North Carolina Community College
Adult Educators Association
2013 Fall Conference
North Carolina Office of Emergency Medical Services
Education Update
Topics
• Agenda for the Future
• Revision of Course Hours
• Competencies for the EMS Student
• OEMS Rules
• OEMS Credentials and Background Checks
• Repatronization of Military Personnel
• CoAEMSP Accreditation
• Other topics
Update on Agenda for the Future
Agenda for the future
Currently NCOEMS is:
– Developing
• “New” Test based on the Education Standards
• Transition Content- Already available
– Final stages of “Education” rule revisions
• Must go before Advisory Committee
– (Late 2013 or Early 2014)
• Public Comment (Early 2014)
• Anticipated enactment January-July 2015
NCOEMS Approved Transition
Course for NREMT
• Available first of November 2012
– Must submit a proposed course outline to their Regional Educational
Specialist for approval.
– Must inform all Providers taking the course that this content does not
replace their current protocols (Local, NCCEP, State) or the approved
medications and skills formulary that has been approved by the North
Carolina Medical Board
– Successful completion will be denoted by the OEMS Approved
Educational Institution issuing an official completion certificate and
reflection of such course is available on an official Educational
Transcript.
Revision of Course Hours
New DOT and State Levels
• Emergency Medical Responder (EMR)
– Formerly First Responder (FR) 60 +/-hrs.
• Emergency Medical Technician (EMT)
– Formerly EMT-Basic (EMT-B) 150-190 +/-hrs of Didactic.
– Clinical and Field Internship TBD.
• Advanced EMT (AEMT)
– Formerly EMT-Intermediate/85 EMT-I/85 150-250 +/- hrs of Didactic.
– Clinical and Field Internship TBD.
• Paramedic
– Formerly EMT-Paramedic.
– Do not anticipate many changes here.
Competencies for the
EMS Student
Competency v/s Quantity
• Competency-based
– “DO NOT” use time and number of skills as a
criteria to determine the quality of clinical
education.
– You should utilize a standard number for procedures
and constantly assess the students competency.
• Example- Minimum of 20 IV attempts
• Example- Minimum of 80% success rate
Update on Proposed Rules
Proposed Rule Summation
10A 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
Proposed Rule Summation
10A NCAC 13P .0502
•
New Rules- .0502
– 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)
Proposed Rule Summation
10A NCAC 13P .0504
•
New Rules- .0504
– a-1) Institution Handling or OEMS
–
b) Renewal at a lower level
–
c) Prior to date of expiration
Proposed Rule
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 Rule
10A 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
Proposed Rule Summation
10A NCAC 13P .0601
•
New Rules- .0603
– Places all Educational Institutions into one rule
Proposed Rule Summation
10A NCAC 13P .0605 (NEW)
EMS EDUCATIONAL INSTITUTION REQUIREMENTS:
ACCREDIATED
•
Must be CoAEMSP Accredited
•
Must 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
visit
•
Must meet NC Specifics (Level II, NCCEP Medical Advisor)
•
NCOEMS Institution License will not exceed Five Years (60 Months) and
will run in conjunction with the CoAEMPS Accreditation period
OEMS Background Checks
Background checks
• NC resident last 5 years without interruption- NC check only
• Not NC resident or resident <5 years without interruption- State
and National check
• SBI fingerprints and fee $38
• AOC downloads
• Complaint/ Investigation process
• Convictions
• Disciplinary Committee
• Denial, revocation, suspension
Convictions
• All convictions are reviewed:
– Upon each application made for an Initial/Renewal of Credential
– Daily AOC downloads
• Applicants selected for interview may include:
–
–
–
–
–
Felonies & violent crimes
Child abuse
Sexual abuse / Harassment
Substance abuse issues including DUI
OEMS investigations
EMS Disciplinary Committee
• Established by NC General Statute
• Composed of 7 members





2 EMS Medical Directors
1 representative of the NC Medical Board
1 EMS Administrator
1 EMS Educator
2 EMS Professionals (1 EMT-P)
• Make recommendations to OEMS Chief
Co-AEMSP Accreditation
Institution Accreditation
• Required by NR by 2013 to test Paramedic
• Based on recommendations from National EMS Education Agenda for the
Future
• Applicants must graduate from nationally accredited program (degree based
or curriculum program)
• CE program in a community college will work
• Co-AEMSP (Committee on Accreditation of Education Programs for the EMS
Profession) currently only body approved to accredit
• NCOEMS Advisory committee voted unanimously to purse Co-AEMSP for all
Initial Paramedic Education Institutions
CoAEMSP:
Accredited or Letter of Review Status
• Accredited- 6
– 5 OEMS Approved Educational Institutions
– Fort Bragg
• Letter of Review- 15
– 14 OEMS Approved Educational Institutions
– 1 Consortium
• Approved Educational Institution/Major Medical Center
Other Topics
Repatronization of Military
• Currently working with:
–
–
–
–
Community College System
Members from the North Carolina EMS Educators Association
North Carolina State University EMS Program
North Carolina National Guard
• Intent is to develop transitional courses for Veterans and
Active Military Personnel seeking to enter the civilian arena.
– These courses will be built around their current Credentials and Job
functions within the Military
NCOEMS State Exam vs. NREMT Examination
2012 Results
• EMT
– OEMS= 75%
– NREMT= 82.2%
• EMT-I
– OEMS= 65%
– NREMT= 100%
• EMT-P
– OEMS= 91%
– NREMT= 70%
Staff and Contacts
Education Staff Main Office
• Todd Messer
– Education & Credentialing Manager
• Kim Sides
– Compliance Manager
• Alesia Hester
– Reciprocity
• Gloria Currie
– Name Changes and Duplicate Credentials
Regional Educational Specialists
• Jeff Powell
– Western Regional Office
– (828) 466-5548/ jeff.powell@dhhs.nc.gov
• Eddie Jordan
– Central Regional Office
– (919) 855-4681/ eddie.jordan@dhhs.nc.gov
• Robbie Amerson
– Eastern Regional Office
– (252) 355-9026/ robert.amerson@dhhs.nc.gov