Tuesday 10 March 2015

AEMS Advanced EMT - Student Information


 Asia’s Emergency Medical Services Institute, Inc. (AEMS):

The mission of AEMS is to an accessible and affordable education through a dedicated and knowledgeable faculty and staff, a responsive curriculum and strong community partnership, which together will enable students to think critically, demonstrate leadership, develop ethical standards and complete effectively in the global workplace.

Advanced -EMT Program (AEMT) :

The Advanced EMT program is based on the protocols of three different countries, all of who are the leaders of the EMS profession. As such, the course you are about to begin is designed on these international standards. The subject matter is however presented following the general protocols, but the study material is presented at a higher level than most A-EMT courses. 

The purpose of this higher level is to prepare you for the more advanced course that follow; the Paramedic Course. As such, the testing regimen is also at a higher level and relies on your ability to think critically. It is strongly advised that you study the material presented on a daily basis. There is a large volume of work to get through, and your understanding of the work is of paramount importance. Please do not hesitate to consult with your instructors if you have any problems.

Testing:

At the end of each module or topic, you will have a short quiz as a means of highlighting the main points of the material and it will serve a guide for you where you need to apply more attention. These quizzes do not carry any weight towards your final mark. 

Your weekly test, which will cover all the work presented during the previous week. You are expected to attain a minimum of 75% for each test. Failure to attain 75% or more for each of these tests will negatively affect your final mark. 

Final theory examinations cover all the material from the first day. The paper will consist of multiple choice type questions and short answer questions and anatomy and physiology diagrams and/or tables. There will also be oral and practical examinations conducted by the AEMS assessor on a pre-arranged day or series of days depending on when the assessor is available.

All papers are marked at our central office in Davao City, Philippines   and the results will be returned to your instructor who will discuss your results with you. The marking of these tests and examinations will take up to three (3) office days. Always use your student number and never your name when you submit your tests for marking. Any questions you have concerning this process must be submitted in writing addressed to the AEMS Head of Training. 

You are strongly advised to practise the practical skills as much as possible to enhance your skills. You will be marked using a check-list of actions. There are critical points with each procedure. If you fail to perform any of the critical points, you will fail the examination. You may fail only one practical skill except the CPR component. The practical skill, CPR and AED/Manual Defibrillation for both adult and infant carries a 100% pass mark. If you fail CPR and/or AED/Manual Defibrillation, you will fail the whole course. Pharmacology carries a pass mark of 80%. Failure to attain 80% for this module will mean failure of the whole course.
Below is a description of how the marks are processed to determine your final average. You need to attain a minimum of 75% over-all average to pass as an A - EMT.


Test 1 – 12 30%

Mid-Term Examination:

Theory 10%
Practical 5%
Oral 5%

Final Examination:
Theory 10%
Practical 5%
Oral 5%

Class Project: 10%
Practical Exposure: 10%

Attendance: 10%


Total 100%


Re-Writing of tests or examinations

We will strive to make your learning informative and all efforts will be spent to make sure you have the tools to enter the world of EMS equipped with knowledge and practical skills. The onus is on you to pass the examinations without relying on a re-write. For this reason, you may only re-write a test if you have scored 60% and above.

The final theory examination may not be re-taken. You may re-write oral and practical examinations ONLY if the AEMS Assessor is satisfied that you will be able to pass a re-write.  

Re-marking of examinations

As the papers are marked by a team of people, and they are checked twice, all results are final. There will be no negotiations on this matter. Any paper that is re-marked will be subject to an administration fee. You can request a remark by written request to the Head of Training who will consider your case based on your motivations for re-marking your paper.  

Absences during tests and the final examination

You must not miss an examination or test.  If you are booked off sick, the doctor’s letter must indicate a date at least two (2) days prior to the examination. Any illnesses or injuries must be a matter of life and death. Failure to arrive for a test or the final examination is immediate disqualification from the course (failure-debarred).

Failure

If your over-all average is below 75% you have failed the course. No money or funds will be reimbursed to you should you fail. Your failure is not the fault of AEMS or any of its staff but your own. Comments against AEMS or any of the staff on social media (in any form) due to your failure will be handed over to our law firm for litigation. Any complaints can be made in writing to the President of AEMS. Please make sure you have your facts correct and all witnesses to your complaint need to submit written statements to substantiate your claims.

Laboratory and Clinical Exposure

All laboratory work and clinical exposure must be recorded. You will receive a practical book that must be kept up to date by yourself and signed off by your instructor or supervisor (hospital).  This book is designed to help you keep track of your practical experience and comments from your instructor to guide you in your remedial work. This book must be submitted at the end of your course as this will count towards your final mark. All work in it must be legible and the book must be kept in good condition.

Personal Equipment

All students must have their own stethoscope, sphygmomanometer, and thermometer and provide their own examination gloves and surgical masks (except in the hospital segment of Practical Exposure).

Code of Conduct

This Code of Conduct is a guideline for the EMS student’s behaviour and is to be applied while in the classroom, lab (practical exposure sites), hospital, or rescue setting, or any other time the student is under the auspices of Asia’s EMS Institute.

Prohibited student conduct includes but is not limited to the following list. Any student who is found guilty of committing these acts while on campus or on property controlled by the Asia’s EMS Institute or its affiliates (e.g. clinical sites, volunteer sites, career placement sites, etc.) or in connection with any other off-campus activities may be subject to the maximum penalty of expulsion or any other penalty authorized herein. 

1. Assault, physical harm, threat or extortion
2. Disruption/Breach of peace
3. Failure to obey reasonable order of College’s Official(s)
4. Falsification of records
5. Damage or destruction of property
6. Unauthorized presence or use of College facilities/property
7. Gambling
8. Possession of alcohol, narcotics and/ or illegal drugs, drug paraphernalia
9. Smoking in unauthorized areas
10. Misuse of emergency equipment
11. Illegal possession of weapons
12. Illegal use of campus computer
13. Sexual harassment
14. Hazing
15. Stalking 
16. Cheating during examinations
17. Dishonesty
18. Any form of discrimination 

EMS Program – Classroom Code of Conduct

Classroom behaviour is expected to be professional and adult-like. Behaviour that is disrupted or dishonest will not be tolerated.

Group 1 Offenses

Any of the following breaches of character or violations of professional behaviour may result in a documented verbal warning, written reprimand or dismissal, as determined by the Head of Training:

1. Use of inappropriate, indecent, and/or obscene language, use of any lewd, racial, ethnic or sexual statement or innuendo, and/or indecent gestures or conduct.

2. Non-observance of the Program Dress Code and required personal grooming standards. Any debate over appropriateness of the student’s attire shall be decided by the authorized instructor/preceptor, not the student.

3. Failure to follow chain of command.

4. Failure to act in a professional manner in all settings

5. Absences without notification for designated lecture, lab, or clinical practical

6. Arrive late to lecture, lab or clinical without prior notification.

7. Arrive late to any scheduled test/exam.

8. Smoke or chew tobacco while in classroom, lab, or clinical assignment. 

9. Any conduct by act or omission deemed unacceptable or inappropriate to good order and discipline.
10. Alter given registration information.


Group 2 Offenses

Any of the following breaches of character or violations of professional behaviour may result in a documented verbal warning, written reprimand or dismissal, as determined by the Head of Training:

1. Commit academic dishonesty by cheating, submission of fraudulent documentation, forgery, plagiarism or falsified reports. 

2. Failure to report student(s) who knowingly help or are present when another student violates academic behaviour standards.

3. Behave with intent to detract, disrupt, endanger or harass the education of another student or students.

4. Leave assigned area to include classroom, lab, or clinical setting without notifying instructor. 

5. Perform duties and/or skills outside the scope of practice as student.

6. Unauthorized examination of a patient without an instructor or preceptor present.

7. Failure to adhere to Occupational Health and Safety regulations by not properly maintaining Body Substance Isolation (BSI) and/or proper utilization of Personal Protective Equipment (PPE).

8. Disrespectful, insolent, or abusive conduct directed at staff, instructors, guest speaker, visitors, or clinical staff. Any dispute between a student and clinical staff will be settled by program staff, not the student.

9. Use of electronic devices to include, but not limited to cellular phones, IPOD, MP3 while in classroom, lab, or clinical without prior consent on an instructor. All cellular phones must be set in the ‘off’ or ‘silent’ mode.

10. Be removed from a clinical site at the request of an affiliated hospital or fire rescue department due to affective behaviour issues.

11. Wear your EMS shirt while drinking alcohol or participating in any other inappropriate student behaviour.

12. Behaviour deemed inappropriate by any EMS Instructor, Coordinator, or Head of Training.

Group 3 Offenses

Any of the following breaches of character or violation of professional behaviour may result in a documented verbal warning, written reprimand, or dismissal, as determined by the EMS Head of Training:

1. Failure to notify Head of Training/Manager within 2 hours of any arrest while enrolled in the program.

2. Failure  to notify Head of Training/manager of any status change in licensure required during enrolment in the program.

3. Possess, or be under the influence of, any controlled substances or alcohol while in the classroom, lab, or clinical settings, except for those substances prescribed by a Physician and documented by prescription.

4. Possess drug paraphernalia.

5. Failure to submit to drug screen by given deadline while enrolled in program.

6. Possess any guns, illegal knives, or other lethal weapons while in the classroom, lab, or clinical rescue settings.

7. Fraudulent and/or unauthorized use of the institute's  name/logo.

8. Unauthorized use of institute's property.

9. Perform skills on which the student has not be designated competent in skills lab and signed-off by instructor.

10. Be dismissed from a clinical site without immediate notification to program clinical coordinator/, primary instructor or Head of Training.

11. Dismissal from clinical site due to one following but not limited to :

a. compromise of patient safety
b. abandonment of assignment
c. insubordination
d. violation of clinical facility policy

12 Any conduct perceived to be sexual harassment or hostile work/ learning environment.

13 Conduct which threatens or endangers the health or safety of others, assault, threat, extortion and physical altercation (fighting).

14 Misuse of institute's  or program property to include intentional damage or destruction of property.

DUE PROCESS

1. A student’s violation of the program’s policies and procedures will be referred to the Head of Training/manager or designee for review and subsequent action.
2. A careful investigation will be conducted by the director/manager or designee. This investigation can include but is not limited to gathering additional written documentation and/or conferring with appropriate College personnel or witnesses.
3. If after careful investigation, the director/manager or designee determines that the violation is not supported by the evidence presented, the violation will be deemed unfounded. No further action taken.
4. If the investigation reveals that a violation occurred, the student accused will be notified in writing of the charges and advice that she/he is required to attend an informal hearing with the Head of Training/manager/designee.
5. During the informal hearing, the charges are read and explained to the student; the student will be asked to respond to the charges and whether she/he has questions.
6. If the student admits responsibility, the Head of Training/manager/designee notifies the student of the sanctions. The students can either accept or reject the sanctions (documented verbal or written reprimands may not be rejected). If the student rejects the sanctions, a formal disciplinary hearing will be convened by the Head of Training/manager/designee per the Health Sciences/EMS Appeal process. If the student accepts the sanctions she/he signs the waiver accepting sanctions and waiving right to formal hearing.
7. If the student denies responsibility, written notice informing the student of time and place of formal hearing will be sent by certified letter to the address of record with returned receipt.
8. All disciplinary proceedings are confidential to the extent allowable by law.
9. In case of more than one student involved in the incident, the Head of Training/manager or designee will determine if separate hearings will be held.
10. Pending the disciplinary hearing, the student may attend class and/or lab except in the case of temporary suspension.
11. The program burden of proof shall be based on a preponderance of the evidence. 
12. Resolution of any situation not outlined in this process will be at the discretion of the director/manager/ or designee.

NOTICE OF FORMAL DISCIPLINARY HEARING

1. Notice of formal hearing provided in writing to student three (3) business days in advance of the hearing by written notification either in person or by certified mail with returned receipt.
2. Notice of formal hearing to provide the student with notice of:
Charges filed:
Results of student’s informal hearing (student’s rejection of charges of violating program code of conduct, or rejections of sanctions for accepted  charges of violation);
Hearing are only open to those involved in the process as determined by the Head of Training/manager or designee;
The right to face accusers  at the formal hearing and direct questions to witnesses through the committee chair, and the right to present witnesses on his/her own behalf;
The right to not testify against himself/herself; this right shall not be regarded as admission of responsibility. Should the student choose to ask questions of witnesses or otherwise pursue a defence, this will not equate to the student’s forfeiture of right to remain silent. Offering personal testimony in defence does negate the right to further remain silent;
The right to admit or deny responsibility for the charges or accept sanctions at any point prior to the hearing;
The hearing may be recorded and the College will notify all parties as the beginning of the hearing.


TEMPORARY SUSPENSION

A temporary suspension may be imposed when the Head of Training/manager or designee determines that the student’s continued presence on campus or any college related activity or class constitutes an ongoing danger to persons or property or ongoing disruption or threat to the educational process. A suspension will be imposed for all students who have been dismissed from their clinical site pending the outcome of the informal or formal hearing.

Notice of temporary suspension will be provided to the student verbally in order to become immediately effective. Within one business day of verbal notification, written notification will be delivered to the student’s College email address and within three (3) business days to the address of record.


Formal Discipline Committee

Upon rejection of charge of violating the program code of conduct or accepting violation but rejection of the sanction to be imposed, the formal discipline committee will hear the case.
The Head of Training/manager or designee presents the charges, evidence and witnesses.
The student accused provides their perspective, witnesses or documentation.
At the conclusion of the fact-finding portion of the hearing, the participants are excused and in closed session, a decision is rendered by majority vote.
Committee’s recommendation is provided to the program’s associate dean.
The student is notified of final decision initially by student’s college email address within two (2) business days and in writing within seven (7) business days to the address of record by certified letter with returned receipt.


Discipline Committee Composition

The Health Sciences/EMS Discipline Committee may be formed whenever there is a case to be heard or a standing committee for the academic year. The committee shall be composed of two (2) Asia’s EMS Board Members, two (2) students and one (1) Asia’s EMS administrator not directly involved with the program. 


Sanctions that may be imposed by the training college, but are not limited to:
Dismissal¬¬ – mandatory, immediate separation from the program with no promise for future readmission
Suspension – mandatory, immediate suspension from the program for a period of time as specified in the sanctions
Disciplinary probation – notice that behaviour in violation of code of conduct; subsequent violation may result in suspension or dismissal
Disciplinary warning – notice the behaviour is inappropriate and further issues will result in more permanent and formal sanctions
Restitution – imposed for offenses involving damage to, destruction of, or misappropriation of property in which the student agrees to restitution which may mitigate further action
Other – written apologies, revocation of privileges, counselling or community service 
   

 CRIMINAL BACKGROUND CHECK

Students will provide, at orientation, a notarized affirmation attesting to the status of their criminal history. This affirmation statement will be provided by the program.

All students must submit, at their own expense, a criminal background check, including Level II fingerprinting. An authorization form will be signed to allow the designated agency permission to conduct the investigation.

1. Identification
2. Criminal background search (15 years or up to 5 searches)
3. Employment verification (including reason for separation and eligibility for re-employment for each employer)


As a result of the background search, students with felony convictions will only be considered on a case-by-case basis. Students with felonies convictions involving crimes concerning arson, perjury, domestic violence, child abuse or patient misconduct/abuse, will not be permitted in the EMS Program.

The students are responsible for notifying (in writing) the EMS Head of Training of any arrest, regardless of adjudication, that occur after beginning the program. 


Failure to promptly notify the EMS Programs Director shall be ground from dismissal from clinical sites. A student convicted of any of the above stated crimes, while enrolled, will be removed from the program. 

Students that do not accurately convey any related information will be immediately removed from the program.

DRUG/ ALCOHOL SCREENING

An EMS student will submit to a drug/alcohol screening prior to full acceptance into the program and as a condition to participating in the clinical setting. Students will be provided, an orientation, a notice to appear for a drug screening. This is to be accomplished at an authorized collection site within 72 hours of notification. The screening will be done at the student’s expense. Any “diluted” results will not be accepted and must been redone within 72 hours at the student’s expense.

As a result of this screening, students with any positive results will not be permitted in the EMS Program for 6 months.

Once enrolled, if there is reasonable suspicion of drug or alcohol use, the student is obligated to report to an authorized collection site immediately. If travel is necessary, the student may not drive, but is required to obtain their own transportation. Expenses are the burden of the student. Pending the resolution of any testing, the student may be suspended from clinical sites. A student subsequently found to have positive test results will be removed from the program.

The student is obligated to notify the EMS Head of Training of any request by an affiliated agency for additional testing due to reasonable suspicion. If tested by an affiliating agency, the student shall provide his/her Head of Training with a copy of any test results. Failure to promptly notify the EMS Head of Training shall be grounds for dismissal from the program. Expenses are the burden of the student.

Students that do not accurately convey any related information will be removed from the program.

 MEDICAL EXAMINATION

All EMS students are required to submit a completed medical examination form taken within 12 months prior to the start of class and required to begin clinicals. Deadline for the completed exam and requisite lab work will be determined by the Head of Training. The program’s EMS medical examination form must be used.

Medical exam includes:
Immunizations
Tetanus Diphtheria Pertussis (Tdap)
Hepatitis B Vaccination or Signed Declination Statement
Confirmation of good physical and mental health
Ability to lift 100 pounds

Evidence of vaccinations or other medical declarations must be presented.

Students must also complete the Medical Information form attesting to their mental and physical fitness.

Keep a copy of everything that you submit; the program will not provide copies after submission.


DRESS CODE

Students will dress in a professional manner at all times, as to not draw unnecessary attention. This dress code applies while in the classrooms, practical exposure sites, hospital, fire rescue and any other college-related activity.

Clothing- will be washed and ironed on arrival.
Uniform shall be worn if you belong to an EMS service or hospital.
A golf-shirt or T-shirt may also be worn. Jeans or slacks may also be worn. No short pants are allowed.
Running shoes or other suitable footwear may be worn. No slippers or sandals.
Pants will not be worn below the hips and shirts will be tucked in at all times. 
No hats or caps allowed to be worn in the classroom. 
Sunglasses may be worn outdoors.
Jewellery – only a watch and wedding band may be worn; no earrings; no facial or tongue jewellery or piercings. No necklace or wrist bands.
Make-up (if worn) – must conservative and natural in appearance and only clear finger nail polish will be allowed.
Tattoos – offensive’ body art must be covered.
Hair – will be of a natural colour and well-managed; worn above the collar to present a professional image; hair accessories for women must be plain and non-distracting; designs cut into the hair are not permitted; hair will not be more than 2 inches high.
Facial Hair – men will be clean-shaven (facial hair will be consistent with the HEPE mask fit); side burns cannot extend lower than the earlobe; moustaches will not extend beyond corners of the mouth; beards of any kind are not permitted. No goatees.
Proper hygiene will be maintained.
Once certified, all students must carry a copy of their A-EMT card with them at all times. Original cards will be checked at the beginning of each semester.
Any discrepancies or need for clarification will be addressed by the Clinical Coordinator, Company Chair Person or Head of Training.

CELL PHONES/TEXTING/PHOTOS

The use of cellular telephones (including texting) while in the classroom, lab, clinical, or fire rescue settings, without the consent on an instructor or preceptor is strictly prohibited. All cellular phones must be set in a ‘SILENT’ mode and not answered during lecture, lab, hospital or fire rescue clinical without prior authorized notification of need. Cell phones may only be used during formal class breaks, outside of the building.

Cell phones may not be brought into class during any formalized testing days.


Photos:

Taking photographs with any device during hospital or fire rescue clinicals is strictly prohibited. Posting photographs of patients on any public forum is strictly prohibited.

Fraternization with Instructors

All EMS instructors and staff will maintain the highest level of professionalism, and unquestionable integrity, at all times while engaged in AEMS' Training Centre activities.

Factors, concerning fraternization with instructors, include whether the student’s conduct has:
Compromised the chain of command.
Resulted in the appearance of partiality.
Undetermined good order, discipline, authority, or morale.
Damage the ability of the program to accomplish its mission.

The act’s and circumstances must be such as to lead a reasonable person experienced in the problems of leadership to conclude that the good order and discipline of the program has been prejudiced by their tendencies.

Therefore, all interactions with instructors will be confined to program-related activities, at program-approved locations, for the full duration for the student’s enrolment. Instructor-involved study groups and assistance practical exposure sites will only be permitted on campus. Fire rescue study sites may be granted with explicit permission from the Head of Training.

Non-college e-social networking (Face book, Twitter, etc.) is also prohibited.

Full disclosure is expected by the student of any non-college relationship with an instructor, regardless of nature, e.g. business, neighbour, prior relationship, etc.

Your direct awareness of another student’s inappropriate behaviour is to be immediately reported to the Head of Training.

Your personal time (to include lunch) is never to be spent with an instructor, without explicit permission from the Head of Training.

Housekeeping
As a proud department of AEMS we are fortunate to have modern accommodating facilities. As professionals, we will respect the property of the training center. And as members of a team, we share in the responsibility to maintain a safe and clean learning environment.

Classrooms and practical exposure sites will be kept in a neat and orderly fashion. There will be no food, food substances, or beverages in any of the classroom settings.


If you use it, put it back.
If you break it, let an instructor know.
If you make a mess, clean it up.
If your team makes a mess, clean it up as a team.

Infectious Diseases


Awareness
It is the policy of EMS Program at that all students participating in the EMS clinical/fire rescue settings be aware of the potential threat of infectious disease exposure. It is a threat that is always present when caring for the sick and injured

Vaccinations
The student shall also be aware that vaccinations are available to protect the student against various infectious diseases. It is strongly recommended that if not ready obtained, each student receive Hepatitis B and meningococcal meningitis vaccinations, in addition to other vaccinations such as Diphtheria/Tetanus, Measles/Mumps/Rubella, and Influenza, prior to the of the clinical/fire rescue training .

Responsibility
It is student’s responsibility to obtain and keep current vaccination records. It is not the responsibility of and/or its clinical/fire rescue affiliates to provide these vaccinations. The student shall be aware of all the health risks and assume the liability if he/she chooses to decline these vaccinations.

Universal Precautions
During all phases of training, the student must adhere to the Universal Precautions as outlined by the CDC and OSHA Blood borne Pathogens

Failure to follow these precautions will result in a written counselling as outlined in the EMS Disciplinary Procedures.


Declared Pregnant Student
Students who have declared pregnancy during clinical portions of their programs must provide clear, written instructions from their physician as their ability to fully participate in such clinical and the physician must provide a list of any physical limitations, i.e., lifting, radiation exposures, fumes from cold sterilization agents or other chemicals, etc.  Physician-directed limitations may require student withdrawal from the program.

Pregnant students must submit clearance notes from their doctor, in order to participate in clinical rotations. Pregnancy is not a disability and therefore the declared pregnant student does not qualify for reasonable accommodation.


Safety Equipment Policy

EMS Program Safety Awareness
It is the intent of the EMS Program at AEMS  that all students participating in fire rescue field clinicals be aware of the safety and exposure hazards associated with administering patient care in the field. The hazards are not limited to, but include traffic hazards as well as exposure to blood-borne pathogens.

EMS Program Safety Initiative
In order to help insure the safety and protection of EMS students at AEMS while operating in the field, the EMS students will be required to purchase a set of protective safety glasses. Safety glasses shall be considered part of the student’s uniform.

Equipment Care / Loss or Damage
It is the responsibility of the student to make sure the safety glasses purchased meets the requirements of the program for usage.

Medical Director / Final Authority
The medical director shall have the duty and responsibility of certifying that graduates have successfully completed all phases of the education program and are proficient in basic or advanced life support techniques, as applicable.

Subject to Call
Students must function in the student capacity, regardless of previous affiliations or employment with the clinical site. Although employers are free to compensate students for clinical rotations, students must function 100% of the time as a student. Students are not be substituted for paid personnel.

Student Supervision
Each EMS student will function under the direct supervision of an EMS instructor or those appointed as such and shall not be in the patient compartment alone during patient transport and shall not be used to meet staffing requirements.

Failures / Withdrawals
If any portion of a given course was not completed successfully, the student must successfully repeat that entire course.

Only two attempts at any given course are permitted.

The student may not re-enter the program, if they have been removed due to Disciplinary Procedure / Code of Conduct violations.

Practical Exposure Attendance
It is the policy of the EMS Program of AEMS that all students participating in the EMS Programs have the opportunities to receive personalized instructional assistance throughout the program.

Student responsibility

The student should arrive at the Practical Exposure Area (PEA) at least 30 minutes prior to the beginning of shift. 

The student shall be dressed appropriately and will at all times have his/her identification cards worn prominently on their person.

A student may not work unsupervised on any patient and ANY practical procedure must be witnessed and signed off by the appropriate nurse/doctor/or EMS personnel.

Students MAY NOT work or perform ANY procedure that is beyond their scope of practice. 

Students may not leave the practical area they are designated to under any circumstances unless directed to do so by the AEMS Head of Training or the Medical Director.

Students are responsible for proper and accurate time keeping.

Attendance / Class & Practical Exposure

 Excellent student attendance at lecture, lab and clinical settings is paramount for success in the EMS Program

Department Policy
Students are only allowed to miss 3 days of their scheduled classes/practical exposure sites or mandatory meeting due to illness and family emergency for the entire duration of the course.

Being late is defined as arriving after official class time has begun or leaving before official class time has ended. Three late arrivals is equivalent one absence. Late arrivals of more than thirty minutes will be considered a half day absence.

Late arrival (of any duration) will not be acceptable on any testing days.  

Absences MAY be excused for the following (only after allowable days are utilized):

Job interviews/testing for fire/EMS-Pre-authorized by Head of Training/Medical Director

Death in the family.

Military obligations
Other emergencies, subject to approval by the EMS Head of Training or AEMSI President.

Written, dated evidence must be produced for the above absences.

WITH MY CONFORMITY : 

I, __________________________________________ (First  Name, Middle Initial,Last Name), the undersigned hereby declare that I have read the above Student Information and understand the conditions set out here in. I am also aware that should I not comply with the any of the above as stipulated, action may be brought against me in the form of a disciplinary procedure. I also understand that such a disciplinary procedure may result in my dismissal from the course and that I will not be able to claim any monies back from AEMS as a result of that dismissal or disqualification.


STUDENT NAME & SIGNATURE: ____________________________  Date: ______________________________

at:___________________________________________________________________________ (Location Address)























Saturday 7 March 2015

ADVANCED EMT OR EMT- INTERMEDIATE : WHAT IS THE DIFFERENCE?

With the launching of the First AEMS Advanced EMT Course in the Philippines in partnership with Pilipinas911 for Manila City and Philippine Red Cross - Zamboanga City Chapter, there are questions raise by individuals and enrollees as to what is the difference between Advanced EMT and EMT-I.
Emergency Medical Technician-Intermediate (EMT-I) is a mid-level provider of pre-hospital emergency medical services in the United States; a transition of this level of training to Advanced Emergency Medical Technician (AEMT), which has greater training.

The Advanced EMT or AEMT is the new mid-level EMS provider that has been introduced in the US at the national level according to the new national EMS scope of practice model. The AEMT will replace the EMT-I/85 and EMT-I/99. The EMT-I/99 will have a total of three re-certification cycles to meet the requirements to transition to the Paramedic level, while the EMT-I/85 will have two re-certification cycles to transition to the AEMT.

EMT-1/85 and EMT-1 99?

EMT-I/85 is a level of EMT-I training formulated by the National Registry of Emergency Medical Technicians (NREMT) in 1985. This training level includes more invasive procedures than are covered at the EMT-Basic level, including IV therapy, the use of advanced airway devices, and provides for advanced assessment skills. The EMT-I/85 typically administers the same medications as an EMT-B (oxygen, oral glucose, activated charcoal, epinephrine auto-injectors (Epi-Pens), nitroglycerin, and metered-dose inhalers such as albuterol). However, in some states they are also allowed to administer Narcan, D50, glucagon, thiamine, and atropine. Like all other EMT levels, their scope of practice is governed by the State and/or their Medical Director.

The EMT-I/99 level is the closest level of certification to Paramedic, and allows many techniques not available to the EMT-I/85 or EMT-Basic. These techniques include needle decompression of tension pneumothorax, endotracheal intubation, nasogastric tube placement, use of cardiac event monitors/ECGs, and medication administration to control certain cardiac Arrhythmias.

As stated in The  US' National EMS Scope of Practice Model from page 22 to page 28:  

Emergency Medical Technician

The primary focus of the Emergency Medical Technician is to provide basic emergency medical care and transportation for critical and emergent patients who access the emergency medical system. This individual possesses the basic knowledge and skills necessary to provide patient care and transportation. Emergency Medical Technicians function as part of a comprehensive EMS response, under medical oversight. Emergency Medical Technicians perform interventions with the basic equipment typically found on an ambulance. The Emergency Medical Technician is a link from the scene to the emergency health care system.


Emergency Medical Technician

Description of the Profession

The Emergency Medical Technician’s scope of practice includes basic skills focused 
on the acute management and transportation of critical and emergent patients. This may 
occur at an emergency scene until transportation resources arrive, from an emergency 
scene to a health care facility, between health care facilities, or in other health care 
settings.

In many communities Emergency Medical Technicians provide a large portion of the o
ut-of-hospital care. In some jurisdictions, especially rural areas, Emergency Medical 
Technicians provide the highest level of out-of-hospital care. Emergency Medical 
Technicians work alongside other EMS and health care professionals as an integral part 
of the emergency care team. 
Emergency Medical Technicians’ scope of practice includes basic, non-invasive 
interventions to reduce the morbidity and mortality associated with acute out-of-hospital 
medical and traumatic emergencies. Emergency care is based on assessment findings. 
Additionally, Emergency Medical Technicians provide care to minimize secondary injury a
nd provide comfort to the patient and family while transporting the patient to an 
emergency care facility.

An Emergency Medical Technician’s knowledge, skills, and abilities are acquired 
through formal education and training. The Emergency Medical Technician has the 
knowledge of, and is expected to be competent in, all of the skills of the EMR. A major
difference between the Emergency Medical Responder and the Emergency Medical 
Technician is the knowledge and skills necessary to provide medical transportation 
of emergency patients.

The Emergency Medical Technician level is the minimum licensure level for personnel
transporting patients in ambulances. The scope of practice is limited to basic skills that 
are effective and can be performed safely in an out-of-hospital setting with medical 
oversight and limited training.

The Emergency Medical Technician transports all emergency patients to an appropriate 
medical facility. The Emergency Medical Technician is not prepared to make decisions 
independently regarding the appropriate disposition of patients. The Emergency Medical 
Technician serves as part of an EMS response system, assuring a progressive increase 
in the level of assessment and care. The Emergency Medical Technician may make 
destination decisions in collaboration with medical oversight. The principal disposition 
of the patient encounter will result in the direct delivery of the patient to an acute care 
facility. 
In addition to emergency response, Emergency Medical Technicians often perform 
medical transport services of patients requiring care within their scope of practice.



Psychomotor Skills

The following are the minimum psychomotor skills of the EMT:

Airway and Breathing
o Insertion of airway adjuncts intended to go into the oropharynx or nasopharynx
o Use of positive pressure ventilation devices such as manually triggered ventilators
and automatic transport ventilators

Pharmacological Interventions
o Assist patients in taking their own prescribed medications
o Administration of the following over-the-counter medications with appropriate
medical oversight:
 Oral glucose for suspected hypoglycemia
 Aspirin for chest pain of suspected ischemic origin
Trauma Care
o Application and inflation of the pneumatic anti-shock garment (PASG) for
fracture stabilization


Advanced Emergency Medical Technician

Description of the Profession

The Advanced Emergency Medical Technician’s scope of practice includes basic and
limited advanced skills focused on the acute management and transportation of critical
and emergent patients. This may occur at an emergency scene until transportation
resources arrive, from an emergency scene to a health care facility, between health care 
facilities, or in other health care settings.

For many communities, Advanced Emergency Medical Technicians provide an option to 
provide high benefit, lower risk advanced skills for systems that cannot support or justify 
Paramedic level care. This is frequently the case in rural and volunteer systems. In s
ome jurisdictions, Advanced Emergency Medical Technicians are the highest level of 
out-of-hospital care. In communities which utilize emergency medical dispatch systems,

Advanced Emergency Medical Technicians may function as part of a tiered response 
system. In all cases, Advanced Emergency Medical Technicians work alongside other 
EMS and health care professionals as an integral part of the emergency care team.

The Advanced Emergency Medical Technician’s scope of practice includes basic, limited 
advanced and pharmacological interventions to reduce the morbidity and mortality 
associated with acute out-of-hospital medical and traumatic emergencies. Emergency
care is based on assessment findings. Additionally, Advanced Emergency Medical 
Technicians provide care to minimize secondary injury and provide comfort to the patient 
and family while transporting the patient to an emergency care facility.

The Advanced Emergency Medical Technician’s knowledge, skills, and abilities are
acquired through formal education and training. The Advanced Emergency Medical 
Technician has the knowledge associated with, and is expected to be competent in, all of 
the skills of the EMR and EMT. The major difference between the Advanced Emergency 
Medical Technician and the Emergency Medical Technician is the ability to perform 
limited advanced skills and provide pharmacological interventions to emergency patients.

The Advanced Emergency Medical Technician is the minimum licensure level for
patients requiring limited advanced care at the scene or during transportation. 

The scope 
of practice model is limited to lower risk, high benefit advanced skills that are effective 
and can be performed safely in an out-of-hospital setting with medical oversight and 
limited training.

The Advanced Emergency Medical Technician transports all emergency patients to
an appropriate medical facility. The Advanced Emergency Medical Technician is not 
prepared to independently make decisions regarding the disposition of patients. The
Advanced Emergency Medical Technician serves as part of an EMS response system 
assuring a progressive increase in the level of assessment and care. The Advanced
Emergency Medical Technician may make destination decisions in collaboration with 
medical oversight. The principal disposition of the patient encounter will result in the d
irect delivery of the patient to an acute care facility.

In addition to emergency response, Advanced Emergency Medical Technicians often 
perform medical transport services of patients requiring care within their scope of 
practice.


Psychomotor Skills

The following are the minimum psychomotor skills of the AEMT:

• Airway and Breathing
o Insertion of airways that are NOT intended to be placed into the trachea
o Tracheobronchial suctioning of an already intubated patient
• Assessment
• Pharmacological Interventions
o Establish and maintain peripheral intravenous access
o Establish and maintain intraosseous access in a pediatric patient
o Administer (nonmedicated) intravenous fluid therapy
o Administer sublingual nitroglycerine to a patient experiencing chest pain of
suspected ischemic origin
o Administer subcutaneous or intramuscular epinephrine to a patient in anaphylaxis
o Administer glucagon to a hypoglycemic patient
o Administer intravenous D50 to a hypoglycemic patient
o Administer inhaled beta agonists to a patient experiencing difficulty breathing and
wheezing
o Administer a narcotic antagonist to a patient suspected of narcotic overdose
o Administer nitrous oxide for pain relief

In 2011, NREMT released the newsletter as below... this is for information purposes only. 



The AEMS Advanced EMT Course was designed to provide a brief transition course to the AEMS Paramedic Course. The AEMT course consists of 3 months of classroom and academic instruction followed by 3 months clinical / mentored practical phase whereby the students are then exposed to hospital skills and mentored road response with the necessary hands on {ambulance and response vehicle} with Doctors and Paramedics of AEMS. This is in line with AEMS vision to produce highly competent EMS professionals who are at par with their foreign counterpart in the international EMS community, therefore, making Filipino EMT's globally competitive. 





Friday 6 March 2015

APPLICATION TO AEMS ADVANCED EMT - DISTANCE LEARNING

The AEMT course consists of 3 months of classroom and academic instruction followed by 3 months Clinical / mentored practical phase  (80 Days / 90 Days) whereby the students are then exposed to hospital skills and mentored road response with the necessary hands on {ambulance and response vehicle} with Doctors and Paramedics of AEMS.

For those who are out of the country and working full time, you may apply for the AEMS Advanced EMT Distance Learning Program :

1. Fill up the AEMS Advanced EMT Application for Distance Learning and send to admin@asiaems.org with the following documents :

Checklist of Requirements for the AEMT Course :

a. Resume /CV
b. Possess an EMT B Certificate (not more than 2 years ; beyond 2 years will have to undergo a refresher course)  with TOR
c.  Current Healthcare provider BLS/CPR
d. Certificate of Employment (if currently working)

2. Upon acceptance to the program - Pay the AEMT Course Fee of Php 45,000.00 via fund transfer to AEMS Company Bank Account (Please send us a scanned copy of the bank deposit slip together with the AEMS Registration Form)

Account Name :
Asia’s Emergency Medical Services Institute, Inc.

Account No : 
Current Account 2708019845

Bank Name : 
Banco de Oro 

Bank Address :
Claro M. Recto Branch, Davao City,Philippines

3. AEMS Paramedic/Clinical Instructor will forward AEMT Course Curriculum , Timetable for requirements to be submitted and completed. 

4. Mandatory : Internship (in - country)  to comply the required hours of clinical,hospital and ambulance exposure with AEMS MD and Paramedic Oversight.

AEMS ADVANCED EMT SCHEDULE :

  • March 08, 2015 - Davao City
  • April 13, 2015 - Manila City with Pilipinas911
  • August 03, 2015 - Zamboanga City with Philippine Red Cross - Zambooanga City Chapter

AEMS will only entertain queries for the AEMS Advanced EMT Distance Learning Program upon receipt of the AEMS  Advanced EMT Application Forms with valid proof of I.D.  to avoid scams and phishing emails.

On requests for PDF Format on the AEMS AEMT Application Forms, please email admin@asiaems.org. with your valid I.D.