| rev:text
| - Interactions with the staff yielded concerns, regarding medical professional standards. For further information, please review the following paragraph.
During a 24-hour Arizona Emergency Medical Technician (EMT) Refresher course, two practical skills proctors considerably modified and guided candidates through practical skills examinations by providing candidates prompts for items that candidates were normally expected to recall and demonstrate, without aid. One proctor appeared to fail to reset one station, and interventions appeared to have been already completed for incoming candidates. Another station did not include any of the proper materials necessary for the candidate to present themselves as a competent EMT. The written examination content consisted of approximately 10 short questions and answers involving patients' having snoring respirations and requiring their airway to be opened via head-tilt chin-lift or manual jaw thrust maneuvers; the examination was 150 questions long; this complaint was initiated in a 2016 course and remained unchanged. Staff presented anecdotes of when they and their medical response teams facilitated "courtesy codes." A particular story was shared by staff in which an older adult was described as not having a DNR order, yet a team member of the staff could apparently sense that the patient no longer wanted to live, so resuscitative efforts were discontinued, during transportation. Even throughout formal presentations, staff appeared to often rely on their own understanding of niche emergency medical technical knowledge, as opposed to focusing on more basic material that might be considered more suitable for an EMT refresher course. For example, staff would speak about interventions that were typically only authorized to be conducted by a paramedic, as opposed to an EMT, and stated confidently that youth were inducing an altered state of mind by smoking bed bugs, when such was demonstrated by other reliable sources as being simply an April Fools joke. Staff verbally presented material as if all of the students present had functioned as prehospital professionals; such was not the case. Most of the instruction time was designated by staff for the students to rehearse practical skills, at their own pace. Students appeared to cease practicing after approximately two hours. During the periods of inactivity, staff did not initiate instruction or actively encourage continued practice. Staff would interrupt students of whom were practicing their skills to speak about matters unrelated to the course. At times, staff arrived and began instruction later than scheduled. Staff allowed students to leave early. Formal CPR recertification consisted of approximately five minutes of instruction and did not involve any written or practical examinations. The organization's slogan is, "We don't follow the standards... We set them!"
Interactions with the staff yielded concerns, regarding working in accordance with guidelines for civil rights. For further information, please review the following paragraph.
During a 24-hour Arizona Emergency Medical Technician (EMT) Refresher course, staff expressed their opinions about what it was like to date women of various ethnicities, in a way that may have perpetuated harmful stereotypes. Staff also made remarks about transgender male-to-females, referred to them as "shims" (a shortened version of the slur, "shemale"), and otherwise seemed to speak about the population in a manner incongruent with a tolerant attitude. The word "elderly," as opposed to, "older adults," was utilized in the written examination; this complaint was initiated in a 2016 course and remained unchanged. Staff also appeared to demonstrate a lack of tolerance towards masculine types of whom would wear their hair in a bun.
Intent has been established, regarding the notification of the Better Business Bureau, the Arizona Department of Health Services, and the press, respectively.
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