RE: New EMS Provider Levels

[Guest guest]

I think we hauled one of those to the hospital this afternoon. At least she

smelled like it.

GG

In a message dated 7/6/2004 12:23:16 PM Central Daylight Time,

bbledsoe@... writes:

I have a BS in Biology and can tell you a lot about tobacco viruses. Do you

see alt of these in the field?

Re: New EMS Provider Levels

Pretty cool ideas.

What's the plan for integrating old-school EMS people with the new and

improved system?

phil

--- Bledsoe wrote:

> On November 23, 1993, I made a presentation entitled " Improving the

> Educational Standards of EMS " at the Texas EMS Conference in Fort

> Worth (some of you may have actually attended that session). Well

> guess what? The National EMS Scope of Practice Committee has adopted a

> model that is virtually identical to the one we proposed over 10 years

> ago. There will be

> 4 levels of EMS providers:

>

> Emergency Care Responder (essentially the same as First Responder with

> AED

> capabilities)

>

> Emergency Medical Technician (essentially the same as the current EMT

> except with AED and some drugs [epi-pen, glucagon, nebulized

> bronchodiators, naloxone] and similar things.

>

> Paramedic (slightly below the current level of paramedic [based on

> demands of big city fire departments who run ALS]--basically designed

> to handle the first 10 minute of most medical emergencies.

> Comparable to an 1999

> Curriculum EMT-I with additional skills. (we called this a technical

> paramedic or vocational paramedic in 1993)

>

> Advanced Practice Paramedic: As academically prepared provider with

> the comprehensive background necessary to assess, refer and make

> disposition of patients and who would integrate into the healthcare

> system. EMS degree required. We called this an advanced paramedic or

> professional paramedic in 1993.

>

> This is the second stage of the EMS Agenda for the future and probably

> the way provider levels will go in the next few years. They will be

> taking comments on a web site--yet I feel this is pretty much what we

> will have.

> We are comfortable to a point where we will begin planning textbooks

> based on these new levels.

>

> See, we Texans are not that far behind.

>

> See the draft document at

> http://www.emsscopeofpractice.org

>

> E. Bledsoe, DO, FACEP

> Midlothian, TX

>

>

>

> [Non-text portions of this message have been removed]

>

>

>

>

[Guest guest]

I think we hauled one of those to the hospital this afternoon. At least she

smelled like it.

GG

In a message dated 7/6/2004 12:23:16 PM Central Daylight Time,

bbledsoe@... writes:

I have a BS in Biology and can tell you a lot about tobacco viruses. Do you

see alt of these in the field?

Re: New EMS Provider Levels

Pretty cool ideas.

What's the plan for integrating old-school EMS people with the new and

improved system?

phil

--- Bledsoe wrote:

> On November 23, 1993, I made a presentation entitled " Improving the

> Educational Standards of EMS " at the Texas EMS Conference in Fort

> Worth (some of you may have actually attended that session). Well

> guess what? The National EMS Scope of Practice Committee has adopted a

> model that is virtually identical to the one we proposed over 10 years

> ago. There will be

> 4 levels of EMS providers:

>

> Emergency Care Responder (essentially the same as First Responder with

> AED

> capabilities)

>

> Emergency Medical Technician (essentially the same as the current EMT

> except with AED and some drugs [epi-pen, glucagon, nebulized

> bronchodiators, naloxone] and similar things.

>

> Paramedic (slightly below the current level of paramedic [based on

> demands of big city fire departments who run ALS]--basically designed

> to handle the first 10 minute of most medical emergencies.

> Comparable to an 1999

> Curriculum EMT-I with additional skills. (we called this a technical

> paramedic or vocational paramedic in 1993)

>

> Advanced Practice Paramedic: As academically prepared provider with

> the comprehensive background necessary to assess, refer and make

> disposition of patients and who would integrate into the healthcare

> system. EMS degree required. We called this an advanced paramedic or

> professional paramedic in 1993.

>

> This is the second stage of the EMS Agenda for the future and probably

> the way provider levels will go in the next few years. They will be

> taking comments on a web site--yet I feel this is pretty much what we

> will have.

> We are comfortable to a point where we will begin planning textbooks

> based on these new levels.

>

> See, we Texans are not that far behind.

>

> See the draft document at

> http://www.emsscopeofpractice.org

>

> E. Bledsoe, DO, FACEP

> Midlothian, TX

>

>

>

> [Non-text portions of this message have been removed]

>

>

>

>

[Guest guest]

Rick,

Your latter comment intrigued me. Might you possibly have a copy or

transcript of that comment made by the BNE?

I am very interested in reading it.

Regards,

Alfonso R. Ochoa

> Barry : I ask the same old question, because your kids have passed

the

> Texas Dept. of Public Safety drivers license test does that make

them

> experienced drivers, same goes for Paramedics, College Is a tool not

the

> only answer. I appreciate the desire to upgrade the standards of EMS

,

> but lets get serious folks the pay scale even on a national level is

far

> from what It should be, As for talking to 911 services and transfer

> services the medicare dollar will only go so far , So there is no

room

> in budget for these kinds of Increases. The largest blow to EMS came

> when the Board of Nurse examiners went on record stating the

licensed

> paramedic would be looked at the same as a certified medic without

any

> precedence of them being a licensed medic

>

[Guest guest]

Rick,

Your latter comment intrigued me. Might you possibly have a copy or

transcript of that comment made by the BNE?

I am very interested in reading it.

Regards,

Alfonso R. Ochoa

> Barry : I ask the same old question, because your kids have passed

the

> Texas Dept. of Public Safety drivers license test does that make

them

> experienced drivers, same goes for Paramedics, College Is a tool not

the

> only answer. I appreciate the desire to upgrade the standards of EMS

,

> but lets get serious folks the pay scale even on a national level is

far

> from what It should be, As for talking to 911 services and transfer

> services the medicare dollar will only go so far , So there is no

room

> in budget for these kinds of Increases. The largest blow to EMS came

> when the Board of Nurse examiners went on record stating the

licensed

> paramedic would be looked at the same as a certified medic without

any

> precedence of them being a licensed medic

>