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2312 West Beverley Street, Staunton, VA 24401 • 540.886.3676 • 800.868.5646

 Job Opportunity

CSEMS seeks EMS Training Specialist
 
The Central Shenandoah EMS Council in Staunton, VA has an opening for an EMS Training Specialist. Responsibilities include teaching and coordinating Basic Life Support and Advanced Life Support initial certification and continuing education training programs. The EMS Training Specialist also works as part of the team to establish and maintain program accreditation, develop regional prehospital treatment protocols, coordinate regional performance improvement programs and coordinate regional EMS test sites. 
More information regarding this job opening can be found on the job announcement.  Application deadline is May 15, 2012.

Job Announcement
CSEMS Employment Application

 Training

Fall EMT-Intermediate class slated
Course starts August 1 in Staunton

The EMT–Intermediate program is designed to certify technicians to a mid-level of pre-hospital advanced life support care in Virginia.  The Intermediate program is designed to educate the technician in the following areas of pre-hospital care:  preparatory skills, airway management and ventilation, patient assessment, trauma, medical, special considerations and assessment based management.

The CSEMS Council will conduct an EMT-Intermediate program starting August 1, 2012 and testing June 22, 2013.  The program will be held at the CSEMS Council office in Staunton, VA.  For more information, download the application packet.  Entrance examinations will be conducted during the month of June.  On-line registration is required to sit for the entrance examination.
Announcement

Upcoming Course Page

 Training

Fall EMT-Enhanced class slated
Course starts August 20 in Fairfield
The EMT-Enhanced: Virginia Standard Curriculum represents an entry level advanced care provider and can be used as either a terminal objective in itself or a transition to higher levels of education and/or certification at the EMT-Intermediate or EMT-Paramedic levels. This curriculum was developed as a sub-set of lessons from the Emergency Medical Technician-Intermediate: National Standard Curriculum and contains lessons and didactic information also included in the EMT-Intermediate program. As a sub-set of the EMT-Intermediate program, the EMT-Enhanced: Virginia Standard Curriculum is designed to maintain consistency with national prehospital care guidelines, while meeting the specific needs of Virginia’s EMS agencies and providers.
The CSEMS Council will conduct an EMT-Enhanced program starting August 20, 2012 and testing January 28, 2013.  The program will be held at the Fairfield Rescue Squad in Fairfield, VA.  For more information, download the application packet.  Entrance examinations will be conducted during the month of June and July.  On-line registration is required to sit for the entrance examination.
Announcement

Upcoming Course Page

 Regional EMS Awards

2012 EMS Awards Program

State EMS Advisory Board and regional Councils will recognize EMS providers, agencies and organizations

Virginia’s eleven regional EMS Councils will conduct regional EMS Awards programs, hold recognition ceremonies and publicize the regional winners in their communities. This statewide regional recognition will honor the exceptional contributions that members of Virginia’s EMS system make in their communities and help them to be more visible to the people they serve. Regional first place winners will announced on July 25, 2012 at an awards ceremony sponsored by the CSEMS Council at Gypsy Hill Park in Staunton, VA.

The regional winners will be sent by the Regional EMS Councils to the State EMS Advisory Board to compete at the state level in the Governor’s EMS Awards. Recipients of the 2012 Governor’s EMS Awards will be announced and presented a certificate signed by the Governor and an awards trophy at the Virginia EMS Awards Banquet on Saturday, November 10, 2012 during the 2012 Virginia EMS Symposium at the Norfolk Waterside Marriott, held November 7-11, 2012. The nomination deadline is June 1, 2012.

EMS Awards Page

 Regional Helicopter EMS

LifeGuard 12 to start service in CSEMS region
Letter from Gary Critzer, CSEMS Council Board President
On March 27, 2012, a contingent from CSEMS to include Executive Director Dave Cullen, Regional Medical Director Asher Brand, and myself, met with representatives from Carilion LifeGuard in Lexington to discuss the pending deployment of a new medical helicopter to Stonewall Jackson Hospital. The tentative start date for the program is April 1. Discussion ensued regarding LifeGuard 12 becoming a member of the CSEMS Board of Directors and participation on PI and MCRC committees to which they welcomed the opportunity. They have also expressed willingness to assist with regional training programs and skills drills. 

Read Full Letter (3/28/12)

 Regional Drug Boxes

Pharmacy committee approves drug box changes
MAD Nasal device and medication count stickers added
The regional pharmacies will begin stocking the mucosal atomization device, or MAD Nasal device, starting April 15, 2012. Two MAD nasal devices will be stocked in the syringe baggie. Last year, the MCRC approved the use of a mucosal atomization device (MAD) to administer fentanyl. In February, the Council conducted training on the MAD nasal devices at regional skills drills. A short presentation, EMS-109: Intranasal Medication Administration is also available on Edu-Net.
Nationwide drug shortages persist, affecting the availability of drugs in the CSEMS Council region. The shortages are dynamic, changing day-to-day and hospital-to-hospital. While the Council has maintained a listing of the shortages on its website, the CSEMS/TJEMS regional pharmacy committee moved to implement a new tool to better communicate drug shortages in individual boxes.
The regional pharmacies will begin using a ‘medication count’ sticker that will be placed on the exterior of the drug boxes. This sticker will be used primarily to reflect the count of midazolam (Versed), diazepam (Valium), fentanyl and morphine. Other medication shortages may be listed on the sticker as well. 

Drug Box Changes Memo (3/27/12)
IN med delivery using the MAD

MAD Nasal Check Sheet  

 Regional EMS Education

C.A.R.E. 2012 - Save the date!
2nd annual education event scheduled for August 18
The Central Shenandoah EMS Council and Augusta Health are pleased to announce the 2nd annual joint EMS education program, CARE 2012.  This day-long symposium, held on the campus of Augusta Health, will feature many outstanding speakers and presentations.  Topics to be presented at CARE 2012 will include stroke, cardiology, basic and advanced airway management, pediatrics, burns, infectious diseases, poisoning, obstetrics and moulage training for instructors.  The program will run from 8:00 AM to 5:00 PM and participants will receive a t-shirt and door prizes. Save the date! August 18. Class descriptions and times will be posted at a future date.

Remarks from CARE 2011 participants

"Wonderful day!  Great organization, quality presenters, healthy food choices! Thank you!"
"Just cannot wait until next year.  This set the standard for all continuing education. Thank you for providing this day!"
"Truly an excellent inaugural effort.  It is going to be a hard act to follow, but I'm looking forward to next year."
 Skills Drill
MCRC adopts new skills drill testing format
Changes take effect in June 2012
On January 23, 2012, the Medical Control Review Committee adopted a new testing format for CSEMS Council skills drills.  Starting in June 2012, ALS providers attending skills drills will be tested on three specific skill stations.  For example, in June, IV medication administration, BLS airway management, King LT airway (EMT-E) and synchronized cardioversion (EMT-I, EMT-P providers) will be tested.  A short written examination will still be administered as in the past.
The schedule for skill testing stations will be published one year in advance to give providers ample opportunity to practice the particular skills before attending a skills drill.  The skill check sheets for each skill will also be posted on the Council's website. 
Visit the skills drill page for the complete story, including skill station schedules and skill check sheets.

Skills Drill Page

 Drug Box Notice
Medication Shortages

Regional hospital pharmacies are experiencing shortages of multiple drugs.  See memo for full details.

Medication Shortages
   
Updated 3/26/12 
 Recall/Supply Notices

Oridian ETCO2 Alert (Update)
1/24/12

Triad Alcohol Prep Pads
3/8/11

King LTS-D Airways
3/4/11

King Airway Lubricant
2/16/11

 Council News
McComas resigns as EMS training specialist

It is with regret that the Central Shenandoah EMS Council must announce the resignation of Mandi McComas, who is resigning from her position of EMS Training Specialist. While Mandi’s resignation is effective April 6, 2012, she will continue working for the Council on a part-time basis until June 30, 2012 to fulfill obligations such as the EMT-Enhanced class, CE classes, consolidated test sites and more.

Mandi started with the Council August 29, 2005 as the American Heart Association Community Training Center Coordinator. In January 2008, she assumed the position of EMS Training Specialist. During the nearly seven years Mandi has worked for the Council, she has positively impacted the regional EMS system by training hundreds of BLS and ALS providers.  We wish Mandi every success with her new endeavors.

Full Story

 Protocols

2011 protocol changes

Starting in November 2010, a subcommittee of the Medical Control Review Committee (MCRC) was formed to begin working on protocol modifications. After four work sessions and numerous hours of work, the changes were presented to and approved by the MCRC on February 10, 2011. On March 31, 2011, the operational medical directors approved the protocols and the MCRC made a few housekeeping updates on April 25, 2011. The protocol changes became effective on June 1, 2011.

Field Guides
Protocol Page
 

 Virginia DDNR

Virginia DDNR regulations updated

The revised Durable Do Not Resuscitate (DDNR) regulations became effective on July 20, 2011. At this time, the Office of EMS is developing informational resources to provide education on the changes. The amendments to the regulations regarding DDNR orders add several definitions, specify that DDNR forms may be obtained from the OEMS website, and allow legible electronic copies of DDNR orders to be used and recognized as valid by health care facilities. The changes made since publication of the proposed regulations amend and revise portions of the regulations to highlight corrections in terminology, clarify the honoring of the DDNR by all levels of health care providers, and allow the use of current technology to obtain and implement the DDNR forms.

Virginia DDNR Program

 Drug Boxes

Regional drug box system best practices released

The Regional Drug Box Program Best Practices relate to the use of the CSEMS/TJEMS regional medication and IV kits. The best practices serve to provide regional guidance on the acquisition, storage, usage and maintenance of the drug box system. Local pharmacies may issue policies that supersede or supplement the best practices. The success of the regional drug box program is based on the full understanding and support of the system by EMS providers, hospital pharmacists, Operational Medical Directors and emergency department attending physicians.

Best Practices Document  
Drug Box Page

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Central Shenandoah EMS Council
2312 W. Beverley St., Staunton, VA 24401
www.csems.vaems.org