EMS 1411 - Fundamentals of Emergency Medical Care Clinical Experience

College of Health Sciences

Credit(s): 2
Contact Hours: 40
Effective Term Spring 2019 (555)

Requisites

Prerequisite "American Heart Association BLS Provider" level CPR card and
Pre- or Co-requisite EMS 1119 with a minimum grade of C and
Pre- or Co-requisite EMS 1119L with a minimum grade of C

Course Description

The student will be assigned to contract agencies for patient care experience with hospital agencies for emergency department experience under the direct supervision of hospital personnel. The course is designed as a clinical component where the individual gains an appreciation of emergency and non-emergency patient care in relationship to the knowledge and practical skills learned in the classroom.

Learning Outcomes and Objectives

  1. The student will demonstrate experience in emergency medical functions under the guidance of a preceptor in the hospital emergency department to assess and manage the adult and pediatric patient in the emergency department by:
    1. participating in patient triage and management.
    2. obtaining vital signs that include blood pressure, pulse, temperature, respirations, and neurological assessment, where applicable.
    3. performing a primary and secondary patient survey.
    4. developing, assisting and reviewing patient treatment regimens.
    5. assisting in the setup of intravenous therapy with or without continuous infusion.
    6. observing the effects of medications including those administered by inhalation and rectally.
    7. administering oxygen using cannula, masks and use bag-valve mask where applicable.
    8. maintaining airway patency and suctioning of the airway.
    9. assisting in the application and use of cardiac monitoring equipment.
    10. assisting in treatment of cardiac and respiratory arrest cases under emergency department guidelines.
    11. observing the care of the unruly-emotionally disturbed cases and, under guidance of the preceptor, interact where applicable.
    12. developing and implementing appropriate medical and trauma patient care, as appropriate for the patient setting or in conjunction with the preceptor.
    13. observing the growth and development of children of all ages (neonate to teen).
    14. observing the manner of handling and caring for children.
    15. observing the reaction of children during times of illness.
    16. observing the parent/guardian - child relationship and their response to illness/injury.
    17. assisting when appropriate on patient assessment including (at a minimum):
      1. a review of the patient's chart.
      2. taking vital signs.
      3. auscultating the chest.
    18. observing the action of the pharmocological agents that are administered.
    19. assisting in the management of the febrile and seizure patients.
    20. assisting where needed under guidance of the physician and office staff.
  2. The student will demonstrate how to assess and manage alcohol and substance abuse by:
    1. observing patient behavioral patterns in a closed clinical setting.
    2. establishing an interactive atmosphere conducive to gaining an interactive patient rapport.
    3. observing and participating in alcohol and substance abuse visualization of psychophysiological basis for dependency, the pathopsychophysiological results, and the methods used in individual patient situations.
  3. The student will recognize and understand the human anatomy and physiology in trauma and medical patients by:
    1. observing the anatomical structure of the human body.
    2. observing the effects of the disease on the body, where applicable.
    3. observing the effects of trauma on the body, where applicable.
  4. The student will demonstrate how to assess and manage the neonatal patient by:
    1. performing an Appearance, Pulse, Grimace, Activity, Respiration (APGAR) score, where applicable.
    2. developing an understanding of the APGAR score, its significance and expectations of the score levels.
    3. performing vital signs, emphasizing the normal rates, body temperature and significance of the abnormal.
    4. observing cord care with emphasis on the importance of cord length, clamping and vascularity.
    5. observing the neonate and where applicable recognizing the premature and developing an awareness of the care given.
    6. observing the medical procedures involving the neonate.
  5. The student will demonstrate how to assess and manage the psychiatric patient by:
    1. observing abnormal behavior, in a controlled setting, which will include, but not be limited to:
      1. aggression
      2. disorientation
      3. limited insight
      4. depression
      5. ambivalence
    2. instilling basis for caution in dealing with the behavior of the disturbed and unruly patient.
    3. creating the atmosphere conducive to establishing rapport with the patient.
    4. defining conditions relating to restraining (restraint) of the patient.
  6. The student will participate in a clinical experience and exhibit appropriate behaviors in the affective domain, under the guidance of hospital personnel in the emergency department by:
    1. distinguishing the 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. demonstrating initiative in clinical work, to include all appropriate aspects of patient care and EMT student learning.
      3. demonstrating respect for patient privacy.
      4. demonstrating respect and non-judgemental attitude toward patients.

Criteria Performance Standard

The student will document a minimum of 32 hours emergency department experience under the direct supervision of clinical staff and 8 hours of clinical orientation. The minimum requirement for successful completion is demonstrated mastery at 100% in critical areas and other clinical objectives are competency-based education measures developed by departmental instructors.

History of Changes

DBT 4/18/95 Effective Session 19951 DBT 5/16/95 Effective Session 19951 C&I 6/6/00; DBT 7/18/00 Effective Session 20001 C&I 7/5/00, DBT 8/18/00, Effective Session 20001 C&I 1/25/05, BOT 3/21/05, Effective 20051(0355). 3 Year Review 2008. C&I 3/22/2011, BOT 10/2011, Effective 20112(0450). C&I Approval: 03/22/2011, BOT Approval: 10/01/2011, Effective Term: Spring 2012 (450). C&I Approval: 11/20/2015, BOT Approval: 03/15/2016, Effective Term: Fall 2016 (520).
C&I Approval: 07/26/2018, BOT Approval: 09/18/2018, Effective Term: Spring 2019 (555)

Related Programs

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  2. Emergency Medical Technician (EMT-ATD) (520) (Active)
  3. Emergency Medical Technician (to EMS-AS) (EMT2IC-AR) (650) (Active)
  4. Emergency Medical Technician (to PSA-BAS) (EMTIC-AR) (650) (Active)
  5. Emergency Medical Technician ATD (to EMS-AS) (EMTSW-AR) (610) (Active)
  6. Emergency Medical Technician ATD (to GEN-AA) (EMT2SW-AR) (610) (Active)
  7. Emergency Medical Technician ATD (to PSA-BAS) (EMT3SW-AR) (610) (Active)
  8. EMT ATD Statewide Articulation (EMTATDS-AR) (610) (Draft)
  9. Firefighter/Emergency Medical Technician - Combined Career Certificate (to EMS-AS) (FFEMTSW-AR) (645) (Active)