Emergency Medical Response Information Guide

Emergency Medical Response For Non-EMS Personnel

Information Guide Emergency Medical Response for Non-EMS Personnel - - - program is program PRN2247 (8/19) program. meets and exceeds and meets training curriculum in training curriculum First Responder ASHI Emergency Medical Response ASHI’s Emergency Medical Response ASHI’s rials to provide an effective EMR alternative for non-EMS an effective rials to provide providers. a workplace compliance standpoint, certification in From Response Medical Emergency ASHI the Occupational Safety and Health Administration for requirements (OSHA) medical and first aid training the workplace. a more formally recognized and regulated EMS provider EMS provider and regulated formally recognized a more Medical level, including a name change to Emergency Responder (EMR). including EMR, is of EMS providers, The regulation the address regulations level. Typically, at the state done training, along with the of initial and ongoing process certification provider EMS for requirements and rules and licensing. of training into With the move to formalize this level used that providers non-EMS traditional EMR, as EMS more the found have training Responder First earlier the and regulated, more training EMR EMS-based recent to find and take. burdensome more Medical Response? ASHI Emergency Why The original purpose of First Responder training— filling the knowledge and skill gap between basic first aid — is the intent training and EMS for non-EMS providers of The for information developed nationally same the on based Responders in EMS. The Medical training Emergency uses the same instructional and student mate program EMS was a big step forward, but over time it became but over a big step forward, EMS was gap between basic still a significant was there clear that training as an emer provider and EMS first aid training Non-EMS emergency EMT. technician, or gency medical needed officers, especially law enforcement responders, gap. something to fill the (DOT) the Department of Transportation As a result, established the aid tech in first training program 1979 as an advanced the newly developed EMS training niques, modeled after curriculums. and popular with law enforcement It quickly became emergency such as workplace other non-EMS providers team members. response agencies and fire It also became popular with EMS for option affordable more and quicker a as departments or paramedic), base-level EMS training (other than EMT Over rural areas. especially for smaller departments in training becoming in First Responder time, this resulted

- class. training training This report This report training program training program ASHI Emergency Accidental Death and Disability: training include the following: ASHI Emergency Medical Response ASHI Emergency Medical Response Medical Emergency ASHI training program is an ideal choice for meeting is training program

members Disaster team members (CERT) Response Team Community Emergency members Athletic trainers Outdoor guides Security personnel staff control Event and crowd Lifeguards Park rangers (ERT) Response Team Emergency Workplace Law enforcement officers Law enforcement officers Correctional ASHI BLS for Healthcare Providers and Professional

ASHI Emergency Medical Response ASHI Emergency • • • • • • • • • • • American Safety & Health Institute today’s professional emergency medical services (EMS). medical services emergency professional today’s © detailed the lack of an effective national system to detailed the lack of an effective It paved emergencies. medical out-of-hospital address the way for the implementation and development of In 1966, the U.S. National Academies of Science titled a report released The Neglected Disease of Modern Society. the prerequisite. Equivalent courses, with hands-on skill Equivalent courses, with hands-on skill the prerequisite. acceptable. practice included, are Background as part of an The Rescuers Basic Life Support (BLS), is a prerequisite for students Basic Life Support (BLS), is a prerequisite an taking done be also can certification and training BLS class. Current certification in healthcare-level CPR training, or certification in healthcare-level Current Individuals likely to benefit from Individuals likely to benefit from Medical Response desire to learn more than just basic first aid without aid first just basic than learnto more desire training and EMS provider associated with the burdens certification. The program provides more details, depth, and exposure details, depth, and exposure more provides The program to allow for a richer first aid training topics to standard in first aid. It meets work advanced training and more the satisfies and requirements training first aid place students to be eligible for EMS provider testing and testing for EMS provider students to be eligible certification. The program is designed to provide comparable training is designed to provide The program the base Responder, Medical to that of Emergency program the However, providers. EMS training for level preparing or training EMS providers is not intended for managing of out-of-hospital medical emergencies prior medical emergencies of out-of-hospital managing to the arrival of EMS. Program OverviewProgram The for approach and comprehensive a detailed provides Program Design Program E The required student text for students taking an ASHI Relation to EMS Educational Guidelines m Emergency Medical Response class is:

In the United States, educational guidelines for EMRs as e

EMS providers are established by the National Highway Emergency Medical Responder: First on the Scene, rg Traffic Safety Administration (NHTSA), an agency within 11th Edition the U.S. Department of Transportation. NHTSA has Christopher J. LeBaudour, J. David Bergeron, e developed a scope of practice for EMR providers, and Keith Wesley, MD ncy national EMR education standards and instructional Pearson Education, Inc. © 2019 (and future guidelines (www.ems.gov/education.html). editions)

From the EMS perspective, a scope of practice is what Instructional materials produced by Pearson Education, M a licensed person legally can and cannot do. It helps Inc. are provided free-of-charge to approved Training Centers who have purchased the ASHI Emergency e define the boundaries between healthcare professionals. dical Medical Response Digital Resource Kit and have at least A unique feature of the NHTSA EMR Scope of Practice one Instructor authorized to teach the ASHI Emergency is its overlap and alignment with standardized first aid Medical Response program. Instructional resources content. The goal of both trained EMR and first aid pro- from Pearson include the following:

viders is to initially manage medical emergencies, using • Lesson plans R non-invasive techniques, until more highly trained EMS • Slide presentations e providers can take over care. • Lesson handouts spons The ASHI Emergency Medical Response training program is based on the NHTSA EMS EMR scope of All of the ASHI-produced administrative materials practice, education standards, and guidelines. The required for the class and Emergency Medical Response program provides more extensive and detailed training certification are included with the ASHI Emergency in first aid, similar to other advanced first aid training cur- Medical Response Digital Resource Kit: e

riculums that have been developed. • Instructor Resource Guide for • Performance Evaluations

State Regulated Licensing and • Written Exam N

Credentialing • Support documents o It is not the intent of the ASHI Emergency Medical n -EMS P -EMS Response program to cross into the state-regulated EMS world. Class Administration and Certification ASHI is responsible for the rules and requirements for An individual that has been trained and certified inASHI conducting a class, and for the processes used for initial Emergency Medical Response will not be licensed or certification and renewal. credentialed to practice emergency medical care as an e The distinction between a training class and cer- r EMS provider within an organized state EMS system. s

tification in ASHI Emergency Medical Response is o

EMS provider licensing and credentialing are legal activ- important because they both have unique administrative nne ities performed by the state, not ASHI. Individuals who requirements.

require or desire licensure and credentialing within the l state EMS system must complete specific requirements An Instructor Resource Guide provides details on how established by the regulating authority — typically, a to prepare for and conduct an ASHI Emergency Medical state EMS agency within the state health department. Response training class. Specific learning objectives and class requirements are identified for successful The ASHI Emergency Medical Response program is not completion. intended to prepare individuals for national certification, licensure, or credentialing as an EMS provider. Con- The Instructor Resource Guide also provides details sequently, ASHI does not proactively seek state EMS on how to conduct the specific performance evalu- approval of this Emergency Medical Response program. ations and written exam for ASHI Emergency Medical Response certification. Training and Certification Materials Different from other training programs developed and produced by ASHI, the Emergency Medical Response program uses third-party student and instructional materials produced by Pearson Education, Inc. during the training class.

Program Structure Class Types m

The ASHI Emergency Medical Response program iden- There are three class types for the ASHI Emergency e tifies both core and supplemental training content to be Response training program: rg used during a training class. Initial Class e

Core Content A face-to-face classroom presentation for individuals ncy The core training content reflects the minimum cognitive who have never been certified or whose previous certifi- knowledge and skill competencies required to be pre- cation has lapsed longer than 30 days. pared for certification as anASHI Emergency Medical

Renewal Class M Response provider. A face-to-face classroom presentation for currently

ASHI Emergency Medical Response certified individuals e

The program has identified a specific subset of NHTSA dical EMR content as core content. who wish to refresh cognitive knowledge and skill competency to prepare for certification renewal. Supplemental Content Challenge The ASHI Emergency Medical Response program also

A face-to-face classroom evaluation for individuals who recognizes the need for additional training to individually wish to earn certification by demonstrating existing R address the varying needs of the students taking it.

knowledge and skill competency without taking an initial e

To help this, the ASHI Emergency Medical Response or renewal class. spons program has identified additional EMR information from Class Method NHTSA as supplemental content. Supplemental content ASHI Emergency Medical Response training is only is optional to cover and based on the needs or desires of conducted in a face-to-face, classroom-based manner. those being taught and the organizations they represent.

Separate cognitive/affective and psychomotor class e

sessions are recommended for the efficient use of

Importantly, for those that desire it, the use of sup- for Instructors, equipment, and materials. plemental content can also offer the ability to provide a unique training class that is highly comparable to N state-regulated EMS EMR courses. o

Based on state laws and regulations, supplemental n content may require the need for medical direction. P -EMS Training Centers providing ASHI Emergency Medical Response training classes should investigate and under- stand the laws and regulations related to supplemental content in the states they do training in. e

Third-Party Content r s

Additional training materials that are not produced by o

ASHI or Pearson Education, Inc. may be used to enhance nne the ASHI Emergency Medical Response training at the

discretion of the Training Center director. These addi- l tional materials may not be used in lieu of ASHI or Pearson materials and may not be used to shorten or otherwise alter the core training content required for certification.

Training Centers are responsible for the accuracy and legal use of any third party training content.

Initial Class Outline and Time Frame m e Lesson Lesson Time rg 1. Introduction to EMS Systems 100–120 minutes

2. Legal and Ethical Principles of Emergency Care 155–165 minutes e ncy 3. Wellness and Safety of the Emergency Medical Responder 150–160 minutes 4. Introduction to Medical Terminology, Human Anatomy, and Life Development 170–180 minutes

5. Introduction to Pathophysiology 100–110 minutes M 6. Principles of Lifting, Moving, and Positioning of Patients 145–155 minutes

7. Principles of Effective Communications 80–90 minutes e dical 8. Principles of Effective Documentation 45–55 minutes 9. Principles of Airway Management and Ventilation 315–325 minutes 10. Supplemental Lesson: Principles of Oxygen Therapy 85–95 minutes

11. Principles of Resuscitation 185–195 minutes R 12. Obtaining a Medical History and Vital Signs 95–105 minutes e

13. Principles of Patient Assessment 145–155 minutes spons 14. Caring for Cardiac Emergencies 85–95 minutes 15. Caring for Respiratory Emergencies 60–70 minutes 16. Caring for Common Medical Emergencies 125–135 minutes

17. Caring for Environmental Emergencies 125–135 minutes e

18. Caring for Soft-tissue Injuries and Bleeding 150–160 minutes for 19. Recognition and Care of Shock 90–100 minutes

20. Caring for Muscle and Bone Injuries 110–120 minutes N

21. Caring for Head and Spine Injuries 105–115 minutes o

22. Caring for Chest and Abdominal Emergencies 105–115 minutes n -EMS P -EMS 23. Supplemental Lesson: Care During Pregnancy and Childbirth 120–130 minutes 24. Caring for Infants and Children 165–175 minutes 25. Special Considerations for the Geriatric Patient 105–115 minutes 26. Supplemental Lesson: Introduction to EMS Operations and Hazardous Response 120–130 minutes e

27. Supplemental Lesson: Introduction to Multiple-Casualty Incidents, the Incident Command System, and 90–100 minutes r

Triage s o Total Course Time (Not Including Supplemental Content): Approx. 47–50 hours nne l Certification Process Renewal of Certification Successful completion of a written exam and desig Once initially certified, ASHI Emergency Medical nated performance evaluations are required for initial Response providers need to renew certification every certification and renewal as an ASHI Emergency Medical two years. Becoming eligible for renewal testing can be Response provider. accomplished in two ways, through a renewal class or by continuing education. To become eligible for certification, students must receive a passing score on the ASHI Emergency Response Renewal of certification can be accomplished by com- Written Exam of 100 multiple-choice questions. pleting a renewal class that focuses on psychomotor skills. A renewal class is 16 hours in length and much Students are also required to demonstrate skill compe- shorter than an initial training class. tence in 5 specific skill areas: 1. Respiratory Arrest (Bag-Mask) The continuing education method for renewal of certification requires the exclusive use of theASHI Emer- 2. Adult Cardiac Arrest gency Medical Response CE Library. A total of 16 hours 3. Infant Cardiac Arrest of continuing education is required during the 2-year 4. Traumatic Injury (responsive or unresponsive) certification period. 5. Medical Emergency (responsive or unresponsive)