2013 Compliance Report RCW 52.33

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1 2013 Compliance Report RCW Revised Code of Washington (RCW) requires substantially career fire protection districts to declare their department as established and set performance standards relating to level of service, deployment, and the achievement of each objective. The District has adopted Resolution Nos and to comply with this law. RCW also requires the district to provide an annual report on how well the fire department is doing in meeting its established emergency response standards. Every effort has been made to accurately present this information based on the data available. Fire Suppression and Special Operation responses NFPA Standard % met NFPA Benchmark Objective Met Goal s 90% Performance Turnout time: Structure fire response (seconds) Turnout time: Other fire response (seconds) % % 90% % % 90% 101 Turnout time: Special Operations response (seconds) Response time: First arriving engine company at a fire suppression incident (Building or Dwelling Only) (min./sec.) Response time: First arriving engine company to all other fires (min./sec.) Response time: Arrival of the 4 th firefighter at a fire suppression incident (Building or Dwelling Only) (min./sec.) Response time: Deployment of a full first alarm assignment at a fire suppression incident (Building or Dwelling Only) (min./sec.) % % 90% 86 4: % 6: % 90% 6:38 4: % 6: % 90% : % 7: % 90% 7:33 8: % 16: % 90% 11:34 Emergency Medical Services responses NFPA Standard % met NFPA Benchmark Objective Met Goal s 90% Performance Turnout Time (seconds) % % 90% 92 Response time: Arrival of a unit with first responder or higher level capability at an emergency medical incident (min./sec.) Response time: Arrival of an advanced life support unit at an emergency medical incident, where this service is provided by the fire department (min./sec.) 4: % 7: % 90% 7:18 8: % 6: % 90% 7:17 Central Pierce Fire & Rescue / 2013 Compliance Report - RCW Page 1 of 7

2 CLARIFICATIONS Turnout Time Our turnout time is extended as the receipt of our dispatch information is included in this time. In addition, our two story fire stations typically have longer travel distances to apparatus than our single story fire stations. Geographic Classification Our department uses a Suburban classification only. Our district has a wide variety of land use zones with several that may qualify for a Rural distinction; however our fire stations are in close proximity to these areas, negating a differentiation. 4 th Firefighter Time Measurement The 4 th firefighter time measurement is now being used because of the 2in/2out firefighting rule. According to RCW , except as provided in WAC (11), firefighters must not engage in interior structural firefighting in the absence of at least two standby firefighters. Also, NFPA 1500 has similar language. Using the 4 th firefighter arrival time stamp will, under normal circumstances, indicate when interior firefighting operations may begin. Full First Alarm Assignment For a full first alarm assignment, uses 4 Engines, 1 Ladder, 2 Battalion Chiefs, and 2 medic units. This response is for residential structure fires, and for reporting purposes. These resources perform the functions as defined in Definition 17. Typically the total number of personnel responding on these apparatus is 21. Emergency Medical Response Personnel All of s uniformed personnel are either Washington state certified EMTs or Paramedics. All of our Medic units have at least one Paramedic, and depending upon daily staffing, many of our engine and ladder companies have a paramedic as well. PREMISE 1. We are only capturing the apparatus times when that unit is responding and arriving priority. 2. We are only reporting on incidents that occur within our own jurisdiction. 3. Apparatus from neighboring agencies that respond into our jurisdiction (mutual aid or automatic aid received) will be measured. DEFINITIONS Turnout Time The time interval that begins when the notification process begins by either an audible alarm or visual annunciation, or both, and ends at the beginning point of travel. Reference NFPA Central Pierce Fire & Rescue / 2013 Compliance Report - RCW Page 2 of 7

3 National Fire Protection Association (NFPA 1710 Standard Edition) The standard for the organization and deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments. NFIRS National Fire Incident Reporting System. Fire Incident All NFIRS 100 incident types. Special Operation Incident Those emergency incidents to which the fire department responds that require specific and advanced training and specialized tools and equipment. Reference NFPA CPR Cardiopulmonary resuscitation. BLS A specific level of pre-hospital medical care provided by trained responders, focused on rapidly evaluating a patient s condition; maintaining a patient s airway, breathing, and circulation; controlling external bleeding; preventing shock; and preventing further injury or disability by immobilizing potential spinal or other bone fractures. Reference NFPA ALS Emergency medical treatment beyond basic life support that provides for advanced airway management including intubation, advanced cardiac monitoring, defibrillation, establishment and maintenance of intravenous access, and drug therapy. Reference NFPA Emergency Medical Incident The treatment of patients using basic first aid, CPR, BLS, ALS, and other medical procedures prior to the arrival at a hospital or other health care facility. Reference NFPA Note: Only NFIRS 321, 322, and 323 incident types. Response Time (aka Travel Time) Means the time immediately following the turnout time that begins when units are en route to the emergency incident and ends when the first arriving unit arrives at the scene. Reference NFPA NFPA 1710 The standard for the organization and deployment of fire suppression, emergency medical operations, and special operations to the public by career fire departments. Engine Company Apparatus whose primary functions are to pump and deliver water and perform basic firefighting at fires; including search and rescue. Reference NFPA NFIRS 111 Building fire. NFIRS 121 Fire in mobile home used as fixed residence. Fire Suppression Incident - Only NFIRS 111 and 121 incident types. All Other Fires All NFIRS 100 level incident types except 111 and 121. Central Pierce Fire & Rescue / 2013 Compliance Report - RCW Page 3 of 7

4 Full First Alarm Assignment - Means the appropriate number and type of both apparatus and fire suppression personnel, as defined by each jurisdiction, sufficient to perform the eight NFPA defined fire-fighting tasks at a working structure fire incident. Reference NFPA First Responder A trained individual providing initial assessment and basic first-aid intervention, including cardiac pulmonary resuscitation and automatic external defibrillator capability. Reference NFPA Advanced Life Support Unit Personnel and equipment capable of providing ALS care. Fire Department A fire protection district or a regional fire protection service authority responsible for firefighting actions, emergency medical services, and other special operations in a specified geographical area. Reference Revised Code of Washington (4). SEQUENCE OF EVENTS It is important to understand the characteristics of the community s two major priorities within the District: fire suppression and emergency medical services, and the affect response times have in creating a positive outcome to an emergency and the results if the response is delayed. Dynamics Of Fire In Buildings Most fires within buildings develop in a predictable fashion unless influenced by highly flammable material or liquids, ignition, or the beginning of a fire. Once flames do appear, the sequence develops rapidly. The following figure illustrates the sequence of events. Fire Growth vs. Reflex Time As is apparent by this description of the sequence of events, application of water in time to prevent flashover is a serious challenge for any fire department. Central Pierce Fire & Rescue / 2013 Compliance Report - RCW Page 4 of 7

5 Emergency Medical Event Sequence Cardiac arrest is generally used as a prototypical life-threatening medical event. A victim of cardiac arrest has mere minutes in which to receive definitive lifesaving care if there is to be any hope for resuscitation. The American Heart Association guidelines recommend the administration of cardiac defibrillation accompanied by effective CPR as quickly as possible following cardiac arrest. As with fires, the sequence of events that leads to emergency cardiac care can be visualized in the following figure. Cardiac Arrest Sequence of Events The probability of recovery from cardiac arrest drops quickly as time progresses. Research stresses the importance of rapid cardiac defibrillation and demonstration of certain drugs as a means of improving the opportunity for successful resuscitation and survival. PREDICTABLE CONSEQUENCES The most vital consequences are based on the scientific data identified in NFPA 1710: 1. Increased frequency of brain death or severe mental deficiency in patients who require defibrillation to treat sudden cardiac arrest that presents with ventricular fibrillation. 2. A reduced probability of surviving a hostile fire event in which rescue is necessary. 3. Increased property loss in structural fires that have reached the flashover phase of the fire growth. 4. Increased risk of firefighter injury or death trying to save persons and property in structural fires where either flashover has occurred or the framing elements are exposed to direct flame impingement. Central Pierce Fire & Rescue / 2013 Compliance Report - RCW Page 5 of 7

6 STEPS TO ACHIEVE COMPLIANCE 1. IMPROVE DATA COLLECTION: Current practices for data collection are achieved through the use of multiple fire department personnel manually entering call information into databases. Below are some possible solutions: Provide formal initial and refresher training for all department personnel. Hire a data administrator whose only function is to ensure the integrity of the data and provide detailed information to the policy makers. 2. EVALUATE RESOURCE DISTRIBUTION: Driving distance between the fire station and emergency location is fixed and is further limited by safe driving speeds, traffic devices, topography, and traffic volume. Current and future station locations must be evaluated on current and future predicted call volumes. Below are recommendations for further evaluation: An evaluation of response times against stations should be conducted to identify problem facilities. Develop a plan to address design deficiencies that hamper the crew s ability to reduce turnout times. A continuing evaluation is necessary to ensure the best resource distribution and the improved data collection should assist in that endeavor. 3. EVALUATE RESOURCE CONCENTRATION: Below are recommendations for further evaluation: Complete a task analysis for each of the major services provided by the department (Fire, EMS and Rescue) Evaluation of resources outside each stations first due area as it relates to the task analysis and response time for each location. Station locations should be analyzed, and the personnel and apparatus could be revised or reconfigured to provide better coverage. 4. EVALUATE RESOURCE AVAILABILITY: Having units available to respond to emergencies in their first due area significantly minimizes travel time for calls currently requiring the use of another station. Below are recommendations for further evaluation: Data should be analyzed to ascertain the frequency and duration of multiple calls. Evaluate out of service times for each resource. Analysis should be performed to identify and evaluate the causes that contribute to resources being away from their stations on non-emergency functions such as public education events and training. Central Pierce Fire & Rescue / 2013 Compliance Report - RCW Page 6 of 7

7 5. ONGOING TRAINING: It is imperative that crews be given feedback to understand the impact of delayed response. Below are recommendations for further evaluation: Continuously drill on efficient donning of personal protective equipment and district familiarization to reduce turnout times. Training in the area of improved data collection. 6. INCREASE STAFFING: One of the ways to reduce risk, reduce injury, reduce response times and increase the likelihood of a positive outcome for all significant emergencies is to increase the amount of personnel available at any given time. We meet our minimum daily staffing levels by using overtime on a regular basis. This is due to not replacing personnel who have left the department. Staffing is directly impacted by the balance of desired staffing levels versus publicly approved funding. Central Pierce Fire & Rescue / 2013 Compliance Report - RCW Page 7 of 7

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