Print Version

Effective: Summer 2017

Prerequisites: Prerequisite: EMTP 64A.
Advisory: Advisory: Not open to students with credit in EMTP 103B.
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 demonstrate to the preceptor their ability to assess and treat patients with respiratory emergencies.
  • Student will demonstrate their ability to under that the required medication within their scope of practice.
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. Second 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. The student will demonstrate their knowledge through the patient contact experience to serve as a base for field decision-making.
  2. Demonstrate the models of professional attitudes and behaviors in regard to other healthcare professionals.
  3. The paramedic student will apply the knowledge and psychomotor skills learned in the didactic phase on live patients.
  4. Students will demonstrate the skills she/he has learned and will use during the internship while in a controlled environment to pass NREMT guidelines.
  5. Provide the student with the opportunity to develop working relationships with other health care members and to gain an understanding of the role and responsibilities of other providers.
  6. Students will discuss with the preceptor trauma patient care and treatments with emphasis on surgical options.
  7. Demonstrate professional attitudes and behaviors toward patients, family members, and other health care providers.
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. Critical thinking decision process.
    1. Student will incorporate information gathered from the patient to form an appropriate treatment process.
    2. Utilizing patient information to develop a working diagnosis.
  2. Professionalism.
    1. Student will wear appropriate uniform.
    2. Student will assure that uniform is clean and is worn in a professional manner.
    3. Student will have a positive attitude with the patient and other healthcare providers.
    4. Student will use appropriate language around the patient and other healthcare providers.
  3. Students will perform skills accurately and in a proficient manner.
    1. Calculate formulas and demonstrate administration of medications within scope of practice.
    2. Start intravenous lines using aseptic techniques.
    3. Perform appropriate airway management both BLS and ALS.
    4. Perform endotracheal intubation proficiently utilizing guidelines according to ACLS.
    5. Demonstrate appropriate use of the cardiac monitor and defibrillator.
    6. Perform 12 lead ECG.
    7. Patient assessments under stressful situations on critical medical and traumatic scenes.
  4. Under supervision of the preceptor the students will demonstrate their knowledge of NREMT skills.
    1. Completing endotracheal intubation under 30 seconds.
    2. Airway suction 15 seconds for the adult, 10 seconds for the child, 5 seconds for infants.
    3. Demonstrate an understanding for pacing, cardioversion, Intraosseous insertion and spinal immobilization.
  5. Interactions with other healthcare providers, and an understanding of the paramedic's roles and responsibilities.
    1. Learn the roles and responsibilities of other healthcare providers.
    2. Understand the EMS system and how each stakeholder plays apart in the system.
    3. Have an understanding of how Continuous Quality Improvement affects the system and the care given to the patient.
    4. Demonstrate to your preceptor that you have an understanding on how to improve the system and have involvement with system changes.
    5. Demonstrate how to improve patient care.
  6. Trauma patient care.
    1. Demonstrate appropriate treatment to the critically injured.
    2. Discuss with the preceptor the need to load and go patients and why?
    3. Perform rapid trauma assessment.
    4. Demonstrate an understanding of patients that need surgical intervention.
  7. Attitude and behaviors of healthcare providers.
    1. Under the supervision of the preceptor demonstrate your ability to discuss sensitive history to patients.
    2. Demonstrate compassion while performing patient care.
    3. During the field phase demonstrate your understanding of patient confidentiality.
    4. Treating the patient, family and other health care with respect.
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. Research
  4. National-style paramedic affective evaluation: observe student behavior, document, and counsel student.
  5. Paramedic preceptor clinical evaluations of psychomotor, cognitive, and affective domain.
  6. 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. Read 1-6 chapters per week throughout the quarter on paramedic: anatomy & physiology, cardiology, electrocardiogram, electrophysiology, etc. Weekly reading assignments 60-100 pages.
  2. Writing Assignments: Weekly essays are assigned relative to different patient medical and traumatic situations.
  3. Workbook/writing assignments are given each week, i.e. matching, multiple choice, fill-in-the-blank.
  4. Local Protocol Manual