The Tule River Indian Health Center, Inc. (TRIHCI) will implement the Emergency Medical Services Training Project, which will recruit and train emergency medical services personnel in rural areas of Tulare County, California, with a particular focus on addressing mental health, behavioral health, and substance use disorders. A minimum of 136 paramedics, Emergency Medical Technicians (EMTs), and EMT students (from the local Porterville College EMT Program) will participate in a wide range of training opportunities, including: Advanced Cardiac Life Support, Pediatric Advanced Life Support, Pre-Hospital Trauma Life Support, Mental Health First Aid for Adults, Mental Health First Aid for Youth, Naloxone, and Certified Ambulance Documentation. Further, project participants will have multiple opportunities to strengthen clinical competency through state-of-the-art training modalities. For example, project participants will use the SimMan 3G PLUS, which is a realistic "full-body adult" patient simulator that is easy to operate and designed for a fully immersive simulation experience, to participate in individual and group training designed to improve and enhance critical emergency medical services skills (e.g., communication, decision-making, patient care, etc.). Further, project participants will have access to "scenario" training through VRpatients -- a state-of-the-art "virtual reality" training system. The proposed project will achieve the following goals: 1) recruit, hire, and train three (3) paramedics and three (3) Emergency Medical Technicians (EMTs) to serve the rural TRIHCI Emergency Medical Services (EMS) Department; 2) enhance and expand EMS hands-on training for rural-serving EMS personnel; 3) increase EMS mental health, behavioral health, and substance use disorder response training; and 4) provide EMS training for partner agencies, which will include Tule River Fire EMTs, Camp Nelson Volunteer Ambulance staff, Imperial Ambulance, other local rural-serving ambulance companies, and Tulare County Fire EMTs and paramedics. Through the implementation of the Emergency Medical Services Training Project, a number of measurable outcomes will be realized, including:
1. A minimum of six (6) new emergency medical services personnel (three paramedics and three EMTs) will be recruited and hired by the Tule River Indian Health Center EMS Department during the 12-month funding period.
2. A minimum of 136 unduplicated EMS workers will be trained through grant funds as appropriate to maintain licenses and certifications relevant to serve in an EMS agency during the 12-month funding period.
3. A minimum of 136 of EMS personnel will be licensed/certified as a result of funding support from this grant program due to the completion of CEU hours within the 12-month funding period.
4. A minimum of 17 different training courses will be conducted that qualify graduates to serve in an EMS agency through the completion of the required CEUs. In addition to ACLS, PALS, and PHTLS, the following courses will help graduates to serve in an EMS agency: Ambulance Documentation, four Virtual Reality Simulation modules, six Sim Manikin Training modules, hemorrhage control training.
5. Five courses about mental health and substance use disorders will be offered as a result of this funding: Mental Health First Aid for Adults, Mental Health First Aid for Youth, Naloxone use training, a two-hour Sim Manikin module for behavioral emergencies and overdose emergencies, and one virtual reality simulation scenario related to mental health/substance abuse.
6. A minimum of three cases of Naloxone will be purchased and a minimum of 13 EMS personnel will be trained in the use of emergency opioid overdose medication. The Naloxone will be distributed to Tule EMS team housed at the Tule River Indian Health Center, the Tule River EMS team housed at the casino, and to the Camp Nelson Volunteer Ambulance team.