Transitioning From a BLS to ALS Ambulance, With the Use of Simulation Travis Spier – RN, NR-Paramedic, CCEMT-P Director of Simulation and Pre-hospital Care Sanford Health – Sioux Falls, SD Disclosures ! Spier – none Greetings from Sioux Falls, SD Today's Objectives ! Review the assessment strategy of transitioning volunteer EMT providers into Paramedics ! Review the activities and scenarios that incorporated simulation into the learning plan ! Review comments captured from the participants Request ! Assist a volunteer EMS service with their transition from BLS to ALS licensure ! Utilize simulation to assist new paramedics in clinical judgment and skill development ! Provide lifelike experiences and mentoring to help develop clinical competency in new paramedics Partners ! Hospital owned volunteer BLS ambulance – Less than 15 total members/volunteers – 911 call volume: 400 responses per year – Interfacility transfers: 450 requests per year Partners ! Tertiary Receiving and Teaching Hospital – Established simulation program – Regional EMS education facility Planning: Agency Assessment ! Desire to provide a higher level of care in a rural community ! Incorporate a business model to capture lost revenue from interfacility transfers ! Need for ALS competency and experience within a low volume market ! Build clinical confidence in participants through the use of simulation Planning: Overcoming Challenges ! All of the participants were volunteer EMTs advancing to the paramedic level ! Clinical and field experience varied ! Learning disparity within the group ! Financial commitment to fund the project ! Sustaining the program post grant Planning: Intended Goals for the Project ! Provide realistic simulated patient experiences for various age groups with a sampling of illnesses and injuries ! Build confidence and competence of the new ALS providers ! Provide a structured learning plan that improves clinical judgment ! Increase the level of care provided in the community
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