Orientation to EMS. Medical terminology Emergency Medical Systems Title 22 - regulations

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Lindsay Higgins
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2 Orientation to EMS Medical terminology Emergency Medical Systems Title 22 - regulations

3 Two absolutes of Prehospital Care Your safety comes first - always Do no harm to your patient

4 Medical Terminology Learn The Language Practice using it

5 Words are separated into parts... Prefix Word-root Suffix

6 ELECTROCARDIOGRAM

7 ELECTRO/CARDIO/GRAM prefix / word- root / suffix

8 Periorbital Endotracheal Suprapubic

9 Peri / orbital Endo / tracheal Supra / pubic around the orbit within the trachea above the pubic area

10 Medical Terminology Learn the Language Practice using it

11 Emergency Medical Systems

12 What is an EMS system? It is the organization of community resources and personnel to provide rapid medical care.

13 Components of the EMS system General public Dispatchers First responders Transporting agencies Hospital emergency departments Specialty Centers

14 Hospitals Basic Receiving Facilities versus Specialty Centers

15 Specialty Centers Trauma Pediatric Perinatal Burn STEMI

16 Prehospital Care Providers. First Responders EMT-Basic AEMT EMT-Paramedic MICN Physician

17 Hospital Diversion Status ER Saturation Internal Disaster CT Trauma STEMI

18 EMT-BASIC

19 EMT-1 vs EMT-B EMT-B (Basic) - most states use this designation instead of EMT-1. EMT-1 & EMT-B are the same!

20 Department of Transportation Federal Agency responsible for curriculum development. DOT

21 EMT-B job description Summary

22 Emergency care and transport of the sick & injured. Assist ALS personnel with patient care.

23 Provide transport between medical facilities. Inter-facility transports

24 Complete required documentation & patient charting. Always work within the scope of practice.

25 Course Goal To prepare the student to perform the functions of an EMT-B To prepare the student to pass the National Registry Examination

26 Functions of the EMT Prompt & efficient care Control of the scene Safe transport Transfer of patient to staff

27 Functions of the EMT Communications & record keeping Care of vehicle & equipment May be employed in a health care setting

28 TITLE 22 of the CCR California Code of Regulations State law defining the scope of practice for EMT-B s CALIFORNIA

29 Certification requirements Be 18 years old or older. Have valid Course Completion Certificate. Apply with 2 years of course completion.

30 Certification requirements Submit application and fees. Pass a written certification examination. And..

31 Background Check Disqualifying convictions Violent crimes Sex related crimes Drug related crimes (including DUI)

32 Every 2 years you must recertify Complete refresher course or.. Obtain 24 hours of approved continuing education Submit application & fees

33 Scope of Practice EMT-B

34 Scope of Practice Assessment of the sick & Injured. Render BLS, Rescue, & First Aid. Obtain Diagnostic signs.

35 Scope of Practice Perform CPR. Oropharyngeal & nasopharyngeal airways. Suction devices. Oxygen delivery devices.

36 Scope of Practice Use various types of stretchers. Use various body immobilization devices. Provide initial prehospital trauma care. Administer oral glucose.

37 Scope of Practice Extricate entrapped persons. Perform field triage. Transport patients. Use AED - if employed and trained by an AED provider.

38 Under direction of ALS personnel Set up for ALS procedures.

39 IV monitoring Peripheral lines only! Glucose solutions & balanced salt solutions! No additives! EXCEPTIONS - LA County EMT-B Expanded scope of practice

40 IV Monitoring Glucose = Dextrose (5% Dextrose) Sodium Chloride 0.9% = Normal Saline Lactated Ringers = ok 5% Dextrose in.45% Sodium Chloride

41 Monitor Maintain Adjust IV monitoring Preset rate of flow

42 Transfer patients with... Nasogastric tube Gastronomy tube Heparin locks & Saline locks Foley catheters

43 L.A. County EMT-B s have an expanded scope of practice. details later

44 Manage all patients within your scope of practice.

45 Lab sessions Wear comfortable clothing Closed toe shoes

46 Lab Rules Safety - Safety - Safety Report any injuries or hazards immediately!

47 Lab Rules Do not handle equipment that is not within your scope of practice. Take care of the equipment.

48 Training philosophy This is fact

49 To hear is to forget, to see is to remember, to do is to understand Chinese Proverb

50 Questions?

SAN FRANCISCO EMERGENCY MEDICAL SERVICES AGENCY PREHOSPITAL PERSONNEL STANDARDS & SCOPE OF PRACTICE

SAN FRANCISCO EMERGENCY MEDICAL SERVICES AGENCY Policy Reference No.: 2000 Eff. Date: November 1, 2017 Supersedes: January 30, 2017 PREHOSPITAL PERSONNEL STANDARDS & SCOPE OF PRACTICE I. PURPOSE Define