You are currently browsing Friesen Group’s articles.

The Friesen Group contract for the Kansas EMS Transition will come to a close on December 31, 2013.

The web site with instructor and student documents will close on December 31, 2013. Course Coordinators are encouraged to download any needed materials as soon as possible. After that time, Course Coordinators will need to contact either the Board office or Friesen Group directly for any necessary files.

We have appreciated the opportunity to contract with the Board and support the transition process. Most of all, it has been a privilege to meet and learn to know many Kansas EMS professionals.

As someone who is not an EMS provider, my hope is that professional providers will continue to make decisions based on current best practices, the best research, hours and hours of practice, and what is best for this patient in this time and location.

With gratitude and best wishes,
Kathleen for Friesen Group

Here is the link to the Transition Application. Those who have completed the transition must submit this and the supporting documents to the Board of EMS to receive their new certification.

Please call the Board of EMS office with questions: 785-296-7296

Adobe has relocated its file sharing workspace to a new web address.

To access transition documents, logon using your ID and password at: https://workspaces.acrobat.com/SignIn.html

 

The Kansas Board of EMS has added requirements to the EMT-I to AEMT Transition curriculum. These additional requirements must be developed by Transition Course Coordinators and Instructors. This includes:

  • Lesson plan
  • Media
  • Formulary
  • Task list
  • Task analysis
  • Check sheet for the Student Lab Manual

The question has been raised repeatedly, “Do these need to be approved by the Board of EMS?”

At this time the Board is not requiring approval. However, the Board office is suggesting that these materials be submitted to the Board office for review and approval. This is especially true for all check-off sheets as these sheets become part of the permanent record and audit trail for the transition. Whether submitted or not, all check-sheets must be maintained per the audit record requirements for the transition.

Please direct questions regarding this information to the Board office. To insure that your check sheets will meet the requirements, please submit them for review and approval tot the Board office.

Additional AEMT Requirements

We’ve placed several documents and links to video on this website that are accessible to anyone who wants to use them. The Medication Administration Cross Check (MACC) is a process designed in Sedgwick County, Kansas for use by Emergency Medical Service (EMS) providers when administering medications. The MACC process is designed to reduce errors in medication administration.

The copyrighted resources posted include an explanation, lesson plan, and links to the Sedgwick County, Kansas videos that show the MACC being used:

MACC Lesson Plan
MACC User Manual
MACC Video – “No Error Found”
MACC Video – “With Error Found”

This copyrighted information is used with permission.

If you have questions about the MACC, please contact Jon Friesen at Sedgwick County Emergency Medical Services System.

Instructors: Please note that there are new requirements outlined below.

Several questions have been asked regarding the AEMT curriculum.  Here’s a short explanation and process direction to use in working through these items.

Missing Check Sheets

Check sheets for Intraosseous (IO) and for Rectal Administration are not included in the curriculum.  There are task sheets for these skills.  In talking with the Kansas Board of EMS today (August 3, 2012), they stated that instructors must develop check sheets with which to assess these skills.  Since the skills are referenced in the curriculum, they must be assessed and will be checked in the event of an audit. These check sheets must be included with the AEMT Student Lab Manual.

If anyone has already developed a check sheet for these skills and would like to share it, please email it to us, and we’d be happy to share this with the rest of the AEMT Transition community.

New Medications Added to Formulary

The Kansas Board of EMS, working with the medical advisory committee (MAC) has made additional recommendations in 2012 to the medications carried by AEMTs.  These include the addition of Ondansetron and changes to the routes of administration for Lidocaine and Amiodarone.  See the table below for a current PROPOSED formulary and use description for AEMTs.  These changes are included in proposed regulation which is working through the approval process.

As with the above check sheets, in talking with the Kansas Board of EMS, in the case of added medications indications, and routes, (the addition of Ondansetron and changes to the routes of administration for Lidocaine and Amiodarone) they expect instructors to develop these course materials to be added to the AEMT course including: a lesson plan, media, formulary, task list, task analysis, and check sheet for the Student Lab Manual for each new medication. These check sheets must be included with the AEMT Student Lab Manual. They must be assessed and will be checked in the event of an audit.

If anyone has already developed the lesson plan, media, formulary, task list, task analysis, and check sheet for these skills, please email it to us, and we’d be happy to share this with the rest of the AEMT Transition community.

Advanced EMT
Medication List

Kansas Board of EMS

May 1, 2012
Medication Method Application
1 Activated charcoal Oral Non-caustic overdoses
2 Albuterol inhaler Aerosolized, inhaled,   nebulized Acute asthmatic attacks,   bronchospasm
3 Albuterol and Ipratropium –   premix combined Aerosolized, nebulized Acute asthmatic attacks,   bronchospasm
4 Amiodarone IO bolus or IV bolus only;   either bolus may be repeated.    Continuous infusion not allowed. Pulseless ventricular   tachycardia; Refractory ventricular fibrillation; andinterfacility transfers   only.
5 Antidote – Any Auto injector Self or peer care
6 Aspirin Oral Chest pain of suspected   ischemic origin only
7 Atropine/Pralidoxime chloride Auto injector Cholinergic/nerve gas   poisoning
8 Atrovent (Ipratropium) – Pt.   assisted only Nebulized, metered dose   inhaler Dyspnea and wheezing
9 Benzodiazepine IM, IO, IV, intranasal, rectal Status epilepticus only
10 Beta agonist Determined by protocol or   directcontact with a physician. Dyspnea and wheezing
11 Dextrose Solutions – (D10,   D25, D50) IO, IV Acute hypoglycemia
12 Diphenhydramine hydrochloride IM, IV, oral Acute allergic reactions
13 Dopamine hydrochloride IV with pump only Maintenance during   interfacility transfer only
14 Epinephrine Auto injector Anaphylactic reactions
15 Epinephrine 1:10,000 IO, IV Cardiac arrest only
16 Fentanyl IO, IV, intranasal Noncardiac pain relief only
17 Glucagon IM Acute hypoglycemia where oral   glucose or IO/IV medications cannot be given
18 Glucose Oral Acute hypoglycemia
19 Ipratropium Nebulized, inhalation Acute asthmatic attacks,   bronchospasm
20 IV electrolytes/antibiotic   additives IV with pump only Maintenance during   interfacility transfer only
21 IV fluids without medications   or nutrients;monitor, maintain and shut off IV gravity or pump Established by medical   protocols
22 IV solutions – Any combination   of fluids IO, IV Medication administration,   volume expansion
23 Lidocaine IO bolus or IV bolus only;   either bolus may be repeated.    Continuous infusion not allowed. Pulseless ventricular   tachycardia; Refractory ventricular fibrillation; andinterfacility transfers   only.
24 Medicated inhaler – Pt.   assisted only Nebulized or metered dose Acute asthmatic attacks,   bronchospasm
25 Morphine IO, IV Noncardiac pain relief only
26 Naloxone IM, IO, IV, SQ, intranasal Reversal of narcotic overdose
27 Nitroglycerine/nitro   preparation Dermal, oral, oral spray   sublingual Anginal pain relief
28 Nitrous oxide Inhalation Pain relief
29 Ondansetron Oral, IV, IO, IM Nausea/Vomiting
30 Over the counter oral   medications Oral Not specified
Legend: IM = Intramuscular, IO = Intraossesous, IV = Intraveneous,   Pt. = Patient, SQ = Subcutaneous

This list was accessed on August 2, 2012 and is available from the Board web site.
Please direct questions regarding this information to the Board office. If you have questions about whether or not your check sheets will meet the requirements, please contact the Board office.

Here are some links that may prove useful for Course Coordinators:

The Board of EMS has issued a transition course checklist:
Scope of Practice Transition Course Guide

Here is a page summarizing the regulations, including links for downloading them or reading online:
February 2012 – Regulation Update

For Course Coordinators only, a link to the most current instructor and student manuals:
EMS Transition Curricula

The Board office issued two memos:
The transition requires all providers to pass written and skills tests
Changing Transition Course Dates and/or Times

Education standards for new, original courses of instruction for the new levels, EMR, EMT, and AEMT were created by Hutchinson Community College and posted by KSBEMS here.

Local services as well as many of the Kansas Community Colleges are offering transition courses.

Cross post from Friesen Group

“If we don’t find enough volunteers, we’re going to have to close. It will be a hardship for our community. I’m angry that we can’t find the resources we need.”

“It always feels like there’s a crunch to find volunteers, but they come through at the last-minute. I wish I didn’t have to worry about finding volunteers.”

Often non-profit organizations look to the corporate world for models of organization development and strategy. Yet non-profits are fundamentally different. While they have passion and vision, and deliver excellent service, the resources required differ from the business world. These resources may include charitable donations, grants, corporate sponsorships, and sometimes business revenues.

Non-profits rely on volunteers. Leading a team of volunteers is inherently different from leading paid employees. Volunteers commit their time, energy, money, and other resources because they want to make a difference, belong to a group with a common goal, and have pride in being a contributing member. Volunteers commit on their own terms. Leaders are the glue, attracting others to join and directing activities.

I have written a longer article about a 2-year study by Deloitte that looks at the characteristics of volunteers and suggests a list of questions that non-profit leaders can use to develop a strategy for leading and attracting volunteers. For more in-depth reading, I recommend Jim Collins’ monograph Good to Great for the Social Sectors and Baghai and Quigley’s As One: Individual Action and Collective Power.

There are encouraging statistics for those seeking to attract volunteers – from the overwhelming numbers of college students applying to Teach for America to the spontaneously organizing groups on the Internet such as the Linux users group, who jointly develop an operating system, and Wikipedia contributors. People envision helping their communities, learning new skills, and making a difference.

A community organizer is someone who uncovers [volunteers’] self-interest. They give [volunteers] an opportunity to work in their own self-interest and address problems in the community that they could not address by themselves.
Jane Addams

Read Leading Volunteers originally published in the Kansas EMS Chronicle

The update of the AEMT files is complete with the addition of the PowerPoint slides to the Acrobat.com site.  I/Cs and TOs who have been through the train the trainer course and who have access to the Acrobat.com site can now download the slides.

The slides have been left in a pptx file format. You can add content to the slides.  You may NOT delete content from the slides for from the AEMT program.  If you have questions or concerns, please contact us directly.

Here is a summary of ideas shared by transition instructors:

DuoDote Kits

End Tidal Videos

Catheter Prop Idea

Medication Placebo Ideas

If you have ideas and tips to share with transition instructors, we’d be glad to post them here. Email us or leave a comment on this post.

 

Dates

June 2017
S M T W T F S
« Nov    
 123
45678910
11121314151617
18192021222324
252627282930  
%d bloggers like this: