REMS SPEC SAMPLE.pdf

EERA NO:

INCIDENT NAME:

REMS: RAPID EXTRACTION MODULE SUPPORT

Reference "Staffing and Equipment" section/chart for personnel resources distinctions.

If there are any questions of the REMS specifications, standard operating procedures, or rates of payment please contact the At‐Incident Management Support Branch (AIMS) Duty Officer at sm.fs.woaims@usda.gov.

PURPOSE

REMS is a resource team assigned to incidents to provide rapid extraction of sick or injured firefighters to get them to a drop point or helipad. Wildland fire is inherently dangerous, and in the event of a serious incident or accident the REMS is capable of providing emergency medical care during the extraction of the firefighter.

MILEAGE RATE

Mileage rates are approved for awarded resource to and from (mobilization/ demobilization) incident based on location agreed upon during the time of negotiation and award (see Point of Hire Box 6 of OF-94). Google maps or another similar search engine shall be utilized in processing mileage rates to and from incident. The most expeditious route shall be reviewed by the Government for mileage reported. If discrepancies are noted, the Government and Vendor shall agree prior to payment.

STATE LICENSING/CERTIFICATION/APPROVAL CONTRACTUAL REQUIREMENTS

Personnel will arrive at incident with an Incident Qualification Card Identifying NWCG qualifications. Personnel are required to have Incident Qualification Cards. All contracted incident EMTs, AEMTs, & Paramedics are required to always carry proof of current state license with them. Each EMT, AEMT, and Paramedic must carry a written copy of their home EMS units off- line medical control documentation (standing orders and protocols) under which they operate under their own medical direction.

• Vendors are to ensure their resource can legally provide care at the location(s) of any resource order accepted.

• If the resource is found NOT to be qualified, the resource may be given time by the incident to remedy the issue.

• If the resource cannot become compliant within the time specified by the incident, they shall be demobilized and will not receive pay including mobilization for travel compensation.

This agreement does not circumvent or supersede state/local laws, regulations, and/or policies to provide emergency medical services within any given state. ALL vendors must adhere to local and state laws, regulations, and policies within the state they are being ordered to, and working in, when providing medical care.

It is the responsibility of each vendor to ensure their company is properly licensed/ certified/approved to work within a state, not the Government’s, prior to accepting an order for incident in that state. If a vendor is found to be non-compliant with their agreement, that could be considered grounds for termination of the agreement. If the noncompliance also violates state law, the state may prosecute.

It is the responsibility of the contractor, through the Medical Unit Leader or their designee, to notify the local EMS jurisdictions of their incident assignment.

It is the responsibility of the licensed EMS Provider, upon arrival to the incident, to make arrangements for Patient Care Integration Agreements with the local EMS Jurisdiction.

SAMPLE

mailto:sm.fs.woaims@usda.gov

STANDARDS:

Each REMS shall arrive at the incident with staffing and equipment as detailed below.

Personnel will meet the requirements found in NFPA 1006 Standard for Technical Rescue Personnel Professional Qualifications. A four-person REMS Unit, two personnel must be qualified and proficient at the Operations Level of rope rescue, while the other two personnel must be qualified and proficient at the Technical Level of rope rescue. A two-person REMS Unit, one person must be qualified and proficient at the Operations Level of rope rescue, while one person must be qualified and proficient at the Technical Level of rope rescue. Each REMS team shall have a qualified FFT1 with remaining team personnel having a minimum of FFT2 qualifications. REMS type 1, 2, or 3 shall arrive with ALS Cardiac monitor/pacing/defibrillator with leads (complete kit with electrodes) when ALS requested on incident. All REMS team members shall have an approved fire portable radio; approved radios may be found here https://www.nifc.gov/sites/default/files/NIICD/docs/approved_radios.pdf.

The contractor shall provide dependable 4X4 ground transportation that meets all State and Federal laws relating to motor vehicle operation. All vehicles offered and used under this Agreement shall be licensed and legally operable on all roads. The vehicle must be capable of operating on dirt or gravel roads. The Contractor shall ensure that seatbelts will be available and used by every passenger of any vehicle while in motion. AWD (All-wheel drive) is not acceptable as a 4x4 system is a more-capable system that allows the driver to engage and controlled by the driver as needed and is engineered for extreme conditions.

UTV’s may be utilized to extract patients from the accident site to the medical evacuation site. UTV’s shall adhere to Multipurpose Off-Highway Utility Vehicle (MOHUV) standards as defined by ANSI/OPEI B71.9-2022. See Minimum Medical Equipment List for UTV/Vehicle in charts below for more information.

REMS personnel will be expected to operate in arduous conditions including rocky, rough, steep, and unstable terrain, realizing there may be need for Hike In responses. A medical list of hike-in equipment for REMS T1 and T2 is presented below. Utilization of litters to carry personnel out of areas may or may not be possible due to the types of terrain the patient is in.

Personnel assigned to any REMS shall meet or exceed NFPA 1006.

Personnel assigned to any REMS shall be trained to a minimum of rope rescue level in accordance with their authority having jurisdiction (AHJ) and use certified equipment (e.g., ANSI, EN, CE, UIAA, UL, and NFPA).

PPE: Contractor is to ensure all personnel arrive at incident with the following functional gear:

• BOOTS: All Leather uppers, lace-up type, minimum of 8 inches high with lug type sole in good condition (steel toed boots are not recommended).

• HARD HAT: NFPA Standard 1977(wildland), NFPA 1951 (TRT), DOT (UTV) required for multi-purpose REMS.

• GLOVES: One pair of heavy-duty leather per person.

• EYE PROTECTION: One pair (meets standards ANSI Z87, latest edition).

• HEARING PROTECTION: Use hearing protection whenever sound levels exceed 85 dB. Earphones (headset) required with radio shall have built-in hearing protection.

• HEAD LAMP: With batteries and attachment for hardhat.

• FIRE SHELTER: New Generation Fire Shelter is required.

• FLAME RESISTANT CLOTHING (Shirt and Pants). A minimum of two full sets of flame-resistant shirt and pants. For routine fireline duties, flame resistant clothing must be certified to NFPA 1977. NOTE: It is recommended that fireline personnel wear a short‐sleeved t‐ shirt, underwear, and socks under fire clothing and boots. T‐shirts and underwear should be 100% cotton or a 100% flame resistant blend of fibers. Socks should be cotton, wool, or a blend of flame‐ resistant fibers.

https://www.nifc.gov/sites/default/files/NIICD/docs/approved_radios.pdf

Type I and II Minimum Medical Equipment List (Hike In)

ALS BLS QTY Trauma Care X X 4 Tourniquet X X 2 Hemostatic wound packing X X 2 Trauma dressing (10-30”; 8/10; 6”) X X 1 Compact pelvic binder X X 4 Trauma combine pads X X 2 Rolled gauze 4” and 6” X X 1 Burn sheet – sterile X X 1 Eye irrigation solution 4oz X X 2 Trauma Dressing

AIRWAY

X X 2-3 OPA 50-110 mm 2-3 sizes X X 1 NPA 30-36 -1 each size

X 1 ETT 6.0-8.0

X 1 DL/VL handle and blades (various sizes, extra bulb/battery for DL) X 1 Tube holder ( elastic or manufactured; no rigid tape) X 1 Stylet, adult X 1 Bougie X 1 Cricothyrotomy kit X 1 McGill forceps X X 1 Handheld suction device X X 1 Pocket BVM X 1 Peep Valve X X 1 SPO2 monitor (finger, portable) X 2 Chest decompression needle X 4 Chest seals

IV ACCESS

X 4 Angiocaths X 4 IV pigtail tubing X 2 IV tourniquet X 8 Alcohol pads X 8 4X4 gauze X 2 IV Tape (2”) X 4 5cc Saline flushes X 4 Occlusive dressings X 4 3 and 5 cc syringes X2 each X 2 Filter needle X 1 Assorted nonfilter needles X 2 Elastic tape X 1 10 to 15 drop IV set X 1 IV Fluids (able to be taken in 500cc bags as needed X X 2 Semi-rigid splints (long) X X 1 Compact traction splint X X 2 Triangle bandage X X 2 Athletic elastic like wrap X X 2 Athletic tape X X 1 Pliable patient carrying device 1 1 1 Mylar sheet X X 1 Gloves (sized for individual) X X 1 Trauma shears X X 1 Marker Panel X X 1 Pen light or head lamp X X 1 Thermometer X X 1 Extra batteries for all electronics X X 1 Emesis bag X X 1 Stethoscope X X 1 BP Cuff X X 1 BG testing kit with spare battery X X 4 Mask – N95 X X 4 Eye protection X X 4 Ear Protection X X 1 AED or monitor/defibrillator minimum 3 leads required

STAFFING AND EQUIPMENT: Qualifications listed below are the minimum levels of qualification required.

*Incident shall specify on resource order if they would like ALS or BLS

REMS Type 1: One FFT1 required; others minimum FFT2 REMS Type 2: One FFT1 required; others minimum FFT2 REMS Type 3: One FFT1 required; others minimum FFT2

• ALS only

• 2 Rope Rescue Technicians & 2 Rope Rescue Operations equivalent.

• 1 Paramedic & 1 EMT qualified (not to be used as EMPF/EMTF)

• 4x4 vehicle(s) – NO AWD

• One 4x4 UTV w/ROPS, trailer, patient transport capable

• Vehicle Extrication or Equivalent

*Team members shall meet or exceed NFPA 1006

• ALS or BLS

• 2 Rope Rescue Technicians & 2 Rope Rescue Operations equivalent.

• 2 EMT’s (BLS to be used EMTF), ALS provider acceptable but not required

• 4x4 vehicle(s) – NO AWD

• One 4x4 UTV w/ROPS, trailer, patient transport capable

• Vehicle Extrication or Equivalent

*Team members shall meet or exceed NFPA 1006

• ALS or BLS

• 1 Rope Rescue Operations, 1 Rope Rescue Technician

• 1 Paramedic or 1EMT reach and treat only, no technical rescue

• One 4x4 vehicle – NO AWD

• One 4x4 UTV w/ROPS, trailer, patient transport capabilities

*Team members shall meet or exceed NFPA 1006

Equipment QTY Item 1-2 4X4 vehicle with tow capability 1 UTV with patient transportation capabilities 1 1,500” Rope [9.5mm (3/8”) to 12.5 mm (1/2”)] 4 Fire portable radios

5 Descent control devices (e.g., eight plates, ATC, ATS, totem rack, break bar rack)

2 High efficiency multi-purpose rope rescue devices 22 Carabineers 8 Small or mini prusik minding pulley 4 Small or mini prusik minding double pulley 1 Gathering plate or “O” ring

16 Prusik (e.g., traditional, sewn, eye to eye) 12 20’ Long webbing/sling/cord 12 Various sizes of webbing/sling/cord 1 Edge protection kit 1 Roll up rescue stretcher or equivalent

1 Collapsible (two piece) multi-piece basket stretcher/litter with hoist pre-rig litter (low/high angle)

1 Backboard (ability to break away) 1 Sleeping bag (patient padding) 5 Pickets or picket system 1 Sledgehammer

Rope rescue gear packs for the above listed gear 4 Line gear with fire shelter 4 Hand Tools 1 Litter wheel with tire repair kit 1 GPS Device

Flagging 5 Class II or III harnesses (agency specific requirement) 1 Class II victim harness 1 Set of fours mechanical advantage system

1 Combination extrication tool (Hydraulic/Battery powered with cutting and spreading capability, additional batteries with charger)

1 Cribbing for stabilization (4X4 and 2X4 wedges) 1 Reciprocating saw (metal/wood cutting blades) 1 High lift jack 1 Portable Generator or inverter

1 Basic toolbox including jumper cables (maintenance, tire changes etc.)

1 AED or monitor/defibrillator minimum 3 leads required

Equipment QTY Item 1-2 4X4 vehicle with tow capability 1 UTV with patient transportation capabilities 1 1,500” Rope [9.5mm (3/8”) to 12.5 mm (1/2”)] 4 Fire portable radios

5 Descent control devices (e.g., eight plates, ATC, ATS, totem rack, break bar rack)

2 High efficiency multi-purpose rope rescue devices 22 Carabineers 8 Small or mini prusik minding pulley 4 Small or mini prusik minding double pulley 1 Gathering plate or “O” ring

16 Prusik (e.g., traditional, sewn, eye to eye) 12 20’ Long webbing/sling/cord 12 Various sizes of webbing/sling/cord 1 Edge protection kit 1 Roll up rescue stretcher or equivalent

1 Collapsible (two piece) multi-piece basket stretcher/litter with hoist pre-rig litter (low/high angle)

1 Backboard (ability to break away) 1 Sleeping bag (patient padding) 5 Pickets or picket system 1 Sledgehammer

Rope rescue gear packs for the above listed gear 4 Line gear with fire shelter 4 Hand Tools 1 Litter wheel with tire repair kit 1 GPS Device

Flagging 5 Class II or III harnesses (agency specific requirement) 1 Class II victim harness 1 Set of fours mechanical advantage system

1 Combination extrication tool (Hydraulic/Battery powered with cutting and spreading capability, additional batteries with charger)

1 Cribbing for stabilization (4X4 and 2X4 wedges) 1 Reciprocating saw (metal/wood cutting blades) 1 High lift jack 1 Portable Generator or inverter

1 Basic toolbox including jumper cables (maintenance, tire changes etc.)

1 AED or monitor/defibrillator minimum 3 leads required

Equipment QTY Item

1 4X4 vehicle with tow capability 1 UTV with patient transportation capabilities 1 1,200” Rope [9.5mm (3/8”) to 12.5 mm (1/2”)] 2 Fire portable radios

3 Descent control devices (e.g., eight plates, ATC, ATS, totem rack, break bar rack)

2 High efficiency multi-purpose rope rescue devices 22 Carabineers 8 Small or mini prusik minding pulley 4 Small or mini prusik minding double pulley 1 Gathering plate or “O” ring

16 Prusik (e.g., traditional, sewn, eye to eye) 12 20’ Long webbing/sling/cord 12 Various sizes of webbing/sling/cord 1 Edge protection kit 1 Roll up rescue stretcher or equivalent

1 Collapsible (two piece) multi-piece basket stretcher/litter with hoist pre-rig

1 Backboard (ability to break away) 1 Sleeping bag (patient padding) 5 Pickets or picket system 1 Sledgehammer

Rope rescue gear packs for the above listed gear 2 Line gear with fire shelter 2 Hand Tools 1 Litter wheel with tire repair kit 1 GPS Device

Flagging

3 Class II or III harnesses (agency specific requirement)

1 Class II victim harness 1 Set of fours mechanical advantage system 1 Reciprocating saw (metal/wood cutting blades) 1 High lift jack

Tow straps/chains set

1 Basic toolbox including jumper cables (maintenance, tire changes etc.)

*Additional equipment may be required to meet or exceed NFPA 1006.

Minimum Medical Equipment List for UTV/Vehicle QTY Item

1 O2 cylinder (able to be deployed) 1 O2 regulator 0-15 LPM with spare gasket

O2 therapy – NC, simple mask, or non-rebreather mask

1 Flexible suction catheter (14F) 4 IV Fluid, 1 liter 1 Ring cutter 1 Vacuum Mattress preferred or blankets 1 Sharps container (small) 1 Biohazard bag

* Note: ALS/BLS Drug Box

• Each Drug box inventory shall comply with licensure state and medical direction requirements.

• Drug Box must be secured in lockable compartment.

• Individual agency policy for drug box tracking and medical direction is recommended

• ALS Cardiac monitor/pacing/defibrillator with leads

(complete kit with electrodes) whenever ALS requested on incident

Minimum Medical Equipment List for UTV/Vehicle QTY Item

1 O2 cylinder (able to be deployed) 1 O2 regulator 0-15 LPM with spare gasket 1 O2 therapy – NC, simple mask, or non-rebreather mask 1 Flexible suction catheter (14F) 4 IV Fluid, 1 liter 1 Ring cutter 1 Vacuum Mattress preferred or blankets 1 Sharps container (small) 1 Biohazard bag

* Note: ALS/BLS Drug Box

• Each Drug box inventory shall comply with licensure state and medical direction requirements.

• Drug Box must be secured in lockable compartment.

• Individual agency policy for drug box tracking and medical direction is recommended.

**Medical MEL is based on provider scope of practice. Items not within scope for provider use can be omitted.

INCIDENT PRE‐USE INSPECTION:

All resources furnished under this agreement shall be in acceptable condition. The Government reserves the right to reject resources that are not in safe and operable condition.

Prior to incident use or anytime the resource is under hire the Government may perform inspections. If the resource does not pass inspection at the incident or designated inspection station, it is considered noncompliant. The Contractor may be given 24 hours or time frame designated by Government representatives to bring the resource into compliance. If the resource does not pass inspection, no payment will be made for travel to the incident or point of inspection or return to the point of hire, or for the time that the resource was not available.

MISCELLANEOUS SUPPLIES, CHARGES AND CREDITS

The Government may, at its option, elect to furnish supplies when necessary to keep the resource operating.

Supplies furnished to the contractor by the government shall be returned to the incident upon demobilization of the resource. If the Government provided supplies are not used on the incident or returned to the Government at the time of demobilization, the Government will determine the actual cost of the Government furnished supplies and those costs will be deducted from the payment to the Contractor.

Licenses, Fees and Permits:

Contractors are responsible for all licenses, fees and permits needed to perform work under this contract.

SPECIAL NOTICE FOR CONTRACTORS

In order to avoid conflicts of interest, any awarded EERA to a Government employee, business concern or other organization owned or substantially owned or controlled by one or more Government employees is prohibited- see FAR Subpart 3.6. Public law (18 U.S.C. 208) is additionally established to avoid conflicts of interest between employees’ interests and their Government duties. Casuals hired under the Administratively Determined (AD) Pay Plan shall avoid decisions or recommendations to include, but not limited to: supervision, hiring, ordering, or recommending payments that directly or indirectly affect a company or contractor the casual has any ownership or employment with or for that company or contractor assigned to an incident (NWCG Standard for Interagency Incident Business Management-PMS 902).

Violations would be reported and handled by the Government employee’s hiring agency and “Government official responsible for appointment to his or her position” (18 U.S.C. 208 – Financial Conflicts of Interest). Questions on ethics and potential conflicts of interests should be directed to the Agency hiring official, Incident Business representative, and/or Agency Office of Ethics: Forest Service Office of Ethics: Call (833) ONE-USDA/(202) 720-2791 or Ethics- NRE@usda.gov; DOI Office of Ethics: Call 202-208-7960 or doi_ethics@sol.doi.gov. SAMPLE mailto:NRE@usda.gov mailto:doi_ethics@sol.doi.gov