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Pre-hospital emergency care can be given by someone within the community, by those trained as responders, or by ambulance personnel who have trained to become registered practitioners. This fact sheet has been compiled to outline the training and education, as well as the roles and responsibilities, of pre-hospital emergency care Responders and Practitioners.
Responder
PTO
Practitioner
Paramedic (P)
A Paramedic is a registered practitioner who has completed PHECCs standard of education and training at Paramedic level. This is the minimum clinical level that is recommended to provide care & transport of an ill or injured patient following a 999/112 call. The Paramedic is principally engaged in assessing patients needs, making informed clinical decisions, planning and administering procedures and medications and monitoring patient responses both on scene and during transport. Skills such as supraglottic airway use and 12-lead ECG interpretation are examples of the Paramedics scope of practice. Authorisation to administer medication is by CPG and registered medical practitioner instructions and includes Glucagon IM for hypoglycaemia and Naloxone IM for narcotic overdose. The Paramedic can work for the HSE National Ambulance Service; Dublin Fire Brigade; fire, rescue and auxiliary services; and voluntary or private ambulance services. The education and training for Paramedics consists of 28 weeks theory, supervised clinical practice on emergency ambulance vehicles and healthcare service placements as well as one year Internship. The NQEMT at Paramedic level is awarded to successful candidates.
MinimumtrainingrequiredtobecomeaPHECCcertifiedResponderorPractitioner
CardiacFirst Responder
68Hours/1Day classroomlearning
Occupational FirstAider*
3daysclassroomlearning toincludePHECCCFR Standard
EmergencyFirst Responder
30hours/5days classroomlearning
Paramedic
270hours/9weeks +19weeksInternship inclusiveof1week TraumaLifeSupport Course
Advanced Paramedic
35weeks 16weeksDistance Learning 12weeksClinical taught/placements 7weeksInternship
CertificationAssessmentDuration
MultipleChoice ShortWrittenAnswers Questions(20for Responders/25for Practicalskillsassessment Practitioners) *OFAtrainingisoverseenby theHSA.TheOFAAAis Practicalskills appointedbytheHSAtocarry assessment outtheassessmentand registrationofOccupational FirstAidInstructors.PHECCs CFRStandardistaughtaspart ofthecourse.
120hours/4weeks classroomlearning +1weekwork Completionofthe placement PHECCCFRcourseis prerequisiteforentryto EFRcourses 40MultipleChoice After4Weeks Questions training: 100Multiple Practicalskills ChoiceQuestions assessment 8OSCEskills assessment(4 Primaryand4 Secondaryskills)
After9weeks training: 100Multiple ChoiceQuestions 6PrimaryOSCE skillsassessment After19weeks training: 6ShortWritten Answers 8SecondaryOSCE
Panelassessment
IMPORTANTPleasenotethedurationsquotedaretheminimum.PleaseseethePHECC2007TrainingandEducationStandardforfulldetails.