Basic EMT - Program competencies include the following:

• perform proper Body Substance Isolation;
• properly conduct a patient history, physical examination and vital signs of a medical and trauma patient;
• properly manage medical and trauma patients according to national standard protocols;
• demonstrate manual airway maneuvers;
• administer oxygen therapy utilizing the nasal cannula and non-rebreather mask;
• apply the proper airway management adjuncts to include suctioning oral and nasal airways;
• perform positive pressure ventilation using Bag Valve Mask (BVM) ventilation;
• demonstrate CPR and choking maneuvers and the proper use of an Automatic External Defibrillator (AED) and attain American Heart Association CPR credential at healthcare provider level;
• assist with self-administration of nitroglycerin, and aspirin;
• perform with medical direction the administration of nebulized albuterol;
• properly manage central nervous system injuries to include: spinal immobilization techniques utilizing cervical collars, KED, short and long spine boards and helmet removal techniques;
• properly manage orthopedic emergencies utilizing padded board splints, traction splints, air and vacuum splint and cravats;
• properly manage soft tissue injuries and treatment of shock, demonstrating bleeding control and bandaging techniques and the application of MAST pants;
• demonstrate techniques for assisting with normal and abnormal obstetrical emergencies;
• demonstrate techniques for managing psychiatric emergencies and the application of patient restraints;
• demonstrate proper lifting and moving techniques utilizing a stretcher, stair chair and manual lifts;
• demonstrate proper radio communications techniques;
• provide accurate written documentation in a Patient Care Report (PCR); and
• explain the role of medical direction and performing as a team member.

Advanced EMT - Must perform all the competencies of a Basic EMT and all the following:

• perform peripheral vascular access demonstrating proper utilization of an angiocatheter, vacutainer, leuer adapter, saline trap, Intraosseous needle and fluid administration, IM, SQ, IN and IV bolus medication administration;
• perform advanced airway maneuvers to include but not limited to: endotracheal intubation, EOA/EGTA, King airway, Combitube, bougee and chest decompression;
• demonstrate proper application of the Magill forceps during airway management;
• demonstrate patient assessment skills adapted for the geriatric and special needs patients; and
• attain Pediatric Life Support and International Trauma Life Support (ITLS) credential.

EMT Paramedic - Must perform all the competencies of a Basic and Advanced EMT and all the following:

• perform the expanded scope patient assessment to include the utilization of the otoscope and opthalmoscope;
• perform advanced airway techniques to include but not limited to: Laryngeal Mask Airway (LMA), Quicktrac, needle cricothyrotomy and jet ventilation, CPAP/BiPaP, Waveform capnography;
• perform proper electrocardiogram (EKG) monitoring utilizing both the three lead and twelve lead techniques;
• interpret a single lead and twelve lead EKG and initiate proper treatment protocols;
• perform manual defibrillation, synchronized cardioversion, and external cardiac pacing;
• attain American Heart Association Advanced Cardiac Life Support (ACLS) credential;
• attain American Heart Association Pediatric Life Support (PALS) credential;
• calculate drug dosages utilizing the metric system;
• demonstrate proper medication administration techniques to include: IM, SQ, P.O., P.R., I.V. bolus and infusion, ET, SL, buccal, transdermal; and
• contact the EMT Department for the medication list under the paramedic scope of practice.