Monday, 28 November 2016

Do’s and Don’ts for Ambulance Rentals

Do’s and Don’ts for Ambulance Rentals

By Dion Siluch
dos-and-donts_mtc-rentals

Whether you are renting an Ambulance for a local event or need an off-road Mobile Treatment Centre (MTC) for an industrial job site, here are a couple Do’s and Don’ts for a smooth rental experience.

Don’t

– Don’t assume the rental Ambulance will have all the equipment you’ll need

Depending on your jurisdiction, some provinces require different quantities of medical supplies, access to resources (such as water) and certifications for working in that particular area. Check with your OH&S code or consult with your Health and Safety specialist to make sure your unit is compliant.

– Don’t use the rental Ambulance for anything other than patient transportation

This means utilizing the emergency vehicles only for patient transports and for on the job coverage. Using the rental to tow a trailer or as a ride to the bar is against the rental contract and may result in damaging the image of healthcare professionals.

– Don’t represent yourself as a government issued 911 Ambulance

It is a provincial and federal offense to imitate or otherwise disguise as a government service official. Rental Ambulances and Mobile Treatment Centre’s are for private use only and are strictly meant for services hired by contract.

Do’s

– Do make sure you complete a walk through BEFORE picking up a rental

There can be many surcharges and additional damage charges that can occur during a rental. Make sure the healthcare professional or a company representative completes a full walk through and sign-off before using the emergency vehicle.

– Do ensure you have proper insurance and registration papers inside the rental vehicle

Many Ambulance and Mobile Treatment Centre rentals go to small and medium size companies with fleet insurance policies. In the case where these companies decline the optional insurance, a copy of the fleet insurance must be inside the rental at all times.

– Do follow the regular maintenance schedule for the rental

Some rentals may last months while they provide emergency transport. Make sure the follow the manufacturer’s guidelines for maintenance (such as oil changes) provided in the owners manual. The responsibility of optimal vehicle reliability should be the responsibility of the professional that is using the equipment.

Dion Siluch

Thursday, 3 November 2016

Proper cleaning of MTCs and Ambulances

Proper cleaning of MTCs and Ambulances

by Dion Siluch


There are a couple factors to keep in mind when we are cleaning these types of industrial response units. Because of their remote locations, non-sterile environments and distances from hospitals, it is not possible to keep these units 100% bacteria free and sterile.

In the case of OHS Code of Alberta, MTCs and industrial ambulances must be kept “clean and sanitary” under Schedule 2 – Table 4 – 1(f).


ambulance canada

Note the use of the word “sanitary” not to be mixed up with the word “sterile”. There seems to be some confusion between the 2 terms. So, in an effort to clear things up, I’ve included a couple of definitions to keep in mind:

Sanitize – To render sanitary, or free from elements, such as filth or pathogens that endanger health. This does not mean ALL possible microorganisms. MOST sanitizing does not remove ALL bacteria, microorganisms, etc.

Sterilize – to render sterile, or to make free from ALL live bacteria or other microorganisms. Kind of a “kill everything” approach to microorganisms.

Keep in mind that something that is sterilized can also be considered sanitary, but something that is sanitized is not sterile.

By these 2 definitions, we can start to dive into the cleaning requirements for these industrial response vehicles need in order to comply with OHS standards.



timing-cleaning-disinfectant

Lets start with Timing:

How often should we clean the inside of our industrial response units?

The first thing we should look at is the exposure to dust and particles. As good practice, if the unit is traveling daily i.e driving to location and back every day, then the interior should be cleaned every day or shift. Driving on dusty roads, movement of objects inside and the vibrations of the cab can cause a layer of dust to build up on the surfaces of potential working space.

If however, the unit is stationary for weeks or months at a time, a good practice would be to clean all surfaces and potentially unsanitary areas every week. This leaves no room for error when an emergency might need immediate attention.



cleaning-products-mtc-ambulance

Next, we should look at Products:

2 types of products will typically achieve the desired sanitary result for industrial response units. Soap and Disinfectant.
Using soap is the most effective way to remove dirt and grease from floors and walls. Grabbing a mop bucket and a clean hand towel will ensure you can wipe down all the non-critical areas of the interior. Not to be mistaken for disinfectant, the purpose of soap is to break dow and remove large quantities of dirt, grease, grime and other hard to break down materials.

Second, we will use disinfectant. This is done by spraying or applying a layer of disinfectant on critical surfaces, leaving for a few minutes as the instructions on the product indicate and wiping clean with paper towel. This kills all the germs and microorganisms that may be hiding on these surfaces. This should be used on countertops, handles, sinks, buttons or switches, cupboards, mattresses and any other surface the may come in direct or indirect skin contact.



clean-ambualnce

Using these techniques and a proper amount of time, compliance with OHS standards can be a very simple task. Unlike strict rules set out by hospitals and emergency rooms, we some leeway to how intensive our cleaning and disinfecting procedures become. It is impossible to keep the same standard with all the elements these units face but proper education we can minimize a majority post injury infection in emergency services.


Dion Siluch

http://mtcrentals.ca/blog-post/proper-cleaning-of-mtcs-and-ambulances/

Saturday, 8 October 2016

Expanding the fleet - What it looks like

Expanding the fleet - What it looks like


Since the increase in rentals and the overwhelming number of inquiries over the past months, we have decided to increase our fleet size. One of the techniques we use to move ahead effectively is refurbishing older MTCs in order to keep costs low. Typically these savings are passed on to our customers as we are able to stay competitive in the marketplace.


Due to the longevity of fibreglass material, cleaning up the outside of Tufport brand MTCs can be quite easy with the proper tools.


Once we finish refurbishing the inside and outside of the unit, we will outfit the MTC with brand new decals in order to comply with OH&S standards. After we add first aid supplies and properly sterilize the environment inside, the MTC will be ready for use!



AFTER PICS





By Dion Siluch





Saturday, 3 September 2016

Life Changing Paramedic Stories - 18 Year Old vs Power Line

Life Changing Paramedic Stories - 18 Year Old vs Power Line

by Dion Siluch



Motor vehicle accidents are one of the more common calls we go to. Even though they only account for 18% of our 911 calls, they are usually unpredictable and have to highest risk to the paramedics for injuries and screw ups. Not only do you have to deal with variables such as weather, number of vehicles, mechanism of injury and number of people involved. But you also have to deal with traffic and tight spaces. Most paramedics get back injuries while working in the field. High stress, people in pain and the public eye watching can cause you to miss calculate how heavy someone is or what angle you might be extracting someone from.


What’s even more scary are power lines. In this particular call our 18 year old male patient drove straight into a power pole after losing control on icy roads. The power line detached from the pole and fell onto the hood of the truck. Upon arrival the firefighters warned us the potential of electrocution if we were to touch the truck while standing on the pavement.

This was a very stressful call for us. While waiting for confirmation from the hydro company that the power had been turned off our driver had a decreased level of consciousness and severe trauma to his head and neck. It was hard to tell where his legs were. He hit the pole directly on the driver side and all the windows had shattered in the vehicle. He was murmuring under his breath to open the door and pull him out, his legs were crushed under the dashboard.

Traffic was building up on both sides and bystanders were offering to help which made the situation worse. Less people know what the risks are and more people feel like they need to be the hero.

The man’s lips became blue as the cold had started to sink in. Eventually we got the green light and pull him out of the vehicle using the jaws of life. Famously known by firefighters, the jaws of life are a hydraulic apparatus used to pry apart the wreckage of crashed vehicles in order to free people trapped inside.

We strapped him to our spine board and started our way to the hospital. His vital signs began to stabilize with the use of direct pressure and we were able to control the bleeding. Other than some small pieces of windshield glass embedded in his forehead, the man was lucky and didn’t require any major treatment.

We arrived at the hospital and were greeted with one nurse and a doctor. The hospital in our small town only serviced 4,000 people so the emergency room was nothing like what we see on TV, just a few people on standby with only two trauma rooms. We cleared the bed, prepared the equipment and handed off our patient to the hospital staff. The emergency room was now in charge and we had finished our job.

After visiting back a few days later we found that our 18 year old patient had been shipped to a larger hospital for bone reconstruction. He was expected to make a full recovery and be back on his feet in less than 6 months.




Conclusion:
The first snow fall is always the busiest day for paramedic because of the carelessness of driving on dry roads for the whole summer. We lose touch with caution when the roads get slippery and many people find themselves in the ditch or running into other vehicles. Canada is an interesting place where not a single person can escape this yearly phenomenon. Millions of people experience the first snow fall of the season and it amazes me how, in the grand scheme of thing, we end up relatively unscathed. For our 18 year old patient his story reflects all those people that were not as lucky. A six month recovery time could change anyone’s life with just a drop of carelessness on the road.


Thursday, 4 August 2016

Grande Prairie Regional Hospital Foundation - Concert Aug 27 2016

Grande Prairie Regional Hospital Foundation - Concert Aug 27 2016

Hello Everyone!

Have you ever visited a hospital?

Typically the average person stays in a hospital for 9.3 days for after being admitted.

Here at MTC Rentals we want to ease the pain of long visits and give back to the people working and making the hospital run at it's full efficiency.

Rubbix Revival Charity Concert will be hosting at Grande Prairie's Evergreen Park a concert with proceeds going to the Grande Prairie Regional Hospital. 

Come join us August 27, 2016 and support!




Monday, 4 July 2016

Repairing MTCs - By Dion Siluch



 Repairing MTCs - By Dion Siluch


There are a handful of MTC models used in industry today, many of which have now been used for over a decade. The question is whether it is better to purchase a used MTC and finish the repairs yourself or buy a brand new MTC… Lets look at some pros and cons about repairing a used MTC.

Pros:
The easiest pro is simply money. You can buy a used MTC for half of what a new one goes for. If you’re handy with tools or know someone who can source the parts, buying a used MTC might be a great option for saving money. Another pro that is attractive is the decals, buying a used MTC creates a perfect time to remove those old decals and apply some brand new company decals for your own advertising.

Cons:
The biggest con for repairing an MTC is the uncertainty. What needs to be repaired and where can someone find the parts? From experience it’s fairly easy to find replacement parts online if you spend a couple hours searching, however this takes patience. And be sure you have all the appropriate hardware for installations. Missing bolts, nuts and washers can create delays in getting your MTC up to working condition. Buy a new MTC could eliminate this hassle but usually costs a lot more $$!

Overall the choice is yours, but buying a used MTC is still my favorite choice.

Dion Siluch

Sunday, 3 April 2016

MTC's that are not CMVSS roller compliant

This past month I was attending the Richie Bros Auction looking for some great deals on trucks. During my time there I noticed a few MTCs manufactured by Travelaire being auctioned and noticed something very interesting.

None of the Travelaire MTCs had roller over protection certified by CMVSS for use as an emergency vehicle.

This brought up some concern about the units.

My biggest concern was that these units had decals on the sides advertising it as a first aid unit.

According to Alberta standards this is illegal---


"In order for an MTC to serve as a medical transport vehicle, it is deemed a passenger compartment under the regulations, and therefore must meet the following sections of Transport Canada's Motor Vehicle Safety Act:
  • 205 - Glazing Materials
  • 206 - Door Locks & Door Retention Components
  • 207 - Anchorage of Seats
  • 208 - Occupant Restraint Systems in Frontal Impact
  • 209 - Seat Belt Assemblies
  • 210 - Seat Belt Assembly Anchorages
  • 220 - Rollover Protection
  • 302 - Flammability"

Let me be clear, it's not that I don't like Travelaire I just hesitate when I see them being sold as MTCs when they are not allowed to be used. It may be different in other provinces but in Alberta I would look elsewhere.

Pics

FOR AUCTION











 AS A RESULT OF ACCIDENT



















Dion Siluch