The Department of EMS provides a progressive and comprehensive system of pre-hospital care, education, and public awareness to the residents of East Baton Rouge Parish. The department also offers other AHA classes such as BLS Healthcare Provider, ACLS, PALS. Because the protocol This adjustment Dismiss. Many years ago, prehospital providers would have needed to contact a physician before starting an IV, administering O2, or performing other procedures (including defibrillation) that are considered standard practice today. eliminates the need to memorize phone numbers. Regularly scheduled refresher courses and other continuing education opportunities are also available. Mailing Address: Louisiana Department of Health | P. O. Why In August 2018, East Baton Rouge Parish EMS rolled out new clinical guidelines. Wednesday, January 20, 2021 from 9:30 AM to 10:30 AM (11 seats left) East Baton Rouge EMS Headquarters Wednesday, February 17, 2021 from 9:30 AM to 10:30 AM (12 seats left) East Baton Rouge EMS Headquarters Wednesday, March 17, 2021 from 9:30 AM to 10:30 AM (12 seats … Click download to view the new clinical guidelines. The same concept can be applied to today’s protocols by situations. Box 1471 Baton Rouge, LA 70821 Phone: 225-389-3000 Email Us All information submitted to the City … 7273 Florida Blvd. Please remember there are no refunds for no-shows. Instead they chose to treat the high blood pressure. Baton Rouge EMS is the primary ALS provider for the parish of East Baton Rouge. to our culture has allowed the staff to feel comfortable asking questions and reporting errors. true in the complex-dynamic prehospital clinical careenvironment. Currently in a pilot phase, the system is fully functional and is now being used for actual patient care. Depending on the facility, EMT and paramedic training is available for individuals interested in beginning a career in EMS. Our goal is to help improve all EMS protocols to the current state of the science using evidence-based medicine. BR Med-Connect is an EMS telemedicine system recently installed in East Baton Rouge Parish (BR), Louisiana. a 12-lead ECG, it should not be necessary to tell them to acquire one in hypertension. But the provider didn’t choose to manage this patient’s pain. This was instrumental in order to ensure we were working to improve our whole system of care and not just the pre-hospital aspect of care. lead ECG, etCO2 reading or a vital signs trend. How many agencies out there enforce the concept that their The paramedic will do it on their own because they During a QA process, the QA officer asks the question to a provider: “Why did you give Labetalol to this patient?” Their response? If a treatment or a procedure does not go as The clinical guidelines are not necessarily an exact process that must be followed every single time. ask ourselves: “Was this effective? The idea of an algorithmic Box 629 | Baton Rouge, LA 70821-0629 Physical Address: 628 N. 4th Street | Baton Rouge, LA 70802 | PHONE: 225-342-9500 | FAX: 225-342-5568 Medicaid Customer Service 1-888-342-6207 | Healthy Louisiana 1-855-229-6848 be a monumental task. emergency medical services – the tens of thousands of ... who responded to victims of the recent Baton Rouge flooding, even as they were getting word that their own homes were at risk. Two-to-three years were spent reviewing literature and researching evidence-based practices to design our new clinical guidelines. Have in depth knowledge of EMS protocols, LERN Entry Criteria and available medical resources. approach to treating patients is not necessarily a bad thing in certain Again, we ask why? mentality. This happens because some EMS providers have stopped learning and stopped thinking due to becoming reliant on protocols. It is time to look at to share some of our data on improved outcomes with this panel. This has allowed us to grow as a department. It is seen all the time. We understand that every patient is different and sometimes a set protocol may not be in the best interest of every patient encounter. physiology and pathophysiology to help them better understand the reasons why they They may suspect something does or does not need to be done, but they follow through with the incorrect decision anyway. treated under the new guidelines for review with a panel of experts at the annual Please for more information or to help update the list. If these questions are to stimulate critical thinking, then the interaction is McSwain EMS Trauma Symposium in New Orleans. Now the question we have to The next step to ensure that we allowed for growth was the himself: “Where did we go wrong?” The provider documented the patient’s Adenosine- Indications & Contraindications. COVID-19 Outbreak Infects 44, Kills One at San Jose (CA) Medical... KS Paramedic Dies of COVID-19 Complications, Fauci: Vaccinations are Increasing in a ‘Glimmer of Hope’. Mailing Address: Louisiana Department of Health | P. O. Emergency Medical Services (EMS) New Orleans Medical Emergency Services is dedicated to providing the highest quality pre-hospita l emergency care to individuals living in and visiting New Orleans.. As public servants, EMS provides time-sensitive, medically-sound and respectful, compassionate delivery of this pre-hospital health care. The concept is not didn’t you perform this procedure? Baton Rouge, Louisiana 70806 Phone: 225/925-4022 Fax: 225/925-7244 www.dhh.la.gov An Equal Opportunity Employer Bureau of Emergency Medical Services LOUISIANA BUREAU OF EMS TASKFORCE AGENDA Meeting Date: July 9, 2019 1:00pm John Bel Edwards GOVERNOR SECRETARY Rebekah E. Gee MD, MPH SECRETARY Finally, we need to ensure that we are creating an environment for our clinicians to think critically. paramedics are adequately educated and they understand all the capabilities of The average Paramedic salary in New Orleans, LA is $43,565 as of December 28, 2020, but the range typically falls between $39,117 and $49,648.Salary ranges can vary widely depending on many important factors, including education, certifications, additional skills, the number of years you have spent in your profession. Providers should be taught the benefit of certain Or, was there just the creation of a ... Get email updates for new Call Coordinator jobs in Baton Rouge, LA. Give your employees the tools they need to provide high-quality care to your community. Protocols and guidelines should not be written in an effort to force providers to follow specific steps in every situation. On March 12, 2009, the City of Baton Rouge (BR), Louisiana initiated its state-of-the-art “BR Med-Connect” EMS Telemedicine program with an inauguration event attended by the Mayor, East Baton Rouge Parish EMS Personnel, and physicians and administrators from Our Lady of the Lake Hospital. We taught our providers the concept of treatment goals for each type of patient and that the “clinical guidelines” are your tools to achieve those goals. Box 629 | Baton Rouge, LA 70821-0629 Physical Address: 628 N. 4th Street | Baton Rouge, LA 70802 | PHONE: 225-342-9500 | FAX: 225-342-5568 Medicaid Customer Service 1-888-342-6207 | Healthy Louisiana 1-855-229-6848 The Louisiana Emergency Response Network (LERN) is an agency of state government created by the Louisiana Legislature in 2004 charged with the responsibility of developing and maintaining a statewide system of care coordination for patients suddenly stricken by serious traumatic injury or time-sensitive illness (such as heart attack and stroke). There are over 100 AHA instructors aligned with our AHA training center. crippling our clinician’s ability to critically think. on the right track. STUDY. It … He teaches children ages 3 to 12 years old about safety, prevention and 911. We must strive to understand when medications should or should not be given and Our new clinical guidelines have completely redesigned our approach to taking care of our patients. The East Baton Rouge Parish 911 center is staffed by EMS employees that are APCO trained as well as either EMT or Paramedic providers. In addition to transitioning from a strict order of providing care to a critical thinking approach, we also had to ensure our staff was given the tools necessary to provide the best care possible. I have been working at East Baton Rouge Parish EMS full-time for more than 10 years Pros Great protocols and getting better, nice ambulances (although they aren't maintained the best), excellent equipment, nice stations, decent benefits and uniform allotment, supervisors are usually fair and easy to talk to, pay is decent though needs improvement The LERN Board has approved guidelines and protocols for stroke … Throw in a supervisor, QA officer, or training officer who sends chastising messages to them if a protocol was not followed to the “T” and now a recipe for disaster is created. Box 629 | Baton Rouge, LA 70821-0629 Physical Address: 628 N. 4th Street | Baton Rouge, LA 70802 | PHONE: 225-342-9500 | FAX: 225-342-5568 Medicaid Customer Service 1-888-342-6207 | Healthy Louisiana 1-855-229-6848 EMS is responsible for dispatching and coordination all pre-hospital movement, and communication frequencies of all emergency medical vehicles within the parish. They also should not be written to the level of your bottom performers, thus restricting your top performers. perform certain assessments and render certain treatments. Many agencies do this because of liability. Dr. Burnell reviews on-scene medical procedures and protocols between medics and emergency room physicians. The QA officer shakes his head in dismay and thinks to While this is a great feature, Baton Rouge emergency medical professionals assessing an injured patient. For example, when EMS Educators need to dive deep with their providers and discuss anatomy, If the intent of these questions is to ask why a protocol was The system has been planned by, and is now managed by an interdisciplinary team representing each of the system’s key components. To avoid delaying patient care and to take a load off the ED physicians, standing order protocols were developed. This is especially said that they should. Our goal is to help improve all EMS protocols to the current state of the science using evidence-based medicine. If you continue to use this site we will assume that you are happy with it. Our goal should be to set the bar high and bring everyone up to the highest level possible. 190/110 with a pain scale of 9/10. certain situations. EBRP EMS Protocols. 2010 east baton rouge parish protocols with drug dosages. Of course, the pain was the cause of the We use cookies to ensure that we give you the best experience on our website. Baton Rouge (/ ˌ b æ t ən ˈ r uː ʒ / BAT-ən ROOZH; from French Bâton-Rouge 'red stick') is the capital of the U.S. state of Louisiana.On the eastern bank of the Mississippi River, it is the parish seat of East Baton Rouge Parish, the most-populous parish in Louisiana.It is the 100th-most-populous city in the United States, and second-largest city in Louisiana after New Orleans. They do this because of this method of inappropriate and overly rigid protocol enforcement. Ambulance Standards . How much does a Paramedic make in New Orleans, LA? Last year the center answered over 427,000 calls for an average of 1,200 911 calls per day. Not sure if the ambulance went to that scene. Classes are held at East Baton Rouge Parish EMS Headquarters. Why did you do this? understand the benefits of the information they are acquiring and how to apply We have seen that this method has promoted a culture of providers who now want to learn about prehospital medicine and not to limit themselves to merely remembering a protocol. The list of available protocols is a work in progress. New equipment included the Handtevy System, additional pediatric specific equipment, pelvic binders, cooling collars and fluid warmers. GUIDELINES AND PROTOCOLS After a collaborative stakeholder workgroup and best practice research, LERN has established four hospital levels of care as part of Louisiana’s “hub and spoke” model which includes Comprehensive Stroke Center and Primary Stroke Center hubs, and spoke hospitals connected by telemedicine. Visit Baton Rouge; Request EMS Event coverage; Perry Safety talk. In today’s age of communications technology, personal devices expected or a Clinical Guideline was applied inappropriately, our employees East Baton Rouge Parish Emergency Medical Services, Baton Rouge, Louisiana. As a profession, we need to keep up with the latest evidence-based practices and train our providers regularly. The purpose of this website is to promote openness, discussion and collaboration among system directors in the development of EMS protocols. Some of the medications we added include Ketorolac, Ketamine, Norepinephrine, Dobutamine, IV Nitroglycerin, Neuromuscular Blocking agents, TXA, Nicardipine, Heparin, and Pepcid. compiling data, we hope to analyze what is and is not working. The entire notion of EMS training is a rather complex one, and it is mainly aimed at ambulance personnel who, at the end of the training session, will be able to sit for the written NREMTP exam ad then for the practical exam before getting their certification. manifested with questions such as: “Why didn’t you give this medication? The right set of clinical guidelines and the way they are utilized will be the key factor in achieving this goal. Why didn’t you do that?” the time. assessments. New procedures include medication assisted intubation, apneic oxygenation, a modified Valsalva maneuver, heads up CPR, double sequential defibrillation, surgical cricothyrotomy, simple thoracostomy and pericardiocentesis. As we continue Incorporating this concept of getting away from the strict protocol mindset and promoting critical thinking with the implementation of evidence-based practices ensures we are on the right path to changing the culture of how our patients are treated. Indications: PSVT, consider for unstable narrow complex tachycardia while prepping for cardioversion Contraindications: hypersensitivity, AV blocks > 1st degree, sick sinus syndrome, bradycardias. complaint was flank pain due to kidney stones and had a blood pressure of City of Baton Rouge Parish of East Baton Rouge P.O. culture of EMS zombies who operate under the “˜if this, then that’ algorithmic mindset?” not strictly followed, everyone involved may be missing the point. In addition to reviewing our own data, published data, position statements, PHTLS guidelines, AHA guidelines, and National Model Guidelines, we consulted with experts in our service area that included emergency medicine physicians (adult and pediatric), trauma surgeons, neurologists, cardiologists, pharmacists, and obstetrician-gynecologists to aid in the process of guideline development. Although they are culturally accepted, certain medications, procedures, and equipment were eliminated due to evidence suggesting they may be harmful. Each session lasts approximately 30 minutes. Short and not the best catch of an East Baton Rouge Parish EMS ambulance responding as well as a Supervisor unit on scene. 2.5K likes. it. Region 5 Parishes Beauregard, Allen, Calcasieu, Jefferson Davis and Cameron Parishes Heartsaver CPR/AED courses are offered to the public on the third Thursday of every month from 6 p.m. to 9 p.m. PLAY. All para-transit vehicles are routed through Baton Rouge to Louisiana State University where evacuees are evaluated to determine whether they are medically able to continue to the CTNS destination or if they need to be removed to go to a MSNS or hospital. Yet the survey also revealed significant gaps in EMS It sounds ludicrous, but situations like this are seen all In August 2018, East Baton Rouge Parish EMS rolled out new clinical guidelines. 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The Louisiana Department of Health, Office of Public Health, Bureau of EMS has the responsibility of licensing EMS providers, practitioners, and vehicles functioning in the State of Louisiana that are subject to licensing statutes. can store everyone you talk to as either a contact or in a call log that Critical thinking is necessary to know when to do or not to do something. We anticipate Mailing Address: Louisiana Department of Health | P. O. The guidelines are provided in algorithmic form, but our providers understand that they have the autonomy (within the confinements of their scope of practice and medical direction) to apply the standing orders in a manner that is appropriate for their particular patient. East Baton Rouge Parish Paramedics operate on some of the most advanced protocols in the industry and can perform many advanced life saving … The use of evidence-based medicine has allowed our agency to feel confident in adopting many new procedures and medications. Please do not misinterpret what I just said. ... response protocols. providers must follow an exact protocol? EMS providers could now treat patients quickly without all of the “red tape.”. Protocols Santa Rosa Junior College Paramedic Academy, Platteville-Gilcrest Fire Protection District, Sponsor Hospital Council of Greater Bridgeport, Space Coast Regional EMS-Doctor Williams Agencies, Cottonwood Ambulance Service/Granite Falls Ambulance, Emergency Medicine Associates of San Juan County, Rural Cass County Ambulance and Rescue Association, South Area Fire & Emergency Response District, NASEMSO National Model EMS Clinical Guidelines, Space Coast Regional EMS-Doctor McPherson Agencies, Illinois Region 9: Northwest Community EMS. guidelines that require a little more thought than a “see this, do that” Perry is a three-foot-tall remote-controlled paramedic unit that travels to many locations each week. “Because her blood pressure was greater than 185/110.”. We just cannot have an “easy button” for everything. We changed the name of East Baton Rouge Parish “protocols” to “clinical guidelines” as a … The Dilemma of the Protocol: Why We Need to Change This Culture. EMS will provide staff for both transportation as well as assistance inside CTN shelters. EMS leaders, educators and physicians need to continue moving prehospital medicine forward to ensure that we are treating patients to the best of our abilities. It is authoring future publications to share our findings with the EMS industry. to just do something because it is required to be done according to a protocol. EMS is funded by a property tax and insurance billing. The East Baton Rouge Parish Emergency Medical Service (EMS) is a municipal service that originated on August 6, 1982. The National EMS Academy maintains six campuses in Louisiana. Fast forward a few decades and there is a different problem. Complacency will lead to poor patient care. Their knowledge base is restricted to within the walls of their agency’s protocols. This runs contrary to the concept of a protocol. EMS Protocols. have been developed for everything under the sun. what valuable information can be gained from certain assessments such as 12 adoption of just culture concepts. Click here to view the update to this article from April 2011. This was progress in the right direction. The application and enforcement of these protocols is the culprit. Instead of having a restrictive protocol that limits our critical thinking abilities, we have clinical guidelines that allow the provider to utilize critical thinking and includes multiple treatment options to manage patients. He oversees training and continuing education programs at NEMSA, Acadian's wellness and quality enhancement programs, as well as Acadian's HSE program. know they can reach out to us without fear of disciplinary action. Baton Rouge EMS is the primary ALS provider for the parish of East Baton Rouge. In November 2018, our department was invited to present cases This change for us was not just an update but a complete overhaul of our entire clinical care approach. making that same phone call without the device or access to its contacts would Mondrick, who has developed similar protocols in East Baton Rouge Parish, said fire personnel are trained to stage near an active shooter scene. Why? We changed the name of East Baton Rouge Parish “protocols” to “clinical guidelines” as a representation of the new culture that is being promoted. When this happens, providers fear negative action and will treat patients according to a protocol despite the factors of the particular case. It’s just that critical thinking must also be promoted. The purpose of this website is to promote openness, discussion and collaboration among system directors in the development of EMS protocols. 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