SYLLABUS FOR EMSP 1401/1160 Emergency Medical Technician - Basic Semester Hours Credit: 5 Lecture Hours: 72 Lab Hours: 72 Clinic Hours: 25 Site Location: Ramstein Co-/prerequisite: AHA BLS for Healthcare Provider Course Dates/Times: June 28th to September 29th 2015 Meeting times: Tuesday, Thursday 3.5 hours per day from 17:30 to 21:00 Saturday’s 7.5 hours per day from 08:00 to 16:30 with 30 min lunch break Clinical Rotation Times: as determined by medical facility Lead Instructor: Sonja Cross Class Location: TBA Office Hours: by appointment Instructor Email: Phone: INSTRUCTOR BIOGRAPHY Sonja Cross RN-BC, MSN, CEN, CPEN, NRP, EMS I, CCT Undergraduate Schools: Nebraska Methodist College, Diploma, Paramedic Iowa Western Community College, ADN, Nursing Bellevue University, BS, Healthcare Management Graduate School: Grand Canyon University, MSN, Emphasis in Public Health Profile: Ms. Cross is a National Registered Paramedic for 14 years and an Emergency Medical Service (EMS) Instructor for the past 11 years. Her past experiences include: Assistant Rescue Chief supervising 10 rescue squads and 130 EMTs and Paramedics. She served as clinical nursing lead and charge nurse for various Emergency Departments in Omaha, Nebraska and was a designated team leader for the Medical Reserve Corps. Currently she holds a position as a Nurse Specialist in Cardiology/ Cath lab with the Landstuhl Regional Medical Center. Seth Damian Wood, NREMT EMSP 1401/1160 1 of 11 Profile: Mr. Wood is a National Registered Emergency Medical Technician and has been a clinical Instructor for numerous CTC EMS classes. His experiences include: American Red Cross volunteer as an Emergency Medical Technician, Nurse Aid and Medication Technician for Landstuhl Regional Medical Center for the past three years. He is furthering his education by taking college classes toward a nursing/ paramedic degree. Currently he holds a position as the American Red Cross Station Manager. I. INTRODUCTION: EMSP 1401/1160 Emergency Medical Technician Basic Prerequsite; CPR for health care providers or professional rescuers. EMSP1401 and EMSP 1160 must be taken concurrently. II. COURSE DESCRIPTION: A 5-credit hour course designed to provide students with the knowledge and skills to become Emergency Medical Technicians. This course prepares students for the National Registry Certification Examination and to work in hospitals, fire and rescue organizations, private ambulance companies and other health care agencies. This course allows the student to practice knowledge and skills necessary to render immediate care in an emergency situation. The course follows the National Emergency Medical Services 2009 Education Standards. Successful completion of the course entitles the student to take the National Registry certification exams. III. COURSE OBJECTIVES: At the completion of this course, the student will be able to: 1. Recognize the nature and seriousness of the patient’s condition or extent of injuries and to assess requirements for emergency medical care. 2. Lift, move, position, and handle the patient to minimize discomfort and to prevent further harm. 3. Administer or assist with appropriate emergency medications based on assessment findings of the patient’s condition. 4. Recognize and operate within the scope of practice set for the Emergency Medical Technician Basic by the Department of Transportation Standards of Care. IV. INSTRUCTIONAL MATERIALS: Student Textbook: Emergency Care, Murray, Publisher Brady, 12th Edition, ISBN#: 0132824418 or 9780132824415 The instructional materials identified for this course are viewable through http://www.ctcd.edu/academics/booksinstructional-materials/ V. CLASS POLICIES AND PROCEDURES: EMSP 1401/1160 2 of 11 Attendance: Only 4 hours of missed class time are allowed. Make-up Examinations: If you miss an announced quiz or exam for duty reasons or illness, you must provide documentation in order to make up an examination. Plagiarism: Plagiarized papers, reports, or exams will receive a grade of 0 (zero), whether copied in whole or in part. Evaluation: There are two grades for this course. The final grade for the EMSP1401 portion of the course will be based on 5 written exams. On a 100 point scale each of the exams will have the following values: Exam #1 15 points Exam #2 15 points Exam #3 15 points Exam #4 15 points Exam #5 40 points If an instructor factors in scores for quizzes given during the class, the above scale may be modified accordingly. Grading Scale: A=90-100 points, B=80-89 points, C=70-79 points, D= 60-69 points, F= Below 60 points. A final grade of B (80) must be achieved to be eligible for the National Registry examinations. The final grade for the EMSP1160 part of the class will be based on 12 hands-on quizzes (40%), 10 patient contacts (25 %), and a final practical exam (35%). A grade of B must be obtained on the EMSP1160 for eligibility to take the National Registry examinations. EMSP 1401/1160 3 of 11 Course Schedule 12 weeks Please Modify Schedule for your course CENTRAL TEXAS COLLEGE EUROPEAN DIVISION SCHEDULE EMSP 1401/1160-EMT-B Training Program Location: TBA Instructors: Sonja Cross NRP, Seth Wood NREMT Dates: June 28th to September 29th 2015 Meeting times: Tuesday, Thursday 3.5 hours per day from 17:30 to 21:00 Saturday’s 7.5 hours per day from 08:00 to 16:30 with 30 min lunch break Clinical Rotation Times: As determined by Landstuhl Regional Medical Center Textbook: Brady Emergency Care 12th NOTE: This schedule has been constructed to show adherence in content and sequence to the US DOT NSC curriculum. In practice, lab and lecture hours may be consolidated when more than one instructor is required during lab sessions. Date Textbook Chapter TOPIC (As stated on the DOT NSC, NHTSA EMT instructional guidelines, or course textbook) CTC course hours Lecture, Lab Lecture EMSP1401 Instructor Lab EMSP1160 Instructor WEEK 1- June 28 Sat BLS Training/Review/Situational Scenarios Sat 6.5 1 Introduction to Emergency Care 0.5 Tue Tue Tue 1 2 3 WEEK 2- June 30, July 2nd (holiday weekend) Introduction to Emergency Care Well-Being of the EMT-Basic Lifting and Moving Patients 1.0 1.5 1.0 Thu. Thu Thu 4 5 6 Medical/Legal-Ethical Issues Medical Terminology & Anatomy & Physiology Principles of Pathophysiology 1.0 1.5 1.0 Week 3 –July 7,9,11 Tues. Tues Tues 6 7 8 Principles of Pathophysiology (contnd.) Life Span Development Airway Management 1.0 1.5 1.0 Thu Thu Thu 1-7 8 9 Written Exam #1 Airway Management (contd.) Respiration & Artificial ventilation 1.0 1.5 Sat Sat. Sat. 9 10 11 Respiration & Artificial ventilation (contd.) Scene Size-up The Primary Assessment 1.5 0.5 1.5 Sat Sat 3 9 Lab: Lifting and Moving Patients Lab: Respirations & Artificial Ventilation Tue Tue Tue 12 13 14 WEEK 4 –July 14,16 Vital Signs and Monitoring Devices Assessment of the Trauma Patient Assessment of the Medical Patient Start of clinicals Thu Patient Contact Form 3, 9, 12 1.0 2.0 1.5 1.5 1.0 1.0 Patient Contact , Clinic Rotation 2.0 Lab: Resp. & Artificial Vent., VS, Monitoring Devices 3.5 WEEK 5 –July 21,23,25 Tue Tue Tue 15 16 17 Patient Contact Form Thu Sat Sat. Sat. Sat. Sat. 3, 9, 12 Patient Contact Form 8-17 18 19 20 Reassessment Critical Thinking & Decision Making Communication and Documentation 1.0 0.5 2.0 Patient Contact , Clinic Rotation Lab: Vital Signs, Monitoring Devices 2.0 Clinic staff 3.5 Patient Contact , Clinic Rotation Written Exam #2 Pharmacology Respiratory Emergencies 2.0 Clinic staff 1.0 2.0 2.0 Cardiac Emergencies 2.0 . WEEK 6 –July 28,30 EMSP 1401/1160 4 of 11 Patient Contact Form Tue. 11, 13, 14, 15, 17 Patient Contact Form Thu. 11, 13, 14, 15, 17 Patient Contact , Clinic Rotation Lab: Patient Assess., Comm. & Doc. 2.0 Clinic staff 3.5 Patient Contact , Clinic Rotation Lab: Patient Assess., Comm. & Doc. 2.0 Clinic staff 3.5 WEEK 7- August 4,6,8 Tue Tue 20 21 Patient Contact Form Cardiac Emergencies (contd.) Diabetic Emergencies and Altered Mental Status Sat Sat. Sat 22 23 24 Patient Contact , Clinic Rotation Lab: Cardiac Emergencies Patient Contact , Clinic Rotation Allergies Poisoning & Overdose Emergencies Abdominal Emergencies Sat Sat 25 26 Behavioral and Psych. Emergencies and Suicide Hematologic and Renal Emergencies Sat 22,23,24,25,26 Thu 20 Patient Contact Form Patient Contact Form Tue. Tue 18-26 27 Patient Contact Form Thu. Thu 28 29 1.0 2.5 2.0 Clinic staff 3.5 2.0 Clinic staff 1.5 1.5 1.5 1.5 1.0 Assessment 0.5 WEEK 8 – August 11,13 Patient Contact , Clinic Rotation Exam #3 Bleeding and Shock 2.5 Patient Contact , Clinic Rotation Soft Tissue Injuries Chest and Abdominal Injuries 2.5 1.0 2.0 Clinic staff 1.0 2.0 Clinic staff WEEK 9 –August 18,20,22 Tue Tue Thu. Thu. Sat 29 30 Chest and Abdominal Injuries (contd.) Musculoskeletal Trauma 1.0 2.5 31 Injuries to the Head, Neck, & Spine 2.5 27, 28, 29, 30, 31, 32 Lab: Bleeding & Shock, Soft Tissue Inj., Chest & Abd. Inj., Musculskltl care, Head Neck & Spine Inj. 32 Multisystem Trauma 1.0 33 Environmental Emergencies 2.0 34 Sat Obstetric and Gynecologic Emergencies 31, 32, 34 1.0 1.0 Lab: Musculoskeletal care, Head, Neck, & Spine Inj., OB 3.5 WEEK 10- August 25, 27 Patient Contact Form Tue Thu 31, 32 21, 22, 27, 28, 29, 30 Patient Contact Form Tue Tue 27-33 34 Patient Contact Form Patient Contact , Clinic Rotation 2.0 Clinic staff Lab: Musculoskeletal care, Head, Neck, & Spine inj. 3.5 Lab: Diabetes, Allergies, Bleeding & Shock, Soft Tissue Inj., Chest & Abd. Inj., Musculoskeletal care WEEK -11 September 1,3 (Labor day weekend) Patient Contact , Clinic Rotation Exam #4 Obstetric and Gynecologic Emergencies (contd.) 3.5 2.5 3.5. 1.0 1.5. 1.0 2.0 es Thu 35 Patient Contact , Clinic Rotation Pediatric Emergencies Tue Tue Tue Thu 36 37 38 39 WEEK 12- September 8,10,12 Geriatric Emergencies Emergencies for Patients with Special Challenges EMS Operations Haz-Mat, Multiple Casualty Incidents, Incident Management Thu all 2.0 Clinic staff 1.0 2.0 Clinic staff Lab: Skills Training Completion 1.5 Sat Lab: Putting it all together 7.5 Tue WEEK 13- September 15, 17 Lab: Skills Training Completion Tue Thu 40 all EMSP 1401/1160 Highway Safety & Vehicle Extrication Lab: Putting it all together WEEK 14- September 22,24,26 2.0 1.5 2.5 5 of 11 Tue 41 EMS Response to Terrorism 3.0 Tue Skills Training completion 0.5 Thu Skills Training completion 3.5 Sat Practical Finals 7.5 WEEK 15 –September 29 Tue 1-41 Final Written Exam 3.5 72 Totals 72 Student Information EMSP 1401/1160 WELCOME to the EMSP 1401/1160 course of study. This is not an easy course, nor should it be. Upon completion of this course, you will enter the field of Emergency Medical Services (EMS). The EMT is an integral part of the EMS. Throughout the next several weeks, you will be taught the necessary knowledge and skills to become an effective member of the EMS Chain of Survival, providing treatment at the scene of an emergency. Here are some guidelines to assist you as you progress through the course of study. I. Attendance According to the National EMS Standards, attendance is mandatory for all lecture, lab sessions and testing throughout the course. The Central Texas College EMT Program allows for no more than 4 hours of class missed. Because of the amount of information given in such a short period of time, it is nearly impossible to make up missed class or lab time. II. Grades Your will receive two grades for this course. Your grade on the lecture part of the class, EMSP1401, will be based on 5 written exams. Your grade on the practical part of the class, EMSP1160, will be based on 12 hands-on quizzes, 10 patient contacts, and a final practical exam. You must receive at least a B on each course to be eligible to take the certification exams from the National Registry. III. Clinical Rotations To comply with National EMS Standards you must complete a minimum of 10 patient assessments in a medical facility during 25 hours of clinical rotations. You must document your patient assessments on forms provided to you by your instructor or CTC’s EMT staff. Clinical rotation time will be supplemented with practice on the preprogrammed patient simulator. Instruments, paper or electronic, will be provided to you to document completion of the clinical rotation time and you will be guided by a member of CTC’s EMT staff. Most medical facilities require students to provide proof of immunization and records of health status prior to rotations. The course coordinator will provide the clinic with a list of the military students in the course so their medical records can be looked up. Civilian students will be EMSP 1401/1160 6 of 11 required to make available relevant medical records to the clinic. If they cannot, they will be denied access to the clinic. Occasionally medical facilities may require students to have security checks prior to rotations. The course coordinator will arrange for transfer of information between the students and the POC at the medical facility in this regard at the beginning of the class. IV. Faculty Your class will have a primary instructor ( Sonja Cross) and one or more lab assistants. The primary instructor is responsible for adherence to the Department of Transportation Standards, attendance, grades, counseling and all related class activities. The lab assistant is to assist you with the performance of the various skills and to prepare you for National Registry Skills Testing. V. CPR Prior to enrollment in these courses, you need to have completed CPR for Health Care Providers or the Professional Rescuer. This is required by the National Registry. If you have not completed this, please notify your primary instructor. VI. NATIONAL REGISTRY TESTING A. Skills testing. At the end of your course, you will be tested on the National Registry EMT required skills that you have been practicing during your course. Dr. Gonzalez, Medical Director, or his assistant, will administer this test. The following are the National Registry required testing stations and the time allowed to complete the station. Station #1 Patient Assessment/Management-Trauma, duration 10 minutes. Station #2 Patient Assessment/Management-Medical, duration 10 minutes. Station #3 Cardiac Arrest Management-/AED, duration 10 minutes. Station #4 Bag Valve Mask-Apneic Patient, duration 5 minutes. Station #5 Spinal Immobilization-Supine, duration 10 minutes. Station #6 Oxygen administration with nonrebreather mask, duration 5 minutes Station #7 Random Skill Verification, duration 5 to 10 minutes depending on the skill chosen at random: Spinal Immobilization with a short device, Bleeding and Shock Management, Joint Immobilization, Long Bone Splinting, Mouth-to-pocket mask ventilation with oxygen, Traction Splinting. You must pass all skill stations. You may retest three of the stations. If you fail four or more of the stations, you are not eligible to progress to the National Registry written certification exam. Testing nights are very long and tiring, you will need to set aside this time for concentration. B. Written testing: Upon successful completion of the skills testing, you will be eligible to take the National Registry written certification exam. This exam is given online and the cost of taking it is $70.00. The procedure for applying to take the exam online is described below in the handout APPLYING TO TAKE THE NATIONAL REGISTRY WRITTEN EXAM ONLINE FOR CTC EUROPE STUDENTS and in the flyer taken EMSP 1401/1160 7 of 11 from the National Registry’s website. The National Registry recommends that you apply to take the exam a few weeks before you plan to take it. When filling out the application you must follow the instructions carefully so that your application will be forwarded by the National Registry to the correct Program Coordinator/Medical Director. APPLYING TO TAKE THE NATIONAL REGISTRY WRITTEN EXAM ONLINE 1. 2. 3. 4. 5. 6. 7. 8. Sign on to http://www.nremt.org/ Log in and set up an account. Login with username and password. Create New application. Manage NREMT profile and fill out info and save. Click on create new application. Enter application level which would be EMT. Fill out application form as follows: Initial course completion date: mm/yyyy Location of Initial Training Institution or Agency (State), Select Air Europe. Click on list of EMS Education Programs and then click on Central Texas College. At that point all of CTC EMT information should appear on your application form. CPR credential verification-Enter expiration date. Enter practical exam completion date: mm/yyyy Licensing Action and Felony Statement-Answer the questions. Read disclaimer and then submit. Your application will be forwarded by the of CTC’s EMT Program, Tammy Samarripa for Samarripa will proceed after Dr. Gonzalez the course with a minimum letter grade of portions of the course; and that you have practical exam. National Registry to the Director approval. Approval by Tammy has confirmed that you have passed a B on both, hands-on and didactic passed the National Registry In the US you need to contact a Pearson-Vue Computer Testing Center in your area to arrange a test date after you have been approved to take the computer based exam. In the Middle East the exam is offered at the following facilities: Ali Al-Salim Computer Testing Center, Kuwait; Camp Arifjan Education Center, Kuwait; Camp As Sayliyah Education Center, Qatar; Al Udeid Air Base, Qatar, and Sinai South Camp Education Center, Egypt. In Europe the exam is offered at the following facilities: National Testing Center Ramstein AB, Germany; National Testing Center Aviano, Italy; National Testing Center, Vicenza, Italy. New National Testing centers are opening up in Europe through the University of Maryland in the very near future. To find out their locations visit www.ed.umuc.edu and click on National Testing Centers. These centers may not be listed on the online Pearson View website and must be contacted directly by the student to make a testing appointment in advance. You have one year to take the computer based exam after passing the National Registry practical exam. If you have any questions contact a CTC field representative at the nearest education center who will put you in touch with, or forward your questions to, the EMT office at CTC Europe headquarters in Germany. You can also contact the EMT Program Director at felipe.gonzalez@europe.ctcd.edu. EMSP 1401/1160 8 of 11 EMSP 1401/1160 9 of 11 Students Skills Check List EMSP 1401/1160 Emergency Medical Technician-Basic This is a list of all the skills the students should practice in lab. Each student will receive a copy at the beginning of the course and fill out the information at the top of the list. The skills are to be learned and practiced in lab as outlined in the National Registry Skill sheets provided by the course coordinator at the beginning of the course. Those skills listed below for which there is no National Registry skill sheet are to be learned as described in the relevant sections of the textbook. After the student has mastered the skill, the lab instructor will date and initial the corresponding line on the list. The completed list is given to the Program Director or his assistant at the end of the course and it is kept in the student’s file for 2 years. Skills identified by the letters NR will be tested during the National Registry Practical exam. Student’s Name______________________________________________________________ Location____________________________________________________________________ Course Dates_________________________________________________________________ SKILL VITAL SIGNS Pulse Blood pressure Respirations AIRWAYS Oropharyngeal (NR) Nasopharyngeal SUCTION (NR) BAG-VALVE-MASK RESUSCITATOR (NR) MOUTH-TO-MASK VENTILATION WITH OXYGEN SUPPLEMENTAL OXYGEN ADMINISTRATION Nonrebreather mask (NR) Nasal cannula PATIENT ASSESSMENT MEDICAL (NR) MEDICATIONS Epinephrine Autoinjector Inhalers Nitroglycerin Oral Glucose PATIENT ASSESSMENT TRAUMA (NR) CARDIAC ARREST MANAGEMENT/AED (NR) BLEEDING CONTROL/SHOCK MANAGEMENT (NR SPLINTING Long bone splinting (NR) Upper extremity Lower extremity Traction splint SKILL EMSP 1401/1160 Date Instructor’s Initials Date Instructor’s initials 10 of 11 Joint splint (NR SPINAL IMMOBILIZATION KED/Short Board (NR) Long Spine Board (NR) HELMET REMOVAL DRESSING AND BANDAGING Abdominal evisceration Impaled objects Sucking Chest wound LIFTS AND MOVES Extremity lift Direct ground lift: three man, four man EMERGENCY CHILDBIRTH Normal delivery Prolapsed cord Breech delivery DEMAND VALVE RESUSCITATOR (Demonstration FINAL GRADE ON PRACTICAL EXAM : EMSP 1401/1160 __________ 11 of 11