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SOUTH ORANGE RESCUE SQUAD,INC. <br /> North Carolina <br /> Standard Operations Manual <br /> Subject: Rehabilitation SOM No.: <br /> Effective Date: <br /> Revision Date: Authorization Signature: <br /> 1, PURPOSE <br /> 1,1. This guideline applies to all emergency operations and training exercises where strenuous <br /> physical activity or exposure to heat or cold creates the need for the rehabilitation of personnel, It <br /> was promulgated to: <br /> 1.1.1. Prevent injuries,illnesses,and deaths that may result from excessive fatigue. <br /> 1,1.2. Establish procedures for medical evaluation and treatment,food and fluid replenishment, <br /> and relief from extreme climatic conditions during emergency operations and prolonged <br /> training exercises. <br /> 2. OSHA REQUIRMENTS <br /> 2.1. The incident commander shall consider the circumstances of each incident and make suitable <br /> provisions of rest and rehabilitation for members operating at the scene. These provisions shall <br /> be in accordance with Section 4-4 ofNFPA 1561,"Standard on Fire Department Incident <br /> Management System",and shall include medical evaluation and treatment,food and fluid <br /> replacement,and relief from extreme climatic conditions,according to the circumstances of the <br /> incident. <br /> 3. POLICIES <br /> 3.1, The incident commander shall evaluate the circumstances at each incident and shall make early, <br /> adequate provisions for the rest and rehab of all members working at the scene. These provisions <br /> include: <br /> 3.1.1. Medical evaluation. <br /> 3.1.2. Treatment and monitoring. <br /> 3.1.3. Food and fluid replacement. <br /> 3.1,4. Mental rest. <br /> 3.1.5. Relief from extreme climatic conditions and other environmental factors present at the <br /> incident. <br /> 3.2, During prolonged incidents,strenuous training sessions,and periods of extreme heat or cold,the <br /> incident commander shall request that the rehab unit be dispatched to the scene and shall appoint <br /> a rehab officer to manage the rehabilitation of the team members. <br /> 3.3. The Rehab Log shall be completed by the rehab officer at all Level II incidents. The log shall be <br /> submitted to the incident commander to be attached to the incident report,and it shall be included <br /> as part of the incident postmortem. Level II rehab includes the provision of EMS at the ALS <br /> level in the rehab sector. <br /> GEN-Rehabilitation.doc <br /> - I of 10- <br />