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The EMR is often the first medically trained person to arrive on the scene. The initial care provided is essential because it is available sooner than more advanced emergency medical care and could mean the difference between life and death.
EMRs should understand their roles in the EMS system. The typical sequence of events of the EMS system is reporting, dispatch, emergency medical response, EMS vehicle response, and hospital care.
The four basic goals of EMR training are to know what not to do, how to use your EMR life support kit, how to improvise, and how to assist other EMS providers.
As an EMR, your primary goal is to provide immediate care for a sick or injured patient. As more highly trained personnel (EMTs or paramedics) arrive on the scene, you will assist them in treating and preparing the patient for transportation.
Once your role in treating the patient is finished, you must record your observations about the scene, the patient’s condition, and the treatment you provided. Documentation should be clear, concise, accurate, and in accordance with the accepted policies of your organization.
Medical information about a patient is confidential and should be shared only with other medical personnel who are involved in the care of that particular patient.
The overall leader of the medical care team is the physician or medical director. To ensure that the patient receives appropriate medical treatment, it is important that EMRs receive direction from a physician.
Quality improvement helps to determine the level of care rendered by an EMS service. It measures care in six component areas: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equitability. EMS systems should have an ongoing quality improvement program.