Course Syllabus EMS 108: EMERGENCY MEDICAL TECHNICIAN Spring 2015 INSTRUCTOR: Stephanie Shadduck-Gilbert NREMT, CCEMT-P 2 EMS 108: EMERGENCY MEDICAL TECHNICIAN Number of Credits: 7.5 (6 credits theory; 1.5 credit laboratory/clinical) Prerequisite: Current CPR Certification (AHA Health Care Provider or Red Cross Professional Rescuer). Must be at least 18 years of age at time of enrollment. Immunization records. Course Description Prepares individuals to provide basic emergency medical care, according to US DOT guidelines, to individuals experiencing sudden illness or injury. Course content includes appraisal of scene safety and scene management, assessment and treatment of common emergency patient conditions, including fractures, wounds, and airway obstruction. Instruction includes use of emergency medications and automatic external defibrillation (AED) devices as well as components of continuing care during emergency ambulance transportation to the emergency department (ED). Clinical experience includes ED hospital and ambulance rotations to meet the required 10 patient contacts. At the conclusion of the course the student is eligible to sit for the National Registry Examination for EMT after all criteria are met. Coordinator and Main Instructor Stephanie Shadduck-Gilbert NREMTP, CCEMT-P Cell: (775) 247-7068 Email: blondeball21@gmail.com Lab Instructors Kate Davidson, NREMT-P Matt Cox, NREMT-P Shane Collins, NREMT-P, CCEMT-P Required Textbooks 1. Mosby’s Pre Hospital Emergency Care Revised 4th Ed. 2. Mosby’s Pre Hospital Emergency Care Revised 4th Ed Workbook Course Objectives Upon successful completion of this course students will be able to: 1. Demonstrate knowledge of procedures and skills required in the performance of patient care within the scope of practice of an EMT. 2. Demonstrate, in a simulated environment, emergency care of medical or trauma patient(s) within the scope of an EMT. 3. Provide emergency care within the ethical and legal boundaries of an EMT. 4. Take the National Registry Examination for EMT. 3 Grading Policy and Procedures The course grades will be made up of the following assignments: a. b. c. d. e. f. g. h. Seven (7) module examinations Work Book 100% completion 20 hour off site clinical rotations Quizzes (8) Current Event Assignments (10) Participation One final written examination One final skills examination 700 points 100 Points>Pass/Fail Pass/Fail 120 points 100 points 280 points 100 points 100 points TOTAL: 1,500 POINTS * Clinical and Workbook Points will be awarded after the Final Written Exam. The course calendar states the date of each module examination. It is expected that the student will take the examination on the date identified. If the student is unable to be present, it is the responsibility of the student to notify the instructor prior to the examination. If the student is absent or late for the beginning of the exams without prior communication with the instructor, they will receive 0 points for that exam score. Retesting is not allowed. 1. Exams: Students must maintain an average Module Exam test score of 70% in this course grade in order to remain in this class. Students failing to maintain a 70 % average in this course any time during the semester will placed on a one time academic probation until the next module exam, if at which point the course average remains below 70% the student will be given an ”F” for this course grade. The final exam is cumulative. Exams also will be multiple choice, fill-in-the-blank, and short answer. 2. Practical skill examinations, comprised of selected practical/assessment skills, are graded on a pass/fail basis. You must pass all practical skills 70% in theory and application in order to continue class. Students are eligible to take the final class practical skills examination after cognitive and practical skill requirements are met. Students must maintain a course average of at least 70% to take the final practical test. There are no exceptions to this policy. 3. Clinical experiences: One 10 hour hospital Emergency Department (ED) clinical rotation at Banner Churchill Community Hospital is required. The clinical experience is graded on a Pass or Fail basis. Also, one 10 hour shift on a Banner Churchill ambulance is required. The evaluation tool will be reviewed in class prior to the start of clinical rotations. A Pass grade in the clinical rotation must be achieved to pass the course. No makeup session will be allowed. There are no exceptions to this policy. 4. Current Events: Every other week, there will be a current event due. This event must be related to EMS or some kind of emergency service (e.g. fire services). There needs to be a short paper (no more than 400 words) on what the article is about and how one might learn from the article. Some news sources are ems1.com, jems.com, fire1.com, or emsworld.com. This is to increase your understanding of how news impacts the EMS community. The paper must be type-written, 12-point, a readable font (ariel, verdana, or times new roman), and single-spaced. There will be 12 current event assignments. You will need to only do 10 of them. 4 5. Quizzes: There will be quizzes on the chapters. There are approximately 15 questions of mixed variety. These quizzes are to reflect what is required for you to read that day and/or the previous day. The two lowest scores will be dropped. 6. Assignments: There will be assignments throughout the class that will be assigned by the instructor and discussed during class. This will vary based on the comprehension of the material and if more study or practice is needed. 7. Participation: You should be participating in classroom activities. You will be graded on how well you participate. There will be case scenarios, group discussions, and individual assignments. The final course grade will be a composite of all course elements listed above. Grading Scale The course utilizes the following grading scale: A B C F 90 – 100% 80 – 89% 70 – 79% 0 – 69% Attendance and Participation Learning is both content and process. Students must be present to learn. This includes active participation in class discussions and skills practice. Students are expected to attend all theory and practical skill classes and may not miss more than eight (8) hours of the course. If there are more than eight hours of unexcused absence, students will be given a “F” for this course grade. It is at the instructor’s discretion to make an exception to this policy. For each lecture experience that is missed, make up work is required to be submitted to the instructor. The objectives for each chapter must be answered and turned in (typewritten, double-spaced). The make-up work must be submitted to the instructor within one week of the absence. Students failing to turn in make-up work within 1 week will be given an “F” for this course grade. Students are required to make up practical experiences. If a lab session is missed, see instructor for the assignment. Make up work does not make up the hours you have missed. All missed hours count against your attendance. Early outs and tardiness in excess of 5 minutes also count towards time missed. You will be required to make up any time missed including early outs and tardiness. No exceptions. Students who are absent from class and do not contact the instructor will be given an “F” for this course grade. It is at the instructor’s discretion to make an exception to this policy. In case of class cancellation due to weather, class will be re-scheduled at a later date. Please contact your instructor for up-to-date information. The last day to withdraw and be eligible for a Withdrawal grade is March 27th. If you wish to withdraw and fail to do so by the deadline your course grade will be “F”. 5 Teaching Philosophy Instructors believe that an appropriate teaching/learning environment is critical for students to learn cognitive material and psychomotor skills required to become certified as an Emergency Medical Technician in the State of Nevada. The faculty will be as fair as possible and will provide every opportunity for students to excel in this course. However, we also believe that students must be prepared to give time and energy to the course by coming to class prepared, by participating in practice sessions, and by conducting themselves in a professional manner. At home practice is highly recommended and encouraged! For every hour of class, there should be at least 2-3 hours of studying, so that equates to almost 21 hours of studying a week! This course requires a great deal of time and study. It is very difficult to be successful if students fall behind by missing class or not being prepared for class. Also, do not wait until the end of the semester to ask for help, if you need help with anything, please do not hesitate to ask. This course follows the Department of Transportation (DOT) standards. Finally, instructors encourage an environment of open communication. We encourage students to discuss course problems or concerns. Please do this by making an appointment with Stephanie. Contact either during class or through email. If you have an immediate question, email is the best contact as I check my email often. Ethical Conduct Cheating on exams, quizzes, and practical skills is against NSHE Code, Title 2, Chapter 6 policy and will not be tolerated! Any student caught cheating on an examination or displaying unethical conduct such as disturbing others during lecture or videos, lab, argumentative or unruly behavior could be required to meet with one or more of the following persons or dismissed from class and given a ”F” for the course grade. Students who refuse instructions to participate or practice skills will be immediately dismissed from the class and given an "F" for this course grade. Medical Director State EMS Department representative Course Coordinator and Instructor Director of Nursing & Allied Health Clinical Rotations In addition to the classroom training, students are required to spend a minimum of (1) one complete 10-hour shift in patient care and observation in a hospital emergency department, and one 10-hour ride with the an Ambulance service. An orientation session will be held during class sessions and will include information regarding required paperwork, dress/conduct code and dates and time for sign-ups. These Clinical Lab rotations are required for state certification and a successful college grade. Clinical Lab rotation hours must be completed BEFORE class on 4/30/2015. Within the first couple of sessions of class, there will be a background check and online courses that need to be completed prior to participating in any rotation at BCCH. This will be set-up through Kelli Yates. If you do not pass the background check, you will not be able to continue with the clinical experience and therefore, will not be able pass the course. You will also need to get a badge prior to the start of your clinical/ride-along. If you do not have your badge, you will not be able to stay for your rotation and be sent home. After the background check and online courses have been completed, then the badge may be picked up at human resources Mon-Fri 830am400pm. 6 Successful completion of these mandatory clinical experiences require full participation by the student as determined by the staff’s proctor, based on the students apparent interest, initiative, attitude, ability to take accurate vitals and ability to accurately assess the patient. All clinical experience sheets must be signed and dated by a proctor for each assigned clinical rotation. These clinical sheets must be turned in to course instructor by 4/30/2015. Students who fail to submit the proper paperwork by the assigned deadline will receive a “F” for this course. ** Students who do not complete the clinical rotation will not receive a course completion and will earn a “F” for this course grade. Acknowledgement of Syllabus Each student is requested to turn in the Acknowledgement of Syllabus form before the second week of class. Students are requested to review the syllabus and course outline, and to seek clarification regarding any portions of the syllabus. Submission of the signed Acknowledgement of Syllabus implies that students understand course expectations. Medical Director The course medical director is Dr. Curt Carlson, an emergency department physician. His function as medical director is to approve curriculum, be present at selective skill testing, and to assist with solving any problems that occur during the course. (See ethical behavior) Infection Control Policy Students are expected to adhere to the Infection Control Policy of the Nursing & Allied Health Division. Instructors will review the policy with students during the first class. All students will receive a copy of the policy. Chemical Impairment Policy Students are expected to adhere to the Chemical Impairment Policy of the Nursing & Allied Health Division. Instructors will review the policy during the first class. All students will receive a copy of the policy. Sexual Harassment There will be hands-on assessments in lab and clinical rotations. There is no tolerance for behavior or conduct that is unwanted for unprofessional. See college catalog for WNC’s policy on Sexual Harassment as we strictly adhere to these policies. Americans with Disabilities Act (ADA) and Accommodation Services Services is offered at WNC to serve students with physical and learning disabilities. Counseling services, registration assistance, interpreters for the deaf, special tutoring, parking permits, reader services, note taking, rehabilitation counseling, tape recorders, educational planning, adaptive equipment and liaison with faculty and community agencies are available to eligible students. Clinical/Class Dress Code 1. Hospital name tag is to be worn during ED clinical rotation. 2. Clean, pressed WNC polo shirt or button up shirt and slacks/trousers. *NO LOGOS 7 3. Clean, comfortable closed toed shoes. No tennis shoes, Uggs, crocs, slipper boots, or shoes that do not have ankles. 4. No facial jewelry during clinical rotation. NO exceptions. 5. Hair is to be clean and neat and kept away from face. 6. No visible body tattoos during clinical rotation. 7. Personal hygiene, including hair /face/body. Be clean /smell clean but no perfume or cologne. **Students not in compliance with dress code during class and/or clinicals will be sent home and an “F” will be given for this course grade. **Active cell phones and pagers are strictly prohibited in class and clinical rotations. There are no exceptions to this rule. National Registry and Nevada State Certification Process: Upon successful completion of this course the student will be eligible to sit for National Registry of EMT’s (NREMT) testing for certification. The process: 1. During the first week of this course students will be assisted in creating a log on to the National Registry website (www.NREMT.org). This log on will be used to apply for testing, and authorization by the Nevada EMS office to sit for the computer based testing. This authorization requires successful completion of the six required skills tested during the practical exam scheduled for the last day of this course. 2. After successful completion of the practical exam the student will allow 3 business days for the State and WNC to verify this record. After this time the student may again log on to the NREMT website and pay the testing fee ($70.00) and print out an authorization for testing page to be presented to the testing center. You should only pay for the test when you are ready to take the exam. You will only have 90 days from payment to take the exam. 3. When logged on to the NREMT website the student will select a secured testing center to take the exam. After printing the authorization to test, the student will call the selected location and schedule their computer based written exam. 4. After successful completion of all National Registry Testing the student will receive a certificate from the National Registry. The student may present this certificate to the Nevada EMS office with the appropriate certification application (which can be found on their website) and a copy of your CPR card and pay a fee ($10.00) to become a Nevada Certified EMT. 8 Class Schedule for Spring 2015: EMT The EMT course will be taught on Monday and Wednesday evenings from 5:30 p.m. to 9:30 p.m. in Room 102 in the Physicians Clinic (Old Hospital Annex). The Course Coordinator has the right to change the outline as needed to facilitate the learning process. Students are expected to read the assigned pages of the course text before each class. EMT Class Schedule Session Day Instructor Topic Homework 1 1/21 Gilbert Intro Chapter 1: Intro to EMS Systems Workbook Pg. 1-15 2 1/26 Gilbert Chapter 2: Well-Being of an EMT Chapter 3: Medical/Legal Ethical Issues Workbook Pg. 17-33 3 1/28 Gilbert QUIZ #1 (CHAP 1-3) Chapter 4: Human Body Chapter 5: Lifting and Moving Workbook Pg. 35-40 Workbook Pg. 41-53 Workbook Pg. 55-62 4 2/2 Gilbert QUIZ #2 (CHAP 4-6) **CURRENT EVENT DUE** Chapter 6: Airway Practice 5 2/4 Gilbert EXAM # 1 (CHAP 1-5) Chapter 7: Patient Assessment Practice 6 2/9 Gilbert QUIZ #3 (CHAP 7-9) **CURRENT EVENT DUE** Chapter 8: Communication Chapter 9: Documentation Practice 7 2/11 Gilbert Cox Davidson EXAM #2 (CHAP 6-9) Airway and Patient Assessment Skills Workbook Pg. 63-66 Medical Presentations Due Next Class NO SCHOOL-Presidents’ Day 2/16 8 2/18 Gilbert **CURRENT EVENT DUE** Chapter 10: General Pharmacology Medication Presentations Workbook Pg. 67-80 9 2/23 Gilbert Chapter 11: Respiratory Emergencies Chapter 12: Cardiovascular Emergencies Workbook Pg. 87-89 10 2/25 Gilbert QUIZ #4 (CHAP 10-12) **CURRENT EVENT DUE** Chapter 14: Allergies 9 11 12 3/2 3/4 Gilbert Cox Davidson Gilbert EXAM #2 (CHAP 10-12) Medical Skills- Respiratory distress, cardiac QUIZ #5 (CHAP 13-15) Chapter 13: altered Mental Status Chapter 15: Poisoning/Overdose 13 3/9 Gilbert **CURRENT EVENT DUE** Chapter 16: Environmental Emergencies Chapter 17: Behavioral Emergencies 14 3/11 Gilbert Cox Davidson Medical Skills-General 3/16 3/20 15 16 3/23 3/25 Workbook Pg. 81-85, 91-93 Workbook Pg.95-105 SPRING BREAK-NO SCHOOL Gilbert Cox Davidson Gilbert EXAM #3 (CHAP 13-16) Medical Skills- Altered Mental Status **CURRENT EVENT DUE** Chapter 18: Abuse and Assault Chapter 19: Obstetrics Workbook Pg. 107-119 Workbook Pg. 149-153, 177-178 17 3/30 Gilbert QUIZ #6 (16-18) **CURRENT EVENT DUE** Chapter 25: Infants and Children Chapter 31: Geriatrics 18 4/1 Gilbert Cox Davidson QUIZ #7 (19, 25, 31) Medical Skills-Special Populations 19 4/6 Gilbert **CURRENT EVENT DUE** Chapter 20: Bleeding and Shock Chapter 21: Soft-Tissue injury 20 4/8 Gilbert Cox Davidson EXAM #4 (CHAP 17-19, 25, 31) Trauma Skills Workbook Pg. 129-140 Workbook Pg. 141-147 21 4/13 Gilbert QUIZ #8 (20-22) **CURRENT EVENT DUE** Chapter 22: Chest and Abdominal Injuries Chapter 23: Musculoskeletal Care 22 4/15 Gilbert Chapter 24: Head and Spine Injuries Spinal Immobilization 23 4/20 Gilbert Cox Davidson EXAM #5 (CHAP 20-24) Trauma Skills Workbook Pg. 117-128 Workbook Pg. 155-160 10 24 4/22 Gilbert QUIZ #9 (23-24, 26) **CURRENT EVENT DUE** Chapter 26: Ambulance Operations Chapter 27: Gaining Access 25 4/27 Gilbert QUIZ #10 (27-28, 30) **CURRENT EVENT DUE** Chapter 28: Disasters and Hazardous Materials Chapter 30: WMD and the EMT 26 4/29 Gilbert Cox Davidson EMS Ops Lab 27 5/4 Gilbert Cox Davidson EXAM #6 (CHAP 26-28, 30) Skills Practice 28 5/6 Gilbert Cox Davidson **CURRENT EVENT DUE** Skills Practice 29 5/11 Gilbert Cox Davidson FINAL EXAM (CUMULATIVE) Final Skills 30 5/13 Gilbert Cox Davidson NREMT Practical Skills Test Workbook Pg. 161-166, 173-176 ICS certification due next class Visit: http://training.fema.gov/is/course overview.aspx?code=IS-100.b ** Do not be late. Bring your ID and a copy of your CPR card. 11 Acknowledgement of Syllabus I, ________________________________, acknowledge receipt of a course syllabus and course schedule. I understand I have enrolled in a class that might be held to higher grading standards than that of other courses taught at WNC and/or State Certification/Licensing Board and I will do my best to maintain the higher standard. I understand that I am required to perform one clinical Lab rotation in addition to the mandatory classroom assignments. I have had an opportunity to ask questions regarding my expectations. I further agree to abide by these standards and expectations, which includes the ethical and behavioral standards. Signed: ___________________________________________________. Date: __________________ Name: _______________________________________ (Please print) Semester: Spring Semester 2015 Address: ______________________________________________________________________ Phone Number: __________________________________ E Mail: __________________________________________