HSCI 0051. Advanced Emergency Medical Technician (AEMT) Didactic
Units: 6
Prerequisite: Current AHA Healthcare Provider CPR certification and current California State EMT certification required
Advisory: Completion of HSCI 3, HSCI 30, HSCI 50, and BIOL 55 with grades of "C" or better; eligibility for ENGL 11
Hours: 144 (90 lecture, 54 laboratory)
Provides academic preparation and psychomotor skills training to prepare the student for HSCI 52, the Advanced Emergency Medical Technician (AEMT) clinical and field Internship. Successful completion of HSCI 51 and HSCI 52 make the student eligible to take the National Registry of EMTs (NREMT) Advanced EMT certification exam. Topics include Limited Advanced Life Support (LALS) knowledge, application and problem solving skills necessary to work as an AEMT in the Emergency Medical Services (EMS) field for an ambulance service, fire department, hospital emergency department or other specialized service. A "C" letter grade, as well as successful completion of the HSCI 51 exit exam and psychomotor skills test, are required to be eligible for HSCI 52. This course conforms to the National EMS Scope of Practice Model and the EMS National Education Standards, complies with Title 22, Division 9, Chapter 3 of the California State Code of Regulations, and is approved by the Sierra Sacramento-Valley Emergency Medical Services Agency. Field trips or off-campus lab assignments are required. (not transferable)
HSCI 0051 - Advanced Emergency Medical Technician (AEMT) Didactic
http://catalog.sierracollege.edu/course-outlines/hsci-0051/
Catalog Description Prerequisite: Current AHA Healthcare Provider CPR certification and current California State EMT certification required Advisory: Completion of HSCI 3, HSCI 30, HSCI 50, and BIOL 55 with grades of "C" or better; eligibility for ENGL 11 Hours: 144 (90 lecture, 54 laboratory) Description: Provides academic preparation and psychomotor skills training to prepare the student for HSCI 52, the Advanced Emergency Medical Technician (AEMT) clinical and field Internship. Successful completion of HSCI 51 and HSCI 52 make the student eligible to take the National Registry of EMTs (NREMT) Advanced EMT certification exam. Topics include Limited Advanced Life Support (LALS) knowledge, application and problem solving skills necessary to work as an AEMT in the Emergency Medical Services (EMS) field for an ambulance service, fire department, hospital emergency department or other specialized service. A "C" letter grade, as well as successful completion of the HSCI 51 exit exam and psychomotor skills test, are required to be eligible for HSCI 52. This course conforms to the National EMS Scope of Practice Model and the EMS National Education Standards, complies with Title 22, Division 9, Chapter 3 of the California State Code of Regulations, and is approved by the Sierra Sacramento-Valley Emergency Medical Services Agency. Field trips or off-campus lab assignments are required. (not transferable) Course Student Learning Outcomes CSLO #1: Demonstrate appropriate assessment, field management and transportation of a patient with severe respiratory distress secondary to acute pulmonary edema. CSLO #2: Demonstrate an appropriate patient history and assessment, and rapidly implement a treatment plan for a patient with an allergic reaction and symptomatic anaphylaxis. CSLO #3: Explain the requirement for communicating the transfer of care and providing proper written documentation for any patient receiving advanced life support procedures. CSLO #4: Demonstrate the proper technique and sequence for establishing intravenous (IV) and intraosseous (IO) catheterization for administering fluid therapy in the unstable medical or trauma patient. CSLO #5: Perform primary and secondary patient assessment in an environmentally-induced or exacerbated emergency; interpret assessment findings to formulate a field impression and treatment plan for the patient. Effective Term Fall 2023 Course Type Credit - Degree-applicable Contact Hours 144 Outside of Class Hours 180 Total Student Learning Hours 324 Course Objectives Lecture Objectives: 1. Identify the roles and responsibilities of an Advanced EMT level practitioner. 2. Describe the role of the Advanced EMT in the local EMS System. 3. Identify the Advanced EMT protocols included in this program. 4. Explain the components of wellness for the EMS provider. 5. Describe personal protection from airborne and blood borne pathogens. 6. Explain the legal issues that impact decisions made in the pre-hospital setting. 7. Define anatomy, physiology, and pathophysiology. 8. Review the anatomy and function of the major body systems. 9. Differentiate between the chemical, generic, official, and trade names of drugs. 10. List and describe the general properties of drugs. 11. List and differentiate routes of drug administration. 12. List the drugs the Advanced EMT may administer according to local protocol. 13. Given patient scenarios, identify correct medications and dosages per local protocol. 14. Identify the different routes that medications can be delivered. 15. Explain the possible complications and absorption rates for medications. 16. Discuss formulas as a basis for performing drug calculations. 17. Calculate doses for oral, sublingual, subcutaneous, intramuscular, and intravenous routes. 18. Discuss legal aspects and medical control regarding drug administration. 19. Describe universal precautions and body substance isolation when administering medications. 20. Describe the indications, precautions, and general principals of peripheral IV cannulation. 21. Describe the indications and general principal for obtaining a blood sample. 22. Explain the importance of evaluating a patient's response to medications. 23. Describe the proper procedure for cannulation of peripheral veins. 24. Describe Oral, Nebulized, Sublingual, Subcutaneous, IM, IO and IV medication routes. 25. Identify the anatomy and describe the functions of the upper airway. 26. Describe the indications and technique for using the dual lumen airway. 27. Describe considerations in airway management for patients with facial trauma. 28. Describe special considerations in airway management for pediatric patients. 29. Discuss the components of the initial assessment. 30. Describe the steps of the focused history and physical exam. 31. Describe the techniques of physical examination to the trauma patient. 32. Describe when to perform a rapid trauma assessment and anatomical zones included. 33. Discuss the components of the detailed physical exam and when it is performed. 34. Discuss the areas of the body that are evaluated during the detailed physical exam. 35. Distinguish a physical exam performed on the trauma patient and medical patient. 36. Describe the components of the on-going patient assessment and secondary exam. 37. Discuss the reasons for repeating the initial assessment as part of the reassessment. 38. Discuss special considerations when performing physical examinations on a pediatric patient. 39. Differentiate critical, potentially, and non-life threatening findings. 40. Define components, stages, and sequences of critical thinking in performing patient assessment. 41. Develop strategies for effective thinking under pressure. 42. Discuss the "six R's" of putting it all together during a patient assessment. 43. Describe the need for maintaining a professional attitude when performing a patient assessment. 44. Describe a caring attitude when performing a patient assessment. 45. Explain a physical exam including initial, history, focused, detailed, and on-going assessments. 46. Explain the techniques for assessing a patient with an altered mental status. 47. Explain the assessment of a trauma patient. 48. Explain a rapid trauma assessment used to assess a patient based on mechanism of injury. 49. Perform a focused history and physical exam on a patient with life-threatening injuries. 50. Describe factors that may influence the Advanced EMT's ability to collect a medical history. 51. List the components of a history on a patient. 52. Describe the techniques of history taking. 53. Discuss strategies and special challenges in obtaining a medical history. 54. Defend the importance of empathy when obtaining a patient history. 55. Practice the importance of confidentiality when obtaining a patient history. 56. Review the importance of scene size-up and scene safety. 57. Discuss the common mechanisms of injury/nature of illness for medical and trauma patients. 58. Discuss the components of the initial assessment. 59. Describe the steps of the focused history and physical exam. 60. State the areas of the body evaluated in the focused history and physical exam. 61. Discuss the reason and importance of performing the focused history and physical. 62. Apply the techniques of physical examination to the medical patient. 63. Differentiate the assessment performed on a patient with an altered mental status. 64. Apply the techniques of physical examination to the trauma patient. 65. Describe a rapid trauma assessment and the regions included in the assessment. 66. Discuss the components of the detailed physical and when it is performed. 67. State the areas of the body that are evaluated during the detailed physical exam. 68. Distinguish a detailed physical exam performed on the trauma patient and medical patient. 69. Describe the components of the on-going assessment. 70. Discuss the reasons for repeating the initial assessment as part of the on-going assessment. 71. Discuss special considerations when performing a physical exam on a pediatric patient. 72. Differentiate between critical, potential, and non-life threatening patient presentations. 73. Define the components and sequences of critical thinking in performing patient assessment. 74. Develop strategies for effective thinking under pressure. 75. Explain the techniques for assessing a patient with an altered mental status. 76. Explain the assessment of a critical and unstable trauma patient. 77. Explain the assessment of a non-critical and stable trauma patient. 78. Explain a rapid trauma assessment on a patient based on mechanism of injury. 79. Identify the importance of effective communication when providing EMS. 80. Identify the role of verbal, written, and electronic communications in providing EMS. 81. Identify the importance of proper terminology when communicating during an EMS event. 82. Identify the importance of proper verbal and written communication during an EMS event. 83. Identify the components of an EMS communications system, function and use. 84. Describe the functions and responsibilities to the Federal Communications Commission. 85. Describe the role of the EMS Dispatcher as part of the EMS team. 86. Describe the procedure for verbal communication of patient information to the hospital. 87. Describe patient information included in a verbal report to medical direction. 88. Discuss the local policy/procedure addressing radio contact with a base hospital. 89. Demonstrate an appropriate call-in to a base hospital, and required pertinent information. 90. Identify the general principals of EMS documentation and ways in which documentation is used. 91. Discuss the importance of using appropriate and accurate medical abbreviations and acronyms. 92. Explain the pertinent patient information needed for documentation. 93. Describe the elements of a properly written report. 94. Describe the required information for each section of the patient care report. 95. Discuss the potential consequences of illegible, incomplete, or inaccurate documentation. 96. Explain the special considerations concerning patient refusal of transport. 97. Describe special considerations concerning mass casualty incident documentation. 98. Discuss state and/or local record and reporting requirements. 99. Explain proper completion of a patient care report used locally. 100. Describe the components of a comprehensive trauma system. 101. Describe the role and differences between levels of trauma centers. 102. Discuss the criteria for transport to the trauma center per local protocol. 103. Describe the kinematics of blunt, penetrating, and blast injuries. 104. Discuss the various types and degrees of hemorrhage and shock. 105. Discuss the assessment findings associated with hemorrhage and shock. 106. Describe the body's physiological response to changes in perfusion. 107. Discuss indications, contraindications, complications, and interventions for shock. 108. Discuss fluid resuscitation for the trauma patient. 109. Discuss local protocols for the management of shock in trauma patients. 110. Explain the assessment of a patient with signs and symptoms of shock. 111. Explain the management of a patient with signs and symptoms of shock. 112. Identify the structures of the upper and lower airway. 113. Identify common pathological events that affect the pulmonary system. 114. Discuss abnormal findings associated with pulmonary diseases and conditions. 115. Discuss the pharmacological characteristics for inhaled beta-2 agonists and epinephrine. 116. Describe the pathophysiology, assessment, and management of respiratory conditions. 117. Describe the assessment of a patient with a respiratory disease and conditions. 118. Explain the assessment and field management of a patient with acute respiratory failure. 119. Describe the cardiovascular system, including the anatomy and physiology. 120. Identify and describe the assessment components of the cardiovascular patient. 121. Discuss the pathophysiology of angina pectoris and acute myocardial infarction. 122. List pertinent questions (OPQRST) and physical exam for a chief complaint of chest pain. 123. List clinical presentation of a patient with angina or acute myocardial infarction (AMI). 124. Describe the initial assessment of a patient with angina and myocardial infarction. 125. Describe the pharmacological characteristics and actions of nitroglycerin and aspirin. 126. Describe treatment for patient with ischemic chest pain associated as an AMI. 127. Discuss the pathophysiology of congestive heart failure / edema. 128. List the clinical presentation of a patient with acute pulmonary edema. 129. Describe the actions for nitroglycerine when applied to pulmonary edema. 130. Discuss treatment plan for a patient with acute pulmonary edema. 131. Discuss the assessment and management of a patient in cardiac arrest. 132. Identify other types of non-cardiac causes of ischemic type chest pain. 133. Describe appropriate assessment and intervention of a cardiac patient. 134. Describe the pathophysiology of diabetes mellitus. 135. Describe assessment findings and care of a patient with diabetic emergency. 136. Discuss the assessment and management for a patient with hypoglycemia. 137. Discuss the assessment and management for a patient with hyperglycemia. 138. Differentiate between diabetic emergencies based on assessment and history. 139. Describe pharmacological characteristics and actions of 50% Dextrose and Glucagon. 140. Explain assessment and management of a patient with a diabetic emergency. 141. Discuss the pathophysiology of allergic reactions and anaphylaxis. 142. Describe the common methods of entry of substances into the body. 143. List the common antigens associated with anaphylaxis. 144. List the signs and symptoms of an allergic reaction, including localized and systemic. 145. Discuss the signs and symptoms of anaphylaxis. 146. Discuss the drug characteristics and actions of epinephrine and inhaled beta-2 agonists. 147. List pertinent history and physical exam of patient with anaphylaxis. 148. Explain the importance of prompt medical treatment in anaphylaxis. 149. Explain the treatment plan for a patient with a severe allergic reaction and anaphylaxis. 150. Discuss the different types of toxicological emergencies. 151. List four methods by which poisons can enter the body. 152. Discuss the pathophysiology, signs and symptoms, and treatment for a toxic ingestion. 153. Discuss pathophysiology, signs and symptoms, and treatment for a narcotic overdose. 154. Discuss the drug characteristics and actions of activated charcoal and naloxone. 155. Develop a treatment plan for patient with most common types of poisonings/overdoses. 156. Explain the psychological needs of victims of drug abuse or overdose. 157. Describe the patient assessment and management of a toxic ingestion or overdose. 158. Define an "environmental emergency." 159. Identify the risk factors predisposing to environmental emergencies. 160. Discuss pathophysiology, predisposing factors, signs and symptoms of a heat illness. 161. Define how to differentiate between heat cramps, heat exhaustion, and heat stroke. 162. Differentiate treatments and interventions of heat disorders based on assessment. 163. Discuss pathophysiology, predisposing factors, signs and symptoms of hypothermia. 164. List the appropriate measures to prevent hypothermia. 165. Identify the differences between mild and severe hypothermia. 166. Discuss the differences between chronic and acute hypothermia. 167. Utilize assessment to form an impression and treatment plan for severe hypothermia. 168. Discuss the pathophysiology, signs and symptoms, and treatment for near drowning. 169. Discuss trauma considerations to be taken with a near-drowning episode. 170. Describe post-resuscitation complications associated with a near-drowning episode. 171. Explain treatment for a heat related, hypothermic, and a near-drowning patient. Laboratory Objectives: 1. Demonstrate how to prepare for administrating medications from medicine vials. 2. Demonstrate how to prepare for administrating medications from medicine Ampules. 3. Demonstrate how to prepare for administrating medications from a preloaded medicine syringe. 4. Demonstrate the proper procedure for cannulation of peripheral veins. 5. Demonstrate the proper procedure for cannulation of external jugular veins. 6. Demonstrate the proper procedure for cannulation for interosseous access. 7. Demonstrate the proper technique of disposing sharps and use of sharps containers. 8. Demonstrate the proper procedure for administering medications orally. 9. Demonstrate the proper procedure for administering medications by a nebulizer. 10. Demonstrate the proper procedure for administering medications by sublingual. 11. Demonstrate the proper procedure for administering medications by nasal injection. 12. Demonstrate the proper procedure for administering medications by subcutaneous. 13. Demonstrate the proper procedure for administering medications by intramuscular. 14. Demonstrate the proper procedure for administering fluids through intravenous route. 15. Demonstrate the proper procedure for administering fluids through intraosseous route. 16. Demonstrate the proper technique of ventilating a patient with a bag-valve-mask. 17. Demonstrate the proper technique of ventilating a patient with a bag-valve-mask. 18. Demonstrate the proper technique for using CPAP to assist patient in respiratory distress. 19. Demonstrate the proper technique of suctioning a patient with a stoma. 20. Demonstrate the proper technique of inserting an oropharyngeal airway. 21. Demonstrate the proper technique of inserting a nasopharyngeal airway. 22. Demonstrate the proper technique for positive pressure ventilation of a pediatric patient. 23. Demonstrate the proper technique for positive pressure ventilation of an adult patient. 24. Demonstrate the proper technique to insert a dual lumen airway. 25. Perform an assessment to confirm correct placement of a dual lumen airway. 26. Given a medical and trauma scenario, obtain a complete patient history. 27. Demonstrate the techniques for performing a primary assessment on a trauma patient. 28. Demonstrate the techniques for performing a primary assessment on a medical patient. 29. Demonstrate the techniques for performing a focused trauma assessment and medical history. 30. Demonstrate the techniques for performing a focused medical assessment and medical history. 31. Demonstrate the techniques for performing a proper detailed physical exam. 32. Demonstrate the techniques for performing a proper on-going assessment. 33. Demonstrate the techniques for assessing a patient with an altered mental status. 34. Demonstrate the primary assessment of a multi-system trauma patient. 35. Demonstrate the techniques for performing a focused assessment on a trauma patient. 36. Demonstrate a rapid trauma assessment based on mechanism of injury. 37. Perform a focused physical assessment and physical exam on a non-critical trauma patient. 38. Perform a focused physical assessment on a patient with life-threatening injuries. 39. Communicate an appropriate transfer of care to medical personnel in a prehospital setting. 40. Demonstrate an appropriate call-in to the base hospital, providing a complete radio report. 41. Communicate an appropriate transfer of care to medical personnel in the hospital setting. 42. Demonstrate proper completion of a patient care report used in the local EMS system. 43. Demonstrate the assessment and management of a patient with signs and symptoms of shock. 44. Demonstrate an assessment, treatment, and transport of a patient with non-life-threatening injuries. 45. Demonstrate assessment, treatment, and transport of a patient with life-threatening injuries. 46. Demonstrate appropriate assessment, management and transport of a patient with respiratory difficulty. 47. Demonstrate the proper technique of application and operation of an automatic external defibrillator. 48. Given scenarios, demonstrate a patient assessment and management of a patient with a cardiac emergency, including cardiac arrest and use of an automatic defibrillator. 49. Given scenarios, perform the appropriate assessment and management of a diabetic emergency. 50. Given scenarios, perform an appropriate patient history and assessment and implement a treatment plan for a patient with a severe allergic reaction and anaphylaxis. 51. Given scenarios, perform an appropriate patient assessment and field management of a patient with a toxic ingestion or drug overdose. 52. Given scenarios, demonstrate an appropriate patient assessment and treatment plan for a patient in acute respiratory failure. 53. Given scenarios, demonstrate an appropriate patient assessment and treatment plan for a medical patient in hemodynamic instability. 54. Given scenarios, demonstrate an appropriate patient assessment and treatment plan for a trauma patient in hemodynamic instability. General Education Information Approved College Associate Degree GE Applicability CSU GE Applicability (Recommended-requires CSU approval) Cal-GETC Applicability (Recommended - Requires External Approval) IGETC Applicability (Recommended-requires CSU/UC approval) Articulation Information Not Transferable Methods of Evaluation Objective Examinations Example: Through weekly quizzes and examinations, Student will demonstrate ability to correctly analyze medical and trauma scenarios and use critical thinking skills to select the appropriate intervention for providing patient care. Example: Which of the following is a possible cause of PEA? A. Hypovolemia B. Massive Pulmonary Embolism C. Cardiac Tamponade D. All of the Above Problem Solving Examinations Example: The student will be given a practical emergency medical scenario with minimal information on patient history. Using advanced assessment interventions learned in the course, the student will utilize subjective and objective components of the primary assessment to demonstrate ability to select appropriate limited advanced life support skills for patient care. Instructor will utilize the NREMT (National Registry of Emergency Medical Technicians) standardized Medical Patient Assessment skills sheet for Limited Advanced Life Support to record and grade the scenario performance. The student will be provided copies of their performance for personal improvement and future reference. Skill Demonstrations Example: Student will demonstrate the ability to perform a primary patient assessment of circulatory, respiratory , and neurological systems to successfully establish an intravenous (IV) line for fluid and medication administration. . Instructor will utilize the NREMT (National Registry of Emergency Medical Technicians) standardized Medical Patient Assessment skills sheet for Limited Advanced Life Support to record and grade the scenario performance. The student will be provided copies of their performance for personal improvement and future reference. Repeatable No Methods of Instruction Laboratory Lecture/Discussion Distance Learning Lab: During a practical skills lab, the Instructor will demonstrate on a manikin the proper technique for Intraosseous (IO) cannulization to establish a route of administration for volume expanding fluids and medication administration. The instructor will guide each individual student through every required step of the IO procedure, allowing the student to perform the psychomotor skill on their own and be allowed the experience the actual hands-on of patient care. Lecture: During a lecture presentation, the instructor will explain the pathology of a severe allergic reaction, the signs and symptoms of anaphylactic shock, the proper administration and use of epinephrine, and the benefit of intravenous fluid administration when following national and local treatment protocols. The instructor will demonstrate the assessment and intervention skills required for an anaphylactic reaction, and the student will perform the patient assessment and psychomotor skills on their own, and be allowed to experience the actual hands-on of patient care for anaphylactic shock. Distance Learning During a distant learning (DL) slide show presentation, the AEMT instructor will discuss the pathophysiology of hypovolemic shock, including the clinical differences of hemorrhagic and non-hemorrhagic shock, and the physiological presentation of a patient in the compensated and non-compensated stages. (Lecture Objectives 105, 106, 107, 110, and 111). The AEMT student will respond to the presentation by identifying what Advanced EMT (AEMT) intervention protocols will be the appropriate intervention for a rapid patient stabilization through Intravenous (IV) and Intraosseous (IO) routes of fluid administration. Typical Out of Class Assignments Reading Assignments 1. Read the lesson plans on Allergic Reaction Emergencies and explain the physiological changes that occur within the body during an anaphylactic reaction. Describe the basic and advanced interventions needed for this condition including intravenous and pharmacological interventions allowed within the Advanced EMT scope of practice. 2. Read the lesson plans on trauma and explain the pathology of traumatic injuries. Describe the signs and symptoms of perfusion compromise and the physiological effects on the body. Explain the benefit of intravenous volume replacement for patient stabilization Writing, Problem Solving or Performance 1. Given a detailed trauma scenario, student will ask patient questions to pertinent injuries, and perform a proper primary assessment of body systems and vital signs. Student will select the appropriate treatment including Limited Advanced Life Support procedures and advanced interventions. Student will provide a verbal transfer of care report on the patient condition to the receiving medical facility. 2. Given a detailed medical scenario, student will ask patient questions pertaining to certain signs and symptoms of specific injuries. Student will assess the body systems response to the injury, and develop a patient treatment plan utilizing the appropriate protocol. 3. Given a realistic medical scenario, the student will physically demonstrate the safe and proper way to establish an intravenous (IV) access for the use of and fluid replacement and medication administration Other (Term projects, research papers, portfolios, etc.) Required Materials Advanced Emergency Care and Transportation of the Sick and Injured Author: American Academy of Orthopaedic Surgeons (AAOS), Rhonda Beck, NREMT-P Publisher: Jones and Bartlett Publication Date: 2023 Text Edition: 4th Classic Textbook?: No OER Link: OER: Other materials and-or supplies required of students that contribute to the cost of the course. Clinical Uniforms; Stethoscope and B/P Cuff; Identification name tag; Safety glasses and respiratory protection mask.
HSCI 0052 - Advanced Emergency Medical Technician - Clinical/Field Experience
http://catalog.sierracollege.edu/course-outlines/hsci-0052/
Catalog Description Prerequisite: Completion of HSCI 2 and HSCI 51 with grades of “C” or better, or equivalent training; HSCI 52 must be completed no more than seven months after the completion of HSCI 0051; current AHA Healthcare Provider CPR certification and current California State EMT certification required; must submit to a drug screen test demonstrating the absence of any evidence of controlled substance use and provide a criminal background check satisfying the requirements of the State EMS Authority, and the AEMT program clinical providers; must provide two negative TB tests by two-step PPD process, or a negative chest x-ray; provide proof of immunizations for Mumps, Measles, Rubella (MMR); Varicella zoster-vaccination or positive titer; Hepatitis B status screening or signed declination; Diphtheria, Tetanus and Pertussis (Tdap); current influenza vaccine Advisory: Completion of HSCI 3, HSCI 30, HSCI 50 and BIOL 55 with grades of "C" or better; eligibility for ENGL 11 Hours: 200 laboratory Description: Provides the supervised clinical and field experience training requirements for Advanced Emergency Medical Technician, at the limited advanced life support (LALS) scope of practice. Successful completion of HSCI 51 and HSCI 52 makes the student eligible to take the National Registry of EMTs (NREMT) Advanced Emergency Medical Technician (AEMT) certification exam. Course is approved by the Sierra Sacramento Valley - Emergency Medical Services (EMS) Agency, and conforms to the National EMS Scope of Practice Model, the EMS National Education Standards and complies with Title 22, Division 9, Chapter 3 of the California State Code of Regulations. (not transferable) Course Student Learning Outcomes CSLO #1: Safely administer medications. CSLO #2: Safely perform an esophageal-tracheal intubation. CSLO #3: Perform an advanced assessment on pediatric patients. CSLO #4: Safely gain intravenous (IV) access in all age group patients. CSLO #5: Perform as a team leader in a variety of prehospital emergency situations and communicate scene direction and coordination to other team members. Effective Term Fall 2023 Course Type Credit - Degree-applicable Contact Hours 200 Outside of Class Hours 0 Total Student Learning Hours 200 Course Objectives 1. Calculate a drug dose, and safely administer the medications. 2. Perform an esophageal-tracheal intubation on an unresponsive patient. 3. Demonstrate ability to safely gain a peripheral venous access on an adult patient. 4. Demonstrate ability to safely gain a peripheral venous access on an adolescent patient. 5. Demonstrate ability to safely gain peripheral venous access on a pediatric patient. 6. Demonstrate ability to safely establish an interosseous access in the adult patient. 7. Demonstrate ability to safely establish an interosseous access in the pediatric patient. 8.Demonstrate ability to effectively ventilate an intubated adult patient. 9. Demonstrate ability to effectively ventilate an intubated adolescent patient. 10. Demonstrate ability to effectively ventilate an intubated pediatric patient. 11. Demonstrate ability to perform an advanced assessment on a pediatric patient. 12. Demonstrate ability to perform a comprehensive patient assessment on an adult. 13. Demonstrate ability to perform an advanced assessment on geriatric patient. 14. Demonstrate ability to perform an advanced assessment, formulate and implement a treatment plan for a critical trauma patients. 15. Demonstrate ability to perform an advanced assessment, formulate and implement a treatment plan for patients with acute cardiac chest pain. 16. Demonstrate ability to perform an advanced assessment, formulate and implement a treatment plan for patients in acute respiratory failure. 17. Demonstrate ability to perform an advanced assessment, formulate and implement a treatment plan for patients with acute abdominal pain. 18. Demonstrate ability to perform an advanced assessment, formulate and implement a treatment plan for patients with an altered mental status. 19. Demonstrate ability to serve as the team leader in variety of prehospital emergency situations. 20. Demonstrate ability to accurately and clearly document patient care, record the interventions and accurately describe the patient response to the intervention and the resulting outcome of patient care. General Education Information Approved College Associate Degree GE Applicability CSU GE Applicability (Recommended-requires CSU approval) Cal-GETC Applicability (Recommended - Requires External Approval) IGETC Applicability (Recommended-requires CSU/UC approval) Articulation Information Not Transferable Methods of Evaluation Reports Example: 1. Under the direct supervision of their field preceptor, the student will be evaluated for their ability to accurately and clearly document patient care, record the interventions and accurately describe the patient response to the interventions, and the resulting outcome of patient care. Students performance outcome will be based on their ability to communicate accurate information in a medical legal document. Skill Demonstrations Example: 1. Under the direct supervision of a clinical preceptor in clinical setting, student will be required to interact with an actual medical patient with chest discomfort. Student will be evaluated for their ability to perform a patient assessment, and formulate and implement a treatment plan for acute cardiac chest pain. The student will correctly evaluate and assess the patient using critical thinking skills to select appropriate prehospital protocol. 2. Under the direct supervision of a field preceptor student will be given a practical emergency medical scenario with minimal information on patient history. The student will be evaluated for their ability to utilize subjective and objective components of the primary assessment, and to demonstrate their ability to select an appropriate intervention utilizing limited advanced life support protocols. Repeatable No Methods of Instruction Laboratory Lab: Instructor/Clinical Coordinator evaluates readiness of clinical and field experience assignments: A. evaluate clinical and field provider sites, and student readiness for the experience. B. collaborate with the clinical and field experience office, ensure student orientation to purposes and processes. C. complete, sign, review and submit all necessary provider contracts and student paperwork. D. determine appropriate learning objectives to enhance the student's knowledge and skill levels. Instructor/Clinical Coordinator during the course of the clinical and field experience: A. visit clinical site to evaluate health and safety issues. B. evaluate student progress in first 6 weeks of clinical and field experience, and anytime on an as-needed basis. C. consult with student and clinical supervisor to monitor progress of clinical experience. D. consult with student and agency supervisor to monitor progress of field experience. Instructor/Clinical Coordinator, at the conclusion of the clinical and field experience: A. review and approve preceptors’ written evaluation of student's grade; B. review student's time card verifying total required hours; C. review student work journal chronicling duties; D. review tasks and projects completed; E. complete clinical and field site verification; and signed instructor time sheet. F. solicit input from work-site supervisor for student final evaluation and complete final paperwork. Typical Out of Class Assignments Reading Assignments 1. Read current EMS industry/EMS professional publications or manuals provided by instructor/clinical coordinator. Compare articles to local protocols, text books or other EMS industry-related journals. 2. Read the regional protocols for Limited Advanced Life Support care for acute Allergic Reaction Emergencies and explain the physiological changes that occur within the body during an anaphylactic reaction. 3. Read the regional treatment protocols on trauma and explain the pathology of traumatic injuries. Describe the signs and symptoms of perfusion compromise and the physiological effects on the body. Writing, Problem Solving or Performance 1. Through required documentation, student will log all activities, track daily tasks, training discussions and any training activities, Advanced skills learned, training projects completed, and any type of new knowledge gained in the course of making actual patient contacts. 2. Student will complete a new patient care report (PCR) for all documentation of medical/legal activities involved with patient care, to include chief complaints, sign and symptoms, subjective and objective findings during the assessment, recording all trending of vital signs and any trending changes in the ongoing assessment, and document all patient procedures attempted, completed, and any new changes or results in overall patient condition. Other (Term projects, research papers, portfolios, etc.) Required Materials Advanced Emergency Care and Transportation of the Sick and Injured Author: American Academy of Orthopaedic Surgeons (AAOS), Mike Kennemer, Ed D.NREMT-P Publisher: Jones and Bartlett Publishers Publication Date: 2023 Text Edition: 4th Classic Textbook?: No OER Link: OER: Other materials and-or supplies required of students that contribute to the cost of the course.
