|1. 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. This is the first of two ambulance field internships required for certification as an EMT-Paramedic in California.|
|Prerequisites: EMTP 63B.|
|Advisory: Not open to students with credit in EMTP 103A.|
|2. Course Objectives - |
|The student will be able to: |
- Describe the roles of a Paramedic within an EMS system.
- Demonstrate effective written and verbal communication with patient in the prehospital environment.
- Define and apply components of the patient's history and examination to a patient with traumatic emergency.
- Define and apply components of medical history and examination to a patient with medical emergency.
- Perform a comprehensive physical history and exam on any emergency patient with special needs.
- Identify components of seen safety and management.
- Recognize components of 12 Lead Electrocardiogram (EKG) and its significance in pre-hospital care.
|3. Special Facilities and/or Equipment - |
- Field uniform, name tag, watch with second hand, stethoscope.
- Self-study, library.
- Selected paramedic provider agencies.
|4. Course Content (Body of knowledge) - |
- Pre-hospital Care Environment
- Roles and responsibilities
- Importance of personal wellness
- Injury prevention activities to reduce death, disabilities and health care cost.
- Legal issues as they apply to out-of-hospital environment.
- Ethics and decision making as they apply to out-of-hospital environment.
- Assessment and management of emergency patients.
- Formulating a field impression and implanting a pharmacologic management plan.
- Effective communication whiling providing care
- Physiological, psychological, and socialical changes throughout human development with assessment and communication strategies for patients of all ages.
- 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.
- Formulate patient information to give an accurate radio ring down to notify emergency room staff of the arrival of the patient.
- Document information collected during patient care that is legally sound and can be defended in court.
- Trauma Patient.
- Pathophysiological significance of traumatic injuries.
- Principles of kinematics to enhance the patient the patient assessment and predict injuries based on the mechanism of injuries.
- Recognition and treatment plan for the patient with:
- Shock or hemorrhage.
- Soft tissue injury.
- Burn injury.
- Suspected head injury.
- Suspected spinal injury.
- Thoracic injury.
- Suspected abdominal trauma.
- Musculskeletal injury.
- Medical Patient.
- Anatomy and physiology review of organ systems.
- Recognition and treatment plan for the patient with:
- Respiratory problem.
- Cardiovascular disease.
- Neurological problem.
- Endocrine problem.
- Allergic or anaphylactic problem.
- Gastroenterological problem.
- Renal or urological problem.
- Toxic exposure.
- Hematopoietic system problem.
- Environmentally induced or exacerbated medical or traumatic condition.
- Infectious and communicable diseases.
- Behavioral emergencies.
- Gynecological emergency.
- Normal or abnormal labor.
- Patient with Special needs treatment plan for:
- The neonatal patient.
- The pediatric patient.
- The geriatric patient.
- The patient who sustained abuse or assault.
- Diverse patients who face physical, mental, social and financial challenges.
- Scene management.
- Safe and effective ground and air medical transport.
- Multiple casualty incident management techniques.
- Rescue awareness from water, hazardous atmospheres, trenches, highways and hazardous terrain.
- Safe operation at crime scenes and other emergencies.
- Recognizing and utilizing information from the patient's ECG to treat the patient.
- Proper techniques for applying the ECG leads.
- Learning the proper techniques for acquiring a good ECG.
- Demonstrate the proper way of transmitting the ECG to the definitive care facility.
- Utilizing the information gather to develop a proper treatment modality
|5. Repeatability - Moved to header area.|
|6. Methods of Evaluation - |
- Written tests: multiple choice, matching, essays, fill-in-the-blank, short answer.
- Assignments: matching, multiple choice, fill-in-the-blank, true/false, short answer, fill-in-the-table.
- National-style paramedic affective evaluation: observe student behavior, document, and counsel student.
- Paramedic preceptor clinical evaluations of psychomotor, cognitive, and affective domain.
- Protocol quizzes
|7. 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.
|8. Disciplines - |
|Emergency Medical Technologies |
|9. 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. |
|10. Lab Content - |
|Labs will be conducted on a 911 ambulance and include the following topics: |
- Patient assessment with development of a working diagnosis.
- Communication with transfer of care.
- Written PCR's
|11. Honors Description - No longer used. Integrated into main description section.|
|12. Types and/or Examples of Required Reading, Writing and Outside of Class Assignments - |
- Writing Assignments: Weekly essays are assigned; for example compare and contrast pulmonary edema secondary to left heart failure and cardiogenic shock.
- 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.
- Write prehospital patient care report form.
- Weekly documentation of Field Internship progress.
|13. Need/Justification - |
|This course is a required core course for the AS degree and Certificate of Achievement in the Paramedic program. |