EMS Council agenda

FRANKFORT — The next meeting of the Kentucky Emergency Medical Services Council will be held on Tuesday, Feb. 15, at 1:30 p.m. EST at the Berry Mansion, 700 Louisville Road (US 60 West adjacent to Juniper Hill Park) in Frankfort. Committees will meet on the following schedule:

• Training Committee: Feb. 14 at 2:00 p.m. EST in the Health Services Board Room, Health Services Building, Frankfort.
• EMS/Trauma Systems Committee: Feb 14 at 4:00 p.m. EST in the Auditorium of the Health Services Building, Frankfort.
• EMS for Children Committee: Feb. 15 at 8:30 a.m. in the Dining Room, Berry Mansion.
• Medical Standards and Delegated Practice Committee, Feb. 15 from 10:00 - 12:00 noon EST in the Music Room, Berry Mansion.
• Steering Committee, Feb. 15 at noon in the Kitchen, Berry Mansion.

Proposed agenda items include:

Medical Standards and Delegated Practice Committee:

• ALS protocols for review:
  • Adair County EMS (partial revision)
  • Mercy Regional EMS (complete revision)
  • McDaniels EMS (upgrade)
  • Mercer County EMS (partial revision)
  • Transcare (partial revision)
  • Georgetown/Scott County EMS (partial revision)
  • Medical Center EMS at Bowling Green, Auburn and Logan (complete revision)
  • McLean County EMS (partial revision)
  • Rural/Metro of Tri-County (upgrade)
  • Community Methodist Hospital Ambulance Service and Webster County EMS (complete revision)
• Medical Director review:
  • Royce D. Coleman, M.D., Rural/Metro of Tri County
  • Ronald L. Crafton, M.D., McDaniels EMS
• Discussion on Bretylium shortage and replacement drug Amiodarone
• Presentation by Ms. Barbara Sauter, R.N., Frankfort Fire and EMS Training, on Transtracheal Catheter possible use by paramedics.
• Report from Dr. Christopher Caggiano on Combitube Pilot Program (6 month update)

Training Committee:

• Status of EMT-First Responder Program
• Status of EMT-Basic Program
  • Update report from Task Force to develop new EMT-B practical skills certification examination scenarios for implementation on July 1.
  • Update report from Task Force to draft generic language for EMT regulation proposal pertaining to acceptable CPR training programs.
  • Update report on review of EMT-Basic supplemental curricula added to the EMT regulation proposal.
    • Advanced airway management
    • Blood gulcose analysis
    • Monitoring of pre-established patient IVs
    • Use of non-invasive monitoring devices:
      • CO₂ monitor
      • Cardiac monitor
      • Pulse oximeter
      • Temerature thermometer
  • Update report on review of the EMT-Basic Instructor Candidate Evaluation Manual
  • Revised EMT-Basic CE Report Form
• Status of EMT-Paramedic Program
  • Paramedic training course applications:
    • University of Kentucky
    • Paul B. Hall Medical Center
    • Yellow Ambulance Service (Louisville)
  • Addendum to paramedic courses:
    • Madisonville Technical College (Ohio County EMS for internship site)
    • University of Kentucky (request for out-of-state internship sites)
  • Request from Eastern Kentucky University concerning distance learning.
  • Consideration and planning for new curriculum for paramedics
    • Appointment of task force
    • Review material from National Registry concerning examination process to come in near future
    • "Roll outs" for new curriculum (number needed, tentative dates, etc.)
  • Recommendations to Council of paramedics for certification.

EMS Trauma Systems Committee:

• Revisions to Kentucky Ambulance Regulations
  • Air Ambulance Regulations revisions (902 KAR 14:090)
  • Ambulance service revisions
    • 902 KAR 14:070 Licensing Procedures
    • 902 KAR 14:080 Class I Ground Ambulance Providers
• Discussion of EMS personnel staffing shortages (EMT and paramedics)
  • Magnitude of the problem
  • Alternative approaches to address the problem
    • Availability of training programs
    • How training programs operate to prepare employees
    • Staffing requirements for ambulance providers
    • Recruitment and retention by ambulance providers
    • Career ladders for EMS personnel
    • Other approaches
• Emergency Medical Dispatch / 911 Issues

Emergency Medical Services for Children Committee:

• Kentucky EMS for Children Project:
  • Ongoing training and other project activities
  • Planning for maintenance activities following end of implementation project.
• 'Quick Hits' on Pediatric EMS Training:
  • ID available training resources (PEPP modules, etc.)
  • Consider specialized training (Children with special health needs)
  • Determine greatest training needs (anecdotal, survey, other means; skills or lectures)
  • ID and train the trainers (KEMTIA, EMS Educators Association, ambulance service training officers, etc.)
  • Obtain training materials (standard curricula, A/V,. etc.)
  • Deliver training
  • Consider satellite, video tape, other means of widespread distribution
  • Certificate of recognition for hours of pediatric training.
• Development of EMS for Children priorities and work plan (EMSC Strategic Planning)

Steering/Legislative Committee:

• Plan to restructure the size and composition of the EMS Council and committees.
• Discussion of proposed EMS legislation in the 2000 Kentucky General Assembly.
• Status of administrative regulation revision (EMT, paramedic, ground and air ambulance).
• Report on EMS Branch staff activities.

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