EMS Provider Responsibilities Quiz

Provider Responsibilities

• Successful completion of a 90-day probationary period is mandatory after System certification; if fewer than 10 transports are completed, the period extends to 180 days.
• The EMS Medical Director can deny certification or impose further evaluation requirements on candidates.

Certification Requirements

Critical Care EMT-Paramedic (EMT-P)/Prehospital RN (PHRN)

• Must have a current CPR card from AHA or ARC.
• Complete courses in PHTLS, ITLS, TNCC, TNS, or BTLS.
• ACLS certification required.
• Additional coursework like CCEMTP, FP-C, CCP-C is necessary.
• Active membership in the Memorial EMS System agency is needed.
• Annual protocol testing and skills evaluation must be successfully completed.

Registered Nurse (RN)

• Current CPR card from AHA or ARC is mandatory.
• Training in PHTLS, ITLS, TNCC, TNS, or BTLS is required.
• ACLS certification needed alongside PEPP, PALS, or ENPC.
• Additional qualifications can include CCEMTP, CEN, CCRN, CFRN, or CTRN.
• Active membership in Memorial EMS System agency is required.
• Must complete annual protocol testing and skills evaluation.

Patient Care Guidelines

• Patients at risk for hemodynamic instability should ideally have two large bore IV lines.
• In the absence of IV access, intraosseous access should be established with a maximum of two attempts permitted.
• Continuous monitoring of invasive lines for accuracy is essential.
• Pain assessment and management must occur before and after each patient repositioning.
• Assessment should include vital signs and comfort evaluations.

Specific Considerations for Children

• Contact Medical Control for patients under 16 years.
• Verify weight using Broslow Tape for patients under 10 years.
• Assessment of temperature and blood glucose is critical.

CCT Team Responsibilities

• Ensure family has an opportunity to see the patient before transport.
• Provide destination information to the family.
• Maintain patient privacy and respect confidentiality.
• Complete and transfer all necessary documentation and reports during the transport process.

Respiratory Assessment

• Focus on the event timeline leading to the patient’s current condition.
• Compare with previous respiratory events and document associated symptoms.
• Assess any compensation methods employed by the patient and their effectiveness.

Treatment Protocols

• Position the patient in semi-Fowler’s or higher as tolerated.
• Administer 100% oxygen via NRB; if intolerable, switch to cannula.
• Secure advanced airway based on protocol and monitor closely for respiratory changes.
• Administer Albuterol and Ipratropium as nebulized treatments with specified dosages.
• Consider steroids like prednisone, methylprednisolone, or dexamethasone as needed.
• Use racemic epinephrine for respiratory distress with specified dosage and repeat guidelines.

Capnography Monitoring

• Essential for verifying advanced airway placement and assessing respiratory status.
• Monitor according to quantitative (waveform) capnography standards during transport.
• Establish baseline capnography data from the transferring facility if available.

i-Gel Airway Insertion Procedure

• Employ appropriate PPE and pre-oxygenate the patient with 100% oxygen.
• Select correct i-Gel size and check for damage before use.
• Lubricate only designated parts of the i-Gel, avoiding the cuff's interior.
• Insert the i-Gel carefully, ensuring correct placement verified through capnography and breath sound auscultation.
• Continuous monitoring of vital signs and airway security is necessary.

This quiz covers the essential responsibilities of EMS providers as outlined in the Critical Care Manual by the Memorial EMS System. Participants will learn about the certification requirements and the importance of successful evaluations to meet the standards set by the Medical Director. Test your knowledge on the responsibilities and probationary periods necessary in the EMS field.