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National Emergency Medical Services Education Standards

National Emergency Medical Services Education Standards Emergency Medical Technician Instructional Guidelines Preparatory EMS Systems EMT Education Standard Applies fundamental knowledge of the EMS system , safety/well-being of the EMT, and Medical /legal and ethical issues to the provision of Emergency care. EMT-Level Instructional Guideline The EMT Instructional Guidelines in this section include all the topics and material at the EMR. level PLUS the following material: I. The Emergency Medical Services system A. History 1. 1960s 2. Evolution to current EMS systems B. NHTSA Technical Assistance Program Assessment Standards 1. Regulation and policy 2.

Page 4 of 212 Preparatory Research EMT Education Standard Applies fundamental knowledge of the EMS system, safety/well-being of the EMT, and medical/legal and ethical issues to …

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Transcription of National Emergency Medical Services Education Standards

1 National Emergency Medical Services Education Standards Emergency Medical Technician Instructional Guidelines Preparatory EMS Systems EMT Education Standard Applies fundamental knowledge of the EMS system , safety/well-being of the EMT, and Medical /legal and ethical issues to the provision of Emergency care. EMT-Level Instructional Guideline The EMT Instructional Guidelines in this section include all the topics and material at the EMR. level PLUS the following material: I. The Emergency Medical Services system A. History 1. 1960s 2. Evolution to current EMS systems B. NHTSA Technical Assistance Program Assessment Standards 1. Regulation and policy 2.

2 Resource management 3. Human resources and training 4. Transportation 5. Facilities C. Access to Emergency Medical Services D. Education 1. Levels of EMS licensure 2. National EMS Education Agenda for the Future: A Systems Approach E. Authorization to Practice 1. Legislative decisions on scope of practice 2. State EMS office oversight 3. Medical oversight a. Clinical protocols i. Offline ii. Online iii. Standing orders b. Quality improvement c. Administrative 4. Local credentialing 5. Administrative 6. Employer policies and procedures II. Roles, Responsibilities, and Professionalism of EMS Personnel A. Roles and Responsibilities 1. Maintain vehicle and equipment readiness Page 1 of 212.

3 2. Safety a. Personal b. Patient c. Others on the scene 3. Operate Emergency vehicles 4. Provide scene leadership 5. Perform patient assessment 6. Administer Emergency Medical care to a variety of patients with varied Medical conditions 7. Provide emotional support a. Patient b. Patient's family c. Other responders 8. Integration with other professionals and continuity of care a. Medical personnel b. Law enforcement c. Emergency management d. Home healthcare providers e. Other responders 9. Resolve Emergency incident 10. Maintain Medical and legal Standards 11. Provide administrative support 12. Enhance professional development 13. Develop and maintain community relations B.

4 Professionalism 1. Characteristics of professional behavior a. Integrity b. Empathy c. Self-motivation d. Appearance and hygiene e. Self-confidence f. Time management g. Communication i. verbal ii. written h. Teamwork and diplomacy i. Respect for patients, co-workers and other healthcare professionals j. Patient advocacy k. Careful delivery of service 2. Maintenance of certification and licensure a. Personal responsibility b. Continuing Education c. Skill competency verification d. Criminal implications e. Fees Page 2 of 212. III. Quality Improvement A. system for Continually Evaluating and Improving Care B. Continuous Quality Improvement (CQI). C.

5 Dynamic Process IV. Patient Safety A. Significant One of the Most Urgent Health Care Challenges B. High-Risk Activities 1. Hand-off 2. Communication issues 3. Dropping patients 4. Ambulance crashes 5. Spinal immobilization C. How Errors Happen 1. Skills-based failure 2. Rules-based failure 3. Knowledge-based failure D. Preventing Errors 1. Environmental a. Clear protocols b. Light c. Minimal interruptions d. Organization and packaging of drugs 2. Individual a. Reflection in action b. Constantly question assumptions c. Reflection bias d. Use decision aids e. Ask for help Page 3 of 212. Preparatory Research EMT Education Standard Applies fundamental knowledge of the EMS system , safety/well-being of the EMT, and Medical /legal and ethical issues to the provision of Emergency care.

6 EMT-Level Instructional Guideline The EMT Instructional Guidelines in this section include all the topics and material at the EMR. level plus the following material: I. Evidence-Based Decision-Making A. Traditional Medical Practice Is Based on 1. Medical knowledge 2. Intuition 3. Judgment B. High-Quality Patient Care Should Focus on Procedures Proven Useful in Improving Patient Outcomes C. The Challenge for EMS Is the Relative Lack of Prehospital Research D. Evidence-Based Decision-Making Technique 1. Formulate a question about appropriate treatments 2. Search Medical literature for related research 3. Appraise evidence for validity and reliability 4.

7 If evidence supports a change in practice, adopt the new therapy allowing for unique patient needs Page 4 of 212. Preparatory Workforce Safety and Wellness EMT Education Standard Applies fundamental knowledge of the EMS system , safety/well-being of the EMT, and Medical /legal and ethical issues to the provision of Emergency care. EMT-Level Instructional Guideline The EMT Instructional Guidelines in this section include all the topics and material at the EMR. level plus the following material: I. Standard Safety Precautions A. Hand washing B. Adherence to Standard Precautions/OSHA Regulation C. Safe Operation of EMS/Patient Care Equipment D. Environmental Control E.

8 Occupational Health and Blood borne Pathogens 1. Immunizations 2. Sharps II. Personal Protective Equipment III. Stress Management A. Types of Stress Reactions 1. Acute stress reaction 2. Delayed stress reaction 3. Cumulative stress reaction B. Stress Management 1. Change in lifestyle 2. Balance in life 3. Recognize response to family and friends 4. Change in work environment 5. Seek professional assistance C. Dealing With Death and Dying (stages). 1. Denial 2. Anger 3. Bargaining 4. Depression 5. Acceptance Page 5 of 212. IV. Prevention of Work-Related Injuries A. Vehicle restraint systems B. Safe lifting techniques C. Adequate sleep D. Physical fitness and nutrition E.

9 Hazard awareness F. Adherence to Standard Precautions/OSHA regulations G. Disease transmission prevention 1. Communicable 2. Blood borne V. Lifting and Moving Patients A. Lifting techniques 1. Safety Precautions 2. Guidelines for lifting B. Safe Lifting of Cots and Stretchers 1. Power-lift or squat lift position 2. Power grip 3. Back in locked-in position 4. Carrying a. Precautions for carrying b. Guidelines for carrying c. Correct carrying procedure d. One-handed carrying technique e. Correct carrying procedure on stairs 5. Reaching a. Guidelines for reaching b. Application for reaching techniques c. Correct reaching for log rolls 6. Pushing and pulling guidelines a.

10 Emergency move i. fire or danger of fire ii. explosives or other hazardous materials iii. other hazards at the scene iv. gain access to other patients in a vehicle who need life- saving care v. patient's location or position ( , a cardiac arrest patient sitting in a chair or lying on a bed). b. Indications for urgent move i. altered mental status ii. inadequate breathing iii. shock (hypoperfusion). c. Non-urgent move 7. Emergency moves a. Danger to patient b. Techniques Page 6 of 212. 8. Urgent moves a. Danger to patient b. Techniques C. Techniques 1. Non-urgent moves a. Direct ground lift (no suspected spine injury). b. Extremity lift (no suspected extremity or back injuries).