Emergency Medical Technicians-Basic (EMT-B) responds to emergency calls to provide efficient and immediate care to the critically ill and injured, and transports the patient to a medical facility. After receiving a call from the dispatcher, the EMT-B drives the ambulance to the address or location given, using the most expeditious route, depending on traffic and weather conditions. The EMT-B must observe traffic ordinances and regulations concerning emergency vehicle operation.
- Complete the Application for Emergency Medical Services Certification, including affirmation regarding criminal convictions
- Successfully complete an approved New York State EMT-B or AEMT course
- Achieve a passing score on the practical and written certification examinations
- Must be at least 18 years of age by the end of the month in which the applicant is scheduled to take the written certification examination
- Knowledge and skills required show the need for high school or equivalent education
- Ability to work with other providers to make appropriate patient care decisions
The EMT-B must demonstrate competency in assessment of a patient, handling emergencies, and using Basic Life Support (BLS) equipment and techniques. They must be able to perform CPR, control bleeding, provide non- invasive treatment of hypoperfusion, stabilize and immobilize injured bones and the spine, manage environmental emergencies, emergency childbirth, and more. They must be able to use a semi-automatic defibrillator. They must be able to assist patients with self-administration, or administer emergency medications as described in state and local protocol.
- Respond to calls when dispatched. Reads maps, drive an ambulance to emergency sites using the most expeditious route permitted by weather and road conditions. While observing all traffic ordinances and regulations.
- Use appropriate body substance isolation procedures. Assess the safety of the scene, gain access to the patient, assess extent of injury or illness. Extricate patient from entrapment. Communicate with dispatcher requesting additional assistance or services as necessary. Determine nature of illness or injury. Visually inspect for medical identification emblems to aid in care (medical bracelet, charm, etc.) Use prescribed techniques and equipment to provide patient care. Provide additional emergency care following established protocols. Assess and monitors vital signs and the general appearance of patient for change. Make a determination regarding patient status and priority for emergency care using established criteria. Reassure the patient, family members, and bystanders.
- Assist with lifting, carrying, and properly loading patient into the ambulance. Avoids mishandling patient and undue haste. Determine appropriate medical facility to which the patient will be transported. Transport the patient to a medical facility providing ongoing medical care as necessary en route. Reports the nature of the injury or illness to the receiving facility. Asks for medical direction from medical control physician and carries out medical control orders as appropriate. Assist in moving the patient from the ambulance into the medical facility. Reports observations verbally and in writing of the patient’s emergency status and care provided (including written reports and care provided by Certified First Responders prior to EMT-B/AEMT arrival on the scene) to emergency department staff and assist the staff as required.
- Comply with regulations in handling deceased patients, notify authorities, and arrange for protection of the property and evidence at the scene.
- Replace supplies and properly dispose of medical waste. Properly clean contaminated equipment according to established guidelines. Check all equipment for future readiness. Maintain the ambulance in operable condition. Ensure cleanliness and organization of the ambulance, its equipment, and supplies. Determine vehicle readiness by checking operator maintainable fluid, fuel, and air pressure levels. Maintain a familiarity with all specialized equipment.
Under most conditions, EMS certificates issued by the Department are valid for 37 months from the date of issue and expire at 11:59 p.m. on the date indicated on the document, this will normally be the last day of the month. The following are the only exceptions to this certification period:
- The certified provider has completed a NYS written examination and all other requirements for recertification prior to the expiration of their current certification. Under the provisions of the State Administrative Procedure Act (SAPA 401) the provider shall remain certified until such time as the results of the examination are released.
- The provider is a participant in an approved pilot recertification program that allows for certification for a period different than three years and such provider has received a certification from the Department with an expiration date more than 37 months in the future.
- The provider has been approved for extended certification as allowed for by law.
- Military personnel being released from active duty have their CFR/EMT/AEMT certification extended under the provisions of the “Patriot Plan” (Chapter 106, Laws of 2003).
“The commissioner is hereby authorized and empowered to extend the certification for emergency medical technicians, advanced emergency medical technicians, or certified first responders who have been ordered to active military duty, other than for training, on or after the eleventh day of September 2001 and whose certification will expire during their military duty. The extended certification shall be for the period of military duty and for twelve months after they have been released from active military duty.”
If certification expires after leaving active military duty, the individual is not eligible for extension of certification under the provisions of this law. The maximum certification extension granted will be for the period of military duty and for 12 months effective from the date of release from active military duty as evidenced by the form DD-214. Review Policy Statement 03-10 for the filing procedure.
Policy Statement 02-02 describes the process for the review of criminal convictions for candidates seeking EMS certification. In addition, it describes the responsibilities for the candidate, the certified instructor coordinator (CIC) and the Department.
- In accordance with the provisions of the New York State Emergency Medical Services (EMS) Code – Part 800; candidates for EMS certification or recertification must not have been convicted of certain misdemeanors or felonies. (10 NYCRR 800.6-f) The Department of Health (DOH) will review all criminal convictions from any federal, military or state jurisdiction to determine if such convictions fall within the scope of those specified in Part 800, or represent a potential risk or danger to patients or the public at large.
- The regulation does not prevent a candidate with a criminal conviction from attending and completing all of the requirements of an EMS course. However, it may prevent the candidates from becoming certified in New York State until DOH has reviewed the circumstances of the conviction(s) and made a determination that the candidate does not demonstrate a risk or danger to patients. If DOH makes such a determination, the candidate will be eligible to take the NYS practical and written certification examinations, if otherwise qualified. All candidates should be fully informed of these requirements by the CIC at the beginning of the course.
- Candidates will not be permitted to take the NYS practical or written certification examination until the background review and investigation is completed and a determination is made.
- DOH will discuss issues related to criminal convictions ONLY with the candidate or their legal representative. There is no requirement or need for the candidate to divulge or discuss the circumstances of any conviction(s) with the CIC, or any Instructor.
The information contained above was taken from DOH Policy Statements, Public Health Law, and the NYS EMS Student Manual.