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Roles & Responsibilities Roles & Responsibilities of the Paramedicof the Paramedic
Chapter 1Chapter 1
CASE STUDY DISCUSSIONCASE STUDY DISCUSSION
Read the Case Study on Pages 4 Read the Case Study on Pages 4 and 5and 5
ObjectivesObjectives
State the major purposes of the State the major purposes of the National Registry of Emergency National Registry of Emergency Medical Technicians. Medical Technicians.
Describe the major benefits of Describe the major benefits of subscribing to professional subscribing to professional journals. journals.
ObjectivesObjectives Define the role of the EMT-Define the role of the EMT-
Paramedic. Paramedic. Define and give examples of Define and give examples of
professional ethics. professional ethics. Define and give examples of Define and give examples of
behavior that characterizes the behavior that characterizes the health care professional. health care professional.
ObjectivesObjectives
List the duties of the EMT-List the duties of the EMT-Paramedic in preparation for Paramedic in preparation for handling emergency medical handling emergency medical responses. responses.
List the duties of the EMT-List the duties of the EMT-Paramedic during an emergency Paramedic during an emergency response.response.
ObjectivesObjectives List the duties of the EMT-List the duties of the EMT-
Paramedic after an emergency Paramedic after an emergency response. response.
List the post-graduation List the post-graduation responsibilities of the EMT-responsibilities of the EMT-Paramedic. Paramedic.
Recognize differences among Recognize differences among certification, licensure, and certification, licensure, and reciprocity. reciprocity.
Objectives Objectives State the benefits and State the benefits and
responsibilities of continuing responsibilities of continuing education for the Paramedic. education for the Paramedic.
List the duties of the Paramedic List the duties of the Paramedic during an emergency response. during an emergency response.
List the duties of the Paramedic List the duties of the Paramedic after an emergency response. after an emergency response.
ObjectivesObjectives List the postgraduation responsibilities List the postgraduation responsibilities
of the EMT-Paramedic. of the EMT-Paramedic. Recognize differences among Recognize differences among
certification, licensure, and reciprocity. certification, licensure, and reciprocity. State the benefits and responsibilities State the benefits and responsibilities
of continuing education for the EMT-of continuing education for the EMT-Paramedic. Paramedic.
ObjectivesObjectives State the major purposes of a State the major purposes of a
national organization. national organization. List some national organizations List some national organizations
for EMS providers. for EMS providers. State the major purposes of the State the major purposes of the
National Registry of Emergency National Registry of Emergency Medical Technicians. Medical Technicians.
ObjectivesObjectives Describe the major benefits of Describe the major benefits of
subscribing to professional subscribing to professional journals. journals.
State the major purposes of a State the major purposes of a national organization. national organization.
List some national organizations List some national organizations for EMS providers. for EMS providers.
ObjectivesObjectives
State the major purposes of the State the major purposes of the National Registry of Emergency National Registry of Emergency Medical Technicians. Medical Technicians.
Describe the major benefits of Describe the major benefits of subscribing to professional subscribing to professional journals. journals.
Emergency Medical Emergency Medical ServicesServices
Complex health care system that Complex health care system that provides immediate, on scene provides immediate, on scene patient care to those suffering patient care to those suffering from illness or injury.from illness or injury.
What is a Paramedic?What is a Paramedic?
By the side of the DoctorBy the side of the Doctor Highest Trained Prehospital ProviderHighest Trained Prehospital Provider Primary Responsibility is Patient CarePrimary Responsibility is Patient Care Provide support to family members or Provide support to family members or
bystandersbystanders
Ambulance crew of 1958. Ambulance crew of 1958.
Disadvantages of the 1958 Disadvantages of the 1958 System System
No Trained PersonnelNo Trained Personnel No StandardsNo Standards No Emergency Access NumbersNo Emergency Access Numbers
Compare the Patient Care Compare the Patient Care Between the scenerios. Between the scenerios.
Provide Professional Level of Provide Professional Level of Patient CarePatient Care
Able to begin treatments Able to begin treatments immediatelyimmediately
Multiple Casuality Incident and Multiple Casuality Incident and ProceduresProcedures
Incident Command ProceduresIncident Command Procedures
Introduction to Emergency Introduction to Emergency Medical Services Medical Services
• Need for realistic expectations of Need for realistic expectations of paramedic practiceparamedic practice
• Paramedic job description and Paramedic job description and responsibilitiesresponsibilities
• The challenges of becoming a The challenges of becoming a paramedicparamedic
Changes in the FieldChanges in the Field
Pre-1966 Pre-1966 environmentenvironment
White PaperWhite Paper US Dept. of US Dept. of
TransportationTransportation
Dr. J. Frank Dr. J. Frank Pantridge Pantridge
First Paramedic First Paramedic ClassClass
Impact of TV Impact of TV Show Show “Emergency” “Emergency”
Pre-1966 EMSPre-1966 EMS
Poorly trained techniciansPoorly trained technicians Minimal EquipmentMinimal Equipment No MD involvementNo MD involvement No Radio CommunicationsNo Radio Communications No Systematic ApproachNo Systematic Approach
Impact of the “White Impact of the “White Paper”Paper”
National Report Published in 1966National Report Published in 1966 Exposed deficiencies in emergency Exposed deficiencies in emergency
medical caremedical care Outlined suggestions for Outlined suggestions for
improvementsimprovements
US Dept of TransportationUS Dept of Transportation
Responsible for Implementing EMT Responsible for Implementing EMT StandardsStandards
Developed Course CurriculumsDeveloped Course Curriculums Standardized Equipment Standardized Equipment
RequirementsRequirements
Dr. Frank Pantridge M.D.Dr. Frank Pantridge M.D.
Royal Victoria Hospital in Belfast, Royal Victoria Hospital in Belfast, IrelandIreland
Introduced the concept of Pre-Introduced the concept of Pre-hospital providershospital providers
Predates US Legislature for EMT’sPredates US Legislature for EMT’s
Dr. Eugene Nagel M.D.Dr. Eugene Nagel M.D.
University of Miami School of University of Miami School of MedicineMedicine
Trained the first U.S. Paramedics in Trained the first U.S. Paramedics in MiamiMiami
Los Angeles, Seattle and Columbus Los Angeles, Seattle and Columbus soon followed in training programs.soon followed in training programs.
The Cultural Impact The Cultural Impact “Emergency!”“Emergency!”
Professional Ethics Professional Ethics
Standards of conduct designed for Standards of conduct designed for the patient's benefitthe patient's benefit
Oath of Geneva, EMT Oath, EMT Oath of Geneva, EMT Oath, EMT Code of Ethics Code of Ethics
Legal obligations vs. ethical Legal obligations vs. ethical responsibilitiesresponsibilities
Professional Ethics Con’tProfessional Ethics Con’t
The art and science of pre-hospital The art and science of pre-hospital EMSEMS– Delivering a highly technical level of Delivering a highly technical level of
patient carepatient care– Having compassion and respect for Having compassion and respect for
human dignityhuman dignity
Professionalism in EMSProfessionalism in EMS
Promotes high-quality patient carePromotes high-quality patient care Takes pride in the professionTakes pride in the profession Sets high goalsSets high goals Earns respect and confidence of crew Earns respect and confidence of crew
membersmembers Professional and nonprofessional Professional and nonprofessional
behaviorsbehaviors Maintaining a professional attitude Maintaining a professional attitude
through effortthrough effort
The Role of the ParamedicThe Role of the Paramedic
emerchnge.wav
Basic Duties of the Basic Duties of the ParamedicParamedic
Provide competent emergency Provide competent emergency medical care medical care
Provide emotional support for patient Provide emotional support for patient and familyand family
Provide for the well-being of the Provide for the well-being of the patientpatient
Preparatory DutiesPreparatory Duties Medical knowledge*Medical knowledge* Skill mastery*Skill mastery* Knowledge of local Knowledge of local
treatment treatment protocols*protocols*
*All of these duties *All of these duties are desirable, but are desirable, but the first 3 are the first 3 are mandatorymandatory
Knowledge of Knowledge of system system particularsparticulars
Physical fitnessPhysical fitness Psychological Psychological
wellnesswellness
Leadership characteristicsLeadership characteristics
Self-confidence Self-confidence Established credibility through field Established credibility through field
workwork Inner strength, always in control Inner strength, always in control Ability to communicateAbility to communicate Decisive, accepts responsibilityDecisive, accepts responsibility
Duties During an Duties During an Emergency Emergency
Scene size-up and safetyScene size-up and safety Needs determination and communicationNeeds determination and communication Patient assessment and assignment of Patient assessment and assignment of
priorities of carepriorities of care Development of a treatment plan and Development of a treatment plan and
initiation of careinitiation of care Assessment of the effects of treatmentAssessment of the effects of treatment Establishment of contact with medical Establishment of contact with medical
controlcontrol Patient transportationPatient transportation Maintenance of rapport with the patient Maintenance of rapport with the patient
Duties After an Emergency Duties After an Emergency
Restocking and cleaning vehicleRestocking and cleaning vehicle Completion of full and accurate Completion of full and accurate
documentation of the calldocumentation of the call Call review and critique with team Call review and critique with team
membersmembers Critical-incident stress recognitionCritical-incident stress recognition
Post-Graduate Post-Graduate Responsibilities Responsibilities
Types of professional recognitionTypes of professional recognition Maintenance of knowledge and Maintenance of knowledge and
skillsskills
Professional RecognitionProfessional Recognition
Certification Certification Licensure Licensure ReciprocityReciprocity
Maintain Knowledge & Maintain Knowledge & SkillsSkills
Refresher classesRefresher classes Attending Attending
seminars seminars
Practicing skillsPracticing skills Reading journalsReading journals
Teaching Public Education Teaching Public Education ClassesClasses
CPRCPR EMS system education EMS system education
Continuing Education Continuing Education
Combating erosion of knowledge and Combating erosion of knowledge and skills skills
Obtaining new information and skills Obtaining new information and skills Types of educational formats Types of educational formats
available available Importance of keeping current Importance of keeping current
Professional Organizations Professional Organizations
Forums for sharing ideas and Forums for sharing ideas and information information
Provide paramedic with a voice in Provide paramedic with a voice in EMS-related issues EMS-related issues
Serve as clearinghouses for Serve as clearinghouses for continuing education continuing education
National EMS National EMS Organizations Organizations
National Association of EMT’s National Association of EMT’s National Flight Paramedics Association National Flight Paramedics Association National Association for Search and National Association for Search and
Rescue Rescue National Council of State EMS Training National Council of State EMS Training
Coordinators Coordinators National Association of State EMS National Association of State EMS
Directors Directors National Association of EMS Physicians National Association of EMS Physicians
National Registry National Registry Assists in developing/evaluating Assists in developing/evaluating
EMT training programs EMT training programs Establishes qualifications for Establishes qualifications for
registration and re-registration registration and re-registration Establishes national minimum level Establishes national minimum level
of competencyof competency Serves as a tool for interstate Serves as a tool for interstate
reciprocityreciprocity
Professional Journals Professional Journals
The importance of subscribing to The importance of subscribing to an EMS journal an EMS journal
Keeping current through reading Keeping current through reading Opportunities to publish articles Opportunities to publish articles Continuing education credits Continuing education credits