NORTH COAST EMERGENCY MEDICAL SERVICES Policy # 3406

POLICIES AND PROCEDURES

Subject: Training

Expanded Scope of Practice

Training Structure and Instructor Qualification

Associated Policies: 4008, 4502, 4603, 5303, 5402

I. Authority and Reference (incorporated herein by references)

A. Division 2.5 of the Health and Safety Code.

B. California Code of Regulations, Title 22.

C. North Coast Emergency Medical Services Policies and Procedures.

II. Purpose

To establish qualifications for sponsoring an Expanded Scope of Practice training program, and to describe the teaching, management structure and instructor qualifications of a North Coast EMS-approved training program. The Expanded Scope of Practice is defined as any medication and/or procedure approved for use by North Coast EMS beyond the Basic Scope of Practice as listed in the California Code of Regulations, Title 22.

III. Training Program Qualifications

Expanded Scope of Practice training programs may be sponsored by any of the following institutions:

A. Accredited university or college, school district, regional occupational training program, or private post-secondary school.

B. North Coast EMS-approved base or alternate base hospital.

C. North Coast EMS-approved advanced life support (ALS) provider agency.

D. Private organization with a recognized role in prehospital care training.

E. Local EMS agency.

IV. Each Expanded Scope of Practice training program is required to provide administrative direction, medical quality assurance and actual program instruction. One or more individuals, as qualified and approved by North Coast EMS, are required as follows:

A. All Expanded Scope of Practice training programs shall have a:

1. Program Director who is qualified by education and experience in methods,

materials, and evaluation of instruction; and a

2. Clinical Coordinator who shall be a physician or registered nurse licensed in the

State of California, or a North Coast EMS-accredited paramedic. The Clinical Coordinator must have practiced as such for at least two (2) years and have two (2) years of academic or clinical experience in emergency medicine within the past five (5) years; and a

3. Principal Instructor who shall be a physician or registered nurse licensed in the State of California, or a North Coast EMS accredited paramedic.

a. The Principal Instructor must have practiced as such for two (2) years and have

two (2) years of academic or clinical experience in emergency medicine within the past five (5) years.

b. If the Principal Instructor is a paramedic, applicant must be a North Coast EMS-

authorized Field Training Officer and is required to submit a letter of recommendation from his/her ALS provider and base hospital Prehospital Care Nurse Coordinator.

B. Expanded Scope of Practice training programs may have Teaching Assistant(s) who

shall be qualified by training and experience to assist with teaching the Expanded Scope of Practice, and shall be approved by the Program Director in coordination with the Clinical Coordinator and Principal Instructor. The Teaching Assistant(s) shall be directly supervised by the Program Director, Clinical Coordinator and/or Principal Instructor.

V. Training Program Responsibilities

A. Training programs will obtain and utilize North Coast EMS training outlines and examinations..

B. Training programs must submit completed written and skills examinations to North Coast EMS. North Coast EMS will grade written examinations and notify applicants, potential providers, potential base hospitals and training program regarding results.

C. Nasotracheal Intubation and Needle Cricothyrotomy with Jet Insufflation skills testing must be demonstrated to a North Coast EMS Prehospital Care Medical Director or his/her designee. (The designee must be a California licensed physician who is currently practicing medicine in a North Coast EMS regional hospital emergency department. (Skills test is provided by North Coast EMS).

 

 

 

 

 

 

 

 

 

 

 

 

Approved: Date:

Approved As To Form: Date: