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Chapter 1 EMS Systems

EMS Systems. Emergency Medical Services (EMS) Systems Define EMS systems. Describe History of EMS. Describe Roles/responsibilities of EMS personnel

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Page 1: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

Chapter 1

EMS Systems

Page 2: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

Emergency Medical Services (EMS)

Systems

Define EMS systems.

Describe History of EMS.

Describe Roles/responsibilities of EMS personnel.

Discuss the purpose of the EMS Quality improvement

OBJECTIVES OF EMS

Page 3: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

System consists of a team of health care professionals who in each area ,are responsible for and provide emergency care and transportation to the sick and injured patients

DEFINITION OF The EMS System

Page 4: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

1485

◦First use of an ambulance

◦Transport only 1800s

◦First use of ambulance/ attendant to care for injuries on site

1926

◦Service started

◦similar to present day

1940s

◦EMS turned over to fire and police departments

The History of EMS

Page 5: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

Certification examination:

◦ Ensures all health care providers have the same basic level of

knowledge and skill

◦ Once you pass certification you can apply for state licensure.

Licensure, Certification, and Registration

Page 6: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

Licensure:

Also known as

certification

Unlawful to practice

without licensure

Holding a license shows

you:

Completed initial

education Met the requirements to

achieve the license Paramedics are required

to receive medical direction.

Licensure, Certification, and Registration

Page 7: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

1. EMT-B (Basic)

2. EMT-I/85 (Intermediate)3. EMT-I/99 (Intermediate or

Advanced)4. EMT-P (Paramedic )

EMT LEVELS

Page 8: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

As a paramedic, you must:◦ Develop care plan

◦ Decide on transport method

◦ Determine receiving facility

◦ Be active in your community.

The EMS System

Page 9: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

1/ First Responder

♦ Scene assessment ♦ Patient assessment ♦ CPR ♦ Oxygen therapy ♦ Patient stabilization and movement ♦ Splinting ♦ Bandaging

2/ Emergency Medical Technician- Basic

♦ Non-visualized airways ♦ Spinal immobilization ♦ Medications patient assisted medications (inhalers)) ♦ Intravenous line mainten

Page 10: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

3/ Emergency MedicalTechnician – Intermediate

♦ Endotracheal intubation ♦ Intravenous and nebulizer medications (limited to 23) ♦ Expanded 3-lead ECG interpretations ♦ External cardiac pacing ♦ Needle chest decompression ♦ Cardioversion

4/Emergency Medical Technician – Basic Advanced

♦ Intravenous therapy initiation ♦ Automated or manual defibrillation ♦ ECG interpretation ( ventricular tachycardia, ventricular fibrillation, pulseless electrical activity)

Page 11: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

5/ Paramedic

♦ Expanded anatomy and physiology ♦ Intravenous therapy ♦ Injectable and narcotic analgesic medications as trained and approved by physician medical director ♦ Surgical airway ♦ Cardiac monitoring and external pacing ♦ Chest decompression ♦ 12-lead ECG interpretation

Page 12: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

Public safety agents◦ Some have EMS

training Can better perform

certain functions than you

◦ Interagency cooperation benefits patient

Working With Other Professionals

© Mark C. Ide

Page 13: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

Roles and Responsibilities

© D

an M

yers

Page 14: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

Teach the community about prevention of injury and illness.◦ Appropriate use of

EMS◦ CPR training

Roles and Responsibilities

Courtesy of Captain David Jackson, Saginaw Township Fire Department

Page 15: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

A-Preparation -physical, mental ,emotional -Knowledge and skill abilities-equipment appropriate and in working order B- Response-timely-safe C- Scene management -safety of you and your team -assessing situation -personal protective equipment

Role and responsibility

Page 16: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

Patient assessment and care

-appropriate ,organized assessment

• -recognize and prioritize patient need

• Patient transfer and report

• -give brief ,concise ,hand –off report

• -protect patient privacy

• Documentation

• -fill out patient care report

• Return to service

• Restock and prepare unit

Page 17: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

Continuous quality improvement (CQI)

◦ Tool to continually evaluate care

◦ Quality control

◦ Process of assessing current practices, looking

for ways to improve

◦ Dynamic process

Improving System Quality

Page 18: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

Review ambulance runs when possible.

Focus of CQI is improving care

CQI can be a peer review.◦ Be professional◦ Should be a

constructive process

Improving System Quality

Page 19: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

CQI programs help

prevent problems

by:

◦ Evaluating day-to-

day operations

◦ Identifying possible

stress points

Look for ways to

eliminate human

error.

◦ Ensure adequate

lighting

◦ Limit interruptions

◦ Store medications

properly

Improving System Quality

Page 20: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

Ways to eliminate human error

◦ Be careful when handing patients off.

◦ Three main sources of errors:

Rules-based failure

Knowledge-based failure

Skills-based failure

Improving System Quality

Page 21: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

Ways to eliminate human error

◦ Agencies need clear protocols.

◦ Be aware of your environment.

◦ Ask yourself “Why am I doing this?”

◦ Use cheat sheets.

◦ Be conscientious of protocols.

Improving System Quality

Page 22: EMS Systems. Emergency Medical Services (EMS) Systems  Define EMS systems.  Describe History of EMS.  Describe Roles/responsibilities of EMS personnel

THANK YOU