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Effective: Spring 2015
EMTP 63BPARAMEDIC HOSPITAL EMERGENCY DEPARTMENT ROTATIONS4.5 Unit(s)

Prerequisites: Prerequisites: EMTP 62A and 62B.
Corequisites: Corequisite: Completion of, or concurrent enrollment in EMTP 63A.
Advisory: Advisory: Not open to students with credit in EMTP 102.
Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
14 hours clinic. (168 hours total per quarter)

Student Learning Outcomes -
  • Students will spend time in the emergency department under the supervision of a preceptor while they assess patients and administer medications utilizing knowledge from didactic and skills portion of the program. Students will formulate a patient treatment plan and administer medication other treatment appropriately
  • Student must demonstrate their knowledge of assessing patients with various injuries and illnesses. Students will be able to summarize the information learned during lecture and utilize differentiate skills to determine appropriate treatment during case based scenarios or live patients.
Description -
Application of skills that demonstrate principles and concepts of anatomy, physiology, pathophysiology, clinical symptoms and diagnosis as they pertain to pre-hospital emergency medical care of the sick and injured. The student will rotate through specialty areas of the hospital departments: pediatrics, pediatric intensive care unit, labor and delivery, surgery (airway management), respiratory therapy, and other selected hospital areas. Intended for students in the paramedic program.

Course Objectives -
The student will be able to:
  1. Observe patients in the following specialty areas: pediatrics definitive care units including pediatric intensive care unit, obstetrics including labor and delivery, and the emergency department.
  2. Assist in the care of special patients: pediatrics definitive care units including pediatric intensive care unit, obstetrics including labor and delivery, and the emergency department.
  3. Demonstrate beginning/intermediate clinical skills to provide optimal patient care within the confines of state and county guidelines.
  4. Systematically process assessment findings and develop conclusions.
  5. Describe clearly and concisely pertinent emergency medical information.
  6. Facilitate understanding by hospital personnel through effective communication.
  7. Demonstrate the ability to safely administer medications.
  8. Demonstrate the ability to safely perform basic and advanced airway management techniques
  9. Demonstrate the ability to safely gain venous access in the specialty groups identified above.
  10. Demonstrate the ability to perform a compressive assessment, formulate and implement a treatment on adult and pediatric patients.
Special Facilities and/or Equipment -
Hospital emergency departments.

Course Content (Body of knowledge) -
  1. Special patients: pediatrics definitive care units including pediatric intensive care unit, obstetrics including labor and delivery, and the emergency department.
    1. Learn and discuss the challenges for the above patient groups.
  2. Assist in the care of special patients: pediatrics definitive care units including pediatric intensive care unit, obstetrics including labor and delivery, and the emergency department.
    1. Learn how to treat patients with special challenges.
    2. Discuss with your preceptor your treatment modalities.
  3. Beginning/intermediate clinical skills to provide optimal patient care within the confines of state and county guidelines.
  4. Systematically process assessment findings and develop conclusions.
    1. Collect patient information and develop a working diagnosis.
  5. Describe clearly and concisely pertinent emergency medical information.
    1. Deliver verbal patient information.
  6. Facilitate understanding by hospital personnel through effective communication.
    1. Communicate your findings for evaluation of assessment skills.
  7. Medications.
    1. Calculations.
    2. Modes of administration.
    3. Monitoring patients post administration.
  8. Perform basic and advanced airway management techniques.
    1. Basic airway techniques.
    2. Advanced airway techniques.
  9. Venous access in all age group patients.
    1. Safe practices for starting IV.
    2. IO techniques.
  10. Compressive assessment, formulate and implement a treatment on adult and pediatric patients.
    1. Critical thinking process to generate a working diagnosis.
    2. Make a determination of the best route of treatment according to treatment protocols.
Methods of Evaluation -
  1. Hands on patient care with over site of an approved hospital clinician with a license of Registered Nurse or higher.
  2. Assigned reading, patient care homework given by Clinical Coordinator
  3. Frequent discussion with Program Staff.
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 -
Emergency Medical Technologies
 
Method of Instruction -
  1. Hands on patient care with over site of an approved hospital clinician with a license of Registered Nurse or higher.
  2. Assigned reading, patient care homework given by Clinical Coordinator
  3. Frequent discussion with Program Staff members.
 
Lab Content -
  1. Student will perform practical application of paramedic theory and skills in a clinical setting.
  2. Clinical assessment and management and management of adult and pediatric patient medical and surgical needs.
  3. Review anatomy and management of OB patient.
  4. Emergency care of adult and pediatric patients including field assessment and planning.
  5. Field management of medical, surgical OBN, pediatric and behavioral emergencies.
  6. Correlation of didactic material with clinical experience.
  7. Management of interpersonal relationships in the work setting.
  8. Development of problem solving strategies.
 
Types and/or Examples of Required Reading, Writing and Outside of Class Assignments -
  1. Writing Assignments: Weekly essays are assigned; for example compare and contrast pulmonary edema secondary to left heart failure and cardiogenic shock.
  2. 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.
  3. Write prehospital patient care report form.
  4. Weekly documentation of Clinical progress.