|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 second of two ambulance field internships required for certification as an EMT-Paramedic in California.|
|Prerequisites: EMTP 64A.|
|Advisory: Not open to students with credit in EMTP 103B.|
|2. Course Objectives - |
|The student will be able to: |
- The student will demonstrate their knowledge through the patient contact experience to serve as a base for field decision-making.
- Demonstrate the models of professional attitudes and behaviors in regard to other healthcare professionals.
- The paramedic student will apply the knowledge and psychomotor skills learned in the didactic phase on live patients.
- Students will demonstrate the skills she/he has learned and will use during the internship while in a controlled environment to pass NREMT guidelines.
- 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.
- Students will discuss with the preceptor trauma patient care and treatments with emphasis on surgical options.
- Demonstrate professional attitudes and behaviors toward patients, family members, and other health care providers.
|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) - |
- Critical thinking decision process.
- Student will incorporate information gathered from the patient to form an appropriate treatment process.
- Utilizing patient information to develop a working diagnosis.
- Student will wear appropriate uniform.
- Student will assure that uniform is clean and is worn in a professional manner.
- Student will have a positive attitude with the patient and other healthcare providers.
- Student will use appropriate language around the patient and other healthcare providers.
- Students will perform skills accurately and in a proficient manner.
- Calculate formulas and demonstrate administration of medications within scope of practice.
- Start intravenous lines using aseptic techniques.
- Perform appropriate airway management both BLS and ALS.
- Perform endotracheal intubation proficiently utilizing guidelines according to ACLS.
- Demonstrate appropriate use of the cardiac monitor and defibrillator.
- Perform 12 lead ECG.
- Patient assessments under stressful situations on critical medical and traumatic scenes.
- Under supervision of the preceptor the students will demonstrate their knowledge of NREMT skills.
- Completing endotracheal intubation under 30 seconds.
- Airway suction 15 seconds for the adult, 10 seconds for the child, 5 seconds for infants.
- Demonstrate an understanding for pacing, cardioversion, Intraosseous insertion and spinal immobilization.
- Interactions with other healthcare providers, and an understanding of the paramedic's roles and responsibilities.
- Learn the roles and responsibilities of other healthcare providers.
- Understand the EMS system and how each stakeholder plays apart in the system.
- Have an understanding of how Continuous Quality Improvement affects the system and the care given to the patient.
- Demonstrate to your preceptor that you have an understanding on how to improve the system and have involvement with system changes.
- Demonstrate how to improve patient care.
- Trauma patient care.
- Demonstrate appropriate treatment to the critically injured.
- Discuss with the preceptor the need to load and go patients and why?
- Perform rapid trauma assessment.
- Demonstrate an understanding of patients that need surgical intervention.
- Attitude and behaviors of healthcare providers.
- Under the supervision of the preceptor demonstrate your ability to discuss sensitive history to patients.
- Demonstrate compassion while performing patient care.
- During the field phase demonstrate your understanding of patient confidentiality.
- Treating the patient, family and other health care with respect.
|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 - |
- Read 1-6 chapters per week throughout the quarter on paramedic: anatomy & physiology, cardiology, electrocardiogram, electrophysiology, etc. Weekly reading assignments 60-100 pages.
- Writing Assignments: Weekly essays are assigned relative to different patient medical and traumatic situations.
- Workbook/writing assignments are given each week, i.e. matching, multiple choice, fill-in-the-blank.
- Local Protocol Manual
|13. Need/Justification - |
|This course is a required core course for the AS degree and Certificate of Achievement in the Paramedic program. |