The primary task of the acute care is providing immediate assistance when sudden changes in the health status of adults and children occur, aiming at preventing death, serious or irreversible morphological and functional damage to vital organs and systems as well as maternal complications threatening health and life of the mother or fetus. The paramedic administers first-aid treatment related to the initial assessment of the patient’s condition, maintains and secures the vital functions of the patient and ensures the specialized transportation of the patient to hospital. The paramedic acts independently. /when the team consists solely of paramedics/ or together with medical specialists /doctors and health care professionals/ depending on the nature of the assigned task and the type of the emergency team. In their work the paramedics with second and third degree of professional qualification are subordinate to those with fourth degree of professional qualification and the medical specialists, the paramedics with fourth degree are subordinate to the medical specialists.
Training for the profession of Paramedic and for acquiring fourth degree of professional qualification does not require any previous professional qualification or professional experience.
A necessary condition for the candidates is that they possess a driving license, category B, acquired in accordance with Ordinance № 37/11.01.2008 and the education provisions concerning the training of candidates for acquiring a driving license of the Ministry of education and science and Art. 153, item 1 of the Road Traffic Act.
In case the students do not possess a driving license, category B, they should attend the relevant courses and obtain the necessary qualification parallel to their college education, so that upon completion of their vocational training they could practice successfully their professional activities.
The paramedics with fourth degree of professional qualification in emergency situations give first-aid independently and ensure specialized transportation of the patient. If a medical specialist is not present, the paramedic acts independently and bears personal responsibility. In this case he/she may lead a team of paramedics. In a team where a doctor or medical specialist are present, the paramedic acts as an assistant.
The paramedics with fourth degree of professional qualification should independently or with the help of a medical specialist make an initial assessment of the patient’s condition and give first-aid at the site of the incident and during the transportation of the patient to hospital.
The paramedics with fourth degree of professional qualification should be able to:
- assist the medical specialists when providing life-saving treatment to patients in critical condition at the site of the incident and during transportation to the Emergency room;
- lead a team of paramedics;
- transport patient in critical condition to the Emergency room;
- monitor the vital functions of the patient during the transportation and provide the relevant assistance within their competence;
- transport sick, injured or patients in need of assistance, even if they are not in critical condition;
- be familiar and work with motor vehicles and medical equipment;
- communicates with the local coordination centres and hospitals;
Typical work activities and responsibilities
1. Responsibilities in the emergency department of the hospital before the emergency team is sent:
- to inspect and maintain the operational readiness of the motor vehicles ( emergency and other types of ambulances);
- to inspect the condition of the medical equipment and the communication devices in the motor vehicles;
- to inspect the medicines, the medical supplies and consumables available;
- to instruct and direct members of the team to the respective ambulances;
2. Responsibilities in the emergency department of the hospital during the work of the emergency team:
- confident driving of the vehicle to the destination, use of the special rights these vehicles have in traffic;
- assessment of the scene and reporting to the local coordination centre;
- assistance to the medical specialists or giving first-aid treatment independently;
- organization and coordination of the team of paramedics when providing first-aid treatment;
- transportation of the patient to the hospital and ensuring the necessary treatment;
- contacting the local coordination centres and hospitals;
- transferring the patient to the hospital staff;
3. Responsibilities in the emergency department of the hospital after the team has returned:
- cleaning and decontamination of the vehicle and the equipment, as well as control on the activities;
- restoring of the operational readiness of the vehicle and implementing control;
- discussing the behavior of members of the team and when possible feedback from doctors and other medical specialists;
4. Responsibilities in the emergency department of the hospital:
- assistance to medical specialists in the diagnostic and treatment process and the care for patients;
The paramedic should know that providing emergency medical care to patients in critical condition requires the highest degree of responsibility and trustworthiness. Despite the extreme conditions in which the paramedic has to work in, he/she has to be capable of making swift decisions, act efficiently, bearing in mind the mental state of the patient.
Important qualities that the paramedic should possess are:
- openness to human problems, psychological skills;
- willingness to work in a team;
- reliability, honesty, confidentiality;
- resourcefulness, good organization skills and ability to act quickly and make swift decisions in critical situations;
Main disciplines in the curriculum
- Basic Legal Training
- Medical Psychology
- Medical ethics and deontology
- Anatomy and Physiology
- Medical Equipment
- Main Types of Illnesses and Emergency Medical Conditions
- First-Aid Assistance and Life-Saving Treatment in Emergency Medical Conditions
- Anesthesiology and Resuscitation
- Disaster Medicine
- Mountain Rescue
Upon completion of the vocational training in specialty “Transportation of injured and sick people, first aid and assisting doctors in emergency treatment” the candidates will:
- be familiar with the regime of movement of special purpose vehicles and able to drive such;
- be familiar with the standards for the equipment in the special purpose vehicles for urgent medical help;
- be familiar with and able to use the special equipment in the special purpose vehicles for urgent medical help;
- be familiar with the nature, objectives, tasks and the organization of the urgent medical help;
- be familiar with the main normative acts regulating the urgent medical help;
- work in a team of paramedics and medical specialists;
- be familiar with the nauture of the work in the urgent medical help;
- know their duties at the site of the incident, during transportation of the patient and in the Emergency room;
- be able to communicate with patients and their relatives in accordance with the ethical standards of the professional ethics;
- have knowledge of the anatomy and physiology of the human body;
- recognize the main symptoms of emergency medical conditions in adults and children;
- provide first aid to children and adults individually or as part of a team;
- work in or lead a team of paramedics;
- participates and provides practical assistance to the medical and non-meddical specialists from the team when trying to stabilize patient’s vital body functions and preparation of the patient for transportation to the hospital;
- when necessary to accompany the patient in the ambulance and assist the medical specialist during transit;
- perform individually or supervised by a specialist specific urgent medical care to patients in emergency medical condition including endotracheal intubation;
- be familiar with and use various types of wound dressings,medical instruments, disinfectants and drugs in the urgent medical treatment;
- know and apply the principles and regulations of asepsis, antisepsis, disinfection, sterilization, disinsectization and general hygiene;
- be able to detect deviations from the normal operation of the medical equipment;
- be able to keep critical situations under control, maintain emotional stability working under stressful circumstances, responsibility for the actions of the emergency team until the arrival of the medical specialist;
- look after the welfare of patients and their relatives;
- be able to collect, process and deliver the necessary information, fill in forms, prepare reports, references and statements;
The vocational training in PPC International Security and Safety Services in the profession of Paramedic provides high level of training and acquiring theoretical knowledge and practical skills.
The vocational training is organized in suitable learning environment equipped with modern equipment and in conformity with the requirements of the profession. The practical training in the profession is done in real work environment – individually or in groups, in hospitals, emergency medical care centres or their subsidiaries, using all the available equipment.
Our lecturers are medical specialists with extensive practical experience and scientific background. There are two forms of studies – day-time and part-time. The duration of training is two years and upon completion of their studies the students take state examinations in theory and practice of the profession/specialty and obtain a Certificate for professional qualification for the profession of Paramedic, specialty: Transportation of injured and sick people, first aid and assisting doctors in emergency treatment – fourth degree of professional qualification. The document is valid in Europe.