Angelina College
Health Careers Division
EMSP 2160 Paramedic Clinical I
General Syllabus Revised 01/23/17
I. COURSE DESCRIPTION:
EMSP 2160. Clinical - Emergency Medical Technology/Technician. One 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. 64 clinical hours. Prerequisites: EMT Basic and Current Provider CPR card, Co-requisites: EMSP 1261, EMSP 1355, EMSP 1356, EMSP 1338.
Perspective of the course: The focus of this clinical is on advanced medical care for all patients with emphasis on new advanced invasive procedures and beginning care on the cardiac complaint patient. The course will develop a student’s advanced assessment skills to the point of forming field impressions and treatment choices by direct observation and participation in patient care. The student will learn to recognize signs/symptoms of medical and traumatic emergencies and treatment necessary throughout until patient is transported to the appropriate medical facility where care will be transferred to a physician. 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: First-Year Students who have already completed Basic course work.
INSTRUCTOR:
Instructor’s Name: W. David Wilkerson HC 105 B
Office Hours: 1:00 AM – 5:PM Thursday & 8 AM to 12 noon Friday
Phone: (936) 633-5421
E-mail Address:
II. INTENDED STUDENT OUTCOMES (PENDING THECB APPROVAL)
A. Core Competencies – (Basic Intellectual Competencies)
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 1338/1356/2306/1261/2160 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 Advanced EMT/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. Plan different assessment strategies for different patient needs, whether they are acute or chronic conditions.
9. Make decisions on fluid and IV catheter choices that are appropriate to the age and condition of the patient.
10. Make decisions on advanced airway management when faced with complications to the management of the airway.
D. Course Objectives - (not applicable)
III. ASSESSMENT MEASURES OF STUDENT LEARNING OUTCOMES (Pending THECB Approval)
A. Assessments for the Core Intellectual Competencies –
1. Critical Thinking
2. Communication
3. Empirical and Quantitative Skills
4. Teamwork
5. Social Responsibility
6. Personal Responsibility
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 2160.
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-Introduction to Advanced Practices
2. Workbook to accompany Introduction to Advanced Practices
3. Brady-Patient Assessment
4. Workbook to accompany Patient Assessment
5. Brady-Trauma Emergencies
6. Workbook to Accompany Trauma Emergencies
7. Syllabi and EMS Student Handbook
8. A basic calculator for simple mathematical calculations.
9. A medical dictionary would be helpful but not required.
10. Clinical clipboard with enclosed space to keep paperwork and clinical cover sheet.
11. Composition book
12. Stethoscope
13. Legal sized envelopes
14. 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
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.
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 Sellestine Hunt, Room 200 of the Student Center. At a post-secondary institution, you must self-identify as a person with a disability; Ms. Bowser 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/Clinic – February 2 days ER, 1 pediatric, 1 surgery. March 2 days ER, 2 days simulation, 1 surgery. April 2 days ER, 1 day simulation, 1 day surgery. May 1 day ER. (AFFECTIVE)
4. Clinical EMS Internship - Approximately 32 hours on an approved ambulance. 4 ambulance runs with 2 ALS and 2 BLS. Due by end of April. (AFFECTIVE)
5. The student will, at a minimum during clinical, successfully demonstrate patient assessment, basic life support, advanced life support consistent with this course and the ability to work with other medical personnel, both in the hospital and in the pre-hospital setting. In addition, the paramedic student will document a minimum of twenty (20) successful peripheral IV's and document a minimum of two (2) successful endotracheal intubation.
6. All clinical and all skills should be completed prior to the course final. In extraordinary circumstances, as determined by the Program Coordinator and the Course Instructor, a grade of "I" can be given for incomplete clinical. No more than an additional 6 weeks will be allowed for the student to complete the clinical requirements. This time begins from the course final exam date. Failure to complete the requirements will result in an "F" being transcripted. These requests for extension must be made in writing at the time of the emergency to be considered for time extensions.
Personal and Professional Standards:
Students must abide by the standards of conduct as described in the current Angelina College Student Handbook and conduct themselves as mature and responsible health care professionals at all times! Disciplinary action(s) for students will follow Angelina College policy. It is also the programs' intention to conduct any disciplinary problems within the confines of the program, but will follow the chain of command outlined by the AC Student Handbook. Students are RESPONSIBLE for reading the handbook. Violations of the rules and regulations of Angelina College as described in the handbook and/or the program/syllabus requirements as described herein will result in counseling. Students will be suspended from the program with a grade of "F" given following three disciplinary counseling sessions OR at the discretion of the Program Coordinator if it is deemed necessary that the student's action(s) are considered a potential danger to life or property.