EMS 2664 - Paramedic Clinical I

College of Health Sciences

Credit(s): 3
Contact Hours: 126
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
Pre- or Co-requisite EMS 2601 with a minimum grade of C and
Pre- or Co-requisite EMS 2601L 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 involves the hospital and field clinical application of skills related to paramedic theory and application presented in Paramedic Theory I and Paramedic Laboratory I.

Learning Outcomes and Objectives

  1. The student will perform endotracheal intubation safely in the clinical environment and will observe and perform supraglottic airway insertion as available by:
    1. correctly performing the techniques under the guidance of the anesthesiologist and/or the appointed anesthesia staff member, of endotracheal and nasotracheal intubations.
    2. performing and assisting in the management of the patient’s airway utilizing basic and advanced airway techniques.
    3. observing and examining general and local anesthesia effects on the human body.
    4. identifying the effects of the various medications administered noting dose, route, side/toxic effects, onset of action and peak action time.
    5. assisting and managing an unconscious person.
    6. successfully intubating a minimum of 2 patients prior to completion of this course and a minimum of 6 patients prior to the completion of paramedic field internship.
    7. selecting the proper size Endoctracheal (ET) tube prior to intubation and supraglottic airway prior to insertion.
    8. adequately ventilating a patient with a Bag-Valve-Mask (BVM) (e.g. intubated, supraglottic airways and with an oral airway).
    9. assuring proper placement of ET tubes and supraglottic airways using Capnographic waveform and other approved methods.
    10. monitoring a patient’s respiratory status throughout surgical procedure.
    11. participating in the care of the post-op patient.
  2. The student will perform phlebotomy techniques safely in the clinical environment by:
    1. correctly performing the techniques of locating, palpating and performing successful venipuncture.
    2. correctly peforming a total of 25 venipunctures on designated patients/clients using aseptic techniques.
    3. demonstrating special techniques utilized on “hard to stick” patients.
    4. recording site of venipuncture and kind of fluid/medication on appropriate reports/records.
  3. The student will correctly perform IV techniques in the clinical environment by:
    1. becoming proficient in the techniques of IV therapy, as outlined in the latest policies and procedures.
    2. utilizing an aseptic technique of peripheral puncture and assembly of IV equipment.
    3. performing peripheral IV insertion using a winged infusion device, over-the-needle catheter device on adults and, if possible, infants. A minimum of 5 intravenous sticks is required (10 total).
    4. drawing blood samples where appropriate.
    5. recognizing the side effects of IV therapy including phlebitis and infiltration.
  4. The student will demonstrate patient assessments safely in the adult and pediatric 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 and secondary patient survey.
    5. developing, assisting and reviewing patient treatment regimens.
    6. administering intravenous therapy to include insertion of catheters or needles with or without continuous infusion.
    7. preparing and administering Intramuscular (IM), Subcutaneous (SQ), topical, IO 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, which includes tracheal intubation and suctioning of the airway.
    11. developing and implementing appropriate medical and trauma patient care.
    12. developing an understanding of human anatomy and physiology; trauma and medical disease pathophysiology of the human body.
  5. The student will correctly perform total patient care as documented on the EMS program's electronic patient care record (e.g. FISDAP):
    1. communicating effectively with patients, families and coworkers.
    2. performing thorough and appropriate physical exams.
    3. recording a patient history related to chief complaint.
    4. organizing and interpreting patient data.
    5. making appropriate patient care decisions as applied to pre-hospital situations.
    6. safely performing the following psychomotor skills on patients:
      1. Intramuscular (IM)injections
      2. IV/IO injections
      3. Subcutaneous (SQ) injections
      4. IV/IO initiation
      5. Medication administration
      6. Endotracheal Intubation
  6. The student will perform all duties in a professional, compassionate, caring and competent manner under the guidance of hospital personnel in the emergency department and recorded in printed or electronic preceptor evaluation instruments by:
    1. distinguishing roles and functions ascribed to levels of expertise and certification through instruction and evaluation instruments.
    2. accomplishing the following affective domain areas during hospital rotations:
      1. communicating effectively with patients, families and coworkers.
      2. performing initiative in clinical work, to include all appropriate aspects of patient care and paramedic student learning.
      3. showing respect for patient privacy.
      4. showing respect and non-judgmental attitude toward patients.

Criteria Performance Standard

The student will submit documentation of a minimum of 112 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 I, 2001 (20011). C&I 9/13/05, BOT 10/18/05, Effective 20052(0360): 2004 3-year review. C&I Approval: 04/13/2010, BOT Approval: 05/18/2010, Effective Term: Summer 2010 (425). 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)