NREMT Advanced V IHCD Technician

M

murf1977

Longterm Registered User
Good Evening,

I am toying with the idea of completing one of the above courses. I know one is Uk based and the other is an American.
Both are in and around the same price and both are relevant to their sectors of work IHCD in UK and the NREMT in the states.

I am looking opinions from any of those who have worked along side persons who have completed either or and in what area of operations Hostile, Remote. Do you think one is more employable than the other?

I am leaning towards the NREMT at the min as they have a slightly better area of remit with regards to fluids and drugs compared to that of the IHCD and would be better suited to the security sector.

In addition I was also wondering if anyone had transferred the NREMT skill set to the UK and any problems they incurred along the way.

Thanks

Murf
 
Hi Murph

Without knowing what your clinical skills are, where you want to work and what you want to achieve its difficult to advise.

As far as I'm aware to get on the NREMT register you'll need a US social security number.

To complete the IHCD technician qualification you'll need to do 750hrs on a frontline ambulance and complete a portfolio of evidence.


Scott


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Thanks Scott
I have my EMT-B, FPOSI, TTLS, ILS and I work ad hic for a private ambulance company. Im looking advice on comparison of the two qualifications and seeing which one is more employable in the security industry.
 
Hi Murph

In my humble opinion the IHCD tech is designed for UK ambulance work where you've got a receiving hospital reasonably nearby. Therefore for me a technician lacks the skills to work in a remote setting.

However it is a UK recognised qualification so would open up ambulance work and it's a route onto a paramedic programme.

NREMT I don't know enough about to judge the only thing I can say is that in all my time in ambulance work I've never met anyone with it. Whether it's best for Iraq/Afghanistan I'm not sure.

Good luck with what you decide

Scott


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murf1977 said:
Thanks Irish. Hows u doing?
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I'm doing okay. Working in static security, soul destroying stuff but it just about pays the bills.
Strongly considering a return to military life, there's not too much in the way of decent opportunities in Dublin and I don't want to rot away doing static security.

How are you getting on?
 
ScottA said:
As far as I'm aware to get on the NREMT register you'll need a US social security number.
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You don't need a US social security number in order to get the NREMT Paramedic. There are many non US graduates from the NREMT programme. PERCOM in Texas has the highest pass rate for any online paramedic programme. They have graduated many non US students.

I don't think that you can compare the IHCD Ambulance Tech to the NREMT Paramedic. The Ambulance Tech is a bit above the EMT but nowhere near the paramedic level.

Go for the NREMT. Once you have that qualification and have a few years of work experience you can reciprocity into the HCPC Paramedic. You will never reciprocity into the Irish Paramedic due to their new 4 year degree requirement. Plus, the Irish Paramedic is equal to the IHCD Ambulance Tech. Well, at least the Ambulance Tech can cannulate.

You will get a lot more work in the remote and offshore jobs with the NREMT.
 
murf1977 said:
Is the NREMT ADVANCED not on the same wavelength as the IHCD Tech course?
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Yes, you could say that they are both in the same stadium but play in different levels. The AEMT is quite a bit higher than the Tech due to their ACLS protocols, advanced drug therapy and airway skills.

If I were to ask either one to work on one of my family I would always choose the AEMT unless he was a nug. In which case no amount of training can improve on that!


Anyone care to choose the hierarchy of EMS training worldwide? I will give it a shot and hopefully not cause international trouble.

1. PA/ENP
2. Community Paramedic/ECP/Critical Care Paramedic/Flight Paramedic
3. Offshore Medic
4. HCPC Paramedic/ HPCSA Degree Paramedic/ Australian degree Paramedic
5. NREMT Paramedic / HPCSA CCA /Advanced Care Paramedic
6. PHECC Advanced Paramedic
7. NREMT Advanced
8. IHCD Ambulance Technician / HPCSA ILS
9. PHECC Paramedic
10. NREMT EMT/ PHECC EMT / HPCSA BAA / Primary Care Paramedic
11. MIRA
12. VIPER/STORM/TALON/KNIFE/SNAKE/KILLER/DEATHFROMWITHIN (basically the FPOS-I)



I know there will be differences of opinion for the CMT trained Offshore Medics but let's just say that the Paramedics have gone for the OMC and are now working as Offshore Medics.

Any thoughts on how this list could be changed?
 
Thats a cracking list! Good effort, and I think your right, its a fair representation of the global ''hierarchy'' at the present time.
Daz.
 
Interesting list, I probably wouldn't put OSM that high because it's not a stand alone course and to gain any benefit from it you need to be an experienced clinician.


Scott


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Just a quick question, isn't the NREMT-P changing in the next couple of years, or am I just making that up?


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BO13BY said:
Just a quick question, isn't the NREMT-P changing in the next couple of years, or am I just making that up?


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Click to expand...


You are correct. The new levels of training are the NRP, AEMT and EMT. Gone will be the NREMT-B, NREMT-I and NREMT-P. They have already transitioned into the EMT and AEMT. The NRP comes on line in the next couple of years. Some TPs are already teaching the NRP.

There are additional skills above the paramedic level. Some of the Critical Care Paramedic skills are now included in the NRP.
 
Good and interesting list/exercise, thanks for doing that! Agree with ScottA, not sure OSM should be that high as it's more of an add-on to an already existing qualification/background and would depend on the previous skill level I think.

RL
 
Agreed. The Offshore Cert is not a good indicator of clinical skills. A CMT who has been counting blankets for 12 years can get out and do the course. They get work as an Offshore Medic same as someone who is an ENP getting the OMC.

But there has to be some line drawn in the sand that states levels of competency. Regardless of backround all Offshore Medics are given the same job options. Obviously, the one with a CV full of clinical experience will get jobs quickly.

Until something better comes along the OMC is all that there is for a level of competency for the offshore industry. Perhaps it is time to get a group of like minded and motivated medics to design a course that is more relevant for the jobs that medics are working in todays market. The OMC focuses on the North Sea but it is still being asked for in the Middle East. Not sure why that is.

On top of that, the HSE has shown that it is not interested in upgrading and modernising the OMC.
 
Fair points Merit.

To go back to your list, I think it all depends on the setting and the patients needs at the time. If you need a patient managed at the side of the road you want a para/tech crew in attendance, in a walk in center or minor injury unit you'd want an enp or ecp, on an oil platform an experienced cmt/nurse/para with osm course behind them or at an event a first aider with fpos to deal with the minor scrapes and bumps.

There is a place for everybody. The problems arise when people try to work beyond there skill set and experience.

Scott
 
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