Introduction Plan for a New Trainee of Ambulance Level - Article Example

Design an Introduction Plan for a New Trainee (paramedic) Ambulance level The Ambulance worker has decades before surpassed the level of being an ordinary technician to that of an Emergency Medical paramedic, whose role at the time of emergency period is immensely valid. And now in all developed countries as UK and US the training and induction program is considered as an important part of the medical programs. Many studies as the Delphi studies established that the ambulance technicians are expected persons with core professional skills, individual and collaborative approaches to health and safety, and the management of self and clinical situations. So the training and induction course is planned to follow that order, with the aim is to impart core professional skills, management of self and clinical situations and approaches to health and safety. The Emergency Medical Technician (EMT) is ubiquitous as doctors and nurses in medical fraternity, is defined as a health care provider who is trained to provide prehospital emergency medical care. EMTs again in themselves are divided into numerous levels based on their location and knowledge level. They as apart of their duty are trained to assist the higher level EMTs, paramedics, as physicians and nurses. In providing medical care the EMTs also abide and follow the protocols and guidelines established by physician medical directors. Thus the ambulance service that was once thought as a "ambulance driver" or "attendant," has now modernized itself as modern EMTs perform a wide variety of medical procedures and responds to many types of emergency calls. Local placement objectives: On completion of successful induction program the trainees have to undergo interview and qualifying test, satisfying which they may be absorbed into the same clinical institution. The aim of the training is primarily to link workforce planning data with business aims which will assist the organization in recruiting, retaining and developing appropriately skilled and competent staff and supports the development of new roles and extended skills. EMT practitioners after training are absorbed in varied and multiple settings ranging from the traditional industrial arena to the and latest in fray entertainment first aid positions. but as a whole a major point of employment for this group is in the hospital sector, where it is placed as either emergent or non emergent hospital services. The ambulance service usually operates in both the areas. But the picture cannot be usually ascertained as a uniform pattern and usually varies among various geographical regions. For example for places such as Southern California, the primary employer of EMTs are the fire department as it is the fire department that provides the primary emergency medical system response in the country. In other locations, such as Boston, Massachusetts, emergency medical services are provided by a separate, or “third-party,” government agency. Many other places it is usually the volunteer agencies that provides the emergency care and hence employs ambulance service. Also cannot be ignored the various college and university campuses that provide emergency medical responses on their own campus utilizing students. But as an difference in the United Kingdom , there doesn’t exist any legal definition of an emergency medical technician, more frequently called an ambulance technician by those serving in the UK, and as such, there is no legal requirement to have any particular qualification, or indeed, any qualification at all. Thus this appears as a sharp contrast to the very high sate of ordered paramedic level, and law existing in the US. In UK it is the Institute of Healthcare Development (IHCD, a division of the Edexcel examination board ambulance technician qualification, offered that is valid widely by every NHS ambulance service. This training periods mandatory for this qualification is around three months There are many private companies also offering courses and here the technicians are likely to work on patient transport work, or as medical cover for public or private events. In some instances, they may provide contracted work to the statutory ambulance service, usually as second-line support units, although they may in some circumstances, respond to 999 emergency calls. Induction periods plan: Generally it important to know the various applications that employs the EMT service, as the medical emergencies, hazardous materials exposure, childbirth, child abuse, fires, rescues, trauma and psychiatric crises. EMTs are employed as a part of numerous teams or systems such as by ambulance companies, as a member of technical rescue teams, in career or volunteer fire department, and tactical response teams. The basic aim of the EMTs service is to impart the trainees with knowledge to act in critical emergency medical situations in a quick, rapid time frame that starts from onset of a patient's condition .in that the EMT' is expected to first note and evaluate the on of a patient's condition as quickly possible and then immediately act and maintain patient's airway, breathing and circulation. Thus as a part of the immediate EMT interventions the various acts provided are delivering CPR and cardiac defibrillation when necessary and controlling severe external bleeding, preventing shock, immobilization of the neck to prevent further spinal damage, immediate treatment (such as splinting) of bone fractures (both open and closed). These interventions are to be given immediately by the EMT in order to prevent the any further deterioration of injury disability and preserve life or conditions conducive to life while EMT's expedite transport of the patient to a hospital emergency department for definitive medical care. The training or induction program for six weeks would be offered in stages to educate them on levels. Primarily it would be EMT-B (Basic) EMT-I/85 (Intermediate) EMT-I/99 (Intermediate) EMT-P (Paramedic) Of all levels, EMT-Basic is the entry level of EMS. In this the training procedure includes expertise in non-invasive techniques as bleeding control, positive pressure ventilation with a bag valve mask, supplemental oxygen administration, and splinting (including full spinal immobilization). In this the knowledge of certain emergency condition becomes necessary for example, in some medications as, epinephrine for anaphylactic shock (severe allergic reaction). In the Intermediate Levels of EMT, the level of training is between basic (EMT-B) and paramedic (EMT-P). Then the EMT-I/85 level of training helps trainees to understand some basic invasive procedures than the basic level, as IV therapy, use of multi-lumen airway devices, and provides for enhanced assessment skills. The EMT-I/99 represents a higher level than the EMT-I/85 with an expanded scope of practice, such as cardiac monitoring and the administration of additional pharmaceutical interventions, as well as additional training time. Generally the paramedics performs variety of medical procedures such as fluid resuscitation, pharmaceutical administration, obtaining IV access, cardiac monitoring (continuous and 12-lead), and other advanced procedures and assessments. In that the ambulance service is representative of the basic EMT-Bs , which is considered as a basic life support (BLS) unit, an ambulance utilizing EMT-Is is dubbed an intermediate life support (ILS) unit, and an ambulance with paramedics is dubbed an advanced life support (ALS) unit. Some states allow ambulance crews to contain a mix of crews levels (i.e. a basic and a paramedic or an intermediate and a paramedic) to staff ambulances and operate at the level of the highest trained provider. This arrangement is commonly referred to as a Mobile Intensive Care Unit (MICU). Basically the training team includes a head of training and various management-level staff. For operational (EMT, paramedic and ECP) training, there about 15 trainers who are operational staff qualified as trainers. Special leadership training is offered to theses managers. This induction course would last for ten weeks .The trainees would be guided through the anatomy and physiology of the major body systems, supporting knowledge of illness, trauma and practical aspects of pre-hospital care. Specialist tutors are used for certain lessons – for example, a midwife will often lead the childbirth sessions. Driver training is also an important part of the course and lasts for an additional three weeks. This training prepares the students to work under supervision during their first year of work as an EMT. They are expected to compile a portfolio of evidence based on their work during that year. Upon successful completion of their year, they become EMTs and are qualified to work without supervision. The Learning and Development Unit (LDU) is responsible for: 􀂃 monitoring PDR, KSF, Corporate and Local Induction, and Mandatory training activity 􀂃 working collaboratively with the Clinical Directorate and Training Centres to design the annual CPD programmes 􀂃 managing the implementation and maintenance of the new OLM system 􀂃 identifying organizational learning needs 􀂃 working in partnership with Trust directorates/departments to identify Priority learning 􀂃 commissioning and delivering appropriate learning activities to meet annual regional needs 􀂃 provide a clear process for access to learning activities outside of core training 􀂃 to ensure evaluation of all programmes is undertaken and any necessary changes or improvements are managed Clinical Training Department is responsible for: 􀂃 Delivering the agreed clinical training plan in accordance with Trust work force planning data. 􀂃 Ensuring records of completed training are entered on to OLM and the staff members appropriate line manager is informed. Where staff fail to complete a course their line manager should be informed 􀂃 Work with Clinical and Operational Directorates to ensure programme are fit for practice and purpose along with delivery that enables students and supports operational activity 􀂃 to ensure that evaluation of all programme is undertaken and any necessary changes or improvements are managed Administrators are responsible for: 􀂃 Nominated Locality administrators: Collating monthly figures for the number of PDR’s completed within their teams (headcount specified by workforce data) and of those PDR’s, how many are completed using a KSF outline. Figures to be reported in the agreed timeframes to the LDU 􀂃 Clinical Training administrators: Collating training records for Core Clinical Training Programme and the annual CPD programme and inputting them onto the OLM 􀂃 Workforce and OD Admin Support: Co-ordinating the induction process and inputting induction attendance data onto the OLM. 􀂃 The LDU: coordinating any agreed regional activities through the learning and development annual plan and inputting them onto the OLM 􀂃 The tutor/facilitator/training provider: ensuring that each student/delegate signs an attendance sheet for each individual day or part thereof, completes an evaluation form and returns the paperwork to the appropriate administrator. Paramedics are state-registered by the Health Professions Council and are highly regarded as pre-hospital care professionals. Currently, the vast majority paramedics are qualified emergency medical technicians (EMTs) who have undertaken further training. Training for paramedics lasts seven weeks full time or can be completed at a rate of one day per week over nine months. Students also spend time in hospital working in the operating theatres, A&E and other areas of the hospital. The future offers other options for those aspiring to become paramedics, with students attending university to gain their academic/paramedic qualifications before joining an ambulance service. By the end of the training the paramedics are expected to be well versed in the following medical conditions assistance, anaphylactic shock (allergic reaction) cardiac arrests cardiac arrhythmia child birth complex medical assessments complex traumatic assessments difficulty in breathing drug overdose moderate to complex fractures moderate to serious trauma pain management pulmonary edema respiratory arrest status asthmatics stroke The training programs designed for the ambulance service training consist basically of at least 110 hours of classroom training, along with 200-400 hours of on field training. In addition to each level's classroom education and clinical rotations are provided. Thus like the students of medical school the EMT trainees are also expected to take up clinical rotations, and the EMT students are required to spend a required amount of time in an ambulance and on a variety of hospital services (e.g. obstetrics, emergency medicine, surgery, psychiatry) in order to complete training successfully. The number of clinical hours for both time in an ambulance and time in the hour vary depending on local requirements, the level the student is obtaining, and the amount of time it takes the student to show competency. Treatments and procedures administered by paramedics include types of two categories, namely the off-line medical orders (standing orders) and on-line medical orders. The On-line medical orders refers to procedures that are to be approved by a base hospital physician or registered nurse through voice communication and are usually the rare or high risk procedures as rapid sequence induction or cricothyrotomy. Finally, systems also have policies in place to handle medical direction when communication failures happen or in disaster situations. Teaching /learning plan The six weeks induction would cover following areas, Clinical practice , that would include the service, targeted for 3 week Clinical theory, that explains theoretical background of above, a class room training, a week Administration covers details about administration details, coupled with the stake holders, a week. Stake holders Lectures and tutorials, Learning environment, other learning experiences all comes around a week that covers matters outside textual course. The various areas covered would include, fire safety, moving and handling non patient and patient, human right awareness, emergency planning, business continuity, infection control, health and safety environment, work safety, risk assessment, child and adult protection, etc. Resources and materials required to implement the Induction Plan. The resources required for organizing the plan and for arranging the resource material is little high. Primarily the classroom to accommodate the in-house activity has to be arranged. Then faculty members are to be arranged for the specific times. Specialist as and when demanded is to be arranged. then the textual material to be covered in classroom training should be prepared and made in required copies. Following this also time and space for on field training are also is to be arranged. Following this live demonstrations are also to be organized. Positive and negative aspects of implementing the Induction Plan The very positive aspect of implementing the induction plan is the firsthand training that could be imparted to the trainees in a very live environment. This could act as a very valid point of exposure providing immense confidence for the trainees when pushed into real world of working. Also it would give a chance for the members of faculty to refresh their knowledge. This plan could act as a way of upgrading the quality of the ambulance service provided. On the negative side the main constraint would be organizing resources, allocating fund, time management and other environmental factors. Organizing the resource material would mean adjusting the other workload that would look to be cumbersome. Also when arranged for on field training any difficulties to be faced are also to be expected. References : 1. Emergency Medical Technicians and Paramedics (HTML). US Department of Labor, Bureau of Labor Statistics. Retrieved on 2008-03-10. 2. Legal Opinion: Certification v. Licensure (HTML). National Registry of Emergency Medical Technicians. Retrieved on 2008-03-10. 3. Emergency Medical Technician-Intermediate: National Standard Curriculum (HTML). National Highway Transportation Safety Administration. Retrieved on 2008-03-10. 4. EMT I & II Information (HTML). California Emergency Medical Services Authority. Retrieved on 2008-03-10. 5. Emergency Medical Services Program (HTML). Drexel University. Retrieved on 2008-03-10. 6. About us (HTML). Orange County EMS Agency. Retrieved on 2008-03-11. 7. EMS Authority's Mandates Summary (HTML). California Emergency Medical Services Authority. Retrieved on 2008-03-11. 8. What is the Bureau of Emergency Medical Services (HTML). New York State Department of Health. Retrieved on 2008-03-11. 9. Emergency Medical Technician course. The Training Centre. Retrieved on 2008-03-10. Read More