Statewide Protocol Summary for Emergency Department Staff - PowerPoint presentation with attached narrative in the notes section that can be used to provide an overview of the new Vermont Statewide EMS Protocols to Emergency Department staff. The presentation reviews the new Vermont Statewide EMS protocols for Emergency Department staff and address the following objectives:
- Build an understanding of the scope of practice of prehospital providers;
- Review protocols that may require on-line medical direction; and
- Review key protocols that may influence current practice in the Emergency Department.
Vermont EMS Statewide Protocols - Final December 10, 2013 Version - This is the most current version of the protocols.
Changes Made to October 8, 2013 Protocols - If the October 8, 2013 protocols were printed, this link provides the 20 (twenty) pages that should be printed and inserted into an October 8th version of the Protocols to bring it into line with the December 10, 2013 version.
For those looking for information on cardiac monitoring and the protocol changes related to the New Scope of Practice Model, the reference to them is on page 2 of the 2009 Gap Analysis.
Protocol Implementation and Transitions to New Scope of Practice Model
These protocols are written for the new Scope of Practice Model levels (EMR, EMT, AEMT and Paramedic), which include skills, medications and other interventions not allowed at the previous National Standard Curriculum levels (FR-ECA, EMT-B, EMT-I and EMT-Paramedic). When an entire agency has completed training on these protocols, they may begin to use these new protocols after 0001 hrs January 1st, 2014 regardless of the transition status of their personnel.
All agencies must begin to use these protocols no later than 2359 hrs on March 31, 2014. From April 1, 2014 forward, these are the only statewide EMS protocols and must be followed by all providers, regardless of transition status. However, EMS providers who have not completed the appropriate transition course are ONLY authorized to function within the scope of their previous scope of practice (FR-ECA, EMT-B, EMT-I and EMT-Paramedic). Appendix 3 contains the scope of practice matrix which lists the skills that each provider level, both old and new, can perform.
This document has been created as a guide for both EMS providers and EMS Services to complete the education modules for the Vermont Statewide EMS Protocols. This training is required for any level of licensure and does not require the provider to be transitioned to the new education standards. Thus, a provider that has not transitioned and completes this training will be authorized to use these new skills, but will still have to complete a transition course within their recertification period as outlined by the National Registry (see previously published guidance and FAQs on the VT EMS website). This training will also be required within all initial EMR, EMT, AEMT, and Paramedic courses commencing after October 15, 2013.
The education modules below are available only on this website. Other modules referenced in the Statewide Protocol Resource Kit above are available through CentreLearn or through practical education at the service level. The Quick Reference Chart, located in the Statewide Protocol Resource Kit, gives information about the topic/skill, methods of presentation, and the scope of practice levels to which the training applies.
Instructions for opening the PowerPoint Presentations and the Exerpt Documents below:
- Click on the link for the presentation
- Choose Open. Save or Save asl depending on your situation.
- At the Password screen, choose "Read Only." It is not possible to modify presentations.
- Advanced Spinal Assessment
- AEMT Introduction to CPAP
- BLS Intranasal Naloxone
- Epinephrine for AEMT Use
- Induced Mild Hypothermia
- Resuscitation Initiation and Termination
- Systems of Care
Excerpts from the Statewide Protocol Resource Kit - we have heard from Training Officers and Instructor Coordinators that offering certain pages or forms from the Resource Kit would be helpful. Therefore, please find links below to a select number of pages/forms.
- Advanced Spinal Assessment Practical Chart
- Class Roster for Record Keeping
- CPAP Training Chart
- Tracking Documents:
- Epinephrine 1:10,000 for AEMT Use Practical Chart
- Induced Mild Hypothermia Practical Chart
Questions about Protocol Education may be directed to Jessica Freire, State EMS Training Coordinator by email or phone at (802) 863-7310.