Introduction to EMS
- 1. One Chapter Introduction to EMS Systems
- 2. Components of the EMS system Roles and Responsibilities of the EMT-B Quality improvement and the role of the EMT-B in the process Medical direction (on-line, off-line, and standing orders) CORE CONCEPTS One Chapter
- 3. Bystanders Emergency Medical Dispatchers First Responders Emergency Medical Technicians Emergency Department Staff Specialty Centers Allied Health Personnel T HE EMERGENCY MEDICAL SERVICES SYSTEM: COMPONENTS
- 4. The chain of human resources that make up the EMS system
- 5. Regulation and Policy Resource Management Human Resources and Training Transportation Facilities Communications Public Information and Education Medical Direction Trauma Systems Evaluation NHTSA Technical Assistance Program
- 6. Components of the Health Care System Emergency departments Specialty facilities Trauma centers Burn centers Pediatric centers Poison control centers Other specialty centers
- 7. Hospital Personnel Physicians Nurses Other health professionals
- 8. Liaison with Other Public Safety Workers Local law enforcement State and federal law enforcement
- 9. Accessing the EMS System 911 Communities without 911
- 10. Levels of EMS Training First responder Emergency medical technician Basic Intermediate Paramedic
- 11. National EMS Education & Practice Blueprint Outlines the skills expected at each level of EMS training: First Responder EMT-Basic EMT-Intermediate EMT-Paramedic
- 12. R OLES AND RESPONSIBILITIES OF THE EMT-B
- 13. Roles and Responsibilities Personal safety Safety of crew, patient, and bystanders Patient care based on assessment findings Lifting and moving patients safely Transport/transfer of care Record-keeping/ data collection Patient advocacy
- 14. Professional Attributes Maintains professional appearance Keeps knowledge and skills up to date Puts patient’s needs as a priority without endangering self Maintains current knowledge of local, state, and national issues affecting EMS
- 15. Help the new EMT-Bs integrate classroom knowledge into the field experience. Allow the newcomer to cement a foundation of knowledge and skills before you provide new “tricks.” P RECEPTOR P EARL
- 17. Quality Improvement A system of internal/external reviews and audits of all aspects of an EMS system to identify those needing improvement to ensure that the public receives the highest quality of prehospital care.
- 18. Role of EMT-B in QI Process Documentation Reviews and audits Gathering feedback from hospital staff Preventive maintenance Continuing education Skill maintenance
- 20. Medical Direction A physician responsible for the clinical and patient care aspects of an EMS system. Every ambulance/rescue squad must have physician medical direction.
- 21. Types of Medical Direction On-line Telephone Radio Off-line Protocols Standing orders
- 22. EMT-B Relationship with Medical Direction Designated agent of the physician. Care rendered is considered an extension of the medical director’s authority (varies by state law) .
- 23. 1. What are the components of the EMS system? 2. What are the roles and responsibilities of the EMT-B? 3. What is QI and the EMT-B’s role in it? 4. What is the difference between on-line direction, off-line direction, and standing orders? R EVIEW QUESTIONS