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North Carolina Community College Adult Educators Association 2013 Fall Conference

North Carolina Community College Adult Educators Association 2013 Fall Conference. North Carolina Office of Emergency Medical Services Education Update. Topics. Agenda for the Future Revision of Course Hours Competencies for the EMS Student OEMS Rules OEMS Credentials and Background Checks

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North Carolina Community College Adult Educators Association 2013 Fall Conference

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  1. North Carolina Community College Adult Educators Association2013 Fall Conference North Carolina Office of Emergency Medical Services Education Update

  2. Topics • Agenda for the Future • Revision of Course Hours • Competencies for the EMS Student • OEMS Rules • OEMS Credentials and Background Checks • Repatronization of Military Personnel • CoAEMSP Accreditation • Other topics

  3. Update on Agenda for the Future

  4. Agenda for the future Currently NCOEMS is: Developing “New” Test based on the Education Standards Transition Content- Already available Final stages of “Education” rule revisions Must go before Advisory Committee (Late 2013 or Early 2014) Public Comment (Early 2014) Anticipated enactment January-July 2015

  5. NCOEMS Approved Transition Course for NREMT • Available first of November 2012 • Must submit a proposed course outline to their Regional Educational Specialist for approval. • Must inform all Providers taking the course that this content does not replace their current protocols (Local, NCCEP, State) or the approved medications and skills formulary that has been approved by the North Carolina Medical Board • Successful completion will be denoted by the OEMS Approved Educational Institution issuing an official completion certificate and reflection of such course is available on an official Educational Transcript.

  6. Revision of Course Hours

  7. New DOT and State Levels Emergency Medical Responder (EMR) Formerly First Responder (FR) 60 +/-hrs. Emergency Medical Technician (EMT) Formerly EMT-Basic (EMT-B) 150-190 +/-hrs of Didactic. Clinical and Field Internship TBD. Advanced EMT (AEMT) Formerly EMT-Intermediate/85 EMT-I/85 150-250 +/- hrs of Didactic. Clinical and Field Internship TBD. Paramedic Formerly EMT-Paramedic. Do not anticipate many changes here.

  8. Competencies for the EMS Student

  9. Competency v/s Quantity • Competency-based • “DO NOT” use time and number of skills as a criteria to determine the quality of clinical education. • You should utilize a standard number for procedures and constantly assess the students competency. • Example- Minimum of 20 IV attempts • Example- Minimum of 80% success rate

  10. Update on Proposed Rules Official Rulebook

  11. Proposed Rule Summation10A NCAC 13P .0501 • New Rules- .0501 • Stair step approach to clean up wording • National Education Standards • “NEW”- ASTM Standard for EMD • Refer to Educational Guidelines for Re-credential

  12. Proposed Rule Summation10A NCAC 13P .0502 • New Rules- .0502 • a-1) Add age to test (17) • a-3) TSOP Graded by Level I or II (cleaner wording) • a-4-ABC) Added time and attempt options for written exam (9mos/3att, then remediation/refresher, 9mos/3att, not to exceed 18mos from graded date of course)

  13. Proposed Rule Summation10A NCAC 13P .0504 • New Rules- .0504 • a-1) Institution Handling or OEMS • b) Renewal at a lower level • c) Prior to date of expiration

  14. Proposed Rule10A NCAC 13P .0512 (New) • New Rule (Re-Instatement Lapsed Credential • 90 dayGrace Period to submit documentation to OEMS • 0-24 month specifics for all Levels. • All levels must take an initial after the 24 months except for AEMT and Paramedic • 24-48 month specifics for AEMT and Paramedic

  15. Proposed Rule10A NCAC 13P .0514 • New Rule- .0514 (Refresher Courses) • Refreshers course since the Educational Standards does not have the provision for refreshers. • This will benefit those who are expired and fall into the expired process or those unaffiliated

  16. Proposed Rule Summation10A NCAC 13P .0601 • New Rules- .0603 • Places all Educational Institutions into one rule

  17. Proposed Rule Summation10A NCAC 13P .0605 (NEW) EMS EDUCATIONAL INSTITUTION REQUIREMENTS: ACCREDIATED • Must be CoAEMSP Accredited • Must present a copy of the Self Study and Executive Analysis to OEMS • Must have at least one OEMS Educational Staff Member present for the site visit • Must meet NC Specifics (Level II, NCCEP Medical Advisor) • NCOEMS Institution License will not exceed Five Years (60 Months) and will run in conjunction with the CoAEMPS Accreditation period

  18. OEMS Background Checks

  19. Background checks NC resident last 5 years without interruption- NC check only Not NC resident or resident <5 years without interruption- State and National check SBI fingerprints and fee $38 AOC downloads Complaint/ Investigation process Convictions Disciplinary Committee Denial, revocation, suspension

  20. Convictions All convictions are reviewed: Upon each application made for an Initial/Renewal of Credential Daily AOC downloads Applicants selected for interview may include: Felonies & violent crimes Child abuse Sexual abuse / Harassment Substance abuse issues including DUI OEMS investigations

  21. EMS Disciplinary Committee Established by NC General Statute Composed of 7 members 2 EMS Medical Directors 1 representative of the NC Medical Board 1 EMS Administrator 1 EMS Educator 2 EMS Professionals (1 EMT-P) Make recommendations to OEMS Chief

  22. Co-AEMSP Accreditation

  23. Institution Accreditation Required by NR by 2013 to test Paramedic Based on recommendations from National EMS Education Agenda for the Future Applicants must graduate from nationally accredited program (degree based or curriculum program) CE program in a community college will work Co-AEMSP (Committee on Accreditation of Education Programs for the EMS Profession) currently only body approved to accredit NCOEMS Advisory committee voted unanimously to purse Co-AEMSP for all Initial Paramedic Education Institutions

  24. CoAEMSP:Accredited or Letter of Review Status • Accredited- 6 • 5 OEMS Approved Educational Institutions • Fort Bragg • Letter of Review- 15 • 14 OEMS Approved Educational Institutions • 1 Consortium • Approved Educational Institution/Major Medical Center

  25. Other Topics

  26. Repatronization of Military • Currently working with: • Community College System • Members from the North Carolina EMS Educators Association • North Carolina State University EMS Program • North Carolina National Guard • Intent is to develop transitional courses for Veterans and Active Military Personnel seeking to enter the civilian arena. • These courses will be built around their current Credentials and Job functions within the Military

  27. NCOEMS State Exam vs. NREMT Examination 2012 Results • EMT • OEMS= 75% • NREMT= 82.2% • EMT-I • OEMS= 65% • NREMT= 100% • EMT-P • OEMS= 91% • NREMT= 70%

  28. Staff and Contacts

  29. Education Staff Main Office Todd Messer Education & Credentialing Manager Kim Sides Compliance Manager Alesia Hester Reciprocity Gloria Currie Name Changes and Duplicate Credentials

  30. Regional Educational Specialists Jeff Powell Western Regional Office (828) 466-5548/ jeff.powell@dhhs.nc.gov Eddie Jordan Central Regional Office (919) 855-4681/ eddie.jordan@dhhs.nc.gov Robbie Amerson Eastern Regional Office (252) 355-9026/ robert.amerson@dhhs.nc.gov

  31. Questions?

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