Transcription
EMERGENCY MEDICAL SERVICESPROCEDURE MANUALOctober 20, 2020(Replaces December 17, 2017 Version)
TERMS AND CONVENTIONSAAMSmeans Association of Air Medical ServicesAEMTmeans Advanced Emergency Medical TechnicianAI/DMmeans Administer Immunizations/Dispense MedicationALSmeans Advanced Life SupportAPRNmeans Advanced Practice Registered NurseBCCTPCmeans Board for Critical Care Transport Paramedic CertificationBLSmeans Basic Life SupportCAAHEPmeans Commission on Accreditation of Allied Health Education ProgramsCAPCEmeans Commission on Accreditation for Pre-Hospital Continuing EducationCCTmeans Critical Care TransportCMEmeans Continuing Medical EducationCVmeans Curriculum VitaeDOTmeans U.S. Department of TransportationEMSmeans Emergency Medical ServicesEMS RNmeans Emergency Medical Services Registered NurseEMTmeans Emergency Medical TechnicianIBSCmeans International Board for Specialty CertificationNACmeans Nevada Administrative CodeNEMSECmeans National EMS Educator CertificationNHTSAmeans National Highway Traffic Safety AdministrationNRmeans the National Registry of EMTsNRSmeans Nevada Revised StatutesOEMSTSmeans Office of Emergency Medical Services & Trauma SystemPAmeans Physician AssistantPHEmeans Public Health EmergencyRNmeans Registered NurseSNHDmeans Southern Nevada Health District2
TABLE OF CONTENTSTERMS AND CONVENTIONS .2FOREWORD.5DEFINITIONS .6Authorization/Reauthorization as an EMS Training Center .12District Procedure for Initial Authorization as an EMS Training Center .13District Procedure for Reauthorization as an EMS Training Center .15TRAINING PROCEDURES .16District Procedure for Initial Education .17District Procedure for Continuing Medical Education (CME) .18District Procedure for EMT Training .19District Procedure for Advanced EMT Training .21District Procedure for Paramedic Training .23District Procedure for Rural Volunteer Ambulance Driver Training .25CERTIFICATION PROCEDURES .26District Procedure for Initial Certification/Licensure .27District Procedure for Renewal of an Expired Nevada Certificate .29District Procedure for Application for Upgrade/Addition of Agency .30LICENSURE PROCEDURES .31District Procedure for Licensure .32District Procedure for Air Ambulance Attendant .34District Procedure for Provisional Licensure .36ENDORSEMENT PROCEDURES .38District Procedure for EMS Instructor I Training and Endorsement .39District Procedure for EMS Instructor II Training and Endorsement.40District Procedure for Master EMS Instructor Endorsement .42District Procedure for EMS Instructor Endorsement via Challenge .44District Procedure for Critical Care Paramedic Training and Endorsement .46District Procedure for Endorsement as a Critical Care Paramedic via Challenge .49District Procedure for Community Paramedicine Training and Endorsement .50District Procedure for EMS RN Training and Endorsement .52District Procedure for Endorsement to Administer Immunizations andDispense Medication (AI/DM) in Response to a Public Health Emergency .55SKILLS PROCEDURE .56District Procedure for Skills Proficiency Verification .57PERMIT PROCEDURES .58District Procedure for Initial Ambulance Permit .59District Procedure for Renewal of Ambulance Permit .60RECERTIFICATION PROCEDURES .61District Procedure for Application for Recertification .62District Procedure for Educational Requirements for EMT Recertification .63District Procedure for Educational Requirements for Advanced EMT Recertification .65District Procedure for Educational Requirements for Paramedic Recertification .67District Procedure for Renewal of Endorsement as a Critical Care Paramedic .693
District Procedure for Renewal of Endorsement to Provide Community Paramedicine Services . 70District Procedure for Renewal of EMS Instructor Endorsement .71REFRESHER COURSE PROCEDURES .72District Procedure for EMT Refresher Course .73District Procedure for Advanced EMT Refresher Course .74District Procedure for Alternative Education Hoursfor Advanced EMT Refresher Course .75District Procedure for Paramedic Refresher Course .76District Procedure for Distributive Refresher Courses .77District Procedure for Prorating EMS CMEs .78RECEIVING FACILITY PROCEDURES .79District Procedure for Initial/Renewal Designation as an EMSPediatric Destination Hospital .80District Procedure for Maintaining EMS Operations During Periods ofMultiple Hospital Internal Disaster Declarations .82District Procedure for Designation as a Receiving Facility for PatientsPlaced on a Legal Hold for Mental Illness.83District Procedure for Designation as a Receiving Facility for Patients that MeetRemote Outpatient Emergency Department Alternate Destination Criteria.84District Procedure for Designation as a Receiving Facility for Public Intoxication.85MISCELLANEOUS PROCEDURES .86District Procedure for Administrative Corrective Action .87District Procedure for Managing Drug Shortages .89District Procedure for Special Event Medical Plan Approval .90District Procedure for Issuance of a National Registry Support Letter .92APPENDIX A .93Eligibility for Accommodations Due to Disability .94APPENDIX B .95District Procedure for Drug/Device/Procedure (DDP) Agenda Items to be Consideredfor Referral by the Medical Advisory Board .96District Procedure for Drug/Device/Procedure (DDP) Agenda Items to be Added,Changed, or Removed from the EMS Inventory .98Application for Petition for Addition/Change/Removal of Drug/EquipmentTo/From the EMS Inventory .994
FOREWORDThe Emergency Medical Services Procedure Manual outlines the operational processes and mandatoryrequirements as set forth in the EMS Regulations adopted by the Board of Health. The manual containsstandardized procedures approved by the Southern Nevada Health District Office of Emergency Medical Services& Trauma System (OEMSTS). Changes to the manual must be approved by the OEMSTS. All procedures areto be completed in the order written, unless otherwise directed by the OEMSTS.All requested provider cards must meet American Heart Association standards or equivalent, as approved by theOEMSTS. The BLS course must include 1- and 2-man rescuer for the adult, infant and child, and the automatedexternal defibrillator. E-cards may be uploaded without the holder’s signature. A copy of a valid class roster isacceptable in lieu of the provider card. If there is a signature block on the back of the card, the cardholder mustsign the card prior to uploading both sides. All online classes must include verifiable documentation of the skillscomponent.From time to time, procedures may be added or revised by the OEMSTS. Additional recommendations arewelcomed and appreciated at any time and may be mailed to:Southern Nevada Health DistrictOffice of Emergency Medical Services & Trauma SystemP.O. Box 3902Las Vegas, Nevada 89127Questions may be addressed to OEMSTS staff at 702-759-1050.Or visit our website at http://www.snhd.info.OEMSTS Staff:Christian Young, MD, EMSTS Medical DirectorJohn Hammond, BS, Paramedic, EMSTS ManagerLaura Palmer, BS, Paramedic, EMSTS SupervisorChad Kingsley, MD, Regional Trauma CoordinatorScott Wagner, BS, NRP, EMSTS Field RepresentativeCandace Toyama, NRP, EMSTS Field RepresentativeRae Pettie, EMT, EMSTS Program/Project CoordinatorJudy Tabat, EMSTS Program/Project CoordinatorMichelle Stanton, BS, Senior Administrative AssistantKey:Items in “Bold” and in quotations correspond to the name of a procedure.Items in “Italics” and in quotations correspond to the name of a form.5
DEFINITIONSWhen a word or term is capitalized, within the body of this document, it shall have the meaning ascribed to it as definedbelow. Unless otherwise expressly stated, words not defined herein shall be given their common and ordinary meaning.The words “shall” and “will” are mandatory and the word “may” permissive."ADVANCED EMERGENCY MEDICAL TECHNICIAN (AEMT)" means a Person who is certified by theHealth Officer as having satisfactorily completed a program of training in procedures and skills forEmergency Medical Care as prepared and authorized by the National Highway Traffic SafetyAdministration of the United States Department of Transportation as a national standard for certificationas an AEMT pursuant to NRS 450B.191."ADVANCED PRACTICE REGISTERED NURSE" means a Registered Nurse who:I. Has specialized skill, knowledge, and experience obtained from an organized formal program oftraining; andII. Is licensed by the Nevada State Board of Nursing and is authorized in special conditions as set forthin NAC 632.254 to 632.295 inclusive, to provide designated services in addition to those which aRegistered Nurse is authorized to perform."AIR AMBULANCE" means an aircraft especially designed, constructed, modified, or equipped to be used for thetransportation of injured or sick Persons. Air Ambulance does not include any commercial aircraftcarrying passengers on regularly scheduled flights."AIR AMBULANCE ATTENDANT" means a qualified individual licensed by the Health Officer in accordancewith subsection 500.100 of EMS Regulations and authorized to provide Emergency Medical Care for anAir Ambulance Service."AIR AMBULANCE SERVICE" means a Permittee who is authorized by the Health Officer to provide Patienttransport and/or transfer in an Air Ambulance in accordance with Section 1000 of EMS Regulations."AMBULANCE" means a motor vehicle which is specifically designed, constructed, equipped and staffed to providebasic, intermediate, or advanced ca
12.01.2021 · AEMT means Advanced Emergency Medical Technician . EMS RN means Emergency Medical Services Registered Nurse EMT means Emergency Medical Technician IBSC means International Board for Specialty Certification NAC means Nevada Administrative Code NEMSEC means National EMS Educator Certification NHTSA means National Highway Traffic Safety Administration
