EMS 2665 - Paramedic Clinical II

College of Health Sciences

Credit(s): 4
Contact Hours: 136
Effective Term Fall 2018 (550)

Requisites

(Admission to Emergency Medical Services (Associate in Science) (EMS-AS) or
Admission to Paramedic (Certificate with Financial Aid Eligibility) (PMED-CT)) and
Prerequisite EMS 2601 with a minimum grade of C and
Prerequisite EMS 2601L with a minimum grade of C and
Prerequisite EMS 2664 with a minimum grade of C and
Pre- or Co-requisite EMS 2602 with a minimum grade of C and
Pre- or Co-requisite EMS 2602L with a minimum grade of C and
Pre- or Co-requisite Current Florida EMT certification and
Pre- or Co-requisite Current AHA BLS Provider

Course Description

This course is an in-depth clinical experience utilizing the application of skills related to paramedic theory and psychomotor skills presented in Paramedic I and Paramedic II under the guidance of hospital personnel. This course aligns with the U.S. Department of Transportation, Paramedic: National EMS Education Standards, the Florida Department of Education Standards and in accordance with F.S. 401.2701 and Florida Administrative Code 64J-1.020.

Learning Outcomes and Objectives

  1. The student will correctly perform phlebotomy techniques safely in the clinical environment by:
    1. safely performing venipuncture on designated patients/clients using aseptic techniques.
    2. observing and demonstrating special techniques utilized on “hard to stick” patients.
    3. accurately recording the site of venipuncture and type of fluids and medications on electronic or written EMS Program reports and records.
  2. The student will correctly choose and perform the appropriate IV techniques in the clinical environment by:
    1. correctly using the aseptic technique of peripheral puncture and assembly of IV equipment.
    2. performing peripheral IV insertion using a winged infusion device, over-the-needle catheter device on adults and, if possible, infants.
    3. drawing blood samples where appropriate.
    4. recognizing the side effects of IV therapy including phlebitis and infiltration.
  3. The student will correctly perform patient assessments in the adult emergency department by:
    1. recognizing the correlation between pre-hospital and emergency department care for the ill or injured patient, and to comply with Florida Statutes (FS 401 and FL Rule 64J-1 & 2).
    2. participating in patient triage and management.
    3. obtaining vital signs that include blood pressure, pulse, temperature, respirations and neurological assessment where applicable.
    4. performing a primary, secondary, and ongoing patient survey.
    5. developing, assisting and reviewing patient treatment regimens.
    6. administering intravenous/intraosseous therapy to include insertion of catheters or needles with or without continuous infusion.
    7. preparing and administering Intramuscular (IM), subcutaneous (SQ), topical, intraosseous (IO), intra-nasal (IN) and IV medications as directed by the preceptor.
    8. observing the effects of medications including those administered by inhalation and rectally.
    9. administering oxygen using cannula, masks and bag-valve mask where applicable.
    10. maintaining airway patency (e.g., oral tracheal intubation, Continuous Positive Airway Pressure -CPAP and suctioning of the airway).
    11. assisting in the application and use of cardiac monitoring equipment including rhythm recognition.
    12. assisting in treatment of cardiac and respiratory arrest cases under American Heart Association-Advanced Cardiac Life Support (AHA-ACLS) guidelines.
    13. observing the care of the unruly/emotionally disturbed cases and, under guidance of the preceptor, interact where applicable.
    14. developing and implementing appropriate medical and trauma patient care.
  4. The student will correctly perform assessments on patients suffering from neurological disorders specific to the clinical setting by:
    1. performing patient assessment including developing a pertinent medical history which will include a review of the patient’s chart, taking vital signs and auscultation of chest sounds.
    2. observing the effects of the medications administered.
    3. drawing blood samples.
    4. assisting in the care of patients with endotracheal or tracheotomy tubes and patients on respirators.
    5. observing and assisting in the care of the patient with neurological problems.
    6. observing the pattern of neurological illness, the rate of decline and improvement.
  5. The student will properly perform newborn/neonatal patient assessments in the clinical setting by:
    1. performing an APGAR score.
    2. performing vital signs including body temperature and noting significance of the abnormal.
    3. observing cord care with emphasis on the importance of cord length, clamping and vascularity.
    4. observing the neonate and where applicable recognizing the premature and developing an awareness of the care given.
    5. observing the neonate with Rh factor including the significance of blood sampling, when and how to obtain the sample and significance of mother’s history.
    6. observing the use of the apnea monitor and its significance where applicable.
    7. assessing for the presence of meconium staining/aspiration and noting its significance.
    8. observing the physical examination of the neonate including assessment of neurological responses and gestational age.
    9. assisting in the physical care of the neonate including but not limited to bathing, diapering and feeding.
    10. observing the medical procedures involving the neonate.
  6. The student will participate in the labor, delivery and immediate care of the newborn infant under direction of an assigned OB staff nurse, obstetrician, or nurse midwife and will properly perform patient assessments specific to the clinical setting by:
    1. observing the stages of labor and the behavioral changes which occur during labor.
    2. palpating contractions of the laboring mother.
    3. assessing fetal heart tones by counting the rate.
    4. observing and assisting the following:
      1. normal delivery - single and multiple birth
      2. delivery with complications
    5. observing and assisting in the care of the newly delivered mother:
      1. fundal massage of the uterus, noting the character of the “clamped down” uterus
      2. evaluation of blood loss
    6. obtaining the APGAR score of a newly-delivered infant and the score five (5) minutes post delivery.
    7. assisting in the care of the newborn infant by:
      1. obtaining vital signs (VS), temperature, pulse and respirations.
      2. observing normal/abnormal characteristics.
    8. observing and assisting in the care of the person with pre-eclampsia and toxemia of pregnancy.
    9. completing the following under the direction of the preceptor:
      1. obtaining VS on the adult patient.
      2. administering medication such as oral, intramuscular, subcutaneous, and topical.
      3. initiating IV therapy including insertion of IV.
      4. observing and monitoring IV fluids.

Criteria Performance Standard

The student will submit documentation of a minimum of 124 clinical hours. Upon successful completion of the course, the student will, with a minimum of 100% accuracy, demonstrate mastery of each of the above stated objectives through clinical competency-based education measures developed by individual course instructors.

History of Changes

C&I 10/24/00,DBT 11/21/00,Eff (20011). C&I 9/13/05, BOT 10/18/05, Eff 20052(0360). Eff20081(0400): 2007 3-year review. C&I Approval: 03/25/2008, BOT Approval: 05/16/2008, Effective Term: Fall 2008 (400). C&I Approval: , BOT Approval: , Effective Term: Summer 2016 (515).
C&I Approval: 02/09/2018, BOT Approval: 04/17/2018, Effective Term: Fall 2018 (550)

Related Programs

  1. Emergency Medical Services (EMS-AS) (640) (Active)
  2. Paramedic (PMED-CT) (615) (Active)
  3. Paramedic Applied Technology Diploma (PARASW-AR) (615) (Active)
  4. Paramedic Career Certificate (PARACSW-AR) (615) (Active)