Office of the State Fire Marshal

1
EMT-I Instructor Update

• Office of the State Fire Marshal

2
Class Objectives

• State Fire Training wants to bring you up to date
  on the changes that impact our EMT-I program

• SFT Policies and Procedures
• Who is the National Registry?
• Title 22 update
• Getting to know the new curriculum

3
Todays Schedule

• SFT Policies and Procedures
• Who is the National Registry?
• Lunch
• Instructor Responsibilities
• Title 22 update
• Getting to know the new curriculum
• Out at 500

4
Policies and Procedure Update

• State Fire Training

5
Purpose and Goals

• To adopt a standard curriculum that meets the
  U.S. DOT Basic National Standard Curriculum for
  California Recruit Fire Academies and in-service
  training programs
• SFT is a certifying authority for individuals
  affiliated with a fire agency or academy

Policy Procedures Page 1
6
Training Guides and Resources

• Brady's Emergency Care, 10th Edition for
  instructional and student materials
• Other publisher's curriculum equivalent to U.S.
  DOT Curriculum may be used
• EMT-I skills packet
• EMT-I skills competencies verification form
• Basic course final written exam
• Refresher course final written exam

Policy Procedures Page 1
7
Impact of Title 22 Changes (10/2004)

• Require the National Registry EMT-B exam as the
  certifying exam (by Jan 1, 2006)
• Revise the scope of practice
• Revise the optional skills
• Replace the required course content with the U.S.
  DOT's EMT-B National Standard Curriculum
• Require CPR as a prerequisite to taking the course

Policy Procedures Page 1 2
8
Impact of Title 22 Changes (10/2004)

• Require program directors to complete 40 hours of
  teaching methodology courses
• Allow EMT-Is to be Primary Instructors
• Require Primary Instructors license or
  certificate to be current
• Increase the minimum number of hours from 114 to
  120 hours
• Increase clinical experience to five (5) actual
  (not simulated) patients

Policy Procedures Page 1 2
9
Impact of Title 22 Changes (10/2004)

• Revise the training requirements for
  recertification with a lapsed certificate
• Update the reciprocity of other EMT personnel
• Revise required skills competencies and
  authorized verifiers for recert

Policy Procedures Page 1 2
10
EMT-I Basic Course

• State Fire Training

11
EMT-I Basic Course Prerequisite

• CPR training equivalent to the AHA's Guidelines
  2000 for CPR and Emergency Cardiovascular Care at
  the Healthcare Provider level

Policy Procedures Page 3
12
EMT-I Basic Course Instruction

• Successfully complete the training as specified
  in Brady's Emergency Care Instructor's Resource
  Manual or other qualifying curriculum
• Successfully complete all required skills exams
  as proctored by the Primary Instructor
• Successfully complete, with a minimum 80 score,
  the SFT final written exam as administered by the
  Primary Instructor

Policy Procedures Page 3
13
Record Keeping

• Basic skill sheets and skills exam evaluation
  summary
• Student keeps a copy
• Instructor keeps a copy for 4 years

Policy Procedures Page 28
14
Instructor Responsibilities

• Ethics and Responsibilities

15
EMT-I Instructors

• Primary Instructors
• Instructor Training
• Medical Credential (must be current)
• Occupational Experience
• Teaching Experience
• Legal Standards (HS Code 1798.200a)
• Orientation

Policy Procedures Page 26
16
Responsibilities Administration

• Ensure all administrative requirements are
  completed in accordance with printed guidelines
• Serve as the liaison with the local EMS agency
  for the county in which the training is conducted
• Verify student eligibility for certification
• Proctor challenge exams

Policy Procedures Page 26 27
17
Responsibilities Ethics

• Sign State Fire Training's Instructor Code of
  Ethics and comply with its terms and conditions

Policy Procedures Page 27 28
18
Responsibilities Course

• Teach the current curriculum as adopted by SFT
• Ensuring all objectives of the course curriculum
  are met
• Consult with the local EMS agency in developing
  the EMSA System Orientation portion of a basic
  course being conducted
• Ensure the maximum student limit is not exceeded
  for the class
• Ensure the safety of all students and adjunct
  instructors

Policy Procedures Page 28
19
Responsibilities Course

• Teach at least 50 of the course. If training is
  delivered on a "shift" or back-to-back schedule,
  it is considered more than one (1) course
• For courses delivered on a "shift" or
  back-to-back schedule, a Primary Instructor must
  be assigned to each shift and that Primary
  Instructor must teach at least 50 of that
  shift's course schedule
• A Primary Instructor may be assigned to more than
  one (1) shift

Policy Procedures Page 28
20
Responsibilities Clinical Experience

• Arrange for and monitor student performance in
  clinical experience to ensure each student shall
  have five (5) actual patient contacts in which a
  patient assessment and at least one other EMT
  skill is performed
• Ensure that no more than three (3) students are
  assigned to one (1) qualified supervisor during
  the clinical experience

Policy Procedures Page 28
21
Responsibilities Skills Exam

• Arrange for and monitor student performance in
  the required skills
• Ensure that no more than ten (10) students are
  assigned to one (1) qualified Skills Evaluator
  during the testing process

Policy Procedures Page 28
22
Responsibilities Skills Verification

• Basic class
• Review students' EMT-I Basic Skills Exam
  Evaluation Summary for completeness and proper
  signatures
• Recertification
• Review students' EMT-I Skills Competencies
  Verification form for completeness and proper
  signatures

Policy Procedures Page 28
23
Responsibilities Maintenance

• To continue teaching
• Abide by all published policies and procedures
• Be the Primary Instructor for at least 1 EMT
  Basic or Refresher course every 3 years
• Maintain a current medical credential and submit
  appropriate documentation
• Submit any change of address or phone number
• Attend an update course delivered by State Fire
  Training when required

Policy Procedures Page 28
24
Responsibilities Record Keeping

• Daily attendance records
• Student progress chart
• Student assignment records
• Field or clinical observation records
• EMT skills exam documentation
• Documentation verifying the qualifications for
  each assistant instructor and skills evaluator

Policy Procedures Page 28
25
Responsibilities Record Keeping (cont)

• Calendar of events identifying the topics taught
  by the assistant instructor and/or guest lecturer
• On-site processing results, including individual
  test scores and course completion records issued
• Maintain all class records, including items, for
  a minimum of 4 years
• SFT may request, at any time, the Primary
  Instructor to submit these records for review

Policy Procedures Page 29
26
Assistant Instructor Qualifications

• Instructor Training (same plus the following)
• Completed a training program that meets the
  DOT/National Highway Traffic Safety
  Administration 2002 Guidelines for Educating EMS
  Instructors such as the National Association of
  EMS Educators course
• Medical Credential (same)
• Occupational Experience (same)
• Teaching Experience (none)
• Legal Standards (same)
• Orientation (none)

Policy Procedures Page 29
27
Assistant Instructor Responsibilities

• Under supervision of the Primary Instructor
• Teach no more than 50 of a course
• Administer periodic tests
• Administer skills exams

Policy Procedures Page 30
28
Skills Evaluators

• Qualifications
• Instructor Training (none)
• Medical Credential (same)
• Occupational Experience (same)
• Teaching Experience (none)
• Legal Standards (same)
• Orientation (none)
• Responsibilities (under supervision of the PI)
• Administer skills exams

Policy Procedures Page 30 31
29
Guest Lecturers

• Qualifications
• Expertise in the subject they will teach
• Reviewed and approved by the Primary Instructor
• Documentation
• Upon request, the Primary Instructor will provide
  SFT documentation verifying these qualifications
• Responsibilities (under supervision of the PI)
• Be used for topics that they are qualified
• Combined utilization of all guest lecturers can
  be for no more than 20 of a course
• Primary Instructor must be present

Policy Procedures Page 31
30
National Registry Skills

• Taking the skills exam

31
Overview

• California EMSA has adopted the NREMT test as the
  state exam
• Changes in Title 22 dictate the parameters of the
  testing process

32
Skills Exam Overview

• Students must pass the skills exam before taking
  the written final.
• Skills packets can be completed by Instructor and
  then returned to student leaving only the summary
  for the Instructor to file.
• If the student takes the written final SFM will
  assume the student asked the skills exam
• National Registry skills tests are given
  internally.

Policy Procedures Page 3
33
Background

• The NREMT test was developed based on EMT-I,
  EMT-II, and EMT-P practice
• Importance was defined as a balance between
  frequency, potential of harm, and difficulty to
  accomplish the task

34
Background

• A committee comprised of national experts
  reviewed the result of the data and developed a
  test plan which was approved by the Board of
  Directors

35
Background

• Practice analysis is used as part of the
  validation process for NREMT-B
• We will focus on the practical examination in
  this session

36
Skills Sheet
?
?
?
?
?
37
Skills Sheet
1
38
Skills Sheet
?
Automatic failure if any critical areas are missed
39
Skills Sheet

• Failing the skills exam
• Student fails 4 or more different skills in any
  one session
• Student fails the same skill 4 times
• During refresher verification there is no maximum
  number of reattempts to demonstrate competency

Skill Sheet Instructions in Skills package
40
Skills Evaluator Qualifications

• Program Director approval in coordination with
  the program clinical coordinator
• Be supervised by the principal instructor
• Clinical or academic experience for 2 years
  within the last 5 years
• Currently certified or licensed EMT-I, EMT-II,
  EMT-P, RN, PA, or MD

Policy Procedures Page 30 31
41
Skills Evaluation Summary
Name of Student with Signature
42
Skills Evaluation Summary
Name of Primary Instructorwith Signature
43
Skills Evaluation Summary
Exam Result Date of Exam
44
Skills Evaluation Summary
Name of Skills Evaluator Signature
Number
45
Final Written Exam

• Final written exams measure the minimum level of
  knowledge or performance necessary to meet a
  specified standard of competency
• Students must pass the course, including any
  skills exams, before taking the final written exam

Policy Procedures Page 3
46
Testing Process

• Final written exams can be produced by SFT or
  Primary Instructor
• Basic class 100-item, multiple choice
• Refresher class 25-item, multiple choice
• SFT will use Bradys Emergency Care, Tenth
  Edition test generator software
• Instructors can use this or any other publisher's
  software that is equivalent to U.S. DOT EMT-Basic
  National Standard Curriculum

Policy Procedures Page 19
47
Testing Process

• Only the Primary Instructor may administer the
  final written exam after verifying student
  eligibility
• Complete all components of the course, including
  student activities
• Attend the minimum number of hours required
• Pass all periodic written tests
• Pass all required skills exams
• Examination room must allow sufficient space to
  maintain confidentiality of responses and test
  security

Policy Procedures Page 19
48
Testing Process

• The Primary Instructor must remain in the room at
  all times during the written exam
• It is the sole responsibility of the Primary
  Instructor to maintain physical security of the
  exam materials before, during, and after the exam
  process
• A minimum score of 80 is required to pass the
  final written exam

Policy Procedures Page 19
49
Retaking the Final Written Exam

• Students failing the final written exam may
  retake it one time
• This retake exam must be completed within one
  year of the ending date of the class
• Payment of the retake processing fee is required
  (nonrefundable)
• Students failing the exam a second time must
  repeat the course and pay applicable course fees

Policy Procedures Page 19
50
SFT Processing the Retake

• Primary Instructor or any registered SFT EMT
  instructor may administer the exam
• After scheduling date and time, instructor faxes
  a request to SFT for testing materials
• Students cannot contact SFT
• After administering the exam, instructor ships
  exam booklet, test checkout sheet, answer sheet,
  retake submittal form, and payment to SFT using a
  carrier that can track the shipment
• SFT grades the final written exam

Policy Procedures Page 19 20
51
On-site Processing of the Retake

• The original Primary Instructor must administer
  the retake exam
• After administering the retake exam, the Primary
  Instructor grades the final written exam and
  issues the course completion record if the
  student passes
• The Primary Instructor ships a copy of the exam,
  the student's test score, and payment to SFT
  using a carrier that can track the shipment

Policy Procedures Page 20
52
Basic Course Completion Record

• By SFT
• Primary Instructor submits a completed final
  written exam answer sheet for each student
• SFT grades the final written exam and issues the
  course completion record for each student passing
  the exam
• By instructor on-site processing
• Primary Instructor grades the final written exam
  and issues the course completion record for each
  student passing the exam

Policy Procedures Page 3
53
Basic Course Completion Record

• Valid to apply for certifying exam (National
  Registry test) for a maximum of two (2) years
  from the course completion date
• Skills competency is valid for a maximum of one
  (1) year from course completion date
• Valid statewide

Policy Procedures Page 3 4
54
Taking the National Registry Examination

• The Testing Process

55
Why Are We Using the NR Exam?

• California EMSA determined that the EMT testing
  procedure needed to be standardized
• Every county in California had different tests
  and methods to get certified

56
Why Are We Using the NR Exam?

• Wanted one test for entire state
• EMSA asked for proposals from all certifying
  agencies
• No response
• EMSA went to private testing agencies
• National Registry was selected from the three
  that replied
• Nationally recognized since 1969

57
Where Does a Student Get Certified?

• Local EMS agency (counties)
• State Fire Training (Fire Marshal)
• California EMSA does not certify
• Sets the regulations for programs and
  certification

58
How Do I Register for the Exam?

• Apply with a National Registry testing agency in
  your area
• Sites and dates
• LEMSA
• Each LEMSA has a website listed on the EMSA
  website - www.emsa.ca.gov
• National Registry
• www.nremt.org

59
National Registry Will Require

• NR application form
• Signed by the program instructor (skills
  competency statement)
• Copy of course completion record
• Copy of current CPR/AED certificate
• NR application fee (currently 20)
• Site fee (varies with site)

60
Notification of Test Date

• Student selects several sites and dates
• Priority choices in case first choice is not
  available
• Testing site notifies student of date and time
  through the mail

61
Where Are the Tests Offered?

• Los Angeles County/Orange County
• Saddleback College Testing Center
• Offers courses in LA and Orange Counties
• www.testingcenter-oc.org

62
What Does the Student Need from the Instructor?

• Sign SECTION II of the NR application
• "Statement of Competency in EMT Basic Skills"
• Provide student with SFT course completion record
• If on-site processing
• If SFT processing, certificate will be mailed to
  the student

63
Time Frame for Applying to NR

• Students MUST apply and take the NR exam within 2
  years from date of course completion
• Must retake the entire course if over 2 years
• NR accepts skills competency for only 1 year
• Must retake skills competency exam if over 1 year

64
What is on the NR Exam?

• Written test ONLY
• Skills are tested while in basic course
• Many scenario questions
• 150 questions, multiple choice
• Broken down by subject matter
• Minimum 70 overall to PASS

65
Test Breakdown

• 150 questions
• Airway and Breathing 25-31
• Cardiology 24-30
• Trauma 23-29
• Medical 21-27
• Obstetrics and Pediatrics 18-24
• Operations 21-27

66
How Many Retakes are Allowed?

• 6 times (total)
• After 3 fails
• Must take 24-hour refresher course prior to
  taking test again
• May take up to 3 more times
• Failure on the 6th try requires retaking the
  entire basic course

67
What if the Student Fails Written?

• Reapply to NR with new application signed by the
  instructor
• Skills still current
• Within 1 year of course completion
• Repay NR and site fees
• Retake written

68
Time Frame for Applying for Certification

• Student applies to a certifying agency to obtain
  California EMT-I certification
• After receiving NR card
• Fire service personnel can certify either through
  SFT or LEMSA
• Nonfire service must certify through LEMSA

69
What Next?

• If you maintain current California EMT-I
  certification, you will never have to take the NR
  written examination ever again!

70
Emergency Medical Technician Initial

• Certification Process

71
Initial Certification

• OSFM/SFT is an EMT-I certifying authority
  restricted by HS Code 1797.216 to certify fire
  safety personnel only

Policy Procedures Page 5
72
Initial Certification

• SFT has defined fire safety personnel as
• State, local, or private career fire personnel
• Part-time, seasonal, or limited term fire
  personnel
• Paid-call fire personnel
• Volunteer fire personnel
• Reserve, auxiliary, explorer, cadet, or recruit
  fire personnel
• Fire academy students attending an Accredited
  Regional Academy

Policy Procedures Page 5
73
Application for Certification

• Applicant submits to SFT
• Completed and signed application
• Verification of age requirement
• Verification of fire service affiliation
• Verification that the applicant is not precluded
  from certification for reasons defined in Health
  and Safety Code 1798.200
• Copy of National Registry EMT-B card
• Certification fee

Page 5
74
Expiration of Initial Certification

• The certification expiration date will be the
  same expiration date as listed on the National
  Registry EMT-Basic card

Policy Procedures Page 5
75
Course Request (6 week notice)
Approval Letter
Begin Course
2 weeks prior to First written test date
Skill Test
Written Final
76
Written Final
Fail lt 80
Pass 80
Can retake exam one time
Fails retake must repeat class
77
Course Request (6 week notice)
Approval Letter
Begin Course
2 weeks prior to First written test date
Skill Test
Written Final
Completion Record
78
Course Completion Record
On-Site Processing
SFT Processing
Instructors will print student information with
passing scores onto completion record that
come from SFT
Scantron forms are answer sheets submitted to
SFT For grading
Passing scores will Generate course Completion
record SFT will print and Mail cert to student
Scantron forms are returned with address
information with Pass Marked on Scantron
79
Course Request (6 week notice)
Approval Letter
Begin Course
2 weeks prior to First written test date
Skill Test
Written Final
Completion record
80
Course Request (6 week notice)
Approval Letter
Begin Course
2 weeks prior to First written test date
Skill Test
Written Final
Completion Record
Instructor Returns To SFT
81
Instructor Returns to SFT
SFT Processing
82
Course Request (6 week notice)
Approval Letter
Begin Course
2 weeks prior to first written test date
Skill Test
Student takes completion to National Registry
Written Final
Completion Record
Instructor Returns To SFT
83
National Registry
PASS 70 of 150 questions
FAIL lt70 of 150 questions
Student is given National Registry card good for
2 years
Up to 3 retakes
24 hr refresher course
Up to 3 retakes
Once certified students can choose not to
recertify with National Registry and maintain
CA certification.
After 6 attempts without passing student
must repeat EMT course
84
Course Request (6 week notice)
Approval Letter
Begin Course
2 weeks prior to Written test date
Non-Fire cert through LEMSA
Skill Test
Student takes completion to National Registry
Written Final
Completion Record
Instructor Returns To SFT
85
Course Request (6 week notice)
Approval Letter
EMT Certificate
Begin Course

• Fire Service submit
• SFT app/Scantron
• Copy of N-Registry
• Fee

2 weeks prior to first written test date
Non-Fire cert through LEMSA
Skill Test
Student takes completion to National Registry
Written Final
Completion Record
Instructor Returns To SFT
86

• Optional Skills
• Live Scan
• Copy of CPR card
• Fee
• Copy of N-Registry

May include
EMT Certificate
87
Emergency Medical Technician Refresher

• Course Completion Process

88
Refresher Course Prerequisite

• Hold a current EMT-I certificate or one that has
  lapsed for less than twenty-four (24) months

Policy Procedures Page 8
89
Additional Training Requirements

• If certification has lapsed
• Less than 6 months
• No additional training
• 6-12 months
• Additional 12 hours of CE
• 2-24 months
• Additional 24 hours of CE
• Pass the National Registry written and skills
• More than 24 months
• Complete and pass an EMT-I Basic course

Policy Procedures Page 7 8
90
Expiration Date

• If met within 6 months before or after
  expiration, extend current date
• New card expires 2 years from last card
• If met more than 6 months before or after
  expiration, get a new date
• New card expires 2 years from application

Policy Procedures Page 8
91
Refresher Course Instruction

• Successfully complete an approved twenty-four
  (24) hour refresher course
• Pass, with a minimum 80 score, the SFT final
  written exam as administered by the Primary
  Instructor.
• Successfully complete all required skills
  competencies

Policy Procedures Page 6
92
Course Completion Record

• Same processing options as a Basic course
• SFT
• On-site
• Same two (2) year validation period

Policy Procedures Page 6
93
Skills Verification

• Formal verification of the candidate's "hands-on"
  abilities and knowledge, rather than a teaching,
  coaching, or remedial training session

94
Skills Verification

• The following skills were adopted having reviewed
  each skill in relationship to criticality,
  frequency of use in everyday out-of-hospital
  care, and public safety

95
Skills Verification

• Candidate is informed that the testing is to
  evaluate "entry-level" performance
• It is not a teaching tool

96
Skills Verification

• California EMSA has adopted the NR skills testing
  process as the state exam
• Skills must be verified every 2 years

97
Skills Verification

• There are 10 skill categories that must be
  verified
• The 14 National Registry skills were adopted
• Prehospital childbirth was added to meet the
  California requirement

98
Skills Verification - Mandatory

• Patient exam, trauma
• Patient exam, medical
• Airway emergencies
• Breathing problems
• AED
• Circulation emergencies
• Neurological emergencies
• Soft tissue injury
• Musculoskeletal injury
• Obstetrical emergencies

99
Skills Verification Form
100
Skills Verification Form
101
Skills Verification Form
102
Skills Verification Form
103
Skills Verification

• Verification of competency
• Evaluator's affiliation and qualification
• Certification or license number
• Date competency demonstrated

104
Skills Verification Form
Evaluator's Affiliation
105
Skills Verification Form
Date of Verification
106
Skills Verification Form
Evaluator's Signature and Name
107
Skills Verification Form
Certificate/License
108
Skills Competency

• During refresher verification there is no maximum
  number of reattempts to demonstrate competency

Skill Instructions in Skills Package
109
Verification of skills competency is valid for a
maximum of 2 years from the date of verification
to apply for EMT-I recertification
Skill Instructions in Skills Package
110
Skills Verification

• For verification every 2 years the EMT-B must be
  evaluated by a proctor,
• Who is a certified or Licensed EMT, EMT-II,
  Paramedic, RN, PA or MD, and
• Designated by a training program, or
• Designated by an EMS service provider

Skill Instructions in Skills Package
111
Skills Records

• Basic skill sheets and skills exam evaluation
  summary
• Student keeps a copy
• Instructor keeps a copy for 4 years
• Refresher/recert Skills Competencies Verification
  form
• Student keeps the original
• Instructor keeps a copy for 4 years
• SFT gets a copy with application

Skill Instructions in Skills Package
112
Summary

• SFT has adopted the state regulations in order to
  accredit fire affiliated EMTs in California
• SFT can dictate how the quality of the
  verification be accomplished
• The State EMSA verification form will be adopted
  and completed as stated above

Skill Instructions in Skills Package
113
EMT Basic Recertification by Continuing Education

• Recertification without a class

114
Continuing Education

• Continuing education hours can be used for
  recertification instead of a refresher course
• CCR, Title 22, Division 9, Chapter 11
• Eligible topics are those contained in the U.S.
  DOT National Standard Curriculum
• All CE shall include a written and/or skills
  competency based evaluation
• Fifty (50) percent of the required CE hours must
  be instructor based format
• CE shall be completed during this certification
  cycle

Policy Procedures Page 10
115
Individual Application for Recertification

• Applicants submit to SFT
• Completed and signed application
• Verification of age requirement
• Verification of fire service affiliation
• Verification of HS Code eligibility
• Copy of skills verification form
• Copy of course completion record and/or CEs
• Copy of EMT card if not currently certified with
  SFT
• Certification fee

Policy Procedures Page 25
116
Refresher Class or Group CE Application for
Recertification

• Primary Instructor submits to SFT
• Completed final written exam answer sheet
  (refresher course)
• Completed application for certification signed by
  the student and instructor
• Verification of age requirement
• Verification of fire service affiliation
• Verification of HS Code eligibility
• Copy skills verification form
• Copy of current EMT cards for students who are
  not currently certified with SFT
• Certification fees

Policy Procedures Page 23
117
Synchronization

• Shortens certification period of some in order to
  synchronize all individuals within a single
  agency
• Must notify all individuals impacted
• Request synchronization on department letterhead
  and signed by the Chief
• Sent with the request for course scheduling
• Date given will be the class ending date or the
  date of the last synchronization period

Policy Procedures Page 14
118
Course Request (6 week notice)
Approval Letter
Sync?
2 weeks before start
Skills Verification
Course Test
119
Written Final
Fail lt 80
Pass 80
Retake with Version B
They must repeat course
120
Course Request (6 week notice)
Approval Letter
Sync?
2 weeks before start
Skill Verification
Course Exam
Completion Record
121
Course Completion Records
On-Site Processing
SFT Processing
Instructors will print student information with
passing scores onto completion Records that
come from SFT
Scantron forms are answer sheets submitted to
SFT For grading
Passing scores will Generate course Completion
Record SFT will print and Mail cert to student
Scantron forms are returned with address
information with Pass / Fail Marked on Scantron
122
Course Request (6 week notice)
Approval Letter
Sync?
2 weeks before start
Skill Test
Course Exam
Completion Record
123
Course Request (6 week notice)
Approval Letter
Sync?
2 weeks before start
Skill Test
Course Exam
Completion Record
Instructor Returns To SFT
124
Instructor Returns to SFT
On-Site Processing
SFT Processing
125
Course Request (6 week notice)
Approval Letter
Sync?
2 weeks prior to First written test date
Skill Test
Written Final
Non-Fire cert through LEMSA
Completion Record
Instructor Returns To SFT
126
Course Request (6 week notice)
Approval Letter
Sync?
2 weeks prior to First written test date

• Fire Service submit
• SFT app/Scantron
• For certification

Skill Test
Written Final
Non-Fire cert through LEMSA
Completion Record
Instructor Returns To SFT
127
Delivering a Course

• Navigating paperwork

128
Delivering a Course

• Primary Instructor, in conjunction with the Host
  Agency, is responsible for all aspects of
  delivering a course at the regional level
• Scheduling a Class
• Submit a complete and accurate "Request for EMT
  Course Scheduling" form to SFT at least six (6)
  weeks before the starting date of the course

Policy Procedures Page 18
129
(No Transcript)
130
(No Transcript)
131
Course Materials
Sent to listing in "Ship To" section 2 weeks
before the class starts

• Copy of the "Request for EMT Course Scheduling
• EMT Instructor Checklist to use when returning
  the class
• Blank roster sheets
• EMT Skills Packets (Basic)
• EMT-I Skills Competencies Verification forms
  (Refresher)

• Application for EMT-I Certification forms
• Blank course completion records (if on-site
  processing)
• Final written exam answer sheets
• Final written exam booklets (when requested)

Policy Procedures Page 18
132
Exam Security

• Any violation of exam security is a breach of
  instructor responsibility and subject to
  disciplinary action
• Minimum restitution
• Any Primary Instructor or Host Agency who loses a
  test, or allows test security to be breached,
  will be charged a minimum of 500.00
• The Primary Instructor or Host Agency's
  instruction privileges for SFT will be suspended
  until restitution is made

Policy Procedures Page 20
133
Returning a Class

• Ship all materials to SFT using a carrier that
  can track your shipment
• State Fire Training Bookstore
• 1131 S Street
• Sacramento, CA 95814
• No later than 15 days from the end date
• Package the materials separately for each class
  to ensure your account is accurate

Policy Procedures Page 20
134
Returning a Basic Class

• Copy of the "Request for EMT Course Scheduling"
• Completed EMT Instructor Checklist
• Accurate and legible roster sheets
• With students' test scores (if on-site
  processing)
• Unused Skills Packets

• Unused, damaged, or misprinted course completion
  records (if on-site processing)
• Test answer sheets
• Alphabetized - last name
• Final exam booklets (if SFT exams)
• Numerical order
• Copy of instructor created test (if on-site
  processing)

Policy Procedures Page 20
135
Returning a Refresher Class

• Copy of the "Request for EMT Course Scheduling"
• Completed EMT Instructor Checklist
• Accurate and legible roster sheets
• With students' test scores (if on-site
  processing)
• Unused Skills Competencies Verification forms
• Unused, damaged, or misprinted course completion
  records (if on-site processing)

• Test answer sheets
• Alphabetized - last name.
• Final exam booklets (if SFT exams) in numerical
  order
• Copy of instructor created test (if on-site
  processing)
• Applications for certification
• Signed by the applicant and Primary Instructor
• Alphabetized - last name
• Copy of EMT-I certification card if the applicant
  is not currently certified by SFT

136
Coordinating Continuing Ed

• Primary Instructor, in conjunction with the Host
  Agency, is responsible for all aspects of
  delivering a course at the regional level
• Scheduling a Class
• Submit a complete and accurate "Request for EMT
  Course Scheduling" form to SFT at least six (6)
  weeks before the date listed under "Class End
  Date"

Policy Procedures Page 23
137
(No Transcript)
138
Course Materials

• Sent to listing in "Ship To" section 2 weeks
  before date specified
• Copy of the "Request for EMT Course Scheduling
• EMT Instructor Checklist to use when returning
  the class
• Blank roster sheets
• EMT-I Skills Competencies Verification forms
• Application for EMT-I Certification forms

Policy Procedures Page 23
139
Returning a CE Class

• Same time frames as other classes
• Copy of the "Request for EMT Course Scheduling"
• Completed EMT Instructor Checklist
• Unused Skills Competencies Verification forms
• Alphabetized last name
• Applications for certification
• Signed by the applicant and Primary Instructor
• Alphabetized - last name
• Copy of EMT-I certification card if the applicant
  is not currently certified by SFT

Policy Procedures Page 23
140
Late Returns

• If not returned within 45 days of end day,
  Primary Instructor or Host Agencys instruction
  privileges are suspended
• Future classes will not be approved until all
  materials are submitted for the outstanding class

Policy Procedures Page 24
141
Payment

• Responsibility of Primary Instructor or Host
  Agency
• Invoice
• Issued after the class has been received by SFT
  for
• Student registration and/or EMT-I recertification
  fees
• Shipping and handling charges
• Sent from the CDF Accounting Department to the
  name and address listed in the "Bill To" section
• Due and payable upon receipt
• One check payable to State Fire Training.
• Late fees may accrue

Policy Procedures Page 24
142
Delinquent Invoices

• First notice
• Not paid in 30 days
• Second notice
• After 60 days
• Primary Instructor or Host Agencys instruction
  privileges are suspended
• Future classes will not be approved until the
  invoice is paid
• Third notice
• After 90 days via certified mail
• Initiate collection proceedings

Policy Procedures Page 24
143
Class Processing

• Average turnaround for SFT to process a class
  once it is received is four weeks
• This time can be reduced by Primary Instructors
  and/or Host Agencies returning a class
  immediately after the ending date and including
  all required materials and documentation

Policy Procedures Page 25
144
Title 22 Update

• Changes to California Statute

145
Definitions

• 100059 Certification Exam
• Jan 1, 2006, the written and skills certifying
  exams are those approved by the EMS Authority
• EMS Authority has selected the National Registry
  EMT-Basic exam as the certifying exam
• EMT-Is certified before Jan 1, 2006, will not
  have to take the NREMT exam as long as they do
  not lapse for greater than 1 year
• SFT has elected this date to be July 1, 2005

146
Definitions (continued)

• 100059.1 Optional Skills Medical Director
• Adds Dr. of Osteopathy as an option for Optional
  Skills Medical Director
• 100060 Emergency Medical Technician-I
• Adds the term "EMT-Basic" to the definition of
  EMT-I
• Deletes EMT-IA and EMT-INA from definition

147
Definitions (continued) (develop over time)

• 100061.1 Emergency Medical Services Quality
  Improvement Program
• Adds the definition and link to Chapter 12

148
Scope of Practice 100063

• Checking vital signs could include pulse ox
• Subsection (a)(3) adds the phrase,"to include
  but not limited to the assessment of," in
  reference to obtaining diagnostic vital signs
  (temperature, B/P, pulse, respiration rates, LOC,
  and pupil status)
• Subsection (a)(13) deletes the inflation of
  antishock trousers (PASG) under the supervision
  of a Paramedic or EMT-II

149
Scope of Practice 100063

• Subsection (a)(14) adds, "assist the patient
  with the administration of their physician
  prescribed devices."
• Moved from subsection (b)(5) to the basic scope
  of practice
• Subsection (b)(1)(4) changes the word
  "peripheral" to "intravenous" to describe the EMT
  monitoring IVs

150
Optional Skills 100064

• Most controversial section
• Manual defibrillation remains
• Endotracheal intubation deleted
• Combitube remains

151
Optional Skills 100064

• Must be approved by LEMSA
• New Items
• Administration of naloxone
• Administration of epinephrine
• Mark I kits
• Atropine
• 2-PAM
• Establish an IV under direct supervision of a
  Paramedic

152
Optional Skills 100064

• New Items
• EMT-II Trial Study Items
• Aspirin
• Bronchodilators
• Epinephrine, sub-cutaneous
• Naloxone
• Nitroglycerine
• Glucagon
• Activated Charcoal
• Blood glucose determination
• All or nothing package

153
Optional Skills 100064

• Requires local EMS agency approval
• Skills competencies need to be demonstrated every
  6 months in order to maintain local accreditation

154
Optional Skills 100064

• Sunset clause
• The following will sunset when the EMT-II
  regulations are revised
• Manual defibrillation
• Combitube
• Package of medications and skill
• Mark 1 kits
• Establishing an IV

155
Approved Training Programs 100065

• Name change of the Bureau of Private
  Postsecondary and Vocational Education

156
Program Approval 100066

• Replaces required course content with the US
  DOT's EMT-B National Standard Curriculum
• Requires CPR equivalent to the AHA's Healthcare
  Provider as a prerequisite to EMT-I Basic Training

157
Program Approval 100069

• Approved EMT-I training programs will also
  receive approval as a CE provider from the
  Approving Authority

158
Teaching Staff 100070

• EMT-I Training Program Directors will be required
  to complete at least 40 hours of teaching
  methodology courses
• EMT-I Instructors will be required to complete at
  least 40 hours of teaching methodology courses
• January 1, 2006, is the deadline for Program
  Directors and Instructors to meet teaching
  methodology coursework requirement

159
Teaching Staff 100070

• EMT-Is can now be Principle Instructors for EMT-I
  Training!
• Must be currently certified or licensed

160
Required Course Hours100074

• Minimum hours increased from114 hours to 120
  hours
• 110 hours of didactic and skills lab
• 10 hours of clinical experience
• Clinical experience shall include 5 actual
  patient contacts
• Consistent with NREMT guidelines

161
Required Course Content 100075

• Minimum course content shall consist of the
  United States Department of Transportations
  (DOT) EMT-Basic National Standard Curriculum
• SFT has selected the Brady Emergency Care 10th
  Edition

162
Course Completion Record 100077

• "Tamper Resistant" was added to the requirements
  for an EMT-I Course Completion Record
• Basic and Refresher
• Challenge
• CE certificate removed from section

163
Certification 100079

• January 1, 2006, is the statewide deadline to
  convert to a single, standardized EMT-I
  certifying written and sills examination
• Live Scan was added as an "Other Reasonable
  Requirement"
• Not required by SFT

164
Certification 100079

• California EMTs or Paramedics with lapsed
  certification or license
• 0 to 6 months 24 hrs. of training, apply for
  certification, submit proof of skills
  competencies
• 6 to 12 months 36 hrs. of training, apply for
  certification, submit proof of skills
  competencies
• 12 to 24 months 48 hrs. of training, pass
  written and skills certifying exam, apply for
  certification
• 24 or more months Complete entire Basic EMT-I
  course, pass certifying exams, apply for
  certification

165
Certification 100079

• Ordinarily, EMT-IIs or Paramedics are considered
  an EMT-I without further training, testing, or
  application
• The exception is the EMT-II or Paramedic with an
  expired Certification or License who wishes to be
  certified as an EMT-I
• Those individuals will need to apply to a
  certifying agency for EMT-I Certification

166
Certification 100079

• Reciprocity
• Out-of-State EMT-I certification with National
  Registry card
• Apply for EMT-I certification
• California EMT-I certification effective date
  will be when candidate successfully completes
  application process
• Expires same date as National Registry expiration
  date

167
Certification 100079

• Reciprocity (continued)
• Out-of-State EMT-I certification without National
  Registry
• 24-hour refresher course
• Pass certifying written and skills exams
• Complete application process
• Certification good for 2 years from date of
  completion of application process

168
Maintaining Certification 100080

• Signed-off by training program or employer
• Skills competencies (10 categories)
• Patient examination Trauma patient
• Patient examination Medical patient
• Airway emergencies
• Breathing emergencies
• Automated External Defibrillation
• Circulation emergencies
• Neurological emergencies
• Soft tissue emergencies
• Musculoskeletal injuries
• Obstetrical emergencies

169
Maintaining Certification 100080

• If maintaining EMT-I certification requirements
  are met within 6 months of expiration, new
  certification period begins day after expiration
  date
• If maintaining EMT-I certification requirements
  are met greater than 6 months of expiration, new
  expiration dates are issued

170
Recertification with Lapse 100081

• 0 to 6 months since lapse
• 24 hours of training
• Application process, including skills
  verification form
• 6 to 12 months since lapse
• 36 hours of training (12 additional hours of CE)
• Application process, including skills
  verification form

171
Recertification with Lapse 100081

• 12 to 24 months since lapse
• 48 hours of training (24 additional hours of CE)
• Passing score on written and skills certifying
  exams
• Application process
• Greater than 24 months since lapse
• Complete entire EMT-I basic course
• Passing score on written and skills certifying
  exams
• Application process

172
Emergency Care Brady, 10th Edition

• Instructor/Student Materials

173
(No Transcript)
174
Word on the Street

• Each chapter begins with "Word on the Street"
• True-life accounts of chapter specific info from
  EMS professionals currently working

175
Key Terms and Core Concepts

• Key terms with reference page numbers give
  students a roadmap of terms used in that chapter
• Core concepts at the beginning of each chapter
  highlight key information

176
Each chapter clearly identifies DOT objectives
177
Key Terms

• Highlighted in the text with definitions listed
  in the margin

178
Core Concepts

• At the beginning of each chapter
• Highlight key information

179
Notes

• Highlight important concepts and ideas

180
Goes into even more depth than DOT requires
181
Pearls and Study Guide

• Pearls
• Tips Tricks from the field from experienced EMS
  Professionals.
• Study Guide
• Quick bullets for students to prepare for quizzes
  and exams.

182
Pediatric/Geriatric Notes

• Throughout the book, pediatric and geriatric
  notes are highlighted
• Bring out specifics covered in the sections

183

• Chapter reviews
• Summary
• Key Terms
• Review Questions
• Critical Thinking
• Web Medic
• Online resources

184
Brings chapter information together with an
actual scenario
185
Brady Emergency Care 10th Edition

• Student CD-Rom

186
Virtual Airway Virtual tour through the entire
airway with an audio walkthrough. Helps students
to visualize this complex and critical component
of care
187
Animations Interactives. Highly visual
exercises that enhance and reinforce anatomy,
physiology, biology, and specific processes
188
Street Scenes. Scenarios with questions and
rationales throughout to walk students through
the critical thinking process.
189
Triage Simulations Tests students knowledge of
proper triage in MCI scenarios
190
Scene Size-Up
Students are asked to provide scene size-ups
based on real video

• number of patients
• resource determination
• BSI precautions
• scene safety
• mechanism of injury

191
Video Skills Video clips are accompanied by
essay-style questions for critical thinking.
192
Emergency Care Student CD

• Quizzes. Multiple-choice quizzes for each chapter
  to test and reinforce knowledge.
• Games Puzzles. New! Basketball and hangman
  games make terminology easy and fun.
• Patient Assessment Video. Video that shows steps
  in patient assessment on the scene.
• Atlas of Injuries. Trauma photos are presented
  with information on assessment, care steps, and
  ongoing assessment.
• Audio Glossary. Terms are accompanied by an audio
  pronunciation and text definition.

193
Course Compass

• Delivering your courses online