Chapter 1 knowledge Objectives: EMS Systems

2. Name the four levels of EMT training and licensure. (pp 6-8)

- EMR, EMT, AEMT and paramedic

1. Define emergency medical services (EMS) systems. (p 5)

- Emergency medical services system consists of a team of health care professional and are responsible for emergency care and transportation of the sick and injured.

3. Describe EMT licensure criteria; include how the Americans with Disabilities Act (ADA) applies to employment as an EMT. (p 8)

- Licensure criteria: High school diploma/equivalent, proof of immunization against certain communicable diseases, successful completion of a background check/drug screening, valid driver's license, CPR/BLS course, EMT course, passed state/national exams. ADA:

9. Define mobile integrated healthcare and community paramedicine. (p 19)

- Mobile Integrated Healthcare: New method of delivering health care that utilizes the prehospital spectrum. - Community Paramedicine: Paramedics receive advanced training to provide services within a community.

14. Explain the impact of the Health Insurance Portability and Accountability Act (HIPAA) on patient privacy. (p 27)

- Patients information may not be disclosed to the public to ensure privacy.

11. Characterize the EMS system's role in disease and injury prevention and public education in the community. (pp 23-24)

- Primary Prevention: Focuses on strategies that will prevent the event from ever happening. An example is the polio vaccine that prevented the disease. - Secondary Prevention: The event has already happened so finding ways to decrease the effects of the event. An example is helmets and seat belts don't prevent the accident but prevent serious injury.

10. Discuss the purpose of the EMS continuous quality improvement (CQI) process. (pp 20-21)

- Purpose of CQI: Review and discuss any areas of patient care that appear to need to be changed or improved.

7. Name the 14 components of the EMS system. (pp 15-26)

1) Public Access: 911 systems (access public safety) and dispatchers obtain information and EMD provides medical instruction. 2) Clinical Care: Describes the pieces of equipment and scope of practice. 3) Medical direction: Acts as a liaison. 4) Integration of health services: Prehospital care is coordinated with hospital care. 5) Information Systems: Used of efficiently document the care that has been delivered. 6) Prevention: The focus of the public health arm of health care is prevention. 7) EMS Research: Helps determine the shape of EMS. 8) Communication Systems: Dispatcher selects emergency system component to activate 9) Human Resources: Focuses on people who deliver the care • Off-line (indirect) = Standing orders, training, supervision • Online (direct) = Physician directions given over the phone/radio 10) Legislation/Regulation: Training, protocols and practices follow state legislation (scheduling, personnel, budgets, purchasing and vehicle maintenance) 11) Evaluation: M.D is responsible for maintaining quality control and Continuous quality improvement (CQI) reviews EMS systems. 12) System Finance: EMTs may be asked to father insurance information, secure signatures and obtain permission from patients to bill insurance. 13) Public education: Primary/Secondary prevention and educate the public. 14) Education Systems: Most EMS training programs must adhere national standards.

History of EMS (pp 9-10)

• 1966: Accidental Death and Disability: The Neglected Disease of Modern Society established EMS • Early 1970's: DOT (Department of Transportation) published the first EMT training curriculum • 1971: AAOS published "The Orange Book" • 1980's: Advanced levels of EMTS • 1990's: NHTSA's EMS Agenda for the Future

13. Describe the attributes an EMT is expected to possess. (p 27)

• Attitude/behavior must reflect that you're knowledgeable • Dress professionally • Treat patients with respect

12. Describe the roles and responsibilities of the EMT. (p 26)

• Keep vehicles and equipment ready • Ensure safety • Be familiar with emergency vehicle operation • On-scene leadership • Scene evaluation • Call for additional resources as needed. • Gain patient access. • Perform a patient assessment. • Give emergency medical care while awaiting additional medical resources. • Call for additional resources as needed. • Gain patient access. • Perform a patient assessment. • Give emergency medical care while awaiting additional medical resources. • Call for additional resources as needed. • Gain patient access. • Perform a patient assessment. • Give emergency medical care while awaiting additional medical resources.