Information

DUTIES AND RESPONSIBILITIES OF AN EMT

EMT's or Emergency Medical Technicians are the health care professionals who initially assess the condition of the patients and determine the necessary course of action. These workers provide medical support to the patients while they are transported to the hospital. They respond to the emergencies arising out of causalities like criminal violence, natural disasters, fires, air and land accidents, etc.

Prerequisites for Becoming an EMT

Candidates who look forward to making their career as an emergency medical technician must meet the following conditions:

  • You must have attained the age of 17 years

  • Complete the New York State-approved EMT program. Courses are normally between 150 and 180 Hours.

  • Pass the New York State Certification Test, in order to obtain a certification issued by the state.

  • You are expected to have a clean criminal background and be capable of passing a thorough background check.

  • Acquire CPR (Cardiopulmonary Resuscitation) certification.

Skills Required

Besides meeting the above requirements, candidates are supposed to possess the following qualities:

  • Excellent communication skills

  • Problem-solving skills

  • Physical strength

  • Listening skills

  • Interpersonal skills

  • Compassion

Duties and Responsibilities of an EMT

  • Drive to the scene and provide basic life support to the victims before they are transported to the hospital.

  • Determine the right course of action after evaluating the patient’s condition.

  • Provide medical aid such as AED, CPR, prevent spinal damage, ventilation, control severe bleeding, prevent shock, bandaging wounds, etc., to stabilize their condition.

  • Clean the equipment. Check and replace the used and damaged supplies.

  • Transfer patients to the emergency units of the hospital.

  • Administration of medications like aspirin, oral glucose, and oxygen.

  • Prepare a patient care report and take notes of the medical treatment given to them.

  • Sterilize the ambulance’s interior, if it is used to carry a patient suffering from infectious disease.

  • Restock all supplies in the ambulance and replace used blankets, linens, and other supplies.

  • Calm down the victims’ family members.

  • Attend refresher program or participate in the New York State Continuing Education Program.

Work Environment

The job of an EMT is emotionally and physically demanding. They have to work on weekends and in odd hours, and in conjunction with emergency care assistants, paramedics, police, and firefighters. These workers are generally employed by inter-hospital transport services, ambulance services, rescue and fire departments, and healthcare facilities. At times, the job of an EMT can be stressful, as they have to shoulder a lot of responsibilities during emergency conditions. Their profession involves bending, kneeling, and moving and lifting the patients. They are exposed to injuries and contagious diseases. However, this career gives you a mental satisfaction as you can save the lives of several people going through a critical phase throughout your career.

PROTOCOLS


Fort Covington EMS, INC. follows the Guidelines and Protocols set by the New York State Department of Health, Bureau of Emergency Medical and Trauma Services. You can find a complete list of the protocols here:

https://www.health.ny.gov/professionals/ems/docs/bls_protocols.pdf

https://www.health.ny.gov/professionals/ems/docs/collaborative_protocols.pdf

https://www.health.ny.gov/professionals/ems/pdf/statewide_prehospital_treatment_protocols_ver16-04.pdf


FCEMS is part of The Mountain Lakes Regional EMS Council, they oversee and supports all aspects of Emergency Medical Services in the counties of Warren, Washington, Essex, Clinton and Franklin of New York State. Mountain Lakes Regional EMS Council sets standing orders, that Fort Covington EMS must also follow in addition to the New York State Protocols.

You can find them here:

https://mountainlakesems.org/

https://mountainlakesems.org/assets/pdf_files/2017%20Collaborative%20Protocols.pdf


DO NOT RESUSCITATE ORDER (DNR)

US Residents

The New York do not resuscitate (DNR or DNAR) order form helps to specify a patient’s wishes regarding life-sustaining treatments and is most often used by subjects who are in the critical stages of an illness or old age. If a DNR order is indicated in the patient’s medical record, they will not be given cardiopulmonary resuscitation (CPR) in the event of a cardiac/respiratory arrest. The Medical Orders for Life­ Sustaining Treatment (MOLST) form is the only document that is authorized for documenting nonhospital DNR and DNI (do not intubate) orders. This form details multiple aspects of end-of-life care and is recognized by all healthcare professionals in the State.

You can obtain more information and the New York Form here:

https://www.health.ny.gov/professionals/patients/patient_rights/molst/


Canadian Residents

Do not resuscitate order (DNR) forms are created for patients that do not want to be saved in the event their heart or breathing stops. This is generally the case for individuals with late stages of cancer or other advanced medical issues. The laws for withholding resuscitation are governed by each province and usually come with the requirement that the patient authorizes the form along with their primary care physician, notary public, or witness(es).

You can obtain more information and the Canadian Form here:

https://www.mcscs.jus.gov.on.ca/english/FireMarshal/Forms/form_DoNotResuscitate.html

Health Insurance Portability and Accountability Act of 1996 (HIPAA)



Why was HIPAA Created?

The Health Insurance Portability and Accountability Act (HIPAA) was created primarily to modernize the flow of healthcare information, stipulate how Personally Identifiable Information maintained by the healthcare and healthcare insurance industries should be protected from fraud and theft, and to address limitations on healthcare insurance coverage – such as portability and the coverage of individuals with pre-existing conditions. Fort Covington EMS and all pre-hospital care providers must obide by HIPAA. Your information will always be protected with us.


Information We Protect

The staff of Fort Covington EMS take your privacy very seriously, we have detailed below the eighteen personal identifiers that could allow a person to be identified. Below is a sample of personal identifiers that we consider as “Protected Health Information” or “PHI”.


The main takeaway for HIPAA compliance is that any staff member that comes into contact with PHI must enact and enforce appropriate policies, procedures and safeguards to protect data.


More information can regarding HIPPA be found here: https://www.cdc.gov/phlp/publications/topic/hipaa.html

TRANSPORT

Non-Emergency Medical Transportation plays a vital role in maintaining the health and well-being of the community members. Elderly patients and individuals with disabilities and chronic illnesses rely on Non-Emergency Medical Transportation to get them to and from out-patient treatment facilities.

Fort Covington EMS transports all non-ambulatory patients.

To schedule a Non-Emergency Medical Transportation please contact (518) 358-9970 during normal business hours. We will strive to provide the transport, or refer you to an agency that can.

REFUSAL OF CARE

As a patient of Fort Covington EMS you have the right to refuse care and transport to the Hospital. When a Patient wishes to refuse care we must insure that the patient meets the following:

  • Communication—The patient must be able to communicate choices without extreme indecision.

  • Understanding—The patient should be able to understand by recalling conversations about treatment and able to process the possibilities of outcomes. Any problems with memory, attention span, or intelligence can affect the patient’s understanding.

  • Appreciation—The patient should be able to identify the illness and outcomes as things that will affect him or her directly.

  • Rationalization/Reasoning—The patient must be able to weigh risks and benefits and come to a conclusion in keeping with his or her goals and best interests. A patient’s ability to reason can be affected by psychosis, depression, anxiety, phobias, delirium, and dementia.

The EMS crew will ask you to complete the Fort Covington EMS Patient Refusal Form, this is to document your right to refuse care.

If you change your mind or your conditions become worse and you to seek treatment, please do not hesitate to call us at (518) 358-9970, alternatively you can contact Franklin County Emergency Services Dispatch at (518) 483-2580. If it is an Emergency Dial 911.

To see all the guidelines for refusing care please see the NY State Protocol for Refusal of Care

https://www.health.ny.gov/professionals/ems/docs/bls_protocols.pdf