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We donвЂ™t really train them or evaluate them for driving proficiency. So what are we doing, folks? EMS personnel are hurt every day in preventable vehicle crashes. For an eye-opener, check out this video of Bend Fire & Rescue training on a skid truck:

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Even the Ice Road Truckers have to qualify on a simulator every year before they drive north on the ice road) or Skid Car training to improve driving on ice, snow, or rain-covered roads. Nobody talked to me about using high-fidelity simulators for training personnel for ambulance driving. While I found a plethora for police, fire, security, and dignitary protection, I found none for ambulances or EMS non-transport vehicles, such as quick response SUVs and pickup trucks.

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I searched for private schools that I could send people to, to learn how to become legitimate, hands-on, emergency and ambulance vehicle driving instructors.

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Searching for specialized ambulance driver training Watch a video of blue light driver training: This course requires extensive on-road operation including driving with emergency warning systems. In the United Kingdom, ambulance driver training requires several weeks of training, on the road, including a special вЂњblue light operatorвЂќ course prescribed by the Association of Chief Police Officers. Not every firefighter is required to be certified to drive, and training and qualification is required for each and every vehicle type and size. The fire service requires extensive driver training, after an individual has specific experience as a firefighter. The New York State Police require 100 hours minimum and the fact is that law enforcement officers drive cars, and donвЂ™t have to back up on every call. In the U.S., our law enforcement colleagues typically spend 40 to 80 hours or more on driver training. In the thought first attributed to Rudy Giuliani in 2008, вЂњHope is not a strategy.вЂќ As an industry and a profession, we should do better than this. In short, our approach to ambulance driver training is вЂњhear no evil, see no evil.вЂќ We take people who may have driven nothing heavier than a 2,700 pound economy sedan, put them behind the wheel of a 14,000 pound or 21,000 pound ambulance, and hope for the best. Fewer still require any sort of periodic re-evaluation of their paramedics that are driving ambulances, and those that require re-assessment do not require evaluation by a qualified instructor. Most agencies do some familiarization driving, followed by a вЂњcheck-offвЂќ by a field training officer (who usually is not a qualified driving instructor). Most employers do not have the expertise, facilities or equipment to conduct appropriate driver training. In general, EMT and paramedic schools do not teach ambulance driving вЂ“ that responsibility has been pushed to the employers. There does not seem to be a standard description for what EVOC includes.

There are a variety of courses using the вЂњEVOCвЂќ or emergency vehicle operator course rubric.

CEVO II Ambulance Online is four hours of online instruction.

There is no on-highway practice requirement. The course provides for an optional one to two hour вЂњcone courseвЂќ to address vehicle maneuvering.

Coaching the Emergency Vehicle Operator-3 (CEVO 3 Ambulance): a six-hour classroom-only course from the National Safety Council.

The current state of paramedic driver training for ambulances in the United States, based on my informal surveys, is that we have a variety of short courses that typically involve some classroom discussion, followed by some limited вЂњmaneuveringвЂќ activities and behind the wheel practice in вЂњcone courses.вЂќ Some of those short courses include: This topic is too important for managers to keep to themselves. A few colleagues replied with answers that also sounded a little lame and the vast majority of responses were in the nature of вЂњlet me know what you find вЂ“ weвЂ™ve been thinking about that question also.вЂќДЄs industry leaders gather at EMS Today, it seems like a good time to have a face-to-face discussion with colleagues, and share best practices for training EMS providers to drive ambulances. So I went out to my colleagues on the National EMS Management Association ( NEMSMA) list server and a few other sources, and I asked about their programs and processes. And when I tried to answer them, my answers sounded, well, a little lame. Of course, some of his difficult questions involve examination of our driver training program. The qualification comes from the fact that he can ask some hard questions. Working with someone who knows his way around our business is a very nice change вЂ“ mostly. Recently, a new risk management director joined my organization, and he had prior experience that included police, fire, and EMS.

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