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Effective: Fall 2012
EMTP 62BPARAMEDIC COGNITIVE, AFFECTIVE & PSYCHOMOTOR IIIB3 Unit(s)

Prerequisites: Prerequisites: EMTP 61A, 61B and 63A.
Corequisites: Corequisite: EMTP 62A.
Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
1 hour lecture, 6.5 hours laboratory. (90 hours total per quarter)

Student Learning Outcomes -
  • Students will demonstrate assessments and appropriate treatments on patients affected by various environmental situations through simulation. Students will be able to summarize the information learned during lecture and utilize differentiate skills to determine appropriate treatment during case based and simulated patient hands on scenarios.
  • Students will proper and appropriate assessments on the pediatric patient.
Description -
Paramedic skills presented: proper hand washing; personal protective equipment; patient assessment; intravenous access; intraosseous infusion; pharmacology; medication administration; airway management: endotracheal intubation, oropharygeal airway, nasopharyngeal airway, suctioning, dual lumen airways; advanced cardiac life support ambulance 911 call simulations and case studies; synchronized cardioversion; transcutaneous pacing; defibrillation; cardiovascular/chest pain emergency 911 call simulations; end tidal carbon dioxide monitoring; capnography; 12 lead ECG interpretation. Intended for students in the paramedic program.

Course Objectives -
The student will be able to:
  1. Demonstrate proper hygiene techniques and Personal Protective Equipment (PPE).
  2. Demonstrate the various techniques to establish intravenous routes.
  3. Exhibit different basic and advanced airway management techniques.
  4. Demonstrate your understanding of different components of cardiac monitor devices.
  5. Demonstrate the different techniques of medication administration.
  6. Demonstrate through simulated scenarios how to manage scenes and patient care.
  7. Demonstrate the proper techniques for transferring patient care.
Special Facilities and/or Equipment -
  1. Paramedic lab facilities
  2. Paramedic ambulance equipment: manikin (that allows cricothyrotomy, pleural decompression, intubation, intraosseous infusion, intravenous access, intramuscular injection and subcutaneous injection); medication box with all paramedic medications; respiratory bag with airway management equipment; ECG monitor/defibrillator/pacer; suction; immobilization equipment.
  3. Ambulance simulator
  4. Base station simulator equipment

Course Content (Body of knowledge) -
  1. Proper hygiene techniques.
    1. Hand washing techniques.
    2. Proper use of Personal Protective Equipment.
    3. N-95 mask.
    4. P-100 mask.
    5. Donning and doffing medical gloves.
  2. Establishing intravenous routes.
    1. IV techniques
    2. IO techniques
    3. Setting up, starting IV's
  3. Basic and advanced airway management techniques.
    1. NPA's, OPA's.
    2. Suctioning.
    3. Endotrachel intubation.
    4. Tracheotomy care.
    5. Multi lumen devices
    6. O2 therapy.
  4. Cardiac monitor devices.
    1. 4 lead.
    2. 12 lead.
    3. Cardioversion.
    4. Pacing.
    5. Defibrillation.
    6. EtCO2
    7. Pulse Ox
  5. Medication administration.
    1. Medication packaging.
    2. Routes of administration.
    3. Medication calculations
  6. Simulated scenarios how to manage scenes and patient care.
    1. Scene approach and control.
    2. General impression.
    3. History and physical
    4. Working diagnosis.
    5. Appropriate treatment.
  7. Transferring patient care.
    1. Documentation.
    2. Radio report.
    3. Verbal report.
Methods of Evaluation -
  1. Laboratory psychomotor skill test
  2. National-style oral examinations of 911 call simulations
  3. National-style paramedic affective evaluation: observe student behavior, document, and counsel student.
  4. Written assignments including: prehospital patient care report forms.
Representative Text(s) -
Aehlert, Barbara, Paramedic Practice Today: Above and Beyond, (2-Volume Set Revised Reprint), Elsevier/Mosby, May 2011.
American Heart Association, Advanced Cardiac Life Support (ACLS) Provider Manual, (90-1012), Publisher- Channing Bete, April 2010.
American Heart Association, BLS for the Healthcare Provider, (90-1000), Channing and Bete, April 2010.
Sanders, Tina and Scanlon, Valerie C., Essentials of Anatomy and Physiology, 6th ed., Text and Workbook, 2010.
Foothill College Paramedic Program, Student Policy Handbook, 2010 - 2012.
Geiter Jr., Henry B., EZ ECG Rhythm Interpretation, November 2003.

Disciplines -
Paramedic education.
 
Method of Instruction -
Methods of instruction include, but not limited to students practicing skills in preparation for the NREMT skills testing. Students will demonstrate
 
Lab Content -
The paramedic labs.
  1. Proper hand washing, personal protective equipment.
  2. Patient assessment.
  3. Intravenous access, intraosseous infusion.
  4. Pharmacology, medication administration.
  5. Airway management, endotracheal intubation, oropharygeal airway, nasopharyngeal airway, suctioning, dual lumen airways.
  6. Advanced cardiac life support ambulance.
  7. 911 call simulations and case studies.
 
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Read 1-6 books throughout the quarter on paramedic: anatomy & physiology, pediatric advanced life support, respiratory emergencies, etc. Weekly reading assignments 60-100 pages.
  2. Writing Assignments: Weekly essays are assigned; for example compare and contrast pulmonary edema secondary to left heart failure and cardiogenic shock.
  3. Workbook/writing assignments are given each week and include: matching, multiple choice, fill-in-the-blank, identify, ambulance calls, true/false, short answer, word find, place photos in order, fill-in-the-table, problem solving, labeling diagram.
  4. Medical research.
  5. Write prehospital patient care report form.