emt-intermediate to advanced emt
DESCRIPTION
EMT-Intermediate to Advanced EMT. Lynette mccullough, mch , nrp. Program Overview. Introductions Course Purpose National and State Curriculum/Scope of Practice and Licensure Revisions Requirements for AEMT Licensure Course Requirements Attendance Cognitive competency Skills competency - PowerPoint PPT PresentationTRANSCRIPT
LY N E TT E M C C U L LO U G H , M C H , N R P
EMT-INTERMEDIATE TO ADVANCED EMT
PROGRAM OVERVIEW
• Introductions• Course Purpose• National and State Curriculum/Scope of Practice and
Licensure Revisions• Requirements for AEMT Licensure
• Course Requirements• Attendance• Cognitive competency• Skills competency• Clinical requirements
CURRICULUM OUTLINE
• Module 1: Pretest, Preparatory, Operations• Module 2: Anatomy, Physiology, Pathophysiology• Module 3: Pharmacology• Module 4: Patient Assessment and Resuscitation• Module 5: Medical, Trauma, and Special Patients• Module 6: Integration and Practical Applications• Module 7: Clinical Experience
PRETEST90 MINUTES TO COMPLETE
Preparatory• Applies fundamental knowledge of the
emergency medical services (EMS) system, safety/well-being of the advanced emergency medical technician (AEMT), medical/legal, and ethical issues to the provision of emergency care
EMS Operations• Knowledge of operational roles and
responsibilities to ensure patient, public, and personnel safety
NATIONAL EMS EDUCATION STANDARD COMPETENCIES
Public Health• Uses simple knowledge of the principles of the
role of EMS during public health emergencies
Medicine• Applies fundamental knowledge to provide basic
and selected advanced emergency care and transportation based on assessment findings for an acutely ill patient
NATIONAL EMS EDUCATION STANDARD COMPETENCIES
COMPREHENSIVE HEALTHCARE
• Individualized Care• Preventative and Primary Care• Emergency and Urgent Care (Includes EMS)• Acute and Critical Care• Specialty, Rehabilitative and Longterm Care
• Public and Community Healthcare• Epidemiology• Inspections (Restaurants, playgrounds, schools, etc)• Response to threats (May include EMS)
PUBLIC SAFETY
• Law Enforcement• Fire Services• Emergency Management• EMS• Animal Control• Water Supply/Waste Management
EMS SYSTEM COMPONENTS
• Regulation and Policy• Resources Management• Human Resources and Training• Facilities• Communications• Transportation• Public Information and Education• Medical Direction• Evaluation• Trauma Systems
EMS CHAIN OF CARE
• Recognition of emergency event• System access and bystander care• Dispatch (with bystander instruction)• Response (preplanning)• On-scene care• Transport• Transfer to in-facility care• In-facility care and rehabilitation (as required)
EMS RESPONDERS
• Bystander care• Emergency Medical Responders• Emergency Medical Technicians• Advanced Emergency Medical Technicians• Paramedics• Scope of Practice Document (review)
PUBLIC HEALTH
• Study of the occurrences of illness, injury, and death• Epidemiologic terms• Morbidity• Mortality• Endemic• Epidemic• Pandemic• Primary prevention• Secondary prevention• Tertiary prevention
EMS IN PUBLIC HEALTH
• Provide public education• CPR, First aid, emergency evacuation procedures• Injury prevention (bicycle safety, water safety, car seat
use)• Assist in wide-spread immunization programs• Respond to major public health events to include
multiple or mass casualty events
MEDICAL DIRECTION
• Online• Offline• Onsite• Direct• Indirect• Delegated authority
QUALITY MANAGEMENT
• Prospective (vehicle and equipment checks, continuing education, skills practice, protocol development and review)• Concurrent (protocol adherence, on-site
supervision, effective team dynamics)• Retrospective (run review, peer debriefing)• Goal is to minimize errors
RESEARCH
• Evidenced-based decision making• Historically, much EMS practice is anecdotal• Resuscitation medicine spearheaded the efforts
for evidence-based decision-making• Need for EMS research is increased as a result• Research evidence and conclusions must be
critically evaluated• Review the evidence and discussions, not the
abstracts• EMS professionals should resist the temptation to
universally apply research conclusions to all conditions
RESEARCH COMPONENTS
• Hypothesis• Literature Review• Methodology• Findings• Discussion (includes identification of limitations)• Conclusions• Abstract
WORKFORCE SAFETY AND WELLNESS
WELLNESS
• Diet and nutrition• Exercise, relaxation and sleep• Immunizations• Wellness practices (infection control, body
mechanics)• Stress management• Safety hazard recognition and control• Use of personal protection devices
INFECTION CONTROL
• Disease transmission• Handwashing• Standard precautions• Use of protective equipment, supplies• Decontaminating, disinfecting and sterilizing
equipment• Exposure reporting• Postexposure activities
BODY MECHANICS
• Power Lift• Shoulder over hips, back straight, feet shoulder-width
apart• Power Grip• Palms up, hands about 10” apart
• Emergency Moves• Urgent Moves• Non-urgent Moves• Moving equipment
STRESS
• Causes of stress• Stress responses• Abnormal stress responses• Coping mechanisms• Signs of distress• Stress management• Post trauma stress debriefings
DEATH AND DYING
• Dying patients• Desire for autonomy• Accept patients expressions of fear, uncertainty• Be honest, allow hope
• Grief reactions• Post-death activities• Dealing with death to children
MEDICOLEGAL AND ETHICAL ISSUES
MEDICOLEGAL ISSUES
• Scope of Practice• Standard of Care• Duty to Act• Good Samaritan• Breach of Duty (malfeasance, misfeasance,
nonfeasance)• Abandonment• Proximate Cause• Negligence
MEDICOLEGAL ISSUES
• Assault• Battery• False imprisonment• Consent (and refusal)• Advanced directives and organ donation• Confidentiality and HIPAA• Forcible restraint• Mandatory reporting requirements• Medical Examiner cases
WORKFORCE ISSUES
• Cultural diversity• Sexual harrassment• Substance abuse• Ethics and morality
OPERATIONS
OPERATIONS
• Vehicle operations• Air-medical operations• Extrication and Special Rescue Operations• Hazardous Materials Exposures• Multiple-Casualty Operations• Terrorism
SUMMARY
• EMS Systems• Public Health• Research• Workforce safety and wellness• Medicolegal• Operations