The Training and Education Department is dedicated to supporting the goals of Grady Emergency Medical Services as reflected in the Mission Statement of our service:
To provide the highest quality pre-hospital patient care at
A reasonable cost to the residents of the city of Atlanta
And the visiting citizens in a prompt and efficient manner;
To present ourselves as courteous, knowledgeable professionals
With a positive, caring attitude toward
Our customers, Co-workers, and associated agencies;
To strive, through customer and employee input, to constantly
Upgrade our service when necessary and feasible.
To achieve these goals, the Training Department manages several programs geared toward leadership no matter how one begins his or her Grady Experience. Those programs include the following: New Employee Orientation Program, Initial Paramedic Certification Curriculum, Critical Care Transport Program, and a Field Training Officer Mentor Program. In addition to these programs, the Training Department oversees the maintenance of skill and qualification of approximately 300 full-time employees committed to Operations, Communications, Logistics, and Fleet Management.
The New Employee Orientation (NEO) Program currently consists of a six week, graduated orientation process. The process progresses in the following manner:
After the completion of the NEO Program, the Paramedic will have an exit interview. This interview will be conducted by the EMS Medical Director and a Chief Training Officer. It consists of scenarios that evaluate the Paramedicís training and performance to determine if the employee is ready for release from the NEO program to practice independently.
Grady EMS is intimately involved in the Critical Care Transport Training. Crews assigned to this post provide transport for transfer of patients with special considerations. Crews are trained to treat and transport patients requiring ventilator support, constant medication infusion via IV pumps, among other patients requiring an expanded scope of practice.
The Field Training Officer is an integral part of the New Employee Orientation process. The FTO integrates the new employee into the system for a four week period. The time spent with an FTO can be tailored so as to meet the needs of the new employee. The FTOs also assist the Training Department by taking on leadership roles in the continuing education process, research and quality assurance process.
Continuing education is a valuable two tier process. The first tier allows for the introduction of new innovations and technologies for patient care and transport. The second tier refreshes and reinforces the knowledge previously acquired by revisiting topics and modalities of patient care. The Training Department provides access to the continuing educational pursuit by providing classes sponsored by the American Heart Association, the National Associate of Emergency Medical Technicians, and the National Registry of Emergency Medical Technicians. A list of classes offered on site at Grady EMS headquarters includes but is not limited to the following:
The Training Department provides initial and recertification classes in each as well as opportunities to advance to the Instructor level. All meet requisite CME hours for certification and licensure renewal.
The Training Department is also actively involved in research. Currently, the Training Department is assisting with the modifying the Alternate Destination Protocols. This is a program designed to continue affording patients transport to clinics rather than an Emergency Department if they have non-emergent medical problems. This program was started in 2010 and continues to be refined in effort to try to capture a larger yet still important patient group.
We continue our Hypothermia protocol with patients who experience out-of-hospital cardiac arrest but regain a perfusion as result of EMS intervention. Essentially, if a patientís life should be threatened by cardiac dysrhythmia and EMS is able to invoke a Return of Spontaneous Circulation, the patient is treated by inducing hypothermia in effort to improve the patientís long term outcome. For additional information, click here
We continue transmitting our 12-leads as part of our participation in the Mission Life Line Project with the American Heart Association. The goal is to decrease the time that it takes to have a patientís coronary arteries opened so that perfusion may be restored in the case of a patient experiencing both chest pain and a heart attack. When our Paramedics recognize an S-T segment Elevation Myocardial Infarction (STEMI or a heart attack) when acquiring a 12-lead EKG in the field, they immediately transmit this EKG directly to the receiving hospital. EKG transmission can save the patient as much as 30 minutes from the time of EMS contact to contact with a physician that will provide them with definitive treatment that will preserve heart tissue.
Another integral part of the Training Department is the Continuing Quality Improvement Office (CQI). CQI Officers are responsible for a 5% random sample of ALS transport from the previous week. Electronic Patient Care Reports are examined for accurate completion of data entry, response and turnaround times, and protocol variances. Additionally, CQI evaluates 100 percent of all BLS transports and all ALS transports requiring acute care and interventions such as Level 1 Trauma, Cardiac Arrests, Advances Airway Adjunct use, EZ-IO Insertions, Chest Pain, CVA/Stroke, Dyspnea-Difficulty In Breathing, Seizures, Diabetics, Alternate Destination Transports, Airport Transports, Narcotic Use, Treatment of patients opting to refuse transport after treatment.