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<span id="openzim-page-title" class="mw-page-title-main"><span class="mw-page-title-main">PHECC</span></span>
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</style><table class="infobox vcard"><caption class="infobox-title fn org">Pre-Hospital Emergency Care Council</caption><tbody><tr><td colspan="2" class="infobox-image logo"></td></tr><tr><th scope="row" class="infobox-label" style="padding-right:0.6em;">Formation</th><td class="infobox-data note">2000</td></tr><tr><th scope="row" class="infobox-label" style="padding-right:0.6em;">Legal status</th><td class="infobox-data">Active</td></tr><tr><th scope="row" class="infobox-label" style="padding-right:0.6em;">Headquarters</th><td class="infobox-data"><a href="Naas" title="Naas">Naas</a>, <a href="County_Kildare" title="County Kildare">County Kildare</a>, Ireland</td></tr><tr><th scope="row" class="infobox-label" style="padding-right:0.6em;"><div style="display: inline-block; line-height: 1.2em; padding: .1em 0;">Region served </div></th><td class="infobox-data">Ireland</td></tr><tr><th scope="row" class="infobox-label" style="padding-right:0.6em;"><div style="display: inline-block; line-height: 1.2em; padding: .1em 0;">Director</div></th><td class="infobox-data">Richard Lodge</td></tr><tr><th scope="row" class="infobox-label" style="padding-right:0.6em;">Website</th><td class="infobox-data"><a rel="nofollow" class="external free" href="http://www.phecc.ie">http://www.phecc.ie</a></td></tr><tr><th scope="row" class="infobox-label" style="padding-right:0.6em;">Remarks</th><td class="infobox-data">Appointment: <a href="Minister_for_Health" class="mw-redirect" title="Minister for Health">Minister for Health</a></td></tr></tbody></table>
<p>The <b>Pre-Hospital Emergency Care Council (PHECC)</b> is an independent statutory organisation responsible for implementing, monitoring and further developing the standards of care provided by all statutory, private and voluntary <a href="HSE_National_Ambulance_Service" title="HSE National Ambulance Service">ambulance services</a> in <a href="Republic_of_Ireland" title="Republic of Ireland">Ireland</a>. It is also responsible for conducting examinations at six levels of pre-hospital care, the control of ambulance <a href="Paramedic" title="Paramedic">practitioner</a> registration and the publication of <a href="Medical_guideline" title="Medical guideline">clinical practice guidelines</a>.
</p>
<meta property="mw:PageProp/toc">
<div class="mw-heading mw-heading2"><h2 id="Levels_of_Care">Levels of Care</h2></div>
<p>There are six skill levels obtainable. They are divided into responder and practitioner categories. As of September 2019, all practitioners working on an emergency ambulance must be trained to a minimum of <a href="Paramedic" title="Paramedic">paramedic</a>, however in 2021 this minimum requirement was temporarily waived allowing an EMT to crew with a paramedic or advanced paramedic for the remainder of the <a href="COVID-19_pandemic" title="COVID-19 pandemic">COVID-19</a> era. A practitioner working on a non-emergency transport or intermediate care vehicle must be at least an <a href="Emergency_medical_technician" title="Emergency medical technician">emergency medical technician</a>.
</p>
<div class="mw-heading mw-heading3"><h3 id="Responders">Responders</h3></div>
<p>Responder training is aimed towards workplace response, <a href="Garda_Sioch%C3%A1na" class="mw-redirect" title="Garda Siochána">Gardaí</a>, fire service personnel, <a href="Irish_Army" title="Irish Army">military personnel</a>, voluntary first aid organisations, sports clubs and security services.
Voluntary first aid services such as <a href="Civil_Defence" class="mw-redirect" title="Civil Defence">Civil Defence</a>, <a href="Order_of_Malta_Ambulance_Corps" title="Order of Malta Ambulance Corps">Order of Malta Ambulance Corps</a>, <a href="Irish_Red_Cross" class="mw-redirect" title="Irish Red Cross">Irish Red Cross</a> and the <a href="St._John_Ambulance_Brigade_of_Ireland" class="mw-redirect" title="St. John Ambulance Brigade of Ireland">St John Ambulance Brigade of Ireland</a> avail of responder training to allow their members provide on-site first aid at the various events they cover.
Certain remote communities have set up their own individual Cardiac First Response programmes, where various people in the area are trained to PHECC Level 1 (CFR) standard and are provided with an <a href="Automated_External_Defibrillator" class="mw-redirect" title="Automated External Defibrillator">Automated External Defibrillator</a>. These responders can then be called or paged to the scene of a cardiac arrest to provide <a href="CPR" class="mw-redirect" title="CPR">CPR</a> and defibrillation, where the increased response time of an ambulance would greatly affect the patient's outcome.
</p>
<table class="wikitable">
<tbody><tr>
<td colspan="3" align="center" style="font-size: 90%;"><b>PHECC RESPONDER levels (<a href="Basic_life_support" title="Basic life support">basic life support</a> (BLS))</b>
</td></tr>
<tr>
<td align="center"><b>Responder title</b>
</td>
<td><b>Abbreviation</b>
</td>
<td align="center"><b>Level of care</b>
</td></tr>
<tr>
<td bgcolor="grey"><a rel="nofollow" class="external text" href="https://www.phecit.ie/PHECC/Education_and_careers/Education_and_training_standards/PHECC/Education_and_careers/Education_and_Training_Standards/Education_and_Training_Standards.aspx?Hkey=1733bd9d-1ea7-41e7-af20-8ab0f40ab846">Cardiac first responder</a>
</td>
<td><b>CFR</b>
</td>
<td>A one-day course where you are trained in <a href="Basic_life_support" title="Basic life support">basic life support</a> with emphasis on <a href="CPR" class="mw-redirect" title="CPR">CPR</a> and the use of an <a href="Automated_external_defibrillator" title="Automated external defibrillator">automated external defibrillator</a>.<sup id="cite_ref-1" class="reference"><a href="#cite_note-1"><span class="cite-bracket">[</span>1<span class="cite-bracket">]</span></a></sup>
</td></tr>
<tr>
<td bgcolor="grey"><a rel="nofollow" class="external text" href="https://www.phecit.ie/PHECC/Education_and_careers/Education_and_training_standards/PHECC/Education_and_careers/Education_and_Training_Standards/Education_and_Training_Standards.aspx?Hkey=1733bd9d-1ea7-41e7-af20-8ab0f40ab846">Cardiac first responder (Advanced)</a>
</td>
<td><b>CFR-A</b>
</td>
<td>A one-day course including CFR, with additional scope including the use of a <a href="Bag_valve_mask" title="Bag valve mask">bag valve mask</a> (BVM) and supraglottic <a href="Airway_management" title="Airway management">airway management</a>, pulse checks and oxygen administration.<sup id="cite_ref-2" class="reference"><a href="#cite_note-2"><span class="cite-bracket">[</span>2<span class="cite-bracket">]</span></a></sup> CFR-A is also the minimum standard for entry into the Emergency First Responder (EFR) program.
<p>This is mandatory for all PHECC registered practitioners to keep their practitioner level and should always be kept in date (2 years).
</p>
</td></tr>
<tr>
<td bgcolor="brown"><a rel="nofollow" class="external text" href="https://www.phecit.ie/PHECC/Education_and_careers/Education_and_training_standards/PHECC/Education_and_careers/Education_and_Training_Standards/Education_and_Training_Standards.aspx?Hkey=1733bd9d-1ea7-41e7-af20-8ab0f40ab846">First aid responder</a>
</td>
<td><b>FAR</b>
</td>
<td>A three-day course including CFR, with additional training in patient assessment, common medical emergencies, injury management and <a href="Shock_(circulatory)" title="Shock (circulatory)">shock</a>, burns, hyper and <a href="Hypothermia" title="Hypothermia">hypothermia</a> as well as trauma related injuries such as the management of <a href="Bleeding" title="Bleeding">bleeding</a> and <a href="Fracture" title="Fracture">fractures</a>, etc.<sup id="cite_ref-3" class="reference"><a href="#cite_note-3"><span class="cite-bracket">[</span>3<span class="cite-bracket">]</span></a></sup>
<p>This course is the new standard for first aid in the workplace.<sup id="cite_ref-4" class="reference"><a href="#cite_note-4"><span class="cite-bracket">[</span>4<span class="cite-bracket">]</span></a></sup>
</p>
</td></tr>
<tr>
<td bgcolor="red"><a rel="nofollow" class="external text" href="https://www.phecit.ie/PHECC/Education_and_careers/Education_and_training_standards/PHECC/Education_and_careers/Education_and_Training_Standards/Education_and_Training_Standards.aspx?Hkey=1733bd9d-1ea7-41e7-af20-8ab0f40ab846">Emergency First Responder</a>
</td>
<td><b>EFR</b>
</td>
<td>A five-day course including the FAR course, with additional first aid and basic life support training that includes anatomy, physiology, pharmacology, cardiovascular emergencies, general medical emergencies, musculoskeletal head and <a href="Spinal_cord_injury" title="Spinal cord injury">spinal injuries</a>, pediatrics and <a href="Childbirth" title="Childbirth">childbirth</a>, <a href="Oxygen_therapy" title="Oxygen therapy">oxygen therapy</a> . An EFR may also assist in the giving of <a href="Nitroglycerin_(medication)" title="Nitroglycerin (medication)">Nitroglycerin</a> as a medication.<sup id="cite_ref-5" class="reference"><a href="#cite_note-5"><span class="cite-bracket">[</span>5<span class="cite-bracket">]</span></a></sup>
</td></tr>
<tr>
<td bgcolor="purple">
<p>Basic Tactical Emergency Care
</p>
</td>
<td><b>B-TEC</b>
</td>
<td>The B-TEC course is a one-day tactical course available to EFR's, EMT's and paramedics to provide medical interventions in hostile environments.<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">[</span>6<span class="cite-bracket">]</span></a></sup> This includes the use of <a href="Nasopharyngeal_airway" title="Nasopharyngeal airway">nasopharyngeal airways</a>, <a href="Hemostatic_dressing" class="mw-redirect" title="Hemostatic dressing">haemostatic</a> agents and tourniquets.
</td></tr></tbody></table>
<div class="mw-heading mw-heading3"><h3 id="Practitioners">Practitioners</h3></div>
<p>Practitioners must maintain their place on the register annually in order to practice. Once registered, practitioners are governed by a code of conduct, care principles, regulations and various laws, (primarily <a href="Tort" title="Tort">tort</a> law) when engaging with the public. As a result, practitioners are subject to professional accountability in terms of their professional practice and actions. Upon qualification and registration, a practitioner is issued with an identification number and licence card. The practitioner's PIN must be entered on all patient care records for any incident where the practitioner had contact with a patient. It is the responsibility of the licence holder to maintain an ongoing, predetermined standard of competency.
</p>
<table class="wikitable">
<tbody><tr>
<td colspan="3" align="center" style="font-size: 90%;"><b>PHECC PRACTITIONER levels</b>
</td></tr>
<tr>
<td align="center"><b>Practitioner title</b>
</td>
<td><b>Abbreviation</b>
</td>
<td align="center"><b>Level of care</b>
</td></tr>
<tr>
<td bgcolor="limegreen">Emergency Medical Technician
</td>
<td><b>EMT</b>
</td>
<td>Entry-level EMS <a href="Healthcare_professional" class="mw-redirect" title="Healthcare professional">healthcare professional</a>, with 120 hours of classroom training followed by 40 hours clinical placement.
<p>A state-level exam needs to be completed before you are invited to register as an EMT. EMT's in Ireland do not practice on frontline emergency ambulances. Instead, they provide intermediate care.
</p><p>EMT's are trained in <a href="Basic_life_support" title="Basic life support">basic life support</a>, <a href="Anatomy" title="Anatomy">anatomy</a>/<a href="Physiology" title="Physiology">physiology</a>, <a href="Pathophysiology" title="Pathophysiology">pathophysiology</a>, <a href="Pharmacology" title="Pharmacology">pharmacology</a>, <a href="ECG" class="mw-redirect" title="ECG">ECG</a> monitoring, advanced <a href="Airway_management" title="Airway management">airway management</a> (supraglottic airways), <a href="Spinal_injury" class="mw-redirect" title="Spinal injury">spinal immobilization</a> and the administration of medication typically <a href="Oral_administration" title="Oral administration">oral</a>, <a href="Intramuscular_injection" title="Intramuscular injection">intramuscular</a>, inhaled, <a href="Nebulizer" title="Nebulizer">nebulised</a> or <a href="Sublingual_administration" title="Sublingual administration">sublingual</a>.<sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">[</span>7<span class="cite-bracket">]</span></a></sup>
</p>
</td></tr>
<tr>
<td bgcolor="lightblue"><a href="Paramedic" title="Paramedic">Paramedic</a>
</td>
<td><b>P</b>
</td>
<td>This is the minimum standard for an emergency ambulance in Ireland.
<p>Paramedics are trained in additional training in advanced pharmacology, anatomy, advanced <a href="Airway_management" title="Airway management">airway management</a> (supraglottic airways), some advanced life support skills, 12 leads ECG's, administration of medication typically <a href="Oral_administration" title="Oral administration">oral</a>, <a href="Intramuscular_injection" title="Intramuscular injection">intramuscular</a>, inhaled, <a href="Nebulizer" title="Nebulizer">nebulised</a> or <a href="Sublingual_administration" title="Sublingual administration">sublingual</a> and they are also allowed to maintain IV lines. Paramedic training in Ireland is a minimum of 2 years (including internship). In 2019, the rollout of a bachelor's degree began, which is to become the standard of education for a paramedic in Ireland.<sup id="cite_ref-8" class="reference"><a href="#cite_note-8"><span class="cite-bracket">[</span>8<span class="cite-bracket">]</span></a></sup>
</p>
</td></tr>
<tr>
<td bgcolor="yellow">Advanced Paramedic
</td>
<td><b>AP</b>
</td>
<td>Trained to Paramedic level plus extensive advanced pharmacology, anatomy, physiology, <a href="Intravenous_cannulation" class="mw-redirect" title="Intravenous cannulation">Intravenous cannulation</a> and <a href="Intraosseous_infusion" title="Intraosseous infusion">intraosseous infusion</a> access, a wide range of medications, <a href="Tracheal_intubation" title="Tracheal intubation">tracheal intubation</a>, manual defibrillation, etc. In 2019, the rollout of a master's degree began, which is to become the standard of education for an advanced paramedic in Ireland.<sup id="cite_ref-9" class="reference"><a href="#cite_note-9"><span class="cite-bracket">[</span>9<span class="cite-bracket">]</span></a></sup>
</td></tr></tbody></table>
<div class="mw-heading mw-heading2"><h2 id="CPG_Approved_Service_Providers">CPG Approved Service Providers</h2></div>
<p>All organisations and companies who are providing an ambulance service in any capacity must register with PHECC as a CPG Approved Service Provider to work to the current edition of Clinical Practice Guidelines published by PHECC. Approved Service Providers are broken down into four categories. 3rd Edition CPG Providers are the <a href="Irish_Defence_Forces" class="mw-redirect" title="Irish Defence Forces">Irish Defence Forces</a> and Event Medical Services Ltd. 3rd Edition CPG Providers are listed on the PHECC website and updated regularly.<sup id="cite_ref-10" class="reference"><a href="#cite_note-10"><span class="cite-bracket">[</span>10<span class="cite-bracket">]</span></a></sup>
</p>
<div class="mw-heading mw-heading2"><h2 id="Citizen_CPR_campaign"><i>Citizen CPR</i> campaign</h2></div>
<p>In 2010, PHECC launched a poster-advertising and television-ad campaign aimed at informing the general public of what to do if they should witness an adult suddenly collapse. Its focus was to emphasise the fact that <a href="CPR" class="mw-redirect" title="CPR">CPR</a> can still be effective without mouth-to-mouth contact. Pocket-sized cards were distributed with instructions on the steps to take:
</p>
<ol><li><b>Check</b>: check if the person is unresponsive and not breathing.</li>
<li><b>Call</b>: Get someone to call <a href="999_(emergency_telephone_number)" title="999 (emergency telephone number)">999</a> or 112 or call them yourself.</li>
<li><b>Compress</b>: Push hard and fast in the centre of the chest. Don't stop until help arrives.</li></ol>
<div class="mw-heading mw-heading2"><h2 id="Red_Card">Red Card</h2></div>
<p>The Red Card has been developed by PHECC to help responders prepare prior to calling an ambulance. The card will prompt appropriate information from the Garda Síochána and Fire Service personnel on-scene who require an emergency ambulance to attend.
</p>
<div class="mw-heading mw-heading2"><h2 id="See_also">See also</h2></div>
<ul><li><a href="Health_Service_Executive" title="Health Service Executive">Health Service Executive</a></li>
<li><a href="HSE_National_Ambulance_Service" title="HSE National Ambulance Service">HSE National Ambulance Service</a></li>
<li><a href="Dublin_Fire_Brigade" title="Dublin Fire Brigade">Dublin Fire Brigade</a></li>
<li><a href="Civil_Defence_Ireland" title="Civil Defence Ireland">Civil Defence Ireland</a></li>
<li><a href="Order_of_Malta_Ambulance_Corps" title="Order of Malta Ambulance Corps">Order of Malta Ambulance Corps</a></li>
<li><a href="St._John_Ambulance_Brigade_of_Ireland" class="mw-redirect" title="St. John Ambulance Brigade of Ireland">The St. John Ambulance Brigade of Ireland</a></li>
<li><a href="Irish_Red_Cross" class="mw-redirect" title="Irish Red Cross">Irish Red Cross</a></li></ul>
<div class="mw-heading mw-heading2"><h2 id="References">References</h2></div>
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<li id="cite_note-2"><span class="mw-cite-backlink"><b><a href="#cite_ref-2">^</a></b></span> <span class="reference-text"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="http://dx2training.ie/training/coursescfr-a-html/">"Cardiac First Response Advanced"</a>. <i>DX2 Training Solutions</i><span class="reference-accessdate">. Retrieved <span class="nowrap">9 May</span> 2020</span>.</cite></span>
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<li id="cite_note-3"><span class="mw-cite-backlink"><b><a href="#cite_ref-3">^</a></b></span> <span class="reference-text"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="http://dx2training.ie/training/first-aid-response/">"First Aid Response"</a>. <i>DX2 Training Solutions</i><span class="reference-accessdate">. Retrieved <span class="nowrap">9 May</span> 2020</span>.</cite></span>
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<li id="cite_note-4"><span class="mw-cite-backlink"><b><a href="#cite_ref-4">^</a></b></span> <span class="reference-text"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.phecit.ie/PHECC/Education_and_careers/Education_and_Training_Standards/OFA_to_FAR_Update.aspx">"OFA to FAR Update"</a>. <i>www.phecit.ie</i><span class="reference-accessdate">. Retrieved <span class="nowrap">9 May</span> 2020</span>.</cite></span>
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<li id="cite_note-5"><span class="mw-cite-backlink"><b><a href="#cite_ref-5">^</a></b></span> <span class="reference-text"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="http://dx2training.ie/training/emergency-first-aid-response/">"Emergency First Response"</a>. <i>DX2 Training Solutions</i><span class="reference-accessdate">. Retrieved <span class="nowrap">9 May</span> 2020</span>.</cite></span>
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<li id="cite_note-6"><span class="mw-cite-backlink"><b><a href="#cite_ref-6">^</a></b></span> <span class="reference-text"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.emergencyservicestraining.ie/tactical-medical/">"BTEC Basic Tactical Emergency Care Course"</a>. <i>Emergency Services Training Institute</i>. 28 May 2016<span class="reference-accessdate">. Retrieved <span class="nowrap">10 May</span> 2020</span>.</cite></span>
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<li id="cite_note-7"><span class="mw-cite-backlink"><b><a href="#cite_ref-7">^</a></b></span> <span class="reference-text"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="http://dx2training.ie/training/emergency-medical-technician/">"Emergency Medical Technician"</a>. <i>DX2 Training Solutions</i><span class="reference-accessdate">. Retrieved <span class="nowrap">9 May</span> 2020</span>.</cite></span>
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<li id="cite_note-8"><span class="mw-cite-backlink"><b><a href="#cite_ref-8">^</a></b></span> <span class="reference-text"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.phecit.ie/PHECC/Education_and_careers/Education_and_Training_Standards/Education_and_Training_Standards.aspx">"Education and Training Standards"</a>. <i>www.phecit.ie</i><span class="reference-accessdate">. Retrieved <span class="nowrap">9 May</span> 2020</span>.</cite></span>
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<li id="cite_note-9"><span class="mw-cite-backlink"><b><a href="#cite_ref-9">^</a></b></span> <span class="reference-text"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.phecit.ie/PHECC/Education_and_careers/Education_and_Training_Standards/Education_and_Training_Standards.aspx">"Education and Training Standards"</a>. <i>www.phecit.ie</i><span class="reference-accessdate">. Retrieved <span class="nowrap">9 May</span> 2020</span>.</cite></span>
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<li id="cite_note-10"><span class="mw-cite-backlink"><b><a href="#cite_ref-10">^</a></b></span> <span class="reference-text"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="https://www.phecit.ie/PHECC/Clinical_resources/CPG_approved_service_providers/PHECC/Clinical_Resources/Approved_Service_Providers__CPGs_/Approved_service_providers_-_CPGs.aspx?hkey=840156ff-7fea-4415-b2f5-dd9a78d9ac1a">"Approved service providers – CPGs"</a>. <i>www.phecit.ie</i><span class="reference-accessdate">. Retrieved <span class="nowrap">10 May</span> 2020</span>.</cite></span>
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</ol></div></div>
<div class="mw-heading mw-heading2"><h2 id="External_links">External links</h2></div>
<ul><li><a rel="nofollow" class="external text" href="http://www.citizencpr.ie">PHECC Citizen CPR Website</a></li></ul></div><!--htdig_noindex--><div><div class="zim-footer">
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