APPENDIX B PAT and MAV Technician Course Requirements
Any organization or entity seeking to offer a course to certify an individual for the purpose of meeting the minimum personnel requirements set forth at N.J.A.C. 8:40-5.3(b)1 or 2 shall demonstrate that its course meets the following requirements. Only those persons who have been issued certification cards by organizations or entities whose courses have been approved by the Department shall be allowed to serve on an MAV. The course requirements are as follows:
1. Each instructor shall be proficient in each of the objectives set forth in "PAT and MAV Technician Course Objectives," such that he or she can properly demonstrate and explain each objective to his or her students.
2. The course shall be at least 8 hours in length. Each student shall be required to attend all 8 hours of the course, and shall be required to sign in at the beginning of each course and to sign out at the end of that same course. These sign-in and sign-out sheets shall be made available to the Department upon request.
3. The course shall consist of a combination of didactic (textbook) and clinical ("hands-on") training.
4. There shall be a student/instructor ratio of 1:6 for all clinical training.
5. All course schedules shall be delivered to OEMS at least 30 days prior to the actual course date.
6. The course curriculum shall be delivered to OEMS at least 30 days prior to the beginning of the course. The course curriculum shall include, but is not limited to, all of the objectives set forth in "PAT and MAV Technician Course Objectives" list below.
7. The Department may conduct random and unannounced course audits, and may interview ail course instructors.
8. The course final examination shall be in a multiple choice question format, and shall cover all of the stated course objectives. The examination shall be made available to Department staff for review at least 30 days prior to the start of the course. Copies of all completed student examinations shall also be made available to Department staff upon request.
9. There shall be skills evaluation, which shall test all of the psychomotor skills listed in the "PAT and MAV Technician Course Objectives" list below.
10. The organization or entity offering the course shall maintain training materials, course schedules, course curricula and student records for all courses taught for a period of at least 10 years. Course records shall include, but are not limited to, course rosters and original sign-in sheets. Course records shall be made available for review by Department staff during normal business hours. If the course is offered to EMT's for CEU credits, a CEU course application shall be filed with OEMS following the normal process for CEU course approval. CEU course completion documents shall be forwarded to OEMS as required. Records shall list the specific date, time and instructors for each course.
11. Certification cards shall contain the instructor's original signature, the student's printed name and original signature, the course location and the date completed.
PAT and MAV Technician Course Objectives
Describe the role and responsibilities of an MAV Technician.
Describe the role of the Office of Emergency Medical Services and N.J.A.C. 8:40 regulations.
Discuss basic Medicaid standards and requirements.
Explain why people need MAV services.
Discuss the OSHA standards and requirements.
List the requirements and training needed to be an MAV Technician.
Discuss identifying the common conditions and special needs of the following type patients; cardiac, respiratory, cancer, diabetic, dialysis, loss of muscle control, amputees, psychiatric, hearing impaired, visually impaired, children with special needs.
Explain how to handle patients with medical emergencies.
Explain the need for access to and describe how to access the 9-1-1 emergency system.
Discuss the initial contact with the patient and how to evaluate individual patient needs. Explain how to prepare and assist the patient for transport, including special considerations for weather and trip duration in preparing the patient for transport.
Explain how to provide assistance to ambulatory patients.
Identify common types of wheelchairs and motorized modes of transport.
List five types of devices utilized to assist patients, to include crutches, canes walkers, braces and guide dogs.
Describe the rationale for the utilization of a seatbelt on the wheelchair.
Describe the proper method for opening and dosing the wheelchair, and the proper placement and utilization of the seatbelt on a wheelchair.
Describe the utilization of the ambulatory assist stool.
List 7 transfer techniques to include, unassisted transfers, assisted lateral transfers, standing transfers, sliding board transfers, one arm assist, two handed assist, visual impaired assist.
Describe and discuss vehicle operations, and securing the wheelchair in the vehicle utilizing the appropriate wheelchair restraint system. Explain how to prepare the vehicle for deploying the lift or ramp. Explain utilization of the manual back-up system for hydraulic lifts.
Describe and discuss the 4-point wheelchair restraint system and the 3-point ADA required restraint system.
List three types of wheelchair restraint systems.
Discuss and describe how to move the wheelchair up and down a single step facing forward and backward;
Discuss and describe how to move the wheelchair up and down multiple steps facing away from steps both with and without assistance.
Discuss providing additional assistance for a patient weighing 200 + Ibs and explain how to move that patient up and down five stairs or more.
Explain how to assist patient movement over all types of terrain.
Describe moving wheelchairs through doorways.
List and explain 11 common situations that cause patient injuries to include: loading patients, improper restraint of wheelchairs, failure to utilize wheelchair seatbelt, riding the lift with the patient, leaving the patient unattended, not communicating with the patient, not inspecting the vehicle before utilization, lack of care in moving the patient, failure to identify crewmember, position of crewmember in relation to patient on moves and moving through doorways.
Discuss safe driving techniques.
Discuss completion of the "Reportable Events" form.
Define unusual occurrence and explain reporting requirements.
Demonstrate the utilization of body mechanics in assisting patients
Demonstrate the utilization of body mechanics when lifting and moving the patient.
Demonstrate the following:
Wheelchair operations
1. Inspecting the wheelchair
2. Unfolding the wheelchair
3. Folding the wheelchair
4. Using leg rest and extenders
5. Using removable armrests
6. Using the brakes
Patient Transfer
7. Assisting the patient with crutches, canes, etc.
8. Assisting the patient with outer garments
9. Assisting the visually impaired
10. Assisting lateral transfer
11. Standing (pivot) transfer
12. Sliding board transfer
13. One arm assist
14. Two arm assist
15. Appropriate usage and placement of automotive safety belt and ADA restraint
Moving Patient
16. Moving the wheelchair
17. Moving the wheelchair through doorways
18. Moving the wheelchair up and down single step
19. Moving the wheelchair up and down multiple steps with and without assistance.
20. Moving the wheelchair on uneven terrain.
Vehicle Operations
21. Using the hydraulic lift
22. Placing the wheelchair on the lift
23. Troubleshooting lift failure
24. Using the manual back-up for the hydraulic lift
25. Using a manual ramp
26. Placement and restraining the wheelchair in the vehicle
27. Using ratchet tie downs
28. Using the folding tie downs
29. Using pull-thru straps
30. Using a step stool