N E W S EMS DISPATCH
LETTER
Vol. IX No. 1
Winter 2002
Southern Tier Regional EMS Council

CHILD ABUSE: MANDATORY REPORTING

Table of Contents
Child Abuse: Mandatory Reporting  Page 1
Child abuse, cont.  Page 2
Calendar events  Page 2
You've Got Mail  Page 2
QIPP Awards  Page 3
New videos  Page 3
New DOH Policies  Page 3
EMS news  Page 3
Council Update  Page 4
   Albany, NY: Beginning February 1, 2002, all Emergency Medical Technicians – EMT, EMT-I, EMT-CC and EMT-P - are required to report suspected cases of child abuse and neglect. Mandatory Reporting Facts
   All 50 states have passed some form of a mandatory child abuse and neglect reporting law in order to qualify for funding under the Child Abuse Prevention and Treatment Act (CAPTA).
   New York State has recently amended their law to include EMTs as mandatory reporters, effective 2/1/02. The new law requires emergency medical technicians to report suspected child abuse they come across while performing their jobs. Emergency medical technicians are often the first individuals to arrive at the scene of a medical emergency and would likewise often be the first to detect any instances of child abuse.
Send us news of your agency: information about what you are doing, or about people - someone who should be recognized for exceptional service or caring, someone who deserves a pat on the back. Send it to EMS Dispatch at STREMS.    EMTs are to report when they have reasonable cause to suspect that a child coming before them in their professional or official capacity is an abused or maltreated child, or when they have reasonable cause to suspect that a child is an abused or maltreated child where the parent, guardian, custodian or other person legally responsible for such child comes before them in their professional... capacity and states from personal knowledge facts, conditions or circumstances which, if correct, would render the child an abused or maltreated child.
EMS DISPATCH
Published quarterly by
STREMS, Inc.
315 West Water Street,
Elmira, NY 14901
Robert W. Nowlan, President;
Maryann Sweely, Vice President;
James J. Cummings, Treasurer;
Ronald H. Kintz, Secretary;
Robert C. Rajsky,
Council Chairperson;
Bernadette Josbeno-Oakes,
Council Vice-Chairperson
   What is Child Abuse? An "abused child" is one whose parent or other person legally responsible for his/her care inflicts upon the child serious physical injury, creates a substantial risk of serious physical injury, or commits an act of sex abuse against the child. Not only can a person be abusive to a child if they perpetrate any of these actions against a child in their care, they can be guilty of abusing a child if they allow someone else to do these things to that child. So, the mother who stands by and watches without saying or doing anything while the father breaks their child's arm while physically disciplining the child can be as guilty of abuse as the father.
Sponsors: Chemung County, Schuyler County, Steuben County, Arnot Ogden Medical Center, Corning Hospital, Ira Davenport Memorial Hospital, Schuyler Hospital, St. James Mercy Hospital, St. Joseph's Hospital. abused child   What is child neglect? Neglect refers to the quality of care a child is receiving from those responsible for him/her.
INSTRUCTIONAL AIDS
The STREMS office has a variety of videotapes and slides, with lesson plans, that can be used for review or inservices. The list is available on our website or call us at 732-2354, ex 10.
   Neglect refers generally to a situation where the physical, mental or emotional welfare of a child is impaired or placed in imminent danger of impairment by the failure of a parent or other person legally responsible for the care of a child to exercise a minimum degree of care toward that child. Neglect can also result from infliction of excessive corporal punishment, abandonment of a child or from not providing adequate supervision for the child. Further, excessive use of drugs or alcohol such that would interfere with a persons' ability to adequately supervise a child can be neglect.
continued p. 2, col. 2

Contact us
STREMS, Inc.
315 West Water Street
Elmira NY 14901
(607) 732-2354
In New York State only:
1-800-343-1311
E-mail us:

STREMS@stny.rr.com
Child abuse, cont.  Page 2
Calendar events  Page 2
You've Got Mail  Page 2
QIPP Awards  Page 3
New videos  Page 3
New DOH Policies  Page 3
EMS news  Page 3
Council Update  Page 4
Winter 2002 Community marketplace EMS Dispatch Page 2

Child Abuse: Mandatory Reporting, cont.

How do I report? Reports should be made immediately upon receiving information about abuse or neglect and maltreatment - at any time of the day and on any day of the week - by telephone to the State Central Register of Child Abuse and Maltreatment (SCR).The Child Abuse Hotline Number is 800-635-1522.
You should provide the following information, if known, when making an oral report:
abused child's self-portraitMandated Reporters are required to report instances of suspected child abuse or maltreatment only when they are presented with reasonable cause to suspect child abuse or maltreatment in their professional roles. Therefore, if the Doctor is examining a child in her practice and has a reasonable suspicion of abuse she must report it. However, the doctor who witnesses' child abuse when riding her bike on the weekend is not mandated to report that abuse. (Of course, anyone may report any suspected abuse at any time, and is encouraged to do so.)
A signed, written report (DSS 2221A) must be filed by mandated reporters within 48 hours of an oral report. You should submit written reports to the appropriate local child protective service. You may request the address of the investigative district from the child protective specialist at the time you make the oral report to the State Central Register of Child Abuse and Maltreatment.
What happens after I make a report? The Child Protective Service (CPS) is required to commence an investigation of each report within 24 hours, which should include an evaluation of the child named in the report and any other children in the home, and a determination of the risk to the children if they continue to remain in the home.
(Information provided by Centers for Disease Control, American Academy of Pediatrics, and NY State Office of Child and Family Services.)
Related Videos (available from STREMS): Abuse From Infancy to the Grave: Graphic exposure to the various types of abuse (physical abuse, sexual abuse, neglect, financial exploitation) that may be encountered in the prehospital setting.
Pediatric Emergencies: croup, epiglottitis, child abuse, auto-pedestrian, near-drowning
The Pediatric Patient: pediatric injury prevention, recognizing child abuse, the pediatric patient, pediatric basic skills, pediatric respiratory emergencies.

"You've got mail!"

computerIf you have an e-mail address, you can receive this newsletter and other publications from STREMS delivered to your desk!
Send an e-mail to strems@stny.rr.com and ask to be put on our mailing list.
You can receive EMS Dispatch, The Volunteer Connection, Council agendas and minutes, course announcements, notice of upcoming events. Tell us what you'd like to receive.

Mark your calendar...

Contact us: at 607-732-2354 or 1-800-343-1311.
Nancy - ext. 10; e-mail nancy-bush@stny.rr.com
Linda - ext. 11; e-mail linda-johnson@stny.rr.com
Dr. Huffner - ext. 12; e-mail dr-huffner@stny.rr.com
Judy - ext. 13; e-mail judy-blair@stny.rr.com
Office hours are from 8:30AM-4:30PM, M-F.
ID photos may be taken at the office on the third Tuesday of every month, or by appointment, or by Vanessa at any Defib inservice.
Page 1 Back to Page 1
QIPP Awards  Page 3
New videos  Page 3
New DOH Policies  Page 3
EMS news  Page 3
Council Update  Page 4
Winter 2002 EMS Dispatch Page 3

QIPP AWARDS PRESENTED

The Quality Improvement Program Participation awards were presented at the March meeting of the Southern Tier Regional EMS Council. To qualify, agencies must have 75% participation (attendance and report) at Area QI Meetings in a calendar year. Awards are presented annually to participating hospitals, agencies and 911 centers at the March Council meeting. Teri Symonds, accepting for St. James Mercy Hospital
Each qualified agency receives a plaque the first year, and each succeeding year a brass plate with the date, to be affixed to the plaque. The wording on the plaque reads: "STREMS Regional Quality Improvement Program Participation Award granted to [Agency] for meeting the requirements of the Regional Quality Improvement Plan."
First-time recipients this year were Canisteo Ambulance, Greenwood Ambulance, Prattsburgh Ambulance, Tuscarora Ambulance, and Woodhull Ambulance.
Deby Kline, accepting for Tyrone Ambulance Second-year recipients were: 911 Center: Chemung County. Ambulances - Addison, Bath, Cameron, Cohocton, Erway, Fremont, Hammondsport, Hornell, Jasper, Pulteney, Rural/ Metro, Schuyler, Troupsburg, Tyrone, Valois-Logan-Hector, and Wayland. Hospitals: Arnot Ogden, Corning, Ira Davenport, St. James, St. Joseph's and Schuyler.


New Videos

videotapeEMS Management at a MCI, Part I: Introduction, Pre-Incident Planning, First 30-60 Minutes, Prolonged Response to Multi-Day Incident, Recovery/Post-Incident Period, Common Challenges During a MCI. (12/01 Pulse)
Mass Casualty Incidents, Part 2: Critical Incident Stress, Common Problems, DMORT, Mass Casualty Incidents and Multiple Patient Incident. (1/02 Pulse)
Respiratory Emergencies: Pulmonary Anatomy & Physiology, Pulmonary Embolism, Pneumonia, The Crashing Asthmatic Patient. (2/02 Pulse)
Geriatrics - Abuse, neglect, provider attitudes; medication; orthopedic injuries; dementia. (3/02 Pulse)
Childbirth: Normal Childbirth, Complications of Childbirth, Third Trimester Complications. (Pulse,4/02)
These and other videos and slides are available for inservices at your agency. Call 607-732-2354, ex. 10.


New DOH Policies

02-04 Required CPR Testing - The new guidelines for CPR were published in the American Heart Association Guidelines 2000 for CPR and ECC Supplement to Circulation Volume 102 Number 8 August 22, 2000. In order to be admitted to the State final practical skills examination all CFR, EMT and/or Advanced EMT students must pass CPR testing based on the criteria published in the American Heart Association's "Guidelines 2000; " testing must include adult and infant obstructed airway procedures, adult 1 and 2 rescuer CPR, child and infant CPR, and be made part of the student record.
02-01 Requirement to report instances of suspected child abuse or maltreatment - Effective February 1st, 2002 the law will require Emergency Medical Technicians to report suspected child abuse they come across while performing their jobs. This Policy Statement and attached fact sheet are intended to be used by New York State EMTs to help them better understand their obligations as well as the signs and symptoms of possible child abuse or maltreatment.
1-08 Unknown Dry Substance / Suspected Anthrax Response Advisory - This guideline was provided to your local REMAC for incorporation into local protocol.
Copies of policies available from STREMS or you can download them directly from the DOH website at http://www.health.state.ny.us/nysdoh/ems/policy.htm


EMS in the News...

newspaperFour events are being planned - watch your mail for more information...
-An EMS booth at the Health Care Expo, Coach USA Center, April 27-28
-An EMS Teaching Day; topics: Child Abuse Reporting and Incident Command
-A bio-terrorism MCI drill
-EMS Day at Arnot Mall in September, to honor "Heros of 911"

Child Abuse, Page 1
Child abuse, cont.  Page 2
Calendar events  Page 2
You've Got Mail  Page 2
Council Update  Page 4

Winter 2002 EMS Dispatch Page 4

Notes from the Council

Council activities from October 2001 to February 2002:
The issue of ambulance restocking was thoroughly discussed. A regional plan was written and submitted to the Office of Inspector General, Department of Health and Human Services. A favorable ruling is expected in the near future.
Hornby Fire Department was approved as a new BLS First Response agency. Protocol revisions were approved, and inservices scheduled.
Troupsburg AED renewal was approved. The STREMAC formulary was approved. Four members were reelected to Council - Morgan Colegrove, Jim Chrabaszcz, Al Lewis and MaryAnn Teeter.
A communications survey was approved, to hire a consulting firm to study a regionwide medical service radio system to give us ideas of the latest technology; what options are available to us and some idea of how we might go forward with this.
As of February 1, 2002 all certified EMS personnel are required to report suspected cases of child abuse and neglect. The state has not recommended any formal education for our EMS personnel. An interdisciplinary panel (social workers, EMS personnel, legal/medical) will be formulated, and a course be offered. The course will include what signs are we looking for, what are the legal implications, what's expected of the EMS personnel, how is the reporting done
Mr. Rajsky was approved as Dr. Huffner's alternate to the State Council. A motion was passed to recognize the CISM team members for the valuable work that they have done to aid our providers.
Links to Council minutes - verbatim and summaries - can be found here: http://www.strems.org/council.html#meetings
Council meetings are held at 7PM on the second Thursday of January, February, March, May, June, September, October, and November. The May, June, September and October meetings are held at the Lodge on the Green in Painted Post; the November, January, February and March meetings are at the Hilton Garden Inn in Big Flats. Meetings are open to the public; visitors are welcome.


Is there something you would like to see in the Dispatch?
Is there a certain subject that you would like explained?
Would you be willing to write an article for the Dispatch?
Contact the STREMS office at 732-2354 or write to us.
Child Abuse, Page 1
Child abuse, cont.  Page 2
Calendar events  Page 2
You've Got Mail  Page 2
QIPP Awards  Page 3
New videos  Page 3
New DOH Policies  Page 3
EMS news  Page 3