Emerg Med Tech

 

 

EMT 53: Emergency Medical Technician

 

EMT 53: Section:   

 

Days and Times:       Monday through Thursday, 8:00 am to 4:15 pm

                                  Clinical Hours to be assigned

Room: B-208

 

FACULTY CONTACT INFORMATION:

Matthew McElhenie

Contact Information Cell Phone: 805.459.6097

 Office Phone: 831.770.6156

                                     Office Fax: 831.770.6144     

                                     Email Address: mmcelhenie@hartnell.edu

 

 

Office Location:          411 Central Ave, Salinas, CA 93901

Office Hours:              By appointment

 

Other Information:

I do not return to the office every day. Therefore, office phone messages will be answered by the administrative assistant who will contact me directly.

Please email or call me on my cell phone if you have time-sensitive needs. Send all emails using your Hartnell College student email account. Include your name as emails on this system do not include the name.

 

CREDIT UNITS: 7

 

WEEKLY CONTACT HOURS:

            TBA

Homework (Lecture hours X 2)

TOTAL CONTACT HOURS (BASED ON 16-18 WEEKS)

            TBA

GRADING BASIS: Grade Only

 

COREQUISITE/PREREQUISITE:

HES 120: CPR for Health Care Providers with a grade of “PASS” or American Heart Association “BLS for The Healthcare Provider” 

 

If you need accommodations or support services for this class, please contact the department of Support Programs and Services (DSPS).   Location B-107.      831.755.6760

 

 

COURSE DESCRIPTION:

The EMT course follows the state-mandated curriculum. The classroom setting and clinical rotations provide opportunities to gain proficiency in the theoretical knowledge and in the application of basic life support skills required to function as an EMT. Upon completion of course requirements, students will be issued a Course Completion Certificate that is required for EMT certification through the California Emergency Medical Services Agency.

 

COURSE OBJECTIVES:

Upon satisfactory completion of the course, students will be able to:

	1.	define patient rights and delineate the responsibilities of EMTs in assuring those rights.
	2.	discuss moral and ethical tenets that direct the actions of health care professionals.
	3.	examine laws, regulations, and health care delivery systems that preside over the practices of EMTs.
	4.	employ ethical and legal standards when reporting and documenting patient care.
	5.	appraise the infection control guidelines required for standard and transmission-based precautions.
	6.	compare and contrast the need for various types of protective equipment in a variety of emergency settings.
	7.	choose appropriate personal protective equipment and demonstrate appropriate use.
	8.	explain precautions necessary to ensure the EMT's safety to prevent injury and infection from blood-borne pathogens.
	9.	demonstrate appropriate body mechanics when lifting, transferring, and moving people.
	10.	perform effective adult, pediatric and infant one and two rescuer cardiopulmonary resuscitation.
	11.	perform effective adult, pediatric, and infant airway obstruction management.
	12.	demonstrate the use of various adjunctive ventilatory aids including the bag valve mask, and various resuscitation barrier devices.
	13.	demonstrate the safe use of an automated external defibrillator (AED).
	14.	categorize the role and scope of responsibility of the emergency medical technician at the scene of an accident, during transport, and until the time the patient receives professional health care.
	15.	develop skills in intelligent observation of operational function, maintenance, and utilization of necessary equipment.
	16.	demonstrate proficiency in written and verbal communication and accurate reporting of pertinent data.
	17.	provide safe, competent care according to local and state legal parameters.
	18.	conduct the primary and secondary survey/assessment and subjective interview, including essential components of the patient's history and condition.
	19.	diagram the normal anatomy and physiology of the respiratory, cardiovascular, neurosensory, skeletal, and reproductive systems.
	20.	explain and demonstrate the appropriate treatment measures for respiratory emergencies.
	21.	recognize and distinguish the basic signs and symptoms of cardiac emergencies.
	22.	demonstrate correctly the skills involved in the stabilization of cardiac emergencies.
	23.	describe the signs and symptoms indicative of shock and measures to treat shock.
	24.	relate basic principles of pharmacology, intravenous fluid resuscitation, and medication administration to the adult and child with life threatening emergencies.
	25.	describe the explain the EMT's scope of responsibility for intravenous therapy, e.g., initiation, assessment of site, fluid infusion.
	26.	plan and demonstrate skills necessary in the treatment of integumentary, skeletal, and neurological injury.
	27.	apply splints, bandages, spinal immobilizers, and traction splints.
	28.	describe the symptoms and emergency care for a person with a life-threatening medical condition.
	29.	explain the physiological response to ingestion of poisons, drug overdoses, and anaphylactic reactions; select a management plan for each situation.
	30.	provide emotional support to the person who has been assaulted or raped, incorporating appropriate legal principles and guidelines.
	31.	choose appropriate measures to assist with an uncomplicated delivery of a newborn.
	32.	examine the problems associated with the emergency delivery of a newborn with abnormal presentation/premature delivery.
	33.	compare physiological manifestations of the death process to a person's psychological mechanisms of coping with the death process/grief.
	34.	assist in advanced life support techniques, including the application of ECG leads, initiation of IV fluids, AED, and application of MAST trousers.
	35.	describe the EMT's role during terrorist emergencies and natural/man-made disasters.
	36.	Describe the basic roles and structures of body cells.
	37.	Discuss the mechanisms the body uses to compensate for impaired cardiopulmonary function.
	38.	Describe the roles of water, glucose, and oxygen in the cell.
	39.	Describe conditions that can threaten cardiopulmonary function.
	40.	Explain the pathophysiology of shock.
	41.	Identify signs and symptoms that indicate the body is attempting to compensate for impaired cardiopulmonary function.
	42.	Recognize indications that the body’s fluid balance has been disrupted.
	43.	Recognize indications that the nervous system may be impaired.
	44.	Describe the effects on the body of endocrine dysfunction, digestive system dysfunction, and immune system dysfunction.
	45.	Describe the structure and function of the hematologic system.
	46.	Identify medications that can interfere with blood clotting.
	47.	Describe the structure and function of the renal system.
	48.	Describe the causes and consequences of acute and chronic renal failure.
	49.	Recognize patients with complications of end-stage renal disease, dialysis, and missed dialysis.
	50.	Describe special considerations for patients who have received a kidney transplant.
	51.	Describe special challenges patients may have, including various disabilities, terminal illness, obesity, homelessness/poverty, and autism.
	52.	Describe general considerations in responding to patients with special challenges.
	53.	Recognize physical impairments and common medical devices used in the home care of patients with special challenges, including respiratory devices, cardiac devices, gastrourinary devices, central IV catheters and discuss EMT assessment and transport considerations for each.
	54.	Explain why patients with special challenges are often especially vulnerable to abuse and neglect and what the EMT’s obligations are in such situations.
	55.	Explain how diagnosis in emergency situations may differ from traditional approaches to diagnosis.

 

COURSE CONTENT:

1. Ethical-legal aspects of emergency care
1. Ethics of health care (e.g., beneficence, non-maleficence, justice)
2. Legal mandates 
3. EMT scope of practice
4. The medical record as a legal document
2. Personal Safety for emergency personnel
1. Infection control guidelines
1. Standard and blood-borne precautions
2. Transmission-based precautions
2. Personal protective equipment
3. Avoidance of injury when moving patients
3. Gaining access and rescue operations
1. Pre-hospital operations and procedures
2. Transporting the patient
3. Handoff to professional care
4. Emergency Assessment
1. The trauma patient
2. The medical patient
3. Physical and psychological clinical manifestations 
4. Medical vs. emergency diagnostic processes
5. Communication 
1. Verbal reporting
2. Written documentation
3. Inter-professional collaboration
6. Principles of basic and advanced life support
1. CPR for adults, children, and infants
2. One rescuer vs. two-rescuer procedures 
3. Factors that increase effectiveness of CPR
4. Airway obstruction and choking
5. Indications for advanced airways
6. AED and cardiac rhythm recognition
7. Respiratory emergencies
1. Upper respiratory
2. Lower respiratory
3. Parenchymal
4. Disordered control 
8. Circulation emergencies
1. Bleeding
2. Shock
3. Cardiac (e.g., heart attack)
4. Stroke
9. Trauma management
1. Bandaging
2. Splinting
3. Stabilizing
4. Moving patients with injuries
1. Head and spine
2. Soft Tissue
3. Musculoskeletal
4. Thoracic
5. Abdominal
10. Pharmacology
1. General principles of medication administration 
2. Drugs used by EMT's
3. Assisting with self-administration of medications 
4. Allergic reactions to drugs and other substances
5. Poisoning/Overdose
6. Treatment of hypoglycemia
11. Emergencies across the lifespan
1. Obstetric & Gynecologic
2. Pediatric
3. Geriatrics
4. Medical devices in the home
12. Behavioral and other emergencies
1. Crisis intervention
2. Vulnerable populations and abuse
3. Sexual assault and rape
4. Death and grief response
13. Environmental emergencies
1. Hazardous materials
2. Natural disasters 
3. Man-made disasters
14. EMS response to terrorism
15. Ambulance operations
1. Driving codes
2. Vehicle maintenance
3. Equipment inside the ambulance
16. Body cell function
1. Cell structure and function
2. Cellular oxygenation
3. Cellular metabolism
17. Cardiopulmonary system
1. Normal anatomy and physiology
2. Cardiopulmonary dysfunction
1. Clinical manifestations
18. Musculoskeletal and nervous systems
1. Normal anatomy and physiology
2. Nervous system dysfunction
1. Clinical manifestations
3. Musculoskeletal dysfunction
1. Clinical manifestations 
19. Endocrine system
1. Normal anatomy and physiology
2. Endocrine dysfunction (e.g., diabetes)
1. Clinical manifestations
20. Digestive system
1. Normal anatomy and physiology
2. Digestive system dysfunction
1. Clinical manifestations
21. Immune and integumentary systems
1. Normal anatomy and physiology
2. Immune system dysfunction 
1. Clinical manifestations 
3. Skin conditions requiring emergency care (burns)
22. Renal system
1. Normal anatomy and physiology
2. Renal system dysfunction and failure
1. Clinical manifestations 
23. Hematological system
1. Normal anatomy and physiology
2. Hematological dysfunction (e.g., Sickle Cell crisis)
1. Drugs that interfere with normal blood clotting
2. Clinical manifestations 
24. Fluid and electrolytes
1. Movement of water in and out of the cell 
2. Fluid loss/excess and associated clinical manifestations
3. Electrolyte imbalance and associated clinical manifestations

 

 

 

 

 

LAB CONTENT:

1. Assessment scenarios
1. Situational and environmental 
2. Primary survey
3. Secondary survey
4. Focused assessment
1. Musculoskeletal
2. Head and spine (neurological)
3. Respiratory
4. Thoracic and Abdominal
5. Cardiac/circulation
6. Obstetric and gynecological
7. Behavioral/mental health
5. Interviewing the trauma victim
6. Interviewing the medical patient
7. Interviewing patients across the lifespan
8. Interviewing patients with chronic conditions, disabilities, behavioral health conditions
2. Demonstration of treatment measures  
1. Musculoskeletal injuries
2. Head and spine injuries
3. Respiratory emergencies
4. Cardiac emergencies
5. Pediatric emergencies
6. Geriatric emergencies
7. Obstetric and gynecologic emergencies, and childbirth
8. Pharmacological emergencies: Overdose, poisoning, allergic reactions
9. Special conditions (e.g., patient with pacemaker, renal failure)
3. Fluid resuscitation
1. Monitoring of venipuncture site
2. Management of intravenous infusions
4. Demonstration of safety measures at the emergency scene
1. Accessing the scene for rescue
2. EMT body mechanics / safe movement
3. Stabilizing devices and traction
4. Transferring/transporting patients
5. Selection and application of personal protective equipment
6. Behavioral treatment measures /therapeutic communication
7. Role play: Verbal reports and team collaboration
8. Documentation activities/portfolios
1. Written reports
2. Electronic medical record
9. Demonstration of basic/advanced life support measures
1. CPR
2. Rescue breathing
3. Ventilation assistive devices (e.g., airways, bag valve mask)
4. Oxygen delivery devices/masks/ advanced airways
5. Management of choking
6. AED
7. ECG leads
8. MAST trousers
9. Priority-setting
10. Demonstration of safe ambulance operations
11. EMT response Case Studies
1. Disasters
2. Terrorism

 

INSTRUCTIONAL METHODOLOGY:

CLASSROOM

Lecture

Lab Activity

Individual Assistance

Other (Specify)

Audiovisual (including PowerPoint or other multimedia)

Computer Assisted Instruction

Demonstration

Discussion

Group Activity

Requires a minimum of three (3) hours of work per unit including class time and homework.

Other: Guest speakers, student-led presentations, role play, return demonstration, clinical experiences, ambulance ride-alongs

 

METHODS OF EVALUATING OBJECTIVES OR OUTCOMES:

Methods of evaluation to determine if students have met objectives may include, but are not limited to the following:

CLASSROOM          EXPLANATION

Lab Activity                Demonstration of skill competencies

Oral Assignments       Presentations scored using grading rubric

Written Assignments   Short answer papers on selected content. Scored using grading rubric

 

EXAMS                     EXPLANATION

Comp. Final                  Multiple choice, fill-in-the-blanks, short answers, skill demonstration, essay, ranking exercises

Problem Solving         Application of Bloom's Taxonomy at all levels, measurable outcome identification for case studies and clinical scenarios.

Skill Demonstration    Demonstration of skills according to competency testing rubrics.

Quizzes                      Multiple choice/fill in the blanks

 

MINIMUM STUDENT MATERIALS:

Textbook(s)

Emergency Care and Transportation of the Sick and Injured, Eleventh Edition with Student Workbook

ISBN-13: 9781284106909

Bound Tree University (https://btu.ems1academy.com/)

EMS1.com (http://www.ems1.com)

COURSE ASSIGNMENTS

Suggested Reading:

National Emergency Medical Services Education Standards: Scope of Practice, Skill Competency Certification and Licensing, Legal and Ethical Considerations

Required Writing:

Inter-professional hand-off reports

Trauma reports

Real-time patient status reports

Ambulance ride-along status reports and reflections

Computerized electronic medical record (EMR) entries

Outside Assignments:

Ambulance ride-along with written assignment and reflections

Emergency department observational experience with written assignment and reflections

 

STUDENT LEARNING OUTCOMES

1. Eighty percent of students who successfully complete the HES-53 course with a grade of 75% or better may pass the EMT National Certification exam on the first attempt.
2. Fifty percent or more of students who pass the HES-53 course state that they will seek employment in a related field (i.e. emergency responder, policeman, fireman), OR plan to continue education in the Allied Health Professions.

 

Emergency Medical Technician-Course Policies and Guidelines

                                                                                                                                                           

Overview

 

The EMT –Basic course curriculum is extremely demanding, it requires the student to demonstrate competency in cognitive, psychomotor and affective domains. It will also be necessary to demonstrate the ability to work well with other students, instructional staff, pre-hospital/clinical personnel, and patients.  Entering this course, the student should be expected to work hard and be thoroughly challenged

 

The field EMT must be self-reliant, motivated and have the ability to work as a team to provide care to the ill or injured.  Expect to study at least one hour for every classroom hour in order to keep pace with the information being delivered.  It is strongly recommended that the student incorporate a team approach to this course by establishing study groups with others in the course. 

 

It is expected that the student be prepared for both lectures and skills by studying the topics before the lecture, and practicing the skills presented during skills night outside the classroom setting for mastery.  It should be noted that the student is being prepared for work that will make them responsible for the lives and well-being of others, their partners and themselves.  With this in mind, it is the responsibility of the instructors to provide a classroom setting that is intended to make the student both proficient and confident in the knowledge and application of skills required to function as an EMT. 

 

There will be no tolerance for disruptive behavior or distractions during classroom sessions, clinical observations or ambulance observations during the course.  After successful completion of the EMT-basic course and the NREMT cognitive examination, the student should consider themselves a “safe beginner” in the challenging field of pre-hospital emergency care.

 

General classroom rules of conduct:

 

• It is expected that the student show up on time.
• The classroom shall be kept clean..
• There is “zero tolerance” for alcohol or drug use while at class or any other location for training purposes. Doing so will be grounds for immediate dismissal.
• It is expected that the student give all instructors involved with the course courtesy and respect during lectures and skills training.

 

Attendance

 

The EMT curriculum is taught to standards set by the State of California, a minimum number of academic hours are required for successful completion and certain lectures are mandatory. This allows for no more than eight (16) hours of absence during the entire course.  More than eight (16) hours of absence will result in the student being ineligible for the NREMT Cognitive examination.  Per Hartnell College nursing department policy, two tardies equal one absence. Attendance is taken at the beginning and end of each class. If a student leaves during the class, the student will be marked absent for that period.

 

The instructor, on the following grounds only, must approve early dismissal from any class: reasons of acute illness, family emergency, employment obligations or transportation reasons.  It is the responsibility of the student to make adjustments to their schedule in order to meet the minimum State and college requirements for attendance.

 

Grading:

 

A Course Completion Certificate is issued to those students who have met the minimum attendance requirement, demonstrated practical skills competency, maintained the minimum 75%.

 

92-100%         A

84-91%           B

75-83%           C

60-74%           D         Not eligible for NREMT Certification Exam

<60%              F         

 

Homework      20%

Quizzes           20%

Skills               20%                                        

Exams             20%

Final                20%

Total                100%

 

Skills Competency      Pass/Fail Criteria per National Registry/DOT standards

 

 

STUDENTS WILL BE NOTIFIED AS SOON AS PRACTICAL OF CURRENT ACADEMIC STANDING WHENEVER OVERALL PERCENTAGE IS LESS THAN 75% OR WHEN SKILLS COMPETENCY ASSESSMENTS DO NOT MEET NATIONAL REGISTRY/DOT STANDARDS.

 

At the discretion of the Program Director extra credit assignments may be made available to all students. Extra credit cannot be used to raise a student from a not passing grade to a passing grade. Extra credit point will first be assigned to affective points as needed.

 

Make up examinations:

 

There are NO MAKE UP Examinations, No make up quizzes, no make up homework, no make up assignments period except for extreme emergency: Students requesting a make-up  must submit a request in writing to the EMT Program director as soon as practical and no later than the next day the student attends class. Make up Exams when approved are different versions and comprehensive.

 

Text Materials/Other Requirements

 

Emergency Care and Transportation of the Sick and Injured, Eleventh Edition with Student Workbook are mandatory for the class, The American Heart Association BLS for Healthcare Providers text is highly recommended. All Hartnell College prerequisites needed to be in the EMT course are the responsibility of the student; this includes Health Care Provider level CPR through the American Heart Association.  If you have not taken or enrolled in the HES 120 course at Hartnell, you must show proof of equivalency for enrollment through the nurse administration office.

Convictions:

 

Students convicted of crimes must check with the EMS agency to determine eligibility for state certification. The NREMT felony conviction policy is available from your instructor or at www.nremt.org under general policies. Failure to report convictions will result in automatic denial or revocation of certification per state law. Consult with your EMT Program Director, confidentially, for further information.

 

Prior denial, suspension or revocation of certification:

 

State law requires the local EMS agency to investigate any prior denial of certification for pre-hospital care in any capacity, and/or suspension or revocation. See your Program Director, confidentially, for details.

 

Ambulance/Emergency Room Observation General Information

 

Part of the course curriculum involves a minimum set hours of clinical rotations and patient contacts in order to acquire certification. American Medical Response is the primary 911 ambulance provider in Monterey County and Natividad Medical Center may be the hospital utilized for Emergency Room observations.  The student must maintain 70% GPA in order to participate in these observations.  The student must also comply with any and all regulations imposed by these health care providers including; appropriate dress and hygiene. If you show up unprepared, late or are otherwise unprofessional, you may be sent home.  

 

Open Door Policy

 

Hartnell College and the Instructors practice an open door policy in regards to any issues that come up during the class.  It is expected that the student will anticipate and resolve any issues as they arise to the best of their ability, but should there be a need for further assistance, contact your Primary Instructor or Program Director directly or through the contact information provided.

 

 

 

STUDENT CODE OF CONDUCT

 

Do not be late and do not leave early. Late arrivals and early departures will detract from your overall score in the class.

 

Practice good teamwork at all times; You are expected to work together with each other and your instructors. Treat your classmates and instructors with utmost respect. No cursing, no hazing, no inappropriate jokes. Do not belittle any individual or group whether present or not. Do not use any derogatory terms to describe any individual, group or organization. Do not engage in gossip with anyone about anyone.

 

During class session hold questions until the appointed question answer period, however, if you are unable to continue with the lecture because you do not understand a term or concept it is appropriate to interrupt a lecture for clarification. Remember, during Q&A periods to keep questions on topic.

 

Read your textbook before class.

 

Bring all required textbooks to every class

 

Do not talk during lectures.

 

Dress appropriately

 

Leave the classroom in better condition than you found it.

 

Do not eat or drink in the classroom, capped water bottles are acceptable.

 

Turn off your cell phone during class, if you must be in contact with someone during classroom because of an emergent situation inform the instructor prior to class.

 

Do not text or in any way access smart phones during class.

 

As the class progresses practice researching questions rather than just asking an instructor.

 

Maintain patient confidentiality at all times

 

The course schedule may/will change as we make adjustments for class progress, guest lecturers etc. Keep informed of changes and be flexible.

 

Do not attempt to contest a test questions unless you have the page number and text to support your position. Remember there is no arguing on the NREMT exams.

 

There are no makeup exams (see course outline for exceptions)

 

It is your responsibility to keep track of all your test scores. It is important that you understand how well you are doing at every step of the way.

 

Remember that there are three areas in which we are directing your learning. National Registry Exams, The Science of Emergency Medicine and The Field. All three areas must be taken into consideration in order to pass the course, become certified and earn the distinction of "safe beginner"

 

Conduct yourself as though you were on duty and employed

 

Study Tips

 

Good EMT study habits are developed over time and are necessary for success, use study strategies that work for you and have the right motivation to study.

 

Do not just read the book, have a plan. The DOT objectives is a good place to start. Use them to guide your reading/learning.

 

Minimize Highlighting only highlight the important words of critical concepts

 

Make notes on the edges of your textbook (Margin Notes)

 

Flashcards

 

Create exams

 

Discuss it with your classmates

 

Write out a concept several times.

 

Utilize planned study groups (teaching, testing, topics)

 

Explain the information to someone

 

Put all your senses to work

 

Make summary pages

 

Create Visual Notes

 

Build Poster Presentations

 

Make as many notes as you need to study them and then condense them, Repeat this process until you no longer need the notes.

 

Plan to spend at least one hour studying for every hour spent in class.

 

Create a study calendar

 

If you have a history of not doing well on written tests, you may have a reading or learning disability. Professionals at the college counseling center can help you determine if this is the case and if so, they can help you develop and implement strategies to compensate for it.

 

National Registry of Emergency Medical Technicians (NREMT)

The National Registry of Emergency Medical Technicians (NREMT) will deny certification or take other appropriate actions in regards to applicants for certification or recertification when a felony conviction has occurred. Decisions affecting eligibility will be based upon the following categories. Applicants may appeal decisions made by the National Registry as outlined in the NREMT Disciplinary Policy.

 

Preamble

EMS practitioners, by virtue of their state licensure, certification, or national registration, have unsupervised, intimate, physical and emotional contact with patients at a time of maximum physical and emotional vulnerability, as well as unsupervised access to personal property. In this capacity, they are placed in a position of the highest public trust, even above that granted to other public safety professionals and most other health care providers. While police officers require warrants to enter private property, and are subject to substantial oversight when engaging in “strip searches” or other intrusive practices, EMTs are afforded free access to the homes and intimate body parts of patients who are extremely vulnerable, and who may be unable to defend or protect themselves, voice objections to particular actions, or provide accurate accounts of events at a later time.

Citizens in need of out-of-hospital medical services rely on the EMS System and the existence of state licensure/certification or national certification to assure that those who respond to their calls for aid are worthy of this extraordinary trust. It is well accepted in the United States that persons who have been convicted of criminal conduct may not serve as police officers. In light of the high degree of trust conferred upon EMTs by virtue of licensure and certification, EMTs should be held to a similar, if not higher, standard. For these reasons, the EMS certifying/licensing agency has a duty to exclude individuals who pose a risk to public health and safety by virtue of conviction of certain crimes.

General Denial

Certification of individuals convicted of certain crimes presents an unreasonable risk to public health and safety. Thus, applications for certification by individuals convicted of the following crimes will be denied in all cases.

1. Felonies involving sexual misconduct where the victim’s failure to affirmatively consent is an element of the crime, such as forcible rape.
2. Felonies involving the sexual or physical abuse of children, the elderly or the infirm, such as sexual misconduct with a child, making or distributing child pornography or using a child in a sexual display, incest involving a child, assault on an elderly or infirm person.
3. Any crime in which the victim is an out-of-hospital patient or a patient or resident of a health care facility including abuse, neglect, theft from, or financial exploitation of a person entrusted to the care or protection of the applicant.

 

Presumptive Denial

Applications for certification by individuals in the following categories will be denied except in extraordinary circumstances, and then will be granted only if the applicant establishes by clear and convincing evidence that certification will not jeopardize public health and safety.

1. Applications for certification by individuals who have been convicted of any crime and who are currently incarcerated, on work release, on probation or on parole.
2. Applications for certification by individuals convicted of crimes in the following categories unless at least five years have passed since the conviction OR five years have passed since release from custodial confinement whichever occurs later:
   1. Serious crimes of violence against persons, such as assault or battery with a dangerous weapon, aggravated assault and battery, murder or attempted murder, manslaughter except for involuntary manslaughter, kidnapping, robbery of any degree; or arson.
   2. Crimes involving controlled substances or synthetics, including unlawful possession or distribution, or intent to distribute unlawfully, Schedule I through V drugs as defined by the Uniform Controlled Dangerous Substances Act.
   3. Serious crimes against property, such as grand larceny, burglary, embezzlement or insurance fraud.
   4. Any other crime involving sexual misconduct.

 

Discretionary Denial

Applications for certification by individuals convicted of any crimes including DUI, but not including minor traffic violations may be denied after consideration of the following factors:

1. The seriousness of the crime.
2. Whether the crime relates directly to the skills of out-of-hospital care service and the delivery of patient care.
3. How much time has elapsed since the crime was committed.
4. Whether the crime involved violence to, or abuse of, another person.
5. Whether the crime involved a minor or a person of diminished capacity.
6. Whether the applicant’s actions and conduct since the crime occurred are consistent with the holding of a position of public trust.