Steps in Professionalizing EMS

thegreypilgrim

thegreypilgrim

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What if we all simply refused to accept the title NREMT-P? What if instead of putting that behind our names, we all just started writing MICP (as a return to the old ways) or NRP (just completely make up something new - here we keep the "Nationally Registered" and "Paramedic" parts but drop the "EMT" bit)? Would that show'em?
 
I have seen PM or PMD used here in FL. As for recreating the wheel, I think it would confused the few non-ems people that know the difference between and EMT and a Medic. I like change but this one I think should be left alone.
 
I can see PM, but PMD? That looks like Primary Medical Doctor...

Anyway I think most non-EMS people would react to something like NREMT-P with nothing beyond confusion...as you said, the public doesn't understand the difference between EMT and paramedic anyway.

Furthermore, I'm pretty sure that under the new Scope of Practice Model provider levels, the EMT part of EMT-P has been dropped. So, you now just have First Responders, EMT's, Advanced EMT's, and Paramedics. As such, NRP does make some sort of sense...
 
thegreypilgrim said:
What if we all simply refused to accept the title NREMT-P? What if instead of putting that behind our names, we all just started writing MICP (as a return to the old ways) or NRP (just completely make up something new - here we keep the "Nationally Registered" and "Paramedic" parts but drop the "EMT" bit)? Would that show'em?
Click to expand...

We have MICP, CICP, CCP, Paramedic and a whole list of terms that are "Paramedic" among the 50+ different certs in the U.S.

Florida and few other states do not use the NR so it may just be "Paramedic" without the NREMT-P.

Also, the EMT part attached to the P will be dropped with the new NREMT testing.

http://nremt.org/nremt/downloads/Newsletter_2009.pdf

For additional info, I posted the links in this thread:
http://www.emtlife.com/showthread.php?t=15726
 
thegreypilgrim said:
As such, NRP does make some sort of sense...
Click to expand...

The goal is to eventully have the NR as the national exam for all states. When that happens it would not be necessary to use "national registry" in front of the level. Other health care professionals all take one test recognized throughout the U.S. and do not use the name of their testing agency in their titles. EMS is just different because some states still use their own tests.
 
^
Exactly... Physicians take one of two national exams for certification. It doesn't matter which state you're in, all physicians take either the USMLE or COMLEX.
 
VentMedic said:
The goal is to eventully have the NR as the national exam for all states. When that happens it would not be necessary to use "national registry" in front of the level. Other health care professionals all take one test recognized throughout the U.S. and do not use the name of their testing agency in their titles. EMS is just different because some states still use their own tests.
Click to expand...
In that case, I guess MICP would make the most sense as it's kind of difficult to shorten "Paramedic" into an abbreviated credential...unless you just made it "RP" for "Registered Paramedic" or something like that...but I like MICP better for some reason.
 
thegreypilgrim said:
In that case, I guess MICP would make the most sense as it's kind of difficult to shorten "Paramedic" into an abbreviated credential...unless you just made it "RP" for "Registered Paramedic" or something like that...but I like MICP better for some reason.
Click to expand...


Isn't MICP the title for NJ?

JPINFV, can you link your website for all the certs?
 
http://en.wikipedia.org/wiki/Emergency_medical_responder_levels_by_U.S._state

There's a few that use MICP. I need to go back through over summer and re-look at it. I know that California is looking to move the titles to the new national titles (EMT, AEMT, Paramedic instead of EMT-I, EMT-II, and EMT-P). I also know that Washington is phasing out their middle levels) The list is acurate as of 2 years ago and most states don't go around chaning their titles willy-nilly.

Edit:

MICP= Alaska and New Jersey. Kansas comes close with a "mobile intensive care technician" title for their paramedics.
 
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VentMedic said:
EMS is just different because some states still use their own tests.
Click to expand...

I often wonder why this is.

Do you think it's due to some states believing the national standards are insufficient... or are they attempting to circumvent the National Registry for their own particular agendas?

... and with the Future Agenda, will there be some states that continue to resist?
 
I lost my NREMT-P card when I reordered it they had dropped the EMT part. Mine just says "Paramedic"
 
Seaglass said:
I don't like that one either. I think people would make a connection to RNs and RTs, which could be a bit misleading.
Click to expand...

In both of those professions, RN and RRT, "registered" is known to be the higher level as it is for most allied health professions.
 
Could be worse. If your talking about "LPs" in Texas, you need to clarify if your talking about records (big vinal CD like objects for you youngin's) or a level of paramedic.
 
The link says Hawaii uses EMT-Paramedic, but the job title for paramedic in Honolulu EMS is Mobile Emergency Specialist I or MECS-I. I kind of like that one.
 
Australia has MICA (mobile intensive care ambulance) and we have Intensive Care Paramedic (ALS).

Anyway, heres what you need to do:

- National certifying exam
- National scope of practice from the 21st century
- National union (look at how powerful the Teamsters, PBA and IAFF are)
- No more of this "Firefighter/Paramedic" crap
- Proper funding, so what if people pay a buck extra on thier house tax?
- National levels (I think EMT/A EMT/Paramedic wording works OK)
- National education standards
- Proper education; lets be realistic here, two semesters BLS, AAS degree for ILS and a Bachelors Degree for ALS all based at a college or university none of this tech mill back alley education.

Scope of practice could be something like this

BLS
- O2
- Entonox
- Nitrates SL
- Aspirin PO
- Ventolin nebules
- Glucagon IM
- Adrenaline auto for severe asthma, anaphylaxis and croup
- Anti emetic PO
- Obtain 3 and 12 lead
- ? IM Nalxone?
- Supraglottic airway
- CPAP

ILS
- Manual defib
- Cardioversion
- IV fluid
- Laryngoscopy and McGills forceps
- Adrenaline IV for severe asthma, anaphylaxis, croup, cardiac arrest
- Anti arrythmatic IV for cardiac arrest
- Opiod antagonist IM IN IV
- Benzo IM IN for seizures
- IV analgesia
- Anti emetic IV
- ? steriod IV for severe asthma, anaphylaxis
- ? pacing
- ? IO access

ALS
- Intubation
- RSI if approved locally
- Thrombolysis if approved locally
- Atropine IV
- Further IV analgesia eg ketamine, etomidate
- Pacing
- ? frusemide IV
- ? dopamine IV
- Anti arrythmatic for besides cardiac arrest
 
thegreypilgrim said:
The link says Hawaii uses EMT-Paramedic, but the job title for paramedic in Honolulu EMS is Mobile Emergency Specialist I or MECS-I. I kind of like that one.
Click to expand...


Yea... and Hawaii state law classifies it as EMT-Paramedic...

http://hawaii.gov/health/family-child-health/ems/har16-85.html#54

That article is fully sourced.

Edit: Hawaii Medical and Osteopathy Board which covers MD, DO, DPM, PA, EMT-B, and EMT-P licensing also calls it EMT-P.
http://hawaii.gov/dcca/pvl/boards/medical/

Just like some counties in California have a psuedo-level called EMT-Defibrillator (an EMT-B with a optional skill package allowing manual defibrillator under direct supervision) doesn't make EMT-D a state recognized level (EMT-I, EMT-II, and EMT-P).

Edit 2, from your link:

License Requirement:
1) Current State of Hawaii Board of Medical Examiners Emergency Medical Technician-Paramedic Certificate (EMT-P), prior to appointment. If you are currently licensed in Hawaii please submit a photo copy of your EMT- P certification within 7 days of filing this application. Copies will not be returned. Mail or drop off: Department of Human Resources, 650 South King Street, 10th Floor, Honolulu, HI 96813.
Click to expand...
emphasis added.
 
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Mr. Brown

Implementing the Australian/New Zealand model would be the ideal situation I think. You guys did things right from the start.
 
MrBrown said:
Australia has MICA (mobile intensive care ambulance) and we have Intensive Care Paramedic (ALS).

Anyway, heres what you need to do:

- National certifying exam
- National scope of practice from the 21st century
- National union (look at how powerful the Teamsters, PBA and IAFF are)
- No more of this "Firefighter/Paramedic" crap
- Proper funding, so what if people pay a buck extra on thier house tax?
- National levels (I think EMT/A EMT/Paramedic wording works OK)
- National education standards
- Proper education; lets be realistic here, two semesters BLS, AAS degree for ILS and a Bachelors Degree for ALS all based at a college or university none of this tech mill back alley education.

Scope of practice could be something like this

BLS
- O2
- Entonox
- Nitrates SL
- Aspirin PO
- Ventolin nebules
- Glucagon IM
- Adrenaline auto for severe asthma, anaphylaxis and croup
- Anti emetic PO
- Obtain 3 and 12 lead
- ? IM Nalxone?
- Supraglottic airway
- CPAP

ILS
- Manual defib
- Cardioversion
- IV fluid
- Laryngoscopy and McGills forceps
- Adrenaline IV for severe asthma, anaphylaxis, croup, cardiac arrest
- Anti arrythmatic IV for cardiac arrest
- Opiod antagonist IM IN IV
- Benzo IM IN for seizures
- IV analgesia
- Anti emetic IV
- ? steriod IV for severe asthma, anaphylaxis
- ? pacing
- ? IO access

ALS
- Intubation
- RSI if approved locally
- Thrombolysis if approved locally
- Atropine IV
- Further IV analgesia eg ketamine, etomidate
- Pacing
- ? frusemide IV
- ? dopamine IV
- Anti arrythmatic for besides cardiac arrest
Click to expand...

This is great, however if I was going to institue true education. I would have only one level, one test nationwide and be done with it, do we really need three levels?

In this economy what do you do with the billion providers already in use.? If this plan was introduced.
 
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