Academic literature on the topic 'Emergency medical technician manual'

Demand for the emergency medical technician (EMT) is 2 times greater than that of all other occupations. Sustainability of ambulance services (AS) personnel is dependent upon the recruitment of EMTs into the industry. The purpose of this multiple case study was the exploration of the recruiting strategies that AS administrators used to increase the number of EMTs. Herzberg's 2-€factor theory of motivation was the conceptual framework for this study. The data collection instrument included semistructured interviews with 6 AS company executives in southeastern New Mexico and southwestern Texas. Secondary data and document from each state's emergency medical services personnel and websites related to EMTs were reviewed. Data were analyzed using thematic analysis alignment between the recruiting strategies and the conceptual framework. Two key themes emerged: AS administrators have minimal data-€driven recruitment tracking mechanisms and recruiting strategies for EMTs must align with the motivational aspects of growth, advancement, recognition, and responsibility in the AS business to entice people into the industry. The implications of this study for social change include the potential for AS executives to identify recruiting strategies they might use to increase the recruitment of EMTs to meet patient and community needs for medical transport while reducing the demand for EMTs nationwide.

The material in current emergency medical services (EMS) curricula is insufficient to prepare prehospital emergency medical care personnel recognize the signs and symptoms of post-traumatic stress disorder (PTSD) within their workforce. Prehospital emergency textbooks focus on treating patients affected with PTSD, but there is very little included about how EMS professionals may also be affected. Moreover, supervisors and managers of EMS agencies receive very little education on workforce PTSD in their personnel. The purpose of this study was to understand the educational preparation of EMS supervisors in order to develop a PTSD-awareness course. The research question investigated the educational preparation that EMS supervisors receive. The conceptual framework of the study was Conti-O’Hare’s wounded healer theory. EMS professionals are wounded healers from frequent critical incident exposure. A qualitative approach featuring a case study design was used. The study included 9 participants. A focus group was used that consisted of three paramedics and three emergency medical technicians (EMTs). Separate interviews were conducted with three EMS supervisors. Data gained from the focus group and individual interviews were analyzed through coding with the goal of investigating the education received by EMS supervisors on PTSD. The themes that emerged were EMS supervisors do not receive enough education on workforce PTSD and a course specifically targeted on this subject is needed. Positive social change may be achieved through this study by enabling EMS managers to help paramedics and EMTs cope with a critical incident (CI) improving prehospital healthcare.

Psykiska störningar är tillstånd som kan drabba alla oss människor. Krav om kompetens på hälso- och sjukvården har ställts för att kunna erbjuda patienter med psykisk störning ett effektivt omhändertagande. Syftet med detta examensarbete är att beskriva ambulanssjuksköterskans erfarenheter av att vårda patienter med psykiska störningar. Metoden är av deskriptiv kvalitativ design och semi-strukturerade intervjuer utgör grunden för den kvalitativa innehållsanalysen med manifest utgångspunkt som genomförts. Resultatet omfattar tre huvudkategorier såsom följer, ’svåra möten skapar rädsla och frustration och försvårar interaktion’, ’svårt bedöma tillstånd och lämpliga åtgärder’ och ’vård byggd med autonomi, erfarenhet och uppfinningsrikedom’. Slutsatsen är att interaktionen mellan patienter och sjuksköterskor byggs av omvårdnadsevidens, att det i sjuksköterskornas bedömningar av tillstånd saknas evidens och att den vård som oftast ges strävas att utgöras av evidensbaserad vård men att det saknas direkta sätt att komma i kontakt med en sådan specialistsjukvård. Det har därmed visats att det finns områden att förbättra och utveckla för att kunna erbjuda patienter med psykisk störning ett effektivt omhändertagande.<br>Psychiatric disorders are conditions which may afflict every one of us humans. Requirements of competence have been set for the healthcare service to be able to offer an effective emergency care to patients with psychiatric disorder. The aim is to describe the ambulance nurse’s experience by caring for patients with psychiatric disorders. The method is of a descriptive qualitative design and semi-structured interviews constitute the material for the qualitative content analysis, which has been carried out with a manifest basis. The result consist of three main categories as follows, ‘difficult encounters create fear and frustration and complicates interaction’, ‘difficult assessing conditions and appropriate measurements’ and ‘care build with autonomy, experience and inventiveness’. The conclusion is how the interaction between patients and nurses is built by evidence-based nursing, how it is in nurses’ assessments of conditions to be a lack of evidence and how the care most often provided is being strived to constitute of evidence-based healthcare while how it is lacking direct ways to come in contact with such a specialised healthcare. Thus has it been shown that it exist areas for amelioration and evolvement to be able to offer an effective emergency care for patients with a psychiatric disorder.

碩士<br>高雄醫學大學<br>職業安全衛生研究所<br>99<br>ABSTRACT Occupational back injuries are a major health problem in developed countries for workers who are required to have repeated forceful movement and heavy lifting. Emergency Medical Technician (EMT) is an occupational group at risk of back pain problems. There are many studies examined factors related to back pain among other health professionals, especially of nurses and hospital workers, but few studies have focus on factors related to back pain among EMT. The aims of this dissertation were to: 1) Describe the work-life and demographic factors of EMT; 2) describe the occupational stress, occupational satisfaction and social supports of EMT; 3) Identify the subsets of factors associated with back pain. In order to complete the above objectives, a non-experimental, correlational design was used in this study. This study utilized a sample of 428 male firefighters completed the Minnesota Satisfaction Questionnaire (MSQ) and Chinese version of Job Content Questionnaire (C-JCQ). A questionnaire was sent to a total of 540 EMT of Kaohsiung City, and 428 EMT (response rate 79.3%) completed the questionnaire, and two-third (65.2%) of EMT reported back pain. From the analysis of intrinsic job satisfaction utilizing MSQ, the most important factor for intrinsic satisfaction in these EMT is busy at work. The most important factor for extrinsic satisfaction in these EMT is inadequate work promotion. From C-JCQ, the difference between “skill discretion” and “decision authority” is significantly different as analyzed by paired t-test (t=13.72, p&amp;lt;0.001) From C-JCQ the difference between “skill discretion” and “decision authority” is significantly different as analyzed by paired t-test (t=13.72, p&amp;lt;0.001). The average score for each question of the dimension “psychological demand” is 2.88+0.48, which shows the psychological strain is high. According to the Karasek’s model of “demand-control”, high psychological demand belongs to high job strains work, Stepwise logistic regression shows that the set of factors related to back pain included years of work from 5-10 years, automatic electrical defibrillator use, manually lifting the patient, and decision authority (R2 =0.2630, p=0.023). No statistically significance with supervisor support, age, level of education and EMT levels.

碩士<br>樹德科技大學<br>會展管理與貿易行銷碩士學位學程<br>106<br>Background and purpose: The study mainly explored emergency nurses satisfaction on the pre-hospital emergency service quality of Emergency Medical Technicians. Usually Emergency Medical Technician is the first responder of an emergency medical event, the quality of pre-hospital emergency medical care has accordingly become rather crucial. Therefore, the study aims at improving the quality of the future emergency medical service by focusing on emergency nurses initial assessment of the performance of Emergency Medical Technician. Method: Sampling by analyzing the situation between emergency nurses of Kaohsiung regional or higher class Medical Institutions and Emergency Medical Technicians of fire departments. 202 samples have been acquired and used to implement the analysis. Statistics software SPSS 20 was adopted to perform reliability analysis, descriptive statistics, analysis of variance (ANOVA); post-hoc comparison analysis (LSD) was applied to explain the influences between every variance. Result: The result has shown that “ER seniority” of emergency nurses gave the highest rating to Emergency Medical Technicians on the overall satisfaction and professional attitude. Emergency nurses with different “ER seniority” provide different rating of overall satisfaction and professional attitude to Emergency Medical Technicians, and new emergency nurses with less than one year or emergency nurses with more than five-year experiences gave the highest rates. “Professional ability” of emergency nurses also had an impact on the professional attitude performed by Emergency Medical Technician, and particularly the new emergency nurses with less than one year experience gave the highest rating. In terms of the “Medical institution” of emergency nurses, E-DA Cancer Hospital gave the highest rates in regard to professional skills of Emergency Medical Technician and overall satisfaction. Conclusion: Upgrading the consistency of pre-hospital and post-hospital emergency medical service will ensure the rights of the ones who call for help. Having more practical training and enhancing the essential ability will enable the Emergency Medical Technician to provide the patients better service quality from accident scene to emergency room.

碩士<br>東南科技大學<br>營建與空間設計系營建科技與防災碩士班<br>104<br>New Taipei City, an area of vast population of nearly 4 million topped the highest in the country, the type of natural disaster yuan, currently about 2,200 firefighting manpower over the past decade, the average annual duty emergency care about the magnitude of growth of 8%, to date, new North municipal fire Department emergency medical attendance every year the number has reached more than 160,000 to no breathing and heartbeat (OHCA,Out-of-Hospital-Cardiac-Arrest) prehospital the number of 2,700 or more, are more than 15% survival rate, but in terms of emergency medical system, with respect to the level of advanced countries, there is still a great distance. The new North Municipal Fire Department currently disposed middle-level Emergency Medical Technician 1589, Emergency Medical Technician Paramedic 424, which perform rescue tasks were middle-level Emergency Medical Technician for the bulk, so in order to be able to implement the people's lives and property maintenance, for middle level Emergency Medical Technician continuing education and training, how to maintain and effectively enhance the relevant medical knowledge, skills and enthusiasm becomes very important, this study focuses on how to improve the middle-level Emergency Medical Technician continuing education and training performance in the limited continuing education training hours per year which, how to enhance the middle-level Emergency Medical Technician skills and the enthusiasm of helping others and serving others, to improve and maintain high-quality emergency medical system. As a better Continuing Education Training Mode and improve the quality of teaching, we will separate this mode into Annual Fire Safety Training and Continuing Education Training. Except for the job duties, if we can simplify and keep the service and other non-fire work down, it could make firefighters accept the education training with sufficient training time, better spiritual and physical strength. Accordingly, we can efficiently enhance firefighters’ emergency medical services skills. Keywords: middle-level Emergency Medical Technician, continuing education and training

碩士<br>國防醫學院<br>公共衛生學研究所<br>92<br>Since 1996, to obey the government’s policy, National Defense Medical Bureau appointed the sanitation duty branch in Army Logistics School to recruit Emergency Medical Technician (EMT). Until now, it has already trained more than 4,600 persons of EMT-Ⅱ and EMT-Ⅰ. It is about time to evaluate the performance and effectiveness of the training program. Accordingly, purpose of this study was to explore factors of training effects of the Army of EMT-Ⅱ and EMT-Ⅰ. This study employed Kirkpatrick''s Four Levels of Evaluation to assess the training effects of the EMT-Ⅱ and EMT-Ⅰ. The training effects were evaluated by satisfactory levels in training, the degree of the ability improvement, and the degree of practice gained from the training program. Study subjects comprised the EMT-II (203) and EMT-I (1744) and their supervisors (455). The response rates were 40.4% (82/203) for EMT-II, 40.5% (706/1744) for EMT-I, and 56.3% (256/455) for their supervisors after excluding the incomplete and invalid ones. One Way Analysis of Variance, Sheffe’s method, t-test, Pearson’s Product-Moment Correlation Analysis and multiple regression were used for data analyses. Main findings of this study were as follows： 1. The training effectiveness of the EMT might be predicted by willingness to learn, the supervisors’ supporting, and the practices of EMS (Emergency Medical Service) technique. 2. Satisfaction with the designing of training program might have effects on the personal improvement and job performance. 3. The personal improvement was associated with the job performance. 4. There were positive correlations among satisfaction with the designing of training program, personal improvement, and job performance. 5. The first three leading causes of taking the training program were promoting skill, being required for work, developing personal relationship. There were several suggestions proposed by this study based on above findings: 1. Enhancing the willingness to learn of army’s accepting EMS training, focusing on planning of training courses, and improving the satisfactory degree in their training courses can be better in improving abilities and application for EMT. 2. Promoting the knowledge and information of EMS, especially the supervisors will increase the performance of EMT. 3. Promoting the relationship between EMS department and Fire Agency in communication, coordination, and teaching resources.

碩士<br>高苑科技大學<br>經營管理研究所<br>102<br>Providing high quality and sufficient pre-hospital emergency service for the people is an index of civilization of a country. In Taiwan, the emergency service demands are increasing year by year. How to measure the emergency service quality is an important issue. For emergency service quality, people and users which using the emergency service are the main subjects, medical staffs are very few in past researches. In this study, according to the opinions by medical staff which from emergency department, analyze the satisfaction of the pre-hospital emergency medical treatment. We select the medical staffs from emergency department which by moderately and severely hospital to be main subjects in Kaohsiung. The analysis of the emergency medical technician behavior is divides three parts: knowledge, skills, and attitudes. The experimental results show that the emergency medical technician behavior (include knowledge, skills, and attitudes) is valued by medical staffs that the age between twenty one to thirty and the seniority is under five years. Moreover, emergency medical technician behavior is effect the satisfaction of the pre-hospital emergency medical treatment According to the experimental results, if we want to improve the emergency service quality, it must plan the professional training in the further education of emergency medical technician.