2010-2011_PAR5001_philiom_3062_07-mar

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Algonquin College
Advanced Care Paramedic Didactic Schedule
2010- 2011 Academic Year
Didactic J216
Shaded areas are labs (P304, J216)
Week 1
Day 1
Tuesday
Room AM
Classroom
J-216
- Exams, Grading, Appeals
Classroom
J-216
Fluid & Electrolyte
Hemodynamics (BP)
Shock (Definition, MAP,
Comp, Types)
Lab Values
September 7
Day 2
Wednesday
0800 - 1200
Welcome
Course Outlines
September 8
1200 - 1300
Lunch
Safety and Injury
Medical/ Vaccinations
IT Network Access
Library Access
Student Support
Academic advisors
1245 PT
faculty Prep
1300 - 1630
Cellular Physiology
Acid/Base Physiology
- ABG
Theory break do Lifting
Back to Cell Phys.
Day 3
Thursday
September 9
Nervous System
Chronic Neurological and,
Infectious/ Disorders
Cancer
Lunch
Classroom
J-216
IV Therapy/ (Lab x 2)
-
Solutions/ (dopamine)
Setups/locks
IV catheters/practice
o
Tubes
o
Arms
All Demo together and practice
Michel/ Curtis
Classroom
J-216
Room PM
Introduction
Pharmacology
(ALS Meds/Medical
Directives/Scope of
Practice)
Classroom
LAB
1615 Debrief
LAB PT
INST/ STDS
Classroom
J-216
Week 2
Day 4
Tuesday
Room AM
Classroom
J-216
September 14
0800 - 1200
Roles & Responsibilities
Medical Legal
Issues/Communication
101
1200 - 1300
Lunch
Stan Moreau
Day 5
Wednesday
September 15
Introduction
Pharmacology
(ALS Meds/Medical
Directives/Scope of
Practice)
Focus on ACP drugs only
1245 PT
faculty Prep
Day 6
Thursday
September 16
Adult/Peds
Classroom
LAB+
Practice – Emphasis on 5 Rs –
Must be verbalized
Rights
-
Labels
-
Medical Math Continued
Medical Directives
Med Admin (lab x 3)
Practice (PO, SL, SC/ IM/
PR, IN / IV with line/lock/ )
Preparing Preloads
Demo (Drawing/ Zeroing meds (
use preloads/Ampoules)
- Practice Self Injectable/PR
(10:15 – 12:00) – Do before PM
or in LAB
Classroom
J-216
Room PM
Classroom
J-216
Stan Moreau (1300- 1400)
Michel Well being (14-1630)
Continue. 8 -10
Classroom
J-216
1300 - 1630
Ethics / Critical incident
stress/Non Threatening/
Wellbeing
Lunch
Patient, Drug, Dose,
Route, Time,
Documentation
Drug name
Drug expiry
Medical Math Continued
Medical Directives
Urinary Catheters/Overcath
Ostomy drainage Care
(Possible Visit Nursing Lab)
Urinary catheterization
(theory only)
Adult Peds
1615 Debrief
LAB PT
INST/ STDS
This is a
mixed Lab
+Theory
afternoon
Classroom
LAB+P215
J-216
Week 3
Day 7
Tuesday
Room AM
Classroom
J-216
September 21
0800 - 1200
Exam # 1
1200 - 1300
1300 - 1630
Respiratory:
Anatomy & Physiology
Causes of hypoxia
Respiratory Assessment
Foundations course (Exam
finished by 11: 00, time to
review in morning 11:30 to
12:30 Return to class 13:30
Room PM
Classroom
J-216
Post exam
Start Respiratory Assessment
If time
Auscultation tech
Breaths sounds
(TAPE/CD)
Day 8
Wednesday
Classroom
J-216
Advanced Airway
Management (Adult) and
Basics
Classification/LEMON/
SLOPES-EMT etc.
September 22
Equipment procedures
-Discuss Set Protocol - Tube
Placement
Presentation of equipment (sizes
etc.)
1245 PT
faculty Prep
Advanced Airway (Lab x 3)
A/W positioning/maneuvers
Suction Oro and beyond
(ETT needed)
BVM/Genesis, Ventilators
-Oral intubation (13-15:30)
-
Head positioning
Laryngoscopy
Insertion of tube
Tube placement/Etco2
Filter
Tie off /holder
LAB
1615 Debrief
LAB PT INST/
STDS
- AFBO (Magill)
-Extubation (15:45 – 1630)
3 groups all do same session
Various Positions
Day 9
Thursday
September 23
Classroom
J-216
Respiratory:
Disease Processes
(8-1030)
A/W matching skills
Presentations of equip/
Demo
Advanced Airway (Labx3)
-Nasal Intubation (RX
reference to LIDO/Otrivin
King LT
Lighted Stylet
Digital
-LMA/combi
Vary Positions/Situations
Sitting intubation – trauma or
Medical
Classroom
LAB
1615 Debrief
LAB PT INST/
STDS
Week 4
Room AM
0800 - 1200
Respiratory Care
Day 10
Tuesday
Classroom
J-216
September 28
Oximetry/EtC02 Physiology and
use (8-10)
1200 - 1300
1245 PT
faculty Prep
More airway – finish and
perfect airway maneuvers
Oxygen delivery systems
Masks (Simple, NR, Venturi,
Pocket, Tube)
Using MDI and Spacer
(Intubated and Non Intubated)
(1015-1200)
Day 11
Wednesday
Communications Morning
1615 Debrief
LAB PT
INST/ STDS
LAB
Difficult airway day
-3 groups
- failed airway
management
ACR review and practice
September 29
Complete airway management
Room PM
Classroom
LAB
All students do it perfectly
Difficult airway
presentation
Classroom
J-216
1300 - 1630
Skills lab (Lab x 3)
Patching
P304
What your B – C –D
backup strategy
Review by Medical
Director
Difficult Airways
Surgical Airways
Rapid Sequence Induction
Day 12
Thursday
September 30
1
Classroom
J-216
Finish respiratory –
All patho and respiratory disease
presentations
1245 PT
faculty Prep
SAMPLE
Rapid neuro
More airway if needed
Assessments (HPI, PMX – ref
Clinical Examination Handbook)
-Scene/Pri/Hx/VS/Sec
- Suction/ Deep
suction)and NG
Insertion
CPR (New)
(LAB 3
Classroom
LAB
1615 Debrief
LAB PT
INST/ STDS
Week 5
Day 13
Tuesday
Room AM
Classroom
J-216
1200 - 1300
Classroom
J-216
Resp/Airway exam
(exams takes 3 solid hours for
most students to finish – (Best to
review 13h)
Start Practice
Finish A&P
Finish Patient Assessment and
patient management
Lead II Interpretation
-Static/Dynamic practice
In class
Continue review
Reinforce with Marieb Animations
for Action potentials
October 6
Day 15
Thursday
October 9
0800 to 0915 – Review
Review Home work
Cont..Lead II Interpretation
-Static/Dynamic practice
In class
In 4 Groups: 2 dynamic , 2
static stations – for Static
Use Great ECG and ECG
Binder (Where is this??
Left in class) - For
dynamic Use online ECG
STAT and Heart SIM (need
lab top does not work on
regular computer
1245 PT
faculty Prep
Home work ECG Package 2
200 ECGs.
Classroom
l
Skills lab (Lab x 4 )
Basic of def/ monitoring –
wave forms (reports etc.)
(13 – 1445) SAT/ ETCO2
AED/manually/with or
without paddles (15 – 1630)
Need 4 machines
4 groups
1) static rhythms with acetate or
real
2) ECG review with Phalen 200
ECG from computer
3) ECG station with dynamic
rhythms
3)Defib review including ETCO2
and all wave forms
-
Overall: ECG stations and clinical
reasoning
1)
Goal: Consensus – defend
your rational
Room PM
Classroom
J-216
Give home work – 26 ECG
already posted on Bb
Lead 2 review and practice in class
only static
Integrate Clinical approach and Tx
for ECG and associated patient
condition
Classroom
J-216
1300 - 1630
Cardiac:
Anatomy & Physiology
Electrophysiology
continued
Start cardiac if time
October 5
Day 14
Wednesday
0800 - 1200
EXAM 2
2)
3)
4)
1 Monitor Defib
– all you need to know
1 ECG dynamic station
CPR and auto defib
Skill station
1 ECG s\tatic station
Classroom
LAB
1615 Debrief
LAB PT
INST/ STDS
Week 6
Day 16
Tuesday
Room AM
Classroom
J-216
0800 - 1200
Review ECG – package is in
Documents Homework on Prof
correspondence (given)
1200 - 1300
1245 PT
faculty Prep
Finish physiology
ER drugs
October 12
1300 to 1500 review cardioversion
procedure and have all students go
through procedure – no scenario
Cardioversion (1000 -1200)
Day 17
Wednesday
Patch Practice (9-1030)
Classroom
LAB
1615 Debrief
LAB PT
INST/ STDS
1500 – 1630
Using Defib/monitors) go through
cardioversion scenarios verbally and
add arrest or drugs – critical thinking
exercise
1245 PT
faculty Prep
Coronary artery diagram
quiz – add forman ovalis,
ligmentum arteiosoum as
questions to be placed on
test
October 13
Room PM
NOCP Reference
Dysrhythmia Management
Electrical Therapy Theory
Classroom
P-213
1300 - 1630
Dysrhythmia Management
Electrical Therapy (Lab X 3)
-Cardioversion
Dysrhythmia Management
Electrical Therapy (Lab X 3)
Pacing ( use life pack
12/Zoll)
Classroom
LAB
1300 to 1500 review pacing procedure
and have all students go through
procedure – no scenario
1615 Debrief
LAB PT
INST/ STDS
1500 – 1630
Using Defib/monitors) go through
pacing scenarios verbally and add
arrest or drugs – critical thinking
exercise
Homework ECG and
critical thinking
Give student heart
problems Patho – research
in class 30 minutes and
present – the presentation
can be spread over the
next week
Dysrhythmia Management
Electrical Therapy Theory
Pacing (1030-12)
Day 18
Thursday
October 14
Classroom
J-216
Early morning quiz #1 and
review
1245 PT
faculty Prep
Introduction to Scenario
Practice (DEMO to All)
- Only Simple Cardiac arrest
following med directives
Classroom
LAB
0800 – 0930
(Lab 4
Continue presentations
**NO CRAZY ARRESTS –
Straight forward by the book
with no complications
1615 Debrief
LAB PT
INST/ STDS
This is a learning and confidence
building exercise. The students
need to develop good habits
Need 4 defibs
Prep students for afternoon
scenarios – remember these are
the first comprehensive scenarios
0900 12h
Jeanny Infectious diseases
presentation (This fits in better
here than in Respiratory section
Critique the call management
and thinking process – don’t let
them wallow in uncertainty,
coach them along in a positive
light – there is lots of time to
challenge the student and make
the scenarios much more difficult
Patch should be brief today – VSA
And 4
Complete bags
patches only -30 minutes per student
All students do at least on scenario
today
Week 7
Day 19
Tuesday
Room AM
Classroom
J-216
October 19
0800 - 1200
Morning review: Have
students come up with any
question pertaining to
cardiac and ask each other
– debate and clarification
if needed.
1200 - 1300
1245 PT
faculty Prep
13h 14h 12 lead
acquisition and
electrode placement
review
Acute MI
Coronary Syndromes
Day 20
Wednesday
October 20
Morning review: Have
students come up with a 1
question on Medical
Directives and have them
ask each other the
questions – debate if
necessary
Room PM
Classroom
LAB
1615 Debrief
LAB PT
INST/ STDS
Continue straight
forward arrest – may
vary if student are ready
Continue ECG and
Presentations
Classroom
P-213
1300 - 1630
12 Lead Acquisition (Labx3)
Patient set up for 12L
Acquiring 12 lead +
Interpretation
1245 PT
faculty Prep
Basic cardiac arrest again –
build in dynamic type arrest
Classroom
LAB
Practical Scenarios (Lab x 3)
Skills Review
Heart Diagram Quiz – add
several math questions to
the back of diagram –
dopamine and valium,
Midazolam, Dextrose, Lid
peds.
Chest Pain
Pulmonary edema
Arrests
NOCP Reference
1615 Debrief
LAB PT
INST/ STDS
Teachers choice: chest pain,
Pulmonary edema, arrest
etc.
Classroom
LAB
Be sure all is done in real
time.
1615 Debrief
LAB PT
INST/ STDS
Congestive Heart Failure
Cardiovascular Disease
Finish Presentations
Day 21
Thursday
October 21
Classroom
J-216
Morning quiz # 2 with
ECG and 12lead
Cont…Congestive Heart
Failure
Cardiovascular Disease
8-10:00
Finish Quiz and Home
work ECG.
Research 10:15 – 12:00
Projects assigned and get
1245 PT
faculty Prep
Practical Scenarios (Lab x 3)
Skills Review
-
-
Chest Pain
Pulmonary edema
Arrests
Vary with Critical
thinking
student to prep mini
presentation on new CPR
and ACLS standards
Week 8
Room AM
0800 - 1200
Exam 3 (8 –10:30)
Cardiac
Day 22
Tuesday
Classroom
J-216
October 26
*All Students
must submit
Skills and
Scenario Log
Book for
review
Exam takes at least 3
hours for most
students (Review at
13h)
________
Classroom
J-216
Diabetes
Toxicology (New SO
Tactical)
Day 23
Wednesday
October 27
1200 - 1300
1300 - 1630
Altered LOC
(AEIOUTIPS)
(Met/Structural)
-CVA
-Seizure
Room PM
Classroom
J-216
Case study of ECG and
atypical calls (Robs call)
1245 PT
faculty Prep
Practical Scenarios (Lab x 3)
Skills Review
-Acute abdomen
- Hypo/Hyperglycemic patient
- Seizure patient/ / CVA
- Other medical (Critical
Review basic of OD first
Thinking)
Case Study TCA OD
(11:00 12:00)
LAB
1615 Debrief
LAB PT
INST/ STDS
Practice Glucometry before
lunch
Day 24
Thursday
Classroom
J-216
October 28
Endocrine (Finish
endocrine)
Acute Abdomen
Poisonings (More tox)
Anaphylaxis
1245 PT
faculty Prep
Practical Scenarios (Lab x 3)
Skills Review
-
More time needed to cover this
section
Toxicology
Hypo/Hyperglycemia
Anaphylactic/allergic
(IMMUNE)
(Critical thinking
Classroom
LAB+P211
1615 Debrief
LAB PT
INST/ STDS
10h – 12h research by Davis (this
should remain in Cardiac section
but this year Davis could only get
this day off)
Week 9
Day 25
Tuesday
Room AM
Classroom
J-216
0800 - 1200
Gynecology/OBS/Intro to
Peds Diseases
1200 - 1300
1245 PT
faculty Prep
1300 - 1630
OBS/Minor Peds Calls
Lab (3)
Room PM
Classroom
LAB
November 2
1615 Debrief
LAB PT
INST/ STDS
Day 26
Wednesday
November 3
Classroom
J-216
Neonatal Resuscitation /
Peds Assessment
1245 PT
faculty Prep
Pediatric Airway Management Lab
Intubation (13-1430)
IO (1445 – 1630)
Lab ( 3)
Classroom
LAB
Day 27
Thursday
November 4
Classroom
J-216
Pediatric Emergencies
1245 PT
faculty Prep
Peds Calls/ Arrests
Lab (3)
1615 Debrief
LAB PT
INST/ STDS
Classroom
LAB
1615 Debrief
LAB PT
INST/ STDS
Week 10
Day 28
Tuesday
Room AM
Classroom
J-216
1200 - 1300
1245 PT
faculty Prep
NOCP Reference
All theory from PAR5001,
5002, 5003,5004
November 9
Day 29
Wednesday
0800 - 1200
EXAM 4
Medical Emergencies
Classroom
J-216
November 10
Kinematics of Trauma
Burns, Eye,
Abdominal Trauma
Hemorrhage/ Shock (811)
_____
1300 - 1630
Special Patients (Lab 3)
Geriatrics
Physically Challenged
Mentally Challenged
Terminally Ill
(Skills Check off day – get skills
sign off up to date)
1245 PT
faculty Prep
Room PM
LAB
Trauma (Assessment / Airway)
Management (Lab x 3)
Stations
-Intubating the trauma pt
-Chest decompression
- Use of pressure infusors/Jug vein
access
-Oro/Nasogastric tube insertion
1615 Debrief
LAB PT
INST/ STDS
LAB
1615 Debrief
LAB PT
INST/ STDS
Basic Hemorrhage control
(RED)
Eviscerations Demo (11:15 –
12:00)
(More skills tune up if
needed)
Day 30
Thursday
November 11
Classroom
J-216
Cont.. Chest Trauma
Head/Spinal Trauma
Environmental
1245 PT
faculty Prep
Trauma (lab x 3)
Scenarios
Splinting / Immobilizing
Classroom
LAB
Trauma calls – some medical
1615 Debrief
LAB PT
INST/ STDS
Week 11
Day 31
Tuesday
November 16
Day 32
Wednesday
Room AM
0800 - 1200
Classroom
J-216
NOTE: Ruth
changed and
presented
today instead
of NOV 14th
0800 – 10h
Environmental &
Submersion Emergencies
Classroom
J-216
8h to 10h Environmental
and Submersion today
1200 - 1300
1245 PT
faculty Prep
1300 - 1630
Practical Scenarios (Lab 3)
Skills Review
1615 Debrief
LAB PT
INST/ STDS
10 h - 1200
Peer lab time to
practice
1245 PT
faculty Prep
Practical Scenarios (Lab 3)
Skills Review
1615 Debrief
LAB PT
INST/ STDS
PATh
Ventilator review
Triage practice (9-12)
November 18
LAB
Reread WHMIS (8-9)
November 17
Day 33
Thursday
Room PM
LAB
Classroom
J-216
10h – 12h
More peer lab
practice
Pre-reading assigned
-Maintain Healthy life
style
-Psychiatric and-Behavioral Disorders
Ruth Campbell (10 – 12h)
Death Notification
1245 PT
faculty Prep
Practical Scenarios (Lab 3)
Skills Review
Classroom
LAB
1615 Debrief
LAB PT
INST/ STDS
Week 12
Day 34
Tuesday
Room AM
Classroom
J-216
November 23
Day 35
Wednesday
Classroom
J-216
0800 - 1200
Exam 5
1200 - 1300
1245 PT
faculty Prep
Trauma and
Environmental
Lab Exams
(LAB 3)
1300 - 1630
Lab practice/exams
Scenarios (Lab 3)
Skills Evaluation
Medical directors may
attend lab testing
1245 PT
faculty Prep
Lab Exams
(Lab 3)
November 24
Room PM
LAB
1615 Debrief
LAB PT
INST/ STDS
Classroom
LAB
1615 Debrief
LAB PT
INST/ STDS
Prep for
HOSPITAL
CLINICAL
Day 36
Thursday
1200 - 1300
Loaded as part of PAR5005
(Trauma)
November 25
Classroom
J-216
Class ROOM Hospital Orientation
Policies and Log book
WHERE, WHEN, WHO, HOW,
WHY
Invite RN/Medics/DR.
Equip differences/ Roles
THIS IS OVERBOOKED FOR
HOSPITAL – BUT ADD
ANOTHER LAB DAY BECAUSE
WE ONLY HAVE – 112 HOURS
1245 PT faculty Prep
In Hospital Orientation
OR,s and ERs
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