Technical Standards
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Definition of Standards
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Examples
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Critical Thinking Skills |
Sufficient critical thinking abilities for clinical judgment such that the individual
can make independent judgments in the absence of other medical team members and/or
medical control; and determine methods and treatments to use when caring for patients
with varying illnesses or injuries. |
Assess scene safety in uncontrolled environments; assess patient’s medical history
and condition; determine and prioritize the severity of the illness/injury; determine
correct treatment modalities, including exceptions to approved modalities; |
Problem-Solving Skills |
Ability to make correct tentative diagnosis and assessment conclusions that allow
selection and pursuit of accepted treatment protocols and integrations of multiple
protocols and modalities in single and multiple patient situations. |
Formulate correct decisions; integrate correct treatment protocol(s); devise an accepted
plan to provide patient care in typical/atypical cases; utilize standard accepted equipment for safe patient care
and movement. |
Interpersonal Skills |
Sufficient ability to interact with individuals, families, groups, public safety personnel
and other health care providers from a variety of social, emotional, cultural, and
intellectual backgrounds.ersonal Skills |
Establish and maintain supportive relationships with patients, family members, bystanders,
public safety, media, political officials, and other health care providers under stressful
and non-stressful situations. |
Communication Skills |
Sufficient ability to interact effectively with others in English using verbal, written
and reading form. Communication via face-to-face interaction and/or standard radio
and telephone links are an integral requirement. |
Ask questions of current and past medical history of the patient or bystanders; receive
and interpret information from patient(s) or bystanders regarding history, complaints,
and response to treatments; ability to request and clarify orders from health care
personnel (ex: physician);provide accurate and legible written reports of patient(s)
in timely fashion to appropriate individuals (ex: law enforcement): ability to read
and understand written orders, advance directives, DNR’s, the MOST form, instructions,
protocols, prescriptions, and other pertinent patient information or data. |
Coping Skills |
The ability to deal effectively with stress produced by work and interaction situations. |
Deals with emotional situations that affect EMS personnel; emotional situations that
affect patients, their families, their friends, their coworker, bystanders, public,
public safety personnel, other health care workers; recognize personal limitations
and request assistance as appropriate. |
Physical Skills |
Sufficient physical abilities to lift, balance and carry patients in excess of 125lbs.
Motor coordination is necessary over uneven terrain, stairs or hazardous terrain. |
Enter/exit ambulance without assistance; perform physical activities involved with
EMS delivery for up to 24 hours continuous hours without a break; negotiate hazardous
scenes in all environmental extremes including but not limited to light/dark, heat/cold,
wet/dry/frozen scenes; wear appropriate personal protective devices (PPDs) without
assistance (ex: gloves, masks, etc.); drive large vehicles, under extreme environmental
conditions. |
Motor Skills |
Ability to perform gross and fine motor skills required in the normal duties of EMS
as stated in North Carolina Medical Board Approved Medications for Credentialed EMS
Personnel and Approved Skills for Credentialed EMS Personnel, such as CPR, childbirth,
extrication, airway management, intravenous and IO lines, equipment relocation, and
patient handling. |
Perform physical tasks requiring prolonged physical exertion (ex: walking for long
periods of time while carrying equipment i.e. medical bag, monitor, etc. up to 50
lbs or more, and/or patients, vehicle extrication, extrication of a victim from the
confines of a structure); tasks requiring walking, crawling, stooping, bending, kneeling,
or working prone or supine. |
Hearing Skills |
Sufficient auditory (hearing) ability to assess and monitor patient’s health needs,
to determine personal danger at emergency scenes, hear requests for aid, and hear
verbal orders and instructions from members of the medical care team and for driving
an emergency vehicle. |
Effectively use devices for the measurement of vital signs, breath sounds, heart tones,
recognize and respond to voices under protective apparatus, signals during rescue
operation, equipment or emergency alarms, dangers/warnings associated with hazardous
scenes; communication via standard radio and telephone links and preceptors’ instructions
and directions. |
Visual Skills |
Sufficient visual ability for assessment, observation, and implementation of patient
care, for determination of scene hazards that potentially affect the well-being of
self, patient, coworkers, and for driving an emergency vehicle. |
Observe and identify patient signs, including but not limiting to paleness (white),
cyanosis (blue), erythema (redness), jaundice (yellow) ecchymosis (bruising), swelling,
burns, blisters, deformity, hemorrhage, fluid and blood loss, papillary response,
reflexes, hives and pitting edema; identify normal/abnormal patterns or movement;
assess the environment for hazards. |
Tactile (Touch) Skills |
Sufficient ability to assess physical health and perform activities requiring dexterity
combined with tactile ability. |
Palpate a pulse and detect changes or abnormalities of surface, texture, skin temperature,
body segment contour, muscle tone and/or joint movement. |
Olfactory (Smell) Skills |
The student must have olfactory senses sufficient for maintaining environmental, patient,
and personal/coworker safety. |
Determine smells contributory to patient assessment such as fruity odors, alcohol
smell, and acetone; determine smells contributory to self-preservation and safety of patients and coworkers including but not limited to
smoke, burning materials, gasoline and noxious fumes. |