Traning and Education
OPERATIONS AND TRAINING COMMITTEE
The purpose of the Operations and Training Committee is to evaluate educational needs,
program designs, program impact for the EMS system and public awareness of pre-hospital
phase of health care delivery.
The Committee shall meet not less than four (4) times per calendar year. The following
areas of training will be reviewed.
1. Number of licensed EMS providers in the community
2. Ability of agencies to meet staffing needs
3. Proximity of candidates to EMS courses
4. Cost
5. Continuing education credits for EMS personnel
6. Continuing Quality Improvement (CQI) Committee reports and
recommendations
7. EMS course monitoring
8. EMS course evaluation forms
The Committee will work closely with the CQI Committee to address the areas needs for
training and remediation of skills.
TRAINING REQUIREMENTS
LICENSURE:
The individual must hold and maintain a current, valid Michigan license as a MFR,
EMT, EMT-S or EMT-P.
EDUCATION:
The individual must present proof of successful completion of State approved course (i.e.,
diploma, certificate, etc.) and a copy of individual's State license.
CPR CERTIFICATION:
All prehospital personnel must hold and maintain a current CPR certification based on AHA
standards.
ACLS CERTIFICATION:
An EMTP (paramedic) must hold and maintain a current ACLS provider certification based on
AHA Standards.
MONROE COUNTY CREDENTIALLING:
The EMT-S or EMTP must meet the re-licensure requirement of the Michigan Department of
Consumer and Industry Services. In addition, the EMT-S and EMTP must participate in the
Monroe County Credentialling Program (see Credentialling for System Approval).
The EMT-S, EMTP who leaves and returns within six months will not need to retest within
the Monroe County system.
TERMINATION OF APPROVAL:
Approval to function as an EMT-S or an EMTP in the Monroe County Medical Control Authority
area will be terminated if the individual terminates employment with an ALS provider, or
fails to fulfill the obligations listed above including the annual approval and CPR
certification. If the EMS provider's license is revoked by the State of Michigan, his/her
privilege to practice within Monroe County is also revoked by Medical Control.
CREDENTIALLING FOR SYSTEM APPROVAL
I. PURPOSE
The purpose of the initial Approval is to evaluate the level of expertise of the paramedic
or specialist when beginning to work under Monroe County Medical Control. Regular skill
check requirements are used to continuously evaluate the level of expertise of the
paramedic or EMT-Specialist under Monroe County Medical Control.
II. CONDITION OF SKILL CHECK
Skill Check requirements are to be fulfilled within sixty (60) days of the eighteenth
month anniversary of the personnel's licensure date, and again within sixty (60) days of
the date for relicensure. This assures that Skill Checks will be completed every 18
months. A skill check may also be required if the Continuous Quality Improvement Committee
determines an individual has skill deficits.
III. SKILL CHECKS
A. New graduate paramedics or specialists
1. must complete Skill Check one day prior to functioning as an
AEMT or EMT-s under Medical Control
B. Experienced paramedics or specialists
1. must complete Skill Check within 30 days of active function
under Medical Control
IV. PROCEDURE FOR SKILL CHECKS
A. Scheduling of Skill Check
1. Skill checks must be scheduled with a member of the EMS CQI
Committee or cleared by the Emergency Department Director of Nursing.
2. A sufficient amount of Emergency Department time must be
scheduled to complete the Skill Check; the amount of time
required will be at the
discretion of the assigned committeemember.
B. Physical Skills to be checked
1. A minimum of three (3) complete and accurate assessments
2. A minimum of three (3) successful IV starts demonstrating
proper technique and
confidence
3. A minimum of one (1) successful intubations, including the
ability to identify when intubation
is indicated. This may be performed on
a practice mannequin if there is no
opportunity for a live
intubation.
C. Other Skills to be checked
1. Short pharmacy test: 80% = passing
2. Short ECG identification test: 80% = [passing
3. Review of Monroe County policies and standing orders
4. Other specific procedures and techniques currently mandated by
Medical Control, including but not
limited to:
a. albuterol
aerosol administration
b. intraosseous
infusion
c. Incident
Command System
D. Continued approval within the system will require:
1. Proof of licensure by MDCIS
2. Completed Skill Check, every 18 months
3. a. Current CPR Certification for EMT Specialists
b. Current ACLS Certification for
paramedics
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