/ ChemeketaCommunity College
4000 Lancaster Drive NE
Salem, OR97309-7070
Syllabus
Fall 2008 /

Course Title:EMT-Paramedic Part 1 (EMT296)

Instructors:Peggy Andrews, EMT-P

Phone:503-399-2663

E-mail:

Cell:503-851-6053

Office:8-153A

Gregg Lander, B.S., NREMT-P

Phone:503-399-2664

E-mail:

Office:8-153A

Rhonda Wood, RN

Phone:503-399-6062

E-mail:

E-mail pager:

Pager:503-918-6128

Office:8-153D

Office Hours:As posted outside each instructor’s office door.

Class Locations:Lecture:Bldg. 8 Room 102

Lab:Bldg. 8 Room 107

Class Meetings:

Week 1-5 / Week 6-11
Lecture:Mon./Wed.08:00-11:30
Tue./Thurs.08:00 - 1:00Tues./Thurs.08:00-12:50
Labs:M/W or T/TH13:30- 16:30 / Lecture:Mon./Wed.08:00-11:30
Thursday08:00-1:00
Labs:M or W, and TH13:30- 16:30
Week 1-11
Seminar:Wed.11:30-12:30
Clinical: Tuesday, Friday & Weekends as arranged with clinical coordinator.

Course Description:

This is the first term of a three-term course. It focuses on patient assessment, airway/ventilation, pathophysiology of shock, general pharmacology as well as respiratory, cardiovascular, acute abdominal, and neurological emergencies. Students will apply knowledge during campus-based laboratory skills practice, lecture periods and clinical patient care in the hospital setting.

Required Text/Course Materials:

EMT296

1.Essentials of Paramedic Care.2nd ed. Brady. ISBN 0131711636

2.EMT Paramedic Course Packet and Handbook, CCC Bookstore only

3.Mosby’s Nursing Drug Reference, current ed.

4.Handbook of Emergency Cardiovascular Care, current ed. American Heart Association

5.Basic Arrhythmias, 6th ed., Walraven

  1. Merck Manual, 18th ed.
  2. ACLS Provider Manual, American Heart Association

EMT297

1.PHTLS: Basic + Advanced Pre-Hospital Trauma …, 6th ed., Mosby

2.Pediatric Education for Prehospital Professionals, 2nd ed. AmericanAcademy of Pediatrics

Recommended Texts/Study Guides:

  1. EMS Field Guide, current ALS ed. Informed
  2. Emergency Critical Care Pkt. Guide-ACLS. current ed. Derr
  3. Any current anatomy and physiology text.
  4. Medical Dictionary (i.e., Dorland’s, Taber’s…)
  5. Rapid Interpretation of EKGs, 6th ed.
  6. Understanding Pharmacology, Leilani Grajeda-Higley, Appleton & Lange
  7. Paramedic: Airway Management. 4th ed. Jones and Bart
  8. ACLSStudy Guide. 3rd ed.Barbara Aehlert, RN, BSPA.
  9. Workbook, Essentials of Paramedic Care, 2nd ed., Brady

Performance Based Learner Outcomes:

Upon successful completion of the course, the student should be able to:

1.Demonstrate mastery of cognitive objectives listed within each unit of the primary text by obtaining a minimum score of 80% or higher on written evaluations during this term, AND by achieving a minimum score of 80% or higher on quizzes, the written mid-term and final examinations.

2.Demonstrate mastery of required psychomotor skills by completing the student check-offs in accordance with the EMT-P student skills record form, in each of the specific clinical areas, and by passing the final practical skills evaluation in one of two attempts.

3.Manage a team of rescuers, supervise and perform assessment of the scene/patient and apply currently acceptable patient care protocols, given a pre-hospital emergency scenario. Protocols from area ambulance services will be used as guides.

4.Contribute in a positive manner to the learning environment. Become an active participant in the teaching and learning process and seek learning opportunities outside of the classroom.

5.Establish patterns of behavior consistent with desirable work place ethics, as indicated in the EMT Handbook, General Info.

6.Demonstrate practical application of the cognitive objectives from the didactic portion in the clinical setting.

7.Demonstrate clinical competence prior to and while assigned to patient care responsibilities.

8.Become familiar with the hospital environment, including policies, practices, equipment, and skills as they relate directly to or indirectly to the EMT-P in the field.

Primary Teaching Method:

The course will utilize a variety of teaching/learning methods, including: Lecture, group activities, writing, video tape presentations, student presentations, skills demonstrations, skills practice, skills check-offs, and patient care scenarios.

The clinical experience shall include direct patient care responsibilities necessary for completion of the educational objectives. When possible, the student will be assigned to patients with diseases and injuries comparable to those that the student will experience in the pre-hospital setting. Students shall receive supervised experience in the Emergency Department, Intensive Care Unit, Coronary Care Unit, IV Therapy, Operating Room, Obstetrics, Pediatrics and the Behavioral Unit. Clinical shifts will be assigned in both urban and rural hospital settings.

Course Requirements:

Attendance:

EMT-Paramedic students must meet attendance standards as established by Department of Transportation guidelines and Oregon Health Division rule. These guidelines will apply to lecture and lab experiences as well as hospital and prehospital clinicals and are outlined in your Course Packet: General Information.

Dress Code:

The Chemeketa Emergency Services uniform is required and the policy is clearly outlined in the Paramedic Course Packet: General Information.

Electronic/Phone Use:

All phones and electronic equipment will be turned off unless approved by instructor.

Criminal History Background Check:

A Criminal History Background check will be implemented during week one. See Paramedic Course Packet; General Information for complete explanation.

Certifications, Immunizations & Screenings

It is expected that each student will complete the process of documentation of current status of EMT- Basic, CPR-Provider, current immunizations and screenings as explained in the Paramedic Course Packet, General Information and at Orientation. These documents need to be kept up to date throughout the course.

Formal Case Presentations: (Mandatory)

All EMT-Paramedic students enrolled in classes at Chemeketa are required to attend the “Formal Case Presentation” of the graduating paramedic class. Attendance at this presentation is required. Attendance is graded as “Pass/Fail”. See Paramedic Course Packet: General Information for full explanation.

Open Lab (Mandatory - Pass/Fail):

Students will register for an open skills lab and will attend a minimum of 20 hours during the term, which is an average of 2 hours per week. If any weakness in skill performance is identified, additional hours of open lab may be required for successful completion of this course. Students not completing the required 20 hours of open lab will receive a grade of “incomplete” for the term, which may mean that a student is not able to continue into the next term of this program. Further details are in the Paramedic Course Packet: General Information.

Note: EMTs MUST NOT practice outside of their scope of practice unless they are in a supervised lab/clinical setting or with a college assigned preceptor during their field internship (EMT280F or L). This Oregon Board of Medical Examiners requirement must be strictly adhered to.

Presentations:

There will be times during the course when you may be required to do a presentation on a specific topic. Information on the topic and how it should be presented will be provided to you with adequate time to prepare prior to the presentation date.

Cognitive Narrative:

You will be asked to submit a cognitive narrative. This paper is due the last class day and is intended to become a part of your portfolio. The cognitive narrative should be at least one page, typed and double-spaced. In this paper, please reflect personal changes you've made as a result of completing EMT 296. In other words, how are you different today, as a result of completing this class (this is not intended to be a repeat of class information)?

Clinical Experience Requirement:

The mandatory hospital orientation and completion of the annual reviews for blood-borne pathogens, general safety and fire precautions will be part of the clinical experience for this term. You are expected to submit clinical paperwork and complete FISDAP documentation in a timely manner. No clinical paperwork will be accepted after the last scheduled class day of the term.

ACLS Certification:

During the term, you must successfully complete ACLS certification testing. If you do not successfully complete certification exams for ACLS, you will be required to obtain ACLS certification independently of this program, prior to being invited to participate in EMT297. This may mean that you will need to re-apply for admission to a later course and will repeat EMT296 in its entirety. If you obtain ACLS certification, you may be required to participate in developing a probationary contract and agree to the terms outlined in the contract so as to ensure your success in the program.

Grading/Course Policies:

Didactic:55%

Unit Exams (Mid & Final)30%

Quizzes25%A: 94-100%

AttendanceP / NPB: 86-93%

C: 80-85%

Lab:D: 70-79%

*Lab Skills1P / NPF: <70%

Clinical:30%

Evaluation Tool:15%

Charting, FISDAP:15%

Evaluation:15%

Mid-term & End counseling:5%

Weekly Evaluation Tool:10%

Total:100%

* Skills will be evaluated, according to standards in the OHD Skills Performance Reference Guide.

1Practical evaluations (usually in lab) must be passed during one of two attempts.

All EMT-Paramedic students are required to successfully complete the midterm and final evaluations as well as the end-of-term and the end-of-course written exams with a minimum score of 80% in order to continue in the program. If you achieve a minimum score of 70% or higher on a mid-term and final exam, you may be offered one additional attempt at retesting. You must achieve a minimum score of 80%on the second exam attempt to continue in the program and for grading purposes, the maximum score you will be credited is 80%. EMT296 will allow one exception for the first major unit test and will not require a score of at least 70% score in order to retest.

Students must successfully, in one of two attempts, complete acomprehensive oral medical exam review conducted by the Medical Director. Failure to successfully complete this exam will result in course failure and a final grade of “F”.

Students must achieve a “C” (80%) or higher to participate in EMT297, Paramedic Part II.

Tests/Quizzes:

Each student should plan on taking a quiz or test during almost every lecture period. Some will be completed while working in groups and others will be more individualized. If you are unable to take a quiz/test at the scheduled time, you are responsible for making arrangements to take a make-up version of the original test within two weeks. The highest score attainable on make-up quizzes/tests will be 80% after the first week. There will be no make-up tests, quizzes or assignments accepted after the second week.

Homework:

On the course schedule, you will see a reading assignment that is due. We expect that you will have read this information prior to arriving at the class for that particular lecture period. Homework assignments will be assigned in addition to the reading assignments. Specific deadlines will be stated at the time of the assignment. Assignments turned in at the appropriate time may receive up to 100% of the points available. Late work will suffer a 15% deduction from the total score earned if it is turned in within one week and a 25% deduction if turned in during the second week. Assignments will not be accepted after the second week from the date due, resulting in a 0% for that assignment. No homework will be accepted after the last scheduled class day of the term.

Academic Honesty:

Learning is built on the fundamental qualities of honesty, fairness, respect, and trust. At ChemeketaCommunity College, academic integrity is a shared endeavor characterized by academic honesty, personal responsibility, and high academic standards. Any violation of academic integrity devalues the individual and the community as a whole. Please refer to theParamedic Course Packet: General Information for complete information.

Academic Adjustments:

If you feel you may need an academic adjustment for any type of disability, please contact me or contact Students with Disabilities Services; 399-5192.

Diversity Values:

We are enriched by the diversity of our students, staff, and community. We welcome diverse perspectives and encourage the free exchange of ideas.

Vision/Mission Statement:

ChemeketaCommunity College is our community’s resource for quality education in a changing world, delivering opportunities for adult literacy, opening the door to all levels of college, and creating centers of excellence in technical training, workforce development, and business support.

REMEMBER—STAY FLEXIBLE

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