Paramedic Handbook (Updated 10/2/11) by Louie Robinson

Paramedic Technology Program

2011-2012

Paramedic Technology Program Student Handbook 2011 - 2012

Date: ____________________________

I have received, read, and understand the contents of the 2011 â&#x20AC;&#x201C; 2012 Paramedic Technology Program Student Handbook.

Signature: ________________________________________

Printed Name: ____________________________________

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

STUDENT HANDBOOK TABLE OF CONTENTS: Tab 1

Title Preface Preface Code of Ethics Recommended Curriculum Sequence Required/Optional Text and Materials Needed Program Outcomes Learning Outcomes General Education Outcomes General Considerations Program Policies and Procedures Evaluation Exam/Quiz Make-up Attendance Policy Evaluation Grading Scale Midterms/Final Exams Course Policies/Student Academic Rights and Responsibilities Plagiarism and Academic Dishonesty Student Advisory and Evaluation Policy Student Uniform and Dress Code Conduct Clinical Rotations: Work Related Policy In Case of Injury Student /Faculty Grievance Inclement Weather Competency Evaluation in the Capstone Course: PMED 265 Certificate Examination Student Handbook and University Catalog Policies Change in Student Name and Address Privacy and Progress Records Conditions for Re-entrance of Dismissed Students

Kanawha Valley Community and Technical College

Page Numbers 1 2 3 4 5 5 6 6-7 8 8 8-9 9 9 9 9 10 10 10 10-11 10 11-12 12 12-13 13 13 14 14 14 14-15

Paramedic Technology Program Tab

Title Civil Rights Cell Phones and Pagers Physical Exam Forms Instructions: Physical Exam Physical Examination Form Clinical Objectives Global Cognitive and Psychomotor Clinical Objectives FISDAP Ten Commandments of Clinical Rotations Clinical Competency Requirements Clinical Hour Requirements Clinical Training Guidelines Field Paramedic Units Emergency Department/Triage ICU/CCU Pediatrics Respiratory Department Labor and Delivery Operating Room/Recovery Morgue Psychiatric Unit Clinical Rotations Skills Check-Off Competencies Sign-Off Report Medication Administration Intubation IV Access Ventilations Pediatric Assessments Adult Assessments Geriatric Assessments Obstetrics Assessments Trauma Assessments Psychiatric Assessments

Kanawha Valley Community and Technical College

2011-2012 Page Numbers 15 15 16-17 18-20 21 22 23-24 25 26 27 28 29 30 31 32 33 34 34 35-36 37-52 37 37 38 39 40 41-42 43 44 44-45 46

Paramedic Technology Program Tab

8 9 10

2011-2012

Title Assess and Treat: Chest Pain Assess and Treat: Dyspnea/ Respiratory Distress â&#x20AC;&#x201C; Adult Assess and Treat: Dyspnea/Respiratory Distress â&#x20AC;&#x201C; Pediatric Assess and Treat: Syncope Assess and Treat: Abdominal Complaints Assess and Treat: Altered Mental Status Team Leader on Prehospital Emergencies Appendix of Forms Case Study Guidelines Case Study Scoring Forms Oral Presentation Written Presentation Assessment Based Management Scoring Form Special Assignment Scoring Sheet Student Evaluation Form Clinical Forms Hospital Clinical Evaluation Form Pre-Hospital Clinical Evaluation Form Patient Care Report 911/Medical Command Form Evaluation of Preceptor Form EKG Interpretation Form CCU/ICU Medication Form Professional/Behavior (24 hours Summative) Evaluation Form NREMT-P Skills Stations Class Timelines Syllabi

Kanawha Valley Community and Technical College

Page Numbers 47 48 48 49 49 50 51-52 53 54 55 56-58 59 60-61

Paramedic Technology Program

2011-2012

Preface

This Student Handbook is designed to provide a source of information for the Paramedic Student. As a student, your actions are governed by numerous policies with various sources. It is your responsibility to be aware of all of these policies.

Information related to institutional policies and procedures can be found in the Kanawha Valley Community and Technical College Catalog.

Policies and procedures that are program-specific (Paramedic Students only) are located within this Paramedic Technology Student Handbook

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Paramedic Code of Ethics

I ntegrity

C ompassion A ccountabilty R espect E mpathy

These are the core ethics of the Paramedic Technology Program at Kanawha Valley Community and Technical College (KVCTC). During the course of your academic career, you shall be held accountable for your attitude and actions on the basis of this Program’s Code of Ethics, as well as each individual student’s core values of which you will create and record into your “Student Composition Lab Book”.

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Recommended Curriculum Sequence First Year – Fall Semester 2011 Biology 210 (Substituted with AH 299: Anatomy & Physiology for Paramedics) PMED 130 Intro to Paramedic Technology I PMED 131 Intro to Paramedic Technology II PMED 132 Airway Assessment/Management & Advanced Skills

First Year – Spring Semester 2012 PMED 260 Medical Emergencies I PMED 262 Medical Emergencies II PMED 263 Special Considerations Summer I 2015 PMED 261 Clinical Practicum I PMED 264 Paramedic Operations PMED 265 Clinical Practicum

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

ACLS, PHTLS, PALS, PEPP, GEMS, and AMLS textbooks and courses are also highly recommended.

Materials Needed: Composition Book 1 – three ring, 1 ½ Binder

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Program Outcomes Prepares graduates to obtain appropriate employment in the field. Prepare graduates to adapt to emerging and rapid changes in science, technology, business, or human health services, and to engage in lifelong learning in their field. Maintain curriculum and instructional material current and updated. Provide effective teaching and advising. Maintain up-to-date labs, software, and adequate facilities. Maintain a mutually beneficial partnership with business and industry.

Learning Outcomes Upon completion of the program, the student will:  

 

  

have the skills necessary for successful passage of the appropriate legal of National Registry of EMTs Certification Exam be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment/pharmacological plan for the medical patient be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the trauma patient be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment/pharmacological plan for patients with special considerations demonstrate personal behaviors and attitudes consistent with and appropriate to the delivery of pre-hospital emergency medical care in a diverse society demonstrate personal behaviors and attitudes consistent with and appropriate to EMS scene operations and the EMS system team environments communicate articulately in speech and writing using critical thinking and theory to present research projects

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

General Education Outcomes Communicate articulately in speech and writing. Think critically about issues, theory, and application. Use effective human relationship skills to work in a diverse society. Function effectively and positively in a team environment. Use library print and electronic resources for literature research. Use computational skills to solve problems, manipulate, and interpret numerical data, and communicate data in a logical manner. Employ fundamental principles of science, the scientific method of inquiry, and skills for applying scientific knowledge to practical situations. Use computer technology to organize, access, and communicate information

General Considerations The Emergency Medical Technician â&#x20AC;&#x201C; Paramedic (EMT-P) provide pre-hospital emergency medical care under physician direction to patients sustaining illness or injury. The curriculum consists of three components of instruction: didactic and laboratory skills, the pre-hospital clinical and hospital experience. The student will progress through the learning objectives, and will demonstrate as a part of the course with their mentors their competency as an entry-level paramedic. Before entering into clinical activities, the student must be assigned of make arrangements with the Program Director. All clinical activates will be done under the supervision of a preceptor. To be certified as an NREMT-P; you must pass the National Registry exam. Persons convicted of any drug or felony charge may not be eligible for this examination. Any individual who is in doubt about the application of this ruling is urged to seek legal advice or to advise the Program Director of his/her need for legal advice. Because the paramedic program is a physically intense and demanding program, any individual becoming physically impaired or pregnant during this course is advised to immediately inform the Program Director. The decision to continue or discontinue participation in the program

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

shall be a joint decision of the student and an attending physician. All completed credits will be applied per the policies of KVCTC. If you have any physical disability, it is your responsibility to report this to the Program Director immediately. Nondisclosure is a possible reason for immediate dismissal. If a physical disability is present, the decision to continue or discontinue participation in the program shall be a joint decision of the student, the attending physician, and the Program Medical Director. If any physical or mental disability should occur that places doubt as to your ability to continue in the paramedic program, the decision to continue or discontinue participation in the program shall be a joint decision of the attending physician and the Program Medical Director. In developing the Paramedic Program, the intention has been to create a program with guidelines and recommendations that are clear. The overall operation of the program is best summed up as â&#x20AC;&#x153;Self-Responsibilityâ&#x20AC;?. It is a fact that self-responsibility for learning should be stated both early and often.

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Policies and Procedures Evaluation: Students will have assignments that will include but not limited to: Workbooks, Research papers, Term papers, Written Objectives responses, announced and unannounced quizzes, and exams. Tests and Quizzes will include: Matching, True/False, Multiple Choice, Fill-in-the-Blank, Short Answer, and Essay questions. Pathophysiology, Research, Case Studies, and Term papers will include Name of Name of Disease, Definition, Etiology, Pathophysiology, Clinical Signs and Symptoms, Diagnosis, Pre-hospital Treatment, Definitive Treatments and closely related illness. There is no set length but grade will depend on content of information and student presentation. Students must be prepared to present all Pathophysiology Reports to their pee Exam/Quiz Make-up Policy: All assignments must be turned in on time! A 10% deduction per class day will be enforced for late assignments. Students who are late during exams will have 1% per minute point deduction (Max 20%) unless a valid, verifiable excuse is presented. If a student is not present during an exam, there will be an automatic 20% deduction unless the student and a valid, verifiable excuse. The student will also be responsible for obtaining 70% on every module exam. If the student obtains a score of less them 70% on and exam, they WILL be required to retake the examination until a score of 70% or better is achieved. The original score will be the recorded score. This procedure is done to ensure that the student stays at a competency level in every subject as their peers and aids in the student’s ability to pass the NREMT-P written examination. In the event that the student is not present on the day of an examination, or a score of less than 70% is obtained, they are solely responsible for rescheduling of the exam with the instructor on their own time outside class. Rescheduling of a missed examination must be done within two (2) days of the original examination day or the student will receive a grade of “0” on their examination. Attendance Policy: Students are required to attend all scheduled classes. Due to the overwhelming amount of information that will be distributed throughout the semester, students will be administratively withdrawn if more than 8 hours per semester are missed. If the student is tardy 15 minutes or more without a valid, verifiable excuse or the student leave class early without a valid, verifiable excuse more than three (3) times per semester, they will be administratively withdrawn. In occasions where they students are sick, a Doctor’s excuse will result in an excused absence; as well as the death of an immediate family member. All other excuses will be at the discretion of the instructor. In extreme cases where a student will be off for an

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

extended period of time due to illness, it will be at the discretion of the instructor to administratively withdraw the student. Evaluation: Quizzes

10%

Exams

30%

Homework

10%

Workbook

20%

Final

30%

Clinical Assessment from PMED 261 and 265 will be graded as follows: Required minimum of Clinical Hours completed = 100%. From this total will be subtracted the number of negative evaluations and/or missed clinicals multiplied by 10% to arrive at your final score for Clinicals. This will be weighed with your classroom score to arrive at your overall grade for the course. Grading Scale: 100 – 90

89 – 80

79 – 70

69 – 60

59 & below

** All students must maintain a “C” average in each course to be eligible for advancement to the next course. Midterm/Final Exams: Cumulative Examinations are given Course Policies/Student Academic Rights and Responsibilities: Students should reference the Kanawha Valley Community and Technical College Catalog for detailed information concerning the rights and responsibilities not addressed below.

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Plagiarism and Academic Dishonesty: Plagiarism is stealing or passing off as one’s own, ideas or words of another, whether or not copyrighted. Plagiarism will be penalized by the Instructor according to the degree of dishonesty in instructor judges in involved. Students guilty of academic dishonesty are subject to disciplinary action. Disciplinary action may include, but is not limited to: reduction of a grade for the class, suspension or expulsion from the College. Students may appeal disciplinary action taken against them by filing a grievance. Student Advisory & Evaluation Policy: If the instructor(s) should feel the need to have a mandatory meeting with a student to discuss items/subjects of concern, which include but are not limited to: excessive absences and tardies, failure to turn in assignments/clinical rotations on time, classroom/clinical behavior concerns, plagiarism, cheating, and struggling or failure to maintain a GPA of a “C”, a Student Advisory Form will be filled out and signed by both the Instructor addressing the concern and the student. Once the concern has been addressed, the instructor and student will discuss possible resolutions to the problem and the resolutions to the problem and the resolution agreed upon will be written on the advisory from. If the student wishes to write a rebuttal against the concern made, the student will have the change to write this rebuttal on the advisory form. If the student feels that the “area of concern” is not being handled in the appropriate manner, they may include their concern in their rebuttal and the Instructor MUST mark the form as unresolved and sent this from on to the Dean of Allied Health who will read the advisory, sign it and address the area of concern as he/she feels fit. He/she must fill out his/her own advisory from indicating the follow-up to the area of concern, and resolution made. Copies of these advisory meetings are available to the student; however, originals must and will be retained by the faculty. Student Uniform and Dress Policy: The dress code policy for classroom and lab hours should be followed as it is stated in the KVCTC Catalog. However, during Clinical Rotations, students are required to wear the assigned polo with their name badge affixed to it. Conduct: The clinical experience is the students’ privilege, not their right. Therefore, each student is responsible for strictly adhering to each affiliate’s policies and for following any requirements issued by the Program Medical Director as well as the following basic guidelines:

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Patient confidentiality is paramount in all situations; breeches in confidentiality will not be tolerated. HIPPA is the LAW. The use of foul or offensive language will not be tolerated. You are in a professional situation, please act accordingly. Student Behavior that threatens and/or endangers the psychological or physical safety of a patient, ambulance staff member or instructor may result in immediate dismissal from the course and program. The use of tobacco is strictly forbidden during clinical rotations. Failure to adhere to the above policies will lead to disciplinary action being taken. Clinical Rotations: Work Related Policy During any and all clinical rotation settings, students shall not take the responsibility or the place of qualified staff. However, after demonstrating proficiency, students may be permitted to undertake certain defined activities with appropriate supervision and directions. While students may be employed in the field of study outside regular educational hours, students ARE STRICTLY PROHIBITED from performing any and all clinical rotations during his/her employment hours. Any deviance from this policy will result in administrative dismissal for “student behavior that interferes with the instruction process”. On Site inspections will be performed by the Program Director to ensure that this policy is being followed. In Case of Injury: All students actively participating in the Kanawha Valley Community and Technical College’s Paramedic Technology Program are required to report any injury that occurs as a direct result of activities performed during the classroom or clinical rotation setting to a Program faculty member/Preceptor. It is the responsibility of the Program faculty member/Preceptor originally notified of the incident to contact the Program Director and/or Lead Instructor of the Program. The student will be required to fill out an incident report which can be located in the classroom file maintained by the Program Director/Lead Instructor. An incident report must be filled out by any student for, but not limited to the following reasons:   

Motor Vehicle Accident in which the student was performing a field rotation at the time of the accident; Student Injuries; Where a student is accused of injuring a patient in which the student is acting in the defined role of Paramedic Student;

Kanawha Valley Community and Technical College

Paramedic Technology Program  

2011-2012

Where a student witnesses another individual involved in a questionable act; Any instance when a student wants a written report.

Student/Faculty Grievance Policy: If during the course of the Paramedic Program, a student of faculty member should feel as though a grievance has occurred. It is his/her responsibility to complete the appropriate paperwork including documentation of the exact nature of the event in question. Once completed, the paperwork is to be filed with the Program Director, who will then conduct his/her own investigation into the filed grievance and determine what, if any, actions need to occur as a result. The Program Director will file his/her investigation findings and carry out stated actions. If an appeal is requested due in part to the actions taken by the Program Director to resolve the issue, then the material will be presented to College Administration who shall make his/her own investigation into the matter and make the final decision in order to best resolve the issue. Inclement Weather: Due to the extreme fluctuations in West Virginia weather, especially in winter, people are often classified as essential or non-essential personnel. Paramedics are generally considered “essential personnel”, meaning they must make every reasonable attempt to go to work regardless of weather conditions. This does not hold true for students. In the event of inclement weather, TV and radio broadcast any closing of federal, state, county, and local government offices to “non-essential” personnel, If your clinical site orders it “nonessential” employees to stay home (i.e. Charleston City Offices, Kanawha County Offices, etc.), students should also stay home. Students should also use common sense…If you don’t think you can safely make it to your internship site, DON’T GO! This is not an excuse, but rather a safety issue. Remember that is Kanawha Valley Community and Technical College is announced as “Closed” due to weather, classes (Lecture/Lab) will not be held. Some clinical sites may be available in this instance. If the student is not coming in due to weather, they should make every effort to contact their Preceptor and the Program Director as soon as possible. If inclement weather occurs while the student is on duty, reasonable efforts will be made to get the person back to the station to get off on time. It should be understood that driving conditions, call volume, and staff shortages may result in the crew (and the student) being held overtime.

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

NOTE: All time missed from clinical shifts, regardless of reason, MUST BE MADE UP! Competency Evaluation in the Capstone Course: PMED 265: As a part of Assessment Based Management, each student will be evaluated by a team of at least two (2) paramedic evaluators. The student will be evaluated on their individual on their patient encounters that encompass five (5) distinct concentrations. These concentrations include: Cardiology, Trauma, Respiratory, Medical and OB/GYN/Neonatal/Pediatric. The Paramedic Evaluators will be looking for certain criteria in each encounter which includes the following encounters: Scene Management, Patient Assessment, Patient Management, Interpersonal Relations, Integration, Integrity and Empathy, Self Motivation and Self Confidence, Teamwork Diplomacy and Respect, and Patient Advocacy. The information gathered from the Paramedic evaluators will result in an average numerical score that will be given to the studentâ&#x20AC;&#x2122;s performance in each of the five concentrations. If the student does not obtain a score of 70% in a concentration, he or she will be remediated and asked to perform the concentration again with a different set of paramedic evaluators and a new scenario until a minimum score of 70% is attained. For further information on each of the categories, please refer to the Appendix of Forms in this Student handbook. Evaluation of the OSPE (Online Summative Paramedic Exam) is based on designated scores through FISDAP. Students MUST achieve these designated scores in all subcategories before he/she will be released to challenge the NREMT-Paramedic Examination. The purpose of this measure is to ensure that candidates meet the quality and expectations necessary to pass the National Registry Paramedic Exam on the first attempt; thereby reducing individual student cost for re-examinations attempts. By adopting this policy the Program Director can identify areas in which improvements need to be made, and then tailor the educational experience to fit each studentâ&#x20AC;&#x2122;s needs. Certification Examination: Students, who successfully complete all requirements of the Collegiate Certificate in Paramedic Technology and the Competency Evaluation of the PMED 265 Capstone course, will be recommended to take the NREMT-P examination. The student is responsible for all fees required for the exam. These students will also receive, from KVCTC, a Collegiate Certificate in Paramedic Technology.

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Student Handbook and University Catalog Policies: Students are subject to degree and program requirements listed in the Handbook/Catalog that is in effect at the time of admission for the Paramedic Program. If you interrupt your program of study for two or more consecutive terms, you are subject to the requirements in effect when you re-enroll. All programs and policies are subject to change and correction. See the KVCTC Paramedic Program Director for archived and current Handbook/Catalog information. Change in Student Name and Address: To ensure that you have received College and Program information, it is imperative that you keep the Program Director informed of any changes in your contact information. Name change requests must be accompanied by official documentation. Privacy and Progress Records: As all Progress Records and course completion materials are maintained indefinitely by KCVTV Paramedic Technology Program, we are required to follow the Family Educational Rights and Privacy Act of 1974, or FERPA. FERPA protects the privacy of student records. The act governs the release of educational records and your right to view your educational records and request corrections of any inaccuracies. It also covers the release of such directory information as your name, address, and number; as well as, the procedure for requesting that access to such information be limited. The full policy is available at KVCTC. Conditions for Re-Entrance of Dismissed Students: Students who were academically withdrawn due to lack of progress or any other reason may reapply at the beginning of the Paramedic course offered. Students must complete all application process and comply with the procedures and policies mandated for the current course year in which they are requesting admission into. Additionally, the student must successfully repeat all courses within the semester they were previously withdrawn from if a cumulative score of 70% was not originally attained. Furthermore, if a student should interrupt his/her program of study for longer than 1.5 years from the initial entrance into the program; he/she must repeat all courses in the certificate program regardless of score. If a student is administratively withdrawn due to behavioral issues, and he/she wishes to return to the program, the student must submit a written request to the Program Director for readmission into the program. Once the written request has been received, the student will be contacted by the Program Director to schedule a meeting with the Review Committee, which is

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

comprised of the Program Director, Medical Director, Dean of Allied Health, and an interested member of the Preceptor Committee. Civil Rights: KVCTC Paramedic Technology Program, except as necessary to fulfill a bonafide occupational qualification, shall not discriminate in administrating its employment procedures, educational procedures, admission procedures, financing and loan programs, and/or other school administrative programs of the basis of race, religion, color, national origin, ancestry, sex, age, blindness, disability, familial status, or veteran status, nor on the basis of any other characteristic that is prohibited by any accrediting body of KVCTC that is not contrary to federal, state, and/or local law. Call Phones and Pagers: Cell Phones, Pagers, Blackberry’s, etc, are to be turned off during all class, lab, and clinical rotations. If a student is caught with his/her cell phone on during class/lab/clinical rotations: First Offense – Verbal Warning Second Offense – Written Reprimand Third Offense – Administrative withdrawal from the course

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Clinical Physical Form (Instructions) Two-Step PPD skin Testing: The Occupational Health and Safety Administration require that a two-step baseline be performed on students who have not had a documented negative skin result during the preceding twelve months. Five Day Process: Two-step testing may be accomplished by placing the first test on day one and reading within five days. If read is negative, the second test may be placed on the same day that the first test is read. The second test is then read within 48-72 hours. PPD Skin Test: If PPD (only) skin test has been received within the past 12 months, this will be acceptable as First Step of the two-step process, provided that proper documentation can be produced and attached to this from. Proper documentation MUST include the following Letterhead paper of MD/Facility utilized, date of injection, date of injection, date of reading, and results of reading (in MM of indurations). The Second Step can be given and must be read within 48-72 hours by an MD, MD, or qualified health care professional. Applicant cannot perform the reading. All results must be read and recorded in mm of indurations. The two-step method in a one-time requirement, and then the student is annually tested if he/she continues in clinical participation. Tine Test is NOT acceptable. Chest X-Ray Students reporting a history of a previously (documented) positive PPD skin test are not required to have a PPD test repeated. A chest X-Ray will be required unless documentation of a negative chest X-Ray, within the past 12 months is available. Urine Drug Screen A urine drug screen is required in order to attend and clinical rotation site through the Paramedic Technology Program. The collection process must include eliminating water access to toilet facility, placement of bluing agent in the toilet bowl, no soap or contaminants accessible, and all other required steps to preserve the integrity of the specimen. Coats and purses are not allowed inside toilet facility and must be stored in a secure area. A custody and

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

control form must be utilized for collection. Any positive test results must be documented positive, with explanation from health care professional on the Clinical Physical Form. NOTE: The Paramedic Technology Program of KVCTC reserves the right to implement a random drugscreening collection policy if suspicion of drug use is brought to the attention of the instructor. Should an accident/injury occur while the student is actively participating in a clinical rotation, then a random drug screen may be enforced depending on the situation. The student must also have a background check completed prior to beginning clinical rotations. The exact requirements for the background check may vary based on the specific requirements for the clinical rotation site. It is the responsibility of the Program to advise the student of the exact background check requirements prior to the beginning of their rotations at said clinical sites in order to meet all specifications in a timely manner. Those requirements may be enhanced or changed based on new contract agreements set up through KVCTC Paramedic Technology Program at any time with said clinical sites. If those requirements should change during the Program year, the Instructor will advise the students of those changes and work to attain the new requirements in a timely manner to prevent the students from getting behind in their clinical rotations.

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Clinical Physical Form  Application Information: Student Name: __________________________________________ Date: _________________ DOB: ____________ Allergies: ____________________________________________________ Current Medications: ___________________________________________________________ Brief past medical history: _______________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Present Illness and length of present illness: ________________________________________ _____________________________________________________________________________ _____________________________________________________________________________  Medical Report: Immunization Requirements _____ Varicella Vaccination or titer or Immune Varicells Date :_____________ _____ Rubella or Rubeola (MMR) Vaccination or titer or Immune Rubella Date: ___________ _____ DT Booster Date: ___________ _____ Polio Vaccination Date: _____________ _____ Hepatitis – B Vaccination Date: ___________ Drug Screening _____ Urine Drug Screen

___ Negative

___ Positive PPD Test

1. _____ LF ______ RF Date: __________________ Given By: _________________ Read By: ___________ Date: ___________________ Results: ________mm

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program

2. ______LF ______ RF Date: __________________ Given By: _________________ Read By: ___________ Date: ___________________ Results: ________mm ____ Chest X-Ray (if has reported history of a previously positive PPD Skin Test) ď&#x192;ź Physical Examination Comments: ___________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Specific Problems that may interfere with clinical rotations and/or direct patient care: ____________________________________________________________________________ Is the applicant currently physically able to participate in this Paramedic program and the strenuous practical? _____ Yes _____ No ď&#x192;ź Physician Information Name of Physician: ___________________________________________________________ Address of Physician: __________________________________________________________ City: _______________________ State: ________________ Zip: ___________ Phone: _________________________________ Date of Physical Examination: _____________________________________ Sign the form, by the above-mentioned physician, as to state the general health and well being of the above-mentioned applicant.

__________________________________

___________________________

Physician Signature

Date

Thank you! Please place any further comments on the next page or on a separate form.

Kanawha Valley Community and Technical College

Paramedic Technology Program If you would please mail this form to: Kanawha Valley Community and Technical College Mr. Louis Robinson â&#x20AC;&#x201C; Paramedic Technology, Program Director Room 306-A, Cole Complex PO Box 1000 Institute, WV 25112-1000 Or fax to 304.769.0124 Or it may be given to the student to return.

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program

2011-2012

Clinical Objectives Global Cognitive and Psychomotor Clinical Objectives Occupational Health and Safety: Displaying safety consciousness with patients, self, other personnel, equipment; compliance with infection control principles, including appropriate use of standards precautions and aseptic technique; using proper body mechanics when handling patients and equipment; demonstrating understanding of psychological hazards of emergency/critical care environments of techniques for stress recognition and management. Psychomotor Skills 1. Vascular access – Demonstrating ability to safely and effectively assess the venous circulation of patients from all age groups. 2. Medication administration – Demonstrating ability to safely and effectively give medications by the intravenous push, intravenous continuous infusion, intramuscular, subcutaneous, and nebulized routes. 3. Bag-Mask ventilation – Demonstrating ability to safely and effectively ventilate unintubated patients from all age groups. 4. End tracheal intubation - Demonstrating ability to safely and effectively perform endotracheal intubation. 5. ECG acquisition and interpretation - Demonstrating ability to safely and effectively acquire and interpret both a monitoring lead and 12-lead ECG. Patient Assessment and Management Demonstrating the ability to perform a comprehensive assessment (including initial assessment, history, and physical exam), develop a differential diagnosis, formulate, and implement a treatment plan demonstrating a knowledge base and professional judgment required to care for patients. Record Keeping and Communications 1. Written – Documenting patient information, observations, and occurrences accurately, completely, concisely, and legibly. 2. Verbal – Communicating pertinent patient information understandably, completely, concisely, and accurately.

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Call Management Demonstrating ability to serve as team leader and safely and effectively direct the pre-hospital response to a variety of calls. FISDAP In addition to the completion of written paperwork in regards to clinical rotations you will also be responsible for entering the data within the confines of FISDAP. (www.fisdap.net ) The online documentation in this class is crucial to its success and will help shape future EMS programs. You will be helping in a unique quality improvement and research effort with a cutting edge technology and participation by students nationwide. Patient confidentiality is very important to us. FISDAP does not track any patient information that can identify a patient (i.e. names, addresses, run numbers, etc.) and all information is entered into a password protected database. Remember that only documentation is not just more busywork. You will be able to: 1. Get progress reports on skills you have performed and/or observed. 2. Get a print out of your scheduled shifts. 3. Compare yourself to other students (anonymously) The rules include: 1. Be truthful â&#x20AC;&#x201C; PLEASE! I do verify through audit and unannounced site visits to ensure accurate information is reported. 2. Enter data promptly, within 24 hours of finishing a shift, and be thorough! 3. Keep your paperwork in your clinical logs for verification purposes.

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Ten Commandments of Clinical Rotations 1. All rotations MUST be submitted for approval two (2) weeks prior to the date of the requested rotation. 2. You MUST turn in ALL required rotation paperwork (including FISDAP documentation) one week after the date the scheduled clinical rotation took place. Failure to do so will result on no credit being given for the rotation! 3. All information on your evaluation form must match not only the date on the FISDAP calendar, but must also match the PCR’s that you turn in, the Skills Check Off Sheet, and the OEMS forms for those rotations that occur on the ambulance as wee as, the information documented in FISDAP. 4. You must sign all OEMS during the scheduled rotation with your last name, first name, sign it accordingly, and place “MEDCSTDNT” (abbreviation for Medic Student) in the boxes. FAILURE TO DO SO MAY CAUSE YOU TO LOOSE CREDIT FOR CLINICAL ROTATION! 5. You must take responsibility on the OEMS form for whatever skill you may perform. FAILURE TO DO SO MAY CAUSE YOU TO LOOSE CREDIT FOR THAT SKILL! 6. Incomplete paperwork will be kicked back to you for revision and credit for that rotation will not be given until the paperwork is properly completed and turned back in. Additionally, you will receive a negative evaluation mark for material not completed correctly. 7. Each of the following items must be included in the paperwork for each and every clinical rotation. a. Hospital Rotations i. Hospital Clinical Evaluation Form ii. ECG Form: with 6 different ECG Strips iii. Preceptor Evaluation Form b. Pre-hospital Rotations i. Pre-hospital Clinical Evaluation Form ii. ECG Form: with 6 different ECG Strips iii. Preceptor Evaluation Form iv. A PCR for Every Patient encounter performed c. 911 Evaluations i. 911 Evaluation Form ii. Preceptor Evaluation Form

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

d. Final 24 hours Summative End of Year Pre-hospital Evaluation i. Summative Evaluation Form ii. You must have 7 Team Leaders during this time iii. You must fill you a PCR for every team iv. Include a Pre-hospital evaluation form 8. These are National Requirements; you cannot test if you do not complete them. 9. No Excuses/No Exceptions 10. Do not ask me why you have to do all that is required of you, there is a reason for everything. DO NOT PROCRASTINATE; IT WILL AFFECT YOUR GRADE AND YOUR SANITY!

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Clinical Competency Requirements Basic Breakdown State minimum required Administer meds to live patients Perform endotracheal intubation on live patients

19 6

Gain venous access on live patients of all age groups

Ventilate unintubated live patients of all age groups

Perform comprehensive assessment on pediatric patients

Perform comprehensive assessment on adult patients

Perform comprehensive assessment on geriatric patients

Perform comprehensive assessment on obstetric patients

Perform comprehensive assessment on trauma patients

Perform comprehensive assessment on psychiatric patients

Perform comprehensive assessment, formulate and implement a treatment plan for patients with: Chest pain

Dyspnea/Respiratory Distress: Adult Patients Pediatric Patients

22 9

Syncope

Abdominal Complaints

Altered Mental Status

Serve as team leader on pre-hospital emergency response

ď&#x201A;ˇ

Class requirements are 10% over the State Requirements

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Breakdown of Clinical Rotations PMED261: Clinical Practicum I

Required Hours

IV Therapy (ER Time)

Triage

Anesthesia/OR

Medical Command

911

Morgue (*optional rotation hours can be substituted â&#x20AC;&#x201C; ER)

Field Internship

120

Respiratory Therapy

Total Hours

274

PMED265 Clinical Practicum II

Required Hours

Pediatrics

Psyche

Labor & Delivery

Field Summative Evaluation (with assigned preceptor)

Critical Care

Total Hours

146

Grand Total for PMED 261 & PMED 265

420

It is the studentâ&#x20AC;&#x2122;s responsibility to set up clinical rotation hours due on their own time. The student must report those dates with a two week notice to the instructor prior to the requested rotation date in order to gain the approval from the clinical site. * Class requirements are 10% over the State Requirements

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Clinical Training Guidelines Field Paramedic Units Perform a patient assessment, including developing a relative medical history, observing the environment and performing a physical exam. Properly maintain the airway. Use proper precautions relative to infectious diseases. Perform peripheral IV insertion. Draw blood samples. Record and interpret ECGâ&#x20AC;&#x2122;s. Prepare and administer IM, SQ, and IV medications. Perform endotracheal intubation. Perform defiblerations, transcutaneous pacing, and synchronized cardioversion. Apply and inflate MAST. Monitor and record vital signs at the scene and during transport Immobilize fractures and dislocations Apply spinal immobilization devices as necessary Relay information to Medical Control via radio of other communications medium. Participation in as many ways as possible the following types of emergencies: Major traumas, possible myocardial infarction, CHF, obstructed airway, COPD/COLD, diabetic emergences, asthmatic attacks, seizures, coma, OB problems, psychiatric problems, substance abuse.

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Clinical Training Guidelines Emergency Department / Triage Perform comprehensive patient assessments of all age groups and chief complaints including developing relevant medical history and conducting a physical examination. The assessment should include, at a minimum, taking vital signs and auscultation of chest sounds. Assets, observe, and review the treatment of all chief complaints and emergencies. Formulate a treatment plan for patients with all varieties of chief complaints as though the patient currently being assessed was brought into the ED for the first time. Students should work directly with precepting staff members on verification of the appropriateness for their hypothesized treatment plans. Assist in triaging of patients. Assist in trauma cases requiring hemorrhage control, suturing, and control. Perform peripheral IV insertions using angiocaths and butterfly needles only. Prepare and administer intramuscular, SQ, and IV medications under supervision of an RN, MD, or course instructor/designee. Observe and record effects of medications. Records and attempt to accordingly interpret ECGâ&#x20AC;&#x2122;s. Draw blood samples as appropriate. Perform ventilations on unintubated patients of all age groups Assist in cases of cardiac arrest, including performance of CPR, and airway management, intubation, defibrillation, drug administration, and suctioning. Assist in prepping minor wounds. Assist in setting up sterile fields for suturing, etc. Assist, if appropriate, in the application of casts and splints. Assist staff with other duties as needed within your scope of practice Become familiar with the lab reports used.

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Clinical Training Guidelines ICU/CCU Perform comprehensive patient assessments of all age groups and chief complaints including developing relevant medical history and conducting a physical examination. At a minimum the patient assessment should include a review of the patients chart, the taking of vital signs and auscultation of chest sounds. Formulate a treatment plan for patients with all varieties of chief complaints as though that patient currently being assessed would be transferred out from the facility. Students should work directly with precepting staff members on verification of the appropriateness for their hypothesized treatment plans. Review all cases including the patientâ&#x20AC;&#x2122;s charts, diagnosis, and treatment. Perform peripheral IV insertion, as appropriate. Prepare and administer intramuscular, SQ, and IV medications. Monitor and attempt to correctly interpret ECGâ&#x20AC;&#x2122;s, attach/change monitor electrodes. Assist in cases of cardiac arrest. Perform CPR, management of the airway, placement of ET tubes, ventilation of the unintubated patient, defibleration and the administration of medications, all as is appropriate. Assist in the care of patients with ET or Tracheostomy tubes and patients on ventilators. Assist in the total care of patients with staff direction.

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Clinical Training Guidelines Pediatrics Perform comprehensive assessments on pediatric patients with a variety of chief complaints including, at a minimum, a review of the patientâ&#x20AC;&#x2122;s chart, taking vital signs, and auscultation of lung sounds. Formulate a treatment plan for patients with all varieties of chief complaints as though the patient currently being assessed was to be transferred out to another facility via ambulance transport. Students should work directly with precepting staff members on verifications of the appropriateness for their hypothesized treatment plans. Prepare and administration of intramuscular and IV medications as is appropriate. Monitor IV infusions. Starting EV therapy as appropriate. Perform ventilations on unintubated patients of all age groups. Assist in the care of patients as is appropriate. Observe techniques used to manage difficult patients. Observe techniques for family interactions

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Clinical Training Guidelines Respiratory Department Perform comprehensive patient assessments of patient of all age groups and all varieties of chief complaints; including developing relevant medical history and conducting a physical examination. The assessment should include, at a minimum, noting vital signs and auscultation of chest sounds. Assist, observe, and review the treatment of respiratory care cases, medical and trauma emergencies. Perform peripheral IV insertions. Assist in preparation and administration of IV medications and nebulized medications under supervision of respiratory department staff. Observe and record effects of medications. Record and attempt to accurately interpret ECGs. Assist in 12-lead monitoring and interpretation. Draw blood samples as appropriate. Assist in of cardiac arrest, including performance of CPR, airway management, ventilation of the unintubated patient; perform intubation, defibleration, drug administration, and suctioning as is appropriate. Assist staff with other duties as needed within your scope of practice

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Clinical Training Guidelines Labor and Delivery Perform comprehensive assessments on obstetrics patients. Perform comprehensive assessments on neonate patients. Formulate a treatment plan for obstetric patients and neonates as though the patient currently being assessed was initially being brought into the unit, or was to be transferred out to another facility via ambulance transport. Students should work directly with precepting staff members on verification of the appropriateness for their hypothesized treatment plans. Identify and label the three stages of labor, common complications, and types of abdominal deliveries. Assist, if possible, in normal cephalic deliveries. Observe or assist, if possible, in abnormal deliveries. Observe or assist, in control postpartum hemorrhage by uterine massage and infusion of oxytocin. Observe or assist in the management of the newborn, including severing the cord, suctioning, etc. as is appropriate. Observe or assist, if possible, in the resuscitation of the newborn. Perform, as appropriate, ventilation of the unintubated patients of all ages.

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Clinical Training Guidelines Operating Room/Recovery Perform comprehensive patient assessments of all age groups and chief complaints. Perform endotracheal intubation under the supervision of anesthesiologist/anesthetist. Perform peripheral IV insertion. Perform aseptic endotracheal and orotracheal suctioning as directed. Prepare and administer IV medications and observe and record effects of pharmacologic agents. Maintain airway in an unconscious patient using manipulations and positioning of the head, oropharyngeal airways, etc. Monitor the cardioscope and attempt to accurately interpret an ECG, noting any irregularities. Operate oxygen equipment and assist as directed in the operation of mechanical respirators. Observe the treatment of various soft-tissue and musculoskeletal injuries; as well as the observation of a variety of surgical procedures, as is appropriate.

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Clinical Training Guidelines Morgue (Student can substitute this time in ER, if morgue is not available) View basic topography; identification, pathogenesis and causes of death. Observe anatomical basis of endotracheal intubation and effects of CPR. Observe injuries resulting from trauma. Observe operations of OCME.

Clinical Training Guidelines Psychiatric Department As is allowed Observe, the management and assist in the interview of patients with the following disturbances:      

Suicidal feelings Hostility and violent behavior Acute grief and depression Paranoia Hysterical conversion Substance abuse

As is allowed Observe the restraint of combative patients and review the protocols, and documentation, for doing do. As is allowed, Participate in group sessions and counseling. Formulate a treatment plan for psychiatric patients as through the patient currently begin assessed was to be brought into the facility for initial consult or was to be transferred out to another facility via ambulance transport. Students should work directly with precepting staff members on verification of the appropriateness for their hypothesized treatment plans.

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program

Clinical Skill Check-off Sheet

Name: _______________________________________________ The above named student is qualified to perform any of the following procedures while under the direct supervision of the Clinical Preceptor of his/her Designated Representative. The student is only allowed to perform the skill with the instructorâ&#x20AC;&#x2122;s signature in the appropriate box designated for that skill.

Basic Skills Patient Assessment Oral Airway Insertion Nasal Airway Insertions BVM Ventilation Accu-check NG-Tube Insertion Suction

Date

Instructor Signature

Medication Administration IV Solution Setup Peripheral IV Establishment Intraosseous Establishment External Jugular IV Insertion Venipuncture Drug Calculation SQ Medication IM Medication IV Medication PO Medication SL Medication MDI Medication Nebulized Medication

Date

Instructor Signature

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Advanced Airway Management Date Combitube End tracheal Tube Nasotrachael Tube Digital Intubation Pediatric Intubation Needle Cricothyrotomy Chest Decompression

Instructor Signature

Advanced Cardiac Skills Date Transcutaneous Pacing Synchronized Cardioversion Defibrillation Dynamic Cardiology (mega code) Symptomatic Bradycardia (recognition and treatment) Symptomatic Tachycardia (recognition and treatment) Non-symptomatic Tachycardia (recognition and treatment)

Instructor Signature

Rythem Recognition Sinus Rhythm Junctional Rhythm Atrial Dysrhythmias Heart Blocks Ventricular Dysrhythmias

Instructor Signature

Date

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program

Student Name: ______________________________________ Clinical Competencies Sign-off Report This form is to be signed by the assigned preceptor(s) stating that the KVCTC Paramedic Student has successfully completed the below listed requirements. * Denotes Number required by the State Administer meds to live patients (*17) (IV, JO, PO, JM, SO, NEB) Drug

Dose

Route Date

Location & Unit

Preceptor Signature

Location & Unit

Preceptor Signature

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Perform Endotracheal Intubation on Live Patients (*6) ET Size

# of Pt. attempts Age

Date

1 2 3 4 5 6

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Gain Venous Access on Live Patients of All Age Groups (*28) Fluid

# of Site attempts

IV Pt. Gauge Age

Date

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

Kanawha Valley Community and Technical College

Location PrePceptor & Unit Signature

2011-2012

Paramedic Technology Program Ventilate unintubated Live Patients of All Age Groups (*22) Pt. Age

Date

Location & Unit

Preceptor Signature

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Perform Comprehensive Assessments on Pediatric Patients (This includes patients 0 â&#x20AC;&#x201C; 17 years) (*33) Pt. Age

Date

Location & Unit

Preceptor Signature

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 25 26 27 28 29 30 31 32 33

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Perform Comprehensive Assessment on Adult Patients (This includes patients 18-59 years) (*55) Pt. Age

Date

Location & Unit

Preceptor Signature

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 25 26 27 28 29 30

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Perform Comprehensive Assessment on Adult Patients (This includes patients 18-59 years) - Continued (*55) Pt. Age

Date

Location & Unit

Preceptor Signature

31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Perform Comprehensive Assessments on Geriatric Patients (This includes patients 60 â&#x20AC;&#x201C; ? years) (*33) Pt. Age

Date

Location & Unit

Preceptor Signature

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 25 26 27 28 29 30 31 32 33

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Perform Comprehensive Assessments on Obstetric Patients (*11) Pt. Age

Date

Location & Unit

Preceptor Signature

1 2 3 4 5 6 7 8 9 10 11 Perform Comprehensive Assessments on Trauma Patients (*44) Pt. Age

Date

Location & Unit

Preceptor Signature

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Perform Comprehensive Assessments on Trauma Patients (Continued) (*40) Pt. Age

Date

Location & Unit

Preceptor Signature

25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Perform Comprehensive Assessments on Psychiatric Patients (*22) Pt. Age

Date

Location & Unit

Preceptor Signature

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program

Perform Comprehensive Assessments, Formulate, and Implement a treatment plan for patients with these following complaints: Chest Pain (*33) Pt. Age

Date

Location & Unit

Preceptor Signature

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 25 26 27 28 29 30 31 32 33

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Dyspnea/Respiratory Distress – Adult (*30) Pt. Age

Date

Location & Unit

Preceptor Signature

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Dyspnea/Respiratory Distress – Pediatric (*9) Pt. Age

Date

Location & Unit

Preceptor Signature

1 2 3 4 5 6 7 8 9

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Syncope (*11) Pt. Age

Date

Location & Unit

Preceptor Signature

Location & Unit

Preceptor Signature

1 2 3 4 5 6 7 8 9 10 11 Abdominal Complaints (*22) Pt. Age

Date

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Altered Mental Status (*22) Pt. Age

Date

Location & Unit

Preceptor Signature

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program

Serve as Team Leader on Pre-Hospital Emergency Responses: (*55) (Donâ&#x20AC;&#x2122;t forget to mark these off as you do your assessments and treatment plan pages) Pt. Age

Date

Location & Unit

Preceptor Signature

1 2 3 4 5 6 7 8 9 10 11 12 13 14 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 28 30 31 32 33 34 35 36 37

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Serve as Team Leader on Pre-Hospital Emergency Responses: (*55) Pt. Age

Date

Location & Unit

Preceptor Signature

38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

Requirements for Case Studies Pathophysiology – The study of how diseases alter physiology. In other words, how is the body being affected in this case study? Example: The patient has diabetes type I. How has this altered the normal physiology of the body to contribute to the current chief complaint? Signs and Symptoms – What is causing these signs and symptoms to show up in the body? Also, list possible signs and symptoms that you could see in patients experiencing those problems. Example: The blockage of the right coronary artery has produced a buildup of metabolic waste producing lactic acid, and causing ischemia, this is producing the chest pain felt by the patient. Treatment – What are you going to do for this patient in the case study? Tell how your treatments are affecting the body. Include what the hospital will be doing for the patient after they receive them. Example: Nitroglycerin, vasodilates the coronary vessels allowing for increased perfusion to the affected part of the heart. ** HINT – the greater the detail, the higher the grade.

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Instructor Oral Presentation Review Grade Sheet

Student Name: ___________________________ Date: ______________________ Case Review Number: ____________________ Group Number: _______________ In the rubrics below, please indicate at what proper area the student meet expected criteria. (5 – Excellent, 4 Above-average, 3 – Average, 2 – Below Average, 1 – Unacceptable) Criteria

1. Did the presentation indicate proper control and management of the scene presented with the case study? 2. Was the presentation completed and presented in an organized fashion? 3. Was the Pathophysiology presented in the oral presentation? 4. Was the Pathophysiology through and correct? 5. Were the signs and symptoms presented in the oral presentation? 6. Were those signs and symptoms addressed thoroughly? 7. Was the treatment appropriate for the field impression made? 8. Was the field impression made? 9. Was definitive care addressed during the oral presentation? 10. Did the presenter show confidence in their clinical judgment and research of their case study when presented with questions from the class/instructor? 11. Were members of this case study group respectful of other groups during their presentations? 12. When compared to the rest of the group’s oral presentation stand out above the others? 13. Did this group use supporting data and documentation to verify Pathophysiology? 14. Did this group use supporting data and documentation to verify signs and symptoms? 15. Did this group use supporting data and documentation to verify signs and symptoms? 16. Did this group utilize handouts, power point presentations, etc. to aid in their presentation? If so, rate it accordingly in comparison to the other groups?

Out of a 80 points possible, total up the actual points made: ___________________ 0 - 16 = F 17 – 32 = D 33 – 48 = C 49 – 64 = B 65 – 80 = A

Kanawha Valley Community and Technical College

Score Received:________________

2011-2012

Paramedic Technology Program Instructor Written Presentation Review Grade Sheet

1. Did the student complete their required paperwork for the group’s paper work? 2. Was the student use outside documentation to support their research? 3. Did the student provide handouts, power points, etc. to aid in their case study presentation? 4. Did the student aid the oral presenter with any questions raised by the class/instructor? 5. Was the written presentation neatly/legibly prepared? 6. Was the student respectful to other groups during their oral presentation? 7. Was the information provided complete enough to show competency in their knowledge of the analysis of their case study? 8. Did the student provide references for the researched information? 9. Was the paperwork turned in on time? 10. Did this team member apply themselves to the same degree as other group members?

Out of a 50 points possible, total up the actual points made: ___________________ 0 - 10 = F 11 – 20 = D 21 – 30 = C 31 – 40 = B 41 – 50 = A

Score Received:________________

Total score recorded when averaging oral and written scores for this student: ____________

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Cognitive/Affective/Psychomotor Evaluation: Assessment Based Management

Student Name: ___________________________ Date: ______________________ Examiner: ____________________________________________ Scenario Number: ______ Scenario Description: ____________________________ Scene Management Thoroughly assessed and took deliberate actions to control the scene Assessed the scene, identified potential hazards, and did not put anyone in danger. Incompletely assessed or managed the scene Did not assess or manage the scene Patient Assessment Completed an organized assessment and integrated findings to expand further assessment Completed initial, focused, and ongoing assessment Performed an incomplete or disorganized assessment Did not complete an initial assessment Patient Management Managed all aspects of the patientâ&#x20AC;&#x2122;s condition and anticipated further needs. Appropriately managed the patientâ&#x20AC;&#x2122;s presenting condition. Performed an incomplete or disorganized management Did not manage life-threatening conditions Interpersonal Relations Established rapport and interacted in an organized therapeutic manner Interacted and responded appropriately with patient, crew, and bystanders Used inappropriate communications techniques Demonstrated intolerance for patient, bystander, and crew

Kanawha Valley Community and Technical College

Points Possible 3 2

Points Awarded

1 0 Points Possible 3

Points Awarded

2 1 0 Points Possible 3

Points Awarded

2 1 0 Points Possible 3 2 1 0

Points Awarded

Paramedic Technology Program Integration (verbal reports, field impression, and transport decision) Stated correct field impression and Pathophysiology basis provided succinct and accurate verbal report including social/psychological concerns, and considered alternate transport destinations. Stated correct field impression, provided succinct and accurate verbal report, and appropriately stated transport decision. Stated correct field impression, provided inappropriate verbal report or transport decision. Stated correct field impression or did not provide report

2011-2012 Points Possible 3

Points Awarded

2 1 0

Integrity and Empathy

Points Possible Consistently honest, shows compassion for others, completely supportive 3 and reassuring to those in need Honest in most aspects, shows concern, and somewhat helpful 2 demeanor toward those in need Loses trust during patient encounter, does not respond appropriately to 1 the emotional responses of others Is not honest during patient encounter, is completely unconcerned about 0 the needs of others

Points Awarded

Self-motivation and Self-confidence

Points Awarded

Takes complete initiative to finish assignments, does not need to be constantly supervised, trusts own judgment, demonstrates awareness of strengths and limitations Finishes assignments with minimal supervision, demonstrates some trust in personal judgment Does not complete assignments in a timely manner, needs frequent supervision with little trust in personal judgment Does not take any initiative and relies on others to take the lead, is not aware of personal strengths and limitations.

Kanawha Valley Community and Technical College

Points Possible 3

2 1 0

Paramedic Technology Program Teamwork, Diplomacy, and Respect Places the success of the team above self interest, supports team members, shows respect for all team members, remains flexible and open to change, talks with others to resolve problems. Supports the team, works well with all members, remains flexible to change Shows little team playing interest, has own goals and self in mind. Shows little respect for other team members, and is resistant to change Completely undermines the team is not supportive, shows no respect, will not communicate to resolve problems uses derogatory and demeaning terms in relation to the profession, patient, and situation Patient Advocacy Does not allow any personal bias to interfere with patient care, places needs of patient above self interest, protects and respects patient confidentiality and dignity Cares the patient appropriately and respects their dignity and confidentiality Allows some personal bias to interfere with patient care without endangering the patientâ&#x20AC;&#x2122;s life, shows minimal respect for patient dignity and confidentiality Allow personal bias to affect patient care and endangered aspects of patient care, shows complete disregard for patient cares more for self interests, has no respects for patient confidentiality and dignity

Kanawha Valley Community and Technical College

2011-2012 Points Possible 3

Points Awarded

2 1 0

Points Possible 3 2 1 0

Points Awarded

2011-2012

Paramedic Technology Program Instructor Written Special Assignment Grade Sheet

1. Did the student complete their required paperwork for the group’s special project? 2. Was the student use outside documentation to support their research? 3. Did the student provide handouts, power points, etc. to aid in their case study presentation? 4. Did the student aid the oral presenter with any questions raised by the class/instructor? 5. Was the written presentation neatly/legibly prepared? 6. Was the student respectful to other groups during their oral presentation? 7. Was the information provided complete enough to show competency in their knowledge of the analysis of their special project? 8. Did the student provide references for the researched information? 9. Was the paperwork turned in on time? 10. Did this team member apply themselves to the same degree as other group members?

Out of a 50 points possible, total up the actual points made: ___________________ 0 - 10 = F 11 – 20 = D 21 – 30 = C 31 – 40 = B 41 – 50 = A

Kanawha Valley Community and Technical College

Score Received:________________

2011-2012

Paramedic Technology Program Student Evaluation Form

Semester: ___________________________ Term: ______________________ Student Name: ____________________ Date: _______________ In the rubrics below, please indicate at what proper area the student meet expected criteria. (5 – Excellent, 4 Above-average, 3 – Average, 2 – Below Average, 1 – Unacceptable) DOT Curriculum Criteria Integrity: The student is consistently honest, able to be trusted with property of other, can be trusted with confidential information, compete and accurate documentation of patient care and learning activities included in the classroom and clinical setting. Empathy: The student shows compassion for others, responds appropriately to the emotional response of patients, family members, and other students, demonstrating respect for others, demonstrating calm, compassionate, and helpful demeanor toward those in need, is supportive and reassuring to others. Self-Motivated: Takes initiative to complete assignments, takes imitative to improve and/or correct behavior, takes on and follows through on tasks without constant supervision, shows enthusiasm for learning and improvement, constantly strives for excellence in all aspects of patient care, professional activities , and classroom/lab work, accepts constructive feedback in a positive manner, take advantage of learning opportunities. Appearance and Personal Hygiene: Clothing and uniform is appropriate, neat, clean and well maintained. Self-confidence: Demonstrates the ability to trust personal judgment, demonstrates and awareness of strengths and limitations, exercises good personal judgment. Communications: Speaks clearly, writing legibly, listening actively, adjusting communication strategies to various situations. Time Management: Consistently punctual, completes tasks and assignments on time. Teamwork and Diplomacy: Places the success of the team above self interests, not undermining the team; helping and supporting other team members, shows respect for all team members, remains flexible and open to change, communicating with other to resolve problems. Respect: Is polite to others, does not use derogatory of demeaning terms, and behaves in a manner that brings credit to the profession. Patient Advocacy: Does not allow personal bias to of feelings to interfere with patient care, places the needs of patients above self interest, protects and respects patient confidentially and dignity. Careful Delivery of Service: Is mastering and refreshing skills, performs complete equipment checks, demonstrates careful and safe ambulance/equipment operations, follows program and school policies, procedures, protocols, and follows the orders of the instructors/preceptor.

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Student Evaluation Form (Continued)

Semester: ___________________________ Term: ______________________ Student Name: ____________________ Date: _______________ In the rubrics below, please indicate at what proper area the student meet expected criteria. (5 – Excellent, 4 Above-average, 3 – Average, 2 – Below Average, 1 – Unacceptable) DOT Curriculum Criteria Integrity: The student in consistently honest, able to be trusted with property of other, can be trusted with confidential information, compete and accurate documentation of patient care and learning activities included in the classroom and clinical setting. Empathy: The student shows compassion for others, responds appropriately to the emotional response of patients, family members, and other students, demonstrating respect for others, demonstrating calm, compassionate, and helpful demeanor toward those in need, is supportive and reassuring to others. Self-Motivated: Takes initiative to complete assignments, takes initiative to improve and/or correct behavior, takes on and follows through on tasks without constant supervision, shows enthusiasm for learning and improvement, constantly strives for excellence in all aspects of patient care, professional activities , and classroom/lab work, accepts constructive feedback in a positive manner, take advantage of learning opportunities. Appearance and Personal Hygiene: Clothing and uniform is appropriate, neat, clean and well maintained. Self-confidence: Demonstrates the ability to trust personal judgment, demonstrates and awareness of strengths and limitations, exercises good personal judgment. Communications: Speaks clearly, writing legibly, listening actively, adjusting communication strategies to various situations. Time Management: Consistently punctual, completes tasks and assignments on time. Teamwork and Diplomacy: Places the success of the team above self interests, not undermining the team; helping and supporting other team members, shows respect for all team members, remains flexible and open to change, communicating with other to resolve problems. Respect: Is polite to others, does not use derogatory of demeaning terms, behaves in a manner that brings credit to the profession. Patient Advocacy: Does not allow personal bias to of feelings to interfere with patient care, places the needs of patients above self interest, protects and respects patient confidentially and dignity. Careful Delivery of Service: Is mastering and refreshing skills, performs complete equipment checks, demonstrates careful and safe ambulance/equipment operations, follows program and school policies, procedures, protocols, and follows the orders of the instructors/preceptor.

Kanawha Valley Community and Technical College

Paramedic Technology Program Introduction to Paramedic PMED130

Aug

Sept

Orientation

Open day testing

EMS Systems, Roles, and Responsibilities

The well being of the Paramedic

Illness and Injury prevention

Medical and Legal Issues

Ethical Issues

Final

Introduction to Paramedic II PMED131

Sept

Oct

Pathophysiology

Patient History

Physical Examination

Patient Assessment sment

Critical thinking and clinical decision making

Communications and documentation

Patient Assessment

Final

Kanawha Valley Community and Technical College

2011-2012

Daily Hospital Clinical Evaluation Form

Paramedic Technology Program

Clinical Site_________________________________________ All information above the bold double line is mandatory for all EMS incidents. Below the double line check or fill in all that apply

STUDENT NAME:

PRECEPTOR NAME:

ASSESSMENTS OD – Poison Abdominal/GI Psychiatric Respiratory seizure Cardiac Sepsis/Infection CVA/TIA Other medical (includes AMS) Diabetic Other neuro DOA – NO CPR TraumaOB – Birth/Delivery Abd/Chest/Extremities/Head/ Multi-system/Neck & Back GYN/Labor

SKILLS

SHIFT ENTRY

Patient Assessment Medication Administration Endotracheal Intubation ALS Advanced Airway ALS Electrical Therapy IV Access BLS Skills and Care ALS Care – other skills observed or performed

Time: Total Hours: Total # of Patients:

ALS IV ACCESS FLUID

IV/IOATTEMPTS

IV/IOSUCCESS

IVGAUGE

STUDENT TEAM

AIRWAYTYPE

ENERGY LEVELS

TRANSCUTANEOUS PACING SYNCHRONIZED CARDIOVERSION

SUCCESS

STUDENT TEAM

   DOSE

DRUG

ROUTE

  

STUDENT TEAM

   

BLS CARE

   

ALS CARE – OTHER BY STUDENT

DESCRIBE / # PERFORMED

BY TEAM

BY STUDENT

BY TEAM

AUTOMATIC VENTILATOR

BANDAGING/WOUND MANAGEMENT

BLOOD GLUCOSE-GLUCOMETER

TRACTION SPLINT

CAPNOMETRY

SUCTION

CAROTID SINUS MASSAGE / VALSALVA MANEUVER

OROPHARYNGEAL AIRWAY

CENTRAL IV LINE

NASOPHARYNGEAL AIRWAY

CHEST TUBE

VITAL SIGNS

CHEST DECOMPRESSION / CRICOTHYROIDOTOMY

C-SPINE IMMOBILIZATION

HEMODYNAMIC WAVEFORMS AND MONITORING

JOINT IMMOBILIZATION

FOLEY CATHETER

VENTILATE

NG TUBE

MOVEMENT OF PATIENT

OTHER

LONG BACKBOARD IMMOBILIZATION

PULSE OXIMETRY 12 LEAD ECG (DESCRIBE ANALYSIS)

LONG BONE IMOBILIZATION

ET SIZE

ALS MEDICATION ADMINSTRATION STUDENT TEAM

   

AUTOMATED DEFIBRILLATION

AIRWAY #ATTEMPTS

  

ALS ELECTRICAL THERAPY

DESCRIBE / # SKILLS PERFORMED PHYSICIAN COMMUNICATION

      

ALS ADVANCED AIRWAY

SITE

   ELECTRICAL THERAPY MANUAL DEFIBRILLATION

CLINICAL UNIT ER ICU/CCU PSYCH OR OB/L&D PEDS Other ___________

Date:

BY STUDENT

CHEST COMPRESSIONS OXYGEN

ASSESSMENTS LOG - * Place a “0” in this column for an observed pt. exam and interview. Place a “P” for a performed examination and interview Primary Field Impression LOCSignificant *0/P Pt. Age Sex Ethnicity (select from assessment list) EKG MOI AVPU BP Syncopy

1 2 3 4 5 6 7 8 9 10

Initials

DAILY HOSPITAL CLINICAL EVALUATION FORM STUDENT NAME:

PRECEPTOR NAME:

USE THIS SECTION FOR SPECIALTY UNITS:

Gender

Ethnicity

M F

(circle the appropriate unit)

ER - ICU/CCU- PSYCH –OR-OB/L&D- PEDS- Other ___________

Problem/Possible Diagnosis Field Impression

Brief Patient History Leading to Procedure/Treatment

Student Comments

1 2 3 4 5 6 7 YES  NO  Student brought and reviewed the objectives and forms for their clinical rotation Please evaluate the student in the following categories at the end of their hospital clinical rotation GRADING SCALE

4 3 2 1

Proficient – Field Competent Acceptable – Appropriate for Experience Needs Improvement (see comments) Dangerous to Practice

DEFINITION Employable as a functioning Paramedic Functioning at level expected in the program (see phases other side) Needs further practice and education to improve Hazard to patient and others

DAILY AFFECTIVE APTITUDE EVALUATION

GRADE

4 3 2 1

Professionalism/Attitude: The student’s behavior demonstrated integrity, empathy, self-motivation, self-confidence, team work, diplomacy, respect, patient advocacy, careful delivery of service, appropriate time management, appropriate appearance and personal hygiene. Reported to clinical assignment on time and in full uniform COMMENT:

4 3 2 1

Learner Characteristics: Demonstrates attendance within the stated program policy, independently seeks out appropriate learning experiences, participates in a multi-skilled approach to patient care, practices required skills, and seeks advice to improve skills, demonstrates the superior delivery of patient care required of a paramedic student as stated within the program policy COMMENT:

4 3 2 1

Communication Skills: Performs and reports patient assessments, completely and proficiently. Interacts with patients and other Health Care Professionals on a “student role” appropriate level COMMENT:

Preceptor Comments:

Preceptor Signature

Student Signature

Date

Contact Louis Robinson, Program Director, Paramedic Technology Program at 304.766.5108. If necessary to contact the program director immediately, please call 304.550.4655.

Program Review 

Paramedic Technology Program

Daily Field Internship Evaluation Form Clinic Site: _________________________________ All information above the bold double line is mandatory for all EMS incidents. Below the double line check or fill in all that apply

STUDENT NAME:

PRECEPTOR NAME:

BADGE # Date:

FIELD INTERNSHIP PHASE CHECK CURRENT PHASE PERIOD  Phase 1–Orientation to EMS Field Environment; individual ALS skills

Total Runs: Total Hours:

 Phase 2–Student MUST demonstrate full TEAM Leadership as a Paramedic

Unit Number: Total # of Patients:

ALS IV ACCESS FLUID

IV/IOATTEMPTS

ALS ADVANCED AIRWAY IV/IOSUCCESS

SITE

GAUGE

STUDENT TEAM

    ALS EKG ENERGY LEVELS

SUCCESS

ET SIZE

AUTOMATED DEFIBRILLATION TRANSCUTANEOUS PACING SYNCHRONIZED CARDIOVERSION DRUG

DOSE

ROUTE

STUDENT TEAM

  

STUDENT

TEAM

   

DRUG

STUDENT TEAM

    DOSE

ROUTE

   

STUDENT TEAM

  

BLS CARE /#

DOCUMENT INTERPRETATION AND VENTRICULAR RATE

STUDENT TEAM

  Rhythm 1   Rhythm 2   Rhythm 3   Rhythm 4 ALS MEDICATION

MANUAL DEFIBRILLATION

DESCRIBE

AIRWAY #ATTEMPTS

ECG INTERPRETATION

ELECTRICAL THERAPY

PLEASE

AIRWAYTYPE

   

  

BCLS CARE SKILLS PERFORMED

STUDENT

TEAM

STUDENT TEAM

P LEASE DESCRIBE / # PERFORMED

STUDENT

TEAM

STUDENT

TEAM

PATIENT INTERVIEW



WITNESSED ARREST



PHYSICAL EXAM



ROSC DURING TRANSPORT



HOSPITAL NOTIFICATION



ROSC AT RELEASE



MEDICAL CONTROL CONSULT



NO ROSC AT ANY TIME



VITAL SIGNS



SUCTION



02 ADMINISTRATION



CHEST COMPRESSIONS



    

 

BANDAGING TRACTION SPLINT C-SPINE IMMOBILIZATION LONG BACKBOARD LONG BONE IMOBILIZATION STUDENT PHYSICALLY INVOLVED IN LIFTING PATIENT

STUDENT NOTES

 YES

 NO

VENTILATIONS BLS AIRWAY ADJUNCT ADJUNCT TYPE:

ALS CARE – Other DESCRIBE / # PERFORMED

CHEST DECOMPRESSION CRICOTHYROIDOTOMY 12 LEAD ECG PASG - APPLY PASG – INFLATE PULSE OXIMETRY BLOOD GLUCOSE

STUDENT

      

TEAM

      

STUDENT NAME:

DAILY FIELD INTERNSHIP EVALUATION FORM Preceptor Instructions: Expect your student to show you their objectives and Individual Internship Log and evaluation documents prior to the start of your shift without exception.

YES  NO  Student brought and reviewed the objectives and forms for their shift Please rate the student in the following categories at the end of the shift GRADING SCALE

4 3 2 1

DEFINITION

Field Competent Appropriate for Experience Level Needs Improvement (see comments below) Dangerous to Practice (see comments below)

Employable as a Functioning Paramedic Functioning at level expected in the program (see phases other side) Needs further practice and education to improve Hazard to patients and others

DAILY AFFECTIVE APTITUDE EVALUATION

GRADE (CIRCLE)

4 3 2 1

Professionalism/Attitude: The student’s behavior demonstrated integrity, empathy, self motivation, selfconfidence, team work, diplomacy, respect, patient advocacy, careful delivery of service, appropriate time management, appropriate appearance and personal hygiene. Reported to clinical assignment on time and in full uniform PRECEPTOR COMMENT:

4 3 2 1

STUDENT PERFORMANCE Phase/Shift Objectives: Reviews current objectives and performs the tasks to standards outlined. Requests and accepts constructive criticism, takes personal responsibility for self-improvement. PRECEPTOR COMMENT:

4 3 2 1

Psychomotor skills: Student can thoroughly describe all elements of applicable procedures and accomplishes psychomotor skills independently and proficiently. PRECEPTOR COMMENT:

4 3 2 1 4 4 4 4 4

3 3 3 3 3

2 2 2 2 2

Yes  No 

1 1 1 1 1

TEAM LEADER EVALUATION Interview: Completes comprehensive interviews. Demonstrated active listening Exam: Completes appropriate head-to-toe and/or focused physical exam Treatment: Formulates a field impression and implemented a treatment plan Skill: Interventions performed were complete. Satisfactory and timely Leadership: Set priorities, directed team, and adapted to evolving information Student successfully lead the EMS team during patient encounters

Preceptor Comments:

Preceptor Signature

Student Signature

Contact Louis Robinson, Program Director, Paramedic Technology Program at 304.766.5108. If necessary to contact the program director immediately, please call 304.550.4655.

Program Review 

Student Individual Patient Care Report Student Name:

Date:

Clinical Preceptor Name:

Time:

UNIT ER ICU/CCU PSYCH OB/L&D PEDS Other ___________

Paramedic Technology Program

RACE/SEX M F

INITIALS/AGE

   CAUCASIAN   HISPANIC   OTHER  

AFRICAN AMERICAN

AMERICAN INDIAN  ASIAN 

AGE IN YEARS

AGE IN MONTHS

*MAY BE AN OBSERVED ASSESSMENT

 

CHIEF COMPLAINT AND/OR ADMITTING DIAGNOSIS:

FIELD IMPRESSION (DIAGNOSIS)  ABDOMINAL/GI  RESPIRATORY  CARDIAC  CVA/TIA  DIABETIC  DOA – NO CPR  *OB/GYN/LABOR/DELIVERY  OB-PREGNANCY PROBLEMS

   

 OTHER MEDICAL___________________  OTHER NEURO ____________________  OD/POISON  PSYCHIATRIC  SEIZURE  SEPSIS/INFECTION  TRAUMAABD/CHEST/EXTREMITIES/HEAD/MULTISYSTEM/NECK AND BACK

____________________ ____________________ ____________________ ____________________ ____________________ ____________________

ASSESSMENT-BASED MANAGEMENT HISTORY OF PRESENT ILLNESS: Amplifies chief complaint or diagnosis, and, in written form, gives a full, clear chronological account of how each of the symptoms developed and what events related to them. It also includes how the patient thinks & feels about the problem or illness, how it has affected the patient’s life & functions, & what concerns have led to seeking attention .

PAST HEALTH HISTORY MEDICAL and SURGICAL HISTORY: (Prior illnesses, injuries, and medical

PSYCHOSOCIAL HISTORY: (Contributory factors, sources of support, reactions)

interventions)

FAMILY HISTORY: (risk of certain diseases, pt. worry, reveal pattern of illness)

ALLERGIES: (if no allergies to medication then write NKDA)

MEDICATIONS: (Includes prescription and OTC) Current: ________________________________________________________________________________________________________________________________________ Previous: CURRENT HEALTH STATUS: (Present state of health, any environmental conditions, personal habits, and health related measures that may impose on it) BRIEF PHYSICAL EXAMINATION: Examine patient systematically, with special emphasis focusing on the areas suggested by the present illness and chief complaint General Survey __________________________________________________________________________________ Skin_________________________HEENT___________________________________________________________ Chest/Lungs____________________________________Cardiovascular System _____________________________________________________ Abdomen/Genitalia_____________________________ Peripheral Vascular System____________________________________ Musculoskeletal System _________________________________________________ Nervous System _____________________________________________________ MOST SIGNIFICANT VITAL SIGNS (highest or lowest) GLASGOW COMA SCALE Eye Opening Response

Verbal Response

   

    

4-Spontaneous 3-To Speech 2-To Pain 1-None

5-Oriented 4-Confused 3-Inappropriate words 2-Garbled sounds 1-None

INTERVENTIONS AND COURSE OF

BP:

PULSE:

Total Score ________ Best Upper Limb Motor Response

     

TREATMENT NARRATIVE

6-Obeys commands 5-Localizes pain 4-Withdraws from pain 3-Abnormal flexion 2-Extensor response 1-No response

TEMP:

RESP: REVISED ADULT TRAUMA SCORE

Respiratory Rate

    

43210-

10 – 24 25 – 35 > 36 1–9 0

Systolic BP

    

43210-

> 90 76 – 89 50 – 75 1 – 49 (NO PULSE)

Total Score ________

Glasgow Coma Scale Coma scale points 13 – 15………………4 9 – 12………………3 6 – 8………………2 4 – 5………………1 3………………0

    

Student Individual Patient Care Report INTERVENTIONS AND COURSE OF TREATMENT NARRATIVE (CONTINUED)

PATIENT EDUCATION: Patients with a chronic disease or condition, patients with acute conditions requiring on-going education, children under 2 years of age, and prenatal patients should have educational needs identified

Describe education relating to the prehospital patient

RELATE HOW THE PATIENT WOULD PRESENT IN THE PREHOSPITAL SETTING .

RELATE THE PATIENT TO THE APPROPRIATE PREHOSPITAL PROTOCOL: Refer to the MEDIC standing orders and protocol section in reference to this patient.

Comprehensive Assessment and Treatment Evaluation GRADING SCALE DEFINITION 4 Proficient – Field Competent Employable as a functioning Paramedic 3 Acceptable – Appropriate for Experience Functioning at level expected in the program 2 Needs Improvement (See preceptor comments) Needs further practice and education to improve 1 Dangerous to Practice Hazard to the patient and others SKILLS Interview: Completed Comprehensive interview. Demonstrates active listening 4 Exam: Completed an appropriate head-to-toe and/or focused physical examination 4 Skill: Interventions performed or suggested were complete, satisfactory and timely 4 Leadership: Set priorities, self-directed, and adapted to evolving information and findings 4 Preceptor Comments

Preceptor Signature

Student Signature

3 3 3 3

2 2 2 2

1 1 1 1

Program Review 

Instructions: This form is to be filled out for every pre-hospital patient encounter regardless of Emergency /Non-Emergency transport. Additionally, these forms along with the Student Evaluation Form should be attached behind The Daily Internship Evaluation Form along with your EKG strips and evaluation of the preceptor forms.

Paramedic Technology Program

2011-2012

911/Medical Command: Clinical Rotation Internship Student Name: ___________________________ Preceptor Instructions: Expect your student to show your their Student Handbook and Evaluation log to prior to start of the Internship. Circle One: Yes

Student brought necessary paperwork (objectives and evaluation log) for their clinical rotation:

Please rate the student in the following categories at the end of the shift: Grading Scale Definition 4 – Demonstrates verbal and motor skills Functioning at entry level position when communicating 3 – Has some knowledge of communications Limited ability but can function at a moderate level 2 – Needs more communication training Unable to communicate with understanding 1 – Dangerous to practice The lack of ability to communicate effectively indicates that this candidate might be a hazard to patient care and others Grade (check one) 4 3 2 1 Daily Effective aptitude evaluation Professional/Attitude: Student’s behavior demonstrates integrity, empathy, team work, respect for patient/caller when obtaining necessary information. Student was in uniform and exhibited an appropriate appearance and in personal hygiene. Student was on time to assignment. Learner Characteristics: Demonstrates ability to multi-task to gather information, relay and continue to monitor calls for assistance. Communication Skills: Able to relay information gathered to co-workers for retransmitting, with understanding and utilizes the “echo” process. Preceptor Comments: ___________________________________________________________ ______________________________________________________________________________ Date: ______________________________ Preceptor Name: ____________________________ Preceptor Signature: _________________________

Paramedic Technology Program Student Evaluation of Clinical Preceptor

INSTRUCTIONS: Consider each item separately and rate each item independently of all others. Circle the rating that indicates the extent to which you agree with each statement. Please do not skip any rating. If you do not know about a particular area, please circle N/A. 5 = Strongly Agree 4 = Generally Agree 3 = Neutral (acceptable) 2 = Generally Disagree 1 = Strongly Disagree N/A = Not Applicable

Personal Information 1. Name of Clinical Preceptor. _________________________________________________________________________________________________ 2. Name of course, semester and year. _________________________________________________________________________________________________ 3. Name of clinical rotation and site. _________________________________________________________________________________________________

Encouraged independent thinking and learning.

N/A

Was approachable or available to the student when interaction was needed.

N/A

Treated the student with respect.

N/A

Served as a role model for professional paramedicine.

N/A

Evaluated the student in an objective, fair, and impartial manner.

N/A

Identified individual learning needs of the student.

N/A

10. Assisted student to cope with excessive stress or emotionally painful situations.

N/A

11. Provided written and verbal feedback to students regarding strengths and weaknesses.

N/A

12. Provided an orientation period for student in the clinical area.

N/A

13. Facilitated communication with the facility staff/patient systems.

N/A

14. Showed interest in patients as individuals.

N/A

15. Clarified expectations of student clinical performance at start of rotation and as needed.

N/A

16. Demonstrated a genuine interest in the student.

N/A

17. Provided supportive opportunities for the student to demonstrate essential skills and knowledge.

N/A

18. Structured opportunities for students to apply problem-solving skills when providing patient care

N/A

19. Helped student relate clinical experience with classroom theory.

N/A

20. Maintains clinical competence.

N/A

21. Recommend KVCTC continue with this clinical site?

N/A

22. Recommend KVCTC continue with this preceptor? Comments:

N/A

This form is to be included at the back of every Daily Internship Evaluation Form.

EKG Interpretation Sheet

Collect four (4) EKG strips from your clinical experience each shift, post and complete the requested information 1.

Regularity

Rate â&#x20AC;&#x201C; (A)

(V)

P Wave Morphology

P Wave Analysis

PRI Measurement

QRS Measurement

Is there a P wave for every QRS?

Is there a QRS for every P wave

T Wave Status

Underlying Disease?

Paramedic Field Impression:

Regularity

Rate â&#x20AC;&#x201C; (A)

P Wave Morphology

P Wave Analysis

PRI Measurement

QRS Measurement

Is there a P wave for every QRS?

Is there a QRS for every P wave

T Wave Status

Underlying Disease?

Paramedic Field Impression:

(V)

Collect four (4) EKG strips from your clinical experience each shift, post and complete the requested information 3.

Regularity

Rate â&#x20AC;&#x201C; (A)

(V)

P Wave Morphology

P Wave Analysis

PRI Measurement

QRS Measurement

Is there a P wave for every QRS?

Is there a QRS for every P wave

T Wave Status

Underlying Disease?

Paramedic Field Impression:

Regularity

Rate â&#x20AC;&#x201C; (A)

(V)

P Wave Morphology

P Wave Analysis

PRI Measurement

QRS Measurement

Is there a P wave for every QRS?

Is there a QRS for every P wave

T Wave Status

Underlying Disease?

Paramedic Field Impression:

Preceptor Review

Program Review

NAME:

Clinical #:

Date:

Location:

Paramedic Technology Program Airway Assessment/Management & Advanced Skills PMED132

Oct

Nov

Dec

Airway

Pharmacology

Vascular access and medication administration

Out of Class assignment â&#x20AC;&#x201C; No class

Airway

Pharmacology

Vascular access and medication administration

Review

Final

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program

PMED260

Jan

Feb

Respiratory Emergencies

Cardiovascular Emergencies

Final

Medical Emergencies II PMED262

Feb

Arp

Neurological & Endocrine Emergencies

Allergic Reactions & Gastrointestinal Emergencies

Renal & Urologic Emergencies & Toxicology

Infectious & Communicable Diseases & Behavioral Emergencies

Gynecological Emergencies

Obstetrics

Final

13 & 15 HAZ MAT Terrorism

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program

Special Considerations PMED263

Mar

Apr

May

Spring Break

Trauma Systems and Mechanism of Injury

Bleeding and Shock

Soft Tissue injury

Burns

Head and Face Injuries

Spine Injuries

Thoracic Injuries

Abdomen Injuries

Musculoskeletal Injuries

Neonatology

Pediatrics

Geriatrics & Abuse, Neglect, and Assault

Patients with Special Needs & Chronic Care

Final

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program Paramedic Operations PMED264

Summer I May

June

Ambulance Operations

Medical Incident Command

Terrorism and Weapons of Mass Destruction

Rescue Awareness and Operations

Hazardous Materials Incidents

Crime Scene Awareness

Review

Final

Clinical Practicum I & II PMED 261 & 265 June

July

12,13,14

Clinicals

19,20,21

Clincals

26,27,28

Clinicals

1,3,5

Clincals

10,11,12

Clincals

17,18,19

Clincals

Finals

July 24 NREMT-P P Practical Exam

Kanawha Valley Community and Technical College

2011-2012

Paramedic Technology Program

2011-2012

Student brought necessary paperwork (objectives and evaluation log) for their clinical rotation:

Please rate the student in the following categories at the end of the shift: Grading Scale Definition 4 – Demonstrates verbal and motor skills Functioning at entry level position when communicating 3 – Has some knowledge of communications Limited ability but can function at a moderate level 2 – Needs more communication training Unable to communicate with understanding 1 – Dangerous to practice The lack of ability to communicate effectively indicates that this candidate might be a hazard to patient care and others Grade (check one) 4 3 2 1 Daily Effective aptitude evaluation Professional/Attitude: Student’s behavior demonstrates integrity, empathy, team work, respect for patient/caller when obtaining necessary information. Student was in uniform and exhibited an appropriate appearance and in personal hygiene. Student was on time to assignment. Learner Characteristics: Deomonstrates ability to multi-task to gather information, relay and continue to monitor calls for assistance. Communication Skills: Able to relay information gathered to co-workers for retransmitting, with understanding and utilizes the “echo” process. Preceptor Comments: ___________________________________________________________ ______________________________________________________________________________ Date: ______________________________ Preceptor Name: ____________________________ Preceptor Signature: _________________________

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

CCU/ICU Clinical Medication Form Student Name: __________________________ Preceptor Name: ________________________ Hospital: _______________________________Clinical Date: ____________________________ Patient Admission Diagnosis: _____________________________________________________ Age: _______ Sex: _______ Allergies: _______________________________________________ HPI: __________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 1. Medication Name: ________________________ Trade Name: ________________________ Reason for Medication Administration: _____________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Indications for Medication Administration: __________________________________________ Contraindications for Medical Administration: _______________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Side Effects: ___________________________________________________________________ ______________________________________________________________________________ Drug Interactions: ______________________________________________________________ ______________________________________________________________________________ Adult Dose: ___________________________ Pediatric Dose (if applicable): _______________ Special Considerations (i.e. Pregnancy, Nursing, Prior HX) ______________________________ ______________________________________________________________________________

Kanawha Valley Community and Technical College

Paramedic Technology Program

2011-2012

2. Medication Name: ________________________ Trade Name: ________________________ Reason for Medication Administration: _____________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Indications for Medication Administration: __________________________________________ Contraindications for Medical Administration: _______________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Side Effects: ___________________________________________________________________ ______________________________________________________________________________ Drug Interactions: ______________________________________________________________ ______________________________________________________________________________ Adult Dose: ___________________________ Pediatric Dose (if applicable): _______________ Special Considerations (i.e. Pregnancy, Nursing, Prior HX) ______________________________ ______________________________________________________________________________

This form is to be used at all CCU/ICU rotations. There should be one form completed for each rotation. In other words, you must select one patient form your rotation, and complete this form. YOU MUST DOCUMENT A MINIMUM OF TWO MEDICATIONS ON THIS FORM

Kanawha Valley Community and Technical College

KANAWHA VALLEY COMMUNTY AND TECHNICAL COLLEGE Paramedic Technology

Course: Credit Hours: Academic Term: Prerequisites: Program Director: Office: Hours: Email: Phone Numbers:

Into to Paramedic Technology I – PMED 130 3 Credit Hours Fall Semester 2011 Current EMT-B Certification, BIOL 210 or AH 299 with a grade of “C” or better, admission to the Paramedic Program Louis Robinson, MS, NREMT-P, CCEMT-P Cole Complex 306A See Postings LRobinson@kvctc.edu or LouieRobinson@aol.com Office 304.766.5108 or Cell 304.550.4655 (If you choose to text me be sure and identify yourself)

Course Description: This course is an introduction to advances prehospital care with emphasis on roles and responsibilities of the paramedic, his/her well being, the EMS system, illness and injury prevention, medical/legal aspects of prehospital care and ethics. The lad component of this course will provide the student with the opportunity to work with simulated real life situations that require the knowledge learned in the course. Course Learning Goals and Objectives: Upon the completion of this course, the student will learn the following material(s) and have the following competencies: ** Objectives from the textbooks will be utilized and fulfilled which meet or exceed the United States Department of Transportation National Standard Curriculum for EMT-P’s available at http://www.nhtsa.dot.gov/people/injury/ems/EMT-P/index.html

Required Course Text: Emergency Care in the Streets – Sixth Edition: AAOS – Caroline, Pollak, Elling, & Smith. Copyright 2008, Jones and Bartlett, ISBN – 978-0-7637-6469-2 Emergency Care in the Streets – Sixth Edition Student Workbook: AAOS – Caroline, Pollak, Elling, & Smith. Copyright 2008, Jones and Bartlett, ISBN – 13: 978-0-7637-4412-0 Introduction to 12-Lead ECG: The Art of Interpretation: Garcia & Holtz, Copyright 2003, Jones & Bartlett, ISBN – 13: 987-0-7637-1961-6 Arrhythmia Recognition: Garcia & Holtz, Copyright 2003, Jones & Bartlett, ISBN – 13: 978-0-7637-2246-3 Pharmacology Applications – Paramedic: Elling, Elling, & Pollak, Copyright 2009, Jones & Bartlett, ISBN 978-0-7637-5119-7 Calculations of Medication Administration: Salmon, Pomerantz, & Pollak, Copyright 2009, Jones & Bartlett, ISBN 978-0-7637-4683-4 Advanced Assessment and Treatment of Trauma: Pante’ & Pollak, Copyright 2010, Jones & Bartlett, ISBN -13: 978-0-978-0-7637-5131-9 ACLS, PHTLS, PALS, PEPP, GEMS, and AMLS textbooks and courses are also highly recommended. Evaluation: Quizzes Exams Homework Workbook Final

10% 30% 10% 20% 30%

Clinical Assessment from AH 261 and 265 will be graded as follows: Required minimum of Clinical Hours completed = 100%. From this total will be subtracted the number of negative evaluations and/or missed clinicals multiplied by 10% to arrive at your final score for Clinicals. This will be weighed with your classroom score to arrive at your overall grade for the course. Grading Scale: 100 – 90 89 – 80 79 – 70 69 – 60 59 & below

A B C D F

** All students must maintain a “C” average in each course to be eligible for advancement to the next course.

Exam/Quiz Make-up Policy: All assignments must be turned in on time! A 10% deduction per class day will be enforced for late assignments. Students who are late during exams will have 1% per minute point deduction (Max 20%) unless a valid, verifiable excuse is presented. If a student is not present during an exam, there will be an automatic 20% deduction unless the student and a valid, verifiable excuse. The student will also be responsible for obtaining 70% on every module exam. If the student obtains a score of less them 70% on and exam, they WILL be required to retake the examination until a score of 70% or better is achieved. The original score will be the recorded score. This procedure is done to ensure that the student stays at a competency level in every subject as their peers and aids in the student’s ability to pass the NREMT-P written examination. In the event that the student is not present on the day of an examination, or a score of less than 70% is obtained, they are solely responsible for rescheduling of the exam with the instructor on their own time outside class. Rescheduling of a missed examination must be done within two (2) days of the original examination day or the student will receive a grade of “0” on their examination. Attendance Policy: Students are required to attend all scheduled classes. Due to the overwhelming amount of information that will be distributed throughout the semester, students will be administratively withdrawn if more than 8 hours per semester are missed. If the student is tardy 15 minutes or more without a valid, verifiable excuse or the student leave class early without a valid, verifiable excuse more than three (3) times per semester, they will be administratively withdrawn. In occasions where they students are sick, a Doctor’s excuse will result in an excused absence; as well as the death of an immediate family member. All other excuses will be at the discretion of the instructor. In extreme cases where a student will be off for an extended period of time due to illness, it will be at the discretion of the instructor to administratively withdraw the student.

KANAWHA VALLEY COMMUNTY AND TECHNICAL COLLEGE Paramedic Technology

Course: Credit Hours: Academic Term: Prerequisites: Program Director: Office: Hours: Email: Phone Numbers:

Into to Paramedic Technology II â&#x20AC;&#x201C; PMED 131 3 Credit Hours Fall Semester 2011 PMED 130 Louis Robinson, MS, NREMT-P, CCEMT-P Cole Complex 306A See Postings LRobinson@kvctc.edu or LouieRobinson@aol.com Office 304.766.5108 or Cell 304.550.4655 (If you choose to text me be sure and identify yourself)

Course Description: This course is an introduction to teach techniques of patient history taking, physical examinations, patient assessment, clinical decision making, communication, and documentation. This course will also review principles of pathophysiology. Extensive lab time will be spent on learning and practicing these skills. Course Learning Goals and Objectives: Upon the completion of this course, the student will learn the following material(s) and have the following competencies: ** Objectives from the textbooks will be utilized and fulfilled which meet or exceed the United States Department of Transportation National Standard Curriculum for EMT-Pâ&#x20AC;&#x2122;s available at http://www.nhtsa.dot.gov/people/injury/ems/EMT-P/index.html

10% 30% 10% 20% 30%

A B C D F

** All students must maintain a “C” average in each course to be eligible for advancement to the next course. Exam/Quiz Make-up Policy: All assignments must be turned in on time! A 10% deduction per class day will be enforced for late assignments. Students who are late during exams will have 1% per minute point deduction (Max 20%) unless a valid, verifiable excuse is presented. If a student is not present during an exam, there will be an automatic 20% deduction unless the student and a valid, verifiable excuse. The student will also be responsible for obtaining 70% on every module exam. If the student obtains a score of less them 70% on and exam, they WILL be required to retake the examination until a score of 70% or better is achieved. The original score will be the recorded score. This procedure is done to ensure that the student stays at a competency level in every subject as their peers and aids in the student’s ability to pass the NREMT-P written examination. In the event that the student is not present on the day of an examination, or a score of less than 70% is obtained, they are solely responsible for rescheduling of the exam with the instructor on their own time outside class. Rescheduling of a missed examination must be done within two (2) days of the original examination day or the student will receive a grade of “0” on their examination. Attendance Policy: Students are required to attend all scheduled classes. Due to the overwhelming amount of information that will be distributed throughout the semester, students will be administratively withdrawn if more than 8 hours per semester are missed. If the student is tardy 15 minutes or more without a valid, verifiable excuse or the student leave class early without a valid, verifiable excuse more than three (3) times per semester, they will be administratively withdrawn. In occasions where they students are sick, a Doctor’s excuse will result in an excused absence; as well as the death of an immediate family member. All other excuses will be at the discretion of the instructor. In extreme cases where a student will be off for an extended period of time due to illness, it will be at the discretion of the instructor to administratively withdraw the student.

KANAWHA VALLEY COMMUNTY AND TECHNICAL COLLEGE Paramedic Technology

Course: Credit Hours: Academic Term: Prerequisites: Program Director: Office: Hours: Email: Phone Numbers:

Airway Assessment/Management and Advanced Skills â&#x20AC;&#x201C; PMED 132 6 Credit Hours Fall Semester 2011 PMED 130, PMED 131 Louis Robinson, MS, NREMT-P, CCEMT-P Cole Complex 306A See Postings LRobinson@kvctc.edu or LouieRobinson@aol.com Office 304.766.5108 or Cell 304.550.4655 (If you choose to text me be sure and identify yourself)

Course Description: This course is designed for student to further develop their knowledge in assessment and treatment of the patient with a compromised airway. Skills in advanced airway management, intravenous therapy, and pharmacology will be taught. Extensive lab time will be spent on learning and practicing these skills. Course Learning Goals and Objectives: Upon the completion of this course, the student will learn the following material(s) and have the following competencies: ** Objectives from the textbooks will be utilized and fulfilled which meet or exceed the United States Department of Transportation National Standard Curriculum for EMT-Pâ&#x20AC;&#x2122;s available at http://www.nhtsa.dot.gov/people/injury/ems/EMT-P/index.html

10% 30% 10% 20% 30%

A B C D F

** All students must maintain a “C” average in each course to be eligible for advancement to the next course. Exam/Quiz Make-up Policy:

All assignments must be turned in on time! A 10% deduction per class day will be enforced for late assignments. Students who are late during exams will have 1% per minute point deduction (Max 20%) unless a valid, verifiable excuse is presented. If a student is not present during an exam, there will be an automatic 20% deduction unless the student and a valid, verifiable excuse. The student will also be responsible for obtaining 70% on every module exam. If the student obtains a score of less them 70% on and exam, they WILL be required to retake the examination until a score of 70% or better is achieved. The original score will be the recorded score. This procedure is done to ensure that the student stays at a competency level in every subject as their peers and aids in the student’s ability to pass the NREMT-P written examination. In the event that the student is not present on the day of an examination, or a score of less than 70% is obtained, they are solely responsible for rescheduling of the exam with the instructor on their own time outside class. Rescheduling of a missed examination must be done within two (2) days of the original examination day or the student will receive a grade of “0” on their examination. Attendance Policy: Students are required to attend all scheduled classes. Due to the overwhelming amount of information that will be distributed throughout the semester, students will be administratively withdrawn if more than 8 hours per semester are missed. If the student is tardy 15 minutes or more without a valid, verifiable excuse or the student leave class early without a valid, verifiable excuse more than three (3) times per semester, they will be administratively withdrawn. In occasions where they students are sick, a Doctor’s excuse will result in an excused absence; as well as the death of an immediate family member. All other excuses will be at the discretion of the instructor. In extreme cases where a student will be off for an extended period of time due to illness, it will be at the discretion of the instructor to administratively withdraw the student.

KANAWHA VALLEY COMMUNTY AND TECHNICAL COLLEGE Paramedic Technology

Course: Credit Hours: Academic Term: Prerequisites: Program Director: Office: Hours: Email: Phone Numbers:

Medical Emergencies I â&#x20AC;&#x201C; PMED 260 4 Credit Hours Spring Semester 2012 PMED 130, PMED 131, PMED 132 Louis Robinson, MS, NREMT-P, CCEMT-P Cole Complex 306A See Postings LRobinson@kvctc.edu or LouieRobinson@aol.com Office 304.766.5108 or Cell 304.550.4655 (If you choose to text me, be sure and identify yourself)

Course Description: This course is designed for paramedic students who are currently in good standing in the program to review the pathophysiology, assessment, and management of medical patients with pulmonary and cardiovascular emergencies. In addition to instructional sessions, this course will include lab hours. Course Learning Goals and Objectives: Upon the completion of this course, the student will learn the following material(s) and have the following competencies: ** Objectives from the textbooks will be utilized and fulfilled which meet or exceed the United States Department of Transportation National Standard Curriculum for EMT-Pâ&#x20AC;&#x2122;s available at http://www.nhtsa.dot.gov/people/injury/ems/EMT-P/index.html

10% 30% 10% 20% 30%

A B C D F

** All students must maintain a “C” average in each course to be eligible for advancement to the next course.

KANAWHA VALLEY COMMUNTY AND TECHNICAL COLLEGE Paramedic Technology

Course: Credit Hours: Academic Term: Prerequisites: Program Director: Office: Hours: Email: Phone Numbers:

Clinical Practicum I â&#x20AC;&#x201C; PMED 261 4 Credit Hours Summer I 2012 PMED 130, PMED 131, PMED 132, PMED 260 Louis Robinson, MS, NREMT-P, CCEMT-P Cole Complex 306A See Postings LRobinson@kvctc.edu or LouieRobinson@aol.com Office 304.766.5108 or Cell 304.550.4655 (If you choose to text me, be sure and identify yourself)

Course Description: The clinical practicum is designed for the paramedic students only. The student rotates throughout various affiliated sites. The clinical contact hours are to provide the student with direct experience in working with patients and aid the student in developing proficiencies in performing paramedic procedures. The course requires a minimum of contact hours as well as a minimum number of clinical competencies that must be completed. Course Learning Goals and Objectives: Upon the completion of this course, the student will learn the following material(s) and have the following competencies: ** Objectives from the textbooks will be utilized and fulfilled which meet or exceed the United States Department of Transportation National Standard Curriculum for EMT-Pâ&#x20AC;&#x2122;s available at http://www.nhtsa.dot.gov/people/injury/ems/EMT-P/index.html

A B C D F

** All students must maintain a “C” average in each course to be eligible for advancement to the next course.

Attendance Policy: Students are required to attend all scheduled classes. Due to the overwhelming amount of information that will be distributed throughout the semester, students will be administratively withdrawn if more than 8 hours per semester are missed. If the student is tardy 15 minutes or more without a valid, verifiable excuse or the student leave class early without a valid, verifiable excuse more than three (3) times per semester, they will be administratively withdrawn. In occasions where they students are sick, a Doctorâ&#x20AC;&#x2122;s excuse will result in an excused absence; as well as the death of an immediate family member. All other excuses will be at the discretion of the instructor. In extreme cases where a student will be off for an extended period of time due to illness, it will be at the discretion of the instructor to administratively withdraw the student.

KANAWHA VALLEY COMMUNTY AND TECHNICAL COLLEGE Paramedic Technology

Course: Credit Hours: Academic Term: Prerequisites: Program Director: Office: Hours: Email: Phone Numbers:

Medical Emergencies II â&#x20AC;&#x201C; PMED 262 4 Credit Hours Spring Semester 2012 PMED 130, PMED 131, PMED 132, PMED 260 Louis Robinson, MS, NREMT-P, CCEMT-P Cole Complex 306A See Postings LRobinson@kvctc.edu or LouieRobinson@aol.com Office 304.766.5108 or Cell 304.550.4655 (If you choose to text me, be sure and identify yourself)

Course Description: This course is designed for paramedic students who are currently in good standing in the program to further enhance their ability to recognize, understand the pathophysiology of and treat the following medical emergencies: neurological, endocrinological, allergic and anaphylaxis, gastroenterological, urological, toxicological, hematological, environmental conditions, infectious and communicable disease, behavioral and psychiatric disorders, gynecological, and obstetric. In addition to instructional sessions, this course will include lab hours. Course Learning Goals and Objectives: Upon the completion of this course, the student will learn the following material(s) and have the following competencies: ** Objectives from the textbooks will be utilized and fulfilled which meet or exceed the United States Department of Transportation National Standard Curriculum for EMT-Pâ&#x20AC;&#x2122;s available at http://www.nhtsa.dot.gov/people/injury/ems/EMT-P/index.html

10% 30% 10% 20% 30%

A B C D F

** All students must maintain a “C” average in each course to be eligible for advancement to the next course.

KANAWHA VALLEY COMMUNTY AND TECHNICAL COLLEGE Paramedic Technology

Course: Credit Hours: Academic Term: Prerequisites: Program Director: Office: Hours: Email: Phone Numbers:

Special Considerations â&#x20AC;&#x201C; PMED 263 8 Credit Hours Spring Semester 2012 PMED 130, PMED 131, PMED 132, PMED 260, PMED 262 Louis Robinson, MS, NREMT-P, CCEMT-P Cole Complex 306A See Postings LRobinson@kvctc.edu or LouieRobinson@aol.com Office 304.766.5108 or Cell 304.550.4655 (If you choose to text me, be sure and identify yourself)

Course Description: This course is designed for paramedic students who are currently in good standing in the program to further enhance their ability to recognize and treat the patients that have special needs and to deal with medical incident command. The special consideration patients include those with trauma injuries, as well as neonatology, pediatrics, geriatrics, patients with special challenges and acute interventions for home health patients. Extensive time will be spent in the skills lab learning assessment techniques for all categories of special needs patients. Course Learning Goals and Objectives: Upon the completion of this course, the student will learn the following material(s) and have the following competencies: ** Objectives from the textbooks will be utilized and fulfilled which meet or exceed the United States Department of Transportation National Standard Curriculum for EMT-Pâ&#x20AC;&#x2122;s available at http://www.nhtsa.dot.gov/people/injury/ems/EMT-P/index.html

10% 30% 10% 20% 30%

A B C D F

** All students must maintain a “C” average in each course to be eligible for advancement to the next course.

KANAWHA VALLEY COMMUNTY AND TECHNICAL COLLEGE Paramedic Technology

Course: Credit Hours: Academic Term: Prerequisites: Program Director: Office: Hours: Email: Phone Numbers:

Paramedic Operations â&#x20AC;&#x201C; PMED 264 4 Credit Hours Summer I 2012 PMED 130, PMED 131, PMED 132, PMED 260, PMED 262, PMED 263 Louis Robinson, MS, NREMT-P, CCEMT-P Cole Complex 306A See Postings LRobinson@kvctc.edu or LouieRobinson@aol.com Office 304.766.5108 or Cell 304.550.4655 (If you choose to text me, be sure and identify yourself)

Course Description: This course is designed for paramedic students who are currently in good standing in the program to further enhance their ability to recognize and manage various types of ambulance operational situations. Areas of concentration include: ambulance operations, rescue awareness and operations, hazardous materials incidents, abuse and assault patients, and crime scene awareness. In addition to instructional sessions, this course has a lab component. Course Learning Goals and Objectives: Upon the completion of this course, the student will learn the following material(s) and have the following competencies: ** Objectives from the textbooks will be utilized and fulfilled which meet or exceed the United States Department of Transportation National Standard Curriculum for EMT-Pâ&#x20AC;&#x2122;s available at http://www.nhtsa.dot.gov/people/injury/ems/EMT-P/index.html

10% 30% 10% 20% 30%

A B C D F

** All students must maintain a “C” average in each course to be eligible for advancement to the next course.

KANAWHA VALLEY COMMUNTY AND TECHNICAL COLLEGE Paramedic Technology

Course: Credit Hours: Academic Term: Prerequisites: Program Director: Office: Hours: Email: Phone Numbers:

Clinical Practicum II â&#x20AC;&#x201C; PMED 265 4 Credit Hours Summer I 2012 PMED 130, PMED 131, PMED 132, PMED 260, PMED 261, PMED 262, PMED 263 Louis Robinson, MS, NREMT-P, CCEMT-P Cole Complex 306A See Postings LRobinson@wvsctc.edu or LouieRobinson@aol.com Office 304.766.5108 or Cell 304.550.4655 (If you choose to text me, be sure and identify yourself)

Course Description: The clinical practicum is designed for the paramedic students only and is the capstone course. The student rotates throughout various affiliated sites completing their direct exposure with patients while developing proficiencies in performing paramedic procedures and assessment based patient management. The course requires a minimum of contact hours as well as completing a minimum number of clinical competencies. Course Learning Goals and Objectives: Upon the completion of this course, the student will learn the following material(s) and have the following competencies: ** Objectives from the textbooks will be utilized and fulfilled which meet or exceed the United States Department of Transportation National Standard Curriculum for EMT-Pâ&#x20AC;&#x2122;s available at http://www.nhtsa.dot.gov/people/injury/ems/EMT-P/index.html

A B C D F

** All students must maintain a “C” average in each course to be eligible for advancement to the next course.