Reciprocity Orientation

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Reciprocity Orientation

• Presented by
• Bureau of Emergency Medical Services

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Overview

• Why Reciprocity?
• Whats the difference between my training and
  Utahs?
• Reciprocity Procedures in Utah
• Documentation
• Testing Process

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Reciprocity Procedures in Utah

• Two simple parts for reciprocity in Utah
• Documentation
• Testing

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Documentation

• Application

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http//health.utah.gov/ems/certif/application.pdf
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Documentation

• Application
• Picture

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Picture

• Email your picture gmcclellan_at_utah.gov
• JPEG Format
• Have your picture taken in our office
• Bring in a photo

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Documentation

• Application
• Picture
• BCI Fingerprints (2 sets)

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(No Transcript)
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Documentation

• Application
• Picture
• Fingerprints (2 sets)
• Current certification-
• State or National Registry
• If National Registry include the name of the
  training institution and contact info.

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If you are a National Registry EMT please include
the training institution you attended on your
application
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Documentation

• Application
• Picture
• Fingerprints (2 sets)
• Current certification-
• State or National Registry
• Declaration of Understanding

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(No Transcript)
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Documentation

• Application
• Picture
• Fingerprints (2 sets)
• Current certification-
• State or National Registry
• Declaration of Understanding
• CPR certification or ACLS/PALS

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Current CPR Certification

• American Heart Association
• American Red Cross
• National Safety Council
• American Safety and Health Institute
• Any training that meets the 2005 AHA guidelines.

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Documentation

• Application
• Picture
• Fingerprints (2 sets)
• Current certification-
• State or National Registry
• Declaration of Understanding
• CPR certification or ACLS/PALS
• 25 hours of CME in past year

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Documentation

• Application
• Picture
• Fingerprints (2 sets)
• Current certification-
• State or National Registry
• Declaration of Understanding
• CPR certification or ACLS/PALS
• 25 hours of CME in past year
• TB test within the last year

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(No Transcript)
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Documentation

• Application
• Picture
• Fingerprints (2 sets)
• Current certification-
• State or National Registry
• Declaration of Understanding
• CPR certification or ACLS/PALS
• 25 hours of CME in past year
• TB test within the last year
• Copy of Drivers License, Visa, Passport

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Payment of fees
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Fee Schedule

• EMT-B, I, IA, Paramedic
• Processing Fee 30.00 30.00
• BCI / Fingerprints 50.00 50.00
• Practical Test 80.00 200.00
• Written Test 20.00 N/A
• 180.00 280.00

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Whats the difference?

• EMT-B
• EMT-I
• EMT-IA
• Paramedic

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Utah EMT-Basic

• Airway Adjuncts
• Medical Control
• Administration Routes
• Oral
• Sublingual
• Intramuscular (IM)
• By inhalation

• Medications
• Epinephrine (Epi)
• Nitroglycerin
• Baby Aspirin
• Prescribed Inhaler
• Activated Charcoal
• Oral Glucose

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Utah EMT-Intermediate

• Medications
• Epi 11,000
• Epi 110,000
• Lidocaine
• Morphine
• Narcan
• Albuterol
• D50

• Intubation
• IV Access
• IO Access
• Administration Routes
• Intravenous (IV)
• Intraosseous (IO)
• IM
• Endotracheal tube (ET)

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Utah Intermediate Advanced

• All invasive procedures as outlined in the DOT-
  National Standard Curriculum (NSC) EMT-I 99
• All Medications as outlined in the DOT-NSC EMT-I
  99

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Utah Paramedic

• All invasive procedures outlined in the DOT
  NSC Paramedic 98
• All medications outlined in the DOT NSC
  Paramedic 98

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Testing Process

• Written Exam
• Practical Exam

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WRITTEN EXAM
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Written Exam

• EMT-Basic 100 Questions 2 hours
• EMT-I 154 Questions 3 hours
• EMT-IA 175 Questions 3½ hours
• Paramedic National Registry
• EMD 40 Questions 1 hour
• Dont Stress out!

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Paramedic

• If you have taken the National Registry test
  since 2007 you do not need to take a written
  test.
• If not, you will need to take the National
  Registry test.

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Written Exam

• Computer based exam
• NOT designed to trick you
• Before scheduling, all FEES must be paid!
• Based on DOT-National Standard Curriculum
  objectives

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To Obtain a Copy of the NSC

• Our website http//health.utah.gov/ems/stdseval/tr
  aining/
• (hot-linked to NHTSAs website)
• NHTSAs website www.ems.gov
• Objectives listed at the front or end of each
  chapter in your textbook.

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Scheduling your Written Exam

• Call [phone]
• Secretary will assist you in finding a time and
  place that is acceptable

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Locations for EMT testing

• Salt Lake City BEMS office
• Orem UVSC
• Additional fees 15 Paramedic, 8 EMT-B, EMT-I
  EMT-IA
• St. George Dixie State
• Additional 12 for all levels
• Moab USU Center
• Ephraim Snow College
• Additional 10 for all levels
• Price CEU
• Roosevelt USU Center
• Layton WSU Davis Campus
• Additional 20 for all levels
• Logan Bridgerland ATC

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More Information

• Confirmation letter with directions will be
  mailed
• Be sure to bring confirmation letter and ID when
  testing
• Three attempts to pass
• Immediate results after test is completed
• Pass or Fail
• Letter identifying sections where questions were
  missed
• 120 days to complete testing process

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PRACTICAL TEST
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Practical Test

• Use TTGs as a reference. http//www.health.utah.g
  ov/ems/stdseval/training/emt-b_ttg.pdf
• Perform all skills
• 2 Testers -- one is your patient
• -- the other is documenting
• Helpful to VERBALIZE EVERYTHING
• Do not substitute for actual performance
• Candidate may ask questions to clarify
• Equipment will be provided

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Registration for Practical Test

• Call [phone]
• Secretary will assist you in scheduling
• Administered twice a month on Saturday mornings
• Bring identification with you to the test

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Rescheduling

• If you need to postpone your test
• 48 hours in advance
• Test teams are assigned based on number testing
• If you do not show up, you will have to pay
  re-test fee to reschedule

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EMT-Basic EMT-I PracticalTwo Parts

• 1 Trauma scenario 9 minutes
• 1 Medical Scenarios 9 minutes

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Retesting

• If you do not pass the practical test
• You have two more opportunities to pass
• Only retest on portion that was not passed
• Retest may not be the same, as selection is
  random!

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EMT-IA Practical Two of the following Three

• Mega-Code
• Trauma Code
• Pediatric Code

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Paramedic PracticalThree Parts

• Mega-Code
• Trauma Code
• Pediatric Code

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• REMEMBER
• Contact
• Medical Control before administering medications
  or performing invasive procedures!
• (Utah has no Statewide standing orders)

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Some Statistics on Reciprocities

• 44.5 passed practical first time
• 71.3 passed on practical retest
• Based on the total number of failures
• 33.2 Did not pass based on Initial Assessment
  performance
• 29.1 Did not pass based on medication
  administration
• 16.3 Did not pass based on Focused History
  performance

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Additional Information

• Must complete all documents and testing within
  120 days
• All fees are non-refundable
• Certification is for four years

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Studying the NSC Objectives with your textbook
Teaching and Testing Guidelines Success on the
test!
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General Information

• www.health.utah.gov/ems/certif
• Paper work questions Anna Beers 801-273-6666
• Testing questionsTravis Scoresby 801-273-6628
• National Registry testing
• Dennis Bang 801-273-6630

• Checklist
• Power Point