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Chapter 1Roles and Responsibilities of the
EMT-Intermediate
Objectives
Differentiate between the EMT-B, EMT-I, and EMT-Paramedic
Relate roles and responsibilities of the EMT-I
Define the terms certification and licensure
State the role of the NREMT
Objectives Recall the benefits of subscribing to
professional journals
Identify the benefits of teaching in community
Define the terms ethics and professionalism
List behaviors that are considered professional
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9/11/2012
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Objectives
Describe appropriate appearance
Relate the meaning of EMT-I certification
Discuss why it is important to keep certification/licensure current
List three reasons why continuing education is important
Objectives
Identify five attributes of ethical conduct
State the major purposes of NAEMT
What is an EMT-Intermediate?
An EMT who has completed training beyond EMT-B level Varies widely by state
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Other Levels of EMT Certification
First responder A trained person who provides initial care until
EMS providers arrive on scene• Uses a limited amount of equipment
Other Levels of EMT Certification
EMT-Basic An EMT who has completed a training program
that meets DOT standards
EMT-Paramedic An EMT who has advanced training
• Most advanced level of certification
Role of EMT-I
To provide basic and advanced care to persons experiencing medical and traumatic emergencies
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Responsibilities of EMT-I Ensure safety of self and other responders
Drive vehicle to scene in safe, timely, lawful manner
Use protective equipment
Interact with first responders
Responsibilities of EMT-I
Control scene, ensure safety, regulate access
Determine needs, communicate to dispatch, request supportive agencies as needed
Use basic tools and techniques to gain access to and extricate entrapped patients
Establish rapport with patients, maintain their confidentiality, shield from onlookers
Responsibilities of EMT-I Treat patients with dignity, compassion, and
respect
Rapidly assess and manage life threats
Perform a careful patient assessment, recognize nature and severity of the event, determine requirements for emergency medical care
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Responsibilities of EMT-I Provide prompt and efficient care
Assess the effects of treatment
Establish communications with medical direction
Recognize limits of field care and when prompt transport is appropriate
Responsibilities of EMT-I
Move patients in a way that minimizes discomfort and prevents further injury
Transport safely and expeditiously
Transfer care in an orderly and efficient manner
Properly complete run sheet
Responsibilities of EMT-I
Prepare for next incident
Recognize when patient transport is not indicated and follow protocols
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Certification Process
EMT-I training
Knowledge and skill examinations State or National Registry of Emergency Medical
Technicians (NREMT) examination
Credentialing
Reciprocity
National Registry ofEmergency Medical Technicians
Private, nonprofit agency
Provides testing and registration nationally
Candidates must: Successfully complete EMT-I training program that
meets DOT standards
Successfully pass written and practical skills testing of NREMT
Recertification
Requirements vary by state Refresher course, CE, and/or testing
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Continuing Education (CE)
Benefits of CE Assures public that quality patient care is being
delivered
Reduces erosion of knowledge and skills
Keeps EMT-I current on new procedures and treatments
Allows sharing of experiences
Encourages professional development
CE Opportunities
In-service training programs
National “weekend” courses
Seminars, conferences
Run critiques
Textbooks, journals, magazines
Videos
Software
Online CE courses
Benefits of Professional Journals
Latest industry changes
CE
Employment opportunities
Seminars/conferences
New products/equipment
Job tips
Book, video reviews
Opportunity to submit article
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Professionalism
Necessary to: Promote quality patient care
Instill pride in profession
Promote high standards
Earn respect of other members of healthcare team
Professional Conduct
Professional manner
Appearance
General conduct
Concern for patient
Treating others with respect
Personal improvement
Ethics
Character
Set standards for rightness and wrongness of human behavior
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Examples ofUnethical/Illegal Behavior
Make a statement about colleague’s perceived faults
Solicit patient for date
Give attorney’s business card to patient
Discourage noninsured patient from going to hospital
Fail to maintain patient confidentiality
NAEMT Code of Ethics
Accept and fulfill obligations to society and profession
Conserve life, alleviate suffering, promote health, do no harm, encourage quality and availability of emergency medical care
Provide unrestricted services based on human need, respect for dignity
Does not use professional knowledge for detriment to public well-being
NAEMT Code of Ethics
Respect and hold patient information confidential unless divulgence required by law
Understand and uphold law, perform duties of citizenship, work to promote high standards of emergency medical care to all
Maintain professional competence, demonstrate concern for competence of other EMS providers
Define and uphold standards of professional practice and education
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NAEMT Code of Ethics
Assume responsibility for individual professional actions and judgment, know and uphold laws that affect practice
Be aware of and participate in matters of legislation affecting EMT and EMS system
Adhere to standards of personal ethics
Advertise professional services in conformity with dignity of profession
NAEMT Code of Ethics
Do not delegate any service to a person less qualified
Work harmoniously with, and sustain confidence in, colleagues
Refuse to participate in unethical procedures, assume responsibility to expose incompetence or unethical conduct in a proper and professional manner
Patient Confidentiality
Hold patient care in strict confidence
Unethical to divulge: Patient names
Details of illness or care
Any other aspects of care
Exceptions per HIPAA
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Benefits of EMS Organizations
Educational opportunities
Newsletters
Representation on local, state, national issues
National Association of EMTs
Goals Serve needs of EMTs throughout country
Promote professional status of EMTs
Encourage constant upgrading of education and abilities of EMTs
Strive for national standard of recognition for skills and abilities of EMTs
Summary
EMT-Is are advanced prehospital care providers
Certification involves completion of DOT requirements and demonstration of skills on examination
EMT-Is ensure safety of self and others
EMT-Is have responsibility to provide competent care in professional, ethical, caring manner
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9/11/2012
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Questions?
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