Chapter 1 Discussion EMT PDF

Summary

This document discusses various aspects of Emergency Medical Services. It covers topics like different levels of EMS licensure, the roles of medical directors and medical control , and the distinction between primary and secondary prevention. It provides examples and explains how EMS can help in each stage of healthcare.

Full Transcript

Jose Aguilar 8/20/2023 Chapter 1 Discussion 1. What are the four di erent levels of EMS/Licensure, and what does the training at each...

Jose Aguilar 8/20/2023 Chapter 1 Discussion 1. What are the four di erent levels of EMS/Licensure, and what does the training at each level entail? How long is the training for each? The EMS/Licensure consists of the First Responder or EMR, EMT-Basic, EMT-Intermediate and Paramedic. EMR training includes some of the basic medical skills and CPR training and is mostly covered in 50-80 Hours. EMT-Basic requires more competence and more in depth knowledge In the eld such as assuming responsibility for the package and care of a patient; 150-200 Hours is whats required to achieve the skills needed for this licensure. EMT- Intermediate brings new skills such ass IV and IO Therapy and the ability to administer a certain number of medications; this licensure requires 1,000 to 2,000 Hours between class and Internship Training. (p. 9-11) 2. Explain the functions and di erences between certi cation, licensure, and credentialing. The function for a certi cation is to acknowledge that the provider has completed the certain amount of KSA’s for the appropriate licensure such ass the use of testing instruments, simulated emergency calls and various tests, these often enhance and help the providers career development. A licensure is a mandatory process that allows the provider legal authority for him/her to practice in their speci c state or region that being for either EMR, EMT-B, EMT-I or Paramedic. Credentialing is the process in which the providers KSA’s are actually veri ed or ensured by a physician medical director. This is more than often the last step (p.1-4) 3. What is the di erence between the Medical Director and Medical Control? Explain the di erence between Online and O -line Medical Control. The medical director is the Liaison in between the hospitals and EMTs, In addition to being the Liaison they also give the go ahead for service provided by the EMTs keeping and ensuring quality of care. Medical control is a physicians directions given to the provider from either online or o ine via the medical director. O ine medical control would be established protocols and/or procedures either written or authorized by the medical director, Online medical control is established through radio or phone from the medical director. Either way medical control is always given with direct supervision or guidance from the physician. (p.13-14) 4. Explain the di erence between Quality Assurance and Continuous Quality Improvement (CQI). Who is responsible for each process? Provide an example of each. Quality assurance primarily focuses on establishing the standards so that the services being done are up to par and is usually carried out by the medical director, on the other hand Continuous Quality Improvement (CQI) is identifying e ectiveness and areas to increase and optimize quality, which is done mostly by team members. Just culture is a great example of quality assurance; it is a strategy that holds employees accountable for behavioral choices. A good example of CQI would be the plan-do-study-act plan, this allows employees to gather data in order to improve the level of e ciency and care to patients. (p.15-16) 5. Explain the di erence between Primary Prevention and Secondary Prevention. Provide an example of each. How can EMS play a role in each? Though Primary and Secondary prevention are both alike in the way they aim to avoid injury to the patient they are also very di erent. A good example being the vaccine that eradicated the polio virus. Secondary prevention is the preventative action or decrease in e ects in an event. ff ffl ff ff ff fi ff fi ff ff ff fi ffi ffl fi ff ff fi An example for this is an early diagnosis of a disease and immunizations taken to battle it. Providing the public with some knowledge about fall prevention programs is just one of the many ways EMTs can help with primary prevention. As for secondary prevention compression only CPR is a perfect example for this. (p.19-20)

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