1、Designation: F 1257 90 (Reapproved 2008)Standard Guide forSelection and Practice of Emergency Medical ServicesInstructor for Advanced Life Support/Emergency MedicalTechnician (ALS/EMT) Training Programs1This standard is issued under the fixed designation F 1257; the number immediately following the
2、designation indicates the year oforiginal adoption or, in the case of revision, the year of last revision. A number in parentheses indicates the year of last reapproval. Asuperscript epsilon (e) indicates an editorial change since the last revision or reapproval.1. Scope1.1 This guide is intended to
3、 assist emergency medicalservices (EMS) agencies and institutions in selecting andutilizing individuals who teach in EMT (emergency medicaltechnician) training programs that include instruction in ad-vanced life support knowledge and skills.1.2 This guide identifies six categories of instructor in a
4、nALS/EMT (advanced life support/emergency medical techni-cian) training program: adjunct instructor, clinical/field precep-tor, practical skills instructor, associate instructor, courseinstructor/coordinator (I/C), and course administrator. Theguide recognizes that an individual may, depending on hi
5、s/herlevel of practice and the training program involved, function inany or all of these categories.1.3 This guide includes specific guidelines for qualifica-tions, training, education, experience, scope of authority, re-sponsibilities, continuing education, evaluation, and mainte-nance of competenc
6、y when applicable.1.4 This guide does not include specific guidelines for thecourse administrator or the adjunct instructor. While the guiderecognizes, by offering a definition of each category, that thesetypes of individuals function in many ALS/EMT trainingprograms, the limited instructional roles
7、 played by theseindividuals precludes the need for specific selection andutilization guidelines.1.5 This guide is intended to apply to any individual whoteaches in ALS/EMT training programs regardless of theindividuals present level of clinical practice.1.6 This guide intentionally omits references
8、to length ofprehospital care experience, teaching experience, and continu-ing education requirements. This guide also omits reference towaiver or equivalency. These issues should be addressed by theappropriate agency.1.7 This guide applies only to instructors who teach inadvanced life support traini
9、ng courses designed to prepare anindividual for certification to practice as an EMT above thelevel of the EMT (basic). It does not apply to instructors whoteach in specialized courses that do not in themselves qualifythe individual for a level of EMT certification.1.8 This guide does not establish c
10、ertification requirements.Such requirements should be established by the certifyingagency in the jurisdiction in which the ALS/EMT instructorwill function. This guide may be used to provide considerableguidance to the jurisdiction responsible for establishing certi-fication standards.1.9 This standa
11、rd does not purport to address all of thesafety concerns associated with its use. It is the responsibilityof the user of this standard to establish appropriate safety andhealth practices and determine the applicability of regulatorylimitations prior to use.NOTE 1Also see Practice F 1031.2. Reference
12、d Documents2.1 ASTM Standards:2F 1031 Practice for Training the Emergency Medical Tech-nician (Basic)3. Terminology3.1 Definitions of Terms Specific to This Standard:3.1.1 adjunct instructoran individual with specializedsubject matter expertise, who, on occasion, instructs a specifictopic of a curri
13、culum under the direction of the courseinstructor/coordinator.1This guide is under the jurisdiction of ASTM Committee F30 on EmergencyMedical Services and is the direct responsibility of Subcommittee F30.02 onPersonnel, Training and Education.Current edition approved Feb. 1, 2008. Published March 20
14、08. Originallyapproved in 1990. Last previous edition approved in 2002 as F 1257 90(2002).2For referenced ASTM standards, visit the ASTM website, www.astm.org, orcontact ASTM Customer Service at serviceastm.org. For Annual Book of ASTMStandards volume information, refer to the standards Document Sum
15、mary page onthe ASTM website.1Copyright ASTM International, 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959, United States.3.1.2 advanced life supporta level of pre-hospital emer-gency medical care that includes all EMT-basic procedures andany or all additional procedures, inter
16、ventions, or techniquesdefined by the National Standard Curricula.3,43.1.3 advanced life support/emergency medical technician(ALS/EMT) training programa course of instruction thatprovides an individual with the knowledge and clinical skills ofemergency medical care necessary to function at a level o
17、fEMT practice beyond the level of EMT (basic). Such coursesinclude, but are not limited to, EMT-intermediate and EMT-paramedic training programs.3.1.4 ALS/EMT instructoran individual who provides in-struction in a training or education program for prehospitalALS/EMT personnel. This term includes any
18、 individual whofunctions as an adjunct instructor, clinical/field preceptor,practical skills instructor, associate instructor, or courseinstructor/coordinator.3.1.5 associate instructoran individual who possesses thequalifications and education/training of a course instructor/coordinator, but, in a
19、specific course, assumes a supportive orassisting role to the course instructor/coordinator. This indi-vidual may substitute for the course instructor/coordinator incase of necessity or, in other courses, serve as a courseinstructor/coordinator.3.1.6 certificationcurrent, formal approval by the appr
20、o-priate certifying agency to function at a specific level ofpractice. This may also be referred to as approval or licensure.3.1.7 clinical certificationa standardized process forevaluation and recognition of an acceptable level of compe-tence in a specific aspect of patient care.3.1.8 clinical expe
21、rienceexposure to and practice in anarea of patient care.3.1.9 clinical/field preceptoran individual who supervisesand evaluates the students during clinical or field experiencesunder the direction of the course instructor/coordinator.3.1.10 course administratoran individual responsible formanaging
22、administrative details of a course, separate fromactual instruction of the course.3.1.11 course instructor/coordinator (I/C)an individualwho is authorized by the appropriate entity to present andassess competence in all of the subject matter contained in acurriculum. This person also oversees all in
23、struction in thecourse and makes final evaluations concerning student compe-tence.3.1.12 course medical directorthe licensed physician whoprovides medical direction for all didactic and clinical instruc-tion and clinical practice experience included in an ALS/EMTtraining program.3.1.13 evaluationthe
24、 process of verifying clinical andeducational skills and knowledge competencies of an ALS/EMT instructor.3.1.14 instructor training programan educational pro-gram that provides a foundation of essential educationalprinciples to assist individuals to instruct in, or coordinate,ALS/EMT programs. It mu
25、st, at a minimum, contain theelements of the DOT EMS Instructor National StandardCurriculum.53.1.15 practical skills instructoran individual who assistswith practical skills instruction under the direction of thecourse instructor/coordinator.3.1.16 qualificationa requirement which shall be met byan
26、ALS/EMT instructor candidate prior to selection and prac-tice as an ALS/EMT instructor.4. Significance and Use4.1 Since the quality of prehospital ALS/EMT trainingdepends, in large measure, on the instructional abilities andcompetencies of the ALS/EMT instructor, it is imperative thatthe individual
27、selected and used in this capacity possess thequalifications and capabilities necessary to provide effectiveinstruction.4.2 An ALS/EMT instructor must possess clearly definedknowledge and skills competencies, have clearly defined re-sponsibilities and scope of authority related to instructionalprogr
28、ams and meet other specific requirements pertinent to thelevel of instruction.4.3 Using this guide, EMS institutions and organizationsshould be able to develop requirements for selection andutilization of ALS/EMT instructors for ALS/EMT training andeducation programs.ADVANCED LIFE SUPPORT INSTRUCTOR
29、GUIDELINES5. Course Instructor/Coordinator5.1 An individual shall be considered eligible to serve as anALS/EMT course I/C when requirements as outlined in 5.1.1and 5.1.2 have been met by that individual.5.1.1 Qualifications Prior to entering the instructor train-ing program, the course I/C candidate
30、 shall:5.1.1.1 Be at least a high school graduate or have a GeneralEquivalency Diploma (GED); preferably a higher educationdegree in a supportive discipline,5.1.1.2 Have prehospital patient care experience at least atthe level being taught,5.1.1.3 Be certified at least at the level being taught,5.1.
31、1.4 Demonstrate, at the level being taught, currentcompetence in and knowledge of emergency care of the acutelyill or traumatized patient to the satisfaction of the appropriateagency, and5.1.1.5 Demonstrate to the instructor training agency, read-ing and language skills commensurate with resource ma
32、terialsto be utilized in the ALS/EMT training program.5.1.2 Education/Training/ExperienceThe course I/C can-didate shall:3Emergency Medical TechnicianIntermediate: National StandardCurriculumInstructors Lesson Plans (U.S. DOT/NHTSA Report No. DOT HS900091, August 1986).4Emergency Medical TechnicianP
33、aramedic: National Standard CurriculumInstructors Lesson Plans, 1985 (U.S. DOT/NHTSA Report No. DOT HS 900089,August 1986).5Emergency Medical Services Instructor Training Program:ANational StandardCurriculumInstructors Lesson Plans, First Edition, 1986 (U.S. DOT/NHTSAReport No. HS 900086, February 1
34、986).F 1257 90 (2008)25.1.2.1 Have served as a practical skills instructor, clinicalor field preceptor, and successfully completed a supervisedprobationary teaching experience in an ALS/EMT trainingprogram at the level to be taught to the satisfaction of theappropriate agency,5.1.2.2 Have advanced c
35、linical certifications, provider orinstructor, or both, as appropriate for the curriculum beingtaught,5.1.2.3 Be certified as a CPR instructor according to thecurrent standards as promulgated by the American HeartAssociation or the American Red Cross,5.1.2.4 Become familiar with appropriate record k
36、eepingprocesses for students, sponsoring agency or state EMSagency, or both,5.1.2.5 Successfully complete an instructor training pro-gram that includes the knowledge and skills objectives con-tained in the DOT Instructor Curriculum.55.1.3 Scope of AuthorityThe course I/C shall have theauthority to:5
37、.1.3.1 Conduct ALS/EMT training programs with the ap-proval of the appropriate EMS agency,5.1.3.2 Document to the appropriate agency those studentssuccessfully completing the ALS/EMT training program, and5.1.3.3 Regulate student behavior within the scope of thetraining program under the institutiona
38、l guidelines for dueprocess.5.1.4 Responsibilities The course I/C:5.1.4.1 Should provide a positive role model by:(a) Maintaining personal mental and physical health,(b) Maintaining appropriate personal hygiene and appear-ance,(c) Actively pursuing personal and professional develop-ment,(d) Recogniz
39、ing personal limitations and seeking assis-tance when appropriate,(e) Demonstrating competent, respectful, and caring inter-actions with students, coworkers, and patients at all times, and(f) Demonstrating professional behavior in the classroomor in the presence of students.5.1.4.2 Shall ensure a sa
40、fe and effective learning environ-ment,5.1.4.3 Shall ensure competent training staff,5.1.4.4 Shall maintain appropriate training records,5.1.4.5 Shall teach the curriculum as adopted and defined bythe appropriate certifying agency,5.1.4.6 Shall inform students of the criteria for successfulcourse co
41、mpletion,5.1.4.7 Shall consistently monitor student progress towardterminal course objectives and provide appropriate feedback tothe students within guidelines established by the appropriatecertifying agency,5.1.4.8 Shall uphold state and national clinical standards forpractice at the appropriate AL
42、S/EMT level,5.1.4.9 Shall evaluate the students for safe and effectiveperformance,5.1.4.10 Shall orient, supervise and evaluate adjunct, prac-tical skills, associate instructors, and clinical/field preceptors,5.1.4.11 Shall coordinate student field or clinical activitieswith the clinical/field prece
43、ptors,5.1.4.12 Shall ensure that practical skills training equipmentis maintained in a safe and acceptable operating condition,5.1.4.13 Shall protect the privacy of students and the con-fidentiality of training course records as required by applicablelaws and standards,5.1.4.14 Should have knowledge
44、 of the administrative andlegislative processes affecting the local, regional, or stateprehospital EMS system, or combination thereof, and5.1.4.15 Should have knowledge of the laws and regulationsaffecting the local, regional, or state prehospital EMS system,or combination thereof.5.1.5 EvaluationTh
45、e evaluation of a course I/C shallinclude:5.1.5.1 Analysis of student outcomes,5.1.5.2 Classroom observation of the I/C, and5.1.5.3 Review of students course evaluations.5.1.6 Maintenance of competencyIn order to maintaincompetency, the course I/C shall:5.1.6.1 Maintain certification at least at the
46、 level beingtaught,5.1.6.2 Teach ALS/EMT related curriculum, and5.1.6.3 Participate in continuing education programs, whichmay include:(a) Practice-related topics, for example, management oradministration, vehicle maintenance, communications,(b) Clinical topics, and(c) Educational methods and materi
47、als.6. Associate Instructor6.1 The associate instructor shall possess the same qualifi-cations, training and education as the course I/C.6.2 The associate instructor differs from the course I/C inthat the associate instructor assumes a supportive and assistingrole to the course I/C in a specific ALS
48、/EMT training program.7. Practical Skills Instructor7.1 Qualifications The practical skills instructor candi-date:7.1.1 Should be at least a high school graduate or have aGeneral Equivalency Diploma (GED),7.1.2 Shall have pre-hospital care experience or approval bythe course I/C and course medical d
49、irector, or both, and7.1.3 Shall demonstrate to the satisfaction of the course I/Cand course medical director current competence in and knowl-edge of the skill(s) being taught.7.2 Education/Training/ExperienceThe practical skills in-structor candidate shall:7.2.1 Demonstrate mastery of the knowledge and skillsobjective contained in lessons 1, 8, and 9 of the DOT InstructorCurriculum,57.2.2 Successfully complete a supervised probationaryteaching experience for the skill(s) to be taught to the satisfac-tion of the appropriate agency,7.2.3 Be certif
