ASTM F1256-2013 Standard Guide for Selection and Practice of Emergency Medical Services Instructor for Emergency Medical Technician (EMT) Training Programs《高级急救医疗技术人员(EMT)培训计划的急救医疗.pdf

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1、Designation: F1256 90 (Reapproved 2008)F1256 13Standard Guide forSelection and Practice of Emergency Medical ServicesInstructor for Basic Life Support/Emergency EmergencyMedical Technician (BLS/EMT)(EMT) Training Programs1This standard is issued under the fixed designation F1256; the number immediat

2、ely following the designation indicates the year oforiginal adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. Asuperscript epsilon () indicates an editorial change since the last revision or reapproval.1. Scope1.1 This gui

3、de is intended to assist emergency medical services (EMS) agencies and institutions in selecting and utilizingindividuals who teach in EMT (emergency medical technician) training programs which include instruction in basic life supportknowledge and skills.1.2 This guide identifies six categories of

4、instructor in a BLS/EMT (basic life support/emergency an EMT (emergency medicaltechnician) training program: adjunct instructor, clinical/field preceptor, practical skills instructor, associate instructor, courseinstructor/coordinator (I/C), and course administrator. The guide recognizes that an ind

5、ividual may, depending on his/her level ofpractice and the training program involved, function in any or all of these categories.1.3 This guide includes specific guidelines for qualifications, training, education, experience, scope of authority, responsibilities,continuing education, evaluation, and

6、 maintenance of competency when applicable.1.4 This guide does not include specific guidelines for the course administrator or the adjunct instructor. While the guiderecognizes, by offering a definition of each category, that these types of individuals function in many BLS/EMTEMT trainingprograms, t

7、he limited instructional roles played by these individuals precludespreclude the need for specific selection andutilization guidelines.1.5 This guide is intended to apply to any individual who teaches in BLS/EMTEMT training programs regardless of theindividuals present level of clinical practice.1.6

8、 This guide intentionally omits references to length of prehospital care experience, teaching experience, and continuingeducation requirements. This guide also omits reference to waiver or equivalency. These issues should be addressed by theappropriate agency.1.7 This guide applies only to instructo

9、rs who teach in basic life support training courses designed to prepare an individual forcertification to practice as an EMT (basic) or first responder. above the level EMT. It does not apply to instructors who teach inspecialized courses that do not in themselves qualify the individual for a level

10、of EMT certification.1.8 This guide does not establish certification requirements. Such requirements should be established by the certifying agencyin the jurisdiction in which the BLS/EMTEMT instructor will function. This guide may be used to provide considerable guidanceto the jurisdiction responsi

11、ble for establishing certification standards.1.9 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibilityof the user of this standard to establish appropriate safety and health practices and determine the applicability of regulat

12、orylimitations prior to use.NOTE 1Also see Practice F1031.2. Referenced Documents2.1 ASTM Standards:2F1031 Practice for Training the Emergency Medical Technician (Basic)1 This guide is under the jurisdiction of ASTM Committee F30 on Emergency Medical Services and is the direct responsibility of Subc

13、ommittee F30.02 on Personnel,Training and Education.Current edition approved Feb. 1, 2008Aug. 1, 2013. Published March 2008September 2013. Originally approved in 1990. Last previous edition approved in 2002 asF1256 90(2002).(2008). DOI: 10.1520/F1256-90R08.10.1520/F1256-13.2 For referencedASTM stand

14、ards, visit theASTM website, www.astm.org, or contactASTM Customer Service at serviceastm.org. For Annual Book of ASTM Standardsvolume information, refer to the standards Document Summary page on the ASTM website.This document is not an ASTM standard and is intended only to provide the user of an AS

15、TM standard an indication of what changes have been made to the previous version. Becauseit may not be technically possible to adequately depict all changes accurately, ASTM recommends that users consult prior editions as appropriate. In all cases only the current versionof the standard as published

16、 by ASTM is to be considered the official document.Copyright ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959. United States12.2 Other Referenced Standards:NHTSA National Scope of Practice Model3NHTSA National EMS Education Guidelines4National EMS Education St

17、andards and Instructional GuidelinesEMT Instructor Guidelines53. Terminology3.1 Definitions of Terms Specific to This Standard:3.1.1 adjunct instructoran individual with specialized subject matter expertise, who, on occasion, instructs a specific topic ofa curriculum under the direction of the cours

18、e instructor/coordinator.3.1.2 associate instructoran individual who possesses the qualifications and education/training of a course instructor/coordinator, but, in a specific course, assumes a supportive or assisting role to the course instructor/coordinator. This individualmay substitute for the c

19、ourse instructor/coordinator in case of necessity or, in other courses, serve as a course instructor/coordinator.3.1.3 basic life supporta level of pre-hospital emergency medical care that includes any or all first responder and EMT-basicEMT procedures as defined by the National Standard Curricula.,

20、3.1.4 basic life support/emergency medical technician (BLS/EMT) training programa course of instruction that provides anindividual with the knowledge and clinical skills of emergency medical care necessary to function at a level of first responder orEMT (basic) level of care. Such courses include, b

21、ut are not limited to, first responder and EMT-basic training programs.3.1.5 BLS/EMT instructoran individual who provides instruction in a training or education program for prehospital BLS/EMTpersonnel. This term includes any individual who functions as an adjunct instructor, clinical/field precepto

22、r, practical skillsinstructor, associate instructor, or course instructor/coordinator.3.1.4 certificationcurrent, formal approval by the appropriate certifying agency to function at a specific level of practice. Thismay also be referred to as approval or licensure.3.1.5 clinical certificationa stand

23、ardized process for evaluation and recognition of an acceptable level of competence in aspecific aspect of patient care.3.1.6 clinical experienceexposure to and practice in an area of patient care.3.1.7 clinical/field preceptoran individual who supervises and evaluates the students during clinical o

24、r field experiences underthe direction of the course instructor/coordinator.3.1.8 course administratoran individual responsible for managing administrative details of a course, separate from actualinstruction of the course.3.1.9 course instructor/coordinator (I/C)an individual who is authorized by t

25、he appropriate entity to present and assesscompetence in all of the subject matter contained in a curriculum. This person also oversees all instruction in the course and makesfinal evaluations concerning student competence.3.1.10 course medical directorthe licensed physician who provides medical dir

26、ection for all didactic and clinical instructionand clinical practice experience included in a BLS/EMTEMT training program.3.1.11 evaluationthe process of verifying clinical and educational skills and knowledge competencies of a BLS/EMTEMTinstructor.3.1.12 emergency medical technician (EMT) NHTSAthe

27、 primary focus of the Emergency Medical Technician is to providebasic emergency medical care and transportation for the critically ill or injured patients who access the emergency medical system.This individual possesses the basic knowledge and skills necessary to provide patient care and transporta

28、tion. Emergency MedicalTechnicians function as part of a comprehensive EMS response, under medical control. Emergency Medical Technicians performinterventions with the basic equipment typically found on an ambulance. The Emergency Medical Technician is a link from thescene to the emergency health ca

29、re system. Emergency Medical Technicians scope of practice includes basic, non-invasiveinterventions to reduce the morbidity and mortality associated with acute out-of-hospital medical and traumatic emergencies.Emergency care is based on assessment findings.3.1.13 emergency medical technician instru

30、ctoran individual who provides instruction in a training or education program forthe EMT personnel. This term includes any individual who functions as an adjunct instructor, clinical/field preceptor, practicalskills instructor, associate instructor, or course instructor/coordinator.3 Emergency Medic

31、al Services, First Responder Training CourseInstructors Lesson Plans (U.S. DOT/NHTSA Report No. DOT HS 900, 1984).Available from:http:/www.ems.gov/education/EMSScope.pdf4 Emergency Medical TechnicianAmbulance: National Standard CurriculumInstructors Lesson Plans (U.S. DOT/NHTSAReport No. DOT HS 900,

32、 1984).Availablefrom: http:/www.ems.gov/pdf/811077a.pdf5 Emergency Medical Services Instructor Training Program: A National Standard CurriculumInstructors Lesson Plans, First Edition, 1986 (U.S. DOT/NHTSA ReportNo. HS 900086, February 1986).Available from: http:/www.ems.gov/pdf/811077c.pdfF1256 1323

33、.1.14 emergency medical technician (EMT) training programa course of instruction that provides an individual with theknowledge and clinical skills of emergency medical care necessary to function at a level of an EMT level of care. Such coursesinclude, but are not limited to, EMT training programs.3.

34、1.15 instructor training programan educational program that provides a foundation of essential educational principles toassist individuals to instruct in, or coordinate, BLS/EMTEMT programs. It must,shall, at a minimum, contain the elements of theDOTNHTSA EMS Instructor National Standard Curriculum.

35、3.1.16 practical skills instructoran individual who assists with practical skills instruction under the direction of the courseinstructor/coordinator.3.1.17 qualificationa requirement which shall be met by a BLS/EMTan EMT instructor candidate prior to selection andpractice as a BLS/EMTan EMT instruc

36、tor.4. Significance and Use4.1 Since the quality of prehospital BLS/EMT EMT training depends, in large measure, on the instructional abilities andcompetencies of the BLS/EMTEMT instructor, it is imperative that the individual selected and used in this capacity possess thequalifications and capabilit

37、ies necessary to provide effective instruction.4.2 A BLS/EMTAn EMT instructor must possess clearly defined knowledge and skills competencies, have clearly definedresponsibilities and scope of authority related to instructional programs, and meet other specific requirements pertinent to the levelof i

38、nstruction.4.3 Using this guide, EMS institutions and organizations should be able to develop requirements for selection and utilizationof BLS/EMTEMT instructors for BLS/EMTEMT training and education programs.BASIC LIFE SUPPORT INSTRUCTOR GUIDELINES5. Course Instructor/Coordinator5.1 An individual s

39、hall be considered eligible to serve as a BLS/EMTan EMT course I/C (instructor/coordinator) whenrequirements as outlined in 5.1.1 and 5.1.2 have been met by that individual.5.1.1 QualificationsPrior to entering the instructor training program, the course I/C candidate shall:5.1.1.1 Be at least a hig

40、h school graduate or have a General Equivalency Diploma (GED);(GED), preferably a higher educationdegree in a supportive discipline,discipline;5.1.1.2 Have prehospital patient care experience at least at the level being taught,taught;5.1.1.3 Be certified at least at the level being taught, taught;5.

41、1.1.4 Demonstrate, at the level being taught, current competence in and knowledge of emergency care of the acutely ill ortraumatized patient to the satisfaction of the appropriate agency,agency; and5.1.1.5 Demonstrate to the instructor training agency,agency reading and language skills commensurate

42、with resource materialsto be utilized in the BLS/EMTEMT training program.5.1.2 Education/Training/ExperienceThe course I/C candidate shall:5.1.2.1 Have served as a practical skills instructor, clinical or field preceptor, and successfully completed a supervisedprobationary teaching experience in a B

43、LS/EMTan EMT training program at the level to be taught to the satisfaction of theappropriate agency,agency;5.1.2.2 Have advanced clinical certifications, provider or intructor,instructor, or both, as appropriate for the curriculum beingtaught,taught;5.1.2.3 Be certified as a CPR instructor accordin

44、g to the current standards as promulgated by the American Heart Associationor the American Red Cross,Cross;5.1.2.4 Become familiar with appropriate record keeping processes for students, sponsoring agency, or state EMS agency, orboth,both; and5.1.2.5 Successfully complete an instructor training prog

45、ram that includes the knowledge and skills objectives contained in theDOTNHTSA Instructor Curriculum.5.1.3 Scope of AuthorityThe course I/C shall have the authority to:5.1.3.1 Conduct BLS/EMTEMT training programs with approval of appropriate EMS agency,agency;5.1.3.2 Document to the appropriate agen

46、cy those students successfully completing the BLS/EMTEMT training program,program; and5.1.3.3 Regulate student behavior within the scope of the training program under the institutional guidelines for due process.5.1.4 ResponsibilitiesThe course I/C:5.1.4.1 Should provide a positive role model by:(a)

47、 Maintaining personal mental and physical health,health;(b) Maintaining appropriate personal hygiene and appearance,appearance;(c) Actively pursuing personal and professional development,development;F1256 133(d) Recognizing personal limitations and seeking assistance when appropriate,appropriate;(e)

48、 Demonstrating competent, respectful, and caring interactions with students, coworkers, and patients at all times,times; and(f) Demonstrating professional behavior in the classroom or in the presence of students.behavior.5.1.4.2 Shall ensure a safe and effective learning environment, environment;5.1

49、.4.3 Shall ensure competent training staff,staff;5.1.4.4 Shall maintain appropriate training records,records;5.1.4.5 Shall teach the curriculum as adopted and defined by the appropriate certifying agency,agency;5.1.4.6 Shall inform students of the criteria for successful course completion,completion;5.1.4.7 Shall consistently monitor student progress toward terminal course objectives and provide appropriate feedback to thestudents within guidelines established by the appropriate certifying agency,agency;5.1.4.8 Shall uphold state and natio