US Army EMS Programs Management Division
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ED Medical Director Roles and Responsibilities Job Description, July 2015 Page 2
ED Medical Director Roles and Responsibilities Job Description The specific role and responsibilities of an emergency department (ED) medical director vary based on the size, characteristics, and leadership structure of the department. As an example, in some departments portions of the duties specified below may be the responsibility of the department chair, vice-chair, medical director, or other members of the ED leadership team. Nevertheless, the following are leadership tasks that should be considered in a description of the roles and responsibilities of the ED medical director. Clinical and Service Operations Collaborate with ED nursing leadership, emergency physicians and advanced practice provider (APP) staff, and hospital administration to ensure the ED care delivery model achieves high- quality emergency care and evolves to match the needs of the patients, the department, the hospital, and the community. Develop, maintain, update, and implement departmental policies, procedures, and protocols. Ensure providers are aware of and compliant with departmental, hospital, and medical staff policies. Work to ensure that medical staff policies support the department and hospital vision for ED care. Coordinate staffing and scheduling of physicians and APPs. Perform quality assurance and lead improvement initiatives within the department. Serve as chair or co-chair of the Emergency Services Committee or its equivalent. Provide input into the operating and capital budgets of the department. Monitor patient experience and patient flow. Design and implement process improvement strategies to improve and optimize these areas. Regulatory Monitor ED-related regulatory issues and ensure ongoing regulatory compliance. Educate staff on regulatory issues and requirements. Prepare for and participate in accreditation or certification surveys involving the ED. -
EMS Medical Director Guidebook
Medical Director Guidebook May 2016 Maine Emergency Medical Services Department of Public Safety 152 State House Station Augusta, ME 04333 www.maine.gov/ems Authors Christopher Paré, Paramedic J. Matthew Sholl, M.D., M.P.H. Eric Wellman, Paramedic Contributors Jay Bradshaw Jonnathan Busko, MD Myles Block, Paramedic Emily Carter, Paramedic Marlene Cormier, M.D. Shawn Evans, Paramedic Kevin Kendall, M.D. Rick Petrie, Paramedic Tim Pieh, M.D. Kerry Pomelow, Paramedic Mike Schmitz, D.O. Nate Yerxa, Paramedic Table of Contents Foreword 1 The Maine EMS System Structure 2 Legal Aspects & System Rules 6 EMS Systems 18 Maine EMS Medical Director Qualifications 23 Medical Oversight 31 EMS Personnel & Providers 36 EMS Operations 38 Interfacility Patient Transport 49 EMS Education 51 Grants & System Funding 55 Quality Assurance & System Improvement 57 Maine EMS Protocols & Standing Orders 65 Appendix A: Disaster Planning 70 Appendix B: Wilderness EMS 80 Appendix C: Tactical EMS 82 Appendix D: Death Situations for Medical Responders 83 Appendix E: Maine EMS Scope of Practice by License Level 88 Appendix F: Maine EMS Interfacility Transport: Decision Tree and Scope of Practice for Transfer by 93 License Level Appendix G: Recommended Service Policies 99 Appendix H: Checklist for the new medical director 100 References 101 Glossary of Acronyms 103 Index 104 FOREWORD The Maine EMS Medical Director’s Guidebook was designed to provide physicians and EMS services with direction on how to navigate the Maine EMS system. Our goal with this guidebook is to educate and in- form all users of the system to the role of EMS physician medical direction. -
Abbreviations and Acronyms
Abbreviations and Acronyms ABBREVIATIONS and ACRONYMS A A: Airborne AAC: Army Acquisition Corps AAPA: American Academy of Physician Assistants AATS: ARNG Aviation Training Site ABLS: Advanced Burn Life Support ABN DIV: airborne division ABSITE: American Board of Surgery In-Training Examination ACAT: acquisition category ACE: ask, care, escort ACEP: American College of Emergency Physicians ACFT: Army Combat Fitness Test ACGME: Accreditation Council for Graduate Medical Education ACM: Army Capability Manager ACR: armored cavalry regiment ACU: Army combat uniform AD: active duty ADDIE: analysis, design, develop, implement, evaluate ADP: AMEDD Distribution Plan ADSO: active duty service obligation ADTMC: algorithm-directed troop medical care AFAB: assigned female at birth AFRICOM: Africa Command AFSCP: Army Flight Surgeon Course–Primary AGR: Active Guard Reserve AHA: American Heart Association AHLTA: Armed Forces Health Longitudinal Technology Application AHO: allied health officer AHS: Army health system AHSMS: Allied Health Sciences Military School AI: associate investigator AIM.2: Assignment Interactive Module Version 2 AIT: advanced individual training 531 US Army Physician Assistant Handbook ALARACT: All Army Activities message ALP: accepted list position ALS: Advanced Life Support ALSE: Aviation Life Support Equipment (course) AMA: American Medical Association AMAB: assigned male at birth AMEDD: Army Medical Department AMEDDB: Army Medical Department Board AMH: Army Medical Home AMHRR: Army Military Human Resource Record AMP: aviation -
2017 Research Abstracts Selection for Podium Or Poster Presentation
2017 Research Abstracts Selection for Podium or Poster Presentation TOP PODIUM PRESENTATION Social Media and Military Medicine SFC Paul E. Loos, NCOIC Surgery, Anesthesia, Records and Reports Section, Special Forces Medical Sergeants Course, Joint Special Operations Medical Training Facility, Fort Bragg, NC Background: As technology in communications advances, best practices in tactical or military medicine can be shared at the speed of creation. Currently best practices are spread through the publishing of texts, scholarly journal articles, word of mouth, or during periodic refresher courses. This leaves many tactical medical providers and medical directors using different protocols and recommendations for patient care. The goal of my presentation is to inform and empower medical providers to more efficiently disseminate needed medical information to medics in their charge utilizing modern communications techniques. Methods: Trial and error and 3 years of experience. Results: 160,000 hits on our website made by over 70,000 unique IP addresses around the world on our blog posts, podcasts and recommendations. Discussion: Due to a variety of reasons, military medics are not getting the most up to date information regarding the treatment of casualties throughout the gamut of tactical medicine. I will submit a layered approach using multiple solutions in improving communication of current best practices and recommendations from unit surgeons down to the end-user medic on the ground. This will include discussions on social media use, and etiquette, by military members to include different social media platforms as well as current USSOCOM and DOD policy. Depending on the content to be released, various social media sites are better used for certain purposes. -
ESSENTIAL CORE FUNCTIONS Responsibilities Knowledge Skill
ESSENTIAL CORE FUNCTIONS Responsibilities Knowledge Skill A Guide for the Consultant Pharmacist, Director of Nursing, Medical Director, and Nursing Home Administrator in Long Term Care Organizations As put forth by the Long Term Care Professional Leadership Council consisting of: The American College of Health Care Administrators The American Medical Directors Association The American Society of Consultant Pharmacists and The National Association of Directors of Nursing Administration ______________________________________________________________________________ The Guide must be read in conjunction with all State and Federal statute and regulations governing licensed nursing homes and the employer’s policies and position descriptions. The Guide is not intended to replace or modify any of these State and Federal statutes, regulations or employer policies. In the event of ambiguity or inconsistency, rules and regulations must take precedence. 1 Long Term Care Professional Leadership Council Charter The Long Term Care Professional Leadership Council consists of the leaders of the major professional leadership associations* of long-term care: ACHCA, AMDA, ASCP, and NADONA. This Council was formed to foster collaboration in defining and addressing issues related to standards for quality care in long-term care facilities, including: • Advancing consistent standards, positions, and recommendations pertaining to long-term care • Promoting evidence-based approaches to common problems and risks of long-term care patients and residents • Coordinating -
NAEMT News Fall 2017 for WEB 09.19.17
FALL 2017 In This Issue Are You Prepared? Results naemtnews 5 of NAEMT’s Survey on MCI A quarterly publication of the National Association of Emergency Medical Technicians Readiness Meet NAEMT’s New Medical 12 Director, Dr. Craig Manifold EMS Agenda for the Future 2050: Please Remember to Vote! 16 NAEMT Elections Oct. 15 to 28 Establishing a New Vision for the Profession More than 20 years have passed since the original EMS Agenda for the Future, What is an Agenda for the Future published in 1996, outlined a vision for EMS. The agenda described an EMS that is and why is it important to have one? fully integrated with the healthcare system, provides acute injury treatment as well as An Agenda for the Future is a follow-up care, and participates in preventing and treating chronic conditions. vision, a roadmap and a strategy that EMS has made some strides toward realizing that vision. Developments such as describes where you are today and regionalized systems of STEMI (ST-elevation myocardial infarction) care and MIH-CP how you will get to someplace new and (mobile integrated healthcare-community paramedicine) have helped to show the rest different. When I think about history, of healthcare the value of partnering with EMS. JFK [President John F. Kennedy] did that Yet there is still a long way to go. Recommendations regarding funding EMS for in his 1961 speech when he promised services other than transport, legislative change to allow EMS to provide treatment that that we would land a man on the moon doesn’t end at the hospital, and fully integrating EMS into the healthcare continuum are and safely return him back to earth by still in the early stages. -
Kern County Sheriff's Office Search and Rescue Policies and Procedures Table of Contents
KERN COUNTY SHERIFF'S OFFICE SEARCH AND RESCUE POLICIES AND PROCEDURES ______________________________________________________________________________ TABLE OF CONTENTS ______________________________________________________________________________ A -- INTRODUCTION A-100 Introduction-Mission Statement A-110 Manual Revisions A-200 Definitions A-300 Organizational Structure B -- RESPONSIBILITIES OF PERSONNEL B-100 Duties of Search and Rescue Coordinator B-200 Duties of Search and Rescue Members C -- SELECTION OF SEARCH AND RESCUE MEMBERSHIP C-100 Selection of Members C-200 Probationary Period C-300 Leave of Absence C-400 Termination D -- SEARCH AND RESCUE RANK STRUCTURE D-100 Rank Structure and Responsibilities D-200 Rank Insignia E -- SEARCH AND RESCUE TRAINING E-100 Training E-200 Training Forecast E-300 Training Documentation F -- SEARCH AND RESCUE MEETINGS F-100 Meetings Page 1 of 1 _____________________________________________________________________________ TABLE OF CONTENTS ______________________________________________________________________________ G -- ADMINISTRATIVE POLICIES G-100 Call-Out Procedures - In County G-200 Call-Out Procedures - Mutual Aid G-300 Aircraft Operations G-400 Incident Command System G-500 Uniforms and Appearance G-600 Donations and Grants G-700 Discipline G-800 Firearms G-900 Injuries G-1000 Media Relations G-1100 Medical Responsibilities G-1200 Member Compensation G-1300 Vehicle Operation G-1400 SAR BLS Policy Page 2 of 2 Page 3 of 3 KERN COUNTY SHERIFF'S OFFICE SEARCH AND RESCUE POLICIES AND PROCEDURES -
Protocols and PCR's – a Medical Director's Perspective
Protocols and PCR’s – A Medical Director’s Perspective Stephen C. Ausband, M.D. FACEP Introduction One medical director’s perspective A few thoughts / conversation slides Group discussion Can’t comment on some specific items -disciplinary stuff HIPAA stuff “Hey, why does my medical director want us to…” My Background Milton Volunteer Fire Department 1989 – 1991 Undergrad: Averett University Red Oak Volunteer Fire Department 1991 – 1998 Medical School: East Carolina University School of Medicine Categorical Residency Emergency Medicine Ceffo Volunteer fire Department Medical Director EastCare air and ground transport (critical care and basic level, no EMS response) My Background Board Certified Emergency Medicine Board Certified Emergency Medical Services Medical Officer USAF-R Charleston AFB and Dover AFB (315th AW, 315th AMDS, 317th AS) Chief, Aerospace Medicine, Charleston AFB Flight Surgeon USAF-R Charleston AFB and Dover AFB (512th AW, 512th AMDS, 326th AS) chief, Flight Medicine My Background Attending physician Pitt County Memorial hospital Assistant Professor, Emergency Medicine, East Carolina University School of Medicine Attending Physician Roanoke Memorial Hospital Assistant Professor, Emergency Medicine, Virginia Tech Carilion School of Medicine Assistant Professor, Emergency Health Services, Jefferson College of Health Sciences My Background Medical Director: Carilion Clinic Patient Transport (35 ambulances, 3 helicopters, critical care, ALS, BLS, 911 response) Jefferson College of Health Sciences -
Speaker Bios
Innovations in… Thinking Differently 2016 SPEAKER BIOS Jonathan Davis, MD Professor & Academic Chair of Emergency Medicine, Georgetown University School of Medicine Program Director, Georgetown / MedStar Emergency Medicine Residency Jonathan Davis, MD is the Program Director for the Emergency Medicine Residency Training Program based at MedStar Georgetown University Hospital and MedStar Washington Hospital Center. He also serves Academic Chairman for the Department of Emergency Medicine at Georgetown University School of Medicine in Washington, DC, where he holds the title of Professor of Emergency Medicine. Jonathan is integrally involved in medical education at the local, regional and national levels, including undergraduate medical education, graduate medical education and continuing medical education to practicing physicians. He was named Residency Program Director of the Year in 2011 by the American Academy of Emergency Medicine (AAEM). Dr. Davis has been an invited speaker at annual meetings both within and outside of the specialty of Emergency Medicine. In 2011, he received the coveted National Faculty Teaching Award from the American College of Emergency Physicians (ACEP) for contributions and achievements in student, resident, and faculty education. Dr. Davis was elected Chairperson of the ACEP Educational Meetings Committee for 2016- 2018. This is the committee that plans the largest, most prestigious, and best recognized annual educational meeting for emergency care providers worldwide (over 6,000 attendees annually). In addition, Dr. Davis was elected Chair of the Graduate Medical Education Committee of the Society for Academic Emergency Medicine (SAEM) for 2015-2017. SAEM is the primary national and international organization dedicated to the advancement of research, scholarship, and education in the specialty of emergency medicine. -
Tactical Combat Casualty Care
Tactical Combat Casualty Care quick reference guide First edition Copyright 2017 TACTICAL COMBAT CASUALTY CARE (TCCC / TC3) EDITOR: HAROLD R. MONTGOMERY, ATP MSG(RET), U.S. ARMY CONSULTANTS & REVIEWERS FRANK K. BUTLER, MD MICHAEL A. REMLEY, ATP CAPT(RET), U.S. NAVY SFC, U.S. ARMY STEPHEN D. GIEBNER, MD, MPH TRAVIS A. SHAW, NREMT-P CAPT(RET), U.S. NAVY MSGT, U.S. AIR FORCE WIN KERR, ATP JEREMY K. TORRISI SCPO, U.S. NAVY CURTIS C. CONKLIN, ATP MSG, U.S. ARMY THOMAS A. RICH, NREMT-P CMSGT, U.S. AIR FORCE DANIEL M. MORISSETTE, ATP MSG, U.S. ARMY Copyright Statement: The copyright holder of this publication assigns unlimited royalty-free reproduction licensing exclusively to the United States Government and NATO member governments. U.S. Government Printing Offices, specifically Department of Defense installation printing services are authorized to reproduce this publication for use by military personnel. The copyright holder retains reproduction and royalty licensing for all other individuals or organizations except the U.S. Government. No part of the material protected by this copyright may be reproduced or utilized in any form, electronic or mechanical, including photography, recording, or by any information storage and retrieval system, without written permission from the copyright owner. Copyright, 2017 by HR Montgomery ISBN: 978-0-692-90697-2 TACTICAL COMBAT CASUALTY CARE (TCCC / TC3) TABLE OF CONTENTS ABBREVIATED TCCC GUIDELINES…………………………………………………………………..PAGE 4 CARE UNDER FIRE ALGORITHM………………………………...……………………………….…..PAGE 9 TACTICAL FIELD -
Command Sergeant Major John F. Sampa Command Sergeant Major Army National Guard
BIOGRAPHY General Carter F. Ham, U.S. Army, Retired General Ham is the president and chief executive officer of the Association of the United States Army. He is an experienced leader who has led at every level from platoon to geographic combatant command. He is also a member of a very small group of Army senior leaders who have risen from private to four-star general. General Ham served as an enlisted infantryman in the 82nd Airborne Division before attending John Carroll University in Cleveland, Ohio. Graduating in 1976 as a distinguished military graduate, his service has taken him to Italy, Germany, Kuwait, Saudi Arabia, Macedonia, Qatar, Iraq and, uniquely among Army leaders, to over 40 African countries in addition to a number of diverse assignments within the United States. He commanded the First Infantry Division, the legendary Big Red One, before assuming duties as director for operations on the Joint Staff at the Pentagon where he oversaw all global operations. His first four-star command was as commanding general, U.S. Army Europe. Then in 2011, he became just the second commander of United States Africa Command where he led all U.S. military activities on the African continent ranging from combat operations in Libya to hostage rescue operations in Somalia as well as training and security assistance activities across 54 complex and diverse African nations. General Ham retired in June of 2013 after nearly 38 years of service. Immediately prior to joining the staff at AUSA, he served as the chairman of the National Commission on the Future of the Army, an eight-member panel tasked by the Congress with making recommendations on the size, force structure and capabilities of the Total Army. -
Mos Specific Requirements
IOWA ARMY NATIONAL GUARD NON STANDARD VACANCY ANNOUNCEMENT POSITION VACANCY NUMBER: 21-019 CLOSING DATE: Indefinite UNIT/DUTY LOCATION: HHB 194th FA / Fort Dodge MINIMUM RANK TO APPLY: SSG DUTY MOS: 68W4O DUTY POSITION: Platoon Sergeant FULL-TIME STAFF POC: SFC Dana Preuschl PHONE: (515) 576-3761 LEADERSHIP POSITION/TYPE: Yes / Platoon Sergeant ELIGIBILITY REQUIREMENTS TO BE CONSIDERED FOR THIS POSITION GENERAL REQUIREMENTS: 1. Not currently “Flagged from Favorable Personnel Actions” or under a “Bar to Reenlistment.” 2. Must be or be able to complete 68W MOSQ within 12 months of assignment. 3. Must be able to meet the required service obligation (minimum of 12 months from course completion). 4. A Soldier who has a remaining contractual service obligation due to an incentive contract for a specific MOS or UIC may apply for non-standard vacancies, but will lose remaining incentive payments with the possibility of recoupment, as applicable. 5. Must not be currently stagnant on NCOES/PME. (to include DLC requirements). 6. Soldiers command removed or self-removed from promotion consideration are not eligible to apply. MOS SPECIFIC REQUIREMENTS: 1. A physical demands rating of Significant (Gray). 2. PULHES: 111121. 3. No aversion to blood. 4. Must possess finger dexterity in both hands. 5. A security eligibility of SECRET is required for the initial award and to maintain the MOS. 6. A minimum score of 105 in aptitude area ST and 110 in aptitude area GT in Armed Services Vocational Aptitude Battery (ASVAB) tests administered prior to 2 January 2002. 7. A minimum score of 102 in aptitude area ST and 110 in aptitude area GT on ASVAB tests administered on and after 2 January 2002 and prior to 1 July 2004.