Reciprocity Orientation

1. Reciprocity Orientation Presented by Bureau of Emergency Medical Services

2. Overview • Why Reciprocity? • What’s the difference between my training and Utah’s? • Reciprocity Procedures in Utah • Documentation • Testing Process

3. Reciprocity Procedures in Utah Two simple parts for reciprocity in Utah: Documentation Testing

4. Documentation • Application

5. http://health.utah.gov/ems/certif/application.pdf

6. Documentation • Application • Picture

7. Picture • Email your picture: gmcclellan@utah.gov • JPEG Format • Have your picture taken in our office • Bring in a photo

8. Documentation • Application • Picture • BCI Fingerprints (2 sets)

10. Documentation • Application • Picture • Fingerprints (2 sets) • Current certification- State or National Registry If National Registry include the name of the training institution and contact info.

11. If you are a National Registry EMT please include the training institution you attended on your application

12. Documentation • Application • Picture • Fingerprints (2 sets) • Current certification- State or National Registry • Declaration of Understanding

14. Documentation • Application • Picture • Fingerprints (2 sets) • Current certification- State or National Registry • Declaration of Understanding • CPR certification or ACLS/PALS

15. Current CPR Certification • American Heart Association • American Red Cross • National Safety Council • American Safety and Health Institute • Any training that meets the 2005 AHA guidelines.

16. Documentation • Application • Picture • Fingerprints (2 sets) • Current certification- State or National Registry • Declaration of Understanding • CPR certification or ACLS/PALS • 25 hours of CME in past year

17. Documentation • Application • Picture • Fingerprints (2 sets) • Current certification- State or National Registry • Declaration of Understanding • CPR certification or ACLS/PALS • 25 hours of CME in past year • TB test within the last year

19. Documentation • Application • Picture • Fingerprints (2 sets) • Current certification- State or National Registry • Declaration of Understanding • CPR certification or ACLS/PALS • 25 hours of CME in past year • TB test within the last year • Copy of Drivers License, Visa, Passport

20. Payment of fees

21. Fee Schedule: EMT-B, I, IA, Paramedic Processing Fee $ 30.00 $ 30.00 BCI / Fingerprints $ 50.00 $50.00 Practical Test $80.00 $200.00 Written Test$ 20.00 N/A $180.00 $280.00

22. What’s the difference? • EMT-B • EMT-I • EMT-IA • Paramedic

23. Utah EMT-Basic • Airway Adjuncts • Medical Control • Administration Routes: • Oral • Sublingual • Intramuscular (IM) • By inhalation • Medications: • Epinephrine (Epi) • Nitroglycerin • Baby Aspirin • Prescribed Inhaler • Activated Charcoal • Oral Glucose

24. Utah EMT-Intermediate • Medications: • Epi 1:1,000 • Epi 1:10,000 • Lidocaine • Morphine • Narcan • Albuterol • D50 • Intubation • IV Access • IO Access • Administration Routes: • Intravenous (IV) • Intraosseous (IO) • IM • Endotracheal tube (ET)

25. Utah Intermediate Advanced • All invasive procedures as outlined in the DOT- National Standard Curriculum (NSC) EMT-I 99 • All Medications as outlined in the DOT-NSC EMT-I 99

26. Utah Paramedic • All invasive procedures outlined in the DOT – NSC Paramedic 98 • All medications outlined in the DOT – NSC Paramedic 98

27. Testing Process • Written Exam • Practical Exam

28. WRITTEN EXAM

29. Written Exam EMT-Basic 100 Questions 2 hours EMT-I 154 Questions 3 hours EMT-IA 175 Questions 3½ hours Paramedic National Registry EMD 40 Questions 1 hour Don’t Stress out!

30. Paramedic • If you have taken the National Registry test since 2007 you do not need to take a written test. • If not, you will need to take the National Registry test.

31. Written Exam • Computer based exam • NOT designed to trick you • Before scheduling, all FEES must be paid! • Based on DOT-National Standard Curriculum objectives

32. To Obtain a Copy of the NSC: • Our website http://health.utah.gov/ems/training/ (hot-linked to NHTSA’s website) • NHTSA’s website: www.ems.gov • Objectives listed at the front or end of each chapter in your textbook.

33. Scheduling your Written Exam • Call (801) 273-6666 • Secretary will assist you in finding a time and place that is acceptable

34. Locations for EMT testing : • Salt Lake City: BEMS office • Orem: UVSC • Additional fees $15 Paramedic, $8 EMT-B, EMT-I EMT-IA • St. George: Dixie State • Additional $12 for all levels • Moab: USU Center • Ephraim: Snow College • Additional $10 for all levels • Price: CEU • Roosevelt: USU Center • Layton: WSU Davis Campus • Additional $20 for all levels • Logan: Bridgerland ATC

35. More Information: • Confirmation letter with directions will be mailed • Be sure to bring confirmation letter and ID when testing • Three attempts to pass • Immediate results after test is completed • Pass or Fail • Letter identifying sections where questions were missed • 120 days to complete testing process

36. PRACTICAL TEST

37. Practical Test • Use TTG’s as a reference. http://health.utah.gov/ems/training/emt-b_ttg.pdf • Perform all skills • 2 Testers -- one is your patient -- the other is documenting • Helpful to VERBALIZE EVERYTHING • Do not substitute for actual performance • Candidate may ask questions to clarify • Equipment will be provided

38. Registration for Practical Test • Call (801) 273-6666 • Secretary will assist you in scheduling • Administered twice a month on Saturday mornings • Bring identification with you to the test

39. Rescheduling: If you need to postpone your test: • 48 hours in advance • Test teams are assigned based on number testing • If you do not show up, you will have to pay re-test fee to reschedule

40. EMT-Basic & EMT-I Practical:Two Parts • 1 Trauma scenario – 9 minutes • 1 Medical Scenarios – 9 minutes

41. Retesting: If you do not pass the practical test: • You have two more opportunities to pass • Only retest on portion that was not passed • Retest may not be the same, as selection is random!

42. EMT-IA Practical: Two of the following Three • Mega-Code • Trauma Code • Pediatric Code

43. Paramedic Practical:Three Parts • Mega-Code • Trauma Code • Pediatric Code

44. REMEMBER: Contact Medical Control before administering medications or performing invasive procedures! (Utah has no Statewide standing orders)

45. Some Statistics on Reciprocities: • 44.5% passed practical first time • 71.3% passed on practical retest Based on the total number of failures: • 33.2% Did not pass based on Initial Assessment performance • 29.1% Did not pass based on medication administration • 16.3% Did not pass based on Focused History performance

46. Additional Information • Must complete all documents and testing within 120 days • All fees are non-refundable • Certification is for four years

47. Studying the NSC Objectives with your textbook + Teaching and Testing Guidelines= Success on the test!

48. Checklist • Power Point General Information: health.utah.gov/ems/certif Paper work questions: Gay Brogdon, 801-273-6603 Testing questions:Jim Hansen, 801-273-6628 National Registry testing: Dennis Bang, 801-273-6630