EMS EDUCATION

[FRANK BERGWALL]

The Nevada Emergency Medical Association has entered into an agreement with the National Association of Emergency Medical Technicians(NAEMT) to give Nevada providers a better value for their membership. The newly created ”Best Value” Combined Membership Package gives N.E.M.A. members the full benefis of both Associations. The Nevada Emergency Medical Association will continue to advocate for providers here and keep our fingers on the pulse of EMS in Nevada. The National Association of Emergency Medical Technicians will advocate at the national level as well as provide training and many other benefits. The “Best Value” combined membership price is $45. This is $10 less than if you purchased your NAEMT membership for $40 and NEMA for $15.
• $125 discount to attend EMS EXPO, the largest EMS conference and exposition in North America
• Two free online continuing education courses per year worth $13.90, which can also be used as credit toward an annual subscription plan
• $10,000 in accidental death and dismemberment insurance coverage, included with your membership
• Free subscription to EMS Magazine - a $29 value
• 20% discount on complete EMS dress uniform package from Lighthouse Uniforms
• Discounts on other insurance at members-only prices, and professional liability insurance offered through one of the nation’s leading insurance carriers
• A $59 savings on Prehospital Emergency Care, NAEMT's official scientific journal - a savings of more than 50% off the regular subscription price of $115
• A free subscription to NAEMT News, the association’s full-color quarterly publication, which is packed with important information
For a complete list of benefits go to the NAEMT website at www.naemt.org/become_a_member/member_benefits.aspx

Nevada is in the process of changing the way EMS is practiced. The Sub-committee on Education to the Committee on EMS, chaired by Lauara Snyder (W.Wendover Ambulance, [e-mail]) is holding a series of working groups by video conference to prepare recommendations for standards and training. The first two meetings in January and February dealt with the change process and discussions about continuing education and “training centers”. On April 6th the subcommittee discussed continuing education and EMS instructors. Many of the proposed changes to existing Nevada education policy and regulation are being adapted from the Southern Nevada Health District EMS regulations which may be found at their website:
www.southernnevadahealthdistrict.org/ems/documents/ems/ems-regs.pdf,
Contact Lauara directly for the transcriptions of these discussions. Sub-Committee meetings have a public comment period at the conclusion. The process to update and change existing regulation is described below:
In the January meeting, Fergus Laughridge explained the process for affecting any change to the NAC:
1. Subcommittee creates document and submits to Committee on EMS and sent to EMS office.
2. Document goes to EMS office for review
3. Document goes to Administration of the Health Division
4. Document goes to Legal department for appropriate verbage and form
5. Document goes to Public workshops and forums for comment
6. Document goes to Board of Health for action
If approved by Board of Health, a regulation will become the new NAC and is enforceable.
Any of you who wish to be part of these discussion groups can contact Lauara and she will add you to her mail list. NEMA will use our webmail list to get the dates and agenda out to Nevada providers when we get them.
During 2010 the National Association of State EMS Officials is conducting webinars to assist States and services in implementing the EMS Education Agenda. Go to their website for dates, agendas, information and updates. www.nasemso.org/EMSEducationImplementationPlanning/documents/ImplementationoftheEMSEducationAgendaPressRelease-2010Webinars.pdf)
NEMA is encouraging all Nevada providers to become knowledgeable of the changes in our profession and get involved to shape the changes for the benefit of the patients and communities we serve. For this purpose, NEMA has put a library of references and sources to give our providers the source documents which are driving the changes to EMS in Nevada.
• The foundation document is the “Emergency Medical Services Agenda for the Future(1996)”: www.dphhs.mt.gov/ems/publications/agendas/agenda_for_future.pdfl
• National EMS Core Content(2004): www.nhtsa.dot.gov/people/injury/ems/emscorecontent/images/EMSCoreContent.pdf
• National EMS Scope of Practice (2006): www.nasemsd.org/documents/FINALEMSSept2006_PMS314.pdf
• National EMS Education Standards(2009): www.nhtsa.gov/staticfiles/DOT/NHTSA/ems/811077a.pdf
• National EMS Certification: Will be developed. Currently the NREMT, a private organization, serves this purpose and is driving National Certification with much discussion as to the validity of their system.
• National EMS Program Accreditation: This will be developed.

There is a perception among some providers that rural Nevada will not be able to deliver the current scope of practice after the changes have been implemented. NEMA encourages every provider to let your voices be heard. Contact the Emergency Medical Systems, State Health Division, Bob Heath([e-mail]) and Fergus Laughridge([e-mail]). Contact the Committee on EMS(http://www.health.nv.gov/PDFs/EMS/emscommitteemembers2008.pdf). Contact your local Medical Directors and let them know what tools you need to continue to provide quality EMS to your communities. Of course contact your NEMA representatives and board (http://www.nema-nv.org/). We can all have an impact on what the Nevada Legislature does in 2011 to change EMS for the better if we will take the time to become informed on the facts and give feedback. The key here is for us all to be involved. If we are silent now we will be “stuck with” whatever “they” decide.

The Committee on EMS has some changes in personnel. Michael Hays resigned and has been replaced by Michael Schwartz. The Committee has added a member from a Volunteer Fire department; John Slider. Below is listed the Committee and contact information. You are encouraged to contact these members with your issues and concerns.

“The only way evil can triumph is when good men and women do nothing” (Edmond Burke).


Margaret Tole, RN (Committee Chair)
REMSA / Care Flight
450 Edison Way, Reno NV 89502-4117
[phone]
[e-mail] Michaek Schwartz (Education Chair) and
(Rural Affairs Chair)


Warren Pawliuk, RN
( Critical Care Chair) and (Legislative Chair)
2841 S. Dandelion Street, Pahrump, NV 89048
[phone]
[e-mail] Walter Kesteloot (Data and Commun.Chair)
East Fork Fire, Box 218, Minden NV 89423
[phone]
[e-mail]
John Kearney Davis
525 N. Meridian Rd, Lovelock NV 89419
[phone]
[e-mail] Lauara Snyder
Wendover Ambulance
Box 2530, Wendover NV 89883
[phone]
[e-mail]
Pat Songer
Humboldt General Hospital
118 E. Haskell St, Winnemucca NV 89445
[phone] ex160
[e-mail] Joseph Ryan, MD
REMSA
450 Edison Way, Reno, NV 89502
[phone]
[e-mail]
James Sparkman
613 W. National Ave,
Winnemucca NV 89445
[phone]
[e-mail] John Slider (Volunteer Fire Dept)
1116 Potomac Place
Carson City, NV 89703
[phone]
[e-mail]


For those of you who want news about what is going on nation-wide in EMS go to the online magazine EMS Responder, www.emsresponder.com/
News, articles, training, CEU’s, forums, events and job opportunities.

NEMA invited EMS folks around the state to join us in a video conference on March 30th. The discussion was about the process the Committee on EMS is doing through their Sub Committee on Education and progress report on meetings so far. Your President “plugged” NEMA, the new agreement and “Best Value” membership package with NAEMT and our role in Nevada EMS.

NEMA President, Frank Bergwall attended a new pediatric training the Emergency Medical Systems office brought to Elko on April 9, 10. The class “Pediatric Emergency Management and Treatment” was more than just a bunch of expensive child and infant manikins. The trainers cut out the class time and put the providers hands-on within an hour of the beginning of class. Scenarios based training allowed EMTs to assess and treat pediatric trauma and medical emergencies and get patient feedback without having to ask the preceptor….what is my pulse? What is my BP? What is my respiration rate? The most effective part of this was the multiple opportunities for crews/teams to participate in multiple scenarios over the two day training event. There was a the continuum of care on the simulators that included Emergency Department personnel and in another scenario we interacted with Summit Air EMS crews to hand-off care to them as well. We learned to trust what we know and learned teamwork and learned that the Emergency Medical Systems office is really working hard for us to bring us up to the level of care at which we need to be. When this training comes to your community be sure to sign up and attend this valuable experience. To find out when and where these trainings will be contact Bob Heath at
[e-mail] or by phone at 775.753.1154

Important dates to remember:
April 21 at 1200 PDT NASEMSO Webinar EMS Education
May 19 at 1200 PDT NASEMSO Webinar EMS Education
May 24-28? Sub Committee on Education Lauara Snyder [e-mail]
June 17 Committee on EMS M. Tole [e-mail]
June 23 at 1200 PDT NASEMSO Webinar EMS Education
June 23-26 Nevada State Firefighter Assn in Winnemucca
July 21 at 1200 PDT NASEMSO Webinar EMS Education
August 25 at 1200 PDT NASEMSO Webinar EMS Education
Sept. 15 at 1200 PDT NASEMSO Webinar EMS Education
Sept. 16 Committee on EMS @ Conf. & Training M. Tole [e-mail]
Sept. 16-18 EMS Conference and Training in Elko
Oct. 20 at 1200 PDT NASEMSO Webinar EMS Education
Nov. 4-6 ITLS Intn’l Trauma Conference at Atlantis casino in Reno
Nov. 22 at 1200 PDT NASEMSO Webinar EMS Education
Dec. 9 Committee on EMS M. Tole [e-mail]

And for a final note from your NEMA President; This newsletter and our website (http://www.nema-nv.org/) are the Association’s primary medium to interact with members and providers. Please let us work for you and give us the feedback we need to represent all of you. Frank Bergwall.

[LesGemn]

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