north carolina community college adult educators association 2013 fall conference north carolina...

North Carolina Community College Adult Educators Association

2013 Fall Conference

North Carolina Office of Emergency Medical Services Education Update

TopicsTopics

• Agenda for the FutureAgenda for the Future

• Revision of Course HoursRevision of Course Hours

• Competencies for the EMS StudentCompetencies for the EMS Student

• OEMS RulesOEMS Rules

• OEMS Credentials and Background ChecksOEMS Credentials and Background Checks

• Repatronization of Military PersonnelRepatronization of Military Personnel

• CoAEMSP AccreditationCoAEMSP Accreditation

• Other topicsOther topics

Update on Agenda for the FutureUpdate on Agenda for the Future

Agenda for the futureAgenda for the future

Currently NCOEMS is:Currently NCOEMS is:

– Developing Developing • ““New” Test based on the Education StandardsNew” Test based on the Education Standards• Transition Content- Already availableTransition Content- Already available

– Final stages of “Education” rule revisionsFinal stages of “Education” rule revisions• Must go before Advisory Committee Must go before Advisory Committee

– (Late 2013 or Early 2014)(Late 2013 or Early 2014)• Public Comment (Early 2014)Public Comment (Early 2014)• Anticipated enactment January-July 2015Anticipated enactment January-July 2015

NCOEMS Approved Transition NCOEMS Approved Transition Course for NREMTCourse for NREMT

• Available first of November 2012Available first of November 2012

– Must submit a proposed course outline to their Regional Educational Must submit a proposed course outline to their Regional Educational Specialist for approval. Specialist for approval.

– Must inform all Providers taking the course that this content does not Must inform all Providers taking the course that this content does not replace their current protocols (Local, NCCEP, State) or the approved replace their current protocols (Local, NCCEP, State) or the approved medications and skills formulary that has been approved by the North medications and skills formulary that has been approved by the North Carolina Medical BoardCarolina Medical Board

– Successful completion will be denoted by the OEMS Approved Successful completion will be denoted by the OEMS Approved Educational Institution issuing an official completion certificate and Educational Institution issuing an official completion certificate and reflection of such course is available on an official Educational reflection of such course is available on an official Educational Transcript. Transcript.

Revision of Course HoursRevision of Course Hours

New DOT and State LevelsNew DOT and State Levels

• Emergency Medical Responder (EMR)Emergency Medical Responder (EMR) – Formerly First Responder (FR) 60 +/-hrs.Formerly First Responder (FR) 60 +/-hrs.

• Emergency Medical Technician (EMT)Emergency Medical Technician (EMT) – Formerly EMT-Basic (EMT-B) 150-190 +/-hrs of Didactic. Formerly EMT-Basic (EMT-B) 150-190 +/-hrs of Didactic. – Clinical and Field Internship TBD.Clinical and Field Internship TBD.

• Advanced EMT (AEMT)Advanced EMT (AEMT) – Formerly EMT-Intermediate/85 EMT-I/85 150-250 +/- hrs of Didactic. Formerly EMT-Intermediate/85 EMT-I/85 150-250 +/- hrs of Didactic. – Clinical and Field Internship TBD.Clinical and Field Internship TBD.

• Paramedic Paramedic – Formerly EMT-Paramedic. Formerly EMT-Paramedic. – Do not anticipate many changes here.Do not anticipate many changes here.

Competencies for the Competencies for the EMS StudentEMS Student

Competency v/s QuantityCompetency v/s Quantity

• Competency-basedCompetency-based– ““DO NOT” use time and number of skills as a DO NOT” use time and number of skills as a

criteria to determine the quality of clinical criteria to determine the quality of clinical education. education.

– You should utilize a standard number for You should utilize a standard number for procedures and constantly assess the students procedures and constantly assess the students competency.competency.

• Example- Minimum of 20 IV attemptsExample- Minimum of 20 IV attempts

• Example- Minimum of 80% success rate Example- Minimum of 80% success rate

Update on Proposed RulesUpdate on Proposed Rules

Proposed Rule SummationProposed Rule Summation10A NCAC 13P .050110A 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



– 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)



– a-1) Institution Handling or OEMS

– b) Renewal at a lower level

– c) Prior to date of expiration

Proposed RuleProposed Rule10A NCAC 13P .0512 (New)10A NCAC 13P .0512 (New)

• New Rule (Re-Instatement Lapsed Credential

– 90 day Grace 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

Proposed RuleProposed Rule10A NCAC 13P .051410A 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



– Places all Educational Institutions into one rule

Proposed Rule SummationProposed Rule Summation10A NCAC 13P .0605 (NEW)10A NCAC 13P .0605 (NEW)

EMS EDUCATIONAL INSTITUTION REQUIREMENTS: EMS EDUCATIONAL INSTITUTION REQUIREMENTS: ACCREDIATEDACCREDIATED

• Must be CoAEMSP AccreditedMust be CoAEMSP Accredited

• Must present a copy of the Self Study and Executive Analysis to OEMSMust 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 Must have at least one OEMS Educational Staff Member present for the site visitvisit

• Must meet NC Specifics (Level II, NCCEP Medical Advisor)Must meet NC Specifics (Level II, NCCEP Medical Advisor)

• NCOEMS Institution License will not exceed Five Years (60 Months) and NCOEMS Institution License will not exceed Five Years (60 Months) and will run in conjunction with the CoAEMPS Accreditation periodwill run in conjunction with the CoAEMPS Accreditation period

OEMS Background ChecksOEMS Background Checks

Background checksBackground checks

• NC resident last 5 years without interruption- NC check onlyNC resident last 5 years without interruption- NC check only

• Not NC resident or resident <5 years without interruption- State and Not NC resident or resident <5 years without interruption- State and National checkNational check

• SBI fingerprints and fee $38SBI fingerprints and fee $38

• AOC downloadsAOC downloads

• Complaint/ Investigation processComplaint/ Investigation process

• ConvictionsConvictions

• Disciplinary CommitteeDisciplinary Committee

• Denial, revocation, suspensionDenial, revocation, suspension

ConvictionsConvictions

• All convictions are reviewed:All convictions are reviewed:– Upon each application made for an Initial/Renewal of CredentialUpon each application made for an Initial/Renewal of Credential

– Daily AOC downloadsDaily AOC downloads

• Applicants selected for interview may include:Applicants selected for interview may include:– Felonies & violent crimesFelonies & violent crimes

– Child abuseChild abuse

– Sexual abuse / HarassmentSexual abuse / Harassment

– Substance abuse issues including DUISubstance abuse issues including DUI

– OEMS investigationsOEMS investigations

EMS Disciplinary CommitteeEMS Disciplinary Committee

• Established by NC General StatuteEstablished by NC General Statute

• Composed of 7 membersComposed of 7 members 2 EMS Medical Directors2 EMS Medical Directors 1 representative of the NC Medical Board1 representative of the NC Medical Board 1 EMS Administrator1 EMS Administrator 1 EMS Educator1 EMS Educator 2 EMS Professionals (1 EMT-P)2 EMS Professionals (1 EMT-P)

• Make recommendations to OEMS ChiefMake recommendations to OEMS Chief

Co-AEMSP AccreditationCo-AEMSP Accreditation

Institution AccreditationInstitution Accreditation

• Required by NR by 2013 to test ParamedicRequired by NR by 2013 to test Paramedic

• Based on recommendations from National EMS Education Agenda for the Based on recommendations from National EMS Education Agenda for the FutureFuture

• Applicants must graduate from nationally accredited program (degree based Applicants must graduate from nationally accredited program (degree based or curriculum program) or curriculum program)

• CE program in a community college will workCE program in a community college will work

• Co-AEMSP (Committee on Accreditation of Education Programs for the Co-AEMSP (Committee on Accreditation of Education Programs for the EMS Profession) currently only body approved to accreditEMS Profession) currently only body approved to accredit

• NCOEMS Advisory committee voted unanimously to purse Co-AEMSP for NCOEMS Advisory committee voted unanimously to purse Co-AEMSP for all Initial Paramedic Education Institutionsall Initial Paramedic Education Institutions

CoAEMSP:CoAEMSP:Accredited or Letter of Review StatusAccredited or Letter of Review Status

• Accredited- 6Accredited- 6– 5 OEMS Approved Educational Institutions5 OEMS Approved Educational Institutions

– Fort BraggFort Bragg

• Letter of Review- 15Letter of Review- 15– 14 OEMS Approved Educational Institutions14 OEMS Approved Educational Institutions

– 1 Consortium1 Consortium• Approved Educational Institution/Major Medical CenterApproved Educational Institution/Major Medical Center

north carolina community college adult educators association 2013 fall conference north carolina...

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