Course: / Emergency Medical Technician I & II / Course Number: / 8333/8334
Textbook: / Brady Emergency Care, 10th ed
Required Fee/Supplies: / $10.00 / Student Organization: / HOSA
Prerequisite:
Dual Enrollment Credit: / Yes
Industry Certification: / EMT-B
I. COURSE DESCRIPTION
Students focus on the role and responsibilities of emergency rescue workers, basic medical terminology, and health care skills that include first aid; cardiopulmonary resuscitation; aseptic technique; and related anatomy, physiology, and disease knowledge. Supervised work education is provided in a hospital or with rescue squads and is managed by the EMT teacher.
II. COURSE CONTENT
Task Area/Modules / DaysModule 1 / 20
Module 2 / 20
Module 3 / 30
Module 4 / 30
Module 5 / 30
Module 6 / 20
Module 7 / 20
Module 8 / 10
Total / 180
III. EVALUATION/GRADE PROCEDURES
1.
Daily grades 20%
Tests/Quizzes 20%
Shop/Lab 60%
Emergency Medical Technician I & II - Competency List
Student Name ______School Year ______
School ______
Emergency Medical Technician
TASKS/COMPETENCIES / Date / RatingMODULE 1: PREPARATORY
Introduction to Emergency Medical Care
• HMS8335.001 Define Emergency Medical Services (EMS) systems.
• HMS8335.002 Differentiate the roles and responsibilities of the EMT-Basic from other prehospital care providers.
• HMS8335.003 Describe the roles and responsibilities related to personal safety.
• HMS8335.004 Discuss the roles and responsibilities of the EMT-Basic towards the safety of the crew, the patient, and bystanders.
• HMS8335.005 Define quality improvement and discuss the EMT-Basic's role in the process.
• HMS8335.006 Define medical direction and discuss the EMT-Basic's role in the process.
• HMS8335.007 State the specific statutes and regulations in your state regarding the EMS system.
• HMS8335.008 Assess areas of personal attitude and conduct of the EMT-Basic.
• HMS8335.009 Characterize the various methods used to access the EMS system in your community.
Well-Being of the EMT-Basic
• HMS8335.010 List possible emotional reactions that the EMT-Basic may experience when faced with trauma, illness, death, and dying.
• HMS8335.011 Discuss the possible reactions that a family member may exhibit when confronted with death and dying.
• HMS8335.012 State the steps in the EMT-Basic's approach to the family confronted with death and dying.
• HMS8335.013 State the possible reactions that the family of the EMT-Basic may exhibit due to their outside involvement in EMS.
• HMS8335.014 Recognize the signs and symptoms of critical incident stress.
• HMS8335.015 State possible steps that the EMT-Basic may take to help reduce/alleviate stress.
• HMS8335.016 Explain the need to determine scene safety.
• HMS8335.017 Discuss the importance of body substance isolation.
• HMS8335.018 Describe the steps the EMT-Basic should take for personal protection from airborne and bloodborne pathogens.
• HMS8335.019 List the personal protective equipment necessary for each of the following situations: hazardous materials, rescue operations, violent scenes, crime scenes, exposure to bloodborne pathogens, and exposure to airborne pathogens.
• HMS8335.020 Explain the rationale for serving as an advocate for the use of appropriate protective equipment.
• HMS8335.021 Use and dispose of appropriate personal protective equipment in cases of potential infectious exposure.
• HMS8335.022 Complete disinfection/cleaning and all reporting documentation after potential infectious exposure.
Medical/Legal and Ethical Issues
• HMS8335.023 Define the EMT-Basic scope of practice.
• HMS8335.024 Discuss the importance of Do Not Resuscitate [DNR] (advance directives) and local or state provisions regarding EMS application.
• HMS8335.025 Define consent and discuss the methods of obtaining consent.
• HMS8335.026 Differentiate between expressed and implied consent.
• HMS8335.027 Explain the role of consent of minors in providing care.
• HMS8335.028 Discuss the implications for the EMT-Basic in patient refusal of transport.
• HMS8335.029 Discuss the issues of abandonment, negligence, and battery and their implications for the EMT-Basic.
• HMS8335.030 State the conditions necessary for the EMT-Basic to have a duty to act.
• HMS8335.031 Explain the importance, necessity, and legality of patient confidentiality.
• HMS8335.032 Discuss the considerations of the EMT-Basic in issues of organ retrieval.
• HMS8335.033 Differentiate the actions that an EMT-Basic should take to assist in the preservation of a crime scene.
• HMS8335.034 State the conditions that require an EMT-Basic to notify local law enforcement officials.
• HMS8335.035 Explain the role of EMS and the EMT-Basic regarding patients with DNR orders.
• HMS8335.036 Explain the rationale for the needs, benefits, and usage of advance directives.
• HMS8335.037 Explain the rationale for the concept of varying degrees of DNR.
The Human Body
• HMS8335.038 Identify the following topographic terms: medial, lateral, proximal, distal, superior, inferior, anterior, posterior, midline, right and left, mid-clavicular, bilateral, mid-axillary.
• HMS8335.039 Describe the anatomy and function of the following major body systems: respiratory, circulatory, musculoskeletal, nervous, and endocrine.
Baseline Vital Signs and Sample History
• HMS8335.040 Identify the components of the extended vital signs.
• HMS8335.041 Describe the methods to obtain a breathing rate.
• HMS8335.042 Identify the attributes that should be obtained when assessing breathing.
• HMS8335.043 Differentiate among shallow, labored, and noisy breathing.
• HMS8335.044 Describe the methods to obtain a pulse rate.
• HMS8335.045 Identify the information obtained when assessing a patient's pulse.
• HMS8335.046 Differentiate among a strong, weak, regular, and irregular pulse.
• HMS8335.047 Describe the methods to assess the skin's color, temperature, and condition (capillary refill in infants and children).
• HMS8335.048 Identify the normal and abnormal skin colors.
• HMS8335.049 Differentiate among pale, blue, red, and yellow skin color.
• HMS8335.050 Identify the normal and abnormal skin temperature.
• HMS8335.051 Differentiate among hot, cool, and cold skin temperatures.
• HMS8335.052 Identify normal and abnormal skin conditions.
• HMS8335.053 Identify normal and abnormal capillary refill in infants and children.
• HMS8335.054 Describe the methods used to assess the pupils.
• HMS8335.055 Identify normal and abnormal pupil size.
• HMS8335.056 Differentiate between dilated (big) and constricted (small) pupil sizes.
• HMS8335.057 Differentiate between reactive and non-reactive pupils and equal and unequal pupils.
• HMS8335.058 Describe the methods to assess blood pressure.
• HMS8335.059 Define systolic pressure.
• HMS8335.060 Define diastolic pressure.
• HMS8335.061 Explain the difference between auscultation and palpation for obtaining a blood pressure.
• HMS8335.062 Identify the components of the SAMPLE history.
• HMS8335.063 Differentiate between a sign and a symptom.
• HMS8335.064 State the importance of accurately reporting and recording the baseline vital signs.
• HMS8335.065 Discuss the need to search for additional medical identification.
• HMS8335.066 Explain the value of performing the baseline vital signs.
• HMS8335.067 Recognize and respond to the feelings patients experience during assessment.
• HMS8335.068 Defend the need for obtaining and recording an accurate set of vital signs.
• HMS8335.069 Explain the rationale of recording additional sets of vital signs.
• HMS8335.070 Explain the importance of obtaining a SAMPLE history.
• HMS8335.071 Demonstrate the skills involved in assessment of breathing.
• HMS8335.072 Demonstrate the skills associated with obtaining a pulse.
• HMS8335.073 Demonstrate the skills associated with assessing the skin's color, temperature, condition, and capillary refill in infants and children.
• HMS8335.074 Demonstrate the skills associated with assessing the pupils.
• HMS8335.075 Demonstrate the skills associated with obtaining blood pressure.
• HMS8335.076 Demonstrate the skills that should be used to obtain information from the patient, family, or bystanders at the scene.
Lifting and Moving Patients
• HMS8335.077 Define body mechanics.
• HMS8335.078 Discuss the guidelines and safety precautions that need to be followed when lifting a patient.
• HMS8335.079 Describe the safe lifting of cots and stretchers.
• HMS8335.080 Describe the guidelines and safety precautions for carrying patients and/or equipment.
• HMS8335.081 Discuss one-handed carrying techniques.
• HMS8335.082 Describe correct and safe carrying procedures on stairs.
• HMS8335.083 State the guidelines for reaching and their application.
• HMS8335.084 Describe correct reaching for log rolls.
• HMS8335.085 State the guidelines for pushing and pulling.
• HMS8335.086 Discuss the general considerations of moving patients.
• HMS8335.087 State three situations that may require the use of an emergency move.
• HMS8335.088 Identify the following patient carrying devices: wheeled ambulance stretcher, portable ambulance stretcher, stair chair, scoop stretcher, long spine board, basket stretcher, and flexible stretcher.
• HMS8335.089 Explain the rationale for properly lifting and moving patients.
• HMS8335.090 Working with a partner, prepare each of the following devices for use, transfer a patient to the device, properly position the patient on the device, move the device to the ambulance, and load the patient into the ambulance: wheeled ambulance stretcher, portable ambulance stretcher, stair chair, scoop stretcher, long spine board, basket stretcher, and flexible stretcher.
• HMS8335.091 Working with a partner, demonstrate techniques for the transfer of a patient from an ambulance stretcher to a hospital stretcher.
MODULE 2: AIRWAY
Airway
• HMS8335.092 Name and label on a diagram the major structures of the respiratory system.
• HMS8335.093 List the signs of adequate breathing.
• HMS8335.094 List the signs of inadequate breathing.
• HMS8335.095 Describe the steps in performing the head-tilt chin-lift.
• HMS8335.096 Relate mechanism of injury to opening the airway.
• HMS8335.097 Describe the steps in performing the jaw thrust.
• HMS8335.098 State the importance of having a suction unit ready for immediate use when providing emergency care.
• HMS8335.099 Describe the techniques of suctioning.
• HMS8335.100 Describe how to artificially ventilate a patient with a pocket mask.
• HMS8335.101 Describe the steps in performing the skills of artificially ventilating a patient with a bag-valve-mask while using the jaw thrust.
• HMS8335.102 List the parts of a bag-valve-mask system.
• HMS8335.103 Describe the steps in performing the skill of artificially ventilating a patient with a bag-valve-mask for one and two rescuers.
• HMS8335.104 Describe the signs of adequate artificial ventilation using the bag-valve-mask.
• HMS8335.105 Describe the signs of inadequate artificial ventilation using the bag-valve-mask.
• HMS8335.106 Describe the steps in artificially ventilating a patient with a flow-restricted, oxygen-powered ventilation device.
• HMS8335.107 List the steps in performing the actions taken when providing mouth-to-mouth and mouth-to-stoma artificial ventilation.
• HMS8335.108 Describe how to measure and insert an oropharyngeal (oral) airway.
• HMS8335.109 Describe how to measure and insert a nasopharyngeal (nasal) airway.
• HMS8335.110 Define the components of an oxygen delivery system.
• HMS8335.111 Identify a nonrebreather face mask and state the oxygen flow requirements needed for its use.
• HMS8335.112 Describe the indications for using a nasal cannula versus a nonrebreather face mask.
• HMS8335.113 Identify a nasal cannula and state the flow requirements needed for its use.
• HMS8335.114 Explain the rationale for basic life support artificial ventilation and airway protective skills taking priority over most other basic life support skills.
• HMS8335.115 Explain the rationale for providing adequate oxygenation through high inspired oxygen concentrations to patients who, in the past, may have received low concentrations.
• HMS8335.116 Demonstrate the steps in performing the head-tilt chin-lift.
• HMS8335.117 Demonstrate the steps in performing the jaw thrust.
• HMS8335.118 Demonstrate the techniques of suctioning.
• HMS8335.119 Demonstrate the steps in providing mouth-to-mouth ventilation with body substance isolation (barrier shields).
• HMS8335.120 Demonstrate how to use a pocket mask to artificially ventilate a patient.
• HMS8335.121 Demonstrate the assembly of a bag-valve-mask unit.
• HMS8335.122 Demonstrate the steps in performing the skill of artificially ventilating a patient with a bag-valve-mask for one and two rescuers.
• HMS8335.123 Demonstrate the steps in performing the skill of artificially ventilating a patient with a bag-valve-mask while using the jaw thrust.
• HMS8335.124 Demonstrate artificial ventilation of a patient with a flow-restricted, oxygen-powered ventilation device.
• HMS8335.125 Demonstrate how to artificially ventilate a patient with a stoma.
• HMS8335.126 Demonstrate how to insert an oropharyngeal (oral) airway.
• HMS8335.127 Demonstrate how to insert a nasopharyngeal (nasal) airway.
• HMS8335.128 Demonstrate the correct operation of oxygen tanks and regulators.
• HMS8335.129 Demonstrate the use of a nonrebreather face mask and state the oxygen flow requirements needed for its use.
• HMS8335.130 Demonstrate the use of a nasal cannula and state the flow requirements needed for its use.
• HMS8335.131 Demonstrate how to artificially ventilate the infant and child patient.
• HMS8335.132 Demonstrate oxygen administration for the infant and child patient.
MODULE 3: PATIENT ASSESSMENT
Scene Size-Up
• HMS8335.133 Recognize hazards and potential hazards.
• HMS8335.134 Describe common hazards found at the scene of a trauma.
• HMS8335.135 Determine if the scene is safe to enter.
• HMS8335.136 Discuss common mechanism of injury/nature of illness.
• HMS8335.137 Discuss the reason for identifying the total number of patients at the scene.
• HMS8335.138 Explain the reason for identifying the need for additional help or assistance.
• HMS8335.139 Explain the rationale for crew members to evaluate scene safety prior to entering.
• HMS8335.140 Explain how patient situations affect one's evaluation of mechanism of injury or illness.
• HMS8335.141 Observe various scenarios and identify potential hazards.
Initial Assessment
• HMS8335.142 Summarize the reasons for forming a general impression of the patient.
• HMS8335.143 Discuss methods of assessing altered mental status.
• HMS8335.144 Differentiate among assessing the altered mental status in the adult, child, and infant patient.
• HMS8335.145 Discuss methods of assessing the airway in the adult, child, and infant patient.
• HMS8335.146 State reasons for management of the cervical spine once the patient has been determined to be a trauma patient.
• HMS8335.147 Describe methods used for assessing if a patient is breathing.
• HMS8335.148 State what care should be provided to the adult, child, and infant patient with adequate breathing.
• HMS8335.149 State what care should be provided to the adult, child, and infant patient without adequate breathing.
• HMS8335.150 Differentiate between a patient with adequate breathing and one with inadequate breathing.
• HMS8335.151 Distinguish among methods of assessing breathing in the adult, child and infant patient.
• HMS8335.152 Compare the methods of providing airway care to the adult, child and infant patient.
• HMS8335.153 Describe the methods used to obtain a pulse.
• HMS8335.154 Differentiate among obtaining a pulse in an adult, child and infant patient.