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Effective: Summer 2017

Prerequisites: Prerequisite: EMTP 63B.
Advisory: Advisory: Not open to students with credit in EMTP 103A.
Grade Type: Letter Grade Only
Not Repeatable.
FHGE: Non-GE Transferable: CSU
40 hours clinic. (480 hours total per quarter)

Student Learning Outcomes -
  • Student will work in a field environment under the supervision of a licensed paramedic while responding to calls demonstrating appropriate assessments and treatment on patients.
  • Student will demonstrate under critical situations their ability to act calm and manage the scene of an emergency, while being observed by an licensed paramedic.
Description -
Application of paramedic knowledge and skills in the clinical setting as an intern responding on a 911 ambulance to ill and injured patients while being instructed and evaluated by a field preceptor. The student has the task of initiating, providing, and directing entire emergency patient care while under the supervision of a preceptor. First of two ambulance field internships required for certification as an EMT-Paramedic in California. Intended for students in the Paramedic Program; enrollment is limited to students accepted in the program.

Course Objectives -
The student will be able to:
  1. Describe the roles of a Paramedic within an EMS system.
  2. Demonstrate effective written and verbal communication with patient in the prehospital environment.
  3. Define and apply components of the patient's history and examination to a patient with traumatic emergency.
  4. Define and apply components of medical history and examination to a patient with medical emergency.
  5. Perform a comprehensive physical history and exam on any emergency patient with special needs.
  6. Identify components of seen safety and management.
  7. Recognize components of 12 Lead Electrocardiogram (EKG) and its significance in pre-hospital care.
Special Facilities and/or Equipment -
  1. Field uniform, name tag, watch with second hand, stethoscope.
  2. Self-study, library.
  3. Selected paramedic provider agencies.

Course Content (Body of knowledge) -
  1. Pre-hospital Care Environment
    1. Roles and responsibilities
    2. Importance of personal wellness
    3. Injury prevention activities to reduce death, disabilities and health care cost.
    4. Legal issues as they apply to out-of-hospital environment.
    5. Ethics and decision making as they apply to out-of-hospital environment.
    6. Assessment and management of emergency patients.
    7. Formulating a field impression and implanting a pharmacologic management plan.
  2. Effective communication whiling providing care
    1. Physiological, psychological, and socialical changes throughout human development with assessment and communication strategies for patients of all ages.
    2. Formulating patient information to transfer care to other prehospital personnel, hospital staff, or specialty centers i.e. Intensive Care Unit, Coronary Care Unit, Labor and Delivery, Trauma Team.
    3. Formulate patient information to give an accurate radio ring down to notify emergency room staff of the arrival of the patient.
    4. Document information collected during patient care that is legally sound and can be defended in court.
  3. Trauma Patient.
    1. Pathophysiological significance of traumatic injuries.
    2. Principles of kinematics to enhance the patient the patient assessment and predict injuries based on the mechanism of injuries.
    3. Recognition and treatment plan for the patient with:
      1. Shock or hemorrhage.
      2. Soft tissue injury.
      3. Burn injury.
      4. Suspected head injury.
      5. Suspected spinal injury.
      6. Thoracic injury.
      7. Suspected abdominal trauma.
      8. Musculskeletal injury.
  4. Medical Patient.
    1. Anatomy and physiology review of organ systems.
    2. Recognition and treatment plan for the patient with:
    3. Respiratory problem.
    4. Cardiovascular disease.
    5. Neurological problem.
    6. Endocrine problem.
    7. Allergic or anaphylactic problem.
    8. Gastroenterological problem.
    9. Renal or urological problem.
    10. Toxic exposure.
    11. Hematopoietic system problem.
    12. Environmentally induced or exacerbated medical or traumatic condition.
    13. Infectious and communicable diseases.
    14. Behavioral emergencies.
    15. Gynecological emergency.
    16. Normal or abnormal labor.
  5. Patient with Special needs treatment plan for:
    1. The neonatal patient.
    2. The pediatric patient.
    3. The geriatric patient.
    4. The patient who sustained abuse or assault.
    5. Diverse patients who face physical, mental, social and financial challenges.
  6. Scene management.
    1. Safe and effective ground and air medical transport.
    2. Multiple casualty incident management techniques.
    3. Rescue awareness from water, hazardous atmospheres, trenches, highways and hazardous terrain.
    4. Safe operation at crime scenes and other emergencies.
  7. Recognizing and utilizing information from the patient's ECG to treat the patient.
    1. Proper techniques for applying the ECG leads.
    2. Learning the proper techniques for acquiring a good ECG.
    3. Demonstrate the proper way of transmitting the ECG to the definitive care facility.
    4. Utilizing the information gather to develop a proper treatment modality
Methods of Evaluation -
  1. Written tests: multiple choice, matching, essays, fill-in-the-blank, short answer.
  2. Assignments: matching, multiple choice, fill-in-the-blank, true/false, short answer, fill-in-the-table.
  3. National-style paramedic affective evaluation: observe student behavior, document, and counsel student.
  4. Paramedic preceptor clinical evaluations of psychomotor, cognitive, and affective domain.
  5. Protocol quizzes
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 -
Instruction and evaluation by a field preceptor. The intern will also will do self study and incorporate information that is gathered from preceptor's evaluation.
Lab Content -
Labs will be conducted on a 911 ambulance and include the following topics:
  1. Patient assessment with development of a working diagnosis.
  2. Communication with transfer of care.
  3. Written PCR's
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 Field Internship progress.