Houston Community College
Emergency Medical Services Training Programs
Fall 2014
Catalog Description: EMSP 1263- Clinical Foundations (Credit 2 sem. Hr, Lab 9 = 144 hours)
Prerequisite:
EMSP 1355 + Texas Department of State Health Services EMT-Basic certification card.
Documentation of 12th Grade Reading Level or ASSET or Compass Reading level, HS
transcripts or copy of diploma or GED scores, CPR Completion: (AHA - Health Care
Provider, ARC - Professional Rescuer), all Immunizations, background check, drug
screen, physical exam are required for admission to the HCCS EMSP
DSHS – Basic Certification Card
Student will have to have a TDSHS – Basic certification card to be eligible to start EMSP 1263.
Student Learning Outcomes:
 Routinely perform history and comprehensive physical exam to enable treatment plans.
 Practices interpersonal and team work skills
Course Description:
This course provides clinical field training to manage trauma in a supervised emergency room rotation,
provides advanced airway training in the operating room, and field internship on a Mobile Intensive Care
Unit (MICU) ambulance. Community Service encourages positive health practices.
Purpose and Rationale:
This practicum course provides clinical and skills practice/verification for the Emergency Medical
Technician (EMT) to advance his/her training to the Advanced level. The training includes instruction on
practical and clinical skills used for management of trauma patients.
Clinical/Ambulance Affiliations:
Area objectives and specific directives will be given to the students as an attachment to this syllabus at
the clinical orientation. The clinical practicum (based on availability) will consist of:
Hospital / Field Internship
SCANS Competencies and Foundations
Resources: Identifies, organizes, plans, and allocates resources.
 C1 Time: Selects goal-relevant activities, ranks them, allocates time, and prepares and follows
schedules.
Information: Acquires and uses information.
 C8 Uses computers to process information
Interpersonal: Works with others.
 C9 Participates as a member of a team: Contributes to group effort.
 C13 Negotiates: Works toward agreements involving exchange of resources; resolves divergent
interests.
 C14 Works With Diversity: Works well with men and women from diverse backgrounds
Technology: Works with a variety of technologies.
 C20 Maintains and Troubleshoots Equipment: Prevents, identifies, or solves problems with
equipment, including computers and other technologies
Basic Skills: Reads, writes, performs arithmetic and mathematical operations, listens, and speaks.
 F2 Writing: Communicates thoughts, ideas, information, and messages in writing; creates
documents such as letters, directions, manuals, reports, graphs, and flow charts.
Thinking Skills: Thinks creatively, makes decisions, solves problems, visualizes, knows how to learn,
and reasons
 F9 Problem Solving: Recognizes problems and devises and implements plan of action.
Personal Qualities: Displays responsibility, self-esteem, sociability, self-management, integrity, and
honesty.
 F17 Integrity/Honesty: Chooses ethical courses of action.
 F15 Sociability: Demonstrates understanding, friendliness, adaptability, empathy, and politeness
in group settings.
 F16 Self-Management: Assesses self accurately, sets personal goals, monitors progress, and
exhibits self-control.
Course Textbooks:
Required Texts:
EMSP 1263 Handbook, HCCS EMS Program
Grading Scale:
90-100 A
80- 89 B
75- 79 C
Below 75 F
4
3
2
0
Points
Points
Points
Points
Grading Policies:
All student completed patient assessments and/or field internship evaluations must be returned to the
clinical coordinator as designated at the clinical orientation. All clinical rotations must be scheduled
through the HCCS EMS Office. If a student attends a rotation that has not been scheduled through the
HCCS EMS Office, the rotation & paperwork will not be accepted. The EMSP will not duplicate state
forms, and / or student notes. Objectives will be reviewed at the Clinical Orientation.
a. Written Patient Assessments
For students to complete the program he / she needs to track all patients assessed in the
clinical setting. Faculty needs to be able to confirm the tracking documented via the
student’s PCRs
Students will document ALL patients assessed in each clinical/ambulance area.
Patients assessed will be tracked on form provided as part of the clinical paperwork.
These patient documentations will be evaluated based on the program patient
assessment template provided the student.
b. Ambulance Field Internship Evaluation:
The student will complete the evaluations and provide them to the clinical coordinator.
Student performance will be evaluated by the field evaluators and progress will be scored
by the field evaluator.
Tracking Procedure Minimums for AEMT (Intermediate) – Needed for Completion
Students MUST track all requirements honestly. Non-honest tracking will be seen as scholastic
dishonesty and student will be dismissed from the program.
Clinical completion:
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Course needs to be completed within the dates of the course. Extending clinical will ONLY be
done for approved extenuating circumstances and ONLY with approval from the Lead instructor
and Program Director. IF extension is approved the student will have to complete rotations within
the time limit given by the Lead Instructor and Program Director. If this is not attained the student
will be given an “F”. The student may re-register in a future EMSP 1263 HOWEVER the student
MUST make contact with the Program Director / Lead instructor prior to the start of the course so
any logistical requirements may be met prior to the start of the clinical course.
Criteria includes:
Clinical online tests = 10%
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1 Preparatory; 2. Airway; 3. Trauma; 4. Medical; 5. Special Populations; 6. Ambulance
Operations
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Students MUST take all 6 tests during 1263 and pass with a 75% or better on each test
o Student will get one (1) retest on each test if score less than 75% on first try
o Student MUST score 75% on 2nd try on each test
Failure to complete all tests and score a 75% on EACH test will lead to the following:
o The student will NOT be cleared to take the NR cognitive or skills test as he / she
will not have demonstrated the knowledge base needed to successfully pass the
certifying exam.

Simulation Lab Rotation = 10%
 Date set on clinical schedule will NOT be changed. It is mandatory student attends
on that date.
o If said lab is missed and another is not available during your clinical course
an “incomplete” will be given for the course. Student will need to contact
Ms. Hook so see when next course is available to complete clinical
rotations. See information on clinical completion (above)
 Pre-Test = 10% - Difficulty Airway / Critical Thinking Case Based Scenarios = 90%
o Cases for scenarios will come from knowledge learned from Basic thru 1355
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Students will be expected to:
o Come to class prepared by reviewing the pe-course/preparatory material
published in the EMSP 1355 / 1263 Clinical course and completing the “PRETEST” assignments with a minimum of 80% score.
Student MUST bring completed “PRE-TEST” to course.
If not prepared student will be dismissed for the day – NO “make-up” sessions
o Student will receive a “0” as a grade
As this is a part of the clinical coursework students will be expected to:
o Participate in CRITICAL AIRWAY PROCEDURES / CRITICALTHINKING
PATIENT CARE MANAGEMENT.
o Students are expected to achieve competency with Advanced Airway / Critical
Case Based Patient Management.
o Complete Simulation Lab Evaluation form – Assessed by Preceptor
o Track the skills performed as part of the “Patient Contact” form.
AEMT HESI test = 10%
Clinical/Field Documentation Completeness / Neatness = 55%
1. Student Clinical Data information (name, date, etc.) is completed filed in (10%)
2. Patient Assessment/Evaluation Completeness (45%)
Minimum Criteria:
a. Patient Chief Complaint / General Impression
b. History & Physical Exam/assessment
c. Vital Signs
d. Treatment
e. Disposition
Clinical/Field Preceptor Evaluations = 15 %
1. Clinical (hospital and ambulance) Preceptor Evaluation Form (5%)
a. Rating Scale –
Score student receives (by adding the points given by preceptor on each forms) ÷
Maximum points available = rating score

5 = A; 4 = B; 3 = C; 2 = D; 1 = F

Students will NOT guide, lead of give suggestions on how his / her preceptor scores the
evaluation. If this occurs the student’s clinical rotations will stop and he / she will meet
faculty / Program Director. A decision will be made about continuation of said student with
his / her clinical coursework. If student is not cleared to continue student will fail the
clinical course.
2. Clinical Preceptor Skills Form (10%)
a. Complete (10%)
b. Incomplete (0%)
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COMPLTETED CLINICAL PAPERWORK AND EVALUATION MUST BE PLACED IN THE
STUDENTS CLINICAL NOTEBOOK AT THE CAMPUS WEEKLY.
IF PAPERWORK IS NOT TURNED IN EACH WEEK 5 POINTS WILL BE DEDUCTED AT THE
END OF SAID WEEK (DUE TO NON-ACTION BY THE STUDENT) AND REFLECT ON THE
STUDENT’S OVERALL CLINICAL GRADE.
o Non-compliance can / will result in suspension from clinical rotations. If this
occurs student will have to meet with instructor (s) and PD before resumption of
coursework (if this is going to occur).
Weighted Grade Calculation:
A clinical grade will be determined from clinical evaluations, and completed assignments. The grade will
be calculated but not limited to the following:
Cognitive
Psychomotor
Affective
If at any time a student's performance should jeopardize a clinical /ambulance affiliation or the well-being
of a patient, the student will be removed from the setting by the preceptor or instructor. A decision
regarding whether or not the student will be allowed back into the clinical setting will be determined by the
EMS Clinical Coordinator and the EMS Department Chair.
Parking:
Students will be responsible for all expenses incurred during clinical rotation. HCCS will not reimburse
the student.
EMSP 1263: - Intermediate Clinical/Ambulance Assignments:
Students with <75% grade average in EMSP 1355 will not be assigned clinical rotations.
Hybrid / Night program: The clinical course will begin while the student is currently in
EMSP 1355. Grades will be assessed weekly by your instructor. If the student’s average
(not including the affective grade) drops below 75% the student will NOT continue to
attend clinical rotations. Having a clinical schedule does not GUARENTEE rotations.
Review “clinical assignment violation policy” below.
EMS students must maintain a 2.0 GPA in all EMS courses to be eligible for enrollment for future courses.
Students must attend the clinical orientation and show proof of registration at the Orientation. Student
must attend the orientation in full EMS uniform with stethoscope and goggles.
All Clinical rotations must be scheduled through the HCC EMS Office. If a student attends a rotation not
previously scheduled through the HCC EMS Office, the rotation and paperwork will not be accepted and
disciplinary action may follow. If a student does not go to an assigned clinical rotation and / or
leaves the clinical site prior to completion of the rotation and does not contact the clinical
coordinator he / she will be considered Absent without Leave (AWOL) and may be dismissed
from the program immediately pending Lead instructor and Program Director decision.
Clinical Coordinators / contact number for emergencies or problems that arise
prior to or during a clinical rotation:
Jan Hook 281-914-6763 Lamont Cline – 713-320-5039
Student will NOT contact the Jan or Capt. Cline for driving directions to a clinical
site. It is the student’s responsibility to physically locate the site prior to the
rotation so on the day of said rotation student can arrive on time.
Student will NOT contact ANYONE from HFD for driving directions to an HFD site.
If this occurs you will be cancelled for the day by the HFD personnel. If this
occurs you MUST contact Lamont Cline ASAP.
Attendance Policy:
All lecture classes, labs, and clinical require mandatory attendance. Class/Lab attendance is checked
daily. If a student misses more than 10% of the didactic course the student will be failed for excessive
absences (time will count hour for hour). If time missed is due to medical illness the department will
require a signed physician clearance to reenter the program.
If time missed is due to medical illness the department will require a signed physician clearance to reenter
the program.
Texas Department of State Health Services requires all students meet / attend and complete all class /
clinical hours to be considered complete in the program. If the student is absent or tardy they MUST
contact their lead EMS Instructor prior to the start of class or clinical. Any student that is Absent Without
Leave (AWOL) may be dismissed from the program immediately pending Lead instructor and Department
chair decision.
Clinical/Field training will be provided to students based on availability. Students are expected to attend
all scheduled clinical assignments. Any absences or cancellations will be reported to the Clinical
Coordinator using the clinical pager number provided on the student schedule. All clinical hours must be
completed to meet TDSHS / HCCS course requirements.
Missed Class Time Policy: Clinical Assignment violation:
The following is the HCC policy for any student that misses a clinical rotation.
1st time the student’s clinical grade will be dropped one letter
2nd time the student will fail the course (student will need to drop any other classes that are running
concurrently in which they have not received a final grade).
Time missed by the student can place our clinical affiliation agreements in jeopardy. The EMS program
cannot operate without the affiliations so the policy above has been put in place to assure loss of affiliates
does not occur.
Students that miss a clinical rotation will have to do the following to complete his / her clinical rotations:
1. Pay $30.00 / hour for a 1:1 clinical make-up rotation
2. Inform Ms. Jan Hook of your available dates to get this accomplished.
After an assessment of the clinical site and preceptor availability Ms. Hook will let you know your options.
Understand that:
1. If Ms. Hook does not have an available site or preceptor with the dates you supply her with she
will let you know so you can give her additional dates.
2. You may not finish your clinical course on time,
3. You may not be eligible to continue on to the next EMSP course in the program.
4. The missed time policy will be enforced.
Students that are failed due to time missed will have to re-register for a subsequent clinical(s) needed to
complete their certificate.
Sleeping during ambulance rotations will NOT be tolerated. Student will be sent home by the
preceptor (or other designee) with the service. This will be counted as missed time.
Electronic Devices (Pagers, Cell Phones, MP3, Lap top, etc…):
During classroom sessions and clinical rotations, pagers and/or cell phones will be placed on vibrate or
turned off. ALL OTHER ELECTRONIC DEVICES MUST BE TURNED OFF. In ALL Hospital settings
electronic devices are NOT permitted.
Inclement Weather:
If the training is occurring on an HCCS campus, the HCCS policy on inclement weather will determine
when classes will be cancelled. In the clinical/field internship, students are encouraged to attend all
rotations that the student can safely attend. If inclement weather prevents a student from attending a
rotation, they will contact the clinical coordinator using the clinical pager.
Patient Confidentiality:
Students are expected to protect patient confidentiality in all aspects of the clinical/field internship.
Students are not to discuss patient information outside of the clinical facility and are not allowed to copy
patient records to complete patient documentations for the program. Students will be under the direct
supervision of hospital, field, or HCCS preceptors and will follow their directives.
In regards to current concerns of Social Networking sites, including but not limited to Facebook,
MySpace, Twitter, YouTube, the Student must NOT POST ANY PHOTOS, VIDEO’S, PATIENT
INFORMATION OR ANY OTHER DATA REGARDING YOUR PATIENTS, OR AFFLIATIONS. The
student must keep in mind everything taught to them in school in regards to moral and ethical behavior
plus, federal laws regarding HIPPA protected information and college policies regarding protection of
privacy of the student’s patients. Students who breach these policies will be exited from the Program.
Field/Clinical Problems or Emergencies:
Any problem or emergency that occurs during field/clinical training will be brought to the attention of the
clinical coordinator within 24 hours. If the problem is of a very serious nature, the student should contact
the Clinical Coordinator immediately. Based on an initial investigation, the student may continue to
complete his/her training or the student may be temporarily suspended until a meeting can be arranged to
discuss the results of the investigation.
Students are responsible for reading and adhering to the information presented in the HCCS Student
Handbook and HCCS Catalog, available online at www.hccs.edu/students.
In addition to the HCCS policies regarding student conduct: while acting in the capacity as a health
science student, safe patient care and ethical and professional behavior is essential
Clinical Code of Conduct - A student shall:
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Provide safe and professional patient/client care at all times and implement measures to promote
a safe environment for each patient/client.
Comply with policies, procedures, and rules related to academic and clinical performance that are
issued by NE EMS, by HCCS, or by any clinical agency.
Not commit acts of omission or commission that cause or are likely to cause harm to
patients/clients.
Not attempt care/activities without adequate orientation, theoretical preparation, assistance, or
supervision.
Maintain patient/client confidentiality.
Take appropriate action to assure the safety of patients/clients, self, and others.
Provide care for the patient/client in a timely, compassionate, and professional manner.
Communicate with patient/client and healthcare team in a truthful, timely, and accurate manner.
Actively promote the highest level of moral and ethical principles, and accept responsibility for
his/her actions.
Treat others with respect and promote an academic and clinical environment that respects human
rights, values, and choice of cultural and spiritual beliefs.
Collaborate and cooperate in every reasonable manner with the academic faculty and clinical
staff to assure the highest quality of patient/client care.
Abstain from the use of substances that impair judgment.
Report and document all patient/client assessments or observations, the care/ practice provided
by the student for the patient/client, and the patient’s/client's response to that care/practice.
Accurately and timely report to the appropriate practitioner errors in or deviations from the
prescribed regimen of care/practice.
Not falsify any patient/client record or any other document prepared or utilized in the course of, or
in conjunction with patient/client care/practice.
Delineate, establish, and maintain professional boundaries with each patient/ client. When
providing direct patient/client care, the student shall provide privacy during treatment and
care/practice and shall treat each patient/client with courtesy, respect, and with full recognition of
dignity and individuality.
Not engage in behavior that causes or may cause physical, verbal, mental or emotional abuse to
a patient/client; or engage in behavior toward patient/client that may reasonably be interpreted as
physical, verbal, mental or emotional abuse.
Not misappropriate a patient/client's property or engage in behavior to seek or obtain personal
gain at the patient’s/client's expense; engage in behavior that may reasonably be interpreted as
behavior to seek or obtain personal gain at the patient’s/client's expense; engage in behavior that
constitutes inappropriate involvement in or interference with the patient’s/client’s personal
relationships; or engage in behavior that may reasonably be interpreted as inappropriate
involvement in the patient’s/client's personal relationships. For the purpose of this paragraph, the
patient/client is always presumed incapable of giving free, full, or informed consent to the
behaviors by the student set forth in this paragraph.
Not engage in sexual contact or romantic relationships with a patient/client; engage in conduct
that may reasonably interpreted as sexual or romantic; engage in any verbal behavior that is
seductive or sexually demeaning to a patient/client; or engage in verbal behavior that may
reasonably be interpreted as seductive or sexually demeaning to a patient/client. For the purpose
of this paragraph, the patient/client is always presumed incapable of giving free, full, or informed
consent to sexual or romantic activity with the student.
Unsafe/Unprofessional Practice and Weak Practice with Potential for Unsafe and/or
Unprofessional Practice
A student shall provide safe and professional patient/client care/practice at all times. Unsafe
care/practice, unprofessional care/practice, or weak care/practice with potential for unsafe and/or
unprofessional care/practice occurs when the student’s behavior in providing care/practice to
patients/clients may call into question the student's professional judgment and accountability and may
violate the current:
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Standards of care/practice in Emergency Medical Services; or
State of Texas Emergency Medical Services Act; or
Code of ethics for Emergency Medical Technician; or
HCCS and/or clinical agency policies and procedures; or
Emergency Medical Services program goals and/or course objectives.
Depending upon the degree of actual or potential harm a patient/client may suffer, a student's one-time
deviation from safe care/practice may be sufficient to judge a student unsafe.
A student whose clinical care/practice is judged unsafe and/or unprofessional by NE faculty or clinical
staff may be removed from the clinical experience. To resume the clinical experience, a student who has
been removed must comply with written stipulations prescribed by the faculty for readmission to the
clinical experience.
The faculty responsible for the clinical experience will review the clinical care/practice of a student who
exhibits weaknesses that may lead to unsafe practice and/or unprofessional practice. The faculty, with
appropriate input from the student, will develop a set of expectations that the student is to attain to
remedy those weaknesses in the current and/or subsequent semester.
Rationale
Faculty have a legal and professional responsibility to assure for the public, other students, Northeast
College, and the Emergency Medical Services that students can practice safely and professionally in their
various clinical care/practice
HCC EMS POST EXPOSURE PLAN
Students enrolled in the hospital or ambulance clinical rotations of HCC, who become exposed to any
infectious organism(s) during the clinical rotation, shall adhere to the following guidelines
1. Notify the clinical preceptor immediately immediately.
2. If in the In-hospital settings (ER, ICU, L&D, OR, etc.), contact the Infectious Disease Officer on duty,
and follow their instructions.
3. Pre-hospital (ambulance) rotations will notify the preceptor immediately, and then follow steps 4 & 5
respectively.
4. Notify personal Physician and follow their instructions.
5. Notify the Clinical Coordinator – Jan Hook 281-914-6763 / Lamont Cline – 713-320-5039 to fill out a
Clinical Incident Report
Grievances Regarding Policies and Procedures
Students who disagree with a policy, procedure, or rule may file a student grievance as permitted by
HCCS policy. The filing of a grievance, however, does not excuse compliance with current policies,
procedures, and rules. Students shall comply with all policies, procedures, and rules until and if such
policies, procedures, or rules are withdrawn or modified.
ADA Statement:
Any student with a documented disability (e.g. physical, learning, psychiatric, vision, hearing, etc.) who
needs to arrange reasonable accommodations must contact the Disability Services Office at the
respective college at the beginning of each semester. Faculty is authorized to provide only the
accommodations requested by the Disability Support Services Office.
For questions, please contact Donna Price at 713.718.5165 or the Disability Counselor at your college.
To visit the ADA Web site, please visit www.hccs.edu then click Future students, scroll down the page
and click on the words Disability Information.
District ADA Coordinator – Donna Price – 713.718.5165
Central ADA Counselors – Jaime Torres - 713.718.6164
Martha Scribner – 713.718.6164
Northeast ADA Counselor- Kim Ingram – 713.718.8420
Northwest ADA Counselor – Mahnaz Kolaini – 713.718.5422
Southeast ADA Counselor – Jette Lott - 713.718.7218
Southwest ADA Counselor – Dr. Becky Hauri – 713.718.7910
Coleman ADA Counselor – Dr. Raj Gupta – 713.718.7631
Student Background:
While in the program the student needs to self-report to the HCC department and
the Department of State Health Services (DSHS) within 2 business days of a
change in his or her criminal history or being arrested, charged or indicted for
any criminal offense which can or does result in him or her being convicted or
placed on probation, parole, deferred adjudication community supervision,
deferred disposition. Contact at the DSHS office in Austin – 512-834-6700.
Alcohol / Illicit substance use:
At no time shall the student use alcohol / or illicit substances while in the HCCS uniform. If a student is
suspected of or found to be intoxicated the student will be removed from the program. The student will
have to make an appointment with the Department Chair to be eligible for re-entry into the program. The
student will also be removed from the program if seen ingesting substances that resemble alcoholic
beverages (virgin drinks, near beer, etc.) / illicit substances while in an HCCS uniform. Refer to HCCS
Student Handbook.
Code of Conduct violations:
If the Code of Conduct is violated the student will be dismissed from class. The student must immediately
contact the clinical coordinator or will be considered AWOL. Any HCC instructor or Clinical Affiliate is / are
eligible to enforce the components of the Code and the student will abide by the discipline. Missed class
time policy will be enforced.
Change in Heath Status:
Students that develop a medical or physical problem that would keep him / her from performing the Job
Essentials of the profession, as published by the Department of State Health Services, found on the HCC
EMS website need to inform the program faculty or director immediately upon the change. To get to
webpage go to emsacademy.hccs.edu
Student issues:
The protocol for the college in regards to issues, complaints or clarifications that are directly related to the
programs, courses, and classes, is for students to contact the instructor of their class first. If no resolution
is reached, they are then to contact the Chair or Associate Chair of the department. Should the issue still
not be resolved, they would then contact the Dean of the division.
NOTICE: Students who repeat a course for a third time will face significant tuition/fee
increases at HCC and other Texas public colleges and universities. Please ask your
instructor / counselor about opportunities for tutoring / other assistance prior to
considering course withdrawal or if you are not receiving passing grades
EGLS3 -- Evaluation for Greater Learning Student Survey System
At Houston Community College, professors believe that thoughtful student feedback is
necessary to improve teaching and learning. During a designated time, you will be asked to
answer a short online survey of research-based questions related to instruction. The
anonymous results of the survey will be made available to your professors and division chairs
for continual improvement of instruction. Look for the survey as part of the Houston
Community College Student System online near the end of the term.
HCC course materials/student records will be maintained for five years. The EMSP will
not duplicate student state forms or notes. Students are encouraged to make copies of
all forms submitted to the EMS program.
Paramedic 1 / AEMT Course – EMSP 1263
Student/Instructor Agreement
I have read and understand the contents of the HCCS EMS program syllabus
________________________________
(Print Student Name)
_________________________________
_____________________
Student Signature
Date
_________________________________
_____________________
Lead Instructor Signature
Date
Syllabus is subject to change
A\ms syllabus EMSP 1263
9/2013; 1.2104 (updated 2.2014; 4/2014; 8/2014)