Student Catalog - Nature Coast EMS

Transcription

NATURE COAST EMERGENCY MEDICAL INSTITUTE STUDENT CATALOG
Serving with Excellence and Compassion
VOLUME NUMBER 7
EFFECTIVE: September 1st, 2013
3876 W Country Hill Drive
Lecanto, Florida 34461
352-249-4750
www.naturecoastems.org
Student Catalog
•
Emergency Medical Technician
• Paramedic
License Number 4158
Licensed by the Commission for Independent Education
325 W. Gaines Street, Suite 1414, Tallahassee, FL 32399-0400
(800) 245-3200
To be eligible for certification as a Florida EMT, an applicant must follow guidelines as outlined
by the Florida Department of Health, Office of EMS and Medical Quality Assurance. For more
information about EMT and Paramedic certification contact:
Florida Department of Health
Division of Medical Quality Assurance
EMT/Paramedic Certification Office
4052 Bald Cypress Way, Bin C85
Tallahassee, FL 32399-3285
Phone: (850) 488-0595
Fax: (850) 921-6365
Web: www.doh.state.fl.us/mqa/EMT-Paramedic
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Purpose of the Institute:
Our purpose at Nature Coast EMI is to set the standard for EMS training in the Citrus County
area and prepare clinically competent, technically proficient graduates for positions as entrylevel EMTs or Paramedics in the municipal, voluntary, and private sectors.
We will accomplish this by:
• Providing an environment that is conducive to learning and supportive to the student.
• Providing students with the necessary support and guidance including counseling,
remediation and tutoring.
• Ensuring that students have equipment available to learn, practice, and perfect their
skills and knowledge.
• Hiring faculty who are experts in their field and knowledgeable in these disciplines.
• Ensuring that the students have access to a wide variety of clinical experience through
affiliation agreements for clinical rotations and field externships.
• To help students seek employment upon completion of program and certification.
Statement of Ownership:
Nature Coast EMI is a 501-(C)(3) Not-for-profit organization that reports to a Board of
Directors that serve as the Corporate Officers.
Nature Coast EMI Board of Directors:
Daniel Griffin
James Finney
Carole McHugh
Eloy Nunez
Bonnie Rybek
Upon successful completion of each program Nature Coast EMI will issue a Florida
Department of Health approved program diploma that complies with the professional
education requirements for State of Florida course completion.
NATURE COAST EMI IS NOT CURRENTLY ACCREDITED
AS A SCHOOL. STUDENTS WILL NOT BE ELIGIBLE FOR
TITLE IV FEDERAL FINANCIAL ASSISTANCE OR STATE
STUDENT FINANCIAL ASSISTANCE.
Questions for the Commission for Independent Education can be addressed to:
Commission for Independent Education
325 West Gaines Street, Suite 1414
(850) 245-3200 Fax: 245-3234
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CIE Website: www.fldoe.org/cie
Tuition and Fees
Tuition and any other fees are to be paid in full prior to the first day of class. Payments are to
be made in the form of Certified Check, Money Order or Credit Card. All payments are made
payable to Nature Coast EMI and presented to the administration office during office hours
(9:00 am – 5:00 pm), Monday through Friday.
Nature Coast EMI faculty is not authorized to accept any tuition or any form of payment.
Tuition reimbursement is calculated according to the date that the student drops a course or
courses. Refund applications are available in the school office. In cases of Medical Leave of
Absence, the refund is computed according to the effective date of the leave. Non-instructional
fees are non-refundable except the program being canceled by the school or the student enters
military. Non-instructional fees are clinical and computer base labs which is purchased for each
student by the school.
Program Fees:
EMT
150.00
Paramedic
$ 150.00
Application Fee:
$
Tuition:
$ 1,350.00
$ 5,020.00
Lab Fees:
$
50.00
$
150.00
Books & Supplies:
$ 385.00
$
930.00
TOTAL:
$ 1,930.00
$ 6,250.00
***
Additional Fees:
Background fee
EVOC
State Prep Class
$ 70.00 (Required)
$ 150.00 (Optional)
$
80.00 (Optional)
Table of Contents
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Introduction
State License and Affiliations
Mission
Vision
Staff Directory
Admissions Policy and Procedures
General Application Procedures
Transfer Students
International Students
Paramedic Program Hours
Admission Requirements
Program Objectives
Course Curriculum Summary
Student Evaluation
Grading Policy
Incomplete Grade
Standards of Satisfactory Progress
Academic Probation
Overall Course Completion
Conduct
Attendance
Sick Call
Inclement Weather
Student to Instructor Ratio
Absences from Classroom
Absences during Lab Practical
Make Up Work
Prohibited Conduct
Patient Confidentiality
Dress Code
Equipment Policy
Telephone
Discipline Procedures
Administrative Withdrawals
Student Appeal
Withdrawals, Expulsions, Refunds
Extended Enrollment Status
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Reestablishing Eligibility Reentry
Financial Aid
Lost Property
Academic Advising and Tutoring
Resources
Parking
Student Library
Discrimination and Harassment
Student Advocacy
Record Keeping
Job Placement Assistance
Indemnification
Textbooks and Resources
Holiday and Academic Calendar
Student Services
Harassment and discrimination
Accreditation status
Reference Material
Introduction to Paramedic Clinical
(27)
Course Descriptions
(40)
Hospital Clinical Requirements
(43)
Field Clinical Requirements
(45)
Introduction to EMT Clinical
(46)
EMT Course Descriptions
(54)
EMT Hospital Clinical Requirements
(58)
EMT Field Clinical Requirements
(59)
Introduction
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Nature Coast Emergency Medical Institute is a state of the art emergency medical training school
providing Emergency Medical Technician and Paramedic training. Nature Coast Emergency
Medical Institute also conducts various Basic Life Support (BLS) and Advanced Life Support
(ALS) continuing education courses.
State License and Affiliations
The Florida Board of Education and the State of Florida Department of Health license Nature
Coast Emergency Medical Institute. .
Mission of Nature Coast Emergency Medical Institute
Education
Nature Coast Emergency Medical Institute will provide a learning environment that is facilitated
through “hands-on” training and active participation.
• Students will be proficient and competent in all knowledge and skills required by both the
State of Florida and the United States Department of Transportation paramedic.
• Students will be prepared to successfully complete the National Registry of Emergency
Medical Technicians and State of Florida Paramedic examination.
• Students will be instilled with the discipline to carry themselves as medical professionals
and to provide competent and quality pre-hospital care.
• We will use only competent and experienced instructors that provide up to date
instruction.
Our result will be to provide area EMS services with qualified and competent entry-level EMS
providers for hire.
Vision
Nature Coast Emergency Medical Institute will be the state of the art prehospital care training
center for the Nature Coast and will offer initial education, continuing education and specialty
credentialing courses. Nature Coast Emergency Medical Institute is an accredited institution
providing our students the opportunity to successfully complete EMS related education.
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Staff Directory
President/CEO
Mike Hall
Office Phone: (352) 249-4700
Email: [email protected]
The President/CEO is responsible for Nature Coast EMS’s mission and objectives and oversees
operations and leadership programs. The President/CEO is responsible for developing all
clinical locations to include hospitals, clinics, and pre-hospital care providers. The President/
CEO will be knowledgeable concerning current State of Florida and National Registry
accreditation requirements for certification and licensure. The President/CEO will provide longrange planning and ongoing development of the Nature Coast Emergency Medical Institute
programs. The President/CEO will be the direct liaison with the Medical Director and develop
cooperative involvement with area departments and services. The President/CEO may delegate
responsibility to other program faculty as appropriate.
Medical Director
Office Phone: (352) 249-4700
Mary Ann Kolar, D.O.
The Medical Director will review and approve all educational content of the programs offered
by Nature Coast EMS. The Medical Director will review and approve the content of medical
instruction and the supervision and evaluation of students. The Medical Director will assure
and attest to the competence of each graduate in the cognitive, psychomotor and affective
domains. The Medical Director will have experience and current knowledge of all EMS practices
regarding acutely ill and injured patients. The Medical Director will be knowledgeable about
the paramedic educational programs and the legislative/regulatory issues regarding educational
programs for pre-hospital providers. The Medical Director will be an active member of the local
EMS community and occasionally facilitate lectures for the school.
Program Director
Office Phone: (352) 249-4751
Jane Bedford
Cell Phone: 352-302-8486
The Program Director is responsible for the daily operations of paramedic programs including
continuing education programs. The Program Director will have the appropriate education,
training and experience as an educator to fulfill the role. The Program Director will have field
experience in the delivery of pre-hospital care. The Program Director shall be responsible for
the effectiveness of the EMS programs. This will include classroom scheduling, instructor
scheduling, AV presentation setup, student record handling and other assigned duties.
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Paramedic Lead Instructor and Clinical Coordinator
Office Phone: (352) 249-4760
Ron Bray
Cell Phone: 352-400-1191
The Lead Instructor is responsible for managing all Nature Coast EMI offered Education
Programs including effective coordination between Education Director and education programs
offered to internal and external students. Maintain compliance with standards, rules and
regulations at all times. Function as the Lead Instructor responsible for coordinating and
conducting the EMS Education Programs and maintain credentials to and teach any and all
classes offered by Nature Coast EMS Education. The EMS Educator shall have at least
equivalent academic training and preparation and hold all credentials for which the students are
being prepared. The EMS Educator acts as the liaison between the students, Nature Coast EMS,
the local medical community, and the state-level certifying agency. In addition, is responsible
for assuring that the course goals and objectives set forth by the Department of Education
and Florida Office of EMS are met. The lead instructor may also serve as the Primary/Lead
Instructor responsible for the teaching of a specific lesson(s) of the EMTBasic or Paramedic
course. This individual shall be knowledgeable in all aspects of prehospital emergency care, in
the techniques and methods of adult education, and managing resources and personnel. This
individual shall be present at most, if not all, class sessions to assure program continuity and
to be able to identify that the students have the cognitive, affective, and psychomotor skills
necessary to function as an Emergency Medical Technician Basic or Paramedic. The Clinical
Coordinator is responsible for scheduling of clinical time for students who require clinical
rotations. The Clinical Coordinator will serve as the liaison for the clinical sites and will conduct
random clinical site inspections to evaluate student and preceptor performance. The Clinical
Coordinator will assist the Program Director to ensure that all program clinical requirements are
met.
EMT Lead Instructor and Clinical Coordinator
Office Phone: (352) 249-4734
Lori Thompson
Cell Phone: 352-601-7330
The Lead Instructor is responsible for managing all Nature Coast EMI offered Education
Programs including effective coordination between Education Director and education programs
offered to internal and external students. Maintain compliance with standards, rules and
regulations at all times. Function as the Lead Instructor responsible for coordinating and
conducting the EMS Education Programs and maintain credentials to and teach any and all
classes offered by Nature Coast EMS Education. The EMS Educator shall have at least
equivalent academic training and preparation and hold all credentials for which the students are
being prepared. The EMS Educator acts as the liaison between the students, Nature Coast EMS,
the local medical community, and the state-level certifying agency. In addition, is responsible
for assuring that the course goals and objectives set forth by the Department of Education
and Florida Office of EMS are met. The lead instructor may also serve as the Primary/Lead
Instructor responsible for the teaching of a specific lesson(s) of the EMTBasic or Paramedic
course. This individual shall be knowledgeable in all aspects of prehospital emergency care, in
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the techniques and methods of adult education, and managing resources and personnel. This
individual shall be present at most, if not all, class sessions to assure program continuity and
to be able to identify that the students have the cognitive, affective, and psychomotor skills
necessary to function as an Emergency Medical Technician Basic or Paramedic. The Clinical
Coordinator is responsible for scheduling of clinical time for students who require clinical
rotations. The Clinical Coordinator will serve as the liaison for the clinical sites and will conduct
random clinical site inspections to evaluate student and preceptor performance. The Clinical
Coordinator will assist the Program Director to ensure that all program clinical requirements are
met.
Student Services Coordinator
Jerri Regan
Office Phone: (352) 249-4725
The Student Services Coordinator is a resource person and the best contact for questions and
routing on whom to contact for information.
Admissions Policy and Procedures
Nature Coast Emergency Medical Institute welcomes qualified applicants who desire to receive
a challenging and demanding pre-hospital course that will provide you with the skills and
knowledge base to begin an exciting and rewarding career. A “rolling” admissions policy
governs most of Nature Coast Emergency Medical Institute programs and programs are
scheduled throughout the calendar year.
• Applicants must complete the Nature Coast Emergency Medical Institute application
packet. Each prospective student must provide proof of high school graduation or GED.
Official transcripts must be provided prior to enrollment but no later than 30 days
after the start of the initial term of enrollment. Transfer students must provide official
transcripts prior to the beginning of any of our courses.
• Successful completion of a standardized entrance examination is required of all
applicants. The Program Director has the authority to waive the examination requirement
of an applicant who has satisfactorily completed the minimum equivalent of an
Associate’s Degree at the post secondary level.
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General Application Procedures
Complete an application, which can be downloaded from our web site www.naturecoastems.org
General Admission Requirements
1. Completed application
2. $150 application fee (Non-refundable included background and drug screening)
3. Must be at least 18 years of age.
4. Florida State Drivers License and /or Identification card
5. High School graduate or G.E.D.
6. Documentation of an annual physical exam within the last 6 months and be in good
health.
7. Provide documentation of current immunizations
8. Current AHA Healthcare Provider CPR Card
9. Current Florida State EMT before completion of 382 hours of program.
10. Pass an entrance examination
11. Interview with the Program Director and/or Designee
Nature Coast Emergency Medical Institute is a diploma program and does not award credits or
accept credits for transfer.
International Students
International students interested in entering Nature Coast Emergency Medical Institute programs
must demonstrate legal immigration status and must demonstrate that they have graduated from a
secondary school recognized by the Ministry of Education or equivalent entity. All international
students must show proof of English language competency. Students must demonstrate that they
are able to meet all costs of their education without any financial aid unless they are eligible noncitizens.
Clock Hours
A clock hour is defined as period of 60 minutes with a minimum of fifty-minutes (50) of
instruction in the presence of an instructor followed by a ten-minute (10) break.
• Emergency Medical Technician 250 Clock Hours
• Paramedic 1214 Clock Hours
EMT Program Hours
Classes are approximately four (4) hours per day and are held on a schedule that alternates from
three to four days a week Evening classes are on Monday, Wednesday and Thursday from 6pm
to 10pm. Skills lab will alternate days and will be on a first come first serve basis.
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Paramedic Program Hours
Classes are approximately seven (7) hours per day and are held on a “shift friendly” schedule
that alternates from one to two days a week. Day classes are routinely from 9am to 4pm.
Evening classes are routinely on Monday, Thursday and Friday from 6pm to 10pm. Class
schedule is subject to change due to holidays and class needs. The class syllabus offers the
official program schedule for each class.
Admission Requirements for the Paramedic Program
1.
2.
3.
4.
5.
6.
Completed application
$150 application fee (Non-refundable included background and drug screening)
Must be at least 18 years of age.
Florida State Drivers License and /or Identification card
High School graduate or G.E.D.
Documentation of an annual physical exam within the last 6 months and be in good
health.
7. Provide documentation of current immunizations
8. Current AHA Healthcare Provider CPR Card
9. Current Florida State EMT before completion of 382 hours of program.
10. Pass an entrance examination
11. Interview with the Program Director and/or Designee
Applicants are selected based on grades on the screening exams, interview results, and other
considerations such as background, education, and experience. The paramedic student must
maintain both the CPR and the EMT certification throughout the paramedic program. In order to
graduate, the paramedic student must successfully complete the AHA ACLS certification.
Admission Requirements for the EMT Program
1. Completed program application and a non refundable application fee of $50.00 due at
time application is submitted.
2. Must be at least 17 years of age and reach the age of 18 before taking Florida EMT
Exam.
3. Valid State of FL Drivers License and Social Security Card.
4. High School Diploma or G.E.D, or “Intent to graduate” for High School Seniors.
5. Documentation of annual physical exam with the last 12 months and you must currently
be in good physical health.
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6. Documentation of current immunizations to include: MMR, TB within the last 12
months, Hepatitis B (optional)
7. Pass NCEMI authorized background check and drug screen
8. Pass a NCEMI basic aptitude test.
9. Approval by Program Director to be enrolled into program after background check
10. Valid AHA Healthcare Provider CPR card.
11. Ability to lift 125 pounds
EMT and Paramedic Program Objectives
The following objectives have been established and meet the requirements that are mandated by
the State of Florida and the National Registry of Emergency Medical Technicians:
1. The paramedic/EMT student will be trained to be a minimally competent pre-hospital
care provider able to be a productive member of the EMS/Allied health career field.
2. The paramedic/EMT student will learn to handle most BLS and ALS (paramedic)
medical emergencies via in depth didactic lecture and intensive hands-on lab practical.
EMT Program Objectives: Comprehend, apply and evaluate clinical information relevant to
the role of an Emergency Medical Technician. This will be accomplished by a comprehensive
course exam and skills practical, as well as the State Exam. Nature Coast Emergency Medical
Institute will maintain a student to instructor ratio of 6:1 on all skill lab days.
Demonstrate technical proficiency in all medical skills necessary to fulfill the role of entry level
Emergency Medical Technician. This evaluation will be completed by a final comprehensive
exam, hospital clinical rotations and field externship evaluation.
Demonstrate personal behaviors consistent with professional and employer expectation for the
Emergency Medical Technician.
Upon successful completion of all the requirements, the student will have met the State of
Florida minimum requirements to take the State certification exam. The following objectives
have been established and meet the requirements that are mandated by the State of Florida and
the National Registry of Emergency Medical Technicians:
1. The EMT student will be trained to be a minimally competent pre-hospital care provider
able to be a productive member of the EMS/Allied health career field.
2. The EMT student will learn to handle most BLS medical emergencies via in depth
didactic lecture and intensive hands-on lab practical.
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Paramedic Program Objectives:
1. To develop in the graduate paramedic, an understanding of Emergency medical Systems
and the practice of pre-hospital medicine as it applies to the roles and responsibilities of
the Paramedic.
2. To prepare the graduate Paramedic to provide quality care and to function competently
and effectively in the pre-hospital system of healthcare. The graduate Paramedic will be
able to demonstrate advanced skills and knowledge in his patient encounters.
3. To prepare the graduate Paramedic to successfully complete the Florida State and/or
National Paramedic Certificate Examination.
4. To assist the graduate Paramedic in their understanding of the need to continue their
education and be aware of the requirements of their certification/license.
Course Curriculum
The curriculum includes classroom, laboratory sessions, and clinical externships. These courses
will emphasize skills and knowledge needed for an entry-level EMT or paramedic.
Student Evaluation
Students will be evaluated on their academic, psychomotor and affective performance in the
program.
Cognitive Evaluation
Didactic evaluation will consist of written examinations and quizzes and oral examinations. The
written evaluation will contain a variety of question types including multiple choice, true/false,
matching, situational, short answer and essay. The student will be made aware of the objectives
for each examination. Those objectives will cover basic EMT/Paramedic skills/knowledge as
well as advanced skills and knowledge. Material covered on quizzes/exams is derived from
• Reading assignments
• Lecture materials
• Handouts
• Practical Skills Sheets
• Policies and Procedures
• Any other material covered in the course
• Assigned reading
An overall grade average of 80% or better must be maintained for successful completion of the
course. If a student’s average falls below 80%, he/she will be placed on academic probation.
The student will then be required to bring his/her average up to 80% or higher on the next
two (2) written exams. If after two (2) written exams, the student’s average is above 80%, the
student will be removed from academic probation. If, however, the student’s average is still
below 80%, the student faces dismissal from the program. The student must have a class average
of 80% or better to be eligible to take any certification examination (i.e. EMT-P). Passing the
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course final with an 80% or better is also required to pass the course. Failure of the final exam
constitutes failure of the course. The student must pass the mid-term written exam with an 80%
or better and the midterm oral examinations (2 out of 3 scenarios). Arrangements to take exams
or quizzes missed for excused reasons must be made within one week of the exam. Permission
to miss the exam must be obtained from the Instructor prior to the scheduled exam time. Students
who miss any exam will have 10% deducted from their score on the make-up exam.
Psychomotor/Skills Evaluation
Practical skills examinations will be graded on a pass/fail basis, where all skills must be passed
for the student to pass the practical exam. The student must pass interim skills evaluations using
the current criteria of the Florida State Department of Health to continue in the program. Should
a student fail any interim practical skills evaluation, he/she will be allowed to re-test a total of
three (3) times with appropriate remediation in between. Failure of the same skill four (4) times
is grounds for dismissal from the program. The time limit to complete any specific component
of a practical skills evaluation is 15 minutes, unless otherwise noted. Basic skills as well as
newly acquired advanced skills will be evaluated throughout the program. Students will be
counseled on areas in need of improvement and suggested strategies for improving performance.
While there are many ways to perform a procedure and perform it correctly, only those variants
sanctioned by the Program Medical Director and/or the Lead Instructor will be acceptable.
Successful completion of the final practical exam is required to sit for the State Certification
Examination.
Successful completion of the final practical exam is required to graduate the program and
sit for the State Certification Examination. The Medical Director shall have the duty and
responsibility of certifying graduates have successfully completed all phases of the education
program and are proficient in BLS techniques for EMT and BLS and ALS techniques for
Paramedic.
Affective Evaluation
Continuous evaluations in these areas of professional behavior will include the following:
Integrity
Examples of professional behavior include but are not limited to consistent honesty,
being able to be trusted with the property of others, can be trusted with confidential
information, complete and accurate documentation of patient care and learning activities.
Empathy
Examples of professional behavior include but are not limited to: showing compassion
for others; responding appropriately to the emotional response of patients and family
members; demonstrating respect for others; demonstrating a calm, compassionate and
helpful demeanor toward those in need; being supportive and reassuring to others.
Self-motivation
Examples of professional behavior include but are not limited to: taking initiative to
complete assignments; taking initiative to improve and/or correct behavior; taking on
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and following through on tasks without constant supervision; showing enthusiasm for
learning and improvement; consistently striving for excellence in all aspects of patient
care and professional activities; accepting constructive feedback in a positive manner;
and taking advantage of learning opportunities.
Appearance and Personal Hygiene
Examples of professional behavior include but are not limited to: clothing and uniform
is appropriate, neat, clean and well maintained; good personal hygiene and personal
grooming.
Self-confidence
Examples of professional behavior include but are not limited to: Demonstrating ability
to trust personal judgment; Demonstrating an awareness of strengths and limitations;
exercising good personal judgment.
Communications
Examples of professional behavior include, but are not limited to: speaking clearly;
writing legibly; listening actively; adjusting communication strategies to various
situations.
Time Management
Examples of professional behavior include, but are not limited to: consistent punctuality,
completing tasks and assignments on time.
Teamwork and Diplomacy
Examples of professional behavior include, but are not limited to: placing the success
of the team above self-interest; not undermining the team; helping and supporting
others; showing respect for all team members; remaining flexible and open to change;
communicating with others to resolve problems.
Respect
Examples of professional behavior include, but are not limited to: being polite to others;
not using derogatory or demeaning terms; behaving in a manner that brings credit to the
profession.
Patient Advocacy
Examples of professional behavior include, but are not limited to: not allowing personal
bias or feelings to interfere with patient care; placing the needs of patients above selfinterest; protecting and respecting patient confidentiality and dignity.
Careful Delivery of Service
Examples of professional behavior include, but are not limited to: mastering and
refreshing skills; performing complete equipment checks; demonstrating careful and safe
ambulance operations; following policies, procedures and protocols; following orders.
These professional behaviors will be assessed during classroom activities and practical lab
sessions, clinical rotations and field internship rotations. Interactions between the student and
other students, instructors, preceptors, patients and others the student has contact/interactions
with will form the basis for evaluation in this area.
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Areas in need of improvement will be discussed with the student in counseling sessions.
Documentation will include the areas in need of improvement as well as corrective actions that
need to be taken. Continued problems in this area may lead to dismissal from the program.
Grading Policy
Grades during the didactic phase will be determined based on the following:
A
94-100%
Excellent
B
87- 93%
Above Average
C
80- 86%
Average
F
0 - 79%
Failure
Homework is graded pass or fail. Homework (workbook) is due according to the course syllabus.
Homework is required to be turned in prior to being eligible to take an exam or quiz. At the
end of the course, the cumulative score of all required homework assignments will be compiled
and the grade will be used to replace the lowest exam score the student incurred. The minimum
passing score for quizzes is 80%. If a student misses a quiz due to an absence, they must take
the quiz the following class. If a student fails a quiz, he or she will continue to take a quiz until
successfully passed. The original score will stand in the grading. Module exams are given
for every section covered in the course syllabus including the midterm and final. Each student
must maintain an average of 80% to successfully complete the program. Any missed module
exam must be taken by the next scheduled class date, either before class begins or after class.
No exams will be available during the lunch hour. Missed module exams are not acceptable.
Exceptions are made on a case-by-case basis; otherwise missed module exams will be penalized
one letter grade for unexcused absences. Module exams may have a lab skills practical portion
based on the skills covered in the curriculum. The skills are a pass/fail objective. Failed skills
will constitute a failure for the exam and will follow the same procedures as if the written was
failed. Mid-term or Final exam failure is grounds for dismissal without further evaluation for
continuation or graduation from the course. Grades will be given during the next convening
class date.
Incomplete Grade
A student who receives an “I” (incomplete) grade is one who has not completed the required
work to maintain a satisfactory progress. He or she has two weeks to complete the work. If it is
not completed, the student may receive an “F” (failure) for the course.
Standards of Satisfactory Progress
Student evaluation will consist of didactic and clinical portions. Clinical evaluations are covered
in the clinical portion of the EMT/Paramedic handbook. Didactic evaluations consist of the
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written examinations (module exams) and quizzes and various other learning methods, i.e.
(presentations, projects, research papers). The Module exams will contain a variety of question
types including multiple choice, true/false, matching, situational short answer, fill in the blank,
and essay. The student will always be made aware of the objectives being tested for in each
examination. Material covered on the Module exams and quizzes are derived from reading
assignments, lecture material, handouts, practical skill sheets and any other material covered in
the program. Students enrolled at Nature Coast Emergency Medical Institute must be making
measurable academic progress towards completing of his or her program of study. The school
has established satisfactory academic progress standard minimum of a cumulative grade point
average of 80% (3.0 GPA).
Academic Probation
Failure of a student to meet academic or skill performance standards will result in remedial
action to address educational strategies. Such corrective action may include additional course
work in the form of oral presentations, written assignments, and one on one coaching by the
peers or staff.
The student or lecturer instructor may initiate remediation. Inability to resolve academic or skill
performance deficiencies with remedial work and after the instructional staff have exhausted all
the available resources, the student will be reevaluated for continuation in the program.
Overall Course Completion
An EMT student has completed his or her EMT education at Nature Coast EMI when the student
has met the following conditions:
All financial obligations have been met and all property of Nature Coast EMI has been returned
1. An overall average of 80% or pass has been achieved in all courses.
2. An overall “meets standards” has been achieved in all lab skills*.
3. An overall satisfactory grade has been achieved in clinical rotation*.
4. An acceptable final Externship Evaluation has been received from the preceptor.
5. The medical director attests to course completion.
6. Students are required to pass a comprehensive written with a score of 80% and a
comprehensive practical exam in order to successfully complete the training program
The Medical Director shall have the duty and responsibility of certifying graduates
have successfully completed all phases of the education program and are proficient in
BLS techniques. Successful completion of the final practical exam is required to sit for
the State Certification Examination.
Upon successful completion a students will receive a course completion certificate within 14
days. A student who has completed a course of instruction as an EMT may be eligible to test
for certification as an EMT in the State of Florida through the National Registry of Emergency
Medical Technicians provided that they meet the conditions set forth by both Florida State’s
Department of Health (Section 401, F.S.)*Recorded as a “Pass” on the course record.
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A paramedic student has completed his or her paramedic education at Nature Coast Emergency
Medical Institute when the student has met the following conditions:
All financial obligations have been met and all property of Nature Coast Emergency Medical
Institute has been returned
7. An overall average of 80% or pass has been achieved in all courses.
8. An overall “meets standards” has been achieved in all lab skills*.
9. An overall satisfactory grade has been achieved in clinical rotation*.
10. An acceptable final Externship Evaluation has been received from the preceptor.
11. Student has completed all required objectives for the course, including by not limited to
assignments, clinical rotations and externship assignments.
12. The medical director attests to course completion.
A student who has completed a course of instruction as a paramedic may be eligible to test for
certification as a paramedic in the State of Florida provided that they meet the conditions set
forth by either Florida State’s Department of Health.
*Recorded as a “Pass” on the course record.
Conduct
Students are expected to behave in a mature and professional manner on all clinical rotations and
adhere to the code of conduct as outlined below. Student will not be subjected to call or duty
during the training program in accordance with Florida Administrative Code.
EMT Code of Ethics (NAEMT)
Professional status as an Emergency Medical Technician and Emergency Medical Technician-Paramedic is
maintained and enriched by the willingness of the individual practitioner to accept and fulfill
obligations to society, other medical professionals, and the profession of Emergency Medical
Technician. As an Emergency Medical Technician-Paramedic, I solemnly pledge myself to the
following code of professional ethics:
A fundamental responsibility of the Emergency Medical Technician is to conserve life, to alleviate
suffering, to promote health, to do no harm, and to encourage the quality and equal availability of
emergency medical care.
The Emergency Medical Technician provides services based on human need, with respect for human
dignity, unrestricted by consideration of nationality, race creed, color, or status.
The Emergency Medical Technician does not use professional knowledge and skills in any enterprise
detrimental to the public well-being.
The Emergency Medical Technician respects and holds in confidence all information of a confidential
nature obtained in the course of professional work unless required by law to divulge such information.
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The Emergency Medical Technician, as a citizen, understands and upholds the law and performs the
duties of citizenship; as a professional, the Emergency Medical Technician has the never-ending
responsibility to work with concerned citizens and other health care professionals in promoting a high
standard of emergency medical care to all people.
The Emergency Medical Technician shall maintain professional competence and demonstrate concern
for the competence of other members of the Emergency Medical Services health care team.
An Emergency Medical Technician assumes responsibility in defining and upholding standards of
professional practice and education.
The Emergency Medical Technician assumes responsibility for individual professional actions and
judgment, both in dependent and independent emergency functions, and knows and upholds the laws,
which affect the practice of the Emergency Medical Technician.
An Emergency Medical Technician has the responsibility to be aware of and participate in matters of
legislation affecting the Emergency Medical Service System.
The Emergency Medical Technician, or groups of Emergency Medical Technicians, who advertise
professional service, does so in conformity with the dignity of the profession.
The Emergency Medical Technician has an obligation to protect the public by not delegating to a
person less qualified, any service which requires the professional competence of an Emergency
Medical Technician
The Emergency Medical Technician will work harmoniously with and sustain confidence in
Emergency Medical Technicians, the nurses, the physicians, and other members of the Emergency
Medical Services health care team.
The Emergency Medical Technician refuses to participate in unethical procedures, and assumes the
responsibility to expose incompetence or unethical conduct of others to the appropriate authority in a
proper and professional manner.
Attendance
A total of two (2) absences from classroom, lab, and clinical or field externship per phase of
class may result in dismissal from the program. Extraordinary circumstances will be handled
on a case-by-case basis by following established policies and procedures. Should a student be
unable to attend a scheduled clinical rotation, (s) he must contact the Lead Instructor or the
Program Clinical Coordinator. If a student is unable to attend a scheduled clinical rotation and
notifies the office twenty-four (24) hours or more in advance, (s) he will not be assessed with an
absence. Notification received in less than 24 hours will result in an absence is recorded and a
charge of $25.00 to the student.
Sick Call
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Working while you are ill helps no one. You create the risk of making yourself more ill and
infecting your assigned crew, hospital staff, and patients. While no one wants to miss class or a
field clinical, you should call in sick if you have one or more of the following:
• Fever >101 degrees.
• Frequent productive cough.
• Nausea and vomiting.
• Diarrhea.
• Any infectious disease (strep throat, chicken pox, etc.), unless you are cleared to return to
duty by a physician.
• Any condition where you feel your illness will disrupt the function of the class, crew
(needing to leave early after you arrive, etc.) or disruptive to patient care.
Notify the Lead Instructor or the Program Clinical Coordinator if you are calling in sick for a
scheduled clinical, preferably at least 2 hours before the scheduled start of the clinical. If you are
unable to reach the Lead Instructor or the Program Clinical Coordinator leave a voice-mail or email. Preceptors may dismiss a student from the classroom or clinical site if the student appears
ill, and/or is unable to complete his/her duties due to illness.
Inclement Weather
Due to the extreme fluctuations in Florida weather and especially during hurricane season,
prehospital care providers are often classified as “essential” personnel. This does not apply to
students. In the event of inclement weather, local radio stations will broadcast any closing of
federal, state, county, and local government offices to "non- essential" personnel. If the clinical
site orders "non-essential" employees to stay home, students should also stay home.
Nature Coast Emergency Medical Institute follows the direction of Citrus County Schools when
establishing "closed due to weather” status. If inclement weather occurs while the student is on
clinical, reasonable efforts will be made to allow the student to safely return home or to facilitate
sheltering in place.
Student to Instructor Ratio
The usual class size is listed below. Nature Coast Emergency Medical Institute will provide one
instructor for every six (1:6) students in the lab and skill evaluation training.
Paramedic
EMT-Basic
ACLS/PALS
PEPP
ITLS
Class Size:
Class Size:
Class Size:
Class Size:
Class Size:
24
30
30
30
24
Absences from classroom
A student will be allowed no more than two (2) absences with prior consent. Absences above this
limit will result in further evaluation of the student’s commitment, to the program and possible
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removal from the program. An absence with prior notification means that the student has
contacted the proper authority (Lead Instructor) at least one (1) hour prior to the scheduled start
of class. If the Lead Instructor cannot be contacted, then leave an email with the Lead Instructor.
It is appropriate to contact the school’s administration and leave the pertinent information.
After one (1) unexcused absence, the student will meet with the Program Director and may be
placed on academic probation. No tardiness or early exits will be tolerated. A tardy is defined
as arriving to the class after the scheduled start time. An early exit is defined as leaving more
than 30 minutes prior to the end of program. A student may be granted up to three (3) early exits
or late attendance due to unforeseen events. Afterward, the student will meet with the Program
Director to discuss the issue and plan a course of action, to include make up of the missing
hours and/or removal from the course. Students are responsible for the material covered in ALL
scheduled classes. Subject material cannot always be written as notes during classes; therefore, it
is crucial to attend each session
A leave of absence has no effect on the student’s standards of progress but will extend the
program completion time.
Absences during Lab Practical and/or specialty courses
If a student’s absence coincides with any required practical lab evaluations/testing or core
courses (ACLS, Paramedic) it is the student’s responsibility to reschedule the missed event on
their own time.
Make Up Work
Students, who miss assignments, quizzes, module exams or any other required work due to
absences, tardiness, or early exits, must make-up the work. The responsibility to complete the
missed work will require the students to schedule, the event on their own time. Missed quizzes,
module exams must be taken within 5 days from the student’s return to class. Failure to complete
the required exam/quiz in the required time will result in the grade being a “Failure”.
Prohibited Conduct
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Submitting assignments, exams or other academic work that were furnished by another
for the purpose of aiding another person to cheat.
Falsification or misuse of Nature Coast Emergency Medical Institute records permits or
documents.
Exhibiting behavior, which is disruptive to the learning process or the academic/clinical
environment.
Conviction of a crime before or after becoming a student.
Attending any Nature Coast Emergency Medical Institute educational offerings under
the influence of drugs and/or alcohol or any substance that may impair one’s ability
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to perform required functions. It is inappropriate to be under the influence or have
consumed within the last twelve (12) hours of any substance that would alter your state of
mind and jeopardize patient care. If the student is suspected to be under the influence, the
student will be dismissed from class/clinical rotation immediately.
Obstruction or disruption of teaching, administration, disciplinary proceedings, or other
institutional activities will not be tolerated.
Detention or physical threat or abuse of any person on any Nature Coast Emergency
Medical Institute owned controlled property.
Malicious damage, misuse or theft of Nature Coast Emergency Medical Institute
property, or clinical site.
Possesses or uses a firearm, explosives, or dangerous chemicals or other dangerous
substances/weapons on Nature Coast Emergency Medical Institute property or affiliated
site.
Unauthorized entry to or use of Nature Coast Emergency Medical Institute equipment
and/or facilities.
Use of Nature Coast Emergency Medical Institute computers for any activities involving
down loading programs, including music/video files and accessing, internet sites
containing pornographic content.
Any person(s) who witness or has firsthand knowledge of misconduct described above
is obligated to report the infraction. Failure to do so may lead to disciplinary action to
include dismissal from the program.
Cell phones, pagers or other electronic communication devices should be turned off
during class and lab time.
Any damage to equipment that involves a student must be reported to the Program
Director immediately. The student who breaks or disfigures any Nature Coast
Emergency Medical Institute property may be held responsible for its replacement or
repair cost.
School equipment and property are not to be removed from the building. A student
wishing to use the equipment may do so by scheduling a lab period.
Nature Coast Emergency Medical Institute is a smoke free campus, no smoking is
allowed on the property, or during any clinical/field rotation.
Patient Confidentiality
Students will comply with patient confidentiality guidelines established by the Health Insurance
Portability and Accountability (HIPPA) of 1996. Student clinical forms and patient care forms
should not have the patient’s private information or any other distinguishable information.
Patient care is not to be discussed with anyone not directly involved in that patient’s direct care.
Further information on HIPPA can be found online as a link on the Nature Coast Emergency
Medical Services web site.
Dress Code
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NCEMS issued uniforms are to be worn at all times during classroom, clinical, and field
internships. You are expected to keep a neat and clean appearance that reflects professionalism.
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Students are expected to wear school uniform during all instruction hours.
Students are expected to wear the approved program shirt with I.D badge.
Women may not wear a skirt at any time.
Black closed-toed shoes are required, boots are recommended.
Sandals or multi-color sneakers are not permitted.
Underclothing may not be visible, particularly T-shirts with printing.
The nametag of the student must be clearly visible on the uniform shirt.
If clothing should become soiled during clinical, the student should change into spare
clothes; students are encouraged to bring a change of clothes to clinical.
Personal items like wallets and purses should be secured. The Program takes no
responsibility for personal items that are lost or stolen. Students are encouraged to only
bring the minimum that is needed.
Jewelry must not interfere with patient care. In general, post earrings are acceptable,
while hoop earrings and the like are unsafe and therefore unacceptable. Body piercings
must not be visible.
A stethoscope will be in hand for clinical, classroom, and labs as part of the uniform.
Stethoscopes are not provided.
Simulation Lab and Equipment Policy/ Procedures
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During handling of the SIM-MAN and all the other simulation mannequins by the
students and instructors, they will be required to wear gloves to ensure the cleanliness of
the mannequins.
No one is allowed to operate SIM-MAN or any of the other technology without over-site
by the Lead Instructor or designated staff member.
Only instructors will be authorized to spray any silicone on the mannequins when
required.
No student will be allowed to participate with any simulation operation without first
completing the simulation orientation. A specific form is signed upon completion and is
filed in the student’s record.
Box of designated wipes will be used to wipe down the equipment when after the
completion of training. No other cleaning material is to be used.
All equipment will be checked out for use by the assigned Lab Instructor and will be
returned in way that the equipment was checked out.
Telephone
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Students are not permitted to use the telephones in the Nature Coast Emergency Medical Institute
offices without permission of the instructor. The use of cell phones and pagers is not permitted
during class sessions, and all ringers and audible alerts shall be disabled during class activities.
Discipline Procedures
Students who are counseled for any infractions will have the incident documented on a Student
counseling form, which will be filed in the students record and a copy kept in the Programs
Director’s master file for each class. Any student for whom a recommendation for discipline/
dismissal is considered will have received ample notification of unsatisfactory work.
A student who is required to see the Program Director for disciplinary action will be notified in
writing, either by email, or by personal letter. The note will contain the violation with a time and
date to meet with the Program Director. The violation of student policy and procedure will be
addressed within three (3) working days of notification. The Program Director, Lead Instructor
and the student will attend the disciplinary meeting. The meeting will cover:
• Review of the Policies and Procedure relevant to the violation.
• Review the student signed statement of agreement to Nature Coast Emergency Medical
Institute policies.
• Review counseling form and any other related documentation.
• Review students record including: attendance, GPA, skills proficiency.
Student rebuttal
The Program Director will provide the student with a written statement of action within 5
working days from the meeting date. Students may appeal a decision, in writing within five (5)
working days from the disciplinary meeting.
Administrative Withdrawals
All students are expected to maintain a satisfactory level of academic achievement, to conduct
themselves as respectable professional adults and attend classes regularly. Nature Coast
Emergency Medical Institute reserves the right to dismiss any student who:
1. Fails to maintain satisfactory academic progress.
2. Exhibits conduct the administration deems detrimental to the individual, other students or
the school.
3. Failure to meet attendance requirements
4. Failure to meet financial obligations prior to completion of the program.
Student Appeal
A student may appeal a disciplinary decision in writing. The letter should contain the reason the
student feels that the decision was not reasonable. The letter is to be submitted to the Program
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Director via email or mailed letter. The Program Director or his designee shall schedule to meet
with the student and the review the issue. The decision of the Program Director is final and may
not be appealed. A student who feels that the appeal is not satisfactorily met may refer their
grievance:
Executive Director, Commission for Independent Education
325 West Gaines Street, Tallahassee, FL 32399, Phone: 850-245-3200.
Withdrawals, Expulsions and Refunds
If a student elects to withdraw from the program, the request must be made in writing. The
following rules apply:
• If a student withdraws from the program within three (3) days of submitting a deposit, the
entire amount of tuition and deposit will be refunded minus the application fee.
• Book and materials purchased by the student are non-refundable and become the property
of the student.
• Students expelled from any program for any reason will not be eligible for any refunds of
monies paid.
• Students who have completed 50% are obligated to pay the full tuition.
Extended Enrollment Status
Students not achieving the minimum standards of satisfactory academic progress or who fail to
meet the minimum standards at the end of the academic probationary period will be terminated
from Nature Coast EMI. The student may attempt to apply for extended enrollment if there is
another program that is no more that 2 weeks behind the previous program to attempt to earn
eligibility for reentry. Students approved in the extended enrollment status will be charged the
appropriate tuition and fees during this period. While in this extended enrollment period status,
students must attempt to correct their academic deficiencies. The extended enrollment status
must be completed within the required maximum time frame. The student and the Program
Director will agree to the conditions for the extended enrollment, in writing.
Reestablishing Eligibility for Reentry
To reestablish reentry, a student must be in good standing while out of school (no delinquent
debts), participate in a review of academic weaknesses, develop a tutoring program (if available),
and demonstrate desire and motivation to continue. Upon the approval of the Program Director
and upon the consent of the Medical Director, the student will be placed on Academic probation
at the time of reentry. The student must successfully complete course material previously failed
or upgrade the skills applicable to the student’s educational objectives. If at the end of the
term, if the student has demonstrated improvement to the required minimum, he or she will be
removed from probation. If the student has not reached the minimum requirement, the student
will be academically dismissed and will not be eligible for readmission.
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Financial Aid
Nature Coast Emergency Medical Institute can provide only limited assistance with completing
financial aid documentation.
Lost Property
Nature Coast Emergency Medical Institute does not assume responsibility for the loss of books
or other personal property left at our facilities/on our equipment.
Academic Advising and Tutoring
Students may request to meet with the Lead Instructor and Program Director to discuss their
academic concerns. Students may initiate the academic probation program for themselves.
Students, who are not meeting the standard, will be recommended for academic probation when
required. Academic probation consists of further requirements to complete additional quizzes,
research papers, and computer lab, mentoring with an assigned instructor. Students wanting to
meet with their Lead and or Program Director may do so at the Education office or contacting
the Lead Instructor or Program Director via email.
Resources
Nature Coast Emergency Medical Institute will provide adequate classroom, labs and other
facilities. The Emergency Medical Learning Resource Center online bookstore is one resource
that is open twenty-four hours a day and carries the required texts and supplies for the various
programs provided.
Parking
Parking is available free of charge at Nature Coast Emergency Medical Institute facilities. There
may be fees for parking at clinical sites.
Student Library
An onsite library is available for student use during normal business hours and class hours.
Additional textbooks, videos, and professional journals will be available to students throughout
the course. Reference and other non-circulating materials must be used in the library during
posted hours.
Discrimination and Harassment
Nature Coast Emergency Medical Institute is dedicated to a non-discriminatory environment and
does not discriminate based on race, age, color, religion, sex, national origin, ancestry, marital
status, sexual preference, disability, or any other status protected by applicable law.
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Student Advocacy
The Nature Coast Emergency Medical Institute Team will assist and support our students
in any administrative, education, and/or clinical matters and strive to be advocates for our
students. Timely notification of any significant incident or problem is required and should be
communicated to the Program Director.
Record Keeping
Nature Coast Emergency Medical Institute maintains all student records and they are available
to the students and authorized agencies upon request. All student records and private financial
information are kept secured in locked file cabinets with limited access.
Student Records contain the following:
• Student Application
• Immunization record
• Current Physical Exam
• Financial Statement
• Copies of exams, quizzes, clinical skill sheets
• Attendance
• Disciplinary actions
• Certifications
An official transcript is provided to any student who requests one in writing. Confidentiality of
student records is maintained according to the Family Education Rights and Privacy Act of 1974
(Buckley Amendment). Student records are kept electronically onsite for 5 years from course
completion date.
Job Placement Assistance
Nature Coast Emergency Medical Institute will provide, when available, information pertaining
to job fairs and employment in area prehospital care services. Nature Coast Emergency Medical
Institute does not and cannot guarantee employment to any student or graduate of our programs.
Indemnification
The student releases and holds harmless Nature Coast Emergency Medical Institute, its
employees, its agents, and representatives from and against all liabilities, damages, and other
expenses which may be imposed upon, incurred by, or asserted against it or them by reason of
bodily injury or property damage which may be suffered by the student from any cause, while
enrolled as a student in the institution. When students are permitted to participate in individual
or group tests, training, or demonstration or ability, techniques, commodities, equipment or
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procedures relating to course or intramural activities under the auspices of the school, the student
and parties executing the student enrollment contract, authorize participation by the student and
releases the institution, and its officers, agents and employees from any and all responsibility for
injury and damage to person or property.
Introduction to Paramedic Clinical
Clinical education represents the most important component of paramedic education since this
is where the student learns to synthesize cognitive and psychomotor skills. To be effective,
clinical education should integrate and reinforce the didactic and skills laboratory components
of the program. Clinical instruction should follow sound educational principles, be logically
sequenced to proceed from simple to complex tasks, have specific objectives, and be closely
supervised and evaluated. Students should not arrive in the clinical environments with poorly
planned activities; they should know what they must accomplish. This manual serves to provide
that structure and a mechanism to track progress. The ability to serve in the capacity of an entrylevel or novice paramedic requires experience with actual patients. This process enables the
paramedic student to build a database of patient experiences that serves as a matrix to help in
clinical decision-making and pattern recognition; i.e. building on experiences of the past to
facilitate critical thinking skills. Time is no longer used as the criteria to determine the quantity
of clinical education. More than any other phase of paramedic education, minimum amounts of
patient contacts and frequency of skills performed must be established for clinical education.
It is acceptable to use a time-based system to help in program planning, but a system must be
used to assure that every student satisfies each and every clinical objective. To this end there is
a minimum competency requirement for each clinical area, in both skills and patient categories,
and for the entire clinical aspect of the paramedic program. Typically, clinical education for the
paramedic takes place in both the hospital and field environments.
Tardiness for all clinical sites
Students are expected to arrive promptly for clinical. Failure to do so will result in the student
being assessed a late arrival. Three late arrivals constitute an absence from clinical. It is a
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privilege to have preceptors to work with our students and we do not want to abuse this. If at
any time a student has a problem with clinical scheduling, he/she should discuss the matter
with the Clinical Coordinator. Due to the unpredictable nature of emergency medical services,
punctuality is important. Arriving on time is important for students. Showing up even a few
minutes late may mean missing your mentor for up to several hours depending on call volume
and unit availability. Most importantly it displays a lack of professionalism and commitment
to the Paramedic Program. You are required to report for your shift 15 minutes prior to the
start of shift. Chronic tardiness will affect your grade and standing in the paramedic program.
Unexcused absences/tardiness will not be tolerated. The field clinical instructor will determine
whether an absence/lateness is excused.
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The following action will be taken when a student is late or absent from a scheduled shift
without excuse:
First Offense:
Second Offense:
Third Offense:
Fourth Offense:
Verbal Warning
Written Warning
Student, Instructor, and Program Director will meet to discuss and
resolve the issue.
Action as determined by the Clinical Coordinator and Program
Director. May result in dismissal from the paramedic program.
If you do find yourself in a situation where you will be late for a shift, you should first notify
the Lead Instructor or Clinical coordinator by phone and if unsuccessful leave a message on
voicemail or e-mail. Tardiness or absences that are not reported to the instructor in a timely
manner will be considered unexcused. All episodes of tardiness and absence will be reported.
Hospital Clinical –
Because of the unpredictable nature of emergency medicine, the hospital environment offers two
advantages in paramedic education: volume and specificity. In the hospital setting, the paramedic
student can see many more patients than is possible in the field. This is a very important
component in building up a “library” of patient care experiences to draw upon in clinical
decision-making. The use of multiple departments within the hospital enables the student to see
an adequate distribution of patient situations. In addition to emergency departments, which most
closely approximate the types of patients that paramedics should see, clinical education should
take advantage of critical care units, OB/GYN, operating rooms/anesthesia, recovery, pediatrics,
psychiatric, etc. This will help assure a variety of patient presentations and complaints. These
also provide a more holistic view of health care and an appreciation for the care that their
patients will undergo throughout their recovery. This places emergency care within context.
Paramedic programs throughout the country have created clinical learning experiences in many
environments. There is application to emergency medical care in almost any patient care setting,
Nature Coast Emergency Medical Institute is constantly seeking out and soliciting new clinical
experiences for its students. Students are expected to perform assessments and skills on patients,
following the standards taught in class. Students are furthermore expected to document those
assessments and skills utilizing the documentation standards distributed in class. Finally, the
student is expected to electronically enter the documentation of patient assessments for review
and comment. During the hospital clinical, the student can expect the clinical adjunct to orient
the student to the unit and to the hospital, and introduce the student to the staff. The student can
expect the clinical preceptor to ask the student to demonstrate his or her skills, venipuncture for
example. Paramedic students may only perform those skills that they have successfully passed in
during lab. All skills performed by students in the hospital must first be demonstrated to adjunct
faculty member in lab who can attest that the student has achieved minimal competency at said
skill. During the hospital clinical, the student can expect to meet the Clinical Coordinator and
give a “verbal report” of his or her assessments, presumptive diagnosis and possible treatment.
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The Clinical Coordinator will treat these verbal reports like a radio report to medical control and
ask questions of the student about the patient, the assessment findings, the condition and/or the
treatment. In the hospital clinical, the student is expected to submit his or her documentation of
patient assessments electronically and/or to the Clinical Coordinator. The Clinical Coordinator,
using regional quality improvement standards, will review the documentation. The Clinical
Coordinator then will return the documentation to the student with comments.
It is the responsibility of the student to enter all assessments and skills performed in the field or
in the hospital into patient care reports and turned in within one week (7 days) of the completion
of rotation.
Clinical Goals
Nature Coast Emergency Medical Institute has established several goals for our paramedic
students during clinical:
An educated paramedic should be exposed to a broad variety of patient care
environments (clinic, emergency, in-patient, aero-medical, pre-hospital, home
healthcare, and wilderness.)
An educated paramedic should have achieved a sufficient depth of knowledge to be
said to be competent as a novice paramedic provider.
An educated paramedic should be able to express him or herself clearly, completely,
and accurately in all forms of communications, written, printed, or spoken.
An educated paramedic should be able to relate computational skills to the practice of
medicine in the field.
An educated paramedic should be able to identify problems during clinical and to find
efficient solutions to similar problems found in the field.
An educated paramedic should develop the skills to understand, accept, and relate to
people of different backgrounds and beliefs.
An educated paramedic should be expected to have some understanding of and
experience in thinking about moral and ethical problems.
An educated paramedic should have conceptual ability: i.e. the ability to think
rationally, to develop informed opinions, and to comprehend new ideas.
Although specific clinical objectives will vary from unit to unit, there are general considerations,
which apply to all student activities while in the clinical areas. These include the ability to:
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1. Accurately relate patient complaints to pathophysiology or pharmacologic effects,
and to discuss appropriate therapeutic interventions based on the patient’s
condition and diagnosis.
2. Obtain patient history from the patient or his/her chart in a systematic fashion.
3. Conduct a thorough and appropriate patient assessment noting signs, symptoms,
and other pertinent findings.
4. Describe the anticipated effects of therapeutic interventions, including possible
side effects and untoward reactions.
5. Safely and appropriately perform all skills listed on the clinical checklist of
psychomotor skills as permitted.
6.
Explain procedures to the patient in a manner in which the patient can
understand.
7.
Demonstrate professional behavior and genuine concern whenever dealing with
patients, family, or other staff members.
8. Accurately and concisely document assessment findings and therapeutic
interventions.
Hospital Preceptor
The Hospital Preceptor is a member of the hospital staff that has agreed to help Paramedic
students gain a more meaningful experience. These Hospital Preceptors may be Registered
Nurses, Physician Assistants, Advanced Nurse Providers (i.e. Nurse Midwife) or even Physicians
(Attending Physicians and Residents).
The Hospital Preceptor’s primary responsibility is to their patients and to their employer and it is
a privilege for a Paramedic Student to be permitted to participate in patient care. While teaching
is an important aspect of professional conduct, there are times when patient care takes priority
and the Paramedic Student is asked to step aside or even leave the unit.
Student Responsibilities
Be prompt in reporting for scheduled rotations. If a student knows that he/she will be
late for a given rotation, then they must contact the Clinical Coordinator and/or
Lead Instructor. Please leave a message with your name, class, the clinical you
are attending and the reason you are late.
Review the rules and operating procedures of the given unit with the clinical adjunct
instructor at the beginning of the rotation. This will help clarify the student’s role
in the unit.
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Review clinical objectives for the rotation with the hospital preceptor, and discuss
those activities and skills that the student may perform under the supervision of
the hospital preceptor. Students may only perform those skills for which they
have been properly trained and authorized by the Program Medical Director and
signed off on the lab skills performance sheet. The student must have the lab
skills performance sheet with them at all times.
Observe and participate in unit activities as directed by the hospital preceptor. The
student should remember that the more willing he/she is to assist, the more likely
they would be asked to participate.
Review relevant patient records to review the patient’s past medical history,
physician’s/nurse’s assessments, diagnosis and in-hospital care. It must be clearly
understood that all information contained in a patient’s record must remain
confidential. Violation of this confidentiality will result in dismissal from the
program.
Complete all documentation required for each clinical rotation. The student must have
all required forms completed and signed at the end of the particular rotation.
Unexcused missed clinical will not be tolerated.
Location of Clinical
All clinical experiences will be obtained at those locations approved by Nature Coast Emergency
Medical Institute. Eight (8) to twelve (12) hours of clinical experiences are scheduled each
week. The clinical rotations will begin immediately and conclude two weeks prior to the end of
class.
Clinical Assignment
Once a student has been scheduled for a clinical rotation, the responsibility rests with him/her
for satisfying the clinical rotation. Students are scheduled for a clinical rotation by the Program
Director or a designate (the Clinical Coordinator). Unless otherwise noted, students may request
dates via the online clinical schedule himself/herself for any clinical rotation, but may not attend
a clinical rotation until approved.
No more than two students are scheduled in one clinical area at a time. Students will stay with
their designated preceptor in the assigned clinical unit. Students may not float to other clinical
areas without permission of the clinical adjunct. Preceptors are assigned to students in many of
the areas. In other units, the resident physician will serve as the preceptor/supervisor. Students
may be permitted to assist other unit staff members with various activities at the discretion of
their Clinical Preceptor.
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When you arrive on the unit, introduce yourself to the charge nurse. Inform the charge nurse of
the length of time that you will be on the unit and show him/her your clinical check sheet. Ask to
meet with your preceptor.
Health Assessment
Before any patient contact, every student is expected to have a health assessment completed and
on-file. The pre-clinical health assessment includes a record of current immunizations as well
as laboratory work. The health assessment ensures that our patient’s are protected as well as the
student or faculty. The cost of the health assessment is the student’s responsibility. The health
assessment must be completed on the form provided by the school and submitted before any
patient contact is allowed. Students are strongly encouraged to get the flu shot, and must wear
protective mask with patient care if they cannot provide documentation of a flu shot annually.
Physical Forms for Health Status
Physical exam reports must be turned in no later than the end of the first week of class or the
student may NOT begin his/her clinical rotations. These forms are turned in to the Clinical
Coordinator.
Health and Liability Insurance
While as a student at Nature Coast EMS’s Paramedic Program, the student is covered by a
general liability policy for acts committed in the course of their instruction as a student. Students
are encouraged to consider obtaining additional malpractice insurance at minimal cost that is
available from a number of insurance companies. For more information, please contact the
program director.
While health insurance is not mandatory, it is highly recommended. Students are responsible for
all expenses associated with healthcare while a student including but not limited to needle stick
incidents, falls, and other illness/injuries that might occur in the course of the class.
Clinical Attire
•
•
•
•
•
•
•
•
Students are expected to wear appropriate attire for clinical:
Women may not wear a skirt at any time during the clinical period.
Black closed-toed shoes are required.
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•
•
Special Unit Attire
Students will do rotations on special units such as the operating room and childbirth center
may have special uniform requirements. Students are expected to comply with the unit’s dress
policy. Clothes are to be left in lockers provided by the unit. Students are reminded to not leave
valuables in those lockers.
Infection Control
Students must wear personal protective equipment any time they are in contact with a patient
(i.e. practice standard precautions). The following rules must be adhered to at all times:
1. Exposure to blood should be minimized. When the possibility of exposure to blood or
other body fluid exists, gloves are recommended. During extrication, or when broken
glass is present, leather gloves or fire fighter gloves should be used. If hands accidentally
become contaminated with blood, they should be washed thoroughly as soon as
possible. When there is a risk of eye or mouth contamination (for example, the patient is
vomiting bloody material or there is arterial bleeding), protective eyewear and masks are
recommended.
2. Needles and other sharp objects should be considered as potentially infective and be
handled with extraordinary care. Needles should not be recapped. If it is necessary
to recap a needle, use the appropriate technique (shoe holding the cap to the floor).
Needles, syringes and broken vials should be immediately placed in a puncture-proof
“sharps” container after use.
3. Pocket masks with one-way valves or bag valve masks should be used for artificial
respiration.
4. Masks should be worn by the EMT or patient for those infectious agents known to
be transmitted by the airborne route (i.e., tuberculosis, chicken pox, measles, etc.).
Sufficient information should be obtained to determine the presence of respiratory illness.
5. Equipment should be thoroughly cleaned after each use. Disposable equipment should be
considered for use whenever appropriate.
In the event of significant exposure, an instructor should be notified and an incident report filed.
Significant exposure is defined as the following:
• Any puncture of the skin by a needle or other sharp object that has had contact
with patient’s blood or body fluids or with fluids infused into the patient.
• Blood spattered onto mucous membranes (e.g. mouth) or eyes.
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•
Contamination of open skin (cuts, abrasions, blisters, open dermatitis) with
blood, vomit, saliva, amniotic fluid or urine. A bite wound to providers would be
included in this category.
Conflicts of Interest
To prevent the potential for a claim of conflict of interest students are not allowed to perform
clinical rotations in the hospital units in which they are employed, or have relatives/significant
others’ as clinical adjuncts, hospital preceptors, Preceptors or field preceptors.
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Clinical Scheduling Policies
Each student will request to be scheduled for clinical rotations based upon his or her work
schedule and rotation request. Unless otherwise noted, all scheduling is accomplished via
electronic program. Final scheduling rests with the Program Director or designates (Clinical
Coordinator).
AT NO TIME IS A STUDENT TO ARRANGE HIS/HER OWN CLINICAL
ROTATIONS.
Failure to comply will result in disciplinary action and may result in dismissal from the program.
Cancellation of clinical rotations due to illness or injury must be made at least one (1) hour in
advance of the scheduled rotation. Failure to comply will result in disciplinary review and may
result in dismissal from the program. In case of emergency, advance notification may be waived.
Please note that all time missed from clinical shifts, regardless of reason, must be made up.
Paramedic Clinical Skills
Skills may be performed only if:
1. You have received instruction in the classroom and/or practical sessions
2. You have observed the skill
3. You are under the direct supervision of the preceptor or designated individual
4. The skill falls within the realm of paramedic practice
5. If administering medications, the medication is one with which you are familiar or you
have had time to research thoroughly (through available resources on the unit) medication
parameters including actions, indications, contraindications, side effects, and dosages.
The student will honor requests for assistance from the hospital staff while on rotation in a
clinical area only if he or she has been trained and is competent to perform the task. The
Clinical Coordinator should be notified if any questions or conflicts arise. Needles, syringes,
IV materials, or any other medical supplies will not be removed from the clinical area or skills
laboratories. You are not expected to sit idly through your clinical rotation without the ability
to practice. You will get out of the clinical rotations only what you put into them. Every effort
should be made to avoid conflicts with the staff during the clinical rotations. Telephone calls will
be limited to emergency calls ONLY. No personal calls are to be made while in the clinical area.
Regulation and Control
Failure to abide by the above listed rules may result in the student be asked to leave Clinical or
Externship by the hospital preceptor, clinical adjunct, Preceptor, or the externship preceptor.
Ejection will result in an absence recorded in attendance. Students may be asked to leave a
unit or agency at any time by a member of the staff of the facility or agency. The student shall
immediately comply, without comment, with the request and report the situation to the clinical
coordinator.
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Clinical Evaluations
Students can expect periodic evaluations about their clinical. These evaluations are intended
to inform the student of their progress or lack of progress. When a student does not progress,
then the adjunct faculty member will develop a plan of remediation, and the student will be
asked to comply. If the student continues to not progress then a report shall be made to the
clinical coordinator and a plan of action discussed with the medical director and the program
director. There is an interim clinical evaluation that is completed by the clinical faculty at
the mid-point of the clinical. This mid-term evaluation must be completed and submitted to
the clinical coordinator during the Mid-term examination. The final clinical evaluation is
completed by the clinical faculty, and by the Preceptor. The final clinical evaluation attests that
the student has achieved minimal competency at paramedic skills, radio report (verbal report)
and documentation. The final clinical evaluation must be submitted to the clinical coordinator
during the final examination. The student is expected to submit copies of all documented patient
assessments as well as the final clinical evaluation to the clinical coordinator at the end of that
clinical.
Completion of Clinical
Any student not completing their clinical requirements for the phase by the beginning of Finals
Week for that respective phase will be given a grade of incomplete for the section. Any student
receiving a grade of “incomplete” must meet with the Clinical Coordinator prior to the end of
the semester to resolve the matter. The Clinical Coordinator, in consultation with the Program
Director, may allow up to thirty (30) days for the student to complete the clinical requirements.
Students not completing the clinical requirements during the thirty-day extension will receive
a grade of “Fail” for the semester and may not enroll in the next semester Paramedic Program
classes.
Clinical Areas
REQUIRED FORMS FOR EACH ROTATION:
1. Clinical Skills Checklist
2. Patient Assessment Form
3. ECG Mounting Form as needed
4. Daily Hospital Clinical Evaluation Form
5. Mid-Clinical and Final Clinical Evaluation Forms as necessary.
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Field Clinical –
It is unreasonable to expect students to derive benefit from being placed into a field environment
and performing. Field clinical rotations represent the phase of instruction where the student
learns how to apply cognitive knowledge and the skills developed in skills laboratory and
hospital clinical to the field environment. In most cases, field clinical should be held
concurrently with didactic and hospital clinical instruction. In this program, the field rotation
experience begins early in class and continues through until the end of the program. The major
concentration for the field clinical rotation begins in the 3rd phase, when the bulk of didactic and
laboratory instruction has been completed and the student has sound knowledge and skills based
on both laboratory and in-hospital clinical experience. Field instruction, as well as hospital
clinical, follows a logical progression. In general, students progress from observer to participant
to team leader. The amount of time that a student will have to spend in each phase will be
variable and depend on many individual factors. One of the largest factors will be the amount
and quality of previous emergency care experience. With the trend toward less and less EMT
experience prior to paramedic education, the amount of field experience may be adjusted to the
experience of the students. Clinical affiliations are established and confirmed in written
affiliation agreements with institutions and agencies that provide clinical experience under
appropriate medical direction and clinical supervision. Students should have access to patients
who present common problems and be encouraged in the delivery of advanced emergency
medicine. All paramedic students will be supervised on clinical rotations by the clinical
preceptor and shall not be in the patient compartment alone during transport. Students shall not
be used to meet staffing requirements. The contact person for each site will be responsible for
assigning students to a preceptor for the rotation. Supervision will be done in accordance with
Florida Administrative Code.
Externship Preceptor
The Externship Preceptor is an experienced Paramedic who evaluates the Paramedic Student’s
preparation and makes a determination as to the Paramedic Student’s fitness to perform as a
minimally competent entry-level Paramedic. The Externship Preceptors final evaluation is the
final hurdle that every Paramedic Student must clear in order to be eligible to test for the State
and/or National Registry Paramedic Examination for Paramedics.
Observation Phase I
The first phase of field clinical is observation. The student is expected to be become familiar
with the policies, procedures and routines of the internship unit and provide any skills (BLS/
ALS) that the student is cleared to perform during this phase. The observation phase allows
the student to become accustomed to his or her Preceptor and the unit. The duration of the
observation period is left to the discretion of the Clinical Coordinator. The student is required
to successfully complete the required hours within the allotted period on specific skills and
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knowledge in order to advance to the next phase. All skills performed by students in the field
must be first demonstrated to an adjunct faculty member in lab who can attest that the student
has achieved minimal competency at said skill.
•
•
•
•
•
•
Will perform BLS assessments and BLS skills. The student may suggest ALS therapy,
as well as function as the ALS technician. The Preceptor will introduce the student at the
various receiving facilities.
Will demonstrate the ability to locate and operate all BLS and ALS equipment.
Will demonstrate the ability to perform a BLS assessment.
Will provide BLS interventions to include definitive and supportive measures
Will make ALS treatment suggestions to the Preceptor.
Will function as the ALS technician for the Preceptor or team leader.
Participation Phase II
The second phase is the participation phase. During the participation phase, the paramedic
student is expected to perform assessments and skills as directed by his or her Preceptor/
Preceptor. A paramedic student should have a paramedic Preceptor during this phase and should
be performing ALS skills under supervision during hospital clinical.
Paramedic students may only perform those skills that they have been passed in during lab. All
skills performed by students in the field must be first demonstrated to an adjunct faculty member
in lab who can attest that the student has achieved minimal competency at said skill.
The preceptor will give the student hands-on experience in performing physical exams and vital
signs.
•
•
•
•
•
•
•
•
•
•
May decide what ALS therapy is appropriate. Emphasis should be placed on patient
contact and patient needs.
Will perform a head-to-toe exam on all patients encountered.
Will assess vital signs for all patients.
Will decide the appropriate ALS therapy.
Will function as the ALS technician.
Will gather a patient's history, decide and delegate BLS & ALS therapy.
Will gather the patient's chief complaint.
Will use mnemonics to support the history (PQRST, AMPLE, AEIOU TIPS).
Will complete the Patient Care Report (PCR) on all patients.
Will decide and delegate the appropriate ALS therapy, based on the history gathered.
Externship Phase III (Leadership phase)
After learning how to perform assessments and skills, and is able to manage a patient on an
EMS call, the student moves into the final Externship phase. An Extern, by definition, is able
to perform the assessments and skills of a paramedic but can also lead a team of pre-hospital
professionals towards a goal. Once a student has completed all skills competency in clinical
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and has completed a specific patient complaint classification then the paramedic preceptor
may elect to allow the student to start his or her Externship. Students are only allowed to lead
those emergency calls at the level of clinical completion. For example, when the student has
completed the patient complaint category “chest pain” then he or she may start leading “chest
pain” emergency calls in the field as a part of the Externship.
•
•
•
•
Will take a more active role in field management.
Will perform the entire patient assessment.
Will delegate ALS therapy.
Will make radio contact to the hospital.
Will provide scene control.
During clinical rotations, each student should perform all required skills and assessments on
human patients whenever possible. However, due to limited opportunity for these skills, they
may be performed on simulation manikins in the skills lab. Whether in a clinical or lab setting,
each skill must be observed and documented by an authorized preceptor.
If a student does not complete the phase requirements in full and in the allotted time, they will
not be able to continue on to the next phase or continue with their assigned clinical rotations.
Agency Assignment
Students are assigned to field clinical based on unit availability, Preceptor availability and unit
call volume. All ambulance field clinical is with Nature Coast EMS. If student wishes to do
field clinical with another pre-hospital care provider, an affiliation agreement with Nature Coast
Emergency Medical Institute must be on file before the student can begin any field clinical or
Externship.
Preceptor Assignment
Preceptors and Externship Preceptors are the backbone of any paramedic’s education. They
represent the profession as well as their agency. To be acceptable as a Preceptor, during the
observation and participation phase, the Preceptor has to be an on-line Paramedic with at least
one year’s experience. To be acceptable as a Paramedic Preceptor, during the Externship phase,
the Paramedic Preceptor must be an on-line Paramedic with at least one year’s experience. In all
cases, the Preceptor or the Paramedic Preceptor must be acceptable to the paramedic program’s
medical director. Other conditions, demanded by the field agency, may also apply.
Field Clinical Uniform
The standard Nature Coast Emergency Medical Institute approved student uniform will be
required.
The Nature Coast Emergency Medical Institute must approve coats and warm weather clothing.
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Scheduling (Hours/Reporting)
Students are responsible for scheduling field Clinical with the Clinical Coordinator. During each
phase of the program, students must complete a minimum number of clinical hours. Students
should obtain the Clinical Coordinator’s schedule and discuss what shifts are open for the student
to attend. The student must turn in a schedule of their shifts for each phase before the end of
the second week of classes. The Clinical Coordinator must approve schedules. The Clinical
Coordinator must approve any changes one week in advance. It is strongly discouraged for
students to make any changes to their schedule once it is filed. Any changes must be submitted in
writing to the Clinical Coordinator with a detailed description of the reason for the change.
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Paramedic Course
PROGRAM BREAKDOWN
Course Title
Course
Number
Clock
Hours
Credit
Hours
Location
PM201
Course Introduction and Overview
•
Policies and Procedures
•
Review of the Student Manual
•
Course Objectives
•
Clinical Sites, Course breakdown, and Paperwork
•
Familiarize with Florida Statutes
4
PM202
Introduction
•
Introduction to Advanced Prehospital Care
•
Well-Being of the Paramedic
•
EMS Systems/Ethics in Advanced Care
•
Roles/Responsibilities of the Paramedics
•
Illness/Injury Prevention
•
Medical Legal in Prehospital Medicine
•
Four Hours HIV/AIDS Awareness
Anatomy & Physiology
•
Cellular Physiology
•
Central Nervous System
•
The structure of the body systems
•
Pathophysiology
•
Practical skill labs as well as lectures.
Fluids and Shock
•
Types and functions of fluids
•
Types and effects of shock
•
Management of patient during critical situation in pre-hospital
setting
•
Shock trauma management
IV skills
Medication administration skill 6
Classroom
55
Classroom
2
Classroom
36
Classroom
12
Classroom
PM203
PM204
PM205
PM206
Introduction
•
Therapeutic Communications
•
Life Span Development
Pharmacology
•
Proper use, calculations and administration of medications
•
Use of these medications in the pre-hospital setting
•
Contraindications for use of medications
•
How to use injections needles and intravenous catheters
•
Drug Calculation
IV infusions
Drug administration
Patient Assessment
•
Basic components of a complete health history
•
How to effectively conduct an interview
•
Communicating with difficult patient, hostile patients, and
patients with language barriers
•
Techniques of conducting a comprehensive physical exam
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•
physical
•
•
•
Practical approach to conducting problem-oriented history and
exams
Basic steps for making clinical decisions
How to think critically in emergency situations
Communications and Documentation
PM207
Respiratory and Airway
•
Respiratory System Management – Basic and Advance
•
Respiratory Emergencies
•
Review respiratory system
•
Nasal and end tracheal intubations
•
Rapid Sequence Intubations
•
Proper administration of medications that will help manage
respiratory emergencies
•
Practical skills and lecture
36
Classroom
PM208
Cardiology
•
Review of Cardiovascular System
•
Arrhythmia Recognition and Treatment
•
AHA Advance Cardiac Life Support
•
12-lead EKG Interpretatio
38
Classroom
PM209
Neurology
•
Review of the Nervous Systems
•
Recognition and Management of neurological emergencies
8
Classroom
PM210
Endocrinology
•
Review of Endocrine System
•
Recognition and Management of endocrine emergencies, with
emphasis on diabetic emergencies
6
Classroom
PM211
Allergic Reaction and Anaphylaxis
•
Review of the Immune System
•
Recognition and Management of allergic reaction and
anaphylactic reaction emergencies
4
Classroom
PM212
Gastroenterology
•
Review of Gastrointestinal System
•
Recognition and Management of Gastrointestinal emergencies
6
Classroom
PM213
Urology and Nephrology
•
Review of genitourinary System
•
Recognition and Management of the urinary system
emergencies in males and females, and male reproductive systems
emergencies
6
Classroom
PM214
Toxicology and Substance Abuse
•
Discuss basic toxicology and both common and uncommon
cause of poisoning
•
Discuss Overdose and Substance abuse, including drugs and
alcohol
•
Discuss recognition and management of poisoning, overdose,
and substance abuse emergencies
6
Classroom
PM215
Hematology
•
Discuss the anatomy, physiology. and pathophysiology of the
blood-forming organs, organs, and the reticuloendothelial
3
Classroom
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•
Recognition and Management of hematological emergencies
PM216
Environmental Emergencies
•
Details the impact of the environment on the body,
emphasizing physical, chemical , and biological aspects
•
Recognition and Management of heat disorders, cold disorders,
drowning and near-drowning emergencies, diving emergencies, highaltitude emergencies, and radiation emergencies
6
Classroom
PM217
Infectious Disease
•
Addressess specific disease and modes of transmission
•
Emphasize prevention of disease transmission, especially the
protection of prehospital personnel
•
Recognition and Management of specific infectious disease
2
Classroom
PM218
Psychiatric and Behavioral Disorders
•
An Overview of psychiatric disorders and behavioral problems
•
Recognition and Management of psychiatric and behavioral
emergencies
6
Classroom
PM219
Obstetrics and Gynecology
•
Discuss female reproductive system
•
Discuss the anatomy and physiology of pregnancy
•
How to assisst in the delivery of a newborn
•
Recognition and management of obstetric and gynecological
emergencies
18
Classroom
PM220
Neonatology and Pediatrics
•
Recognition of common clinical problems
•
AHA Pediatric Advance Life Support (PALS)
•
Providing appropriate careand treatment for pediatric patients
in an array of medical and trauma emergencies
•
Two hour SIDS Training
Geriatrics
•
Review the anatomy and physiology
•
Discuss the assessment and treatment of emergencies
commonly seen in the elderly
•
Providing appropriate care
20
Classroom
9
Classroom
PM222
Trauma
•
Trauma management
•
Understand and recognize signs and symptoms of trauma in
patient
•
Administer proper and vital treatment
Understanding the kinematics of trauma
State of Florida Trauma Alert Criteria
•
AEMT- Pre-hospital Trauma Life Support (PHTLS)
•
Two hours instruction in the trauma scorecard methodology
38
Classroom
PM223
Special
•
•
•
•
9
Classroom
PM221
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Considerations/Operations
Abuse and Assault
The Challenged Patient
Acute Interventions for the Chronic Care Patient
Assessment-Based Management
February 12, 2013
VOLUME NUMBER 7
•
•
Ambulance Operations
Medical Incident Command
PM224
Special
•
•
•
•
•
•
Considerations/Operations
Haz-Mat Awareness
Multiple Casualty Incident
Rural EMS
Crime Scene Awareness
Medical Incident Command
Responding to Terrorist Acts
10
PM225
Clinical Externship
•
Emergency Department - 168 hours
•
OB/GYN – 24 hours
•
ER Physician 12 hours
•
Medical Examiner – 8 hours
•
Pediatric – 24 hours
PM213 - Field Externship
•
Advance Life Support Ambulance
236
Clinic
504
Clinic
Laboratory SKILLS
128
LAB
PM226
LAB
TOTAL:
1214
The following objectives must be successfully accomplished within the context of the clinical
environment. Clinical experiences should occur after the student has demonstrated competence
in skills and knowledge in the didactic and laboratory components of the course. Items in bold
are essentials and must be completed. Items in italics are recommendations to achieve the
essential and should be performed on actual patients in a clinical setting. Recommendations
are not the only way to achieve the essential. If the program is unable to achieve the
recommendations on live patients, alternative learning experiences (simulations, programmed
patient scenarios, etc.) can be developed. If alternatives to live patient contact are used, the
program should increases in the number of times the skill must be performed to demonstrate
competence. These recommendations are based on survey data from Paramedic Program
Directors and expert opinion. Programs are encouraged to adjust these recommendations based
on thorough program evaluation. For example, if the program finds that graduates perform
poorly in airway management skills, they should increase the number of intubations and
ventilations required for graduation and monitor the results.
Psychomotor Skills
1. The student must demonstrate the ability to safely administer medications.
2. The student should safely, and while performing all steps of each procedure, properly
administer medications at least 15 times to live patients.
3. The student must demonstrate the ability to safely perform endotracheal intubation.
4. The student should safely, and while performing all steps of each procedure, successfully
intubate at least 5 live patients.
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VOLUME NUMBER 7
5. The student must demonstrate the ability to safely gain venous access in all age group
patients.
6. The student should safely, and while performing all steps of each procedure, successfully
access the venous circulation at least 25 times on live patients of various age groups.
7. The student must demonstrate the ability to effectively ventilate non-intubated patients of
all age groups.
8. The student should effectively, and while performing all steps of each procedure,
ventilate at least 20 live patients of various age groups.
9. The student must demonstrate the ability to perform a comprehensive assessment on
pediatric patients.
10. The student should perform a comprehensive patient assessment on at least 30 (including
newborns, infants, toddlers, and school age) pediatric patients.
11. The student must demonstrate the ability to perform a compressive assessment on adult
patients.
12. The student should perform a comprehensive patient assessment on at least 50 adult
patients.
geriatric patients.
14. The student should perform a comprehensive patient assessment on at least 30 geriatric
patients.
15.
PATHOLOGIES
obstetric patients.
2. The student should perform a comprehensive patient assessment on at least 10 obstetric
patients.
trauma patients.
4. The student should perform a comprehensive patient assessment on at least 40 trauma
patients.
5. The student should perform a comprehensive patient assessment on at least 20 psychiatric
patients.
COMPLAINTS
1. The student must demonstrate the ability to perform a comprehensive assessment,
formulate and implement a treatment plan for patients with chest pain.
2. The student should perform a comprehensive patient assessment, formulate and
implement a treatment plan on at least 30 patients with chest pain.
implement a treatment plan on at least 20 adult patients with dyspnea/respiratory distress.
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implement a treatment plan on at least 8 pediatric patients (including infants, toddlers,
and school age) with dyspnea/respiratory distress.
implement a treatment plan on at least 10 patients with syncope.
implement a treatment plan on at least 20 patients with abdominal complaints (for
example: abdominal pain, nausea/vomiting, GI bleeding, gynecological complaint, etc.)
implement a treatment plan on at least 20 patients with altered mental status.
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FIELD CLINICAL REQUIREMENTS
1. The student must demonstrate the ability to serve as a team leader in variety of prehospital emergency situations.
2. The student should serve as the team leader for at least 50 pre-hospital emergency
responses.
The following checklist is to be completed at the end Phase III:
1. Patient Assessments
Thirty (30)
2. Chief Complaint - Chest Pain
Twenty (20)
3. Chief Complaint - Shortness of Breath Forty (40)
4. Chief Complaint - Trauma
Twenty (20)
5. Chief Complaint - Altered Mental Status
Ten (10)
6. Chief Complaint - Obstetric
Twenty (20)
7. Chief Complaint - Psychiatric
Ten (10)
8. Chief Complaint - Syncope
Twenty (20)
9. Team Leader
Fifty (50)
10. Chief Complaint - Abdominal Pain
Ten (10)
11. Psychomotor Skills Counts
a. Five (5) Successful Live Intubations (field or hospital).
b. Successfully has performed a minimum of 25 IV’s. Five (5) will be pediatric of
various ages and (5) will be geriatric.
c. Successfully has performed a minimum of 15 Medication Administrations via
(IM, Sub-Q, Ett, Neb, Rectal or IV push.)
d. Collect four (4) EKG strips from your clinical experience each shift, post and
complete the requested information
Page 48 of
February 12, 2013
VOLUME NUMBER 7
Introduction to EMT Clinical
Clinical education represents the most important component of EMT education since this is
where the student learns to synthesize cognitive and psychomotor skills. To be effective, clinical
education should integrate and reinforce the didactic and skills laboratory components of the
program. Clinical instruction should follow sound educational principles, be logically sequenced
to proceed from simple to complex tasks, have specific objectives, and be closely supervised and
evaluated. Students should not arrive in the clinical environments with poorly planned activities;
they should know what they must accomplish. This manual serves to provide that structure and
a mechanism to track progress. The ability to serve in the capacity of an entry-level or novice
EMT requires experience with actual patients. This process enables the EMT student to build a
database of patient experiences that serves as a matrix to help in clinical decision-making and
pattern recognition; i.e. building on experiences of the past to facilitate critical thinking skills.
Time is no longer used as the criteria to determine the quantity of clinical education. More than
any other phase of EMT education, minimum amounts of patient contacts and frequency of skills
performed must be established for clinical education. It is acceptable to use a time-based system
to help in program planning, but a system must be used to assure that every student satisfies each
and every clinical objective. To this end there is a minimum competency requirement for each
clinical area, in both skills and patient categories, and for the entire clinical aspect of the EMT
program. Typically, clinical education for the EMT takes place in both the hospital and field
environments. Students are not to function as staff during class, clinical or lab and may not
be on duty or subject to call during any part of training program. Students are not to be in
the patient compartment alone during patient transport and students may not function to
meet staffing requirements for any part of training.
Tardiness for all clinical sites
Students are expected to arrive promptly for clinical. Failure to do so will result in the student
being assessed a late arrival. Three late arrivals constitute an absence from clinical. It is a
privilege to have preceptors to work with our students and we do not want to abuse this. If at
any time a student has a problem with clinical scheduling, he/she should discuss the matter
with the Clinical Coordinator. Due to the unpredictable nature of emergency medical services,
punctuality is important. EMTs arriving late may force a department to operate understaffed
or force an off-going crew to be held on overtime. Arriving on time is just as important for
students. Showing up even a few minutes late may mean missing your mentor for up to several
hours depending on call volume and unit availability. Most importantly, it displays a lack of
professionalism and commitment to the EMT Program. You are required to report for your shift
15 minutes prior to the start of shift. Chronic tardiness will affect your grade and standing in the
EMT program. Unexcused absences/tardiness will not be tolerated. The field clinical instructor
will determine whether an absence/lateness is excused.
Page 49 of
February 12, 2013
VOLUME NUMBER 7
Page 50 of
February 12, 2013
VOLUME NUMBER 7
The following action will be taken when a student is late or absent from a scheduled shift
without excuse:
First Offense:
Second Offense:
Third Offense:
Fourth Offense:
Verbal Warning
Written Warning
Student, Instructor, and Program Director will meet to discuss and
resolve the issue.
Action as determined by the Clinical Coordinator and Program
Director. May result in dismissal from the EMT program.
If you do find yourself in a situation where you will be late for a shift, you should first notify the
person you are scheduled to ride with and then leave a message for your preceptor on voicemail
or e-mail. Tardiness or absences that are not reported to the instructor in a timely manner will be
considered unexcused. All episodes of tardiness and absence will be reported.
Hospital-Health Department or Other Clinical –
Student Responsibilities
1. Be prompt in reporting for scheduled rotations. If a student knows that he/she will be
late for a given rotation, then they must contact the unit or department to notify them
that you are going to be late. The clinical coordinator must also be notified. Please
leave a message with your name, class, the clinical you are attending and the reason
you are late.
2. Review rules and operating procedures of the given unit with the clinical adjunct at
the beginning of the rotation. This will help clarify the student’s role in the unit.
3. Review clinical objectives for the rotation with the hospital preceptor, and discuss
those activities and skills that the student may perform under the supervision of the
hospital preceptor. Students may only perform those skills for which they have been
properly trained and authorized by the Program Medical
4. Review relevant patient records to review the patient’s past medical history,
physician’s/nurse’s assessments, diagnosis and in-hospital care. It must be clearly
understood that all information contained in a patient’s record must remain
confidential. Violation of this confidentiality will result in dismissal from the
program.
5. Complete all documentation required for each clinical rotation. The student must have
all required forms completed and signed at the end of the particular rotation.
6. Unexcused missed clinical will not be tolerated.
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February 12, 2013
VOLUME NUMBER 7
General Considerations for the Clinical Objectives
Although specific clinical objectives will vary from unit to unit, there are general considerations,
which apply to all student activities while in the clinical areas: These include the ability to:
•
•
•
•
•
•
Accurately relate patient complaints to pathophysiology or pharmacologic effects.
Obtain patient history from the patient or his/her chart in a systematic fashion.
Conduct a thorough, appropriate patient assessment, noting signs, symptoms, and
other pertinent findings.
Explain procedures to the patient in a manner, which the patient can understand.
Demonstrate professional behavior and genuine concern whenever dealing with
patients, family, or other staff members.
Accurately and concisely document assessment findings and therapeutic
interventions.
Clinical Goals
1. An educated EMT should be exposed to a broad variety of patient care environments
(clinic, emergency, in-patient, pre-hospital, home healthcare, and wilderness.)
2. An educated EMT should have achieved a sufficient depth of knowledge to be said to be
competent as a novice EMT provider.
3. An educated EMT should be able to express him or herself clearly, completely, and
accurately in all forms of communications, written, printed, or spoken.
4. An educated EMT should develop the skills to understand, accept, and relate to people of
different backgrounds and beliefs.
5. An educated EMT should be expected to have some understanding of and experience in
thinking about moral and ethical problems.
6. An educated EMT should have conceptual ability: i.e. the ability to think rationally, to
develop informed opinions, and to comprehend new ideas.
Hospital Preceptor
The Hospital Preceptor is a member of the hospital staff that has agreed to help EMT students gain a
more meaningful experience. These Hospital Preceptors may be Registered Nurses, Physician Assistants,
Advanced Nurse Providers (i.e. Nurse Midwife) or even Physicians (Attending Physicians and Residents).
The Hospital Preceptor’s primary responsibility is to their patients and to their employer and it is a
privilege for an EMT Student to be permitted to participate in patient care. While teaching is an important
aspect of professional conduct, there are times when patient care takes priority and the EMT student is
asked to step aside or even leave the unit.
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February 12, 2013
VOLUME NUMBER 7
Clinical Objectives
Students are expected to perform assessments and skills on patients, following the standards
taught in class. Students are furthermore expected to document those assessments and skills
utilizing the documentation standards distributed in class.
During the first phase of externship clinical, the student can expect the clinical adjunct to meet
with the student at the beginning of the shift.
The clinical preceptor will orient the student to the unit and to the hospital, pointing out the
supply room, conference room, chart room, etc. and introduce the student to the staff.
During the second phase of externship clinical, the student can expect the clinical preceptor to
ask the student to demonstrate his or her skills. All skills performed by students in the hospital
must be first be demonstrated to an adjunct faculty member in lab who can attest that the student
has achieved minimal competency at said skill.
It is the responsibility of the student to enter all assessments and skills performed either in the
field or in the hospital into patient care reports and turned in within one week, (7) days, of the
completion of rotation.
Location of Clinical
All clinical experiences will be obtained at those locations approved by Nature Coast EMI.
Eight (8) to twelve (12) hours of clinical experiences are scheduled each week. The clinical
rotations will begin immediately and conclude two weeks prior to the end of class.
Clinical Assignment
Once a student has been scheduled for a clinical rotation, the responsibility rests with him/her
for satisfying the clinical rotation. Students are scheduled for a clinical rotation by the Program
Director or a designate (the Clinical Coordinator). Unless otherwise noted, no student may
schedule himself/herself for any clinical rotation.
No more than two students are scheduled in one clinical area at a time. Students will stay with
their designated preceptor in the assigned clinical unit. Students may not float to other clinical
areas without permission of the clinical adjunct. Preceptors are assigned to students in many of
the areas. In other units, the resident physician will serve as the preceptor/supervisor. Students
may be permitted to assist other unit staff members with various activities at the discretion of
their Clinical Preceptor.
When you arrive on the unit, introduce yourself to the charge nurse. Inform the charge nurse of
the length of time that you will be on the unit and show him/her your clinical check sheet. Ask to
meet with your preceptor.
Page 53 of
February 12, 2013
VOLUME NUMBER 7
Health Assessment
Before any patient contact, every student is expected to have a health assessment completed and
on-file. The pre-clinical health assessment includes a record of current immunizations as well
as laboratory work. The health assessment ensures that our patient’s are protected as well as the
student or faculty. The cost of the health assessment is the student’s responsibility. The health
assessment must be completed on the form provided by the school and submitted before any
patient contact is allowed.
Physical Forms for Health Status
Physical exam reports must be turned in no later than the end of the first week of class or the
student may NOT begin his/her clinical rotations. These forms are turned in to the Clinical
Coordinator.
Health and Liability Insurance
While as a student at Nature Coast EMI’s EMT Program, the student is covered by a general
liability policy for acts committed in the course of their instruction as a student. Students
are encouraged to consider obtaining additional malpractice insurance at minimal cost that is
available from a number of insurance companies. For more information, please contact the
program director.
While health insurance is not mandatory, it is highly recommended. Students are responsible for
all expenses associated with healthcare while a student including but not limited to needle stick
incidents, falls, and other illness/injuries that might occur in the course of the class.
Clinical Attire
•
•
•
•
•
•
•
•
•
•
Students are expected to wear school uniform for clinical:
Women may not wear a skirt at any time during the clinical period.
Black closed-toed shoes are required, boots are recommended.
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February 12, 2013
VOLUME NUMBER 7
Special Unit Attire
Students will do rotations on special units such as the operating room and childbirth center
may have special uniform requirements. Students are expected to comply with the unit’s dress
policy. Clothes are to be left in lockers provided by the unit. Students are reminded to not leave
valuables in those lockers.
Infection Control
Students must wear personal protective equipment any time they are in contact with a patient
(i.e. practice standard precautions). The following rules must be adhered to at all times:
6. Exposure to blood should be minimized. When the possibility of exposure to blood or
other body fluid exists, gloves are recommended. During extrication, or when broken
glass is present, leather gloves or fire fighter gloves should be used. If hands accidentally
become contaminated with blood, they should be washed thoroughly as soon as
possible. When there is a risk of eye or mouth contamination (for example, the patient is
vomiting bloody material or there is arterial bleeding), protective eyewear and masks are
recommended.
7. Needles and other sharp objects should be considered as potentially infective and be
handled with extraordinary care. Needles should not be recapped. If it is necessary
to recap a needle, use the appropriate technique (shoe holding the cap to the floor).
Needles, syringes and broken vials should be immediately placed in a puncture-proof
“sharps” container after use.
8. Pocket masks with one-way valves or bag valve masks should be used for artificial
respiration.
9. Masks should be worn by the EMT or patient for those infectious agents known to
be transmitted by the airborne route (i.e., tuberculosis, chicken pox, measles, etc.).
Sufficient information should be obtained to determine the presence of respiratory illness.
10. Equipment should be thoroughly cleaned after each use. Disposable equipment should be
considered for use whenever appropriate.
In the event of significant exposure, an instructor should be notified and an incident report filed.
Significant exposure is defined as the following:
• Any puncture of the skin by a needle or other sharp object that has had contact
with patient’s blood or body fluids or with fluids infused into the patient.
• Blood spattered onto mucous membranes (e.g. mouth) or eyes.
• Contamination of open skin (cuts, abrasions, blisters, open dermatitis) with
blood, vomit, saliva, amniotic fluid or urine. A bite wound to providers would be
included in this category.
Conflicts of Interest
Page 55 of
February 12, 2013
VOLUME NUMBER 7
To prevent the potential for a claim of conflict of interest students are not allowed to perform
clinical rotations in the hospital units in which they are employed, or have relatives/significant
others’ as clinical adjuncts, hospital preceptors, field training officers or field preceptors.
Page 56 of
February 12, 2013
VOLUME NUMBER 7
Clinical Scheduling Policies
Each student will be scheduled for clinical rotations based upon his or her work schedule and
rotation request. Unless otherwise noted, all scheduling is accomplished via electronic mail
or written request. Final scheduling rests with the Program Director or designates (Clinical
Coordinator).
AT NO TIME IS A STUDENT TO ARRANGE HIS/HER OWN CLINICAL
ROTATIONS.
Failure to comply will result in disciplinary action and may result in dismissal from the program.
Cancellation of clinical rotations due to illness or injury must be made at least one (1) hour in
advance of the scheduled rotation. Failure to comply will result in disciplinary review and may
result in dismissal from the program. In case of emergency, advance notification may be waived.
Please note that all time missed from clinical shifts, regardless of reason, must be made up.
Regulation and Control
Failure to abide by the above listed rules may result in the student be asked to leave Clinical or
Externship by the hospital preceptor, clinical adjunct, field training officer, or the externship
preceptor. Ejection will result in an absence recorded in attendance. Students may be asked to
leave a unit or agency at any time by a member of the staff of the facility or agency. The student
shall immediately comply, without comment, with the request and report the situation to the
clinical coordinator.
Field Clinical –
Agency Assignment
Students are assigned to field agencies based on unit availability, Field Preceptor availability and
unit call volume. Students may request a specific field agency but the EMT-B program reserves
the right to assign students to other units. All students will function under the direct supervision
of an EMS preceptor and shall not be in the patient compartment alone during transport and
shall not be used to meet staffing requirements in accordance with Section 64J-1, Florida
Administrative Code.
Page 57 of
February 12, 2013
VOLUME NUMBER 7
Field Clinical Uniform
The standard Nature Coast EMI approved student uniform will be required. Polo shirt with
embroidery and Black EMT Pants.
The Nature Coast EMI must approve coats and warm weather clothing.
Scheduling (Hours/Reporting)
Students are responsible for scheduling Field Clinical with the Clinical Coordinator. During each
phase of the program, students must complete a minimum number of clinical hours. Students
should obtain the Clinical Coordinator’s schedule and discuss what shifts are open for the student
to attend. The student must turn in a schedule of their shifts for each phase before the end of
the second week of classes. The Clinical Coordinator must approve schedules. The Clinical
Coordinator must approve any changes one week in advance. It is strongly discouraged for
students to make any changes to their schedule once it is filed. Any changes must be submitted in
writing to the Clinical Coordinator with a detailed description of the reason for the change.
Page 58 of
February 12, 2013
VOLUME NUMBER 7
EMT Course Description
The curriculum is 258 of classroom, lecture/labs and clinical/externships. The EMT student will utilize the course
textbook. The student will utilize the current course textbook as well as the workbook to learn and demonstrate
skills in pre-hospital patient care. The program is broken down into:
106 didactic hours
68 lab hours
4 Health Department Externship hours
36 Ambulance/Rescue Externship hours
36 Emergency Room hours
EMC 101-O/102 Preparatory (14 hours)
Introduction to Emergency Medical care
The Well-being of the EMT
Lifting and Moving Patients
Medical, Legal, and Ethical issues
Medical Terminology and Anatomy and Physiology
Principles of Pathophysiology
Life Span Development
Section 401, Florida Statutes, and Chapter 64J-1, Florida Administrative Code, which
governs emergency medical services in Florida.
The student will learn about medical and legal issues surrounding the emergency medical
services field. How to take patient vital signs, obtain relevant history concerning the
present and any recent illnesses or recent injuries. This is presented through lecture and
practical skill sessions. A four hour (State required) HIV/AIDS program is presented to the
student to familiarize them with infection control issues and practices.
EMC 103 Airway (4 hours)
Airway Management
Respiration and Artificial Ventilation
Extensive hands-on training and practice with basic airway management techniques and
equipment. Proper training on assisting with ALS procedures.
The student will learn the importance of obtaining and maintaining a patent airway in
all types of patients. The student will become familiar with various airway management
equipment and techniques. Students will be able to recognize the signs and symptoms of
respiratory distress. The student will also become familiar in assisting the EMT or other
ALS personnel in prepping advanced airway equipment.
Page 59 of
February 12, 2013
VOLUME NUMBER 7
EMC 104-O Patient Assessment ( 18 hours)
Scene Size up
The Primary Assessment
Vital Signs and Monitoring Devices
Assessment of the Trauma Patient
Assessment of the Medical Patient
Reassessment
Critical Thinking and Decision Making
Communication and Documentation
Emphasis will be placed on accurate and thorough patient assessment. The student will be
required to conduct the proper assessment based on the patient’s condition and provide the
appropriate care indicated.
EMC 105 Medical Emergencies (32 hours)
General Pharmacology
Respiratory Emergencies
Cardiac Emergencies
Diabetic Emergencies and Altered Mental Status
Allergic Reaction
Poisoning and Overdose Emergencies
Abdominal Emergencies
Behavioral and Psychiatric Emergencies and Suicides
Hematologic and Renal Emergencies
In the EMT scope of practice they are allowed to administer and assist with certain
medications. The student will learn when the EMT can administer these medications and
what treatments can be given for various medical emergencies.
EMC 106 Trauma Emergencies (20 hours)
Bleeding and Shock
Soft Tissue Trauma
Chest and Abdominal Trauma
Musculoskeletal Trauma
Trauma to the Head, Neck, and Spine
Multisystem Trauma
Environmental Emergencies
Trauma scorecard methodology (2 hours)
Proper techniques of bleeding control. Specific management of spinal injuries is covered in
lecture and practical skills. The student will learn to manage and properly package patients
for transportation to appropriate medical facilities.
Page 60 of
February 12, 2013
VOLUME NUMBER 7
EMC 107/108-O Special Populations/Geriatrics (8 hours)
Obstetric and Gynecologic Emergencies
Pediatric Emergencies
Geriatric Emergencies
Emergencies for Patients with Special Challenges
Infant and children with medical emergencies can be a challenging and emotional scene to
manage. This chapter covers the different anatomy of pediatrics and the unique medical
treatment involved. Instruction in cases of Sudden Infant Death Syndrome (SIDS), child
neglect and abuse are covered. During this portion of the program the student is instructed
on how to interact with children on their level and provide the proper care for various
emergencies.
EMC109-O Operations ( 6 hours)
EMS Operations
Hazardous Materials, Multiple-Casualty Incidents, and Incident Management
Highway Safety and Vehicle Extrication
EMS Response to Terrorism
Properly lifting techniques of an ambulance stretcher are important not for patient safety but
to the safety of the EMT. There are times when the EMT will need to gain access to a patient
such as in an overturned or damaged vehicle. These skills and other emergency responding
techniques are presented through lecture and hands on practical skills.
EMC110-O Advance Airway Management ( 4 hours)
To enhance the understanding of maintaining an patent airway
Learn how to assist EMTs in the management of an advance airway
EMC 111 Skills Module I – Lab ( 12 hours)
Lifting and Moving of Patients
Airway Management
Baseline Vital Signs
Initial Assessment
EMC 112 Skills Module II – Lab ( 24 hours)
Initial Assessment
Focus Assessment/Vital Signs
Detail Assessment
On-going Assessment
Documentation (Prehospital Care Report)
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February 12, 2013
VOLUME NUMBER 7
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February 12, 2013
VOLUME NUMBER 7
EMC 113 Skills Module III – Lab ( 24 hours)
Bleeding Control/Shock Management
Rigid and Traction Splinting
Longboard/KED/Shortboard Management
Rapid Trauma Assessment
Outside Patient Extrication
EMC 114 Skills Module IV – Lab ( 8 hours)
Midterm and Final Skills Evaluation—All Skills
EM 115 Medical Facility Externship (36 hours)
Medical Facility and/or ER, OR, OB department
EM 116 Field Externship (36 hours)
EMS Agency Advance Life Support ambulance servcie
EM 117 Field Externship (4 hours)
Citrus County Health Dept.
Page 63 of
February 12, 2013
VOLUME NUMBER 7
The following objectives must be successfully accomplished within the context of the clinical
environment. Clinical experiences should occur after the student has demonstrated competence
in skills and knowledge in the didactic and laboratory components of the course.
Recommendations are not the only way to achieve the essential. If the program is unable to
achieve the recommendations on live patients, alternative learning experiences (simulations,
programmed patient scenarios, etc.) can be developed. If alternatives to live patient contact
are used, the program should increases in the number of times the skill must be performed to
demonstrate competence. These recommendations are based on survey data from EMT Program
Directors and expert opinion. Programs are encouraged to adjust these recommendations based
on thorough program evaluation.
At the completion of ED rotations, the student should be able to:
1.Display the ability to perform a focused, pertinent, and accurate history and physical exam.
2. Demonstrate a working knowledge of CPR and obstructed airway techniques per AHA guidelines.
3. Demonstrate an understanding and the ability to perform procedures with aseptic techniques.
4. Demonstrate the ability to control bleeding and apply dressings and bandages to a variety of wounds
using aseptic technique.
5. Demonstrate an understanding of the principles of splinting, and safely, gently, and effectively
immobilize a variety of injuries using these principles.
6. Demonstrate an understanding of the principles of basic and advanced airway management.
7. Safely and correctly administer O , choosing devices and flow rates appropriate to patient condition.
2
8. Demonstrate the correct methods for the use of Bag-Valve-Mask and demand valve devices.
9. Demonstrate an understanding of the indications for and use of oropharyngeal and nasopharyngeal
airways, and correctly insert them.
10. Demonstrate an understanding of the indications for orotracheal and nasotracheal intubation, and
correctly ASSIST with procedure.
11. Demonstrate an understanding of the principles of suctioning, and correctly use
oropharyngeal and nasopharyngeal suction devices.
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February 12, 2013
VOLUME NUMBER 7
Field Clinical Requirements
The student must complete (1) 10 hour shift with an approved ALS Ambulance. A minimum of
five (5) patient transports during the field externship is the goal.
The student should assist with and/or perform the following procedures during the Field internship
rotations:
1.Perform patient assessment including initial, ongoing, vital signs, and obtaining complete history.
2. Assist with cases of cardiopulmonary arrest by performing CPR, airway maintenance, including BVM
and appropriate mechanical adjuncts, and medication administration appropriate to training level.
3. Assist with wound care .
4. Assist with splint and cast application.
5. Assist with the application of O and appropriate airway adjuncts including mechanical aids.
2
6. Assist with preparation for, and performance of diagnostic and/or therapeutic procedures.
7. Assist with lifting, moving and transportation of patients.
8. Assist with cleaning and restocking of the Ambulance.
Page 65 of
February 12, 2013
VOLUME NUMBER 7
EMT TEXTBOOKS/LEARNING RESOURCES:
(Include Publishers and Publication Dates)
th
Brady 12 Edition Textbook – Emergency Care – Copyright 2012
Brady 12th Edition Textbook – Emergency Care – Copyright 2012
Resource Central EMS Student Access Card – Pearson Copyright 2012
MyBrady Lab – Pearson – Emergency Care – 12th Edition
Paramedic TEXTBOOKS/LEARNING RESOURCES:
(Include Publishers and Publication Dates)
Advanced Cardiac Life Support, current edition, American Heart Association - 2011
Paramedic Care: Principles & Practices, 4/e , Bledsoe, (Brady) 2012
Paramedic Care: Principles & Practices, 4/e , Bledsoe, (Brady) 2012 Workbook
Pediatric Advanced Life Support, current edition, American Heart Association - 2011
Prehospital Trauma Life Support, current edition, Mosby (AEMT) - 2010
Essentials of A & P for Emergency Care, Bledsoe, Colbert (Brady)2011
Prehospital Emergency Pharmacology, 7th Edition, Bledsoe 2011
Holiday Calendar
New Year’s Day
Martin Luther King, Jr. Day
President’s Day
Memorial Day Observed
Independence Day
Labor Day
Thanksgiving Day
Day After Thanksgiving
Christmas Day Observed
New Years Day Observed
Page 66 of
Academic Calendar
Nature Coast EMI offers
Open Enrollment
Beginning and Ending Date
of all Programs are available
on our Website:
www.Naturecoastems.org
February 12, 2013
VOLUME NUMBER 7
Student Services
As a service to our students, Nature Coast EMI will provide an updated job listing board in
the library and on the website. We will also provide each class, periodic opportunities, where
area recruiters will provide information about their services and/or departments and be able to
provide hiring criteria and application information. Nature Coast EMI will assist students with
job placement, but does not guarantee job placement or employment.
Sexual Harassment/Discrimination
Nature Coast EMI will not tolerate any kind of harassment and/or discrimination in any form.
This policy will be adhered to by the faculty as well as all students.
Nature Coast EMI will abide by the following law:
IT SHALL BE AN UNLAWFUL EMPLOYMENT PRACTICE FOR AN EMPLOYER TO REFUSE TO
HIRE OR TO DISCHARGE ANY INDIVIDUAL OR OTHERWISE TO DISCRIMINATE AGAINST ANY
INDIVIDUAL WITH RESPECT TO HIS COMPENSATION, TERMS, CONDITIONS, OR PRIVILEGES OF
EMPLOYEMENT BECAUSE OF SUCH INDIVIDUALS RACE, COLOR, RELIGION, SEX OR NATIONAL
ORGIN.
.
NATURE COAST EMI LICENSURE AND APPROVAL BOARD
COMMISSION FOR INDEPENDENT EDUCATION
LICENSE NO. 4158.
325 WEST GAINES ST, STE. 1414
TALLAHASSEE, FL 32399-0400
(888) 245-3200-TOLL FREE
Florida Department of Health
Division of Medical Quality Assurance
EMT/Paramedic Certification Office
4052 Bald Cypress Way, Bin C85
Phone: (850) 488-0595
Fax: (850) 921-6365
Web: www.doh.state.fl.us/mqa/EMT-Paramedic
Page 67 of
February 12, 2013
VOLUME NUMBER 7
NATURE COAST EMERGENCY MEDICAL INSTITUTE IS NOT ACCREDITED BY THE COMMITTEE
ON ACCREDITATION OF EDUCATIONAL PROGRAMS FOR THE EMERGENCY MEDICAL SERVICES
PROFESSIONS (C0AEMSP). NATURE COAST EMERGENCY MEDICAL INSTITUTE IS IN PROCESS TO
SUBMIT A LETTER OF REVIEW (LOR) FOR COAEMSP, ONCE ACCEPTED, PARAMEDIC STUDENTS WILL
BE ELIGIBLE TO SIT FOR THE NATIONAL REGISTRY PARAMEDIC EXAM AS WELL AS THE FLORIDA STATE
PARAMEDIC EXAM. STUDENTS THAT ENROLL IN THIS INSTITUTION, MAY NOT BE ELIGIBLE FOR TITLE IV
FEDERAL FINANCIAL ASSISTANCE, AND STATE STUDENT FINANCIAL ASSISTANCE. IN ADDITION, CREDITS
EARNED AT THIS INSTITUTION MAY NOT BE ACCEPTED FOR TRANSFER TO ANOTHER INSTITUTION, AND
MAY NOT BE RECOGNIZED BY EMPLOYERS.
8171
Page 68 of
February 12, 2013

Student Catalog - Nature Coast EMS

Transcription

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