Ch01eec3 110623151514-phpapp01
Download as PPT, PDF
0 likes175 views
The document discusses the key components of an EMS system including bystanders, dispatchers, first responders, EMTs, hospital staff, and specialty centers. It describes the roles and responsibilities of an EMT-B in providing patient care and safety. Quality improvement in EMS involves reviews and audits to improve care, and EMT-Bs contribute through documentation, skill maintenance, and feedback. Medical direction provides clinical oversight through either online guidance from physicians, offline protocols and standing orders, or a combination.
Ch01eec3 110623151514-phpapp01
- 2. Components of the EMS system Roles and Responsibilities of the EMT-B Quality improvement and the role of the EMT-B in the process Medical direction (on-line, off-line, and standing orders) CORE CONCEPTSCORE CONCEPTSOneOne ChapterChapter
- 3. BystandersBystanders Emergency MedicalEmergency Medical DispatchersDispatchers First RespondersFirst Responders Emergency MedicalEmergency Medical TechniciansTechnicians EmergencyEmergency Department StaffDepartment Staff Specialty CentersSpecialty Centers Allied HealthAllied Health PersonnelPersonnel TTHE EMERGENCY MEDICAL SERVICESHE EMERGENCY MEDICAL SERVICES SYSTEM: COMPONENTSSYSTEM: COMPONENTS
- 4. The chain of human resources thatThe chain of human resources that make up the EMS systemmake up the EMS system
- 5. RegulationRegulation and Policyand Policy ResourceResource ManagementManagement Human ResourcesHuman Resources and Trainingand Training TransportationTransportation FacilitiesFacilities CommunicationsCommunications Public InformationPublic Information and Educationand Education Medical DirectionMedical Direction Trauma SystemsTrauma Systems EvaluationEvaluation NHTSA TechnicalNHTSA Technical Assistance ProgramAssistance Program
- 6. Components of theComponents of the Health Care SystemHealth Care System Emergency departmentsEmergency departments Specialty facilitiesSpecialty facilities Trauma centersTrauma centers Burn centersBurn centers Pediatric centersPediatric centers Poison control centersPoison control centers Other specialty centersOther specialty centers
- 7. Hospital PersonnelHospital Personnel PhysiciansPhysicians NursesNurses Other health professionalsOther health professionals
- 8. Liaison with OtherLiaison with Other Public Safety WorkersPublic Safety Workers Local law enforcementLocal law enforcement State and federalState and federal law enforcementlaw enforcement
- 9. Accessing the EMS SystemAccessing the EMS System 911911 Communities without 911Communities without 911
- 10. Levels of EMS TrainingLevels of EMS Training First responderFirst responder Emergency medicalEmergency medical techniciantechnician BasicBasic IntermediateIntermediate ParamedicParamedic
- 11. National EMS Education &National EMS Education & Practice BlueprintPractice Blueprint Outlines the skills expected atOutlines the skills expected at each level of EMS training:each level of EMS training: First ResponderFirst Responder EMT-BasicEMT-Basic EMT-IntermediateEMT-Intermediate EMT-ParamedicEMT-Paramedic
- 12. RROLES ANDOLES AND RESPONSIBILITIESRESPONSIBILITIES OF THE EMT-BOF THE EMT-B
- 13. Roles and ResponsibilitiesRoles and Responsibilities Personal safetyPersonal safety Safety of crew, patient,Safety of crew, patient, and bystandersand bystanders Patient care based onPatient care based on assessment findingsassessment findings Lifting and movingLifting and moving patients safelypatients safely Transport/transferTransport/transfer of careof care Record-keeping/Record-keeping/ data collectiondata collection Patient advocacyPatient advocacy
- 14. Professional AttributesProfessional Attributes Maintains professional appearanceMaintains professional appearance Keeps knowledge and skills up to dateKeeps knowledge and skills up to date Puts patients needs as a priorityPuts patients needs as a priority without endangering selfwithout endangering self Maintains current knowledge of local,Maintains current knowledge of local, state, and national issues affecting EMSstate, and national issues affecting EMS
- 15. Help the new EMT-Bs integrate classroom knowledge into the field experience. Allow the newcomer to cement a foundation of knowledge and skills before you provide new tricks. PPRECEPTORRECEPTOR PPEARLEARL
- 17. Quality ImprovementQuality Improvement A system of internal/external reviewsA system of internal/external reviews and audits of all aspects of an EMSand audits of all aspects of an EMS system to identify those needingsystem to identify those needing improvement to ensure that the publicimprovement to ensure that the public receives the highest quality ofreceives the highest quality of prehospital care.prehospital care.
- 18. Role of EMT-B in QI ProcessRole of EMT-B in QI Process DocumentationDocumentation Reviews and auditsReviews and audits Gathering feedback fromGathering feedback from hospital staffhospital staff Preventive maintenancePreventive maintenance Continuing educationContinuing education Skill maintenanceSkill maintenance
- 20. Medical DirectionMedical Direction A physician responsible for theA physician responsible for the clinical and patient care aspects of anclinical and patient care aspects of an EMS system.EMS system. Every ambulance/rescue squad mustEvery ambulance/rescue squad must have physician medical direction.have physician medical direction.
- 21. Types of Medical DirectionTypes of Medical Direction On-lineOn-line TelephoneTelephone RadioRadio Off-lineOff-line ProtocolsProtocols Standing ordersStanding orders
- 22. EMT-B Relationship withEMT-B Relationship with Medical DirectionMedical Direction Designated agent of the physician.Designated agent of the physician. Care rendered is considered anCare rendered is considered an extension of the medical directorsextension of the medical directors authorityauthority (varies by state law)(varies by state law)..
- 23. 1. What are the components of the1. What are the components of the EMS system?EMS system? 2. What are the roles and responsibilities2. What are the roles and responsibilities of the EMT-B?of the EMT-B? 3. What is QI and the EMT-Bs role in it?3. What is QI and the EMT-Bs role in it? 4. What is the difference between on-line4. What is the difference between on-line direction, off-line direction, and standingdirection, off-line direction, and standing orders?orders? RREVIEW QUESTIONSEVIEW QUESTIONS