The purpose of this website is to promote openness, discussion and collaboration among system directors in the development of EMS protocols. providers must follow an exact protocol? reporting errors. The concept is not This was instrumental in order to ensure we were working to improve our whole system of care and not just the pre-hospital aspect of care. He teaches children ages 3 to 12 years old about safety, prevention and 911. It is time to look at Have in depth knowledge of EMS protocols, LERN Entry Criteria and available medical resources. not strictly followed, everyone involved may be missing the point. can store everyone you talk to as either a contact or in a call log that complaint was flank pain due to kidney stones and had a blood pressure of Instead of having a restrictive protocol that limits our critical thinking abilities, we have clinical guidelines that allow the provider to utilize critical thinking and includes multiple treatment options to manage patients. “Because her blood pressure was greater than 185/110.”. Box 1471 Baton Rouge, LA 70821 Phone: 225-389-3000 Email Us All information submitted to the City … Our goal should be to set the bar high and bring everyone up to the highest level possible. paramedics are adequately educated and they understand all the capabilities of Adenosine- Indications & Contraindications. The list of available protocols is a work in progress. BR Med-Connect is an EMS telemedicine system recently installed in East Baton Rouge Parish (BR), Louisiana. Santa Rosa Junior College Paramedic Academy, Platteville-Gilcrest Fire Protection District, Sponsor Hospital Council of Greater Bridgeport, Space Coast Regional EMS-Doctor Williams Agencies, Cottonwood Ambulance Service/Granite Falls Ambulance, Emergency Medicine Associates of San Juan County, Rural Cass County Ambulance and Rescue Association, South Area Fire & Emergency Response District, NASEMSO National Model EMS Clinical Guidelines, Space Coast Regional EMS-Doctor McPherson Agencies, Illinois Region 9: Northwest Community EMS. EMS is funded by a property tax and insurance billing. There are 40 Emergency Communications Operators divided over four 12 hour shifts. The clinical guidelines are not necessarily an exact process that must be followed every single time. Baton Rouge EMS is the primary ALS provider for the parish of East Baton Rouge. How many agencies out there enforce the concept that their Baton Rouge EMS is the primary ALS provider for the parish of East Baton Rouge. This happens because some EMS providers have stopped learning and stopped thinking due to becoming reliant on protocols. It sounds ludicrous, but situations like this are seen all 7273 Florida Blvd. This runs contrary to the concept of a protocol. This change for us was not just an update but a complete overhaul of our entire clinical care approach. Last year the center answered over 427,000 calls for an average of 1,200 911 calls per day. Perry is a three-foot-tall remote-controlled paramedic unit that travels to many locations each week. mentality. If a treatment or a procedure does not go as They also should not be written to the level of your bottom performers, thus restricting your top performers. EBRP EMS Protocols. understand the benefits of the information they are acquiring and how to apply For example, when If these questions are to stimulate critical thinking, then the interaction is New equipment included the Handtevy System, additional pediatric specific equipment, pelvic binders, cooling collars and fluid warmers. The QA officer shakes his head in dismay and thinks to compiling data, we hope to analyze what is and is not working. be a monumental task. It is seen all the time. didn’t you perform this procedure? approach to treating patients is not necessarily a bad thing in certain Complacency will lead to poor patient care. During a QA process, the QA officer asks the question to a provider: “Why did you give Labetalol to this patient?” Their response? Mailing Address: Louisiana Department of Health | P. O. to just do something because it is required to be done according to a protocol. Providers should be taught the benefit of certain Currently in a pilot phase, the system is fully functional and is now being used for actual patient care. Emergency Medical Services (EMS) New Orleans Medical Emergency Services is dedicated to providing the highest quality pre-hospita l emergency care to individuals living in and visiting New Orleans.. As public servants, EMS provides time-sensitive, medically-sound and respectful, compassionate delivery of this pre-hospital health care. Critical thinking is necessary to know when to do or not to do something. a 12-lead ECG, it should not be necessary to tell them to acquire one in The LERN Board has approved guidelines and protocols for stroke … When this happens, providers fear negative action and will treat patients according to a protocol despite the factors of the particular case. to our culture has allowed the staff to feel comfortable asking questions and The right set of clinical guidelines and the way they are utilized will be the key factor in achieving this goal. Their knowledge base is restricted to within the walls of their agency’s protocols. ... response protocols. Mailing Address: Louisiana Department of Health | P. O. In August 2018, East Baton Rouge Parish EMS rolled out new clinical guidelines. As a profession, we need to keep up with the latest evidence-based practices and train our providers regularly. Mondrick, who has developed similar protocols in East Baton Rouge Parish, said fire personnel are trained to stage near an active shooter scene. hypertension. In November 2018, our department was invited to present cases EMS providers could now treat patients quickly without all of the “red tape.”. Please for more information or to help update the list. true in the complex-dynamic prehospital clinical careenvironment. The idea of an algorithmic ask ourselves: “Was this effective? Baton Rouge emergency medical professionals assessing an injured patient. It’s just that critical thinking must also be promoted. to share some of our data on improved outcomes with this panel. expected or a Clinical Guideline was applied inappropriately, our employees East Baton Rouge Parish Emergency Medical Services, Baton Rouge, Louisiana. Two-to-three years were spent reviewing literature and researching evidence-based practices to design our new clinical guidelines. McSwain EMS Trauma Symposium in New Orleans. The entire notion of EMS training is a rather complex one, and it is mainly aimed at ambulance personnel who, at the end of the training session, will be able to sit for the written NREMTP exam ad then for the practical exam before getting their certification. Many agencies do this because of liability. making that same phone call without the device or access to its contacts would They may suspect something does or does not need to be done, but they follow through with the incorrect decision anyway. But the provider didn’t choose to manage this patient’s pain. We must strive to understand when medications should or should not be given and eliminates the need to memorize phone numbers. Ambulance Standards . On March 12, 2009, the City of Baton Rouge (BR), Louisiana initiated its state-of-the-art “BR Med-Connect” EMS Telemedicine program with an inauguration event attended by the Mayor, East Baton Rouge Parish EMS Personnel, and physicians and administrators from Our Lady of the Lake Hospital. Baton Rouge, Louisiana 70806 Phone: 225/925-4022 Fax: 225/925-7244 www.dhh.la.gov An Equal Opportunity Employer Bureau of Emergency Medical Services LOUISIANA BUREAU OF EMS TASKFORCE AGENDA Meeting Date: July 9, 2019 1:00pm John Bel Edwards GOVERNOR SECRETARY Rebekah E. Gee MD, MPH SECRETARY Instructor skills check-off for the online AHA ACLS Heartcode course. Instead they chose to treat the high blood pressure. I have been working at East Baton Rouge Parish EMS full-time for more than 10 years Pros Great protocols and getting better, nice ambulances (although they aren't maintained the best), excellent equipment, nice stations, decent benefits and uniform allotment, supervisors are usually fair and easy to talk to, pay is decent though needs improvement We understand that every patient is different and sometimes a set protocol may not be in the best interest of every patient encounter. emergency medical services – the tens of thousands of ... who responded to victims of the recent Baton Rouge flooding, even as they were getting word that their own homes were at risk. This was progress in the right direction. Protocols and guidelines should not be written in an effort to force providers to follow specific steps in every situation. 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Wednesday, January 20, 2021 from 9:30 AM to 10:30 AM (11 seats left) East Baton Rouge EMS Headquarters Wednesday, February 17, 2021 from 9:30 AM to 10:30 AM (12 seats left) East Baton Rouge EMS Headquarters Wednesday, March 17, 2021 from 9:30 AM to 10:30 AM (12 seats … the time. This is especially It … Incorporating this concept of getting away from the strict protocol mindset and promoting critical thinking with the implementation of evidence-based practices ensures we are on the right path to changing the culture of how our patients are treated. guidelines that require a little more thought than a “see this, do that” We taught our providers the concept of treatment goals for each type of patient and that the “clinical guidelines” are your tools to achieve those goals. Each session lasts approximately 30 minutes. adoption of just culture concepts. authoring future publications to share our findings with the EMS industry. Dr. Burnell reviews on-scene medical procedures and protocols between medics and emergency room physicians. The list of available protocols is a work in progress. The guidelines are provided in algorithmic form, but our providers understand that they have the autonomy (within the confinements of their scope of practice and medical direction) to apply the standing orders in a manner that is appropriate for their particular patient. treated under the new guidelines for review with a panel of experts at the annual Classes are held at East Baton Rouge Parish EMS Headquarters. This has allowed us to grow as a department. We just cannot have an “easy button” for everything. Or, was there just the creation of a Yet the survey also revealed significant gaps in EMS perform certain assessments and render certain treatments. assessments. lead ECG, etCO2 reading or a vital signs trend. it. Click here to view the update to this article from April 2011. Depending on the facility, EMT and paramedic training is available for individuals interested in beginning a career in EMS. Short and not the best catch of an East Baton Rouge Parish EMS ambulance responding as well as a Supervisor unit on scene. We changed the name of East Baton Rouge Parish “protocols” to “clinical guidelines” as a representation of the new culture that is being promoted. In today’s age of communications technology, personal devices The Louisiana Emergency Response Network (LERN) is an agency of state government created by the Louisiana Legislature in 2004 charged with the responsibility of developing and maintaining a statewide system of care coordination for patients suddenly stricken by serious traumatic injury or time-sensitive illness (such as heart attack and stroke). We use cookies to ensure that we give you the best experience on our website. If you continue to use this site we will assume that you are happy with it. ... Get email updates for new Call Coordinator jobs in Baton Rouge, LA. Many years ago, prehospital providers would have needed to contact a physician before starting an IV, administering O2, or performing other procedures (including defibrillation) that are considered standard practice today. 190/110 with a pain scale of 9/10. As we continue culture of EMS zombies who operate under the “˜if this, then that’ algorithmic mindset?” In addition to reviewing our own data, published data, position statements, PHTLS guidelines, AHA guidelines, and National Model Guidelines, we consulted with experts in our service area that included emergency medicine physicians (adult and pediatric), trauma surgeons, neurologists, cardiologists, pharmacists, and obstetrician-gynecologists to aid in the process of guideline development. Regularly scheduled refresher courses and other continuing education opportunities are also available. 2.5K likes. It is Mailing Address: Louisiana Department of Health | P. O. what valuable information can be gained from certain assessments such as 12 They do this because of this method of inappropriate and overly rigid protocol enforcement. East Baton Rouge Parish Paramedics operate on some of the most advanced protocols in the industry and can perform many advanced life saving … said that they should. The East Baton Rouge Parish 911 center is staffed by EMS employees that are APCO trained as well as either EMT or Paramedic providers. manifested with questions such as: “Why didn’t you give this medication? EMS Educators need to dive deep with their providers and discuss anatomy, Why didn’t you do that?” To avoid delaying patient care and to take a load off the ED physicians, standing order protocols were developed. Give your employees the tools they need to provide high-quality care to your community. The next step to ensure that we allowed for growth was the The paramedic will do it on their own because they Click download to view the new clinical guidelines. STUDY. The department also offers other AHA classes such as BLS Healthcare Provider, ACLS, PALS. know they can reach out to us without fear of disciplinary action. While this is a great feature, How much does a Paramedic make in New Orleans, LA? There are over 100 AHA instructors aligned with our AHA training center. We have seen that this method has promoted a culture of providers who now want to learn about prehospital medicine and not to limit themselves to merely remembering a protocol. Some of the medications we added include Ketorolac, Ketamine, Norepinephrine, Dobutamine, IV Nitroglycerin, Neuromuscular Blocking agents, TXA, Nicardipine, Heparin, and Pepcid. In addition to transitioning from a strict order of providing care to a critical thinking approach, we also had to ensure our staff was given the tools necessary to provide the best care possible. situations. Box 629 | Baton Rouge, LA 70821-0629 Physical Address: 628 N. 4th Street | Baton Rouge, LA 70802 | PHONE: 225-342-9500 | FAX: 225-342-5568 Medicaid Customer Service 1-888-342-6207 | Healthy Louisiana 1-855-229-6848 Now the question we have to PLAY. He oversees training and continuing education programs at NEMSA, Acadian's wellness and quality enhancement programs, as well as Acadian's HSE program. Fast forward a few decades and there is a different problem. The application and enforcement of these protocols is the culprit. Heartsaver CPR/AED courses are offered to the public on the third Thursday of every month from 6 p.m. to 9 p.m. The National EMS Academy maintains six campuses in Louisiana. Dismiss. The purpose of this website is to promote openness, discussion and collaboration among system directors in the development of EMS protocols. certain situations. Because the protocol EMS leaders, educators and physicians need to continue moving prehospital medicine forward to ensure that we are treating patients to the best of our abilities. Of course, the pain was the cause of the Our goal is to help improve all EMS protocols to the current state of the science using evidence-based medicine. Box 629 | Baton Rouge, LA 70821-0629 Physical Address: 628 N. 4th Street | Baton Rouge, LA 70802 | PHONE: 225-342-9500 | FAX: 225-342-5568 Medicaid Customer Service 1-888-342-6207 | Healthy Louisiana 1-855-229-6848 on the right track. Why? EMS Protocols. Protocols The same concept can be applied to today’s protocols by New procedures include medication assisted intubation, apneic oxygenation, a modified Valsalva maneuver, heads up CPR, double sequential defibrillation, surgical cricothyrotomy, simple thoracostomy and pericardiocentesis. Our new clinical guidelines have completely redesigned our approach to taking care of our patients. The Louisiana Department of Health, Office of Public Health, Bureau of EMS has the responsibility of licensing EMS providers, practitioners, and vehicles functioning in the State of Louisiana that are subject to licensing statutes. EMS will provide staff for both transportation as well as assistance inside CTN shelters. have been developed for everything under the sun. The Department of EMS provides a progressive and comprehensive system of pre-hospital care, education, and public awareness to the residents of East Baton Rouge Parish. We changed the name of East Baton Rouge Parish “protocols” to “clinical guidelines” as a … Why If the intent of these questions is to ask why a protocol was GUIDELINES AND PROTOCOLS After a collaborative stakeholder workgroup and best practice research, LERN has established four hospital levels of care as part of Louisiana’s “hub and spoke” model which includes Comprehensive Stroke Center and Primary Stroke Center hubs, and spoke hospitals connected by telemedicine. The average Paramedic salary in New Orleans, LA is $43,565 as of December 28, 2020, but the range typically falls between $39,117 and $49,648.Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. Region 5 Parishes Beauregard, Allen, Calcasieu, Jefferson Davis and Cameron Parishes Finally, we need to ensure that we are creating an environment for our clinicians to think critically. Box 629 | Baton Rouge, LA 70821-0629 Physical Address: 628 N. 4th Street | Baton Rouge, LA 70802 | PHONE: 225-342-9500 | FAX: 225-342-5568 Medicaid Customer Service 1-888-342-6207 | Healthy Louisiana 1-855-229-6848 himself: “Where did we go wrong?” The provider documented the patient’s City of Baton Rouge Parish of East Baton Rouge P.O. crippling our clinician’s ability to critically think. This adjustment Please do not misinterpret what I just said. physiology and pathophysiology to help them better understand the reasons why they The Dilemma of the Protocol: Why We Need to Change This Culture. Throw in a supervisor, QA officer, or training officer who sends chastising messages to them if a protocol was not followed to the “T” and now a recipe for disaster is created. Again, we ask why? Our goal is to help improve all EMS protocols to the current state of the science using evidence-based medicine. In August 2018, East Baton Rouge Parish EMS rolled out new clinical guidelines. We anticipate The system has been planned by, and is now managed by an interdisciplinary team representing each of the system’s key components. Although they are culturally accepted, certain medications, procedures, and equipment were eliminated due to evidence suggesting they may be harmful. Please remember there are no refunds for no-shows. All para-transit vehicles are routed through Baton Rouge to Louisiana State University where evacuees are evaluated to determine whether they are medically able to continue to the CTNS destination or if they need to be removed to go to a MSNS or hospital. Why did you do this? Baton Rouge (/ ˌ b æ t ən ˈ r uː ʒ / BAT-ən ROOZH; from French Bâton-Rouge 'red stick') is the capital of the U.S. state of Louisiana.On the eastern bank of the Mississippi River, it is the parish seat of East Baton Rouge Parish, the most-populous parish in Louisiana.It is the 100th-most-populous city in the United States, and second-largest city in Louisiana after New Orleans. The East Baton Rouge Parish Emergency Medical Service (EMS) is a municipal service that originated on August 6, 1982. 2010 east baton rouge parish protocols with drug dosages. COVID-19 Outbreak Infects 44, Kills One at San Jose (CA) Medical... KS Paramedic Dies of COVID-19 Complications, Fauci: Vaccinations are Increasing in a ‘Glimmer of Hope’. Indications: PSVT, consider for unstable narrow complex tachycardia while prepping for cardioversion Contraindications: hypersensitivity, AV blocks > 1st degree, sick sinus syndrome, bradycardias. 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