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Americans With Disabilities Act (ADA)
Protects people with disabilities against discrimination
Certified
Evaluated and recognized as meeting the minimum standards to provide safe care
Community paramedicine
Health care model where experienced paramedics receive advanced training to provide additional services outside the hospital (health evaluations, monitoring chronic illnesses)
Continuous quality improvement (CQI)
Reviews and audits of the EMS system to identify areas of improvement and assign remedial training
Credentialing
Verification process of a health care provider’s qualifications (can perform fewer or additional techniques in their area or work in certain types of care systems)
Emergency medical dispatch (EMD)
System that helps dispatchers choose appropriate units (police, ambulance, firefighters) to respond to emergencies. Gives callers instructions until EMS arrives
Licensure
Process where a competent authority (ex state) allows people to perform a regulated act
Medical control
Physician instructions given directly (online, radio/phone) or indirectly (offline, standing orders)
Medical director
The physician who authorizes the EMT to provide medical care in the field
Mobile integrated health care (MIH)
Delivering healthcare within the community instead of in the hospital
National EMS Scope of Practice Model
Document created by NHTSA) outlining the skills performed by EMS providers
Primary prevention
Efforts to prevent an injury or illness from ever happening
Secondary prevention
Efforts to limit the effects of an injury or illness that you cannot completely prevent
Primary service area
Designated area where the EMS agency is responsible for prehospital emergency care/transportation
Public safety access point
Call center (911) with emergency dispatchers who manage requests for police, fire, and ambulances
Quality control
Oversight by the medical director to ensure the appropriate medical care standards are being met
AEMT
Skills: supraglottic airway, tracheobronchial suctioning, ETCO2 monitoring, subcutaneous/IV meds
EMR
Skills: oral airway, BVM, upper airway suctioning, nasal cannula, manual CPR, auto-/semiautomatic defibrillation, IM auto-injector/IN premeasured meds
Paramedic
Skills: ETI, cricothyrotomy, airway obstruction removal via direct laryngoscopy, high-flow nasal cannula, cardioversion (electrical), manual defibrillation, transdermal/rectal meds
EMT
Skills: nasal airway, CPAP, pulse ox, O2 humidifiers, mechanical CPR, telemetry monitoring devices, oral/sublingual meds