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Level of Government responsible for Licensure of EMTs is a state function subject to the
EMS regulation regarding EMT laws and regulations of the state in which the EMT
requirements and violations. practices. At the federal level, the NHTSA brings in
experts to create the National EMS Scope of
Practice Model.
Understand NREMT and how it is The National Registry of EMTs.
involved in the level of training.
Understand the different types of An EMT is trained in basic life support and
medical control and how/when to emergency services.
use it.
,Understand the different roles and
responsibilities of the EMT and how it
compares to the role of others in
EMS.
Understand HIPAA and how it can The Health Insurance Portability and Accountability
affect your role in EMS. Act ensures patient privacy. Do not discuss findings
about the patient with anyone except medical
personal treating the patient, law enforcement, or
social agencies that may require the information by
law. Avoid giving any information that may reveal
the identity of the patient.
Understand the importance of Nutrition, stress, sleep, family, and other factors
personal safety and what it means influence the quality of care the EMS provider
during a call. gives to the patient.
Understand the importance of scene Hazards on the scene could harm the EMS
safety. provider and prevent him or her from providing
quality care
Understand Standard Precautions The Center for Disease Control created a set of
and know the different types of standard precautions to protect health care
personal protective equipment. workers from objects, blood, body fluids, and other
potential sources of germs.
Understand physiologic, physical Physiologic responses to stress involve interactions
and psychological responses to between the endocrine and nervous systems,
stress. resulting in chemical and physical responses. The
fight-or-flight response includes changes to the
dilation of blood vessels, respiration rate, and
blood flow to certain areas of the body. There are
acute, delayed, and cumulative stress reactions.
,Understand the various levels of Posttraumatic stress disorder occurs after a person
stress and how to minimize the has experienced a psychologically distressing
chances of PTSD, including event, and usually manifests in the form of
CISD/CISM. depression, startle reactions, flashback
phenomena, and dissociative episodes. Critical
incident stress management was created to
decrease the likelihood of PTSD. It can take the
form of a formal debriefing (CISD) or of an onsite
assessment for symptoms of PTSD.
Know the different components of Denial, Anger/Hostility, Bargaining, Depression,
the grieving process. and Acceptance. These stages can happen at
varying times in different orders
Understand the difference between Expressed consent is when the patient verbally or
expressed consent, implied consent otherwise acknowledges that he or she wants you
and involuntary consent. to provide care. Implied consent applies when the
patient is unconscious or otherwise incapable of
making a rational, informed decision about care.
The law assumes that the patient would give
consent if able to. Involuntary consent applies to
patients who are incapable of making rational
decisions about care due to injury or mental illness.
This type of consent usually comes from the legal
guardian of the person.
, Differentiate: advanced directives An advanced directive is a written document that
versus do not resuscitate (DNR) specifies medical treatment for a competent
orders and understand what patient, should he or she be unable to make
happens in the place of no DNR rational decisions. They can be orders for both
present at the scene. providing and withholding care. A DNR orders
medical providers to withhold CPR and ALS, but
does not prevent them from providing BLS. Without
a DNR healthcare providers will begin to attempt
resuscitation should the patient's heart stop.
Understand the difference between Living wills and other advance directives are
a living will and a health care written, legal instructions regarding your
directive preferences for medical care if you are unable to
make decisions for yourself. Advance directives
guide choices for doctors and caregivers if you're
terminally ill, seriously injured, in a coma, in the late
stages of dementia or near the end of life.
Understand the difference between Abandonment occurs when the medical provider
libel, slander, assault, battery, leaves the patient alone or in the care of someone
abandonment and negligence and who is not competent in the care of the patient.
their implications. This is done without the consent of the patient.
Assault is placing the patient in fear or immediate
bodily harm. Battery is unlawfully touching the
patient, including providing care without consent.
Negligence is the failure to provide the same care
that another equally competent health care
provider would have provided. Defamation is the
communication of false information that damages
the reputation of a person. Libel is written and
slander is spoken defamation.