EMT 2010 - Prep for Advanced EMT Practice

1. Define EMS systems. 
2. Discuss the four levels of EMS training and licensure. 
3. Describe AEMT licensure criteria and understand that the Americans with Disabilities Act (ADA) applies to employment as an AEMT. 
4. Discuss the historic background of the development of the EMS system. 
5. Describe the levels of EMS training in terms of skill sets needed for each of the following: EMR, EMT, AEMT, and paramedic. 
6. Discuss the possible presence of other first responders at a scene who may have EMR training, some knowledge of first aid, or merely good intentions, and discuss their need for direction. 
7. Describe the components of the EMS system. 
8. Understand how medical direction of an EMS system works and the AEMT’s role in the process. 
9. Discuss the purpose of the EMS continuous quality improvement (CQI) process. 
10. Characterize the EMS system’s role in prevention and public education in the community. 
11. Describe the roles and responsibilities of the AEMT. 
12. Describe the attributes that an AEMT is expected to possess. 
13. Understand the impact of the Health Insurance Portability and Accountability Act (HIPAA) on patient privacy. 
14. State the steps that contribute to wellness and their importance in managing stress. 
15. Define infectious disease and communicable disease. 
16. Describe the routes of disease transmission. 
17. Describe the routes of transmission and the steps to prevent and/or deal with an exposure to hepatitis, tuberculosis, and HIV/AIDS. 
18. Know the standard precautions used in treating patients to prevent infection. 
19. Describe the steps to take for personal protection from airborne and bloodborne pathogens. 
20. Explain proper handwashing techniques.
21. List the ways immunity to infectious diseases is acquired. 
22. Explain postexposure management of exposure to patient blood or body fluids, including completing a postexposure report. 
23. Describe the steps necessary to determine scene safety and to prevent work-related injuries at the scene. 
24. Describe the different types of protective clothing worn to prevent injury. 
25. Explain the care of critically ill and injured patients. 
26. Describe issues concerning care of the dying patient, death, and the grieving process of family members. 
27. Know the physiologic, physical, and psychological responses to stress. 
28. Describe posttraumatic stress disorder (PTSD) and steps that can be taken, including critical incident stress management, to decrease the likelihood that PTSD will develop. 
29. Identify the emotional aspects of emergency care. 
30. Recognize the stress inherent in many situations, such as mass-casualty scenes. 
31. Recognize the possibility of violent situations and the steps to take to deal with them. 
32. Describe how to handle behavioral emergencies. 
33. Discuss workplace issues such as cultural diversity, sexual harassment, and substance abuse. 
34. Define consent and how it relates to decision making. 
35. Compare expressed consent, implied consent, and involuntary consent. 
36. Discuss consent by minors for treatment or transport. 
37. Describe local EMS system protocols for using forcible restraint. 
38. Discuss the EMT’s role and obligations if a patient refuses treatment or transport. 
39. Describe the relationship between patient communications, confidentiality, and the Health Insurance Portability and Accountability Act (HIPAA). 
40. Discuss the importance of do not resuscitate (DNR) orders and local protocols as they relate to the EMS environment. 
41. Describe the physical, presumptive, and definitive signs of death. 
42. Explain how to manage patients who are identified as organ donors. 
43. Recognize the importance of medical identification devices in treating the patient. 
44. Discuss the scope of practice and standards of care. 
45. Describe the EMT’s legal duty to act. 
46. Discuss the issues of negligence, abandonment, assault and battery, and kidnapping and their implications for the EMT. 
47. Explain the reporting requirements for special situations, including abuse, drug- or felony-related injuries, childbirth, and crime scenes. 
48. Define ethics and morality, and discuss their implications for the EMT. 
49. Describe the roles and responsibilities of the EMT in court. 
50. Describe the factors and strategies to consider for therapeutic communication with patients. 
51. Discuss the techniques of effective verbal communication. 
52. Explain the skills that should be used to communicate with family members, bystanders, people from other agencies, and hospital personnel. 
53. Discuss special considerations in communicating with older people, children, patients who are hard of hearing, visually impaired patients, and non-English-speaking patients. 
54. Describe the use of written communications and documentation. 
55. State the purpose of a patient care report (PCR) and the information required to complete it. 
56. Explain the legal implications of the PCR. 
57. Describe how to document refusal of care, including the legal implications. 
58. Discuss state and/or local special reporting requirements, such as for gunshot wounds, dog bites, and abuse. 
59. Describe the basic principles of the various types of communications equipment used in EMS. 
60. Describe the use of radio communications, including the proper methods of initiating and terminating a radio call. 
61. List the correct radio procedures in the following phases of a typical call: initial receipt of call, en-route to call, on scene, arrival at hospital (or point of transfer), and return to service. 
62. List the proper sequence of information to communicate in radio delivery of a patient report.
63. Demonstrate how to properly remove gloves. 
64. Demonstrate the steps necessary to manage a potential exposure situation. 
65. Demonstrate the techniques of successful cross-cultural communication. 
66. Demonstrate completion of a PCR.