EM-18064 Medical Emergencies Clinical for Paramedics Allied Health Arkansas Northeastern College First Day Handout / Syllabus Instructor: Office: Phone: E- Mail: Office Hours: Term: Class Meeting Days Class Meeting Hours: Class Location I. Welcome: As faculty, we welcome you to the Medical emergency Clinical course for Paramedics: a component of the Paramedic Program. We hope that you are as excited about learning as we are teaching the principles and concepts surrounding the delivery of emergency medical services. II. Course Description: The Medical Emergency Clinical Course allows students to rotate in the hospital settings under supervision to assist and perform skills taught from previous course work. III. Course Overview: The Medical Emergency Clinical Course allows the student the student to perform skills needed to provide paramedic pre-hospital care. IV. Course Rational: After completion of this rotation the paramedic student will be able to provide clinical skills needed in paramedic pre-hospital care. Satisfactory completion of this course is necessary to progress and complete the remaining Paramedic Curriculum. V. Course Objectives: This course is designed to provide pre-hospital clinical skills in paramedic care. This includes learning objectives reflecting the cognitive, affective, and psychomotor learning domains. At the conclusion of the Medical Emergencies Clinical rotation the student will be able to: Cognitive Learning Domain: Recognize the nature and seriousness of a patient’s condition and to assess appropriate care requirements for emergency medical care. Psychomotor Learning Domain: Administer competent, appropriate emergency medical care, based on individualized assessment findings related to the patients conditions. Life, move, position, and otherwise care for the patient, to minimize discomfort and effectively fulfill the expectations of the Paramedics job description Affective Learning Domain Demonstrate professional behavior, judgment, and attitude toward instructor, peers, and colleagues while in the classroom and clinical laboratory consistent with the affective domain behavioral objectives to include: Integrity, Empathy, Self-Motivation, Appearance and Personal Hygiene, Self-Confidence, Communications, Time Management, Teamwork and Diplomacy, respect, Patient Advocacy, and Careful Delivery of Service. Refer to the Performance Affective Domain Evaluation (PADE). VI. Course Pre-requisites: Preparatory for Paramedic, Medical Emergencies for Paramedic 1 W/L, Medical Emergencies II W/L. VII. Course Credits: This is a 4 Credit Hour Course. VIII. Required Texts and Materials: Essentials of Paramedic Care, 2nd Edition by Bryan E. Bledsoe, Robert S. Porter, & Richard A Cherry. Published by Brady – Pearson of New Jersey in 2011 IX. o ISBN 13: 987-0-13-215689-9 Essentials of Paramedic Care Workbook, 2nd Edition by Bryan E. Bledsoe, Robert S. Porter, & Richard A Cherry. Published by Brady – Pearson of New Jersey in 2011. o ISBN 13: 987-0-13-138442-2 Mosby's Medical Dictionary, 8th Edition ISBN: o ISBN 13: 978-0-32-305290-0 Assessments: Exams in L Supplementary (Optional) Texts and Materials: None. Basis for Final Grade: The final grade will be based on unit exams (60%), and Final Exam (25%). Other assignments (15%) will not be calculated into the grade unless the averaged Unit Exams and Final Exams is an 80% or greater. In addition, students must successfully validate all assigned skills by the third attempt to meet clinical objectives and requirements to pass the course. Assessment Unit Exams Assigned Class Work Final Exam Percent of Final Grade 50% 15% 25% 100% Grading Scale (%) 91 – 100 85 – 90 80 – 84 70 – 79 0 – 70 A B C D F Clinical Lab Grade: Skill validation performance /participation: Students must log practice time as scheduled and will have 3 attempts to Pass each skill as assigned. Pass/Fail Grade X. Grade Dissemination: Graded unit exams will be returned to the student for review of grade and questions missed. The instructor will review each exam and answer any questions the student may have in relation to the exam. Mid-term grades are issued to students in the fall and spring semesters to inform them of progress in their courses. The mid-term grades are temporary grades and are not recorded on the student academic record. A counseling session will be held with every student to discuss mid-term grades. Mid-tem and final grades can be accessed using Campus Connect on myANC. Please note that scores returned mid-term are unofficial grades. If you need help accessing myANC contact the ANC Helpdesk by email: ANChelp@smail.anc.edu. Final grades will be issued to all students at the end of each semester or the final summer session. The final grades are permanent grades and will be recorded on the student academic records. Inquiries concerning grades should be referred to the Register’s Office. XI. Course Policies: Grades: Students are expected to maintain a minimum grade of 80% or a C in the course to pass. Exams are scheduled at the discretion of the faculty, and are usually given after completion of each unit The student must be present during the time of the exam, there are no makeup exams. If the student is late they will be required to schedule a make-up with the instructor. A comprehensive final exam must be taken. Assignments are due at the start of class on the assigned due date. Late Work and Make-up Policy: There will be no make-up exams or quizzes. Extra Credit Policy: Typically no extra credit assignments are given Grades of "Incomplete": The current College policy concerning incomplete grades will be followed in this course. Incomplete grades are given only in situations where unexpected emergencies prevent a student from completing the course and the remaining work can be completed the next semester. Your instructor is the final authority on whether you qualify for an incomplete. Incomplete work must be finished by the end of the subsequent semester or the “I” will automatically be recorded as an “F” on your transcript. The Paramedic policy does not allow for incomplete grades in this course due to prerequisite requirements. The student must be able to meet the objectives of this course in order to move on in the curriculum path. XII. Course Policies: Technology and Media Email: Course Policies: Technology and Media Email Arkansas Northeastern College has partnered with Google to host email addresses for ANC students. myANCmail accounts are created for each student enrolled in the current semester and is the email address your instructor will use to communicate with you. Access your email account by going to http://mail.google.com/a/smail.anc.edu and using your first and last names, separated by a period for your username. Your default password is your Student ID, no hyphens. If you cannot access your student email, contact the MITS department at 762-1020 ext 1150 or ext 1207 or send an email to ANChelp@smail.anc.edu. E-mail access is made available to all students enrolled in the course. Faculty will use e-mail through myANC to contact students regarding any messages that must be disseminated when not in class or clinical. Faculty will check his/her e-mail on evenings and weekends. Students are also encouraged to check their e-mail for messages on a regular basis. Internet: This course has a web component on myANC, students are encouraged to login to their myANC everyday as assignments for this course may be posted. Laptop Usage: Laptops are typically not used within this course. If a student requests use of a laptop for taking notes during lecture, the situation will be assessed on an individual basis. Classroom Devices: Tape recorders or other audio and technology devices are allowed as long as they are not disturbing to other students. Computer Labs: In addition to general-purpose classrooms, a number of computer laboratories are provided for instructional and student use. These networked laboratories are state-of-the-art and fully equipped with computers, printers, Internet connections and the latest software. The labs are open to students enrolled in one or more credit hours at the College. The Burdette Center has a well-equipped computer lab in the Nursing building that is made available to students Monday through Friday 7:00 am until 5:00pm. Technology Support: A lab assistant is generally present in the computer lab in B202 for assistance in using the College computers. These assistants cannot help you with course assignments; specific questions regarding the technology requirements for each course should be directed to the instructor of the course. Problems with myANC or College email accounts should be addressed by email to ANCHelp@smail.anc.edu. XIII. Course Policies: Student Expectations: Disability Access: Arkansas Northeastern College is committed to providing reasonable accommodations for all persons with disabilities. This First Day Handout is available in alternate formats upon request. Students with disabilities who need accommodations in this course must contact the instructor at the beginning of the semester to discuss needed accommodations. No accommodations will be provided until the student has met with the instructor to request accommodations. Students who need accommodations must be registered with Dr. Blanche Sanders or Suzanne Robinson at the Learning Assistance Center, Room L104. Attendance Policy: Daily attendance records are maintained. It is in the best interests of the student to attend all classes. If a student misses more than three classes a mandatory counseling session regarding absenteeism and the viability of course continuation will be required. Considering importance of content mastery all clinical lab hours must be attended. Refer to Paramedic Student Handbook. Professionalism Policy: Students are expected to attend all classes, be on time, and remain in class for the scheduled length of time. Students are expected to exhibit professional behaviors in the class, clinical labs, and during clinical site rotations. Mobile phones, iPods, etc. must be silenced during all classes and clinical labs. No mobile phones or electronic devices are permitted at clinical site locations during clinical rotations. Academic Conduct Policy: Academic dishonesty in any form will not be tolerated. If you are uncertain as to what constitutes academic dishonesty, please consult ANC’s Student Handbook (http://www.anc.edu/docs/anc_handbook.pdf) for further details. Students are expected to do their own work. Plagiarism, using the words of others without express permission or proper citation, will not be tolerated. Any cheating (giving or receiving) or other dishonest activity will, at a minimum, result in a zero on that test or assignment and may be referred, at the discretion of the instructor, to the Department Chair and/or Vice President of Instruction for further action. Cheating on a test or other assignment is grounds for disciplinary action and the student may be dismissed immediately from this course and the entire program. Studying together is acceptable and encouraged because such can be helpful in learning; but each class member is expected to prepare his/her own class assignments based on his/her knowledge and individual effort. Learning Assistance Center: The Learning Assistance Center (LAC) is a free resource for ANC students. The LAC provides drop-in assistance, computer tutorials and audio/visual aids to students who need help in academic areas. Learning labs offer individualized instruction in the areas of mathematics, reading, writing, vocabulary development and college study methods. Tutorial services are available on an individual basis for those having difficulty with instructional materials. The LAC also maintains a shelf of free materials addressing specific problems, such as procedures for writing essays and term papers, punctuation reviews, and other useful materials. For more information, visit the LAC website at http://www.anc.edu/LAC or stop by room L104 in the Adams/Vines Library Complex. Other Student Support Services: Many departments are ready to assist you reach your educational goals. Be sure to check with your advisor; the Learning Assistance Center, Room L104; Student Support Services, Room S145; and Student Success, Room L101 to find the right type of support for you. XIV. Important Dates to Remember Classes Begin: January 9th 2011 Last Day of Class: May 1st 2011 Final Exam Day: May 8th 2011 All dates and assignments are tentative, and can be changed at the discretion of the instructor. XV. Clinical Skills Objectives with Schedule (attached) Rational: Psychomotor implementation of learned cognitive and affective didactic content is a necessary component in assuring that the participant has integrated learned material. Objectives: The Paramedic student will demonstrate competency in the clinical laboratory by meeting the following objectives: 1. Attendance at all scheduled demonstration and practice labs as assigned. 2. Demonstrate professional behavior, judgment, and attitude toward instructor, peers, and colleagues while in the clinical laboratory consistent with the affective domain behavioral objectives to include: Integrity, Empathy, Self-Motivation, Appearance and Personal Hygiene, Self-Confidence, Communications, Time Management, Teamwork and Diplomacy, respect, Patient Advocacy, and Careful Delivery of Service. Refer to the Performance Affective Domain Evaluation (PADE). 3. XVI. Successful demonstration of clinical skills validation consistent with the psychomotor domain, by the third attempt of the following skills: Patient Assessment Assess vital signs Oxygen administration Endotracheal intubation Bag valve mask CPAP Oral and Nasal airways IV insertions at peripheral sites SQ injections IM injections Accu Check Medication Administration ECG placement and interpretation Cardiac defibrillation and/or cardio- version Intraosseous IV placement Wound Care Communications Documentation Assessments: Exams in Preparatory for Paramedics with Lab content will usually end at the conclusion of assigned chapters. Exams will consist of multiple choice, matching, listing, and fill-in-the-blank questions, in accordance with the National Registry. The faculty may have questions on the exam related to information taught in a prior unit. An entire semester calendar is provided the first week of class. This calendar will indicate every class day and the material that will be covered on each day. Exams will be on the calendar so the student will know well in advance of any scheduled exam. Note: The Schedule is subject to revisions at any time. XVII. Disclaimer: This First Day Handout was prepared under certain limited assumptions. Therefore, if the students in the class seem to "fit" the design for the course and if events occur as planned, the schedule, assignments, and assessments will be followed. The instructor has the option, however, to eliminate or add assignments and/or ass Emergency Medical Services Paramedic Program Performance-Affective Domain Evaluation “PADE” Student: _____________________________ Date: __________________________ Classroom______ Lab______ Clinical ______ Instructor: __________________________ Affective Domain Scoring Rubric Skills Performance Scoring Rubric 3 2 1 Appropriate Needed guidance (see below) Needed remediation (see below) Behavioral Objectives: 1. INTEGRITY Examples of professional behavior include, but are not limited to: Consistent honesty; being able to be trusted with the property of others; can be trusted with confidential information; complete and accurate documentation of patient care and learning activities. 2. EMPATHY Examples of professional behavior include, but are not limited to: Showing compassion for others; responding appropriately to the emotional response of patients and family members; demonstrating respect for others; demonstrating a calm, compassionate, and helpful demeanor toward those in need; being supportive and reassuring to others. 3. SELF - MOTIVATION Examples of professional behavior include, but are not limited to: Taking initiative to complete assignments; taking initiative to improve and/or correct behavior; taking on and following through on tasks without constant supervision; showing enthusiasm for learning and improvement; consistently striving for excellence in all aspects of patient care and professional activities; accepting constructive feedback in a positive manner; taking advantage of learning opportunities 4. APPEARANCE /PERSONAL HYGIENE Examples of professional behavior include, but are not limited to: Clothing and uniform is appropriate, neat, clean and well maintained; good personal hygiene and grooming. 1 3 Competent 2 Needed assistance (see below) Unsatisfactory (see below) Affective Score Performance Score ________ ________ ________ ________ ________ ________ ________ ________ Behavioral Objectives: 5. SELF - CONFIDENCE Examples of professional behavior include, but are not limited to: Demonstrating the ability to trust personal judgment; demonstrating an awareness of strengths and limitations; exercises good personal judgment. 6. COMMUNICATIONS Examples of professional behavior include, but are not limited to: Speaking clearly; writing legibly; listening actively; adjusting communication strategies to various situations. 7. TIME MANAGEMENT Examples of professional behavior include, but are not limited to: Consistent punctuality; completing tasks and assignments on time. 8. TEAMWORK AND DIPLOMACY Examples of professional behavior include, but are not limited to: Placing the success of the team above self interest; not undermining the team; helping and supporting other team members; showing respect for all team members; remaining flexible and open to change; communicating with others to resolve problems. 9. RESPECT Examples of professional behavior include, but are not limited to: Being polite to others; not using derogatory or demeaning terms; behaving in a manner that brings credit to the profession. 10. PATIENT ADVOCACY Examples of professional behavior include, but are not limited to: Not allowing personal bias to or feelings to interfere with patient care; placing the needs of patients above self interest; protecting and respecting patient confidentiality and dignity. 11. CAREFUL DELIVERY OF SERVICE Examples of professional behavior include, but are not limited to: Mastering and refreshing skills; performing complete equipment checks; demonstrating careful and safe ambulance operations; following policies, procedures, and protocols; following orders. Affective Score Performance Score ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ Content Permission from EMS Department, Weber State University, SLS, Utah, 8-2011