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Orientation to EMS

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

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

  3. Medical Terminology • Learn The Language • Practice using it

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

  5. ELECTROCARDIOGRAM

  6. ELECTRO/CARDIO/GRAM prefix / word- root / suffix

  7. Periorbital Endotracheal Suprapubic

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

  9. Medical Terminology • Learn The Language • Practice using it

  10. Emergency Medical Systems

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

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

  13. Hospitals Basic Receiving Facilities versus Specialty Centers

  14. Specialty Centers • Trauma • Pediatric • Perinatal • Burn

  15. Prehospital Care Providers. First Responders EMT-I EMT-II EMT-P MICN Physician

  16. Hospital Diversion Status • ER Saturation • Internal Disaster • Neuro • Trauma

  17. EMT-1

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

  19. Department of Transportation • Federal Agency responsible for curriculum development. • DOT

  20. EMT-I job description Summary

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

  22. Provide transport between medical facilities. Inter-facility transports

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

  24. Course Goal • To prepare the student to perform the functions of an EMT-I • To prepare the student to pass the National Registry Examination

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

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

  27. TITLE 22 of the CCR California Code of Regulations State law defining the scope of practice for EMT-1’s CALIFORNIA

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

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

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

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

  32. Challenge & Reciprocity

  33. Scope of Practice

  34. EMT-1

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

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

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

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

  39. Under direction of ALS personnel • Set up for ALS procedures.

  40. IV monitoring • Peripheral lines only! • Glucose solutions & balanced salt solutions! • No additives! EXCEPTIONS - LA County EMT-1 Expanded scope of practice

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

  42. IV monitoring • Monitor • Maintain • Adjust Preset rate of flow

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

  44. L.A. County EMT-1s have an expanded scope of practice. details later

  45. Manage all patients within your scope of practice.

  46. Lab sessions Wear comfortable clothing

  47. Lab Rules • Safety - Safety - Safety • Report any injuries or hazards immediately!

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

  49. Training philosophy This is fact.