BSI or Scene Safety...Which comes first?

Which comes first?

  • BSI

    Votes: 9 25.7%

  • Scene Safety

    Votes: 26 74.3%
  • Total voters
    35
Anjel

Anjel

Forum Angel
Messages
4,548
Reaction score
302
Points
83
So after a nice debate in chat.

What is first.

Is it BSI then Scene Safety??

Or Scene Safety then BSI??
 
Anjel1030 said:
So after a nice debate in chat.

What is first.

Is it BSI then Scene Safety??

Or Scene Safety then BSI??
Click to expand...

Scene safety, then BSI. Scene Safety from the time you role up on a scene and your still in your rig. BSI is the next step once the scene is safe and your ready to take on the patient.
 
Scene safety to be sure. You start to determine scene safety based on the incoming call, and before you exit the rig.
 
Scene safety isn't a step. It's an ongoing assessment from the moment you get the call til you drop off the patient. We have two units with bullet holes in them, one of them was obtained just responding to a call. Someone took a shot at the unit driving down the street just for giggles. Scene is never safe.
 
Ok say for NREMT purposes.

Do you immediately say 'Scene safety BSI"?
 
HotelCo said:
I'm more interested in the real world application... Just sayin. :)
Click to expand...

I am interested in both. I have no desire to keep my NREMT. But I wanna know what people were taught. And what they still practice.
 
Anjel1030 said:
I am interested in both. I have no desire to keep my NREMT. But I wanna know what people were taught. And what they still practice.
Click to expand...

For NREMT I was always taught BSI then scene safety. But in real life it's the other way around. If the scene isn't safe then there is no need to put BSI on. Scene safety starts as soon as you get called out not when you arrive on scene. If you have been to this adress before and there has been weapons then more then likely there will still be weapons. And yes scene safety is an ongoing process because things are always changing.
 
There is no particular order on the Skill Sheet. One hast to come first (obviously) and BSI happens to be printed first. During my evals, and what I teach my students is, "Is the scene safe?" I say yes it is. They then say, ....Appropriate BSI taken.

Personally I believe scene safety begins long before you arrive on scene. It begins from the minute that bay door rolls up and the wheels begin to turn. It is an evaluation on Wtx conditions, road conditions, other drivers, clues as you roll into the scene, as you exit the rig, you name it. Scene safety is a lot more than "Violent pt? Is SO on scene? It is? Ok then...the scene is safe."
 
lightsandsirens5 said:
There is no particular order on the Skill Sheet. One hast to come first (obviously) and BSI happens to be printed first. During my evals, and what I teach my students is, "Is the scene safe?" I say yes it is. They then say, ....Appropriate BSI taken.

Personally I believe scene safety begins long before you arrive on scene. It begins from the minute that bay door rolls up and the wheels begin to turn. It is an evaluation on Wtx conditions, road conditions, other drivers, clues as you roll into the scene, as you exit the rig, you name it. Scene safety is a lot more than "Violent pt? Is SO on scene? It is? Ok then...the scene is safe."
Click to expand...

But before you even start the truck up you need to make sure BSI is available.

SOOO....Arent you considering that first?
 
Anjel1030 said:
But before you even start the truck up you need to make sure BSI is available.

SOOO....Arent you considering that first?
Click to expand...

That should be done on your morning rig checkout. Not right before you start driving to a call. So however yes you are considering that first but you are not responding to a call at that time.
 
firefite said:
That should be done on your morning rig checkout. Not right before you start driving to a call. So however yes you are considering that first but you are not responding to a call at that time.
Click to expand...

eh true lol
 
Well, I put my gloves on while on the way to the scene if that is what you mean.
 
medicRob said:
Well, I put my gloves on while on the way to the scene if that is what you mean.
Click to expand...

Well possibly. But are you going to wear a medical mask and gown while driving also? Or are you going to wait until you are on scene and see the patient to decide what all BSI you will need?
 
Anjel1030 said:
But before you even start the truck up you need to make sure BSI is available.

SOOO....Arent you considering that first?
Click to expand...

Considering the availability and considering the use are two totally different things. I might not use 1:1000 epi on every pt, but that does not mean that I don't make darn sure it is in my drug box at the start of my shift.

I do not consider the actual USE of BSI until I am on scene. I do not wear my gloves while I am riding officer's seat to the call. Just like I don't draw up my epi till I determine the pt needs it. I could if I wanted to. I could walk around with a syringe of epi drawn up all shift long, cause I "might need it." No...I don't draw it till I need it. Likewise I don't go getting all my BSI out and donned till I need it. And I do not need it till I am on scene. If I am on scene, I had darn well have already made sure I have a safe scene.

Yes you are right that I make sure that BSI is available before I leave, but I also check my tires, lugs, other safety related things before even that...so.......B)

Yea I know I am splitting hairs or something like that....but it is fun. :P
 
LOL I am just mad I failed a station on my basic practical for getting the initial assessment steps outta order.

BSI
SCENE SAFETY
MOI/NOI
ETC..
 
medicRob said:
Well, I put my gloves on while on the way to the scene if that is what you mean.
Click to expand...

Really, you mean while driving there? How many unsterilized hands have held that steering wheel before you?
 
Sandog said:
Really, you mean while driving there? How many unsterilized hands have held that steering wheel before you?
Click to expand...

I put mine onn before I get outta the truck. If the patients injury requires sterile then we have those.
 
Why must they be mutually exclusive? Is not your health part of scene safety?


Sandog said:
Really, you mean while driving there? How many unsterilized hands have held that steering wheel before you?
Click to expand...

And how many unsterelized hands have dug in to the box of gloves? Point? We don't do many sterile things in EMS... mainly just clean.
 
Last edited by a moderator:
You must log in or register to reply here.
Back
Top