Angelina College
Health Careers Division
EMSP 2462 Paramedic Clinical III
Course Syllabus (REV. 05/26/16)
I. COURSE DESCRIPTION:
EMSP 2462 . Clinical - Emergency Medical Technology/Technician. Four hour credit. A health-related work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional. As outlined in the learning plan, apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry and will demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry. Course may be repeated if topics and learning outcomes vary. 256 clinical hours. Prerequisites: EMT Basic and Current Provider CPR card, EMSP 2261, EMSP 2544. Co-requisites: EMSP 2430, EMSP 2434, and EMSP 2243. (Placement in second year Paramedic curriculum).
Perspective of the course: The focus of this clinical is on advanced medical care for all patients. The student is now in charge and assigned to a willing preceptor for this final clinical. This clinical should mirror a Field Training Officer preception. The student is in charge of assessment and treatment within the standing orders/protocols of the provider. Therefore the student must be familiar with that services protocols. Much time has been spent in hospital and EMS clinical developing a core group of patient contacts and developing habits which lead to proper assessment and the formation of field impressions. Much emphasis is placed on proper documentation of the patient contact as to ensure the appropriate transfer of care and information and for the future protection of the practitioner and their employer. The student is expected to become an “interactive” member in the educational process.
INTENDED AUDIENCE: Second-Year Students who have already completed Basic and Intermediate course work.
INSTRUCTOR:
Instructor’s Name: W. David Wilkerson HC 105 B
Office Hours: 8:00 AM – 12:PM Tuesday/Thursday
Phone: (936) 633-5421
E-mail Address:
II. INTENDED STUDENT OUTCOMES
A. Core Objectives
1. Critical Thinking: to include creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information.
2. Communication: to include effective development, interpretation and expression of ideas through written, oral and visual communication.
3. Empirical and Quantitative skills: to include the manipulation and analysis of numerical data or observable facts resulting in informed conclusions.
4. Teamwork: to include the ability to consider different points of view and to work effectively with others to support a shared purpose or goal.
5. Social Responsibility: to include the ability to connect choices, actions and consequences to ethical decision-making.
6. Personal Responsibility: to include intercultural competence, knowledge of civic responsibility, and the ability to engage effectively in regional, national, and global communities.
Angelina College defines critical thinking as the dynamic process of questioning preconceptions and biases through the gathering and evaluation of data to reach new conclusions that consider realistic implications and consequences.
B. Exemplary Objectives – (Found in the Texas Higher Education Coordinating Board Document. Titled: CORE CURRICULUM: ASSUMPTIONS AND DEFINING CHARACTERISTICS Dated: April 1998)
(Not applicable for Emergency Medical Care Program)
C. Course Objectives – (common to all sections)
Upon completion of EMSP 2243, 2462 the student will have the knowledge and skills to:
1. Function as an interdependent member of the pre-hospital health care team and be able to provide care in the pre-hospital environment to the level of the EMT-Intermediate/Paramedic.
2. Identify legal responsibilities and ethical dilemmas in patient care situations.
3. Use theoretical knowledge gained in the courses to assess needs of the patient and then implement patient care based on those needs.
4. Identify changes in patient status and initiate proper interventional care.
5. Identify patient responses to medical care and report findings to the receiving facility.
6. Communicate pertinent information concerning the patient to the receiving facility in both oral and written form.
7. Select educational programs to improve pre-hospital medical skills and gain more knowledge for direct patient care.
8. Incorporate critical trauma assessment strategies into total patient care.
9. Make decisions on fluid and IV catheter choices that are appropriate to the age and condition of the patient. Understand the advantages and disadvantages of lactated ringers and normal saline for different types of trauma
10. Make decisions on advanced airway management when faced with complications to the management of the airway. Understand the indications and problems associated with surgical airway management.
11. Be able to direct the actions of personnel on scene toward good total patient care. This is an in-charge semester and the student is expected to perform like an entry level paramedic.
D. Course Objectives - (not applicable)
III. ASSESSMENT MEASURES OF STUDENT LEARNING OUTCOMES
A. Assessments for the Core Objectives
1. Critical Thinking: to include creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information.
2. Communication: to include effective development, interpretation and expression of ideas through written, oral and visual communication.
3. Empirical and Quantitative skills: to include the manipulation and analysis of numerical data or observable facts resulting in informed conclusions.
4. Teamwork: to include the ability to consider different points of view and to work effectively with others to support a shared purpose or goal.
5. Social Responsibility: to include the ability to connect choices, actions and consequences to ethical decision-making.
6. Personal Responsibility: to include intercultural competence, knowledge of civic responsibility, and the ability to engage effectively in regional, national, and global communities.
B. Assessments for the Exemplary Objectives Specific to the Course –
Not Applicable for the Emergency Medical Care Program
C. Assessments for Objectives Specific to the Course –
CORE COMPETENCIES: SCANS – (Secretary’s Commission on Academic Necessary Skills)
Students are expected to demonstrate basic competency in academic and workforce skills. The following are competencies with evaluation are included in EMSP 2462.
SCAN Skills Assessments
Foundation skills Reading assignments prior to class work
Narrative documentation of clinical patient care
Calculation of medications and IV fluids
Follow oral directions for patient care
Give verbal patient care reports to receiving personnel
Assess patient conditions and format a care plan
Visualize simulations based on clinical experiences
Apply multiple suggested techniques for skills and didactic
Turn in paperwork complete and on time
No falsification of documentation in clinical
Keep patient confidentiality
Workforce Competencies Allocate time for class, clinical, study, work, family
Assign tasks to different members of a patient care team
Work in team, group, setting in skill labs and clinical
Mutual responsibilities to team for passing skills
Work in team settings with diverse gender and race
Make oral radio reports to receiving hospital
Problem solve equipment failures such as splints, IVs
D. Assessments for the Objectives of the Course as determined by the Instructor – Non-applicable
IV. INSTRUCTIONAL PROCEDURES –
The methods of instruction used in this course includes but not limited to the following: Lecture, lab, discussion, performance, audiovisual, computer assisted instruction and critical-thinking patient case studies (simulations).
V. COURSE REQUIREMENTS AND POLICIES –
A. Required Textbooks, Materials and Equipment –
Bledsoe, Porter, Cherry
1. Brady-Medical Emergencies
2. Brady-Special Operations
3. Syllabi, EMS Student Handbook
4. Cardiovascular Handouts
5. A basic calculator for simple mathematical calculations.
6. A medical dictionary would be helpful but not required.
7. Clinical clipboard with enclosed space to keep paperwork and clinical cover sheet.
8. Composition book
9. Stethoscope
10. Legal sized envelopes
11. Black pen, Red pen, Highlighter, #2 Pencil
B. Assignments – Clinical will be done as outlined with due dates as stated on class calendar.
Paramedic Student Internship Objectives:
The student should not at any time exceed his level of training.
During EMS INTERNSHIP experience, the student WILL practice under direct supervision and demonstrate proficiency for each of the following:
* Complete an orientation of expected behavior before, during, and after a response with the EMS crew.
* Locate, inspect, and prepare to use each piece of equipment on the ambulance.
* Observe radio operations and be prepared to operate radio equipment.
* Practice loading and unloading the ambulance stretcher with and without a load.
* Locate and become familiar with emergency equipment such as fire extinguishers and triangular reflectors.
During BOTH EMS INTERNSHIP & HOSPITAL EMERGENCY ROOM INTERNSHIP experience, the student WILL practice under direct supervision and demonstrate proficiency for each of the following:
* Perform patient assessment on a progressive basis. That is, on each successive patient the student involvement should become greater and greater. These assessments should include developing relevant medical histories and conducting physical examinations. As with all clinical considerations, patient well-being should not be compromised, and patient care should be carried out under direct supervision.
* Review with the EMS and/or hospital personnel the treatment of trauma and medical emergency cases.
* Assist in the triage of patients.
* Assist in hemorrhage control and splinting.
* Assist in cases of cardiac arrest, including the performance of CPR.
* Assist in basic airway management.
* Peripheral IV insertions.
* Draw blood samples.
* Endotracheal intubation
* Prepare and administer medications.
During the SURGERY/RECOVERY ROOM experience, the student WILL practice under direct supervision as allowed for each of the following:
* Suctioning
* Maintain airway in an unconscious patient using head position and basic airway devices.
* Monitor vital signs in an unconscious patient; observe changes and their correlation to what is happening to the patient.
* Operate oxygen equipment and observe operation of mechanical respirators.
* Work with anesthesia on airway maintenance, observe anatomy as allowed by the surgeon; observe and maintain the sterile field; learn sterile technique.
* Perform endotracheal intubation and endotracheal suctioning.
* Perform peripheral I.V. insertion.
* Observe administration of medications and their pharmacologic effects. Learn from anesthesia personnel reasons and actions of various agents.
During the ICU/CCU experience, the student WILL practice under direct supervision for each of the following:
Or during intership with Dr. Davis, or in Labor/Delivery at either hospital.
* Observe patient assessment including the development or confirmation of the medical history physical exam. At a minimum, the student should review selected patients with the nurse preceptor as to the diagnosis and treatment. Vital sign assessment and auscultation of chest sounds as indicated for patients with unusual assessments.
* Assist in the performance of basic CPR and airway management as needed.
* Perform peripheral I.V. insertion and draw blood samples.
* Endotracheal intubation
* Assist in the care of patients with endotracheal or tracheostomy tubes and patients breathing on respirators.
* Prepare and administer intramuscular, subcutaneous, I.V. medications.
* Monitor and interpret EKGs.
* Perform defibrillation and/or cardioversion.
C. Course Policies – (This course conforms to the policies of Angelina College as stated in the Angelina College Handbook.)
Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973 or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should see someone, Room 200 of the Student Center. At a post-secondary institution, you must self-identify as a person with a disability; AC employees will assist you with the necessary information to do so.
Attendance – This course will follow the guidelines as prescribed in the Method of Evaluation Section.
Additional Specific Requirements for this Course – When a student does not officially withdraw in the Office of Admissions, an F will appear on the transcript for the course (s) in progress at that time.
All exams and written assignments become the property of the Angelina College Emergency Medical Program.
Students will arrive for clinical rotations, in uniform and ready to work 15 minutes prior to the beginning of their rotation. The EMS uniform shall consist of Navy blue slacks, a button front columbia blue shirt, navy or black socks and black shoes. A white or navy blue undershirt may be worn beneath the uniform shirt. The sleeves will not extend past the uniform shirt. In addition, black scrubs are required for hospital rotations and a white or black undershirt will be worn beneath the scrubs. Absolutely no body piercings shall be worn where they can be seen. This includes tongue, eyebrows, nose, cheek, etc. Guests are not permitted during clinical. While on EMS rotations, food and money should be brought so that you might eat as needed. You may not leave the clinical site during a rotation. The student will check in with the Nurse/Paramedic in charge and identify themselves as students scheduled for clinical. Pagers, cell phones are not to be carried during clinical rotations. All paperwork will be done in black ink. The last days to drop for located in the college bulletin. Students wishing to withdraw must drop or an F may be given for the course. If you are absent from clinical, you must call your instructor or coordinator with explanation and information of the absence. Additional information regarding clinical can be found in the student handbook.
Patient confidentiality: While at any training site or participating in any training activity, strict patient confidentiality will be maintained. You will not discuss the patient’s condition with family, bystanders, media or any other non-affiliated medical personnel. In addition, you will not discuss at a future time the patient, the patient’s condition or prognosis or the actions of any medical personnel who dealt with the patient. Violations of this principle will result in dismissal from the course.
Requirements for Course Completion:
1. Personal attitude - Each student must demonstrate conscientiousness and interest in the course. Students will be encouraged and expected to develop and exhibit the proper attitude expected of a pre-hospital care professional. (AFFECTIVE)
2. Attendance - Students absent from any part of the course will be required to make up missed sessions or materials as prescribed by the Course Instructor. Failure to schedule or attend clinical is considered an absence. (AFFECTIVE)
3. Hospital Observation – 32 hours ER and Surgery. SIMULATIONS. Additional hours not used for EMS internship will be used to comply with National Registry requirements such as Pediatrics, L & D, ICU, etc.