Search Results

HSCI 0055 - Paramedic Clinical Experience

http://catalog.sierracollege.edu/course-outlines/hsci-0055/

Catalog Description Prerequisite: Completion of HSCI 54 with grade of "B" or better; current California EMT Certification, Current AHA BLS, ACLS and PALS Certification/equivalent Hours: 234 (18 lecture, 216 laboratory) Description: Part three of a four-part series providing the foundational knowledge required for the paramedic level of care in the Emergency Medical System (EMS). The Clinical section provides students with an acute clinical care experience under the direct supervision of a Registered Nurse and Paramedic preceptor. The student will identify abnormal physical assessments and be able to apply appropriate priority interventions. Students will be exposed to dynamic clinical environments including the emergency department and labor and delivery. Supervised clinical training on high-fidelity manikin simulation. (CSU) Course Student Learning Outcomes CSLO #1: Perform professional communication skills required to promote teamwork in a strong student-preceptor mentoring relationship. CSLO #2: Integrate Advanced Life Support theories and skills to provide care for patients with a variety of medical disorders and emergencies across the adult life span. CSLO #3: Access, use, and evaluate patient care technologies and interventions in a clinical environment. CSLO #4: Explain concepts related to patient safety and quality healthcare in both the clinical and prehospital environments. CSLO #5: Perform the leadership skills and scene management abilities to promote optimal patient care and crew safety in a variety of medical emergencies and critical trauma patients while in a clinical setting. Effective Term Spring 2025 Course Type Credit - Degree-applicable Contact Hours 234 Outside of Class Hours 36 Total Student Learning Hours 270 Course Objectives Lecture Objectives: Explain local protocols for a variety of medical or trauma situations.  Laboratory Objectives: Calculate a drug dose, and safely administer the medication following the 9 rights of medication administration. Perform an endotracheal intubation or advanced airway in an unresponsive patient. Demonstrate the ability to safely gain peripheral intravenous access on any patient. Demonstrate the ability to safely establish interosseous access on any patient. Demonstrate the ability to effectively ventilate an intubated patient. Demonstrate the ability to effectively perform lesser-used skills such as thoracentesis and cricothyrotomy.  Demonstrate the ability to effectively utilize advanced life support technology and tools.  Demonstrate ability to perform an advanced assessment, formulate and implement a treatment plan for a critical trauma patient. Demonstrate ability to perform an advanced assessment, formulate and implement a treatment plan for a critical medical patient.  Demonstrate ability to serve as the team leader in a variety of prehospital emergency situations. Demonstrate ability to accurately 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 CSU Transferable Methods of Evaluation Reports Example: Under the direct supervision of the Program Clinical Coordinator, the student will be evaluated for their ability to accurately document all patient care, record the interventions, and accurately describe the patient response to the interventions, and the resulting outcome of patient care. The student 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 the clinical preceptor, the student will interact with a cardiac patient with chest discomfort. The student will be evaluated for their ability to perform a patient assessment and formulate and implement a treatment plan for acute cardiac chest pain. 2. Under the direct supervision of the clinical Preceptor, the 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 advanced life support protocols. Repeatable No Methods of Instruction Laboratory Lecture/Discussion Lab: Following an instructor lecture on calculating a drug dose, and the safe administration of medications, students will properly calculate a drug dose based on an instructor-provided scenario. The Instructor/Clinical Preceptor will evaluate the effectiveness of clinical and field experience assignments by physically demonstrating and then observing the student's ability to perform an advanced assessment and formulate and implement a treatment plan for a critical trauma patient. The Instructor/Clinical Preceptor will evaluate the effectiveness of clinical and field experience assignments by demonstrating and then physically observing the students to 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. The Instructor/Clinical preceptor will evaluate the student's ability to effectively serve as the team leader in a variety of prehospital emergency situations by demonstrating and evaluating the student's performance. Lecture: Provide an example of this method of instruction. Explain both what the instructor and students are expected to be doing and experiencing. Following an instructor lecture on calculating a drug dose, and the safe administration of medications, students will properly calculate a drug dose based on an instructor-provided scenario. Typical Out of Class Assignments Reading Assignments 1. Read the regional protocols for Pediatric Advanced Life Support care for Acute respiratory distress and explain the physiological changes that occur within a pediatric patient having an anaphylactic reaction. The student will discuss the appropriate Advanced protocol, and explain the best course of action based on the immediate general impression and assessment of the patient. 2. Read the regional treatment protocols on trauma and explain the pathology of traumatic injuries. The student will describe the signs and symptoms of perfusion compromise and the physiological effects on the body, and compare Regional and National Protocols. 3. Read current EMS industry/EMS professional publications or manuals provided by the Preceptor and Clinical Coordinator. Compare articles to local protocols, textbooks, or other EMS industry-related journals, and discuss the differences and benefits of the different protocols. Writing, Problem Solving or Performance 1. Through required documentation, student will log all clinical activities, track daily tasks, training discussions and any training activities, Advanced Life support skills learned, training projects completed, advanced skills, and any protocols performed during instructor-based human simulations. 2. Student will complete a patient care report (PCR) documentation for all patient contacts and any medical/legal activities involved with patient care. Documentation will include chief complaints, signs and symptoms, subjective and objective findings during the assessment, recording all trending of vital signs and any trending changes in the ongoing assessment, and documentation of all patient procedures attempted, and completed, including changes or results in overall patient outcome. Other (Term projects, research papers, portfolios, etc.) Required Materials AAOS Emergency Care in the Streets Author: Nancy Caroline Publisher: Jones and Bartlett Publishers Publication Date: 2021 Text Edition: 9th; Volume 1 Classic Textbook?: OER Link: OER: AAOS Emergency Care in the Streets Author: Nancy Caroline Publisher: Jones & Bartlett Publishers Publication Date: 2021 Text Edition: 9th; Volume 2 Classic Textbook?: OER Link: OER: Other materials and-or supplies required of students that contribute to the cost of the course.