The New England EMS Institute is part of the Elliot Health System, which has over a 116-year history of serving the community and has been instrumental in training hospital and pre-hospital patient care providers. The union of patient care and education creates the ideal environment for pre-hospital medical education. Elliot Health System and the New England EMS Institute have provided EMS educational programs since 1985. During the past 30 years we have educated over 10,000 students. Graduates of our programs have become practitioners and managers with EMS services throughout the country. In 1998 the New England EMS Institute was created at Elliot Health System. This has allowed us to function as a post-secondary educational facility and expand our educational programs.

Our EMS educational programs are open for those seeking a career in Emergency Medical Services and to improve their knowledge and skills in rendering care to the sick and injured. Many of our students are choosing a new career or advancing in their present careers, while others come to gain knowledge that will be useful in the care of family and friends. There are three core programs: • Emergency Medical Technician • Advanced Emergency Medical Technician • Paramedic Emergency Medical Technician The primary focus of the Emergency Medical Technician is to provide basic emergency medical care and transportation for critical and emergent patients who access the emergency medical system. This individual possesses the basic knowledge and skills necessary to provide patient care and transportation. Emergency Medical Technicians function as part of a comprehensive EMS response, under medical oversight. Emergency Medical Technicians perform interventions with the basic equipment typically found on an ambulance. The Emergency Medical Technician is a link from the scene to the emergency health care system. Educational Requirements: One of the eligibility requirements for licensure at this level requires successful completion of an accredited Emergency Medical Technician course. Students who successfully complete this program are eligible to take the National Registry exam and subsequently apply for state licensure. Advanced Emergency Medical Technician The primary focus of the Advanced Emergency Medical Technician is to provide basic and limited advanced emergency medical care and transportation for critical and emergent patients who access the emergency medical system. This individual possesses the basic knowledge and skills necessary to provide patient care and transportation. Advanced Emergency Medical Technicians function as part of a comprehensive EMS response, under medical oversight. Advanced Emergency Medical Technicians perform interventions with the basic and advanced equipment typically found on an ambulance. The Advanced Emergency Medical Technician is a link from the scene to the emergency health care system. Educational Requirements: One of the eligibility requirements for licensure at this level requires successful completion of an accredited Advanced Emergency Medical Technician course. Paramedic The Paramedic’s scope of practice includes basic and advanced skills focused on the acute management and transportation of the broad range of patients who access the emergency medical system. This may occur at an emergency scene until transportation resources arrive, from an emergency scene to a health care facility, between health care facilities, or in other health care settings. In some communities, Paramedics provide a large portion of the out-of-hospital care and represent the highest level of out-of-hospital care. In communities that use emergency medical dispatch systems, Paramedics may be part of a tiered response system. In all cases, Paramedics work alongside other EMS and health care professionals as an integral part of the emergency care team. The Paramedic’s scope of practice includes invasive and pharmacological interventions to reduce the morbidity and mortality associated with acute out-of-hospital medical and traumatic emergencies. Emergency care is based on an advanced assessment and the formulation of a field impression. The Paramedic provides care designed to minimize secondary injury and provide comfort to the patient and family while transporting the patient to an appropriate health care facility. The Paramedic has knowledge, skills, and abilities developed by appropriate formal education and training. The Paramedic has the knowledge associated with, and is expected to be competent in, all of the skills of the EMR, EMT, and AEMT. The major difference between the Paramedic and the Advanced Emergency Medical Technician is the ability to perform a broader range of advanced skills. These skills carry a greater risk for the patient if improperly or inappropriately performed, are more difficult to attain and maintain competency in, and require significant background knowledge in basic and applied sciences. The Paramedic is the minimum licensure level for patients requiring the full range of advanced out-of-hospital care. The scope of practice is limited to advanced skills that are effective and can be performed safely in an out-of-hospital setting with medical oversight. The Paramedic transports all emergency patients to an appropriate medical facility. The Paramedic serves as part of an EMS response system, ensuring a progressive increase in the level of assessment and care. The Paramedic may make destination decisions in collaboration with medical oversight. The principal disposition of the patient encounter will result in the direct delivery of the patient to an acute care facility. In addition to emergency response, Paramedics often perform medical transport services of patients requiring care within their scope of practice. New England EMS Institute’s Paramedic Program includes 1,200 hours, with class meetings once a week for 16-months. The Paramedic Program is offered on weekdays to meet the needs of the working EMS professional. The program is nationally accredited and supported by highly trained educational faculty and a Clinical Sites Coordinator dedicated to providing intensive clinical and field rotations. Our students receive extensive training in pre-hospital pharmacology, advanced patient assessment, advanced airway and cardiac management, trauma management, and the pathophysiology of shock. The New England EMS Institute has a partnership with Granite State College and graduates of the Paramedic Program are eligible for 34 college credit hours.

The New England EMS Institute does not discriminate on the basis of age, sex, religion, race, or ethnic group in the administration of its educational policies, admission policies, or other administration programs.

The New England EMS Institute is committed to promoting and delivering the highest quality patient care and educational experiences in order to prepare competent entry-level Paramedics in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains. It is through the combined resources of community, clinical, and administrative support coupled with a dedication to learning that the New England EMS Institute serves the community.

We provide an excellent and cost efficient adult learning environment with educational programs that improve pre-hospital care and promote unity between pre-hospital and hospital staff. Our graduates become the leaders in their field.

• Provide an excellent adult-learning environment. • Provide cost-efficient education. • Provide educational programs that improve pre-hospital care. • Support an environment that promotes unity between pre-hospital and hospital staff. • Graduate EMS professionals who will become the leaders in their field. • To prepare competent entry-level Paramedics in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains with or without exit points at the Advanced Emergency Medical Technician and/or Emergency Medical Technician, and/or Emergency Medical Responder levels.

The Paramedic Program is accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP). The New England EMS Institute is accredited by the Commission on Accreditation of Allied Health Education Programs (www.caahep.org)(http://www.caahep.org/) upon the recommendation of the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP). Commission on Accreditation of Allied Health Education Programs 727-210-2350 www.caahep.org(http://www.caahep.org/) Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions 214-703-8445 www.coaemsp.org(http://www.coaemsp.org/) The New England EMS Institute is licensed by the New Hampshire Higher Education Commission.

New England EMS Institute is located a short distance from the main campus of Elliot Hospital. Our 8,100 square foot location provides for more space to accommodate our expanding programs. We offer ample accessible parking, large classroom with adjoining lab and practice space, an enlarged multi-media room, internet access, student lounge, and administrative offices. Our state-of the-art lab and patient simulation equipment provides students with opportunities to practice on both adult and pediatric skills. Highlights include; IV cannulation, EKG monitoring and 12 lead interpretation, cardiac defibrillation/cardioversion/external pacing, advanced airway procedures including endotracheal and surgical airway, chest decompression, intraosseous access and infusion, and a wide range of medication administration. Our newest addition, the SimMan® Essential offers comprehensive clinical functionality to teach the core skills of airway, breathing, cardiac, and circulation management for our students. We can provide realistic and engaging scenario based simulation to challenge and evaluate critical thinking and clinical decision-making skills.

Upon completion of an EMS program, each student will have demonstrated an ability to comprehend, apply, analyze, and evaluate information relevant to the course completed. Upon completion of a program for National Registry certification, students will have demonstrated technical proficiency in all skills necessary to fulfill the Department of Transportation and the State of New Hampshire curriculum guidelines.

Veterans Education Benefits: U.S. military veterans may be eligible for educational benefits. Contact the Program Coordinator for details and application(s). Student Library: Use of the multimedia room is open to all students during regularly scheduled classes or by appointment. The multimedia room houses a collection of books and periodicals pertaining to EMS, adult and pediatric injuries, cardiology, trauma, and system development. It also provides access to MS Professional Office, the Internet, and the Elliot Health System Intranet including Hospital online Library resources. Method of Payment: Personal checks, Visa, MasterCard, American Express, and Discover credit cards are accepted. Course deposit is due prior to the first class. Personal checks will not be accepted for final payment. For payment plans contact the Program Coordinator.

Joshua Arevalo Program Manager JArevalo@Elliot-HS.org(mailto:MKelley@Elliot-HS.org) Danielle Mackey Program Coordinator Dmackey@Elliot-HS.org(mailto:iwilder@elliot-hs.org) Josh McCullough Clinical Coordinator JmcCullough@Elliot-HS.org(mailto:iwilder@elliot-hs.org) Brett Murray, MD Medical Director Bmurray@Elliot-HS.org(mailto:iwilder@elliot-hs.org)

New England EMS Institute (NEEMSI) values the professional conduct of its students and staff. NEEMSI has policies which establish professional and educational standards for student and staff conduct. Should a student or staff member fail to meet these standards, NEEMSI will communicate to the student or staff person in a professional manner and provide counseling where possible. In cases where the conduct is of a serious nature, a student may be dismissed from the program immediately. Students will have a right to appeal this process through an established procedure. Staff members who do not adhere to the Code of Conduct or Elliot Essentials may be referred to Human Resources. STUDENT PROCEDURE: All students will be informed of the grievance process to be utilized if a student does not meet program guidelines, policies, or accepted practices. In the event disciplinary or corrective action is to be initiated for a student, the EMS Educator will give an oral warning at which time the student will be counseled in remediation of the behavior or act that necessitated the corrective action (if applicable). In the event the remediation does not correct the student’s action within the time frame designated, the student will receive a written warning and will be counseled regarding the possibility of removal from classroom or clinical activities, thereby resulting in a failure of the course. If continuation of the behavior occurs after the written warning, the student will be immediately dismissed from the program. The Manager reserves the right to go directly to written warnings and/or dismissal if the violation is of serious nature. Any student receiving disciplinary action may appeal the decision to the Manager of NEEMSI. Any student wishing to appeal a decision will be given a grievance report form. Following completion, the grievance report form is to be mailed (electronic is acceptable) to the Manager of NEEMSI. A grievance report form must be received within 30 days of disciplinary action to warrant an appeal. During the appeal process, participation in clinical activity is immediately suspended pending the outcome of the appeal process. A student may appeal the decision of the Manager of NEEMSI to the Advisory Board. At least three members of the NEEMSI Advisory Board and the NEEMSI Medical Director must be in attendance for any grievances that are appealed to the Advisory Board. Details of any disciplinary action and/or appeals will be confidentially maintained in the NEEMSI administration office.

Student records and transcripts are stored digitally as well as on location at 1050 Holt Ave, Unit 5, Manchester, NH. Students may request transcripts by visiting our Transcript Request page. (neemsi.org/transcript-request)