Maryland Institute for Emergency Medical Services Systems Maryland Field Preceptor & EMT-B Field...

Maryland Institute for Emergency Medical Services Systems

Maryland Field Preceptor & EMT-B Field Training Coach

Orientation Program

For use in the EMT-B, CRT (EMT-I), and EMT-P Educational and

Operational Programs

Maryland Institute for Emergency Medical Services Systems

Orientation Program Objectives

• By the conclusion of the Field Preceptor & EMT-B Field Training Coach orientation program, the participant shall be able to:– recall the expectations, roles and

responsibilities of the field preceptor;– recall the documentation required by the local

EMS operational program and training program;

Maryland Institute for Emergency Medical Services Systems

Orientation Program Objectives

• Objectives continued...– complete the documentation required by the

local EMS operational program and training program;

– recall the modules in the ALS curricula and/or the EMT-B curriculum;

– recall local operational policies and procedures for field precepting; and

Maryland Institute for Emergency Medical Services Systems

Orientation Program Objectives

• Objectives continued…– recall the skills and medications allowed to be

performed by the student or candidate.

Maryland Institute for Emergency Medical Services Systems

Orientation Program Outline

• Preceptor terminology

• Roles, responsibilities and expectations of the Field Preceptor;

• Requirements of Candidates;

• Documentation for the Field Preceptor;

• BLS and ALS curricula;

• Local operational policies & procedures;

• Permitted skills and medications

Maryland Institute for Emergency Medical Services Systems

Terminology

• Candidate is a:– Student seeking Maryland EMS licensure or

certification; or– Provider seeking approval to function within an

EMS operational program.

Maryland Institute for Emergency Medical Services Systems

Terminology

• Internship is a field experience encountered by a Maryland EMS candidate.

• Preceptorship is a field experience encountered by a licensed Maryland EMS provider seeking approval from an EMS operational program.

Maryland Institute for Emergency Medical Services Systems

Terminology

• EMT-B Field Training Coach is an individual who supervises and evaluates EMT-B:– Candidates during the EMT-B internship

program; or– Providers seeking EMS operational program

approval.

Maryland Institute for Emergency Medical Services Systems

Terminology

• Field Preceptor: The field preceptor supervises and evaluates EMT-I (CRT) and EMT-P:– Students seeking Maryland licensure as an

EMS provider; or– Licensed providers seeking EMS operational

program approval.

Maryland Institute for Emergency Medical Services Systems

Roles, Responsibilities & Expectations of the Field

Preceptor & EMT-B Field Training Coach

• Familiarize the candidate with gear, equipment and S.O.Ps before the beginning of a tour, if practical;

• Evaluate and observe the actions and interventions of the candidate at the scene of the emergency response;

• If appropriate and needed, intervene during the emergency incident;

Maryland Institute for Emergency Medical Services Systems

Roles, Responsibilities & Expectations of the Field

Preceptor & EMT-B Field Training Coach

• If applicable, initiate “down-time” activities such as:– Assisting with homework assignments, – Working to improve skills, – Assisting with identified or perceived

weaknesses, and– Reviewing classroom materials and quizzes;

Maryland Institute for Emergency Medical Services Systems

Roles, Responsibilities & Expectations of the Field

Preceptor & EMT-B Field Training Coach

• Critique each incident upon return to the station; and

• Assure that all documentation and paperwork is thoroughly completed, including skills activity sheets.

Maryland Institute for Emergency Medical Services Systems

Roles, Responsibilities & Expectations of the Field Preceptor & EMT-B Field Training Coach

• The following should be considered when providing feedback to candidates:– Honest feedback is a must!– Keep the feedback informational, not personal.– Base feedback on performance standards.– Identify corrective measures.– Give feedback promptly.

Maryland Institute for Emergency Medical Services Systems

Roles, Responsibilities & Expectations of the Field Preceptor & EMT-B Field Training Coach

• Feedback continued– Give feedback often.– Always strive to provide positive reinforcement

• “Look for the candidates doing something right as early and as often as possible, then praise them. Show them how they are improving and how relevant those improvements are to patient care.”

• “Competence breeds confidence and self-motivation!”

Taken from EMT Teaching, A Common Sense Approach, R.A. Cherry, 1998

Maryland Institute for Emergency Medical Services Systems

Requirements of Candidates

• Student eligibility for internship– EMT-B students must:

• Successfully complete up to the Patient Assessment Module of the 1994 DOT EMT-B Curriculum;

• Have the approval of the course instructor; and

• Have the approval of the EMS operational program and company where the internship is to occur.

Maryland Institute for Emergency Medical Services Systems

Requirements of Candidates

• Student eligibility for internship– ALS students must have the approval of the:

• ALS course instructor;

• Training program’s medical director; and

• EMS operational program medical director and/or his/her designee

Maryland Institute for Emergency Medical Services Systems

Requirements of Candidates

• Provider eligibility for preceptorship– To be eligible for a preceptorship, the licensed

or certified provider must:• Receive approval from the local EMS operational

program;

• Receive a protocol orientation or review;

• Possess a valid Maryland license or certificate or national registration from the NREMT; and

• Meet the requirements of the local EMS operational program.

Maryland Institute for Emergency Medical Services Systems

Requirements of Candidates

• State Requirements for internship– The EMT-B student must successfully

complete five pt. assessments comprised of:• Interviewing and assessing the patients under the

direct supervision and guidance of a preceptor;

• Recording patient history and assessment on a MAIS or compatible prehospital care report; and

• Receiving a satisfactory evaluation from the instructor and preceptor.

Maryland Institute for Emergency Medical Services Systems

Requirements for Candidates

• State Requirements for internship continued– CRT (EMT-I) and EMT-P students must meet

the training program’s minimum number of assessments, medication administrations, and skills set forth by the program.

Maryland Institute for Emergency Medical Services Systems

Requirements for Candidates

• Local Requirements for internship– INSERT LOCAL REQUIREMENTS FOR

MINIMUM SKILLS, MEDS, & ASSESSMENTS HERE

Maryland Institute for Emergency Medical Services Systems

Documentation

• EMT-B– The preceptor should complete the front of the

EMT-B Internship Patient Assessment document and provide comments as necessary.

– The preceptor should also initial the EMT-B Internship coversheet and write the incident’s MAIS number to signify successful completion of a patient assessment.

Maryland Institute for Emergency Medical Services Systems

Documentation

• EMT-B continued– PASTE LOCAL EMS OPERATIONAL

PROGRAM AND TRAINING AGENCY REQUIREMENTS HERE

• CRT (EMT-I) and EMT-P– PASTE LOCAL EMS OPERATIONAL

PROGRAM AND TRAINING AGENCY REQUIREMENTS HERE

Maryland Institute for Emergency Medical Services Systems

EMT-B Curriculum

• 131-hour EMT-B Curriculum– 1-Preparatory– 2-Airway– 3-Patient Assessment– 4-Medical – 5-Trauma– 6-Infants & Children– 7-Operations

Maryland Institute for Emergency Medical Services Systems

EMT-I Curriculum

• Approximately 300 hour EMT-I Curriculum– 1-Preparatory– 2-Airway Management and Ventilation– 3-Patient Assessment– 4-Trauma– 5-Medical– 6-Special Considerations– 7-Assessment Based Management

Maryland Institute for Emergency Medical Services Systems

EMT-P Curriculum

• Approximately 1000-1200 hour EMT-P curriculum– 1-Preparatory

– 2-Airway Management and Ventilation

– 3-Patient Assessment

– 4-Trauma

– 5-Medical

– 6-Special Considerations

– 7-Assessment Based Management

– 8-Operations

Maryland Institute for Emergency Medical Services Systems

Local Operational Policies & Procedures

• PLACE ANY/ALL POLICIES PROCEDURES HERE

Maryland Institute for Emergency Medical Services Systems

Permitted Skills and Medications

• Refer to Appendix B of the Maryland Medical Protocols for EMS Providers.

• Candidates should not exceed the predefined scope of practice as defined in the State protocols.

Maryland Institute for Emergency Medical Services Systems

Summary

• Preceptor terminology

• Roles, responsibilities and expectations of the Field Preceptor;

• Requirements of Candidates;

• Documentation for the Field Preceptor;

• BLS and ALS curricula;

• Local operational policies & procedures;

• Permitted skills and medications