Training

AmbulanceLites-scene1 copyThere are three levels of emergency medical care recognized in New York State:

CFR – Certified First Responder

EMT – Basic Emergency Medical Technician

AEMT-P – Advanced Emergency Medical Technician-Paramedic

Responsibilities:

Emergency Medical Technicians-Basic (EMT-B) respond to emergency calls to provide efficient and immediate care to the critically ill and injured, and to transport the patient to a medical facility. After receiving the call from the dispatcher, the EMT-B drives the ambulance to address or location given, using the most expeditious route, depending on traffic and weather conditions. The EMT-B must observe traffic ordinances and regulations concerning emergency vehicle operation.

Qualifications:

  • Complete the Application for Emergency Medical Services Certification, including affirmation regarding criminal convictions
  • Successfully complete an approved New York State EMT-B or AEMT course
  • Achieve a passing score on the practical and written certification examinations
  • Must be at least 18 years of age by the end of the month in which they are scheduled to take the written certification examination
  • Knowledge and Skills required show need for high school or equivalent education
  • Ability to work with other providers to make appropriate patient care decisions

Competency Areas:

The EMT-B
Must demonstrate competency is assessment of a patient, handling emergencies using Basic Life Support equipment and techniques. Must be able to perform CPR, control bleeding, provide non- invasive treatment of hypoperfusion, stabilize / immobilize injured bones and the spine, manage environmental emergencies and emergency childbirth. Must be able to use a semi-automatic defibrillator. Must be able to assist patients with self-administration or administer emergency medications as described in state and local protocol.

Description of Tasks:

Responds to calls when dispatched. Reads maps, may drive ambulance to emergency site using most expeditious route permitted by weather and road conditions. Observes all traffic ordinances and regulations.

Uses appropriate body substance isolation procedures. Assesses the safety of the scene, gains access to the patient, assesses extent of injury or illness. Extricates patient from entrapment. Communicates with dispatcher requesting additional assistance or services as necessary. Determines nature of illness or injury. Visually inspects for medical identification emblems to aid in care (medical bracelet, charm, etc.) Uses prescribed techniques and equipment to provide patient care. Provides additional emergency care following established protocols. Assesses and monitors vital signs and general appearance of patient for change. Makes determination regarding patient status and priority for emergency care using established criteria. Reassures patient, family members and bystanders.

Assists with lifting, carrying and properly loading patient into the ambulance. Avoids mishandling patient and undue haste. Determines appropriate medical facility to which patient will be transported. Transports patient to medical facility providing ongoing medical care as necessary enroute. Reports nature of injury or illness to receiving facility. Asks for medical direction from medical control physician and carries out medical control orders as appropriate. Assists in moving patient from ambulance into medical facility. Reports verbally and in writing observations of the patient’s emergency and care provided (including written report(s) and care provided by Certified First Responders prior to EMT-B/AEMT arrival on scene) to emergency department staff and assists staff as required.

Complies with regulations in handling deceased, notifies authorities and arranges for protection of property and evidence at scene.

Replaces supplies, properly disposes of medical waste. Properly cleans contaminated equipment according to established guidelines. Checks all equipment for future readiness. Maintains ambulance in operable condition. Ensures cleanliness and organization of ambulance, its equipment and supplies. Determines vehicle readiness by checking operator maintainable fluid, fuel and air pressure levels. Maintains familiarity with all specialized equipment.

CERTIFICATION PERIOD:

Under most conditions, EMS certificates issued by the Department are valid for 37 months from the date of issue and expire at 11:59 p.m. on the date indicated on the document, this will normally be the last day of the month. The following are the only exceptions to this certification period:

  1. The certified provider has completed a NYS written examination and all other requirements for recertification prior to the expiration of their current certification. Under the provisions of the State Administrative Procedure Act (SAPA 401) the provider shall remain certified until such time as the results of the examination are released.
  2. The provider is a participant in an approved pilot recertification program that allows for certification for a period different than three years and such provider has received a certification from the Department with an expiration date more than 37 months in the future.
  3. The provider has been approved for extended certification as allowed for by law.
  4. Military personnel being released from active duty have their CFR/EMT/AEMT certification extended under the provisions of the “Patriot Plan” (Chapter 106, Laws of 2003).
    “The commissioner is hereby authorized and empowered to extend the certification for emergency medical technicians, advanced emergency medical technicians, or certified first responders who have been ordered to active military duty, other than for training, on or after the eleventh day of September 2001 and whose certification will expire during their military duty. The extended certification shall be for the period of military duty and for twelve months after they have been released from active military duty.”
    If certification expires after leaving active military duty, the individual is not eligible for extension of certification under the provisions of this law. The maximum certification extension granted will be for the period of military duty and for 12 months effective from the date of release from active military duty as evidenced by the form DD-214.
    Review Policy Statement 03-10 for the filing procedure.
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