Many are reporting that they cannot pass the additional test.Īs a Commission, we were faced with the fact that we had a curricula that had been applied inconsistently in some cases, a test that was extremely hard to pass, and the ever present elephant in the room. In the last year there have only been a little over 70 added to make up that 500. In all, there are about 500 of this certification level certified in Indiana today. some have even been taught things that were not in the ECG curricula in the first place. variances in instructors and what was delivered. variances in the interpretation of the curricula. Pass rates on the Registry exam were one thing, but the pass rate on the separate ECG test has been less than favorable. A separate test was developed and was administered and available at several sites throughout the state. The Advanced EMT exam for Indiana was destined for National Registry due to the unparalleled work that goes into their exams, however that exam did not cover Indiana's desired ECG component. One of those additional skills was a continuation of several components of ECG interpretation (not all) and manual defibrillation (rather than the use of an automated external defibrillator). The end result, the new Advanced EMT was still given some additional abilities above what the NES curricula allowed at the national level. It was a long year of debating and trying to do the right thing for the people in the communities here in Indiana. This occurred chiefly due to the transition from the old DOT curricula to the new national EMS educational standards (NES), but there were also many discussions (and arguments) regarding appropriate length of programs, needed clinical hours and contacts and if there was any connection of these certification levels to improved outcomes. Those of us on the Indiana EMS Commission made a decision today that affects the scope of practice for Indiana Advanced EMTs.Īnyone who was involved in Indiana EMS just a few years ago will remember the transition from having two mid-level certifications (Emergency Medical Technician - Basic Advanced and Emergency Medical Technician - Intermediate) to a single mid-level prehospital caregiver, the Advanced EMT.
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