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ASTM F1418-92

(Guide)

Standard Guide for Training the Emergency Medical Technician (Basic) in Roles and Responsibilities

Standard Guide for Training the Emergency Medical Technician (Basic) in Roles and Responsibilities

SCOPE
1.1 This guide establishes the minimum training standard for emergency medical technicians (basic) as it relates to their roles and responsibilities.
1.2 This guide is one of a series which together describe the minimum training standard for the emergency medical technician (basic).
1.3 This standard does not purport to address all of the safety problems, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

General Information

Status
Historical
Publication Date
09-Feb-2001
ICS
11.160 - First aid
Technical Committee
F30 - Emergency Medical Services
Drafting Committee
F30.02 - Personnel, Training and Education
Current Stage
Ref Project

Relations

Replaced By
ASTM F1418-01 - Standard Guide for Training the Emergency Medical Technician (Basic) in Roles and Responsibilities (Withdrawn 2007)
Effective Date
10-Feb-2001
Referred By
ASTM F2076-01(2022) - Standard Practice for Communicating an EMS Patient Report to Receiving Medical Facilities
Effective Date
10-Feb-2001
Referred By
ASTM F1220-95(2022) - Standard Guide for Emergency Medical Services System (EMSS) Telecommunications
Effective Date
10-Feb-2001

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ASTM F1418-92 - Standard Guide for Training the Emergency Medical Technician (Basic) in Roles and ResponsibilitiesASTM F1418-92 - Standard Guide for Training the Emergency Medical Technician (Basic) in Roles and Responsibilities
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ASTM F1418-92 - Standard Guide for Training the Emergency Medical Technician (Basic) in Roles and Responsibilities
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Standards Content (Sample)


NOTICE: This standard has either been superseded and replaced by a new version or discontinued.
Contact ASTM International (www.astm.org) for the latest information.
Designation: F 1418 – 92
Standard Guide for
Training the Emergency Medical Technician (Basic) in Roles
and Responsibilities
This standard is issued under the fixed designation F 1418; the number immediately following the designation indicates the year of
original adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. A
superscript epsilon (e) indicates an editorial change since the last revision or reapproval.
1. Scope Centers for Disease Control: Recommendations for Preven-
tion of HIV Transmission in Health-Care Settings
1.1 This guide establishes the minimum training standard
MMWR 1987;36 (Suppl No. 2S):3S–18S.
for emergency medical technicians (basic) as it relates to their
Centers for Disease Control: Update: Universal Precautions
roles and responsibilities.
for Prevention of Transmission of Human Immunodefi-
1.2 This guide is one of a series which together describe the
ciency Virus, Hepatitis B Virus, and Other Bloodborne
minimum training standard for the emergency medical techni-
Pathogens in Health-Care Settings MMWR 1988;37 No.
cian (basic).
24:377–382.
1.3 This standard does not purport to address all of the
safety problems, if any, associated with its use. It is the
3. Terminology
responsibility of the user of this standard to establish appro-
3.1 Definitions of Terms Specific to This Standard:
priate safety and health practices and determine the applica-
3.1.1 EMSS communications subsystem—comprises those
bility of regulatory limitations prior to use.
resources and arrangements for notifying the EMS system of
2. Referenced Documents an emergency, for mobilizing and dispatching resources, for
exchanging information, for remote monitoring of vital indi-
2.1 ASTM Standards:
cators, and for transmission of treatment procedures and
F 1031 Practice for Training the Emergency Medical Tech-
2 directions (from F 1220).
nician (Basic)
3.1.2 management—refers to the step(s) that constitute
F 1219 Guide for Training the Emergency Medical Techni-
2 action taken by the emergency medical technician (basic) for a
cian (Basic) to Perform Patient Primary Assessment
patient in need of assistance due to a real or perceived
F 1220 Guide for Emergency Medical Services Systems
traumatic or medical condition.
(EMSS) Telecommunications
3.1.3 stress—non-specific response of the body to any
F 1253 Guide for Training the Emergency Medical Techni-
demand made upon it.
cian (Basic) to Perform Patient Secondary Assessment
3.1.4 triage—the process of sorting and making priorities
F 1285 Guide for Training the Emergency Medical Techni-
for emergency medical care of the sick and injured on the basis
cian (Basic) to Perform Examination Techniques
of urgency and type of condition present, number of patients
F 1288 Guide for Planning for and Response to a Multiple
and resources available in order to properly route them to
Casualty Incident
medical facilities appropriately situated and equipped for their
F 1328 Guide for Training the Emergency Medical Techni-
care.
cian (Basic) to Prepare Patients for Medical Transporta-
tion
4. Significance and Use
F 1329 Guide for Training the Emergency Medical Techni-
2 4.1 This guide establishes the minimum national standard
cian (Basic) in Basic Anatomy and Physiology
for training the emergency medical technician (basic) as it
F 1419 Guide for Training the Emergency Medical Techni-
2 relates to his/her roles and responsibilities.
cian (Basic) to Manage Shock
4.2 This guide shall be used by those who wish to identify
F 1420 Guide for Training the Emergency Medical Techni-
2 the minimum training standard for the emergency medical
cian (Basic) to Perform Patient Management Techniques
technician (basic) as it relates to his/her roles and responsibili-
F 1421 Guide for Training the Emergency Medical Techni-
2 ties.
cian (Basic) to Manage Obstetrical Emergencies
4.3 This guide shall be used as the basis to revise Practice
2.2 Other Documents:
F 1031.
This guide is under the jurisdiction of ASTM Committee F-30 on Emergency
Medical Services and is the direct responsibility of Subcommittee F30.02 on
Personnel, Training and Education. Available from Epidemiology Program Office, Centers for Disease Control,
Current edition approved July 15, 1992. Published December 1992. Public Health Service, U.S. Dept of Health and Human Services, Atlanta, GA
Annual Book of ASTM Standards, Vol 13.01. 30333.
Copyright © ASTM, 100 Barr Harbor Drive, West Conshohocken, PA 19428-2959, United States.
F 1418
4.4 Every person who is identified as an emergency medical evant federal, state, regional, and local customs, statutes,
technician (basic) shall have been trained to this standard. ordinances, case law, or administrative orders.
4.5 This guide does not stand alone and must be used in 6.1.2 Duty to Act—Shall be reviewed in regard to the
conjunction with all referenced documents cited in Section 2. responsibilities relative to responding to the need for patient
care according to the federal, state, regional, and local regula-
5. Roles and Responsibilities
tions, laws, or administrative orders.
5.1 The role and responsibilities of the emergency medical 6.1.3 The emergency medical technician (basic) shall have
technician (basic) shall be patient care which includes:
the responsibility to handle and report special situations
5.1.1 Providing scene evaluation and control,
according to the state, regional, or local laws or ordinances, as
5.1.2 Carefully examining the patient for signs and symp-
follows:
toms of illness or injuries,
6.1.3.1 Child, adult, or elder abuse,
5.1.3 Communicating with and providing emergency man-
6.1.3.2 Injury due to criminal act,
agement for victims of sudden illnesses or injuries,
6.1.3.3 Drug-related injuries,
5.1.4 Assuring that the patient receives the available re-
6.1.3.4 Childbirth,
sources appropriate to his condition, for example, advanced life
6.1.3.5 Animal bites,
support, heavy rescue, specialized rescue situations, etc, in
6.1.3.6 Attempted suicides,
accordance with local protocol,
6.1.3.7 Assaults and rape,
5.1.5 Careful handling of the patient in moving to transport
6.1.3.8 Scene of a crime,
vehicle,
6.1.3.9 The deceased, and
5.1.6 Safe and efficient transport of the patient while con- 6.1.3.10 Communicable disease.
tinuously reassessing the patient and providing any appropriate
6.1.4 Patient Consent—Shall be taught according to federal,
continuing care, state, regional, and local regulations, laws or ordinances and
5.1.7 Orderly and expeditious transfer of the patient to the
shall include the following concepts:
medical facility, 6.1.4.1 Implied consent,
5.1.8 Communication with medical facility for medical
6.1.4.2 Informed consent,
direction or to notify of patient’s condition, or both. 6.1.4.3 Actual/express consent,
5.1.9 Documenting the care provided and maintaining ac-
6.1.4.4 Minor’s consent,
curate records,
6.1.4.5 Consent of the mentally ill/diminished mental ca-
5.1.10 Operating and maintaining the emergency vehicle
pacity,
and its equipment and supplies, and
6.1.4.6 Patient’s right to refuse treatment,
5.1.11 Observing all safety precautions to protect self,
6.1.4.7 Use of restraint,
patient, and others in all hazardous situations.
6.1.4.8 Do not resuscitate orders and living wills, and
5.2 The emergency medical technician (basic) shall be
6.1.4.9 Voluntary/involuntary commitment.
trained to perform the following functions in the event other
6.1.5 Legal liability for the emergency medical technician
emergency services are not available at the accident scene:
(basic) shall be taught according to federal, state, regional, and
5.2.1 Use of basic tools and procedures to gain access to and
local statutes, laws, and ordinances and shall include the
disentangle the patient, and
following:
5.2.2 Control of the accident scene.
6.1.5.1 Malpractice insurance,
5.3 Special responsibilities shall be a component of mini-
6.1.5.2 Torts,
mum training standards for the emergency medical technician
6.1.5.3 Abandonment,
(basic), such as the following: 6.1.5.4 Negligence,
5.3.1 Professional manner,
6.1.5.5 Good samaritan laws, and
5.3.2 Appearance, and 6.1.6 Patient confidentiality.
5.3.3 General conduct.
7. Certification and Licensure
5.4 The emergency medical technician (basic) shall receive
instruction in the organization of the
...

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4.1 Implementation of this practice will ensure that the EMS system has the authority commensurate with the responsibility to ensure adequate medical direction of all pre-hospital providers, as well as personnel and facilities that meet minimum criteria to implement medical direction of pre-hospital services.  
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SIGNIFICANCE AND USE
4.1 It is essential to have the public's understanding and support for the EMS system to ensure its proper development and utilization.  
4.2 This guide encompasses those procedures, considerations, and resources that are necessary for a successful EMS public information, education, and relations program. Complex EMS systems may integrate or augment, or both, this guide in its entirety. Less complex systems may need to collaborate with other EMS organizations and related agencies. Responsibility for this guide will vary by level of authority, that is, state, regional, and local. (See Guide F1086.)  
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1.1 The purpose of this guide is to provide national voluntary standards and recommendations to effectively provide emergency medical service system information and education to the public.  
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Standard Guide for Training and Evaluation of First Responders Who Provide Emergency Medical Care

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4.1 This guide is for those responsible for the development and implementation of training and evaluation programs for first responders (FRs).  
4.2 At the beginning of the program, students shall be informed of the course objectives and requirements for successful completion.  
4.3 This guide is not intended for use as a training guide for emergency ambulance personnel.
SCOPE
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4.3 Individuals responsible for performing triage must be proficient in triage methods and related life-saving techniques.  
4.4 A basic concept of triage is to do the greatest good for the greatest number of casualties.  
4.5 The assessment process must be focused so as to identify those most at risk of early death who are likely to be salvaged by rapid medical intervention.  
4.6 Triage allows the most efficient use of available resources.  
4.7 This guide acknowledges many types of individuals with varying levels of emergency medical training. It also establishes a minimum scope of performance and encourages the addition of optional knowledge, skills, and attitudinal objectives.  
4.8 A vital role in the development of and operational application of triage is that of medical control. This guide should be used by medical directors in the determination of operational and medical protocols for use during MCIs.  
4.9 This guide is intended to assist those who are responsible for defining the scope of performance of individuals who perform triage.  
4.10 For the purpose of this guide the word “injured” includes both sick or injured patients, or both.
SCOPE
1.1 This guide covers minimum requirements for the scope of performance for individuals who perform triage at an emergency medical incident involving multiple casualties in a pre-hospital environment.  
1.2 This guide acknowledges objectives based on an individual's required knowledge of signs and symptoms, patient assessment, and basic life support.  
1.3 Operating within the framework of this guide may expose personnel to hazardous materials, procedures, and equipment. For additional information see Practice F1031 and Guides F1219, F1253, F1285, F1287, F1288, F1489 and F1651.  
1.4 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety, health, and environmental practices and determine the applicability of regulatory limitations prior to use. For specific precautionary statements, see Footnote 2.2  
1.5 This international standard was developed in accordance with internationally recognized principles on standardization established in the Decision on Principles for the Development of International Standards, Guides and Recommendations issued by the World Trade Organization Technical Barriers to Trade (TBT) Committee.

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