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EMERGENCY MEDICAL SERVICES

Essential Competencies

CPR (Cardio-pulmonary Resuscitation)

Description: This basic level of care allows a lay person to provide manual pulmonary resuscitation to a victim of cardiac arrest. CPR includes learning the essential skills with opening and airway and removing a foreign body obstruction in a choking victim.

1. Choking & foreign object obstruction
2. Infant and child CPR
3. One rescuer & two rescuer CPR (Adult Victim)

Knowledge, Skills and Abilities

Skill in managing a choking patient or foreign object obstruction emergency.

Knowledge of infant and child CPR technique.

Knowledge of one rescuer & two rescuer CPR (adult victim) technique.

Skill in performing CPR.

FIRST RESPONDER

Description: This level of care is designed to meet the needs of individuals who might be the "first responder" to an accident or injury. Includes scene size-up and initial patient management to provide basic life support.

1. CPR
2. Patient assessment
3. Recognition and treatment of life threatening injuries
4. Lifting and moving patients

Knowledge, Skills and Abilities

Skill in performing CPR

Knowledge of diagnostic signs

Knowledge of signs and symptoms of common and injuries medical conditions

Skill in performing patient assessment

Skill in recognition and treatment of common and life-threatening injuries

Ability to lift and move patients

EMERGENCY MEDICAL TECHNICIAN- AMBULANCE (EMT-A)

Description: This level of care is designed to provide an individual with the specialized skills to serve in a primary response role in the EMS system. The EMT is trained is in the use of specialized pieces of rescue equipment.

1. CPR
2. Emergency vehicle operations
3. Patient assessment
4. Automatic external defibrillator (AED)
5. Medical and trauma Emergencies
6. Mass-casualty/disaster management
7. Behavioral, OB/Gyn, and neonate emergencies
8. Airway management & oxygen administration
9. Basic trauma life support (BTLS)

Knowledge, Skills and Abilities

Skill in performing CPR.

Knowledge of medical,legal, and ethical issues affecting EMS providers.

Knowledge of emergency vehicle operations.

Skill in use of automatic external defibrillator.

Knowledge of medical emergencies and appropriate treatment.

Knowledge of trauma emergencies and appropriate treatment.

Knowledge of behavioral and OB/Gyn/Neonate emergencies and appropriate treatment.

Knowledge of mass-casualty incident management.

Knowledge of basic anatomy and physiology.

Ability to NPS-57 Health and Fitness guidelines.

Skill in treating traumatic injuries

Skill in treating medical emergencies

Ability to prepare, move, transport, and deliver patients to an emergency department

*Note: The following modules may be obtained by individuals as additional specialized training:

-Epinephrine Module

-Wilderness-EMT

-Endotracheal Intubation

EMERGENCY MEDICAL TECHNICIAN- INTERMEDIATE (EMT-I)

Description: This level of care is designed to provide advanced life support (ALS) care to the injured patient. Advanced life support care includes advanced airway management, cricothyrotomy, chest decompression, intravenous therapy, and drug therapy.

1. Advanced airway management (endotracheal intubation)
2. Intravenous (IV) therapy
3. Basic Pharmacology
4. Drug administration

Knowledge, Skills and Abilities

Knowledge of advanced airway management (endotracheal intubation)

Skill at successful intravenous therapy

Knowledge basic pharmacology

Knowledge of established drug administration

EMERGENCY MEDICAL TECHNICIAN- PARAMEDIC (EMT-P)

Description: This level of care allows an individual with in-depth patient assessment skills to provide advanced cardiac life support (ACLS) care in the pre-hospital environment. Advanced cardiac life support includes EKG interpretation, manual defibrillation, cardioversion, and use of cardiac drugs. Extensive classroom training and clinical experience is required to perform as an EMS provider at this level.

1. ACLS protocols
2. Cardiac pharmacology
3. EKG interpretation
4. Advanced respiratory therapy

Knowledge, Skills and Abilities

Knowledge of cardiac physiology and electromagnetic activity

Knowledge of ACLS protocols and cardiac pharmacology.

Skill at EKG interpretation.

Skill at advanced respiratory techniques.

Skill in the manual use of external defibrillators

EMS COORDINATOR (Collateral Duty or Full-Time)

Description: Provides coordination of area EMS program. Serves as liaison with area medical director. Ensures that area EMS operation meets NPS-51 guidelines.

1. Provide quality control and review of EMS field activities.
2. EMS program management.

Knowledge, Skills and Abilities

Knowledge of NPS-51 EMS guidelines.

Ability to maintain organized records and develop written agreements.

Ability to serve as a liaison with area medical director.

Skill at identifying program needs and making improvements.

DIVISION CHIEF

Description: Responsibility to insure that are personnel and EMS program meets NPS-51 guidelines. Supervises area EMS Coordinator.

1. Program management

Knowledge, Skills and Abilities

Knowledge of NPS-51 EMS Guidelines and NPS-57 Health & Fitness Guidelines.

Ability to supervise.

CISD PEER COUNSELOR

Description: Critical incident stress debriefing (CISD) is designed to identify those incidents that are "emotionally overwhelming" to individuals and provide informal counseling support. A CISD peer counselor is the first level of assistance available to effected personnel.

1. Peer employee of effected individuals
2. Developed interpersonal communication skills
3. Empathetic listener
4. Professional attitude and demeanor as counselor

Knowledge, Skills and Abilities

Knowledge of NPS-51 EMS Guidelines and NPS-57 Health & Fitness Guidelines.

Knowledge of CISD techniques

Knowledge of Employee assistance program (EAP)

Knowledge of local/national CISD Response Teams

Ability to organize and lead defusing sessions following emotionally overwhelming incidents.

Skill as a peer counselor at educating effected personnel in stress management.

Ability to maintain confidentiality.

National Park Service
Training and Development Division
Essential Competencies
03ems.htm

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