EMPACT 2012 Rezo Medikal Aysian

Port Au Prince Medic One

EMT Class II Project Completion and Progress Report

Prepared By Armadeus Davidson PM, HCA-F

Executive Director

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Table of Contents ______________________________________________________________________ RMA/Port Au Prince Medic One Introduction Rezo Medikal Ayisyen (RMA) –Formerly PAPMO

EMT Class II Haitian EMT Instructors EMT Class II Students Course Curriculum Overview Instructor Report

Financial Due Diligence Summary EMT Course II Delivery Rezo Medikal Ayisyen Deployment Totals

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RMA/Port Au Prince Medic One A EMS Governance Project

______________________________________________________________________________________

INTRODUCTION EMPACT Northwest & Rezo Medikal Ayisyen EMT’s

In September of 2011, EMPACT Northwest graduated Haiti’s first US standard Emergency Medical Technician Basic level providers. In 2012, EMAPCT and other organizations dedicated to Haitian comprehensive Emergency Medical Services formed a working consortium Rezo Medikal Ayisyen (R.M.A.).

April 2012, EMPACT NW organized and is hosting the second EMT class at the EMAPACT Haiti House. The focus of this course is utilization of current Haitian EMT’s from the previous EMPACT/PAPMO course, as well as EMT’s from the Haitian Organization Gwoup Ayisyen pou Ijans (G.A.I.). GAI is an all Haitian organization established following the 2010 Earthquake. GAI continues to receive support from the EMS community of New York State, including FDNY EMS via the Banshee/Alliance01 Organization.

The goal of the EMPACT NW/PAPMO program is not only to educate additional EMT’s for the city of Port Au Prince, but also to promote and educate Haitian EMT instructors. As the Haitian EMS capacity grows, the need for experienced and educated EMS providers will also grow. All R.M.A. consortium members are committed to producing an effective, sustainable all-Haitian EMS system. Education is the first step.

R.M.A. Consortium is currently working with the above partnerships and in collaboration with the Haitian Ministry of Health (MSPP), Haitian National Police, various city hospitals, and seeking partnerships with the newly established 116 Haitian Ambulance communication center.

Below are photos and notes from the field as this year’s first EMT course progresses.

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Rezo Medikal Ayisyen (PAPMO) Besides creating an effective ambulance service, EMPACT NW believes that Haitian citizen

involvement is critical to minimizing pre-hospital injury and death. To this end we are

committed to educating an ALL-HAITIAN professional pre-hospital providers and

educators who will in turn be tasked with delivering advanced medical training to groups

such as the to the public and other government entities. In 2012, EMPACT Northwest has

committed to the successful development and assistance of EMPACT Haiti as an affiliate

member of RMA.

EMPACT Haiti administrators Pierre Dukkens and his staff will pursue the registration of

EMPACT Haiti as an official Haitian NGO. They will also register and partner with the MSPP

(Haitian Minister of Health). This is an all Haitian managed and administered operation

with the support of EMPACT Northwest.

As EMPACT Haiti moves forward, we have recognized the importance of partnerships. The

RMA alliance is a network of NGO’s, multinational government organizations and Haitian

Hospital systems who are interested in the creation of an effective pre-hospital system in

Haiti.

The RMA Alliance members have supported or participated in the EMS efforts to date.

To date, we have established partnerships with the following organizations and individuals

who have been instrumental in the success of this program.

Dr. Enrique Ginzburg, Project Medishare Miami, USA

Rachel Belt, Project Medishare, Port Au Prince, Haiti

Dr Estimable Eniel, Hospital Bernard Mev’s-PAPMO Haitian MPD candidate,

Port Au Prince, Haiti

William Black, St John Ambulance, Canada (F.A.I.T.H. HNP basic medical aid training)

Joseph Jean Tardee, Haitian National Police, Medical Aid Master Instructor,

HNP National Academy, Tabarre, Haiti

Gerard Jr Prevot, Haitian Emergency Group

Walter Adler, Banshee organization

Jason Friesen, Project Hope

Dominique Valentin, JP/HRO

Dr. Henry Paul, NOAH NY

Marc Julmisse, Adventist Hospital Haiti

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EMT CLASS II

________________________________________________ ____________________________ Haitian EMT Instructors With the completion of the second PAPMO EMT course, EMPACT Northwest was also able to educate and certify three Haitian EMT Instructors. Pierre Duckens, Claudel Gedeon of EMPACT Haiti and Gerard Prevot Jr of GAI. With this certification, the RMA EMT Instructor core can now teach EMT, First Responder and first Aid courses for partner organizations operating in Haiti. Haitian Instructors: Gerard Prevot Jr, EMT, GAI Pierre Duckens, EMT, EMPACT Haiti-Project Medishare Claudel Gedeon, EMT, EMPACT Haiti-Project Medishare US Instructors: Eric Adman, Paramedic, Course Coordinator Mark Baker, Paramedic, Senior Instructor Walter Adler, EMT, Senior Instructor Dave York, RN, Instructor Cory Freeborn, Paramedic, Senior Instructor Josh Sparkman, EMT, Instructor Christine Dixon, Paramedic, Senior Instructor Phillip Bohlman, EMT, Instructor Kate Earle, WEMT, Senior Instructor Dave Smith, WEMT, Independent Duty Medic, Senior Instructor Mark Gregg, Paramedic, Senior Instructor Jody Denny, EMT, Instructor Jill Simmons, EMT, Instructor Jamie Watts, EMT, Instructor Chris Lusk, Paramedic, Senior Instructor

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EMT Instructor Claudel Gedeon delivering a course, Gerard Prevot Jr presenting an EMT certification.

Eric Adman, Course Coordinator and EMPACT Haiti Director Pierre Duckens instructing students.

EMT Class II Students Abouzeide Ronald Belice Mackenson Brute Jonas Celisier Jean Maxon Compere Globensky Dieudonne Shibline Exume Jean Charite Jules Ricot Lahens Rutza Manigat Yves Marc Junior Lormis Marc-Arther Saint Vil Maxo Loachim Myriam Hyppolite Paulina Sonia

Plaisimond Emmanuella Polymus Wilnick Prime Ferdinand Riche Larmartiniere Brutus Saint-Fleurs Leonce Samuel Solomon Mackentoch Tibe Guerrier Alincks Innocent Neo-Ephraim James Pierre Jean-Baptiste Pierre Jim Hunter Celestin Joseph A Josette Jouloute Jonas

EMPACT NW and EMPACT Haiti Instructors teaching PAPMO Class II.

EMT Curriculum Overview

Curriculum

The curriculum is based on the standard EMT-B course, with some deletions and some

additions to tailor the course to the environment a Haitian EMT will be working in.

Reference material includes the following:

AAOS Emergency Care & Transportation of the Sick & Injured, 9th edition (“AAOS”)

LAHAF / GAI Emergency Healthcare Provider Course (“GAI”)

WEMT / remote medical protocols (“Remote”)

Instructors

Instructors will be primarily US-trained paramedics and EMT’s. Empact Northwest and the

Banshee organization, both of whom completed recent EMT courses in Haiti, will provide

instructors. Empact Haiti and GAI will provide Haitian instructors-in-training.

The course will have the following instructor structure -A minimum of one senior

instructor, one junior instructor, and one Haitian instructor-in-training will always be

present to conduct training. During more personnel-intensive sections, such as MCI drills,

more instructors will be present.

Roles are as follows:

Senior / QA instructors – experienced EMS instructors with experience working in

Haiti. Administer, provide quality assurance, co-instruct.

Junior instructors – co-instruct with Senior/QA instructors. Varying levels of

teaching and deployment experience.

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Haitian instructors-in-training – recent graduates from PAPMO and GAI EMT

courses will help deliver curriculum material, translate where needed, and help

administer practical drills. The intent is to develop them as future course

instructors.

Prerequisites for this course

Recommended but not required – Completion of the Creole language First Aid

course being offered by St. John’s at the Haitian National Police training facility.

William Black, program coordinator for St. John’s, will facilitate scheduling students

for class openings.

Required – Ability to communicate in English and familiarity with basic medical

terminology.

Daily guidelines/goals

Reading requirements will be approximately 40 pages per day, or 200 pages per

week

Daily quizzes will be given to assess the students’ level of retention

Students will practice patient interviews and patient exams appropriate to topics of

the day. NREMT skills sheets will be used when appropriate to document skills

assessments.

Weekly guidelines / goals

Monday-Friday will be lectures and practical drills at the Aimer Haiti classroom

location. Class hours will run from 9am-12pm, one hour lunch, and then 1pm to 4 or

5 pm depending on need.

Saturdays will be hands-on patient assessment practice at Medishare. The intent is

to have half the students rotate through in the morning, from approximately 9 am-

1pm, and half rotate through in the afternoon, from 1-5 pm. Patient contacts should

be documented using the SOAP format. Students will work under the supervision of

experienced EMT’s.

Course summary

Weeks 1-5 – Review of EMT-B curriculum and development of exam skills

Week 6 – Coverage of remote medicine concepts appropriate to Haiti

Week 7 – IMS/MCI lectures and MCI practical drills

Week 8 – Final Written and Practical Exams and Graduation

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Final Instructor Report Dear project partners and supporters -

I am happy to report that we have a class of successful EMT graduates as of Friday, May 25! Thank you to everybody who worked so hard to make this class a success, and there have been many - I will probably forget some, so apologies in advance. Thank you to:

All of our donors and supporters without whom we could not have put on the class

The Curriculum Committee who did the planning and helped develop curriculum material

All our EMPACT volunteers, who helped recruit instructors and coordinate volunteer deployments

Our Haitian lead instructors, Claudel Gedeon, Gerard Prevot, and Pierre Duckens, who worked extremely hard, delivering training and doing translations

Our U.S. instructors, who also worked very hard to keep the class on track and who each individually contributed a lot

Madame, who kept us all fed, and Francoise, who kept the school/house in order

Dominique Valentin from JPHRO who gave us great support and allowed us to work with JP clinics

Marc Julmisse from Adventist Hospital who made sure her students could still attend when we had to move to a distant school location

Rachel Belt, Kim Wachenfeld, and Adrian from Project Medishare who shared resources and allowed Medishare employees to participate

William Black from Saint John's Ambulance, who supplied us with top students and supported us every step of the way

Walter Adler and the Banshee organization, who helped teach and recruit support for the project

Pastors John Booker and Marc Olsen of the Foursquare Church, who once again extended their hospitality and let us use the church for graduation, and made sure everything worked

Photographer Justin Thomas from Banshee who took photos and video of the graduation

Our outstanding group of students, who put heart and soul into this class

For me, and I think I can speak for everyone who participated in this project, this has been a great experience. I have developed a tremendous respect and affection for the Haitian people having worked in Haiti several times now, and that is what keeps me coming back for the next project. So thank you again, everybody, for helping to make this class a success.

-ERIC ADMAN, RMA/PAPMO EMT Class II Coordinator

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EMT Students were trained to American Heart Association First Aid/CPR Guidelines

2011 EMPACT Haiti, PAPMO Financial Summary ______________________________________________________________________________ (January-June 2012) Deposited Funds $26,710 Disbursements $26,219 Balance $491

PAPMO Administrative Expenses $5044.66

Instructor Deployment Expenses $5100.00

EMPACT House/Facilities &

In Country Operational Expenses $13,475.00

EMPACT Staff Salaries $2600.00

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Revenue

Volunteer Funded Teams after fixed costs

March (Clinical) 3460 1760

April (Clinical) 2600 900

April (Instructors) 1300 1300

May (Clinical) 1200 1200

May (Instructors) 3250 1550

11810 6710

Revenue From Deployments 6710

Revenue From General Fund 5500

Global Giving (December 2011) 10500

Global Giving (Jan-April) 4000

26710

Class II Course expense 16075

PAPMO RMA 4500

Housing/Capitol Purchases 4500

Remaining Balance 1635

Expenses

Salaries Per Month Per Week Single Purchase

Lead Haitian Instructors x1 300 *

Instructor Students x2 300 *

House Cook (Lunch) 100

House Keeper 75

Interns (For EMT job Backfill)

$70/mo each intern steipend) 700

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House Expenses

Fuel/Water/Propane/etc. 100

Hired Tap-Tap 300

Food x20 200

Misc. 100

Course Materials/Tech

Textbooks (125 ea.) x30 Donated

Printing/Office 50

Internet 200

Ovehead Projector (New) 375

Instructor Laptop (refurbished) 200

US Instructor Travel

6 US Instructors Supplemented 5100

1500 925 5675

Two Month/Eight Weeks 3000 7400 5675

TOTAL COST

PAPMO RMA Conference (January 2011)

Includes:

Housing, capitol exp, vehicle

Facilities, 2011 Housing Utilities connection, etc 8115

First Half 2012 EMPACT Haiti/PAPMO Team Deployments

Total Medical Teams 6 Medical Teams

Instructor Teams 7 Instructor Teams

Administrative Teams 1 Team

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For further Information: Armadeus Davidson PM, HCA-F Executive Director EMPACTNorthwest.org empactarmadeus@gmail.com