From EMS Wiki

Geographical Configuration] edit[
Cities Served Lyons Sterling Littel River Chase Bushton Geneseo Alden Raymond Counties Served Rice Unincorporated Areas Served Mitchel Fredrickson Polland Saxton State or Territory Kansas Country United States Service Area Square Mileage 728 Service Area Population-Residential 10761 Service Area Population-Daytime 10761

Medical Configuration] edit[
Organization Type Level of Government County Administrative Division Type of Organization Medical Director(s) Dr. Matthew Schlotterback Annual EMS Responses 800 Annual EMS Transports 700
Services Provided

Links] edit[
	Facebook

Staffing] edit[
Staffing of Posts
Number of Full-Time Employees
Number of Part-Time Employees

Apparatus Configurations] add/edit[

Dispatch] edit[
Type of 911 Access
Type of Wireless 911 Access
Primary Landline PSAP
Primary Wireless PSAP
Secondary PSAP
Dispatched by
Timestamp Record

Rice County EMS – “Health Care Excellence in Motion”

Who we are:

Rice County EMS (RCEMS) is a service located in Central Kansas and is licensed by the Kansas Board of EMS as a Type 1 (Advanced Life Support - ALS) ground service. We provide emergency medical care to the sick and injured of Rice County as well as a small area of Reno County and Ellsworth County. RCEMS averages around 800 calls a year or 2.5 calls per day. We are a full time service who staffs one ALS ambulance with a second ambulance (at times a BLS truck) 24/7/365.

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Employment Stats/Duties:

RCEMS has several people on its roster ranging from full time to volunteer. Currently as of November of 2010, RCEMS employs: 8 Full time technicians, 13 Part time technicians and 18 volunteers. RCEMS is a county operated department, yet is mostly a stand- alone department meaning that we are managed and funded through county government, but RCEMS handles billing, purchasing and other business duties on our own. A brief introduction to the Full Time Staff and their duties are below:

Terry David (MICT, TO-I) – Medic 1 – Director of EMS and Emergency Management Greg Klein (EMT-I) – Medic 5 – Deputy Director of Emergency Management, Building/Vehicle Maintenance Zach Bieghler (MICT, I/C) – Medic 6 – Training Officer, Quality Assurance/Improvement Keith Vagts (MICT) – Medic 3 – Supply Purchasing/Inventory Management Rebecca Wrench (MICT) – Medic 17 – Accounts Receivable/Billing Sharon Pearsall (EMT-I) – Medic 9 – Office Assistant, Payroll, Record Management Kathi Emmons (EMT-I) – Medic 2 – Billing Shawn Britton (EMT-B) – Medic 11 – Customer Service

Certification Stats:

Currently, The Kansas Board of EMS has five different certification levels for technicians. These certifications are (starting from the basic level to advanced): First Responder, Emergency Medical Technician – Basic (EMT-B), Emergency Medical Technician – Intermediate (EMT-I), Emergency Medical Technician – Intermediate/Defibrillator (EMT-I/D), Mobile Intensive Care Technician (MICT) which is most commonly referred to as “Paramedic”. Currently as of November 2010, RCEMS employs 4 Full Time Paramedics (including the director), 3 Full Time EMT-I’s, 1 Full Time EMT-B, 3 Part Time Paramedics, 4 Part-Time EMT-I’s, 6 Part Time EMT-B’s, 1 Volunteer Paramedic, 3 Volunteer EMT-B’s and 14 Volunteer First Responders. There is also different educational certification levels identified by the Kansas Board of EMS which are (starting with most basic): Training Officer I (TO-I), Training Officer II (TO-II) and Instructor Coordinator (I/C). RCEMS, currently as of November 2010, employs a total of one TO-I and four I/C’s. Three of the four I/C’s are part-timers with 3 of the I/C’s instructing initial education classes ranging from EMT-B to Paramedic at Hutchinson Community College and 1 I/C teaching initial education classes ranging from EMT-B to EMT-I with Barton County Community College.

Certification Skills:

First Responder – Provide basic medical attention/first aid. Basic splinting, wound management, oxygen administration, use of an AED (Automated External Defibrillator), drive ambulance (May not attend to a patient during transport)

EMT-Basic – Provide basic medical attention/first aid. Basic splinting, wound management, oxygen administration, insertion of supraglotic airway devices, administration of basic life support drugs by EMS protocol, attend to patients in stable/good condition during transport.

EMT-Intermediate – Provide basic and some advanced medical attention/first aid. Including all listed in the “EMT-Basic” with addition of starting Intravenous Fluids (IV’s) and direct endotracheal intubation.

MICT (Paramedic) – Provide all Basic and Advanced medical attention/first aid. Attends to all serious and critical patients. Can perform cardiac monitoring with use of cardiac monitor, manual defibrillation, electrical cardioversion, administer a variety of drugs and provide advanced airway care such as tracheal suction.

Training Officer I – Provide continuing education hours to state certified attendants up to the Training Officers level of initial certification (I.e. EMT-B, EMT-I or MICT)

Training Officer II – Same as a TO-I with the addition of being able to teach an initial education course for First Responder

Instructor Coordinator – Same as a TO-II with the addition of being able to teach any initial education course up to the I/C’s initial level of certification.

Drugs in Protocol] edit[
Activated Charcoal	Not in Scope
Adenosine	Not in Scope
Albuterol-Proventil	Not in Scope
Aminophylline	Not in Scope
Amiodarone-Cordarone	Not in Scope
Amyl Nitrite	Not in Scope
Aspirin	Not in Scope
Atropine Sulfate	Not in Scope
Benzocaine	Not in Scope
Calcium Chloride	Not in Scope
D5W	Not in Scope
Dextrose 25%	Not in Scope
Dextrose 50%	Not in Scope
Dexamethasone	Not in Scope
Diazepam-Valium	Not in Scope
Diltiazem-Cardizem	Not in Scope
Diphenhydramine-Benadryl	Not in Scope
Dobutamine-Dobutrex	Not in Scope
Dopamine-Inotropin	Not in Scope
Epinephrine-Adrenalin	Not in Scope
Epinephrine-Racemic	Not in Scope
Etomidate-Amidate	Not in Scope
Fentanyl-Sublimaze	Not in Scope
Flumazenil-Romazicon	Not in Scope
Furosemide-Lasix	Not in Scope
Glucagon-GlucaGen	Not in Scope
Haloperidol-Haldol	Not in Scope
Influenza Virus Vaccine	Not in Scope
Ipratropium-Atrovent	Not in Scope
Isoproterenol-Isuprel	Not in Scope
Isoetharine	Not in Scope
Ketamine	Not in Scope
Labatolol-Normodyne	Not in Scope
Lidocaine-Xylocaine	Not in Scope
Lidocaine Viscous	Not in Scope
Lorazepam-Ativan	Not in Scope
Magnesium Sulfate	Not in Scope
Metaprolol-Lopressor	Not in Scope
Metaproterenol-Alupent	Not in Scope
Methylene Blue	Not in Scope
Methylprednisolone-Solu Medrol
Metoclopramide-Reglan	Not in Scope
Midazolam-Versed	Not in Scope
Morphine Sulfate	Not in Scope
Nalaxone-Narcan	Not in Scope
Nifedipine-Procardia	Not in Scope
Nitroglycerin	Not in Scope
Norepinephrine-Levophed	Not in Scope
Ondansetron-Zofran	Not in Scope
Oxytocin-Pitocin	Not in Scope
Pancuronium-Pavulon	Not in Scope
Phenobarbital	Not in Scope
Phenylephrine	Not in Scope
Pralidoxime	Not in Scope
Procainamide-Pronestyl	Not in Scope
Prochlorperazine-Compazine	Not in Scope
Promethazine-Phenergan	Not in Scope
Sodium Bicarbonate	Not in Scope
Sodium Nitrite	Not in Scope
Sodium Thiosulfate	Not in Scope
Succinylcholine	Not in Scope
Terbutaline-Brethine	Not in Scope
Thiamine	Not in Scope
Toradol-Ketorolac	Not in Scope
Vasopressin-Pitressin	Not in Scope
Vecuronium-Norcuron	Not in Scope
Verapamil	Not in Scope
Add-In Drugs:

ALS Skills Performed] edit[
12 Lead Electrocardiograms	Not in Scope
12 Lead Interpretation	Not in Scope
Manual Defibrillation	Not in Scope
Transcutaneous Pacing	Not in Scope
Synchronized Cardioversion	Not in Scope
Valsalva Maneuvers	Not in Scope
Blood Draws	Not in Scope
Intervenous Catheters	Not in Scope
Insert Central Lines	Not in Scope
Access Central Lines	Not in Scope
Pericardiocentesis	Not in Scope
Needle Chest Decompression	Not in Scope
Chest Tubes	Not in Scope
Interosseous-Adult (IO)	Not in Scope
Interosseous-Pediatric (IO)	Not in Scope
Endotracheal Intubation-Adult	Not in Scope
Endotracheal Intubation-Pediatric	Not in Scope
Nasotracheal Intubation	Not in Scope
Rapid Sequence Intubation	Not in Scope
Retrograde Tracheal Intubation	Not in Scope
Needle Cricothyrotomy	Not in Scope
Surgical Cricothyrotomy	Not in Scope
Tracheal Suctioning	Not in Scope
Tracheal Meconium Suctioning	Not in Scope
Nasogastric Intubation	Not in Scope
Orogastric Intubation	Not in Scope
Therapeutic Hypothermia	Not in Scope
Episiotomy	Not in Scope
Escharotomy	Not in Scope