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<br />GOVERNMENT, No other reproduction or tranamissioa In any form permitted without written pctr+tlsalon of W PA. For Inqulree or to teport unanlht>rited use, contact I1censing4n1pa.org.
<br />450 -14 EMERGENCY MEDICAL, SERVICES AND SYSTEMS
<br />(12) 7}avel iuierval (12 to 13). The elapsed period starling with
<br />(12), Unit en route, and ending with (13), Unit arrived
<br />on scene (wheels stopped).
<br />(13) Patient access interval (13 to 14). The elapsed period start-
<br />ing with (13), Unit arrived an scene (wheels stopped),
<br />and ending with (14), Patient contact.
<br />(14) Initial treatweia interval (14 to 15). The elapsed period
<br />starting with (14), Patient contact, and ending with (15),
<br />First intervention time.
<br />(15) Initial result interval (15 to 16). The elapsed period start-
<br />ing with (15), First intervention time, and ending with
<br />(16), Time of result of first intervention_
<br />(16) On -sreNe patieni care intemal (16 to 17). The elapsed period
<br />starting with (16), Time of result of first intervention,
<br />and ending with (17), Unit left scene (wheels turning),
<br />(17) Pransporl interval (17 to 18). The elapsed period starting;
<br />with (17), Unit left scene (wheels turning). and ending
<br />with (18), Arrived at destination.
<br />(18) Garr transfer interval (18 to 19). The elapsed period start-
<br />ing with (18), Arrived at destination, and ending with
<br />(19) , Transfer of care.
<br />(19) Unii -ready inlemal (19 to 20). The elapsed period starting
<br />with (19), Transfer of care, and ending with (20), Avail-
<br />able for service.
<br />5.6.4.3 Column C Definitions.
<br />(1) Even activation (1 to 4). The elapsed time between the
<br />event and when the telephone first rings in the first PSAR
<br />This process includes the recognition interval, the sys"ein
<br />access interval, and (lie switching interval, and is intended
<br />to measure a system's ability — using education, technol-
<br />ogy, or other means — to recognize that an emergency
<br />exists and to take immediate steps to access assistance.
<br />(2) Citizen reaction (2 to 4). The citizen reaction process begins
<br />when an event is first discovered and ends when the tele-
<br />phone rings in the First PSAR The citizen reaction process
<br />is intended to measure the system access interval and the
<br />switching interval. The process measures the system's abil-
<br />ity to reinforce certain citizen behaviors and provides the
<br />means for those citizens to make appropriate access.
<br />(3) Call processing (4 to 11). The call processing interval is the
<br />process that begins when the telephone first rings at the
<br />first PSAP and ends when responding units acknowledge
<br />that they are aware of the event. The processing interval
<br />includes the time required to appropriately answer the
<br />telephone in the PSAP, triage and route the call, inter View
<br />the caller, provide instructions, identify and alert re-
<br />sources, and recognize that the alert has been received,
<br />This interval is intended to measure the system's ability to
<br />quickly process a request for assistance and notify the ap-
<br />propriate responding units.
<br />(4) System response (4 to 14). The system response interval is the
<br />process that begins when the telephone first rings at the
<br />first PSAP and ends when the responders arrive at the
<br />patient's side. The system response interval is intended to
<br />measure the system's performance in responding to a call
<br />for assistance by considering the call processing interval,
<br />as well as the turnout, travel, and patient access intervals.
<br />(5) Unit response (11 to 14). The unit response interval is the
<br />process that begins when the individual unit acknowl-
<br />edges that a response is required and ends with patient
<br />contact. The unit response interval is untended to mea-
<br />sure an individual unit's performance in responding to a
<br />call For assistance by considering the turnout, travel, and
<br />patient access intervals.
<br />0 2013 Edition
<br />(6) Patient inanagemerid (14 to 11)_ The patient management
<br />interval is the process that begins when responders First
<br />make contact with the patient and ends when responsibil-
<br />ity for the patient is transferred to another medical pro-
<br />vider. The patient management interval is intended to
<br />measure the time committed by the system to meet the
<br />needs of the patient and reflects the system's ability to
<br />manage and monitor resources.
<br />(7) Fvenl to lreahneni (1 to 15). The event to treatment interval
<br />is intended to measure the system's ability to initiate treat-
<br />ment once an event exists. This interval is intended to
<br />measure the process that begins when the event occurs
<br />and ends when the first treatment is provided. This pro-
<br />cess may measure the time that responders, dispatchers,
<br />citizens, or others intervene as part of an organized EMS
<br />system design.
<br />(8) Scene. managm?.ent (13 to 17). The scene management inter
<br />Val begins when the first vehicle stops at the scene of an
<br />event, and ends when the last patient leaves the scene:. The
<br />interval is intended to measure the time required to manage
<br />the logistics of accessing the patient, providing initial treat-
<br />ment, packaging For transport, and leaving the scene.
<br />(9) Unit cycle (11 to 20). The unit cycle process reflects the
<br />cycle time of an individual unit from activation to avail -
<br />ability. The unit cycle process measures the time that a
<br />unit is assigned to an event and unavailable for other
<br />assignments.
<br />5.6.5 Call Processing. System analysis considers call proce-w
<br />ing the manner in which calls are processed, as well as evalua-
<br />tion of the intervals required to complete the call and notify
<br />appropriate providers.
<br />5.6.6 Call Processing Method. Community needs should dic-
<br />tate the way that resources are assigned and prioritized.
<br />5.6.7 Call Processing Time Interval Standards. Call process-
<br />ing performance objectives should comply with existing stan-
<br />dards. For example, NFPA 1221. Standard for Ae Installation.,
<br />Maintenance, and Use of Emeigeucy Serzrices Communications Sys-
<br />tems, has established a standard that 95 percent. of all emer-
<br />gency calls must be answered in 30 seconds. Dispatch ofemer-
<br />gency response aid should be made within 60 seconds of the
<br />completed receipt of an emergency alarm.
<br />5.6.8 Turnout (Activation) Interval. '1'mmout interval perfor-
<br />mance objectives should comply with existing standards_ Sys-
<br />tem analysis should consider the provider turnout interval, or
<br />the interval from response unit notification to movement of
<br />that unit to the location of the incident. For example,
<br />NFPA 1710, Slanrlrrrcd for the Organization and DeCidoyrneni of Fire
<br />Suppression. Operations, l rneWney Medical Operations, grid Special
<br />Operations to lire Public by Grneer Fire Departments, establishes
<br />turnout time objectives of no more than 60 seconds.
<br />5.6.9 Geography. System analysis should consider geography
<br />and the implications of local geography on service delivery.
<br />5.6.9.1 Geographic Response Tools. A geographic informs.
<br />tion system (GIS) may be used as a tool to model existing
<br />service delivery for each EMS system component, such as first
<br />response, BLS orALS care, or patient transportation services.
<br />Response capabilities for each mobile system component
<br />based on desired wavel intervals can be modeled using a CIS
<br />system, identifying underser ved areas of a jurisdiction, for ei-
<br />ther current or planned system designs.
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