Loyola University Chicago

Marcella Niehoff School of Nursing

Spring 2018

Course Number and Title:HEM100 – Emergency Medical Technician

IDPH State License: 080583B0518BY

Number of Credits:4 semester hours

Meeting Schedule:See LOCUS for meeting times for each section

Course Location: See LOCUS For classroom

Faculty:Griffin Byers, NRP, CCEMT-P

Teaching Assistants:Meredith Hazelrigg NREMT

Benjamin Kleeman NREMT

Hubert Gawin NREMT

Samantha WinslowNREMT

Faculty Contact InformationEmail:

Phone: 773-XXX-XXXX

Office Hours: Tuesday, Thursday 1600-1700. By appointment only

Pre-requisites:None

Co-requisites:None

Course Description:

HEM100 is the entry-level course to an academic minor and/or career in Emergency Medical Services. It provides instruction in the skills necessary to administer basic life support (BLS) and care of the sick and injured patient as set forth by the American Heart Association, the National Transportation and Safety Administration (NHTSA), and the State of Illinois. Areas of instruction and skills include, but are not limited to, patient assessment, airway management, medication administration, and medical, trauma, childbirth, pediatric and geriatric emergencies. Students will spend a minimum of 32 hours volunteering as healthcare providers in various urban clinical settings to help them effect positive change in patients’ lives. Periodic written assignments will encourage meaningful reflection upon these experiences and aid the instructor in monitoring student progress.

Upon successful completion of this course, the student will be able to sit for the licensure exam approved by the Illinois Department of Public Health (IDPH) or the certification exam approved by the National Registry of Emergency Medical Technicians (NREMT) to become a credentialed EMT. While all students are encouraged to obtain their professional certification/license following the course, it is not a requisite for successful completion.

Course Outcomes:

At the conclusion of this course, students will be able to:

1. Describe the history and policies that shape contemporary EMS practice.

2. Evaluate leadership styles that characterize emergency responses and patient advocacy.

3. Analyze the impact and efficacy of emergency medical services on the delivery of health care in the United States.

4. Assess, treat, and transport patients suffering from acute illness and injury.

5. Defend triage, treatment, and transport decisions in different environments.

6. Analyze critical social, political, legal and professional issues in EMS practice.

7. Discuss unique issues in EMS practice with special populations.

Evaluation:

ElementPoints

Quizzes (lowest dropped) 170

Exams (4, 100 points each) 400

Final written exam 125

Practical examinations 50

EMS research paper (Due 3/19) 50

Ambulance Field Internship and Reflection Paper (Due 4/19) 50

Emergency Department Internship and Reflection Paper (Due 4/19) 50

ICS and Terrorism Awareness Self-Study (Due 4/9) 30

Attendance and Participation 75

Total Points 1000

Grading Scale:

Final grades will be assigned based upon a fixed percentage of the total points earned:

A-94 - 100%C+-80 – 83%

A--92 - 93%C-77 – 79%

B+-89 – 91%C--75 – 76%

B-86 – 88%D+-72 – 74%

B--84 – 85%D-69 – 71%

F-< 68%

Examinations:

All written examinations will be given during regular class time. No make-up exams will be given. Students with a documented emergency (who have contacted the course director in advance) may take the exam at an alternate time, at the instructor’s discretion.

Licensure/ Certification Examination:

Upon completion of the course with a final average of at least 80%, the student may elect to take either the IDPH licensure examination or the certification exam given by the National Registry of Emergency Medical Technicians. The Illinois Department of Public Health will not allow a student to take the licensure or certification exams until they have met all requirements of the course, including completion of 120 hours of training. Details pertaining to both examinations will be presented in class.

Required course materials:

Provider Manual, BLS for the Health Care Provider, American Heart Assn, 2015.

ISBN 978-1616694076

Emergency Care and Transportation of the Sick and Injured;Eleventh Edition, American Association of Orthopedic Surgeons, 2010; Jones & Bartlett, ISBN: 978-1284106909.

Blood Pressure Cuff, Stethoscope, and Wristwatch with second hand capabilities

Class Polo and EMS-appropriate pants and shoes (to be discussed in class)

Additional Course Requirements:

Immunizations: Proof of current immunization, to include the following vaccines: Measles, mumps, rubella, tetanus, diphtheria, pertussis and hepatitis B prior to enrollment. Additionally, results of a negative Tuberculin skin test/PPD or Quantiferon Gold test within the last 1 year are required. All immunizations must be submitted no later than 2/5/2018

Drug Test: Students must complete a urine drug screen prior to the date specified at the first class meeting. Failure to complete the drug screen will preclude the student from any patient contact, resulting in a reduction of their course grade and disqualification from EMT licensure. Drug testing must be completed no later than 2/5/2018

Background Investigation: Students must consent to a thorough criminal background investigation, to be conducted by the Illinois State Police. Further information related to the scheduling of the background investigation will be provided during the first class meeting. In accordance with Illinois state law, students with felony convictions, drug-related convictions, or offenses that require registration as a sex offender will be precluded from any patient contact, resulting in a reduction in their course grade and disqualification from EMT licensure. The background investigation must be submitted no later than 2/7/2018

Course Evaluation Expectation:

It is a professional expectation that all students participate in course evaluations to guide

ongoing program improvement. The IDEA survey will be conducted during the last two

weeks of the course.

Academic integrity statement:

Academic honesty is an expression of an ethic of interpersonal justice, responsibility and

care applicable to Loyola University faculty, students and staff, which demands that the

pursuit ofknowledge in the university community be carried out with sincerity and

integrity.

Accommodation for Disabilities:

Participation in didactic, practical, and clinical activities requires meeting certain cognitive, affective, and psychomotor objectives as outlined in the EMT National Education Standards. Illinois licensure as well as your course evaluation will be based primarily on these objectives. If a student has conditions, limitations, and/or special needs that may affect their learning or performance of these objectives, they must notify the course director in writing prior to the end of the first week of the course so that a determination regarding reasonable accommodations may be made

Course Attendance & Participation:

Class meets in Crown Centeraccording to the course schedule unless stated otherwise. Attendance and participation are particularly crucial to the learning & mastery of pre-hospital medicine. For those seeking licensure, the State of Illinois requires a minimum of 120 hours of training across the assorted areas of the curriculum. Failure to complete 120 hours of training in the required areas will result in denial of licensure. Students who miss more than three (3) class periods for any reason will not be eligible for licensure. Arriving more than 15 minutes late or leaving before class is dismissed will incur a one day absence.

Classroom and practical participation counts for a maximum of 10% of the final grade.

Classroom Expectations:

As pre-hospital professionals-in-training, students are expected to be respectful and prepared for class. Arrive on time with pagers & cell phones muted or set to vibrate so as not to disturb the presenter. Dress appropriately for class: there are many times we will be rolling around on the floor, working outside, inclement weather, or in less-than-desirable conditions. At no time will open-toed footwear of any kind be considered acceptable.

Classroom projects and practice sessions require physical contact with and assessing fellow students in addition to working in close proximity to others. Anyone feeling uncomfortable with the behavior, actions, or language of another student should speak with the

Instructor or course director immediately. Sexual harassment, in any form or by any means, may result in forfeiture of recommendation for Illinois licensure, referral to the student's Academic Dean, and/or other disciplinary action as based on University policy. The Loyola University Chicago policy on Sexual Harassment can be found online:

Practical Exercise Expectations:

The practical sessions of this course will combine the material presented during didactic sessions with practical demonstrations and instruction in the performance of required skills on mannequins and other students. Lab sessions have some inherent risks. This course involves strenuous physical activity including lifting & moving heavy objects and patients, the possible exposure to body fluids (including blood), the use of electrical and mechanical devices (compressed oxygen cylinders, cardiac defibrillators, etc.), and performance of these duties outside, in the dark, in the cold/snow, and/or in otherwise less­ than-ideal conditions.

Practical Ambulance Experience:

Students will be expected to participate in at least two eight-to-fourteen hour ride-along shifts in an ambulance at Lifeline Ambulance 3737 Chase Ave Skokie IL. Shift scheduling is the responsibility of the student. Once a time is scheduled, attendance is mandatory, barring illness or other documentable emergency. The student will observe the crew and, to the extent permitted, help secure the scene, assess the patient's complaint(s), and provide appropriate emergency treatment while transporting the patient to the requested destination. As a part of this exercise, students are expected to help clean and restock the ambulance at the conclusion of each call. Substandard evaluations may result in repetition of that ride-along day and/or grade reduction. Students must arrive a minimum of 15 minutes before the start of their scheduled shift and must be prepared to stay past the schedule end time. In the event that a ride-along shift will be missed, the student will notify the Lifeline Garage Supervisor immediately. All ambulance ride-time shifts (with accompanying documentation & reflection paper) must be completed prior to sitting for the final written exam. Failure to meet this requirement will result in an automatic 10% final grade reduction.A 2-4 page reflection paper detailing your experience will be due 4/19/18.

Clinical Expectations:

EMT students must participate in at least one clinical rotation days prior to the completion of the course. We have arranged several clinical rotations to assist you in completing this requirement. Participation in the clinical encounters carries the same risks as practical sessions - exposure to body fluids, strenuous activity, and the use of electrical or mechanical devices. These activities may be in a hospital or clinic setting, or they may be outdoors in extreme weather. Specific guidelines for each clinical rotation have been set and will be distributed prior to the selection of rotation sites. All clinical rotations (with accompanying documentation & reflection paper) must be completed prior to sitting for the final written exam. Failure to meet this requirement will result in an automatic 10% final grade reduction. A 2-4 page reflection paper detailing your experience will be due 4/19/18.

Clinical and Ambulance Ride Along Attire:

The dress code for these experiences consists of: class polo shirt, navy pants, black belt and black shoes (steel-toed work boots recommended). Tattoos should be covered to the extent possible, and there should be no visible piercing other than simple earrings. Students must bring a wristwatch, CPR card, and government-issued photo ID. Students must wear their student ID visibly at all times.Failure to dress appropriately will result in being sent home plus a grade reduction.

Course Lecture Schedule

It may become necessary to deviate from this schedule. Changes will be announced in class, via e-mail, and placed on Sakai with as much advance notice as possible. The intended schedule is as follows:

Day/DateTopic Chapters

Week 1 No Class MLK Day

Course Introduction, CPR 13

Week 2 EMS Systems, Workforce Wellness 1,2

The Human Body, Pharmacology 5,6,7,11

Week 3Medical/Legal/Ethics, Communication and Documentation 3,4

Lifting and Moving 8

Week 4Patient Assessment, Medical Overview (Immuno/Background) 9,14

Airway Management 10

Week 5Respiratory Emergencies 15

Cardiovascular Emergencies 16

Week 6Neurologic Emergencies, Endocrine Emergencies 17,19

Skills Review for Exam

Week 7 OB/GYN Emergencies 23,33

Toxicology and Psychiatric Emergencies 21,22

Week 8Spring Break!

Week 9Shock and Immunologic Emergencies 12,20

Gastrointestinal and Urology 18

Week 10Trauma Overview, Bleeding, Face and Neck24,25,27

Soft Tissue Injuries 26

Week 11Orthopedic Injuries 31

Head and Spine Injuries 28

Week 12No Class Easter Break (Easter Monday)

Chest Injuries, Abdominal and Genital Injuries 29, 30

Week 13Transport and Ambulance Operations 37,38

Terrorism Response, Disaster Management 39,40

Week 14Pediatrics, Geriatrics, Special Needs 34,35,36

Environmental and Aquatic Emergencies 32

Week 15A Team Approach, Skills Testing 41

NREMT Signup and Final Review

Graduation Friday 4/27/18 at 1900 LSB 142

Course Lab Schedule

It may become necessary to deviate from this schedule. Changes will be announced in class, via e-mail, and placed on Sakai with as much advance notice as possible. The intended schedule is as follows:

Day/DateTopic

Week 1 CPR

Week 2First Aid, Pharmacology Skills

Week 3Exam 1, Lifting and Moving Skills

Week 4Patient Assessment and Airway Skills

Week 5Cardiac and Respiratory Skills

Week 6Exam 2

Week 7OB/GYN Tox/Psych Skills

Week 8Spring Break

Week 9Exam 3

Week 10 Bleeding Control

Week 11Orthopedic and Spinal Skills

Week 12 Trauma Skills

Week 13Exam 4

Week 14Ambulance operations, Aquatic Emergencies

Week 15Final Exam

EMT Syllabus – Spring 2018