May 1st there will be a meeting to update the Scope of Practice for EMR's Emergency Medical Responders. an EMR costs $250 to train and can assist and drive the LMRFD ambulance. This would allow the Meadview ambulance to transport with an EMT/paramedic and a Volunteer EMR giving us a second ambulance.
Information on the meeting and a link where you can give your opinion about using an EMR in Dolan Springs and Meadview.
PLEASE if you think Meadview needs an ambulance that can transport, NOW is the time to tell the EMS Bureau
Combined Special Meeting for EMS Scope of Practice and Drug Tables Medical Direction Commission & Protocols, Medications and Devices Committee
Public Meeting Wednesday, May 1, 2024
10:00 a.m. - 2:00 p.m. PMD & MDC Special Meeting for EMS Scope of Practice and Drug Tables - Agenda
Date: May 1, 2024 Time: 10:00 a.m. - 2:00 p.m. (Doors open at 9:30 a.m.) In Person: 150 N. 18th Ave, 4th Floor ALS Training Room, Phoenix, AZ 85007 Online: (Chrome browser) meet.google.com/rip-ywhg-f
LINK to Meeting EMS Bureau Agenda with Link to Online Meeting
The law is pretty clear, EMR’s Emergency Medical Responders can drive the LMRFD ambulance and assist an EMT or paramedic as long as their primary responsibility is driving the ambulance.
I’m told over and over that we can’t use EMR’s on the ambulance that we have to have a paramedic and an EMT on the ambulance. Not True
Using volunteer EMR’s we could double our transport capability by reducing response times and improving patient care.
ARS 36-2201 says "Ambulance Attendant" means any of the following:
A - An EMT, an advanced EMT, an EMT I-99 or a paramedic whose primary responsibility is the care of patients in an ambulance and who meets the standards and criteria adopted pursuant to section 36-2204.
B - An EMR emergency medical responder who is employed by an ambulance service operating under section 36-2202 and whose primary responsibility is the driving of an ambulance.
ARS 36-2202 - Duties of the director; qualifications of medical director
J. paragraph 5 of this section shall require that ambulance services serving a rural or wilderness certificate of necessity area with a population of less than ten thousand persons according to the most recent United States decennial census have at least one ambulance attendant as defined in section 36-2201, paragraph 6, subdivision A and one ambulance attendant as defined in section 36-2201, paragraph 6, subdivision B
36-2201 Definitions
In this chapter, unless the context otherwise requires:
5. "Ambulance" means any publicly or privately owned surface, water or air vehicle, including a helicopter, that contains a stretcher and necessary medical equipment and supplies pursuant to section 36-2202 and that is especially designed and constructed or modified and equipped to be used, maintained or operated primarily for the transportation of individuals who are sick, injured or wounded or who require medical monitoring or aid. Ambulance does not include a surface vehicle that is owned and operated by a private sole proprietor, partnership, private corporation or municipal corporation for the emergency transportation and in-transit care of its employees or a vehicle that is operated to accommodate an incapacitated person or person with a disability who does not require medical monitoring, care or treatment during transport and that is not advertised as having medical equipment and supplies or ambulance attendants.
6. "Ambulance attendant" means any of the following:
(a) An emergency medical technician, an advanced emergency medical technician, an emergency medical technician I-99 or a paramedic whose primary responsibility is the care of patients in an ambulance and who meets the standards and criteria adopted pursuant to section 36-2204.
(b) An emergency medical responder who is employed by an ambulance service operating under section 36-2202 and whose primary responsibility is the driving of an ambulance.
8. "Basic life support" means the level of assessment and care identified in the scope of practice approved by the director for the emergency medical responder and emergency medical technician.
13. "Department" means the department of health services.
14. "Director" means the director of the department of health services.
15. "Emergency medical care technician" means an individual who has been certified by the department as an emergency medical technician, an advanced emergency medical technician, an emergency medical technician I-99 or a paramedic.
16. "Emergency medical responder" as an ambulance attendant means a person who has been trained in an emergency medical responder program certified by the director or in an equivalent training program and who is certified by the director to render services pursuant to section 36-2205.
36-2201
17. "Emergency medical responder" as an ambulance attendant means a person who has been trained in an emergency medical responder program certified by the director or in an equivalent training program and who is certified by the director to render services pursuant to section 36-2205.
18. "Emergency medical services provider" means any governmental entity, quasi-governmental entity or corporation whether public or private that renders emergency medical services in this state.
23. "National certification organization" means a national organization that tests and certifies the ability of an emergency medical care technician and whose tests are based on national education standards.
Jay, I'm looking for that $250 training, but am only finding $1500 - $2000. Would you please direct me to the $250 training? Also, in looking over the requirements for an EMR, they are nearly as stringent as for an EMT. They must be if they are to be having any contact with the patient, which is unavoidable in many circumstances. Communication I received from The Section Chief of Arizona Dept. of DHS, Bureau of EMS and Trauma indicates it's up to the LMRFD's Base Hospital Manager to set the criteria and allow for EMR's. The EMS support is a need in Meadview that is going to have to happen eventually. Then we need to get somebody willing to volunteer. That truly is what Meadview needs more than anything, for firefighting as well as EMS.
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