EMTIntermediate Roles

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EMT-IntermediateRoles Responsibilities

• Captain Michael W. Robinson MA, NREMT-P
• EMS TRAINING PROGRAM
• Fire-Rescue Academy
• Baltimore County Fire Department

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Roles Responsibilities Overview

• Description of the Profession
• Scope Authority
• Quality Assurance
• Licensure requirements
• Roles-Operational/Administrative
• Professionalism

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EMT-IDescription of the Profession

• Fulfills prescribed credentialing requirements
• Practices Art/Science of Prehospital medicine
• Prevent mortality/morbidity from illness/trauma
• Posses knowledge,skills abilities consistent to
  public and professional expectations.
• Maintain High Quality Prehospital Care
• Provide public education/prevention activities
• Accountable to public, peers and medical
  direction
• Achieve life-long professional development

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Fulfills prescribed credentialing requirements

• Completes EMT-I curriculum
• Pass National Registry EMT-I exam
• Pass MIEMSS CRT/EMT-I practice/licensure exam
• Supervised practice as an EMT-I
• Clearance by FRA/Medical Director
• Maintenance of skills/CE

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Practices Art/Science of Prehospital medicine

• Function on an EMS unit
• Maintains excellence
• Maintains EMS/ALS affiliation
• Keeps current on science
• Quality Assurance/Improvement
• Case Reviews/feedback

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Prevent mortality/morbidity from illness/trauma

• Public education
• EMS prevention programs
• Community/demographic awareness
• Community interaction
• Source of expertise
• Interaction with allied professions

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Posses knowledge,skills abilities consistent to
public and professional expectations.

• Follow standard of care
• Maintenance of professionalism
• Ethical conduct-always!
• Life-long learning/development
• Peer review

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Maintain High Quality Prehospital Care

• Understand/follow protocols
• Standard of Care
• Consistent application of knowledge
• Consistent skills delivery
• Follow patients interests ALWAYS

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Provide public education/prevention activities

• Community awareness-identify issues
• Community involvement-marketing
• CPR,first-aid,bike safety
• Child Safety Seat inspections
• Drugs, SIDS, Trauma, Poisoning
• Speakers bureau-EMS
• Special teams/standbys
• ANYTHING??

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Accountable to public, peers and medical direction

• Public accountability-complaint process
• Peer accountability-QA review
• Off-Line Medical Control
• On-Line Medical Control
• Licensure/revocation
• State reporting requirements
• Quality Improvement
• Documentation

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Achieve life-long professional development

• Continuing Education (40-60hrs biennial)
• Maintain licensure
• Professional journals
• Conferences
• Seminars
• Education
• Promotion

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EMT-IntermediateScope Authority (Parameters
of Practice)

• Codified under COMAR- Maryland Law
• MIEMSS-regulates training/testing (Statutorily)
• Recognition of ALS Programs
• Licensure by EMS Board-pending
• Scope of Practice
• BLScertified ALSlicensed
• Program Accreditation-2000

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Scope Authority

• Program Standards-prescribe minimums
• Protocols -Specify standing orders, scope/manner
  of practice
• On-line Medical Control- Consulting MD
• Off-line Medical Control-Dr. Ramzy
• Standing Orders/Exceptional Care
• Documentation

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Quality Assurance

• Medical Director Dr. Ameen Ramzy (Chief Fire
  Surgeon)
• Fire Surgeon Cadre(advisors)
• EMS Division Commander
• EMS-I/EMS Shift Commander
• District Supervisors-direct QA
• Fire-Rescue Academy-training/evaluation/QA

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QA Violations

• Any act, omission or comission
• Outside of standard of care
• Documentation/notification
• Lieutenant Shift Commander
• Investigation/documentation
• QA Board-internal EMS-1/chair Medical Director,
  Peer, FRA

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Quality AssuranceRemediation

• Review case-semi judicial
• Notification of BPQA/MIEMSS-?
• Retraining/review
• Further evaluation
• Suspension of functioning
• Recommendation for decert
• Adjudication by local/state boards
• Mandated by state regulations

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EMT-IntermediateLicensure Requirements
EMT-I

• Complete standardized program
• Clinical Preceptorship
• Pass NREMT-I written/practical
• Maintain ALS Affiliation
• Skills proficiency evaluation
• Medical Director Approval
• Pass MIEMSS protocol exam

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EMT-I Certification Maintenance

• Two year certification (NREMT)
• 40 hrs. total
• 16 hrs. section 1-ALS
• 16 hrs. section 2-BLS
• 8 hrs. section 2-general EMT-I
• CPR currency
• Skills validation
• Medical Director validation
• Affiliation

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EMT-IntermediateROLES- Operational

• ALS/intermediate level of prehospital care
• Maintains consistent standard
• Emergency vehicle operation
• Incident support-fire/rescue/HM
• Command/control-IMS
• Team Member organization
• Yields patient care to higher authority

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EMT-IntermediatePrimary OperationalResponsibiliti
es

• Preparation
• Response
• Scene Assessment
• Patient Assessment
• Patient Management
• Patient Disposition
• Patient transfer/documentation
• Returning to service

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EMT-I AdministrativeRoles

• Documentation
• Interagency interface
• Health-safety coordinator
• Vehicle maintenance
• Logistics
• Quality assurance/improvement

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Administrative Roles

• Public education
• Customer service
• Personnel training
• Mentoring
• Crisis Intervention
• Leadership
• Supervision

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EMT-IntermediateImage

• Uniform appearance
• Cleanliness (CFR-291910-1030)
• Ability to speak well
• Ability to write well
• Ability to interface with others
• Diplomats of the department
• Public servants

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EMT-IntermediateCharacteristics

• Standard of Care
• Unbiased
• Maintains equity at ALL times
• Empathy
• Confidentiality
• Compassionate to all
• Professional Conduct

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EMT-IntermediateProfessionalism

• Maintains competence through licensure
• Follows standards of conduct
• Provides quality patient care
• Instills pride in the profession
• Earns respect/public trust
• High personal/ethical standards
• Always -ON DUTY acts accordingly

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EMT-IntermediateProfessionalism

• Represent self/organization/profession
• Integrity
• Honesty-admit mistakes
• Empathy- patient advocacy
• Respect-patient/others
• Self-motivated

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SUMMARYEMT-I Roles Responsibilities

• Description of the profession
• Scope Authority
• Quality Assurance
• Licensure requirements
• Roles Administrative/Operational
• Professionalism