phecc education and training standards

touge_drift

was on the phecc website earlier and noticed this:
http://www.phecit.ie/Documents/Home%20Page/Public%20consultation%20Draft%202011%20Education%20and%20Training%20Standards.pdf

its the draft for the new 2011 education and training standards.
it appears that there will be a new responder level of sorts.

but down to bussiness im a licenced emt, and im looking to see how will they directly effect me? i have read it but would like it in plain english. there looks to be a modernisation of the cpg's and replacement of terminology etc... Will there be any new skills, like updates to our cpg's? i seen the term superglottic airway being used a few times, and i also noticed a few lines striked out for spacific skills.

will we need to re-train or upskill? Or should we all just wait until they are officially realesed and keep our questions until then.

Thanks,
Dave.

Elessar

I'm an EMT and have read through it. I can see some changes for current practitioners. Looks like a few new modules being introduced for EMT courses too.

Some changes I did see:

"An EMT is the minimum practitioner grade that is trained for transporting inter-facility patients who are defined as Acuity Levels 4B “Non acute Care” and partnered with a Paramedic can assist with 4C “Acute Non Emergent Care”

and

"EMTs may also be dispatched in response to pre-hospital emergency care patients who are defined as Clinical Status Category 3 (Omega) “Minor illness”"

They mention the use of a supraglottic airway device for an adult - "Describe how to measure and insert a supraglottic airway device (adult only)" By supraglottic I assume they are talking about LMAs?

It seems they want to take some abilities away from us also :mad: -> Care of penetrating chest wounds, care of open open abdominal injuries, traumatic amputations, maxillo facial injuries, care of suspected child neglect, care of patient with poison ingestion, mental health emergencies...the list goes on. What do they expect us to do in those situations, tea and sympathy?

EMT should be going forward not backwards :mad:

I am going to email them to consider the case for EMTs being allowed to admin salbutamol without prescription (and via NEB) and epi pens via CPG also without prescription. Acute asthma attacks and severe anaphylaxis are two situations where EMTs could really save a life, instead of waiting for Paramedic backup which could be too late.

This is a public consultation so get your feedback in if you are a practitioner or responder by emailing pauline@phecc.ie !

Hooch

Elessar wrote: »

They mention the use of a supraglottic airway device for an adult - "Describe how to measure and insert a supraglottic airway device (adult only)" By supraglottic I assume they are talking about LMAs?

This is a public consultation so get your feedback in if you are a practitioner or responder by emailing pauline@phecc.ie !

I Gels is the advanced airway we will get. http://www.i-gel.com/videos/2. A deaf mute paraplegic horse could put one in......

Most certainly email your taught's to PHECC.......they WILL listen to them.

Back up anything you advise with medical fact and personal experience if you can.

touge_drift

i noticed the superglottic airway part, i assumed lma's or a variant of them myself. those i gels looks very like lma's without an inflated cuff it seems.

i agree somewhat elessar about about salbutamol via neb mask and the epi pens.

When you say taking skills away from us though, maybe they will just edit the current cpg to say request als or request paramedic instead of consider ap or p? Instead of leaving us to do ut alone. I like the idea of maintaining skills and cpd also i think that should strictly enforced to everyone no matter what. It will hopefully strain out poor skills and practitioners.

coolmoose

The term supraglottic airway device is inserted to allow practitioners to sue any variant of a SAD once they are trained and competent in it's use, depending on their organisations preference. These include LMA, i-Gel, LT etc.

The i-Gel is a very effective, simple to use device that can be inserted blindly, can be intubated through it's lumen and can be suctioned or have an NG tube passed through.

I would agree with the EMT being authorised to administer Salbutamol MDI and Epi-Pen without prescription.

Omega calls could certainly be dealt with by EMT level, as could some Alpha level calls, but will have to wait and see what happens there.

Like NGA and Elessar said, it's a public consultation process, so email your thoughts and ideas regarding all or any levels to PHECC ASAP!

Hooch

coolmoose wrote: »

Like NGA and Elessar said, it's a public consultation process, so email your thoughts and ideas regarding all or any levels to PHECC ASAP!

+1

Ye Paramedics better not forget us lowly EMTs!!!!

Tango Alpha 51

As if you'd ever let us bud 

coolmoose

nice guy always wrote: »

+1

Ye Paramedics better not forget us lowly EMTs!!!!

As you may have guessed, I'm on page 2 of my observations and recommendations regarding all grades of Responder & Practitioner! Haven't forgotten about ye at all!

Actual Paramedic

Elessar wrote: »

I am going to email them to consider the case for EMTs being allowed to admin salbutamol without prescription (and via NEB) and epi pens via CPG also without prescription. Acute asthma attacks and severe anaphylaxis are two situations where EMTs could really save a life, instead of waiting for Paramedic backup which could be too late.

At present madness, the EMT has to administer Epi 1:1,000 only if they are prescribed it or has it. Will they not have taken it already? The med formulary states repeat every 5 mins if needed, so what if the anaphylaxsis reoccurs?

The salbutamol, again if they have an inhaler they will have used it already, a Neb is hardly rocket science.

coolmoose wrote: »

The term supraglottic airway device is inserted to allow practitioners to sue any variant of a SAD once they are trained and competent in it's use, depending on their organisations preference. These include LMA, i-Gel, LT etc.



I would agree with the EMT being authorised to administer Salbutamol MDI and Epi-Pen without prescription.

All supra glottic airways, sure the new ones are blind insertion and you can't go wrong, as easy as an OPA.

regarding the Ana-pen, what if its a first attack and the person was never exposed to the allergen, surely they need the Ana-pan and sorry you were not prescribed it yet the EMT knows what to do but isn't allowed.

nice guy always wrote: »

+1

Ye Paramedics better not forget us lowly EMTs!!!!

Its where we all started, as EMT's or even before that as Attendants/Technicians or the dreaded word "ambulance driver"

coolmoose

Actual Paramedic wrote: »

regarding the Ana-pen, what if its a first attack and the person was never exposed to the allergen, surely they need the Ana-pan and sorry you were not prescribed it yet the EMT knows what to do but isn't allowed.

Is that not what I just said??