Introduction to EMS
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Introduction to EMS

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Introduction to EMS Introduction to EMS Presentation Transcript

  • One Chapter Introduction to EMS Systems
    • 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
    • Bystanders
    • Emergency Medical Dispatchers
    • First Responders
    • Emergency Medical Technicians
    • Emergency Department Staff
    • Specialty Centers
    • Allied Health Personnel
    T HE EMERGENCY MEDICAL SERVICES SYSTEM: COMPONENTS
  • The chain of human resources that make up the EMS system
    • 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
  • Components of the Health Care System
    • Emergency departments
    • Specialty facilities
    • Trauma centers
    • Burn centers
    • Pediatric centers
    • Poison control centers
    • Other specialty centers
  • Hospital Personnel
    • Physicians
    • Nurses
    • Other health professionals
  • Liaison with Other Public Safety Workers
    • Local law enforcement
    • State and federal law enforcement
  • Accessing the EMS System
    • 911
    • Communities without 911
  • Levels of EMS Training
    • First responder
    • Emergency medical technician
    • Basic
    • Intermediate
    • Paramedic
  • National EMS Education & Practice Blueprint Outlines the skills expected at each level of EMS training: First Responder EMT-Basic EMT-Intermediate EMT-Paramedic
  • R OLES AND RESPONSIBILITIES OF THE EMT-B
  • 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
  • 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
  • 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
  • Q UALITY IMPROVEMENT
  • 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.
  • Role of EMT-B in QI Process
    • Documentation
    • Reviews and audits
    • Gathering feedback from hospital staff
    • Preventive maintenance
    • Continuing education
    • Skill maintenance
  • M EDICAL DIRECTION
  • 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.
  • Types of Medical Direction
    • On-line
    • Telephone
    • Radio
    • Off-line
    • Protocols
    • Standing orders
  • 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) .
  • 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