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HSCI 0056 - Paramedic Field Internship

http://catalog.sierracollege.edu/course-outlines/hsci-0056/

Catalog Description Prerequisite: Completion of HSCI 55 with grade of "B" or better; current California EMT Certification, AHA BLS, ACLS, PALS Certification/equivalent Hours: 540 laboratory Description: Part four of a four-part series providing the foundational knowledge required for the paramedic level of care in the Emergency Medical System (EMS). The field Internship section provides the paramedic student the culminating field experience minimum of 480 hours on an Advanced Life Support (ALS) ambulance and/or fire engine. The paramedic student will work in a variety of patient care situations under the direct supervision of a Paramedic Preceptor and will demonstrate the ability to perform an assessment, identify abnormal physical findings, and be able to apply appropriate priority interventions while working in dynamic field environments. (CSU) Course Student Learning Outcomes CSLO #1: Perform professional communication skills required to promote team work and a strong student-preceptor mentoring relationship in the field environment. CSLO #2: Integrate ALS theories and skills from prerequisite courses to provide care for patients with a variety of medical disorders/emergencies and critical trauma emergencies across the adult life span under the direct supervision of a field preceptor. CSLO #3: Access, use, and evaluate patient care technologies in a field environment. CSLO #4: Explain concepts related to patient safety and quality healthcare in a field environment. CSLO #5: Exhibit the leadership skills and scene management abilities to promote optimal patient care and crew safety in a field environment. Effective Term Spring 2025 Course Type Credit - Degree-applicable Contact Hours 540 Outside of Class Hours Total Student Learning Hours 540 Course Objectives Recite local protocols and treatment guidelines. 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 the ability to operate with collaborative and accessible medical oversight, recognizing the need for autonomous decision-making. 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. Demonstrate ability to serve as the team leader in a minimum of 40 Advanced Life Support (ALS) type patients in a variety of prehospital emergency situations. 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 their Paramedic Field Preceptor, the student will be evaluated for their ability to accurately and clearly document all patient care contacts, record the interventions, accurately describe the patient response to the interventions, and resulting outcome of patient care. 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 a Paramedic Field Preceptor in a field setting, student will be required to interact with an actual respiratory patient in acute respiratory failure. Student will be evaluated for their ability to perform a rapid patient assessment, and formulate and implement a treatment plan for acute respiratory distress. The student will correctly evaluate and assess the patient using critical thinking skills to select appropriate prehospital protocols. Students performance will be assessed based on standard of care and local protocol. 2. Under the direct supervision of a Paramedic Field Preceptor student will be given a practical emergency medical scenario with minimal information on patient history. The student will be evaluated on a human simulator 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. Students performance will be assessed based on standard of care and local protocol Repeatable No Methods of Instruction Laboratory Lab: The Field Preceptor will review the skill procedure and then observe the advanced psychomotor skills of the student on a human simulator; the field preceptor will then evaluates the student's performance in the field by observing their ability to gain peripheral venous access on a live pediatric patient and observe students ability to safely establish an interosseous access in the live pediatric trauma patient. The Field Preceptor will review how to accurately record and clearly document patient care. The field preceptor along with the field coordinator will evaluate the student's ability to record their field interventions and accurately describe the patient's response to the intervention and the resulting outcome of the prehospital patient care. 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 paramedic protocols for Advanced Life Support care for Severe Allergic Reaction Emergencies and explain the rapid physiological changes that occur within the body during an anaphylactic reaction. 3. Read the regional paramedic 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 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 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 and Bartlett 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.