
      2. If situation requires additional personal, notify KCF-415 that additional medical personal are requested on scene.
   4. Operate as Medical Provider and IC
2. Two EMS providers
   1. One also providing I.C. also includes:
      1. Scene management
      2. Logistics
      3. Communications
   2. One provides primary patient care
3. Three EMS providers
   1. 2 medical providers
   2. 1 incident commander includes all non-medical tasks including:
      1. Scene management
      2. Logistics
      3. Communications
      4. Establish Check-In List
4. Four EMS Providers
   1. 2 medical providers
   2. 1 incident commander
      1. Communications
   3. Logistics
      1. Supply
      2. Ambulance coordination
      3. Liaison
      4. Manage Check-In List

Note, the number of medical providers should not exceed two. One member on scene can be assigned to interview family for medical history and copy the medication list. The maximum number of providers in direct proximity to the patient should not exceed 2 in normal circumstances.

As others arrive, duties shall be assigned in the following manner:

1. Supply Unit
2. Ground MedEvac Unit
3. Communications
4. Safety
5. Liaison

Consider having other responders get equipment from the Firehouse or apparatus.

Medical Plan

Develop medical plan within the scope of VT EMS law and District 13 treatment plans.

Include Air Ambulance Standby Criteria and the Air Ambulance Transport Criteria in your development of a medical plan.