EMS5691 ADVANCED EMT 2 COURSE PROCEDURE

EMS5691 - ADVANCED EMT 2

12 Credit Hours

Student Level:

This course is open to students on the college level in either the Freshman or Sophomore year.

Catalog Description:
EMS5691 - ADVANCED EMT 2 (12 hrs.)

This is the second course in the Advanced EMT (AEMT) technical curriculum and is comprised of hospital clinical rotations and capstone field internship. The student will develop fundamental depth and breadth in the principles and practice of AEMT-level patient care.

Successfully completing this course and the other AEMT curriculum courses will prepare the student for Kansas and NREMT AEMT certification and to function as an AEMT.

KRSN: NA

Course Classification: Lecture/Lab and Clinical Experience

Prerequisites:

Successful completion of the AEMT 1 course (EMS5690) with a grade of “C” or higher.

Co-requisites:

Current immunizations. Criminal record check.

Controlling Purpose:

This is the second course in the Advanced EMT (AEMT) technical curriculum and is comprised of hospital clinical rotations and capstone field internship. The student will develop fundamental depth and breadth in the principles and practice of AEMT-level patient care.

Successfully completing this course and the other AEMT curriculum courses will prepare the student for Kansas and NREMT AEMT certification and to function as an AEMT. This course allows the student to complete the skills and patient care competencies defined by the Kansas Board of EMS.

Learner Outcomes:

Upon completion of the course, the student will be able to:

1. Upon completion of the hospital clinical rotations, the students will have participated in the assessment and appropriate management of patients of various ages, pathologies and complaints.
2. At the conclusion of the field internship experience, the student will be able to coordinate patient care and assign tasks to be able to comprehend, apply and evaluate clinical information while demonstrating technical proficiency in all skills and behavior necessary to fulfill the role as an entry level AEMT, and in a simulated patient care scenario.

Unit Outcomes for Criterion Based Evaluation:
The following outline defines the minimum core content not including the final examination period.

Instructors may add other material as time allows.

UNIT 1: Hospital Clinical Objectives

Outcomes: Upon completion of this unit, the students will have participated in the assessment and appropriate management of patients of various ages, pathologies and complaints.

• Perform patient assessment, including:
  • Perform a primary assessment to rule out life threats.
  • Ascertain the patient’s history, including HPI, PMH, medications and allergies.
  • Assess vital signs.
  • Perform a secondary assessment.
  • Develop a clinical impression and discuss with the physician or nurse.
  • Perform the necessary documentation.
• Perform venipuncture to draw venous blood samples.
• Recite the class, action, dosage, uses, duration of action, contraindications, precautions, antidote and side effects of all AEMT medications administered to patients.
• Set up, start and maintain IV fluid therapy on adult and pediatric patients, to include changing IV bags and properly calculating flow rates.
• Correctly recognize the need for and perform patient suctioning.
• Properly recognize the need and administer oxygen therapy, utilizing all AEMT equipment.
• Assist in the management of behavioral, medical and traumatized patients.
• Initiate treatment of lacerations and other soft tissue wounds and assist the physician as needed.
• Correctly apply EKG leads.
• Correctly interpret ECG tracings.
• Assist respiratory therapist in performing the respiratory assessment, to include breath sounds, history, and assisting with the administration of breathing treatments.
• Identify accepted methods of treating dysrhythmias.
• Identify the effects of an AMI on the electrocardiogram and laboratory test results.
• Identify the parameters evaluated for the diagnosis of AMI and relate these to the pre‑hospital setting.
• Perform supraglottic airway management and understand the indications for this treatment.
• Closely observe arterial blood gas sampling and interpret laboratory test results.
• Observe and perform cardiopulmonary resuscitation.
• Observe and if possible, perform triage.
• Observe and if possible, assist with the normal obstetric delivery.
• Interpret lab results and correlate to the patient’s presentation.
• Manage the emotionally disturbed patient.
• Defibrillate patients when indicated.
• Use peak flow meter and discuss values with the respiratory therapist.
• Observe and if possible, insert an intraosseous needle and establish an infusion.
• Utilize proper body substance isolation procedures.
• Show integrity, appropriate communication and time management, and respect.
• Show empathy, patient advocacy, and careful delivery of service.
• Show self-motivation, self-confidence, appropriate appearance and personal hygiene, teamwork and diplomacy.

UNIT 2: Field Internship Phase 1

Outcomes: At the completion of phase 1 of the field internship experience the AEMT student will be able to identify his/her preceptors, understand departmental rules as they apply to the station, the vehicle, safety, documentation, and QA/QI policies, and become familiar with the individual locations of emergency equipment both in the station and the ambulance.

• Describe the three basic types of ambulance calls: medical emergencies, trauma emergencies, and transfers.
• Identify his/her role responsibility during calls.
• Determine what equipment is to be brought to the patient on each call.
• Understand how to approach a call-in terms of patient care.
• Demonstrate scene safety awareness and appropriate precautions.
• Understand service policy on infection control, safety, documentation, medical protocols and QA/QI policies.
• Understand the documentation expectations of each ambulance call.
• Accurately perform a complete unit check at the beginning of each shift.

UNIT 3: Field Internship Phase 2

Outcomes: At the completion of phase 2 of the field internship experience the AEMT student will be able to practice team cooperation in patient care delivery to include communication with co-workers, appropriate equipment operation, obtaining accurate vital signs, successful initiation of IVs on any patient requiring this therapy and reciting the dosages, indications and contraindications for all AEMT medications carried by the field internship site.

Continue to perform all skills acquired during phase 1 while also:

• Successful communication between the student and preceptors.
• Demonstration of appropriate and accurate operation, location, maintenance and various uses of equipment.
• Demonstrate the ability to perform BCLS consistent with the American Heart Association guidelines.
• Demonstrate the ability to obtain a full and accurate set of vital signs to include respirations, heart rate, blood pressure, pupil status and skin condition.
• Perform a thorough patient assessment appropriate to patient’s presentation and chief complaint.
• Formulate an accurate working impression utilizing information gathered to include age, physical exam and patient history, and communicate to the preceptor a triage consistent with the patient’s condition.
• Decide upon a course of action and implement a team approach to carrying out a treatment plan.
• Given the opportunity, demonstrate knowledge of proper skill techniques and utilize all equipment to include IV initiation, EKG interpretation, airway management, medication administration and any other intervention appropriate to the patient’s condition and the service AEMT protocols.
• Recite all dosages, indications and contraindications for any of the AEMT medications carried by the field internship site.
• Demonstrate a knowledge base consistent with information presented to the student to this point in the field internship experience.

UNIT 4: Field Internship Phase 3

Outcomes: At the conclusion of phase 3 of the students’ field internship experience, the student will be able to coordinate patient care and assign tasks to be able to comprehend, apply and evaluate clinical information while demonstrating technical proficiency in all skills and behavior necessary to fulfill the role as an entry level AEMT, and in a simulated patient care scenario.

• Continue to perform all skills acquired during phases 1 and 2 while also:
• Demonstrate appropriate scene management of any situation and function competently under stressful situations to include appropriate assessment, treatment and transportation priorities when multiple patients are encountered.
• Demonstrate the ability to perform a thorough patient interview and physical assessment.
• Demonstrate the ability to develop a treatment management plan and perform the necessary skills, or delegation of tasks when appropriate, related to emergency management of the patient.
• Demonstrate effective communication between the student and preceptors, patients, family members, bystanders, public service personnel and other health care providers either orally, in writing or by radio.
• Demonstrate the ability to accurately complete all the necessary reports associated with the patient contact.
• Demonstrate integrity, self-motivation, self-confidence, appropriate appearance and personal hygiene, teamwork, diplomacy, appropriate communication, time management, respect, empathy, patient advocacy and careful delivery of service consistent with affective objectives outlined in the Cowley affective evaluation.

Projects Required:

Varies, refer to syllabus.

Textbook:

Contact Bookstore for current textbook.

Materials/Equipment Required:

Contact Bookstore for current materials/equipment required.

Attendance Policy:

Students should adhere to the attendance policy outlined by the instructor in the course syllabus.

Grading Policy:

The grading policy will be outlined by the instructor in the course syllabus.

Maximum class size:

Based on classroom occupancy

Course Time Frame:

The U.S. Department of Education, Higher Learning Commission and the Kansas Board of Regents define credit hour and have specific regulations that the college must follow when developing, teaching and assessing the educational aspects of the college. A credit hour is an amount of work represented in intended learning outcomes and verified by evidence of student achievement that is an institutionally- established equivalency that reasonably approximates not less than one hour of classroom or direct faculty instruction and a minimum of two hours of out-of-class student work for approximately fifteen weeks for one semester hour of credit or an equivalent amount of work over a different amount of time. The number of semester hours of credit allowed for each distance education or blended hybrid courses shall be assigned by the college based on the amount of time needed to achieve the same course outcomes in a purely face-to-face format.