Emergency Medical Services Position Paper Quiz
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Questions and Answers

Who is primarily responsible for the placement of hospital orientated EMS personnel?

  • General Nurse
  • Temporary Placement Agency Coordinator (correct)
  • Emergency Centre Unit Manager
  • Nursing Manager

What is the role of a Registered Nurse (RN) in the context of this position paper?

  • To provide care within their defined scope of practice (correct)
  • To supervise Emergency Care Assistants only
  • To coordinate hospital placements for EMS personnel
  • To perform all advanced procedures without limitations

Which of the following does NOT fall under the applicability of this position paper?

  • Temporary Placement Agencies
  • Emergency Centre Unit Manager
  • Nursing Education Coordinator (correct)
  • Hospital Clinical Manager

Which acronym stands for Advanced Life Support?

<p>ALS (B)</p> Signup and view all the answers

What does the abbreviation ECA refer to?

<p>Emergency Care Assistant (C)</p> Signup and view all the answers

Which EMS personnel are allowed to provide care in Mediclinic Emergency Centres?

<p>All levels including ALS, ILS, and BLS (C)</p> Signup and view all the answers

What is required for EMS personnel before working in Mediclinic Emergency Centres?

<p>Placement by a temporary placement agency (A)</p> Signup and view all the answers

To whom must EMS practitioners report in the Emergency Centre?

<p>The shift leader PN|GN|RN (B)</p> Signup and view all the answers

Which function can EMS personnel perform in the Emergency Centre?

<p>Fulfill specific allocated functions (D)</p> Signup and view all the answers

What is the priority of clinical care provision for ER24 prehospital staff?

<p>Prehospital setting care takes preference (D)</p> Signup and view all the answers

What are the qualifications required for ALS personnel to operate in the Emergency Centre?

<p>Paramedic (Critical Care + NDip) (D)</p> Signup and view all the answers

Which option is NOT a criterion for EMS personnel working in Mediclinic Emergency Centres?

<p>Application for permanent roles (D)</p> Signup and view all the answers

What is the effective date for the utilization guidelines of EMS personnel in Mediclinic Emergency Centres?

<p>2024 12 01 (C)</p> Signup and view all the answers

What is one of the responsibilities of the PN, GN, or RN in the EC care team?

<p>Delegate tasks to EMS personnel as per their scope of practice (B)</p> Signup and view all the answers

Which service role is responsible for performing triage in the emergency center?

<p>ILS if trained (B)</p> Signup and view all the answers

Which procedure can only be performed by Emergency Care Practitioners (ECP) according to their scope of practice?

<p>Endotracheal intubation (RSI only) (D)</p> Signup and view all the answers

What should the EC care team ensure all members understand regarding their roles?

<p>The scope of practice of all role players (A)</p> Signup and view all the answers

Which of the following is a task that EMS personnel can perform in the emergency center?

<p>Assess vital signs (A)</p> Signup and view all the answers

What is a limitation for Basic Life Support (BLS) personnel in the emergency center?

<p>Perform manual defibrillation (A)</p> Signup and view all the answers

What is the role of the EC Unit Manager in the emergency center?

<p>Ensure practical implications are explained to the team (B)</p> Signup and view all the answers

Which type of care does Advanced Life Support (ALS) personnel not manage?

<p>Management of healthcare regimes (D)</p> Signup and view all the answers

What task is permissible for Intermediate Life Support (ILS) personnel if adequately trained?

<p>Perform triage (A)</p> Signup and view all the answers

Which of the following tasks can all levels of personnel (ALS, ILS, and BLS) perform?

<p>Resuscitation of patients (A)</p> Signup and view all the answers

Flashcards

Scope of Practice

The range of actions and procedures that a healthcare professional is legally permitted to perform.

AEA

Ambulance Emergency Assistant; a healthcare professional providing basic emergency care in an ambulance setting.

ALS

Advanced Life Support; a level of pre-hospital care involving advanced medical procedures like intubation and medication administration.

BLS

Basic Life Support; a level of pre-hospital care involving basic interventions like CPR and airway management.

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EC

Emergency Centre; a facility that provides immediate medical care for urgent and emergent conditions.

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EMS Personnel in Mediclinic ECs

This position paper addresses the use of Emergency Medical Services (EMS) personnel in Mediclinic Emergency Centres (ECs). It outlines guidelines for their role, qualifications, and supervision.

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Levels of Care for EMS Personnel

EMS personnel can provide care within their specific scope of practice, determined by the Health Professions Council of South Africa (HPCSA). These levels include Advanced Life Support (ALS), Intermediate Life Support (ILS), and Basic Life Support (BLS).

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ALS Personnel

ALS personnel can provide care within the Paramedic (Critical Care + NDip), Emergency Care Technician, or Emergency Care Practitioner scope of practice.

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ILS Personnel

ILS personnel can provide care within the Ambulance Emergency Assistant and Emergency Care Assistant scope of practice.

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BLS Personnel

BLS personnel can provide care within the Basic Ambulance Assistant scope of practice.

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EMS Personnel Placement

EMS personnel are placed by temporary placement agencies (e.g., MHR) and are not appointed permanently in Mediclinic Emergency Centres. They undergo scrutiny similar to EMS appointees.

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Priority of Prehospital Care

ER24 prehospital staff providing care in the prehospital setting takes precedence over their role in the EC environment.

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EMS Role in ECs

While EMS personnel cannot replace nursing categories, they can be assigned specific functions in the EC and must report to the PN|GN|RN shift leader.

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EC Unit Manager Role

The EC Unit Manager ensures everyone on the EC care team understands their roles, scope of practice, and expectations. They clarify roles and manage expectations to ensure smooth operation of the EC.

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EMS Scope of Practice

EMS personnel must function within their designated scope of practice while working in the EC. This means they can only perform actions they are trained and qualified for.

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PN | GN | RN Roles

Registered Nurses (RN), Graduate Nurses (GN), and Practical Nurses (PN) act in supervisory positions, delegating tasks to EMS personnel within the latter's scope of practice.

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Triaging

The process of prioritizing patients based on their severity of illness or injury.

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Vital Sign Assessment

Measuring vital signs, such as temperature, pulse, respiration, and blood pressure, to assess a patient's condition.

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Resuscitation

A series of actions taken to revive a patient whose heart or breathing has stopped.

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AED Usage

The utilization of an Automated External Defibrillator (AED) to deliver an electric shock to a patient with a life-threatening heart rhythm.

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Medication Administration

Administration of medications (IV, IM, SC, oral) by EMS personnel within their scope of practice.

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Oxygenation and Nebulization

The process of providing oxygen to patients and utilizing nebulizers to deliver medication in mist form.

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Mechanical Ventilation

The use of a mechanical ventilator to assist or replace a patient's breathing.

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Study Notes

EMS Personnel Utilization in Mediclinic Emergency Centers

  • This document outlines the conditions under which Emergency Medical Services (EMS) personnel can provide care in Mediclinic Emergency Centers (ECs).
  • ALS personnel can provide a level of care within the Paramedic (Critical Care + NDip), Emergency Care Technician or Emergency Care Practitioner scope of practice, determined by the Health Professions Council of South Africa's Health Professions Act of 1974 (Act No. 56 of 1974).
  • ILS personnel may provide care within the Ambulance Emergency Assistant and Emergency Care Assistant scope, as per the same Act.
  • BLS personnel can provide care within the Basic Ambulance Assistant scope, under the same Act.
  • Pre-hospital EMS staff should be placed by a temporary placement agency (like MHR), not employed permanently, and undergo the same placement scrutiny as opposed to permanent employment. If not employed by ER24, there are specific processes.
  • ER24 prehospital staff care in the prehospital setting is prioritized over EC care.
  • EC nursing categories should not be replaced by EMS staff, but EMS may fulfill specific tasks within the center.
  • All EMS staff must report to the registered nurse shift leader and requires supervision.
  • Pre-hospital EMS staff cannot exceed the scope of their practice.

Applicability

  • This document applies to temporary placement agencies, ER24, Hospital General Managers, Hospital Clinical Managers, Nursing Managers, and Emergency Centre Unit Managers.

Definitions

  • The document includes acronyms and definitions for various roles (e.g., AEA, ALS, BAA, BLS, ECA, ECP, ECT, etc.).

Responsibilities

  • Responsibilities include placement of EMS personnel, and ensuring proper implementation of the position paper.

EC Unit Manager Responsibilities

  • Explaining practical implications to the EC care team.
  • Clarifying roles and expectations.
  • Ensuring everyone within the team understands their scope of practice.
  • Functioning within their scope of practice while in the EC.

EMS Personnel Functionality in Emergency Centers

  • A table details which EMS personnel can perform specific functions (e.g., managing shifts, nursing diagnoses) in the EC, based on their scope of practice.

Annexure 1: Comparison of Nursing vs Paramedic Scope of Practice

  • A table compares nursing and paramedic functions, in terms of what scope of practice is permitted for different levels of personnel.

Annexure 2: Emergency Care Capabilities

  • A table detailing which functions specific personnel are capable of performing.

Dress Code

  • ER24 ALS wear their uniform, temporary placement agency personnel will wear their agency uniform.

Indemnity Insurance

  • Permanent ER24 and MHR staff in MCSA EC's have Mediclinic group coverage. All other temporary placement agency staff are required to have their own indemnity insurance.

History & Version Control

  • Information on version history, authors, and date of updates.

Approval and Sign-Off

  • Details of approvals for the document including signatures, dates and designations and names.

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Related Documents

Mediclinic EMS Personnel Utilization - 2024 PDF

Description

Test your knowledge on the responsibilities and roles outlined in the EMS position paper related to hospital-oriented personnel. This quiz covers key acronyms and concepts relevant to emergency medical services, including the role of RNs. Challenge yourself and see how well you understand this important topic!

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