State of Indiana Department of Homeland

SecurityRules and Regulations pertaining to

Emergency Medical Services.presentation by:

Don Hess, EMT-B, EMT-P, PI

Tell me and I will forget,

Teach me and I

will learn,

Involve me and I

will rememb

er.

-Benjamin Franklin

Learning ObjectivesAt the completion of this lesson, course participants should

be able to:

describe the state resources available to them through the internet;

discuss the roles and responsibilities of training institutions;

describe the paperwork necessary for various training programs;

discuss the need for instructors to keep current with laws, curriculum changes, and state / federal changes affecting training.

IN D IA N A D E P A R T M E N T O F H O M E L A N D S E C U R ITY - T R A IN IN G D IV IS IO N as of 1/08/07

Divisio n SecretarySu sie Harris

Sp ecial Pro jectsCo o rd in ato r

VACANTRECL ASSIF ICATION

Reg istratio nSu p p o rt Secretary

Den ise C lark e

Co n tract M an ag er an dIn tern al Train in g Sp ecialist

Heath er S teg erm a n

F ire SystemTrain in g M an ag er

VACANTRECL ASSIF ICATION

Bu ild in g In sp ectionTrain in g M an ag erBren d a Ken d ric k

F ire SystemTrain in g M an ag er

VACANTINTERVIEW ING

Rich ard Sco ttSAR F acility Co o rd in ator

TEM P PO STIO N

Search an d Rescu eTrain in g M an ag er

L illian Hardy

F ire Train in g SystemSectio n Ch ief

Jo h n Bu ckm an

Citizen s Co rp sPro g ram M an ag e r

RECL ASSIF ICATIONDeb b ie W atso n

Em erg en cy M ed icalSp ecial Pro jects M an ag er

Bill Nu ll

Em erg en cy M an ag em en tState Train in g O fficer

Am y L in d seyRECL ASSIF ICATION

Em erg en cy M an ag em en tTrain in g Co o rd in atorRECL ASSIF ICATION

VACANT

L M S Ad m in istratorCo n tracto r

Cu rricu lu m Develo p m en tSp ecialist

Jay Pen n d o rfRECL ASSIF ICATION

Resp o n se Sp ecialtySectio n Ch ief

Jo e Bell

CESPP Exercis ePro g ram M an ag e r

R.O . S tan ley

Exercise Pro g ra mM an ag er (G risso m )

To m Sh erro n

Exercise Pro g ra mM an ag er

G eri Hu sb an d

Exercise Pro g ra mM an ag er

Rick Arch e r

Exercise Pro g ra mM an ag er (M UTC )

Sh ari Hall

Exercis eSectio n Ch iefKen W o o d all

Assistan t D ivisionDirecto r

Brad Th atch e r

Certificatio nAssistan t Sectio n Ch ief

Barb G o b le

Test M an ag e rM ary S tein h ilb er

Certificatio nSecretary

Karen Allen

Certificatio nSecretary

Vacan t Sec 4

Cerrtificatio nSecretary

Clin t Sch elle

Certificatio nSecretarySu e S ig ler

Certificatio nSecretary

Sarah Sh u g ars

ClerkPart Tim e

Tem p Servic e

Certificatio nSectio n Ch iefTo n y Pag ano

Divisio n of Train ingDirecto r

Jo e W ain sco tt

Training and Certification contacts: Tony Pagano,

Sam Steinhilber, Karen Allen, Melissa VanLue

Division of Fire and Building Safety, Fire Emergency Services contacts:

Sherrie Crain, Tom Nowacki, Bernie White, Robin Stump, Troy Morgan, Becky

Blagrave, Gail Fennell

IAC 836

Article 1 Emergency Medical Services

Article 2 Advanced Life Support

Article 3 Air Ambulance

Article 4 Training and certification

836 IAC Article 1

Rule 1 Definitions Waivers Reports and records Audit and review Training Operating procedures

Rule 2 Certification of providers

Rule 3 Certification for ambulances

Rule 4 Communication requirements

Rule 5 thru 10 (Repealed)

Rule 11 EMS non-transport provider

Rule 12 EMT-Basic Advanced

provider organization

836 IAC Article 2

Rule 1Definitions

Rule 2Requirements for paramedic provider organization

Rule 4.1Requirements for supervising hospital

Rule 7.2Requirements for EMT-I provider organization

Rule 14ALS non-transport provider requirements

836 IAC Article 3

836 IAC Article 4

Rule 1 Definitions

Rule 2 EMS Training Institutions

StaffingRoles and responsibilitiesStaff qualificationsReporting requirements

Rule 3 First Responder training

Rule 4 EMT-Basic training

Rule 5 EMS Primary Instructor

Entrance requirements High-school graduation Current certification 1-year pre-hospital

experience EMT-B written 85% EMT-B practical

Certification requirements PI Training Program PI written examination Internship Affiliation

Recertification requirements Continuing education

Primary Instructor Course Prerequisites*

1. Agreement of an Indiana certified EMS Training Institution to affiliate you as a Primary Instructor Candidate during your internship. The necessary form will be given to you during this course.

2. Letter(s) documenting minimum of at least one year of experience in the delivery of emergency medical care in the prehospital setting. NOTE: the letter must state that the candidate provided PREHOSPITAL EMERGENCY MEDICAL care, stating that the candidate was merely a member of an organization does NOT meet this requirement. Be specific, give dates of service.

3. Initial certification year:________. Certification period must be one year or more.

4. Score received on the EMT-B Written Certification Examination:_____, this score must be 85% or higher to qualify for PI class. b. date examination taken:______. This exam attempt must be less than one year old on the start date of the PI course.

5. Score received on the EMT-B Practical Skills Examination:_____, this score must be PASS. b. date examination taken:______. This exam attempt must be less than one year old on the start date of the PI course.

6. Copy of HS diploma / GED Certificate.7. Copy of Indiana certification as EMT-B or higher.*The training institution presenting each PI course may

make additions to this list for the course they present.

Training Center Agreement

One-year pre-hospital experience

One-year certification as EMT

EMT-B Written (min. 85%)

EMT-B Practical Exam

HS diploma/GED certificate

80 hours of teaching,

inservices or classes, at

your certification level and

below.

PI Information

Signatures

12-hours Adult Education

Information

PRIMARY INSTRUCTOR CANDIDATE STUDENT TEACHING INTERNSHIP CHECKLIST

The Training Institution Official should complete this checklist as the Primary Instructor Candidate completes each Student Teaching Internship item. Once the

EMT-B course has been completed and the candidate has completed their internship the Training Institution Official will sign this checklist and submit it to the state EMS office. The Candidate, to have successfully completed the Student

Teaching Internship, will have achieved good instructor skills and routinely demonstrated their teaching abilities. Candidates who do not achieve or

demonstrate good instructor skills will be considered to have failed their student teaching internship. Documentation is required for either situation, successful or

unsuccessful completion of the Student Teaching Internship.

The elements to be evaluated are to be checked as each element is successfully demonstrated during the internship. The evaluation is to be completed during actual EMT-B Course sessions in

which the Candidate is student teaching.

Items NOT successfully demonstrated during the internship time are to be noted with "0".

Items identified with "*" are determined to be essential skills which must be successfully completed routinely by Primary Instructors.

Candidates must master these items during their internship:

IntroductionUse of Training

AidsSkill TeachingClass ParticipationReview and

CritiqueDidactic

Presentation

Preparation

Speech Techniques

Instructor Qualities

Administration Duties

Rule 6Advanced EMT training

Rule 7EMT-BA certification requirements

Rule 7.1EMT-Intermediate certification requirements

Rule 8EMT-Paramedic certification requirements

Rule 9Emergency Paramedic Certification

Rule 10Penalties

Primary Instructor Course

 

2002 National GuidelinesFor Educating EMS Instructors Amended, adopted and approved by theIndiana EMS Commission July 23, 2004For a complete set of DOT lesson plans:http://www.nhtsa.dot.gov/people/injury/ems/Instructor/TableofContents.htmNational Association of EMS EducatorsU.S. Department of TransportationU.S. Department of Health and Human ServicesIndiana EMS Commission

Module 1: Introduction 1Module 2: Roles and Responsibilities 20Module 3: Administrative Issues 40Module 4: Legal Issues In EMS Education 43Module 5: Ethics 50Module 6: The Learning Environment 55Module 7: Learning Styles 63Module 8: Domains of Learning 68Module 9: Goals and Objectives 74Module 10: Lesson Plans 84Module 11: Presentation Skills 95Module 12: Evaluation Techniques 103Module 13: Facilitation Techniques 117Module 14: Communication And Feedback 128Module 15: Motivation 132Module 16: Teaching Thinking Skills 135Module 17: Teaching Psychomotor Skills139Module 18: Affective Domain 144Module 19: Discipline 148Module 20: Remediation 153Module 21: Cultural Awareness 157Module 22: Teaching Resources 162Module 23: Research 170

www.nhtsa.dot.gov/people/injury/ems/pub/emtbnsc.pdf

Aspirin ModuleSIDS/Abuse ModuleGeriatric ModuleHazMat AwarenessEMS Response to

TerrorismSuggested teaching

hours of 144.5Skills require 1

instructor : 6 studentsEVOC AwarenessIV Line MaintenanceIN Driving LawsEpi-pens on vehicles

Course Paperwork

CourseRequested

Training Institution

Information

TIO signature

Course support information

Appropriate signatures for

respective courses

Must be submitted with all required documentation a minimum of 30 days

prior to the start date of the class.

Course Approval Letter

written from the state training offices to the Training Institution Official and copied to the instructor.

this letter advises the program of approval of the course

do NOT begin class without approval!

Reference Materials

TRIPP Manual

P. I. Textbooks

Skills Guides

Course NumberCourse Type

Training InstitutionCourse Information

Faculty InformationSignatures

Student Informationo Name o County o Ageo Addresso Scoreso Course Hours per

student

Every student that begins the course should be listed on the course report, even if they didn’t finish.

Practical Skills Examination Coordinators’ Manual

Listing of required skills, 6 + 1 random for basic, 4 for basic advanced

Explanation of Practical examination Listing of random skills Equipment list Skills Sheets Information for setting up skills examination sites Open or Closed examination site EMT-B or EMT-BA skills Candidate names Staffing needs / requirements .. NO ONE on duty! Space requirements

• Check one:_____We will NOT be able to accept additional students. You MUST have 15+ to close,• this is the “2002 Tony Rule”.• _____We WILL ACCEPT additional students to our roster.• Practical Skills Examination Reservation for EMT-BA or EMT-B (circle one)• To be received by Training Staff 30 days or more prior to the requested date. You may FAX at your own risk. MINIMUM of

NINE (9) ROOMS REQUIRED. (SIX for EMT-BA).• Training Institution:____________________________________________________________________• Training Institution Official:______________________________________________________________• Telephone Number:____________________________________________________________________• Primary Instructor:_____________________________________________________________________• e-mail address for PI:___________________________________________________________________• Telephone Number:____________________________________________________________________• Date Requested:____________Orientation Start Time:______________Course Number:_____________• Location/Address of Practical Site:_________________________________________________________•

_____________• Examinee /Student Names:

Initial or RT Crs #• 1. _____________

• 2.

• 3.

• 4.

• 5.

• 6.

• 7.

• 8.

• 9.

• *Minimum of 10 examinees/students per practical examination site. If you have fewer than 10 you will need to consolidate with another course or accept additional students (see above) to increase your site roster to 10 or more. You may submit a practical application that is “OPEN” to additional students.

Practical Skills Report(your State Practical Rep will bring these)

Candidate Information Course Information Site Information Training Institution Name Pass / Fail Requirements Candidate Signatures

When you hear hoof beats, look for horses,

not zebras, and you will be right most of the time.

The Five “D’s”

Dress

Defensiveness

Demeanor

Dignity

Dialogue

Tell me and I will forget,

Teach me and I

will learn,

Involve me and I

will rememb

er.

-Benjamin Franklin

Summary Questions

What is the function of a Training Institution?

What is the function of the Primary Instructor Training Program?

What are the requirements for certification and re-certification for a Primary Instructor?

What is the function of following documents?A. Course Application

B. Approval Letter

C. Practical Skills Examination Reservation Form

D. Report of Training

E. Remediation Form

What are the attributes of a good Primary Instructor?