IMS Program: EMT Requirements, National Registry, Incident Medical Specialist

WELCOMETO THE IMS PROGRAM Karen Hale, Columbia Cascade Dispatch Office, Assistant Center Manager. 360 Karen Hale, Columbia Cascade Dispatch Office, Assistant Center Manager. 360- -891 891- -5123 5123 Liaison with IMS from the Training Officer and Dispatch Communities Liaison with IMS from the Training Officer and Dispatch Communities. . Little Bit of History: Little Bit of History: Originally the Fire Medical Technician Program. Originally the Fire Medical Technician Program. Basically Basically Developed to add specialized training in Developed to add specialized training in Trauma found in Incident injuries and Sick Call Trauma found in Incident injuries and Sick Call related to Fire Incidents. related to Fire Incidents. Term: Camp Crud Term: Camp Crud Must be a Licensed EMT to apply for the program. Must be a Licensed EMT to apply for the program.

EMT REQUIREMENTS Public .Health.Oregon.gov Public .Health.Oregon.gov 1. 1. License Verification License Verification 2. 2. Proof of Training Proof of Training Initial and Continuing 3. 3. Practice Area usually a county Practice Area usually a county 4. 4. Affiliated with a service for the entire licensure period Affiliated with a service for the entire licensure period 5. 5. Criminal Background Check Criminal Background Check 6. 6. Out Out- -of of- -State, Need verification of Reciprocity State, Need verification of Reciprocity Initial and Continuing

NATIONAL EMT REGISTRY C Certification ertification by the National Registry, by itself, does not by the National Registry, by itself, does not give an individual the right to practice give an individual the right to practice. It is a private organization that looks at EMT licensure and basically organization that looks at EMT licensure and basically says Yes, this person is an EMT in their state of says Yes, this person is an EMT in their state of Licensure . Licensure . Does not grant Reciprocity. Does not grant Reciprocity. In other words, does not correct or override the basic In other words, does not correct or override the basic EMT Requirements. EMT Requirements. Until Reciprocity is granted EMT s often work at the Until Reciprocity is granted EMT s often work at the lowest level. lowest level. Example: EMTP will only be paid as EMTB Example: EMTP will only be paid as EMTB . It is a private

IMS-INCIDENT MEDICAL SPECIALIST Dr. Jui joined as Physician Advisor Dr. Jui joined as Physician Advisor 1. 1. Steering Committee Steering Committee 2. 2. National National recognition 3. 3. Advanced Training Advanced Training 4. 4. Reciprocity Reciprocity 5. 5. Teams Teams recognition

RECIPROCITY Say What? Say What? Definition: a Definition: a mutual exchange of privileges; mutual exchange of privileges; specifically recognition by one of two countries or institutions of the validity recognition by one of two countries or institutions of the validity of licenses or privileges granted by the other of licenses or privileges granted by the other . . EMT s are licensed through each State s Emergency Medical EMT s are licensed through each State s Emergency Medical Services. Services. Out Out- -of of- -State licensed individuals must apply and request reciprocity. State licensed individuals must apply and request reciprocity. specifically : a : a IMS program (under Dr. IMS program (under Dr. Jui s file and when an IMS team gets dispatched to an out of region file and when an IMS team gets dispatched to an out of region incident (Dr. incident (Dr. Jui s Jui s office) will handle the request for reciprocity. office) will handle the request for reciprocity. Jui s authority) keeps all EMT information on authority) keeps all EMT information on

RECIPROCITY CONTINUED The Groups that Dr. The Groups that Dr. Jui IHC IHC Hotshot Crews Hotshot Crews SMJP SMJP - - Smokejumpers Smokejumpers RAP RAP Rappellers Rappellers Jui has added to the IMS program: has added to the IMS program: This applies only to the EMT s that attended the IMS training. This applies only to the EMT s that attended the IMS training. Reciprocity is NOT requested for every state they move to. Reciprocity is NOT requested for every state they move to. They are to check in with Medical when they arrive on incident They are to check in with Medical when they arrive on incident and they will be tracked that way. and they will be tracked that way. NASEMSO: National Association of State EMS Officials NASEMSO: National Association of State EMS Officials Working on Interstate Compact. Proposal completion May 2014. Working on Interstate Compact. Proposal completion May 2014.

R6 IMS DISPATCH PROCEDURES IMS Teams are already in the system attached to T1 and Oregon T2 IMT s. IMS Teams are already in the system attached to T1 and Oregon T2 IMT s. IMSM s Responsibility: IMSM s Responsibility: ROSTER: ROSTER: To be done on Host Unit To be done on Host Unit Correct Name? Correct Name? Correct Qualification? Trainees? Correct Qualification? Trainees? Correct Unit Identifier? Correct Unit Identifier? Are they statused statused Available? Available? Call the team members Call the team members Are they At Incident and need addition IMS personnel? At Incident and need addition IMS personnel? Example: 2 IMST and 1 IMSA(t) Example: 2 IMST and 1 IMSA(t) Incident Host Unit will check with local unit first, then neighbors Incident Host Unit will check with local unit first, then neighbors this is all done in ROSS. If no one shows available, order will be placed to NWCC. ROSS. If no one shows available, order will be placed to NWCC. ORDER ORDER Number and Type Number and Type this is all done in NWCC will then look for what is showing available inside the NW GACC. NWCC will then look for what is showing available inside the NW GACC. Any IMS personnel Any IMS personnel statused statused available in ROSS will receive an order (closest forces) available in ROSS will receive an order (closest forces) until all orders are filled. Any orders unfilled will be until all orders are filled. Any orders unfilled will be UTF d UTF d back to the Incident. back to the Incident.

AD HIRING FOR IMS PROGRAM Because not all AD Hiring Authority is the same Because not all AD Hiring Authority is the same Check at your local unit. AD Hiring authority could be at the HQ or Check at your local unit. AD Hiring authority could be at the HQ or delegated to the District Level. delegated to the District Level. DO NOT HIRE EMT s as AD s DO NOT HIRE EMT s as AD s Hired as IMST(t) AD Hired as IMST(t) AD- -F for Training Week Accepted into program affidavit grants IMST. Accepted into program affidavit grants IMST. Will be hired as IMST AD Will be hired as IMST AD- -G for 2013 incidents. All paperwork must be completed at local Host Unit . All paperwork must be completed at local Host Unit . Must comply with Host Unit Status procedures. Must comply with Host Unit Status procedures. F for Training Week G for 2013 incidents.

INCIDENT HIRE OF EMTS Use a General Message Use a General Message Order the number and type. type. Request should go to Expanded, but the actual Request should go to Expanded, but the actual hire should be through the Buying Team hire should be through the Buying Team (BUYT). (BUYT). Order the number and Northwest should Northwest should not IMS program. IMS program. not be hiring EMT s with the be hiring EMT s with the Don t get the two confused. Don t get the two confused.

INCIDENT HIRE OF EMTS CONTINUED FYI FYI- - Quote from Ben McGrane and FACT Quote from Ben McGrane and FACT team: team: There is a template in development, There is a template in development, however, we don t have that many so we however, we don t have that many so we prefer to go EERA via ITEAM to hire prefer to go EERA via ITEAM to hire. . Bottom Bottom- -line: Incident requests EMT s, line: Incident requests EMT s, have your Buying Team hire through have your Buying Team hire through local Fire Departments local Fire Departments

PROPOSAL IMS Steering Committee conduct an AAR at season end. IMS Steering Committee conduct an AAR at season end. Request each Dispatch Center to open a WILDCAD incident titled: Request each Dispatch Center to open a WILDCAD incident titled: IMS Dispatching IMS Dispatching Capture in the log any type of issue that comes up with the IMS Capture in the log any type of issue that comes up with the IMS teams, independent members, etc. teams, independent members, etc. Will request the reports at season end. Will request the reports at season end. Sort for similarities Sort for similarities Bring to the attention of the IMS Steering Committee: Bring to the attention of the IMS Steering Committee: Deficiencies , Issues Deficiencies , Issues From the IMS group will bring Issues to the CMAC. From the IMS group will bring Issues to the CMAC.

SUMMARY IMS: Teams should be IMS: Teams should be rostered Additional individuals should be Additional individuals should be statused Practice closest forces. Practice closest forces. rostered. . statused available available. . EMT s: Should be hired through Buying Team on EERA, EMT s: Should be hired through Buying Team on EERA, unless your local area already have in unless your local area already have in Iteam Iteam. . AD Hiring: Do not hire EMT s as AD s. AD Hiring: Do not hire EMT s as AD s. If qualified through IMS program, hire as IMST, If qualified through IMS program, hire as IMST, IMSA IMSA, IMSM. , IMSM.