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Rescue Medical Technician - Introduction

Course Development History
Accreditation and Re-Accreditation
Course Outcomes : Course Delivery Modes
Entry Requirements : Recognition of Prior Learning


Course Development History
Industry/Market Needs
Consultation with the NSW Fire Brigade and allied rescue organisations (Mining and Industrial Rescue, Bush Fire, and State Emergency Services) have identified a competency and skill deficiencies in rescue procedures by rescue operators in the area of emergency Basic Life Support WS) and Basic Trauma Life Support (BTLS).

Officers roles were analysed with learners needs being facilitated. It was determined that there was an area of emergency response that has not been catered for within the Industrial, Mining and community environments of Australia. With the ever increasing demands placed on emergency services, fire brigade and allied emergency rescue units often initiate primary treatment and management to the sick and injured prior to the arrival of the recognised clinical professionals (i.e. Ambulance Services, Helicopter Retrieval services and the Flying Doctors).

It was also recognised that many primary response units such as the NSW Fire Brigade and allied emergency services (Mining and Industrial Rescue, Bush Fire Services, Volunteer Rescue Services, State Emergency Services) have personnel in dangerous and precarious situations during the day to day operations of the organisation. This training program allows the rescuer to obtain the necessary skills and competencies to rescue the rescuer if required and extend these skills to the people of the various communities within their field of operations.

Although traditionally there has been a basic strategy to incorporate basic first aid training for fire officers and volunteers rescue associations, there has been no recognised credentials for allied emergency personnel and / or fire fighters. In 1993 Paramedical Services Pty Limited and the NSW Fire Brigade recognised the need to initiate a training / educational program of instruction in (BLS) and (Bns).

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Accreditation and Re-accreditation
(Paramedical Services Pty Limited Rescue Medical Technicians award has been awarded accreditation with the NSW Vocational Education and Training Accreditation Board (VETAB)VETAB accreditation recognises that a vocational course or training program meets the standards required by National Framework for the Recognition of Training (NFROT) principles and complies with the VETAB guidelines.

Accreditation of Paramedical Services Rescue Medical Technicians (RMT) Course focuses on assessment of the standards and content of the course to ensure :

  • quality
  • relevance to industry and the community
  • learning outcomes and content are appropriate to the credential awarded and
  • assessment methods are included and appropriate.

A certification and recertification policy and procedure has been put into place to ensure a satisfactory standard of training is maintained. It is important for each Rescue Medical Technician, Rescue Medical Technician - Defibrillation and Rescue Medical Technician -Intermediate officer to understand that RMT training is not a one time effort.

To maintain, update and broaden needed knowledge and skills the RMT operator must continue to study. This responsibility for continuing educational effort exist whether the RMT is affiliated with a full time paid job or a volunteer organisation. In fact it has been determined that volunteers probably have a greater need for continuing education, because they do not have as many opportunities to refresh their knowledge and skills in actual patient handling.

Recertification requires individuals to attend a two day educational and instructional program for re examination and testing in the various patient management skills annually. Students at this time will be introduced to new protocols, techniques and procedures that have been revised or introduced during their time as Rescue Medical Technicians.

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Course Outcomes
The overall aim of this educational and instructional program is to introduce emergency rescue personnel to the care and assistance of the sick and injured in the pre- hospital field. This program has been directed thus far at a specific industry, Fire Brigades, Industrial rescue organisations, Mines rescue organisations, park rangers and outdoor or expedition leaders but can be customised to any personnel operating in the pre- hospital field.

This program has been designed to compliment pre-hospital care given by state regulated emergency services such as ambulance services. The various components of the course allow non-medically trained personnel to obtain a level of training adequate enough to ensure they are proficient in the application of emergency basic life support, and basic trauma life support skills and procedures.

The RMT training program is an extension of first aid training programs designed specifically for individuals working within the field of emergency responses and activation. The aim of this course is to provide participants with the knowledge and skills to perform safely the prescribed range of functions, involving predetermined routines and procedures in the area of basic cardiac and trauma life support, in order to deal with the early care of the sick and injured, prior to the arrival of emergency medical professionals (flying doctors, helicopter retrieval services, ambulance services).

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Delivery Modes
Rescue Medical Technicians Award is conducted through a series of classroom lectures spread out over 142 hours (nominal hours). The didactic sessions are broken up with practical application of learnt skill and procedures. Theory modules are supported by extensive practical sessions both in the classroom and in the field.

Scenarios and simulated emergency situations are utilised to further enhance students learning and adaptability to emergency medical pre-hospital work.

Paramedical Services, Rescue Medical Technicians Award is conducted on a full time basis. Due to the intricacies of emergency medicines and the skills and procedures required to function in this environment, distant education is not a viable mechanism for education or learning. Students are taught using a careful mix of didactic and "hands on" practical sessions to ensure optimum learning outcomes.

It is therefore necessary that classroom delivery and field exercises provide preceptors with the optimum delivery mode. This mode of delivery does not isolate remote operational enterprises in that the training program are delivered on-site to enhance and support the participants completion of the course. Organisations are not expected to detract from productivity, goals and / or objectives and may elect to customise the program further by splitting the program to suit their needs.

Because of the flexibility and design of the RMT program, it may be separated into training blocks, providing students both time to absorb and reinforce skills, knowledge and competencies, but also allowing companies and organisations; access to their human resources during training periods.

It has been found that on site training maximises outcome by limiting the various stress factors for students, e.g. being absent from their place of residence, finding alternate accommodation, and organising transport, and expenses

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Entry Requirements
Essentially there are no entry requirements or prerequisites for this program.
However it is recommended that participants are / have :

  • Senior First Aid Certificate
  • complementary work experience
  • employed or involvement in the care and management of the sick and injured in the pre-hospital environment
    an active role or interest in the provision of advance rescue medical training and skills.
  • a level of general education of year 10 including relevant literacy and numeracy skills in general adult education
  • a reasonable level of fitness and health.


It is essential that students demonstrate a proficiency in the English language to ensure that maximum care and management can be provided to the patient in an emergency situation. It is vital that the RMT operators can converse satisfactorily with patients, relatives and bystanders in order to obtain and comprehend the medical history regarding the patients condition.

This information in most cases will have to be relayed to medical professionals and support services, such as flying doctors, helicopter retrieval services, ambulance services and hospitals. Operators must be clear, concise and accurate in their reporting skills.

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Recognition of Prior Learning
Paramedical Services policy on the Recognition of Prior Learning (RPL) will be adopted and incorporated into the delivery of the Rescue Medical Technicians training course. Recognition of Prior Learning is described as the process whereby an individuals skills and knowledge may be recognised, irrespective of how it was obtained or acquired.

Paramedical Services have included in each module specification the following statement detailing RPL principles.
Participants who have completed appropriate training, or through prior learning and experience believe that they have gained the required outcomes stipulated for this module, may be granted credit upon substantiation of that claim.

Evidence of prior learning may include a combination of the following, which assesses all aspects of the competency;

  • evidence of current competence
  • problem solving tasks
  • oral and/or written evidence demonstrating knowledge of the principles of anatomy and physiology
  • oral and/or written evidence demonstrating knowledge of basic life support procedures and skills oral and/or written evidence demonstrating knowledge of basic trauma life support procedures and skills
  • statements of attainment
  • challenge tests.

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Rescue Medical Technician - Course Details

Course Content Rescue Medical Technician
Course Content RMT - Defibrillation : RMT - Intermediate
On-the-Job Training and Customization
Assessment

RESCUE MEDICAL TECHNICIANS COURSE CONTENT
PRE COURSE ASSIGNMENT : 12 hours

MODULES

  • Introduction to Occupational Health and Safety Regulations
    - 6 hours
    • common law responsibilities
    • patient records
    • patient confidentiality
  • Basic Life Support - 14 hours
    • Basic Human Anatomy and Physiology
    • Body Cavities and Body Planes
    • Cardiovascular
    • Respiratory
    • Renal System
    • CPR
    • DRABC
    • Patient Priorities
    • Unconscious patient
    • Patient Assessment
  • Trauma Life Support - 16 hours
    • Bleeding and Shock
    • Cardiovascular review
    • mechanisms of trauma
    • Mechanisms of Spinal and Head Trauma
    • Anatomy and Physiology of Nervous system
    • Philosophy of traumas, Kinetic energy
    • Head injuries Spinal injuries
    • Crush injuries
    • Blunt injuries
    • Penetrating injuries
    • Soft tissue injuries
    • Burns
    • Musculoskelatal
    • Fractures
    • Bandages and slings
    • Splinting mechanism and procedures
    • traction splints
    • air splints
    • rigid splints
    • improvised splints
    • Eye Injuries
    • Blunt, Foreign Bodies
    • Chemical Injuries, Extrusion
  • Common Medical Emergencies - 10hrs
    • Epilepsy, Heart Attack (AMI)
      Stroke (CVA), Asthma
    • Endocrine Emergencies, Diabetes
    • Environmental Exposure
    • Hypothermia
    • Hyperthermia.
    • Poisoning and envenomation Emergencies
    • A&P Lymphatic Poisons
    • Envenomation
  • Advance Resuscitation - 14 hours
    • Hypoxia
    • Chest Injuries
    • MARS Resuscitation
    • Oxy-Viva Mk III
    • Modulated oxygen
    • Suction
    • Oropharyngeal airway
    • Oxygen therapy
    • I.P.P.V.
    • 100% Oxygen on demand
  • Patient Communication Immobilization & Extrication - 15 hours
    • Cervical collars
    • Kendrick Extrication Device (K.E.D.)
    • Spinal immobilization
    • Rescue spine boards (long and short) - "their role in extrication"
    • Stretchers
      • Scoop
      • Stokes
      • Jordan Frame
      • flaraguard
    • *High Angle Rescue work
    • *Mountain and Cliff Rescue Procedures
    • *Motor Vehicle Extrication and spinal injury patient handling
    • *Confined Space Access and Extrication
    • *Building Access and introduction into Special Technical Access
  • Patient Management - 25 hours
    • Introduction to medical emergency packs
    • Emergency rescue and extrication equipment
    • Specialty transport
      • Industrial road ambulances
      • Helicopter, rotary winged aircraft
        • Winching procedures
        • Patient transports
      • Fixed wing aircraft
    • In field utilisation of all skills, procedures and equipment
  • Theoretical, Practical and Holistic assessment at end of course - 10 hours
  • Post course assignment to be handed in 2 weeks post course - 20 hours

Total : 142 hours

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RMT-DEFIBRILLATION

  • PRE COURSE ASSIGNMENT - 10 hrs
  • Automatic Electronic Defibrillation - 10 hours
    • Advance Cardiac physiology
    • Electrical conduction system
    • Basic ECG wave form recognition
    • Defibrillation, utilization, indications and contraindications;
    • Documentation

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RMT-INTERMEDIATE

It is essential that this course is conducted with an in hospital internship in order to gain competency required in these skills.

  • PRE COURSE ASSIGNMENT - 10 hrs
  • Pneumatic Anti - Shock Garment/Medical Anti Shock Trousers - 8 hours
    • Advance Cardiovascular anatomy and physiology
    • Introduction Pneumatic Anti - Shock Garment (PASG) (MAST)
    • PASG, utilisation, indications and contraindications
  • Intravenous Therapy/Cannulation - 20 hours
    • Advance Cardiovascular anatomy and physiology Review
    • Acid Base Balance
    • Fluid Therapy utilization, indications and contraindications
    • Cannulation, method, indications,contraindications, complications
  • Rescue Medical Technicians Internship - Open hours
    • Patient Management skills
    • Communication skills
    • Inter & personal development skills
    • Patient assessment skills
    • General patient care skills

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ON-THE-JOB TRAINING
The overall training framework of the Rescue Medical Technicians training program has been designed to incorporate a number of delivery strategies. On completion of the training program students are encouraged to continue training in an on-the-job capacity.

It is anticipated that students participating in this training program will come from rescue and para-rescue organisations (i.e. Fire Brigades, Mines Rescue organisations; etc.) and have available to them the time and opportunities to participate in on- the- job training, (where appropriate) and incorporate a range of teaching strategies and techniques. These strategies may include formal / semi-formal presentations, information sessions, practical demonstrations, group work, scenario's and the use of simulated occupational activities.

Participants in the RMT training program will maintain an on-the-job training record in the form of a "log book". This log book will be reviewed by experienced on-site supervisors in OH&S and rescue procedures and reviewed by Paramedical Services senior instructors at students re-certification programs'.

Student assessment will be achieved during recertification programs and clinical review meetings, where students have the opportunity to describe the various situations they have been confronted with and the actions and competencies they initiated. On the-job training is encouraged and it is therefore expected that in most cases, a similar amount of time and effort will be required by students on the job or through self study

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CUSTOMIZATION
In order to assimilate the needs of specific industries and organisations Paramedical Services Rescue Medical Technicians course can be tailored to the need of the specific industry. Customisation is achieved through a formal review of the enterprise before the commencement of the training program. The identification of specific tasks and needs are analysed and the competency based training customised to suit the client.

Although customisation is essential to cater for the various industries, the core subjects and modules remain basically intact. Customisation focuses upon the role that each individual has to perform and the skills, procedures and knowledge required to perform these tasks. Primarily courses will be structured to the requirements and needs of individual clients.

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ASSESSMENT

Assessment Strategy

The various assessment strategies, which are recommended within each stage of training, provides a number of alternative methods of assessment of students and participants. The overall emphasis is on detailing methods which ensure the demonstration of performance in either the workplace or in simulated occupational environments. The didactic assessment of students ensures that instructors and educators have disseminated the necessary information and students have a general acceptance and understanding of this information and data.


The recommended assessment strategies include the following:

  • Students are assessed by practical and theoretical oral / written examinations.
  • Students must successfully complete a written examination covering all areas of theory and didactic studies.
  • Students must satisfactorily complete a written research project.
  • Students receive this research assignment on day one of the RMT training program.
  • Students must successfully c6mplete practical VIVA'S, encompassing all learned practical competencies and skills
  • Group scenarios are utilised to reinforce and assess individuals abilities to work within and as a part of an emergency team.
  • labeling schematic diagrams
  • role play situations and sequences
  • oral presentations

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