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EMERGENCY MEDICAL TECHNICIAN COURSE B20
GENERAL INFORMATION - EMT BASIC
Overview
The 911PROGRAMS Emergency Medical Technician - Basic program provides the first level of training in the career structure of the Emergency Medical Technician. Upon successful completion of this program (which includes written and practical examinations), graduates are eligible to take the written certification examination of the National Registry of Emergency Medical Technicians - which is accepted as the licensure examination for the State of Rhode Island. The course ending practical examination counts as the state practical examination.
Jump-Start Your Career in EMS
Whether you're sure you want to begin a fulfilling career in EMS or if you plan on choosing a different path altogether, EMS training can provide you with a solid foundation on which you can build your future. EMS training provides students more than just education in emergency medicine; it provides students with the confidence to handle stressful situations - important in any career field. No matter what career field you choose, experience in EMS will certainly reflect positively on your resume. If you are thinking about becoming a professional EMS provider, you should choose a program with a proven track record.
CERTIFICATION AND LICENSURE - EMT BASIC
Licensure Testing Procedure
The procedure as of July 10, 2007 can be found at the RI Division of EMS website. Click the following link to view it. http://health.ridisaster.org/downloads/07-001_NREMT.pdf
RI State Rules and Regulations
To view the complete Rules and Regulations Relating to Emergency Medical Services in Rhode Island (R23-4.1-EMS), click this link: http://www2.sec.state.ri.us/dar/regdocs/released/pdf/DOH/4698.pdf
RI EMT License Application
To view, download, and print the Rhode Island Department of Health Division of Emergency Medical Services Application for Licensure as an Emergency Medical Technician, click this link: http://health.ridisaster.org/downloads/EMT_App_2007.12.pdf
Authority to Conduct EMS Training in Rhode Island
Only individuals licensed by the RI Department of Health may serve as the Instructor-Coordinator for EMT training programs in Rhode Island. Instructor-Coordinators may conduct EMS training programs up to the level of his/her licensure. William Howe (President, 911PROGRAMS) is a licensed paramedic and licensed instructor-coordinator in Rhode Island - license number 5453-P.
CAREER OPPORTUNITIES - EMT BASIC
Career Paths
Emergency Medical Technicians can be employed in a variety of career fields including
Fire Departments
EMS Agencies
Private Ambulance Companies
Lifeguards
Education
Many fire departments and most EMS and ambulance services require at minimum, licensure as an EMT-Basic - some require advanced (EMT-Cardiac or EMT-Paramedic) licensure
Career Requirements:
Responds to emergency calls to provide efficient and immediate care to the critically ill and injured, and transports the patient to a medical facility.
After receiving the call from the dispatcher, drives the ambulance to address or location given, using the most expeditious route, depending on traffic and weather conditions. Observes traffic ordinances and regulations concerning emergency vehicle operation.
Upon arrival at the scene of crash or illness, parks the ambulance in a safe location to avoid additional injury. Prior to initiating patient care, the EMT-Basic will also "size-up" the scene to determine that the scene is safe, the mechanism of injury or nature of illness, total number of patients and to request additional help if necessary. In the absence of law enforcement, creates a safe traffic environment, such as the placement of road flares, removal of debris, and re-direction of traffic for the protection of the injured and those assisting in the care of injured patients.
Determines the nature and extent of illness or injury and establishes priority for required emergency care. Based on assessment findings, renders emergency medical care to adult, infant and child, medical and trauma patients. Duties include but are not limited to, opening and maintaining an airway, ventilating patients, and cardiopulmonary resuscitation, including use of automated external defibrillators. Provide prehospital emergency medical care of simple and multiple system trauma such as controlling hemorrhage, treatment of shock (hypoperfusion), bandaging wounds, and immobilization of painful, swollen, deformed extremities. Medical patients include: Assisting in childbirth, management of respiratory, cardiac, diabetic, allergic, behavioral, and environmental emergencies, and suspected poisonings. Searches for medical identification emblem as a clue in providing emergency care. Additional care is provided based upon assessment of the patient and obtaining historical information. These interventions include assisting patients with prescribed medications, including sublingual nitroglycerin, epinephrine auto-injectors and hand-held aerosol inhalers. The EMT-Basic will also be responsible for administration of oxygen, oral glucose and activated charcoal.
Reassures patients and bystanders by working in a confident, efficient manner. Avoids mishandling and undue haste while working expeditiously to accomplish the task.
Where a patient must be extricated from entrapment, assesses the extent of injury and gives all possible emergency care and protection to the entrapped patient and uses the prescribed techniques and appliances for safely removing the patient. If needed, radios the dispatcher for additional help or special rescue and/or utility services. Provides simple rescue service if the ambulance has not been accompanied by a specialized unit. After extrication, provides additional care in triaging the injured in accordance with standard emergency procedures.
Complies with regulations on the handling of the deceased, notifies authorities, and arranges for protection of property and evidence at scene.
Lifts stretcher, placing in ambulance and seeing that the patient and stretcher are secured, continues emergency medical care.
From the knowledge of the condition of the patient and the extent of injuries and the relative locations and staffing of emergency hospital facilities, determines the most appropriate facility to which the patient will be transported, unless otherwise directed by medical direction. Reports directly to the emergency department or communications center the nature and extent of injuries, the number being transported, and the destination to assure prompt medical care on arrival. Identifies assessment findings which may require communications with medical direction for advice and for notification that special professional services and assistance be immediately available upon arrival at the medical facility.
Constantly assesses patient en route to emergency facility, administers additional care as indicated or directed by medical direction.
Assists in lifting and carrying the patient out of the ambulance and into the receiving facility.
Reports verbally and in writing their observation and emergency medical care of the patient at the emergency scene and in transit to the receiving facility staff for purposes of records and diagnostics. Upon request, provides assistance to the receiving facility staff.
After each call, restocks and replaces used linens, blankets and other supplies, cleans all equipment following appropriate disinfecting procedures, makes careful check of all equipment so that the ambulance is ready for the next run. Maintains ambulance in efficient operating condition. Ensures that the ambulance is clean and washed and kept in a neat orderly condition. In accordance with local, state or federal regulations, decontaminates the interior of the vehicle after transport of patient with contagious infection or hazardous materials exposure.
Determines that vehicle is in proper mechanical condition by checking items required by service management. Maintains familiarity with specialized equipment used by the service.
Attends continuing education and refresher training programs as required by employers, medical direction, licensing or certifying agencies.
Meets qualifications within the functional job analysis.
COURSE DESCRIPTION - EMT BASIC
Curriculum Design
The Rhode Island Division of EMS publishes for instructor-coordinators Guidelines for Conducting EMS Courses. This document outlines the minimum requirements and standards to conduct EMS training in Rhode Island. Additionally, required lesson plan content must cover the course (behavioral) objectives listed in the 1994 US Department of Transportation EMT-Basic National Standard Curriculum. The RI EMT-Basic curriculum, as outlined in the Guidelines to conduct EMS courses, consists of no less than 120 hours of didactic and practical instruction in specified areas of emergency medical topics. Instructor-coordinators are permitted to alter the course design, schedule, and content - including increasing the number of hours and content as the I/C deems fit so long as the course meets the minimum standards set forth.
The 911PROGRAMS EMT-Basic Curriculum
The course curriculum may differ from program to program to suit the needs of the student and provide a comprehensive educational experience. The course hours and content always exceeds the minimum state and national standards as does the instructor to student ratio. Please refer to individual training program syllabuses for more detailed information.
Course hours and schedule
The didactic portion is about 120 hours but may be increased based on the needs of the students
For schedule, refer to the specific course you are interested in.
Areas of Study
The areas of study in this program include the following at a minimum but often include additional instruction/training as well:
Introduction to the Emergency Medical Services system
Medical terminology
Legal aspects of emergency care
Infection control procedures
Anatomy & Physiology
Airway management and Cardiac defibrillation
Cardiopulmonary resuscitation (CPR)
Medication Administration
History taking and physical examination (patient assessment)
Bleeding control, Burn care, and Shock management
Injury care and Fracture immobilization
Musculoskeletal care
Injuries to the head, neck and spine
Trauma score training, trauma scene management, and patient triage
Major incident and WMD training
Mass casualty incident training
Obstetrics and Childbirth
Pediatric emergencies
Environmental emergencies
Behavioral and Psychiatric emergencies
Lifting and moving patients
Ambulance operations and Principles of extrication
Communication, Documentation, and Team leader skills
In addition to the didactic material covered above, the student will also receive hands-on (practical) skills training in the following:
CPR
Basic airway management - including use of the Esophageal Obturator Airway
Medication administration
Patient assessment (medical and trauma patients) including vital signs
Use and application of the Pneumatic Anti-Shock Garment (aka MAST trousers, shock trousers)
Use and application of the HARE traction splint
Use and application of padded board, air, vacuum, malleable, disposable, ladder, and make-shift splints
Use and application of spinal immobilization devices including the long backboard and Kendrick Extrication Device
Patient lifting techniques including use of an ambulance cot, stair chair, scoop stretcher, and other movement devices
Course Delivery Method
911PROGRAMS Didactic lessons are delivered almost entirely by powerpoint presentation with accompanying handouts which are available in our exclusive online classroom. Other forms of instruction include overhead projection of materials, written information on a dry erase board, video presentations, actual case presentations, as well as scenarios and hands-on practice. Prior to completion of the course, the student must observe at least 5 patient assessments in a clinical setting. The laboratory portion will be delivered in a more informal setting using hands-on practice with equipment and a student:instructor ratio of no greater than 5:1.
Continuing Education
Graduates of this course are eligible to take the advanced level EMT-Cardiac and EMT-Paramedic courses
COURSE PRE-REQUISITES - EMT BASIC
Requirements for entry into an EMT-Basic course
Applicants must be able to read and write at the 11th grade level
Applicants must be able to read, write, and speak English fluently
High school diploma or equivalent (GED) is preferable but not required to take the course
Applicants do not need to be 18 years old, however applicants must be 18 years old to take the state licensure examination - which must be taken within 5 years of graduation from the course
Applicants do not have to be able to perform the functions of an EMT as outlined in the Functional Position Description document prepared by the Rhode Island Division of EMS to take the course; A student who is unable to meet the requirements as defined in the Functional Position Description may "audit" the course; This means the student can participate in all aspects of the program that he/she is able to but will not receive a course completion certificate from the program and will not be able to sit for the National Registry certification exam / state licensure exam
Applicants with disabilities are encouraged to contact the program to discuss any necessary accommodations
Applicants desiring admission to any 911PROGRAMS course of study must read and accept the terms and conditions (course policies) found in the online classroom
UPCOMING EMT BASIC COURSES
Course B19 Registering
Begins: September 11, 2010
Location: Providence, RI
Schedule: Tue & Thu 6-9pm, Sundays 9am-3pm
Hours: see syllabus
Includes: Didactic fee, Lab fee, Clinical fees, Books
Price: email for details
Questions? Call 401-789-5486
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