EMS Master Handbook

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                  EMS Policies and Procedures
                                                                    Updated: 06/28/2018

                                                                                          SECOND TO NONE
Mission Statement:       Rescue & Recovery represents Earlyworld Gaming as an elite organization of professionals that strive to provide exceptional and unbiased 
medical services in a consistent and timely manner through the utilization of equipment, technology, tactics, trust, communication, perseverance, and teamwork.


Strategic Plan:

  1. EMT?s and Paramedic?s are primarily responsible for urban areas when numbers permit.
  2. SARs, Medevacs, and Supervisors are primarily responsible for rural areas when numbers permit.
  3. The ranking medic on the server shall assign areas of responsibility and manage medics accordingly to facilitate the answering of calls.
  4. Anyone who fails to listen, or follow the guidance of a ranking medic, will be considered insubordinate and will be punished accordingly
  5. Those who possess rank, who fail to act on a deteriorating situation, may be reprimanded or demoted.
  6. The highest ranking on duty medic is responsible for ensuring that there is an even amount of medics, and ranks, on both servers.
  7. Medics are encouraged to work together in teams and utilize resources effectively to answer calls for service.
  8. If call volume is high, and teamwork is not practical, ranking medic are expected to work independently to answer calls.
  9. SARs, Medevacs, and Supervisors are expected to work with and train junior medics whenever possible.  Teamwork is highly encouraged



Chapter I - Professional Standards
1. Conduct:1.1.  All medics shall conduct themselves in a professional and courteous manner.
1.2   All medics shall act professionally and treat others with respect.
1.3.  Medics will refrain from abusive language/actions toward others while on-duty.
1.4.  Medics shall work together and coordinate their efforts to respond to calls in an efficient manner.
1.5   Medics shall operate in an ethical, compassionate, and unbiased manner.
1.6.  Subordinate medics shall obey the directions of any higher ranking medic who gives a reasonable order.
1.7.  Medics shall not misuse their emergency lights or sirens.
1.8.  Medics will follow all rules and laws which pertain to the civilian community, including but not limited to:
1.8.1. Speed and traffic laws
1.8.2. Disturbing the peace
1.9.  All medical personal are required to have a [Medic] tag added to their name while on duty.                
1.9.1. Medic tags will appear as follows: [Medic] John Doe2.0. Medics shall not quote rules.
2. Role Playing:
2.1. Medics are expected to role play every scenario they encounter.
2.2. Medics shall value their lives at all times; however, medics may take calculated risks to facilitate their duties when an       obvious or imminent threat is not present.  
3. Meta Gaming:
3.1. Medics will not use information gathered on civilian to carry out their duties while operating as a medic.
3.2. Meta gaming will result in administrative action, and may result in blacklisting.

Chapter II - Denial of Service
1. Denial Criteria
1.1. Trolling: Player(s) who propagate discord on the server by posting inflammatory, extraneous, or off-topic messages to       on-duty medical personnel in any form of communication with the deliberate intent of provoking a negative emotional       response or otherwise disrupting normal on-topic role-play discussion and/or duty performance.
1.2. Threats: Player(s) who have repeatedly threatened to take medical personnel hostage, have previously taken medical       personnel hostage, have repeatedly threatened to inflict, or caused, serious bodily harm or death to medical personnel.
1.3. False Requests: Player(s) who request multiple EMS/Revive Requests and leave the area, re-spawn, or disconnect.
1.4. Suspicious Circumstances: If a medic has reasonable suspicion to believe that a player is attempting to attain services       under false pretenses in order to take medical personal hostage.
2. Denial of Individual Services:
2.1. Medics may only deny an individual player R&R services based on the criteria outlined in section
2.2. Medics cannot deny services to an entire group based on the actions of one individual within a group or gang.
2.3. Medical personnel who deny services may only do so until the end of the server cycle.
2.4. Medical personnel who choose to issue a denial of services do so as an individual.             
 2.4.1. Medics may request, but cannot force, other medics to honer their denials.
2.5. Players that are denied R&R services shall be notified via direct chat, side chat, or a text message when practical.

Chapter IV - Equipment
1. Items and Physical Equipment
1.1. Medics may only use items and equipment available for purchase at R&R facilities, general stores, and legal markets.
1.2. Under no circumstances should a medic pick up any items from the ground that are not theirs. Items include, but are        not limited to, firearms, ammunition, currency, food, drinks and briefcases.
2. Uniforms
2.1. Medics shall wear only the uniform that he or she is issued, which matches his or her assigned rank.
2.2. Medics may purchase diving gear from the R&R clothing vendor. Dive equipment shall only be worn when responding to,      or operating within, the water and must be removed when the water activities are complete.
2.3. Medics shall only wear clothing items that are available at the medic clothing store.2.4. Medics are not allowed to select a profile character that wears a Balaclava while on duty. 
3. Vehicles
3.1. Medics may only operate civilian and APD vehicles to the extent necessary to open roadways or clear spawn points.
3.2. Medics shall not operate R&R vehicles that they have not earned access to via promotions.
3.3. Medics will not ride within any civilian or APD vehicle unless stranded, taken hostage, or actively assisting the APD.
3.4. Paramedics and EMT?s may sit in the co-pilot seat of a helicopter during routine operations.
3.5. Medics who are of insufficient rank, or who lack a pilot certification, shall not act as pilot in command (PIC) of any R&R      aircraft unless the PIC looses connection or is killed.
3.5.1. If the PIC loses connection, disconnects, or is killed during flight an uncertified medic may assume the         controls and fly the helicopter directly to the nearest R&R facility.4.  Traffic Control Devices            
4.1. Medics are authorized to place traffic control devices to facilitate their duties and promote role play.           
4.2. Medics shall not spam traffic control devices or utilize them in a disruptive manner.           
4.3. Medics shall clean up all placed traffic control devices at the end of each situation.
5. Medical Crates           
5.1. Medics, at or above the rank of Medevac, are authorized to purchase, transport, and deliver, medical crates.            
5.2. Medical Crates shall not be knowingly delivered to, or near, the following locations:                              
5.2.1. Active jail breaks                              
5.2.2. Active Federal Reserve robberies                             
5.2.3. Active Blackwaters                              
5.2.4. Active rebel raids            
5.2.
5.3. Medical personal shall not collaborate with civilians to purchase Medical Crates with the sole purpose of allowing civilians to take control of, or transport, the Medical Crate for themselves.           
5.4. Medical personal may deliver medical crates solely upon the request of a civilian, group, or gang.            
5.5. Medical personal are authorized to deliver medical crates to any active engagement, within any location, except for those  listed in Chapter IV Section    
5.6. Medics shall exercise common sense when purchasing, transporting, and delivering Medical Crates.           
5.7. The pilot in command (PIC) shall be proficient at sling loading items before interacting with Medical Crates.            
5.8. PIC's shall exercise extreme caution to ensure that the Medical Crate does not strike any person, or property, at any time.            
5.9. PIC's who inadvertently cause damage, destruction, injury, or death during the deployment of a Medical Crate are                   subject to administrative action.            
5.10. PIC's who intentionally cause damage, destruction, injury, or death during the deployment of a Medical Crate will be                     blacklisted from the Rescue & Recovery.
6. Medical Personnel are not authorized to give away the following equipment or items: uniforms, re-breathers, goggles, hats,    helmets, eye-ware, medical kits, smoke grenades, chem lights, vehicles, road kits, or sling hooks.          
6.1. Medics may provide a civilian an epi-pen to facilitate a revive if an individual cannot afford to request or is "bugged".
7. Medics are not permitted to use squad URL's while on-duty.
8. Equipment, such as smoke grenades and chem lights, are not to be spammed and should only be utilized when needed.
9. Medics are to value their equipment and take the appropriate actions to ensure that R&R property is not intentionally    damaged, destroyed, abandon, or misplaced.
10. Medic Minimum Equipment Listing (MEL) lists what minimum equipment a medic must have on their person at all times.           
10.1. 10 food and 10 water to sustain health and be available to give to civilians/APD during emergency situations           
10.2. 10 lollipops to provide to civilians, no more then one per patient.           
10.3. 1 fuel container with fuel            
10.4. 1 Tow Sling if certified to fly           
10.5. 2 epi pens to provide if a deceased player is glitched or lacks the funds to request a medic           
10.6. 5 yellow smoke grenades           
10.7. 5 yellow chem-lights



Chapter V - Vehicle Interaction
1. Medics shall verify vehicle ownership prior to repairing a vehicle.
2. If the civilian requesting vehicle repairs is not the registered owner the medic shall obtain verbal, or written, permission from    the vehicle's registered owner prior to rendering repairs.
3. Medics are authorized to bypass the registration verification process if a civilian threatens to use deadly force against a medic    that has advised that they are unable to repair a vehicle because of registration issues.         
3.1. This rule is designed to allow medics to value their lives and continue role playing during unique situations.         
3.2. Medics shall not abuse this rule for the sake of bypassing the registration verification process.


Chapter VI - Vehicle Towing
1. Medics of sufficient rank, Paramedic or higher, are authorized to tow abandoned vehicles to the nearest R&R Impound Facility, or APD HQ, if the vehicle is abandon and a registered owner cannot be located within the immediate area.
2. Vehicles that are legally parked within urban areas cannot be removed without the registered owners consent.
3. Medics shall not "daisy chain" vehicles that are capable of towing for any reason.
4. Medics shall not unload vehicles off of bridges, place vehicles in water, or glitch vehicles into or onto buildings.
5. Medics, of any rank, are authorized to enter and move any ground vehicle a minimum distance to facilitate clearing a roadway, preventing a hazard, or restoring the functionality of a vehicle garage.
5.1. Prior to relocating a vehicle, an effort must be made to contact and allow the registered owner of the vehicle to take action first.  If the registered owner does not take action, or refuses to move the vehicle, a medic may move the vehicle on his or her behalf.  


Chapter VII - Medical Interaction
1. Medics must obtain verbal, or written, permission from a citizen prior to administering any form of medical aid.
2. Civilians that request a revive are automatically providing their consent to receive medical attention.
3. Citizens cannot order a medic to revive a deceased player that has not requested due to game mechanic limitations.
4. Citizens that choose to interfere with a medic administering R&R services are expected to adhere to the following guidelines: 
4.1. Communication must be established via EMS text, direct chat, or obvious warning shots if located within an illegal area.
4.2. The individual must specify the body, name, group, or gang.
4.3. Civilians must specify who is making and enforcing the threat
5. Medics shall not disclose the names, or locations, of any revive request, or call for service, with any person who is not employed    and currently serving on active duty with the Rescue and Recovery.            
5.1. Medics may seek APD assistance if a call for service is coming from within an illegal area.         
5.2 Medics may seek APD assistance if the circumstances surrounding the call are suspicious or appears malicious in nature.           
5.3. Medics requesting assistance are not authorized to release the names of any individual who is requesting medical                 services under any circumstance unless the request is being made to facilitate a player report for misconduct.
6. Medics may report observed criminal activity or suspicious circumstances at any time if they so choose.           
6.1. Medics may release the name(s) of a living individual after the name has been obtained via legitimate RP.           
6.2. Notifications shall not be conducted in an effort to assist the APD in catching wanted individuals.



Chapter VIII - Hostage Situations
1. Medics shall not be taken hostage if a member of their civilian gang is part of the group attempting to take the medic hostage.
2. Medics can be taken hostage when the following criteria has been satisfied.         
2.1. The civilian has stated via direct chat that they are taking the medic hostage.
2.2. The civilian has the means to inflict death or substantial harm.
3.  Medics can be restrained to prevent escape and facilitate transportation at the hostage takers discretion. 
4. If restrained, the medic may be unrestrained in order to provide services such as healing, reviving, or repairing.
5. Medics may be held hostage for up to 15 minutes before they can request to be set free.
5.1. Medics may, at their discretion, stay for an additional 15 minutes if there are no other calls for service pending.
5.2. Medics who elect to stay for an additional 15 minutes shall not stay and assist for more than 30 minutes.  Once 30                 minutes has elapsed, medics must return to their regularly assigned duties.
6. Once a medic is released the same medic cannot be taken hostage by the same group of citizens until a minimum of 30 minutes    has elapsed since the time of release.
7. Medics, whom have been taken hostage, shall not perform any of the following activities:
7.1. Gather or transport items.
7.2. Operate vehicles.
7.3. Use weapons
7.4. Utilize unauthorized equipment8. Medics shall only provide services to those they are instructed to assist while serving as a hostage.
9. Medics must remain in the immediate area of their captors to be considered a hostage.
9.1. Those left unattended may attempt to escape if they so choose.
9.2. Medics who attempt to escape may be killed or recaptured.
10.  If during a hostage situation, or while assisting APD, a medic is captured by an opposing gang, group, individual, or faction the       medic may assist the controlling entity by providing revives, heals, or repairs.
11. Once the hostage situation is complete the medic shall return back to their regularly assigned duties.12. Medics cannot be stripped or robbed of their clothing, equipment or items.
13. APD officers may Taser a medic located within any illegal zone, without warning, if they suspect the medic is a hostage.14. APD officers are expected to engage medics located outside of illegal areas before using force.

Chapter IX - Interacting with the APD
1. Medics shall assist the APD if requested.
2. Medics must assist for a minimum of 15 minutes when requested.         
2.1. Medics may, at their discretion, stay for an additional 15 minutes if there are no other calls for service pending.         
2.2. Medics who elect to stay for an additional 15 minutes shall not stay and assist for more than 30 minutes.  Once 30 minutes has elapsed, medics must return to their regularly assigned duties.
3. Once a medic is released, the same medic cannot assist the APD until 30 minutes has elapsed since the time of their release.
4. Medics who are assisting the APD shall not assist the opposing faction unless taken hostage.
5. If the APD are responding to a situation in waves, and the officers in the current wave are dead, medics should attempt to leave the area and wait for the next APD wave to arrive.
6. Medics may not operate police vehicles while assisting the APD.
7. Medics may ride in police vehicles while assisting the APD.
8. Medics who are assisting the APD within an illegal zone can be killed without warning.
9. If an APD officer instructs a medic not to enter an area, legal or illegal, the medic shall comply with the order and stay clear of the area until instructed otherwise or given written or verbal permission to return to the restricted location.
10. APD officers do not need to be within the area to provide instruction.
11. Medics shall comply with all reasonable APD orders.
12. Medics detained, or arrested, by the APD for failing to comply with orders or instructions are subject to administrative action.
12. Panic Button        
12.1.  Medics are authorized to utilize the panic button under the following circumstances:           
12.1.1. Unavoidable, inescapable, threat of death or substantial bodily harm directed toward a medic.           
12.2.1. Anytime a medic is able during an active or impending hostage situation.           
12.3.1. Anytime the APD requests that a medic updates his or her location to facilitate a response.
12.2. Those caught, or reported, abusing the panic button are subject to administrative action.
12.3. APD Response          
12.3.1. APD officers are not required to respond to a panic button activation.           
12.3.2. APD officers may not be able to respond to activations within illegal areas due to rank and handbook limitations.           
12.3.3. Reference the APD handbook for specific response details pertaining to illegal areas.

Chapter X - Aviation
1. Medics authorized to act as pilot in command (PIC) of an aircraft must operate with collision lights on at all times.
2. Aerial vehicles may be landed at any of the following locations:
2.1. Hospital
2.2. Air Garage
2.3. Any open, urban or rural, area with the sole intent to provide medical aid to a citizen whom has requested a revive.
2.4. Once the call for service is complete the aircraft must be relocated to one of two previous locations.
2.5. Landing zones must not cause disruption, destruction or harm to players, vehicles, or buildings.
3. Aircraft shall be operated in a safe and controlled manner at all times.

 Chapter XI - Rank Advancement
1. Promotion Guidelines
1.1. Promotions are generally conducted each Friday, or at the discretion of the Head R&R Coordinator.
1.2. Times for promotions are gathered each Thursday.  If a medic has not met their time requirement on Thursday, when       times are gathered, he or she will not be promoted, even if they attain their minutes on Friday.  
1.3. Promotional reviews are based upon time spent on-duty, observations made by senior medics, and feedback provided        by the citizens of Altis, to include peers, APD officers, and civilians).

2. Rank Requirements:
2.1. Emergency Medical Technician ? Inception Rank
2.2. Paramedic ? 1,200 minutes of playtime
2.3. Search & Rescue ? 3,000 minutes of playtime              
2.3.1. Must be able to pass the verbal and practical flight test.
2.4. Medevac ? 7,000 minutes of playtime            
2.4.1. Must be flight certified to qualify. 
2.5. Supervisor ? 10,000 minutes of play time              
2.5.1. Must be a proficient pilot that is certified to fly for the Rescue and Recovery.             
2.5.2. Must be able to consistently facilitate new hire interviews and Search and Rescue flight tests              
2.5.3. Must be able to complete desk duties by consistently and accurately updating data on a weekly basis.             
2.5.4. Must be able to make accurate and unbiased recommendations for promotions, demotions, and removals.             
2.5.5. Must be active both on the forums and in Team Speak by guiding, directing and mentoring other medics.
2.6. Coordinator ? 20,000 minutes of play time

3. Rank Perks
3.1. Emergency Medical Technician (EMT)
3.1.1. SUV
3.1.2. Pay Check = $300
3.1.3. EMT uniform (Blue)
3.2. Paramedic
3.2.1. Hatchback Sport/Off-Road/Quadbike/Boat
3.2.2. Pay Check = $600
3.2.3. Paramedic Uniform (Red) and Dive Equipment (Yellow)
3.3. Search & Rescue
3.3.1. M900/Hummingbird/Orca/Strider
3.3.2. Pay Check = $900
3.3.3. Search and Rescue Coveralls (Yellow) and green Helicopter pilot helmet
3.4. Medevac
3.3.1. Mohawk/Taru
3.3.2. Pay Check = $1200
3.3.3. Medevac Coveralls (Yellow) and green Helicopter pilot helmet
3.5. Supervisor
3.4.1. Ghosthawk
3.4.2. Pay Check = $1,500
3.4.3. Supervisor coveralls (Orange) and green helicopter pilot helmet
3.6. Coordinator
3.5.1. Huron
3.5.2. Pay Check = $1,800
3.5.3. Coordinator coveralls (Orange) and green helicopter crew helmet

4. Approved Leave
4.1. Promotions may be delayed while in active leave status.

5. Demotions
5.1. Can result from inactivity or any administrative action due to behavioral issues or medic misconduct.  Demotions are generally recommended by Supervisors and approved by Coordinators.

6. Retension               
6.1. Any medic that enters inactive status,
7. Removal
7.1. Medics removed for breaking server rules, or R&R rules, may be removed or blacklisted.
7.2. Anyone arrested, or jailed, by the APD may be disciplined or removed from the R&R.
7.3. Anyone removed for misconduct, who is not blacklisted, may not re-apply to the R&R for 90 days.
7.4. Medics removed for inactivity will not be allowed to re-apply until 30 days has elapsed from their removal date.

Chapter XII - Income
1. Medics are not authorized to engage in any unapproved legal or illegal enterprises that are not directly related to R&R operations.
2. Authorized forms of income for on-duty medics are as follows:
2.1. Base pay allocated to your bank every 5 minutes.
2.2. Issuing invoices for towing, repairing or healing.             
2.2.1. Medics may not charge beyond the standard service rates.             
2.2.2. Medics caught charging beyond the established service rates will be subject to administrative action.             
2.2.3. Medics may charge less then the established invoice fees if they so choose.             
2.2.4. Medics are not required to issue invoices for applicable services.
2.5. Medics should provide rides to stranded individuals when able; however,  medics shall not charge people for rides under       any circumstances.  Common sense shall be exercised when fielding ride requests and selecting drop off points.
2.6. Medics may accept any unsolicited tip via invoice, ATM transfer, or hand-to-hand transaction.
2.7. Medics shall not charge for a revive.  Revive fees are automatically deducted and transferred.
2.8. Medic DP missions (available at the APD or R&R market NPC).
2.9. Medics who have access to the R&R dive equipment and boat may fish as long as there are no calls for service pending.
3. Fees and Prices are as follows: (Charges are based on the distance a medic must travel from his or her current location)
3.1. Revive (Automatically Charged)
3.1.1. $10,000 co-pay received automatically from patient
3.2. Dopamine Shots (Automatically Charged)
3.2.1. $7,500 insurance subsidy received automatically from  Federal Government
3.3. Towing Fees:
3.3.1. 0 - 4.9 km: $5,000
3.3.2. 5 - 9.9 km: $10,000
3.3.3. 10 km and above: $15,000   
3.4. Repairing Fees:
3.4.1. Toolkit Repair: $2,000
3.4.2. Off-Road Repair: $2,500   
3.5. Healing Fees:
3.5.1. Less than 1 km: Free
3.5.2. 1 - 4.9 km: $1500
3.5.3. 5 - 9.9 km: $3000
3.5.4. 10 km and above: $5000

Chapter XIII - Communications
1. Medics shall be in their assigned Discord channel while on duty.
2. Medics may only enter an APD channel if specifically requested, or moved, by an APD member.               
2.1. Medics may remain in the APD channel until the situation has been resolved.

4. Medics who are currently employed by the R&R are permitted to use the R&R Break Room whenever they so choose.

5. APD/R&R Side Chat        
5.1. Medics are only authorized to utilize the "APD/R&R Side Chat Channel" when an exigent circumstance exists and communication via emergency text message, or direct chat, is not possible or practical.          
5.2. All communication via the "APD/R&R Side Chat Channel" should be considered critical in nature.        
5.3. Medics are not to utilize the "APD/R&R Side Chat", "Emergency Police Text", or "Direct Text", for the soul purpose of relaying the location of wanted individuals.         
5.4. Medics may report any illegal, suspicious, or malicious activity to the Police at their discretion.          
5.5. Any abuse of the "APD/R&R Side Chat Channel" will result in administrative action.



 Chapter XIV: New Life Rule (NLR)
1. NLR applies to all medics who are killed within the guidance of the server rules.
1.1. Examples of NLR applicable situations include, but are not limited to the following:
1.1.1. Failed Hostage Negotiations
1.1.2. Failure to follow an order to NOT revive a deceased player
1.1.3. Fleeing when an armed civilian attempts to take a medic hostage
1.1.4. Ignoring a warning to leave an illegal area
1.1.5. Intentional, or negligent, death resulting from an accident, fire, explosion, or suicide.
1.2. Examples of NLR exempt situations
1.2.1. Random Death Match (RDM)
1.2.2. Vehicle Death Match (VDM)
1.2.3. Arma related issues that result in a death through a glitch or failed game mechanic.
1.2.4. Any death that results from another player not following server rules.
1.3. Medics shall not return to an NLR affected area for any reason until 15 minutes has elapsed.
1.4. The NLR affected area is defined as a city or 1.5 KM area around the location where the medic was legally killed.




 Chapter XV: Progressive Disciplinary Matrix (PDM)
1. Administrative Action Defined
1.1. Documented Counseling: Any behavioral misconduct or violation of the R&R handbook, or Earlyworld Gaming sever rules, that       could be defined as accidental, un-intentional, or that cannot be defined as malicious or egregious in nature.
1.2. Letter of Reprimand (LOR): Any behavioral misconduct, malicious action, or egregious act that could be categorized       as a willful attempt to intentionally violate the R&R handbook or Earlyworld Gaming server rules.

2. Grounds for administrative action
2.1. Documented Counseling
2.1.1. Medics shall receive a 7-30 day suspension/removal upon the issuance of the third Documented Counseling.
2.1.2. Medics that accrue 6 Documented Counselings will be dismissed from the R&R.
2.2. LOR2.2.1. Medics shall receive a 7-30 day suspension/removal for each LOR issued.
2.2.2. Medics that accrue 3 LOR's will be dismissed from the R&R.
2.3. Civilian Bans
2.3.1. Medics who accumulate multiple bans can be dismissed from the R&R.  The length of the removal depends         upon the number and severity of the bans issued.
2.3.1.1. RDM, VDM, RVD, NLR: 1 week per ban
2.3.1.2. Exploit, Fail RP, Combat Log: 2 weeks per ban
2.3.1.3. Harassment, Hacking, Mass RDM: Blacklist3. Grounds for Dismissal/Blacklisting
3.1. Providing false or inaccurate information on an R&R application
3.2. Cheating during any R&R testing process
3.3. Receiving 6 Documented Counseling?s within 30 days
3.4. Receiving 3 Letters of Reprimand during your career
3.5. Any egregious or malicious act
3.6. Harassment (ANY SETTING)3.7. Toxic behavior in game or on the forums
3.8. Trolling in game or on forums
3.9.  Disrespectful behavior in game or on the forums
3.10. Using a firearm while on duty
3.11. RDM, VDM, RVD, or NLR while on duty
3.12. Exploiting, Fail RP, or combat logging while on duty
3.13. Insubordination
3.14. Meta-gaming 
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