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Level 55

EMS Systems: Roles, Responsibilities, & Profession


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Advanced Life Support (ALS)
The provision of care that paramedics or allied health professionals render, including advanced airway management, defibrillation, intravenous therapy, and medication administration.
Basic Life Support
Care provided by persons trained in first aid, cardiopulmonary resuscitation, and other non-invasive care.
Certification
A process by which authority is granted to a person to take part in an activity. This person has to meet certain qualifications.
Code of Ethics
A set of guidelines that are designed to set out acceptable behaviors for members of a particular group, association, or profession.
Continuous Quality Improvement
a management approach to customer service and organizational performance that includes constant monitoring, evaluation, decisions, and actions.
Credentialing
A local process that allows a paramedic to practice in a specific EMS agency (or setting)
Emergency Medical Services
A national network of services coordinated to provide aid and medical assistance from primary response to definitive care; the network involves personnel trained in rescue, stabilization, transportation, and advanced management of traumatic and medical emergencies.
Extended Scope of Practice
The expansion of health care services provided by emergency medical services personnel in the prehospital setting.
Licensure
A process of regulating occupations through licenses granted by a government authority.
Managed Care Organizations
networks that provide patient care services to their members, including health maintenance organizations and preferred provider organizations.
Medical Oversight
The ultimate responsibility and authority for the medical actions of an EMS system; usually provided by one or more physicians
Off-line (indirect) medical direction
the establishment and oversight of all medical components of an EMS system, including protocols, standing orders, educations programs, and the quality and delivery of online (direct) medical direction.
Online (direct) medical direction
The medical direction physician or designee who directly supervises prehospital care activities via radio or phone. Online (direct) medical direction also may be responsible for the activities of the emergency department staff and others at the medical direction hospital.
Paramedic
A person who has completed training consistent with the National EMS education standards, including advanced training in clinical decision making, patient assessment, cardiac rhythm interpretation, defibrillation, drug therapy, and airway management.
Patient Care Report
A document used in the prehospital setting to record all patient care activities and circumstances related to an emergency response.
Peritracheal
Situated or occurring in the tissues surrounding the trachea.
Registration
The act of enrolling one's name in a register, or book of record.
Reciprocity
The practice of granting an individual licensure or certification/registration based on licensure or certification/registration by another state, agency, or association.
Standing orders
specific treatment protocols used by prehospital emergency care personnel in the absence of online (direct) medical direction
Treatment protocols
Guidelines that define the scope of prehospital intervention practiced by emergency services personnel
World War 1
-Poor planning (no field hospitals) caused excessive evacuation times of 12-18 hours
World War 2
-Evacuation time for wounded decreased to 4-6 hours
Korean War
-Evacuation time averaged 2-4 hours
EMSS Act (Emergency Medical Service Systems)
This act paved the way for states to benefit from federal funds
15 Required components of The EMS system
Manpower, training, communications, transportation, facilities, critical care units, public safety agencies, consumers, access to care, transfer of patients, medical record keeping, consumer information and education, review and evaluation, disaster linkage, mutual aid.
COBRA Consolidated Omnibus Budget Reconciliation Act
This act consolidated EMS funding into state preventive health services block grants. As a result, funding under the EMSS act was eliminated.
Health Resources and Services Administration (HRSA) 1996 (The Agenda)
Published a consensus paper that was held in high regard. This document, the Emergency Medical Services Agenda for the Future. The intent of the document was meant to help guide planning, decision making, and policy regarding EMS.
14 attributes for EMS identified by the Agenda
integration of health services, EMS research, Legislation and regulation, system finance, human resources, medical direction, education systems, public education, prevention, public access, communication systems, clinical care, information systems, evaluation.