Purpose
The process for obtaining the Drug-Assisted Airway Management (DAAM) credential, formerly known as the RSI credential, in the Monroe-Livingston EMS Region. This process emphasizes a competency-based approach to ensure the safe and effective practice of advanced airway management consistent with the MLREMS Policy on Drug-Assisted Airway Management. Please also see Advisory 25-08.
Program Eligibility
Paramedics are eligible to enter the credentialing process if they meet all of the following:
- Active and unrestricted paramedic certification for at least two years.
- Continuous practice in the MLREMS Region for the six months prior to the testing date.
- No ongoing clinical quality concerns with the MLREMS Quality & Patient Safety Committee.
Paramedics should begin the process only after discussing their intent to apply with both their Clinical Care Coordinator/ALS Chief and Agency Medical Director.
Credentialing Process
- Application Submission
The application includes three components:
- Completion of the applicant questionnaire: https://redcap.link/wohetfmw
- Completion of the agency/clinical leadership evaluation by the Clinical Care Coordinator/ALS Chief and/or Medical Director: https://redcap.link/l3zyv77d
- Review and final approval of the agency evaluation by the Medical Director.
The application questions are attached for review before starting the questionnaire. While there is no required number of intubations for eligibility, the number of intubations performed and success rates are part of the clinical evaluation. Agencies should gather this data as part of the application process.
- Deidentified Regional Review
All applications will undergo a de-identified review by the Regional Airway Collaborative/DAAM Committee to determine selection for advancement to the cognitive testing step.
- Cognitive Testing
Eligible paramedics will take a written examination covering DAAM concepts, decision-making, and pharmacology. A passing score is required to advance.
To assist in preparation, the following educational modules are available:
All paramedics considering pursuing the DAAM credential are encouraged and expected to review this content to gain a clear understanding of expectations.
- DAAM Education
Paramedics passing the initial cognitive exam will participate in synchronous education sessions, including case reviews and simulation, facilitated by members of the Airway Collaborative in preparation for their simulation-based assessment.
- Simulation-Based Assessment
Participants must demonstrate competency in DAAM procedures and decision-making during high-fidelity simulation testing.
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