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EMS SYSTEMS : Star of Life (COMPONENTS OF THE EMS SYSTEM (Public Access…
EMS SYSTEMS :
TRAINING & LICENSURE
High school diploma, proof of immunizations against certain communicable diseases, background check, drug screening, driver's license, CPR certification, completion of EMT course, completion of EMT national exam
LEVELS OF TRAINING
Emergency Medical Responder
(EMR)
Able to provide immediate BLS and urgent care with minimal equipment
EMRs are able to close the gap between pre-hospital to hospital care
Emergency Medical Technician
(EMT)
150 hours required training
Entry level pre-hospital care provider
Assesses patients, determines proper emergency care, administers treatment
Transports patients to higher level of care
Advanced Emergency Medical Technician
200-400 hours of training
Additional skills: IV therapy, use of advanced airway adjuncts, administration of limited number of medications
AEMTs are becoming less common, as the next step after the EMT certification is growing to be Paramedic
Paramedic
1,000-1,300 hours of training
Often offered with an associate's degree/bachelor's degree
Highest level of pre-hospital care training
COMPONENTS OF THE EMS SYSTEM
Public Access
The public is able to access the EMS system by dialing 9-1-1, the universal phone number for emergency servies
Dispatchers gather pertinent information from the caller; then, triages each call based on level of emergency.
Communication Systems
Different communication devices allow for better information pass down through the various EMS channels
Clinical Care
Describes various pieces of equipment and scope of practice for using that equipment
i.e. endotracheal tubes are reserved for Paramedic use, as they have the required training to apply one.
Human Resources
Set in place to ensure EMS providers have a rewarding career
Medical Direction
Authorizes EMTs to provide different levels of care in the field
MEDICAL CONTROL
INDIRECT
Medical direction provided "off-line"
Consists of standing orders, training, supervision authorized by the medical director
DIRECT
Verbal orders from medical control
Legislation and Regulation
State EMS offices are responsible for authorizing, auditing, and regulating all emergency medical services, CTs. courses, instructors, and providers within the state
Integration of Health Services
&
Mobile Integrated Healthcare
Integration of Health Services allows for EMS providers to coordinate pre-hospital care with the care that will be administered at the hospital.
Mobile Integrated Healthcare allows for under-served/marginalized communities to receive medical care in communities with limited medical resources; and, to better serve the disabled and home bound.
Evaluation
Routine and recurring evaluation of staff members ensures quality control
CQI, or continuous quality improvement is continuous internal/external reviews and audits of all aspects of the EMS system
ROLES AND RESPONSIBILITIES OF THE EMT
Professional Attributes
Appearance, attitude, and behavior must be professional at all times.
Patient Confidentiality
HIPAA
Health Insurance Portability and Accountability Act ensure patient privacy in regards to their medical care
