Committee on Accreditation for the Emergency Medical Services Professions (CoAEMSP)
Advisory Committee Agenda and Checklist
SPONSORING INSTITUTION:
CoAEMSP PROGRAM NUMBER:
Truckee Meadows Community College
600486
DATE, TIME, + LOCATION OF MEETING:
February 11, 2014 @ 1500 Regional Training Center
ATTENDANCE
Name(s) – List all in attendance. It is acceptable to
have multiple members in a category.
Joedy Brocchini and Andrew Mann
Current Student
Captain Steve Walker
Graduate
Physician(s) (may be fulfilled by Medical Director) Dr. Eric Drummer
Captain Eric Millette
Employer(s) of Graduates Representative
Steve Tafoya/Bobbie Sullivan
Key Governmental Official(s)
Chief John Gillenwater
Police and Fire Services
Chief Mike Brown & Casey Quinlan
Tahoe Basin Fire Services
Dr. Melanie Minarik
Public Member
John Mohler, RN
Hospital / Clinical Representative(s)
Jeanie Silver
Other
Cindy Savoie
BLM
Charlie Tabano, Michael Schulz
Faculty (ex officio)
Dr. Wayne Hardwick
Medical Director (ex officio)
Chief Darryl Cleveland
Program Director (ex officio)
Dean Jim New
Sponsor Administration (ex officio)
Community of Interest
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 Hospital Based EMS Program
Agenda Item
1.
Chief Pat Songer or Designee
Reviewed
Program Goals & Learning Objectives
TMCC Paramedic Program 2013/14
Truckee Meadows Fire District
St. Mary’s Cardiology
Sparks Fire Dept
NV EMS
Central Lyon County Fire District
North Lake Tahoe Fire District
UNR Community Health Sciences
Careflight
Department Admin Assistant
Bureau of Land Management
Full Time/Part Time Faculty TMCC EMS
TMCC EMS & Renown Medical Center
TMCC EMS/Fire
TMCC Technical Sciences Dean
Humboldt General Hospital EMS
Discussion
“To prepare competent entry-level Paramedics in
the cognitive (knowledge), psychomotor (skills),
and affective (behavior) learning domains.”
X
December 2012
Agency/Organization
Action Required
To review and
approve our
programs stated
expectations.
E. Millette motion to
accept goals as
written, C. Tabano
second. Vote taken,
unanimous. Motion
carried.
Lead
Cleveland
Goal Date
2/11/14
CoAEMSP Advisory Committee Agenda + Checklist
Agenda Item
2.
Annual Report and Outcomes
 Graduate Surveys (Review & Discuss)
 Employer Surveys (Review & Discuss)
 Resources Assessment Matrix
(Discuss/Action)
 Thresholds (Discuss/Action)
Reviewed
X
Page |2
Discussion
-Skills in cardiology was a problem with
accreditation, however, the schedule now has two
semesters of cardiology. Fall Semester will
include basic cardiology and rhythm interpretation
and Spring Semester will be advanced cardiology
and 12 Lead.
TMCC is planning the reopening of the Hybrid
paramedic academy by Jan 2015. The consensus
is that the area agencies will support this with
employees that can complete with minimal impact
on work hours and cost to employers and open
potential for working adults with EMS experience
to attend Paramedic school.
Action Required
Make changes to the
curriculum and
scheduling to
accommodate the
most efficient use of
time for students in
the agency work
force.
Lead
Cleveland
Goal Date
CoAEMSP Advisory Committee Agenda + Checklist
Agenda Item
3.
Reviewed
Other Assessment Results
 Student
 Faculty
 Program
 Other
X
Page |3
Discussion
-Update on accreditation & site visit
-Review and discuss letter of findings and
response to letter of findings
-Discuss assessments and where we need to go
from here based on NREMT data.
-Current student report: J. Brocchini and A. Mann.
The students are learning through the
adjustments to the program with new instructors
and changes in the program. They feel that
equipment for skills could be updated. Simulation
tools could be current with the technological
arena. Suggestion to make purchase of an
infusion pump.
-Faculty report: Director Cleveland was hired in
November 2013 on a full time basis. G Schuster
and M. Schulz were officially hired in January
2014 as tenure track faculty. These additions to
the program will create stability within the
instruction of the program.
-Assessment: There is room for improvement, as
mentioned previously increased hours in
cardiology, anatomy lab visit at UNR was included
this semester and will become staple addition to
our program in partnership with UNR School of
Medicine.
Students sample testing report attached:
Improvement is expected with additional attempts.
Action Required
Will be completed by
3/1/14 deadline
Pursuing Grant
opportunities to
purchase and
upgrade equipment.
Continual reevaluation of
program and
content. Adding
curriculum to
program.
Lead
Cleveland
Goal Date
CoAEMSP Advisory Committee Agenda + Checklist
Agenda Item
4.
Reviewed
Program Changes (possible changes)
 Course changes (Review & Approve)
 Preceptor changes (Review & Approve)
 Clinical and field
 Curriculum
o Content
o Sequencing
o Required minimums reviewed &
approved
o Competencies (Review Terminal Obj’s)
X
Page |4
Discussion
-Integrating student uniforms for consistency
between Fire and EMS, students will be identified
by color of ribbon on uniform.
-Preceptor changes: supply and demand is a
problem, program needs to minimize out of state
usages.
-Clinical: hospitals are cooperating with the
program and hours are adequate. Program is
building better relationship with the hospitals.
-Curriculum: Adding content to include scope of
practice for skills and practical experiences
Community engagement is now essential part of
all levels in the EMS programs. Attempting to
teach the students to be treating the entire patient
not just the event. The Paramedic students are
required to complete 48 hours of community
engagement. Additional hours are assigned if
faculty determines a need.
Discussion concerning how the students are
accepted to the program, minimum qualifications,
and step by step process during their education to
be certified as a paramedic. This will be resolved
in the upcoming Fall Paramedic class as we
define and refine entry requirements and testing.
Action Required
Lead
Hardwick
Cleveland
Goal Date
CoAEMSP Advisory Committee Agenda + Checklist
Agenda Item
5.
6.
Reviewed
Substantive Change (possible changes)
 Program Status (Review Accreditation
Status)
 Sponsorship (Review/Discuss)
 Sponsor Administrator Personnel (Update)
 Program Personnel (Update)
 Addition of Distance Education (Spr 2015?)
 Addition of Satellite Program (HGH EMS?)
Page |5
Discussion
Action Required
Lead
Hardwick
Cleveland
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-Effective immediately the Physician of Record
must sign off all students prior to their completion.
-Check list has been created with all terminal
objectives for this purpose. (see attached)
-Policies and Faculty handbook have been
created, part of the purpose of this is to hold
faculty to the established standards. The program
holds students to their standards, must hold
faculty to the same standards or above.
-Accreditation: only five write ups and the
response due by 3/1/14. Decision will be in by
May or June 2014. Anticipate accreditation with
follow up reports. Current students are under a
letter of review and will receive accreditation
status for their program regardless of
accreditation status.
-Distance Education: Program is planning on
proceeding with Hybrid program in January 2015.
Dr. Minarik would be willing to review and assist
with the online process.
-Question concerning accreditation for the Hybrid
program, Chief Cleveland feels that this will not
be a problem since the program will follow the
same educational standards of the full time
program.
-Humbolt General Hospital (HGH), proposed a
satellite location for paramedic training. They are
currently in the Great Basin College Jurisdiction,
however, with permission from that college and
solid contracts the program feels this would be a
step in the proper direction to assist with rural
area accessibility.
Hardwick
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Program identified the level of commitment and
the support of outside agencies as a strength to
the program. The level of teaching is also a
strength.
The support of the College Administration is solid
and will continue with the changes that are being
placed at this time and in the future.
Other Identified Strengths
Goal Date
CoAEMSP Advisory Committee Agenda + Checklist
Agenda Item
7.
Reviewed
Other Identified Weaknesses
 Student PPE for Field
 Simulation Equipment
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8.
9.
Action Plan for Improvement
 Discuss long range planning for program
 Discuss SWOT Analysis Meeting
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Other Business
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Page |6
Discussion
Action Required
-Concern about protective equipment for students
within their internships was discussed. Agencies
that were present stated they prefer to use their
own equipment due to industry standards and
differences in each agency requirements. This
solves the problem of risk management within
each agency.
-Simulation equipment is in dire need of updating.
College budgetary restraints are limiting
replacement. Director Cleveland and Dean New
are working on grants to obtain newer equipment.
A goal is to create a simulation lab on the RTC
premises. This will take the collaboration of all
agencies involved in the training center.
Discussion ensued about usage of other sites
labs and possibility of UNR lab usage. Director
Cleveland and Dr. Minarik will communicate
needs.
The Director and faculty are working to develop a
strategic plan for the programs. This will be a
work in progress as the program expands.
-J. Brocchini questioned the view of the agencies
for hiring students graduating from the program in
reference to programs prior reputation. All present
agencies assured the students that they support
hiring this pool of potential employees no matter
where they were educated. All hired employees
do however have to meet the standards of the
hiring agency.
-BLM is concerned about the Medical Unit Leader
course as the regulations for use are so
restrictive, but still needs to be addressed in
wildland world.
-State EMS office reminded board about the AAA
scholarship for students just starting the certificate
process.
Lead
Goal Date
Hardwick
Perform SWOT
Analysis this spring
and transition to
strategic plan for
programs
Cleveland
September
2014 for
completion
CoAEMSP Advisory Committee Agenda + Checklist
Agenda Item
10. Future Meetings
11. Meeting adjourned
Reviewed
Page |7
Discussion
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Proposal to meet quarterly, all in attendance
agreed, May meeting date to be determined.
X
Meeting called to close at 4:45 pm
Action Required
Set May 2014
meeting
Lead
Cleveland
Hardwick
Goal Date
April 1, 14