There are a number of programs and initiatives for EMS agencies looking to expand their scope of practice, increase their volunteer ranks and become more engaged in their community.
Ready, Check, Inject
The Ready, Check, Inject program provides a simple and safe alternative to epinephrine auto-injectors and allows trained emergency medical technicians (EMTs) to withdraw epinephrine from a vial and inject the medication intramuscularly. It was created to address the rising cost of epinephrine auto-injectors and is designed to be an optional alternative to stocking these devices. It is not intended to necessarily take the place of autoinjectors unless cost is prohibiting their use. Epinephrine auto-injectors are still considered the preferred method of medication administration in anaphylaxis.
To administer intramuscular epinephrine at the EMT level, an agency must stock 1 mL vials of 1 mg/1 mL (1:1000) concentration epinephrine and 1 mL syringes with an accompanying 1 inch intramuscular safety needle. Larger volume vials and syringes are not allowed at the EMT level. We recommend separating this specific equipment from other ALS supplies to prevent confusion. Each EMT medication administration kit must also include the Ready Check Inject Safety Card. Its contents are detailed in the Ready Check Inject training document, but it serves as a cross check reference to prevent medication error. To obtain cards, email the EMS Office with your required amount. Please see the equipment checklist for the complete list of required items.
Ready, Check, Inject Training and Credentialing
EMS agencies must credential their EMT level providers to use the new protocol using a two-step process. Providers will watch a narrated Power Point on CentreLearn (individually or as a class) and then complete an agency-led practical training session overseen by the agency’s or district’s training coordinator. Competency must be confirmed by a licensed provider at the AEMT or Paramedic level using the skill sheet included in the training program. Documentation of training and competency verification should be kept on file by the agency.
Mobile Integrated Healthcare / Community Paramedicine Program
The Vermont Department of Health contracted with All Clear Emergency Management Group in August 2016 to assess the feasibility of a Mobile Integrated Healthcare / Community Paramedicine (MIH-CP) program in Vermont. There were two main components of this project:
1. Conduct a baseline situation analysis of the current state of work being done in community paramedicine, mobile integrated health, and other non-traditional roles for EMS providers.
2. Conduct a gap analysis of program implementation and provide input on how to address the gaps within Vermont.
This report contains the baseline situation analysis, gap analysis, and recommendations for the Vermont Department of Health. View the Mobile Integrated Healthcare / Community Paramedicine Program in Vermont Final Report.
Vermont Critical Care Paramedic Endorsement
While Vermont has had Critical Care Paramedics for several years, the qualifications for this endorsement changed in 2015. The Vermont CCP Update and Vermont CCP Scope of Practice documents provide more information.
Rapid Sequence Intubation
Rapid Sequence Intubation (RSI) is an advanced airway skill only available to paramedics with additional training, medical direction oversight and participation in an educational and Continuous Quality Improvement (CQI) program approved by the Department of Health.
For more information, contact EMS Medical Director Dr. Dan Wolfson.
OnCall for Vermont
OnCall for Vermont is the online hub for health-focused volunteering, training and response in Vermont. Building on our state's rich history of volunteerism and neighbors helping neighbors in times of need, this portal provides Vermonters with a simple path to becoming a health volunteer.
Designation as a HEARTSafe Community is based upon meeting criteria that increase the potential for survival from sudden cardiac arrest. By becoming a HEARTSafe Community, your government officials and citizens will be recognized for their commitment to becoming a critical link in the Chain of Survival.
Applications and additional information can be found in Documents, Forms and Publications.