chapter 001 - jones & bartlett...

9/11/2012

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Chapter 1Roles and Responsibilities of the

EMT-Intermediate

Objectives

Differentiate between the EMT-B, EMT-I, and EMT-Paramedic

Relate roles and responsibilities of the EMT-I

Define the terms certification and licensure

State the role of the NREMT

Objectives Recall the benefits of subscribing to

professional journals

Identify the benefits of teaching in community

Define the terms ethics and professionalism

List behaviors that are considered professional

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Objectives

Describe appropriate appearance

Relate the meaning of EMT-I certification

Discuss why it is important to keep certification/licensure current

List three reasons why continuing education is important

Objectives

Identify five attributes of ethical conduct

State the major purposes of NAEMT

What is an EMT-Intermediate?

An EMT who has completed training beyond EMT-B level Varies widely by state


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Other Levels of EMT Certification

First responder A trained person who provides initial care until

EMS providers arrive on scene• Uses a limited amount of equipment

Other Levels of EMT Certification

EMT-Basic An EMT who has completed a training program

that meets DOT standards

EMT-Paramedic An EMT who has advanced training

• Most advanced level of certification

Role of EMT-I

To provide basic and advanced care to persons experiencing medical and traumatic emergencies


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Responsibilities of EMT-I Ensure safety of self and other responders

Drive vehicle to scene in safe, timely, lawful manner

Use protective equipment

Interact with first responders

Responsibilities of EMT-I

Control scene, ensure safety, regulate access

Determine needs, communicate to dispatch, request supportive agencies as needed

Use basic tools and techniques to gain access to and extricate entrapped patients

Establish rapport with patients, maintain their confidentiality, shield from onlookers

Responsibilities of EMT-I Treat patients with dignity, compassion, and

respect

Rapidly assess and manage life threats

Perform a careful patient assessment, recognize nature and severity of the event, determine requirements for emergency medical care


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Responsibilities of EMT-I Provide prompt and efficient care

Assess the effects of treatment

Establish communications with medical direction

Recognize limits of field care and when prompt transport is appropriate


Move patients in a way that minimizes discomfort and prevents further injury

Transport safely and expeditiously

Transfer care in an orderly and efficient manner

Properly complete run sheet


Prepare for next incident

Recognize when patient transport is not indicated and follow protocols


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Certification Process

EMT-I training

Knowledge and skill examinations State or National Registry of Emergency Medical

Technicians (NREMT) examination

Credentialing

Reciprocity

National Registry ofEmergency Medical Technicians

Private, nonprofit agency

Provides testing and registration nationally

Candidates must: Successfully complete EMT-I training program that

meets DOT standards

Successfully pass written and practical skills testing of NREMT

Recertification

Requirements vary by state Refresher course, CE, and/or testing


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Continuing Education (CE)

Benefits of CE Assures public that quality patient care is being

delivered

Reduces erosion of knowledge and skills

Keeps EMT-I current on new procedures and treatments

Allows sharing of experiences

Encourages professional development

CE Opportunities

In-service training programs

National “weekend” courses

Seminars, conferences

Run critiques

Textbooks, journals, magazines

Videos

Software

Online CE courses

Benefits of Professional Journals

Latest industry changes

CE

Employment opportunities

Seminars/conferences

New products/equipment

Job tips

Book, video reviews

Opportunity to submit article


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Professionalism

Necessary to: Promote quality patient care

Instill pride in profession

Promote high standards

Earn respect of other members of healthcare team

Professional Conduct

Professional manner

Appearance

General conduct

Concern for patient

Treating others with respect

Personal improvement

Ethics

Character

Set standards for rightness and wrongness of human behavior


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Examples ofUnethical/Illegal Behavior

Make a statement about colleague’s perceived faults

Solicit patient for date

Give attorney’s business card to patient

Discourage noninsured patient from going to hospital

Fail to maintain patient confidentiality

NAEMT Code of Ethics

Accept and fulfill obligations to society and profession

Conserve life, alleviate suffering, promote health, do no harm, encourage quality and availability of emergency medical care

Provide unrestricted services based on human need, respect for dignity

Does not use professional knowledge for detriment to public well-being


Respect and hold patient information confidential unless divulgence required by law

Understand and uphold law, perform duties of citizenship, work to promote high standards of emergency medical care to all

Maintain professional competence, demonstrate concern for competence of other EMS providers

Define and uphold standards of professional practice and education


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Assume responsibility for individual professional actions and judgment, know and uphold laws that affect practice

Be aware of and participate in matters of legislation affecting EMT and EMS system

Adhere to standards of personal ethics

Advertise professional services in conformity with dignity of profession


Do not delegate any service to a person less qualified

Work harmoniously with, and sustain confidence in, colleagues

Refuse to participate in unethical procedures, assume responsibility to expose incompetence or unethical conduct in a proper and professional manner

Patient Confidentiality

Hold patient care in strict confidence

Unethical to divulge: Patient names

Details of illness or care

Any other aspects of care

Exceptions per HIPAA


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Benefits of EMS Organizations

Educational opportunities

Newsletters

Representation on local, state, national issues

National Association of EMTs

Goals Serve needs of EMTs throughout country

Promote professional status of EMTs

Encourage constant upgrading of education and abilities of EMTs

Strive for national standard of recognition for skills and abilities of EMTs

Summary

EMT-Is are advanced prehospital care providers

Certification involves completion of DOT requirements and demonstration of skills on examination

EMT-Is ensure safety of self and others

EMT-Is have responsibility to provide competent care in professional, ethical, caring manner


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Questions?


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