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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

Our good friends at Johnson County Med-Act produced some great videos showing both the end tidal CO2 Colorimetric device in action as well as capnography and capnometry.  Take a look:

End Tidal CO2 Capnometer
http://www.youtube.com/watch?v=FwQTXPj4cpo&feature=related

Capnometer/Capnograph
http://www.youtube.com/watch?v=KJk1i8Upd5s&feature=related
http://www.youtube.com/watch?v=sLLHrj_pFys&feature=related

There are numerous videos posted here.  You’ll know them as they are posted by “ttems”  Thanks to JoCo for sharing these!

This comes from Jared Hoover, a paramedic with Sedgwick County and a part-time instructor with Hutchinson Community College.  Thanks for sharing, Jared!

Catheter Training Prop

“I thought I would share this with you. I created a training replica of a working foley catheter with a liter bag of NS. I spiked the bag and widened the hole with a screw driver. I then put the catheter in the bag and inflated the balloon in the port for the spike. I tried putting the balloon in the bag and resting it on top of the port but it leaked around the catheter. I added food coloring to the bag to make the saline more visible and then pulled the air out of the saline bag with a syringe and needle. I am not sure pulling the air out is necessary. It worked perfect and made for a great demonstration.”

This is a great example of classroom prop creativity.  What are you using that others could benefit from?  Let us know!

Some of you are already into the EMT Transition process.  For those who aren’t, but are thinking about how to simulate different medications, here are some ideas.

For NTG we are using Altoids Smalls which are placed into NTG bottles (after they are washed with soap and water and then dried out).
NTG Placebo

For Aspirin placebos there is nothing as good as Mini M&Ms.  We use a baby aspirin bottle that has been washed out with soap and water and dried.  (We watch carefully for students overdosing in the corner of the classroom . . . )
ASA Placebo

A word of caution.  Wash those bottles out!  We also ensure that people are told that if they have allergies (ASA is a common one) that they should not partake of the placebos!

If you have other ideas that you use, we’d like to hear them so they can be shared as well.

Course Coordinators:

A new EMT Student Manual, version 2-1 was posted on the Coordinator site this evening.

If you have already printed the EMT Student Manual 2-0, there is an addendum that can simply be added to what you have. The addendum includes a new Master Checkoff Sheet and worksheets for Pulse Oximetry and NTG administration.

EMR and EMT version 2-1 files for Transition Coordinators have been posted to the shared site. An e-mail with further information was sent to Coordinators earlier this evening. Please e-mail us if you have questions.

One of the things that has become apparent since we began the Train the Trainer courses is that some of the skills required in the transition courses will be problematic for local services.  This is either because of the expense of equipment or because the skill is not expected to be used by services (this may not make sense to you, but is a result of adopting the National Scope for each level as part of our scope).  As Friesen Group developed the curricula, we identified this about some specific skills such as mechanical CPR and automated transport ventilators.  However, a few additional items came to light and with this in mind we went back to the Board of EMS at their October meeting to request a few additions to the “Optional” list of skills. Bear in mind, these must still be covered in the didactic portion of the transition course – however – the skills are not required for successful completion.  Here is the list of optional skills by level.

EMR EMT AEMT
Application of ECG patches does NOT require an ECG monitor.  It does require patches and ECG limb lead cables Application of ECG patches does NOT require an ECG monitor.  It does require patches and ECG limb lead cables  Administraton of Nitrous Oxide is NOT required
     
Mechanical CPR device is NOT required (As Adopted) Use of Automatic Transport Ventilator is NOT required (As Adopted) Use of Automatic Transport Ventilator is NOT required (As Adopted)
     
  Use of Manually Triggered Ventilator is NOT required Use of Manually Triggered Ventilator is NOT required
     
  Automatic Blood Pressure acquisition is NOT required  
     
  EtCO2 Capnograph/Capnometer is NOT a required skill.  Colormetric devices ARE required.  

We received approval of the transition course curricula at the August 6, Kansas Board of EMS meeting in Topeka.  With this approval, we are moving forward to the train-the-trainer events.  Here is some information that persons responsible for the coordination of the transition courses in their communities and services will find useful.

General Information:

  1. The courses were approved by BEMS as competency based, not time based.  What this means is that students are doing more than just sitting in class. They must show competency in the knowledge, skills, and abilities.  This may take more or less time than is specified in the individual lesson plans.  Your local situation may vary depending upon the experience of the teacher(s) and students.  Be flexible and understand the importance of obtaining competency for all students.
  2. Only I/Cs and TOs who have attended a train the trainer course this fall will be approved to coordinate transition bridge courses.  They may find subject matter experts to teach the materials in the course or may, if qualified, teach it themselves.
  3. Completion of the entire bridge course, with acknowledgement of competency by the instructor and verification by the State Board of EMS will be required BEFORE any technician can use the new scope activities.  Local protocols will also need to be in place.  This is important to understand.  EMS Providers cannot begin using new skills at the end of a given class session or module. EMS Providers must complete the entire course and receive your new certification from the Kansas Board of EMS and the local protocols must reflect the new scope of practice.
  4. Sample course schedules and course hours for EMR, EMT, and AEMT are available on the documents page of this website or by clicking on each link in this sentence.

There have been a number of questions about the process of bridging to the new scope of practice at each level.  Here is a summary of the options.

First Responder:

  • First Responders transition to EMR via the EMR Transition Bridge.
  • First Responders opt out a transition bridge course and fail to renew certification.

Emergency Medical Technician:

  • Emergency Medical Technicians transition to EMT via the EMT Transition Bridge.
  • Emergency Medical Technicians may choose to transition to EMR via the EMR Transition Bridge.
  • Emergency Medical Technicians opt out a transition bridge course and fail to renew certification.

Emergency Medical Technician Intermediate:

  • Emergency Medical Technician – Intermediates transition to AEMT via the AEMT Transition Bridge.
  • Emergency Medical Technician – Intermediates may choose to transition to EMT via the EMT Transition Bridge.
  • Emergency Medical Technician – Intermediates may choose to transition to EMR via the EMR Transition Bridge.
  • Emergency Medical Technician – Intermediates opt out a transition bridge course and fail to renew certification.

Emergency Medical Technician Intermediate/Defibrillator:

  • Emergency Medical Technician – Intermediate/Defibrillators transition to AEMT via the AEMT Transition Bridge.
  • Emergency Medical Technician – Intermediate/Defibrillators may choose to transition to EMT via the EMT Transition Bridge.
  • Emergency Medical Technician – Intermediate/Defibrillators may choose to transition to EMR via the EMR Transition Bridge.
  • Emergency Medical Technician – Intermediate/Defibrillators opt out a transition bridge course and fail to renew certification.

Emergency Medical Technician Defibrillator:

  • Emergency Medical Technician – Defibrillator transition to AEMT via an existing EMT – Intermediate Curriculum and the AEMT Transition Bridge.
  • Emergency Medical Technician – Defibrillator may choose to transition to EMT via the EMT Transition Bridge.
  • Emergency Medical Technician – Defibrillator may choose to transition to EMR via the EMR Transition Bridge.
  • Emergency Medical Technician – Defibrillators opt out a transition bridge course and fail to renew certification.

Dates

June 2017
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