introduction to the emergency medical technician - basic course

INTRODUCTION TO THE

EMERGENCY MEDICAL TECHNICIAN - BASIC

COURSE

Welcome

• Introductions

• Handouts/books

• Restrooms

• Breaks

• General rules

Overview

• Bureau of EMS Overview

• History of EMS

• Course Overview

• Student Requirements

• Certification Requirements

INTRODUCTION

The Utah Bureau of Emergency Medical Services (BEMS) is charged with insuring there is quality prehospital emergency medical care in Utah. This is accomplished by establishing training standards for personnel with input from the medical community and advisory committees.

AN EMS SYSTEM

A comprehensive, coordinated arrangement of resources and functions which are organized to respond in a timely, staged manner to targeted medical emergencies, regardless of their cause, or the patient's ability to pay, and to minimize physical and social impact

EMS COMPONENTS

• Legislation• Regulation and Standards• Education Systems • Public Access To Care • Statewide Trauma

Systems• EMS System Finance• Manpower Resources• Medical Direction

• Disaster Preparedness• Public Education• Prevention• Communications Systems• Clinical Quality

Improvement• Information Systems• EMS Research • Evaluation

HISTORY OF UTAH EMS

1971 Creation of the Utah Bureau of EMS and first Emergency Medical Technician (EMT)

class

1973 Utah Ambulance Control Act- Created standard requiring two EMTs on every ambulance by July 1977

1974 Utah Mobile Paramedic Act

1974 First Paramedic Course - Daniel Freeman Hospital, L.A., California

1977 Utah Advanced EMT ACT - Created EMT II ( EMT-IV) and EMT III (EMT-Intermediate)

HISTORY OF UTAH EMS

1979 Creation of Emergency Medical Dispatch (EMD) program

1981 Recodification into comprehensive EMS Act Created Governor appointed EMS Committee Granted Committee rule making authority Granted committee authority to create subcommittees

1985 EMS Week celebrated for the first time

1985 Creation of EMS Grants Program

HISTORY OF UTAH EMS

1989 Creation of Critical Incident Stress Management (CISM) program

1990 Creation of EMS for Children (EMSC) program

1995 Transition to current EMT curriculum

1997 Transition to current EMD Curriculum

1999 Transition to current Paramedic Curriculum

2004 States adopt the National EMS Information System

BUREAU OF EMS MISSION STATEMENT

It is the mission of the Bureau of Emergency Medical Services to promote a statewide system of emergency and trauma care to reduce morbidity and mortality, through prevention, awareness and quality intervention.

EMS Training Life Cycle

Evaluation (testing)

Patient Care

Training

COURSE GOALS

• Upon successful completion of this course the student will be capable of--– Recognizing the nature and seriousness of the patient’s condition

or extent of injuries to assess requirements for emergency care.

– Administering appropriate emergency medical care based on assessment findings.

– Lifting, moving, positioning, or otherwise handling the patient to minimize discomfort and prevent further injury.

– Performing triage at a mass casualty

– Performing safely and effectively, the expectations of the job description.

PREREQUISITES

• 18 years of age within 120 days of course completion

• CURRENT CPR CERTIFICATION

STUDENT RESPONSIBILITIESYOU MUST:

Conduct yourself in accordance with established training standards, policies, and procedures, ultimately preparing yourself for certification. The following will discuss the specifics of this.

PRE-COURSE DOCUMENTATION

• APPLICATION

– Must be completely filled out

– List all states you resided in, including Utah

– Must include ALL convictions (except minor traffic)

– Must be signed and notarized

DECLARATION OF UNDERSTANDING

• Must completely read and understand

• Must indicate appropriate responses

• Must be signed and notarized

Attachments to Application

• PICTURES

• CERTIFICATION FEES– BCI fees

– Testing (written & practical)

– Certification

– Retest fees are extra

POLICIES:

• Sexual Harassment

• ADA

• Read the handouts

COURSE REQUIREMENTS

• Minimum of 120 hours of class room– Course Coordinator

may increase this time requirement

• Minimum of ten hours of clinical experience

• Course schedule

Course Contents

• Text Book• 1994 DOT National Curriculum

– Module format

• Course outline

COURSE MATERIALS

• Textbook

• Teaching and Testing Guidelines

• Student Handbook

• Gloves

• Workbook

• Other Equipment / Materials

ATTENDANCE

• Must attend ALL hours in ALL required areas

• Absentee policy

• Tardiness policy

• Make up policy

PARTICIPATION

• Everyone must participate in all aspects of this course

• Students will be evaluated on:– Attitude– Knowledge– Skills– Maturity– Ability

SKILLS

• Must practice ALL skills in the Practical Training Record– Will have skills passed off by an Instructor, the Course

Coordinator, and the Course Medical Director

• Must complete and document 100 patient assessments

CLINICAL

• Must complete ten hours of clinical experience including 5 patient contacts.

• Dress and grooming standards

• Conduct

• Equipment needs

• Scheduling

COURSE TESTING REQUIREMENTS

• Quizzes

• Written

• Practical

COURSE COMPLETION

Anyone may complete the EMT course, however, students must complete all BEMS and course requirements, meet the standards outlined by BEMS, and receive a recommendation from the coordinator to be tested by BEMS.

Students must understand that being RECOMMENDED does not guarantee that BEMS will deem the student eligible for certification.

WRITTEN TESTING

• Must schedule through BEMS by phone or online• Can’t be more than 15 minutes late or early.• 100 question multiple choice test.• Computer based test.• Two hours to complete. • Pass / Fail results given at the end of the test by lesson• Results letter e-mailed within three weeks by lesson• Three opportunities to pass• The tests is not available for review.

PRACTICAL TESTING

• Course Coordinator will advise you of the date, time, and location.

• Be on time.• Tests are conducted on Saturdays.• Students will go to the reception area for check in.

PRACTICAL TESTING

• Must complete a skills station.• Must complete a scenario station.• Must bring a watch and picture identification. • (B/P cuff and stethoscope can be brought)• All other equipment is provided.• Plan on being at the test the entire day• DO NOT: talk about the tests or ask to see the test• Results will be sent to you when processed

CERTIFICATION

• Must complete all of the requirements of the course and the Bureau of EMS.

• Must be recommended by Course Coordinator and Course Medical Director.

• Must be recommended in order to test.• BEMS will make a determination on the eligibility of the

individual to certify.• Certification may be sent within six weeks of successful

completion of the testing.

Time to Complete Testing

• All testing and certification requirements must be completed within 120 days from the end of the course.

COURSE COMPLETION• Anyone may complete the course regardless of any problems that may arise, however, students must complete all BEMS and course requirements, meet the standards outlined by BEMS and receive a recommendation from the coordinator to be RECOMENDED for certification to BEMS.

• Students must understand that being RECOMENDED does not guarantee that BEMS will deem the student eligible for certification.