1. Reciprocity Orientation Presented by Bureau of Emergency Medical Services

2. Overview  Why Reciprocity?  What’s the difference between my training and Utah’s?  Reciprocity Procedures in Utah  Documentation  Testing Process

3. Reciprocity Procedures in Utah Two simple parts for reciprocity in Utah: 1.Documentation 2.Testing

4. Documentation  Application

5. http://health.utah.gov/ems/certif/application.pdf

6. Documentation  Application  Picture

7. Picture  Email your picture: gmcclellan@utah.gov  JPEG Format  Have your picture taken in our office  Bring in a photo

8. Documentation  Application  Picture  BCI Fingerprints (2 sets)

10. 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.

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

12. Documentation  Application  Picture  Fingerprints (2 sets)  Current certification- State or National Registry  Declaration of Understanding

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

15. 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.

16. 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

17. 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

19. 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

20. Payment of fees

21. 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

22. What’s the difference?  EMT-B  EMT-I  EMT-IA  Paramedic

23. 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

24. Utah EMT-Intermediate  Intubation  IV Access  IO Access  Administration Routes:  Intravenous (IV)  Intraosseous (IO)  IM  Endotracheal tube (ET) Medications: Epi 1:1,000 Epi 1:10,000 Lidocaine Morphine Narcan Albuterol D50

25. 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

26. Utah Paramedic  All invasive procedures outlined in the DOT – NSC Paramedic 98  All medications outlined in the DOT – NSC Paramedic 98

27. Testing Process  Written Exam  Practical Exam

28. WRITTEN EXAM

29. 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 Don’t Stress out!

30. 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.

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

32. To Obtain a Copy of the NSC:  Our website http://health.utah.gov/ems/training/ http://health.utah.gov/ems/training/ (hot-linked to NHTSA’s website)  NHTSA’s website: www.ems.govwww.ems.gov  Objectives listed at the front or end of each chapter in your textbook.

33. Scheduling your Written Exam  Call (801) 273-6666  Secretary will assist you in finding a time and place that is acceptable

34. 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

35. 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

36. PRACTICAL TEST

37. Practical Test  Use TTG’s as a reference. http://health.utah.gov/ems/training/emt-b_ttg.pdf http://health.utah.gov/ems/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

38. Registration for Practical Test  Call (801) 273-6666  Secretary will assist you in scheduling  Administered twice a month on Saturday mornings  Bring identification with you to the test

39. 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

40. EMT-Basic & EMT-I Practical: Two Parts  1 Trauma scenario – 9 minutes  1 Medical Scenarios – 9 minutes

41. 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!

42. EMT-IA Practical: Two of the following Three  Mega-Code  Trauma Code  Pediatric Code

43. Paramedic Practical: Three Parts  Mega-Code  Trauma Code  Pediatric Code

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

45. 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

46. Additional Information  Must complete all documents and testing within 120 days  All fees are non-refundable  Certification is for four years

47. Studying the NSC Objectives with your textbook + Teaching and Testing Guidelines= Success on the test!

48. General Information: health.utah.gov/ems/certif Paper work questions: Gay Brogdon, 801-273-6603 Testing questions: Jim Hansen, 801-273-6628 National Registry testing: Dennis Bang, 801-273-6630 Checklist Power Point