Unit Code and Suggested Course Title:
EG 207 Paramedic Hospital Clinical IV
Curriculum/Program:
Emergency Medical Technology-South Campus
Curriculum Code 0983, Hegis 5299
Catalog Description: (0, 7.5, 2.5)
Building on the patient contact experience of Paramedic Clinicals I, II and III, students will practice the full range
of their paramedic level skills in assessment, blood draws, IV insertions, medication administration, airway
management and cardiac rhythm recognition and treatment while under the supervision of designated preceptors.
The experience will occur in the emergency departments and the psychiatric screening units of local hospitals.
Students will also attend 1 meting of the Western Region Emergency Physician’s Advisory Committee to meet the
doctors who determine regional field protocols and learn how that process works.
Prerequisites: EG 109, EG 110
Corequisites: EG 206, EG 208
S (S)
Duration of Instructional Period:
This course is offered at South campus, Spring semester only. Students will perform 115 hours in designated
clinical areas and on related coursework/documentation.
Academic Credit Hours: Credit Hours: 7.5
Contact Hours: 2.5
Lecture Hours, Lab Hours, Credit Hours: (0, 7.5, 2.5)
Suggested Text/Course Materials:
Nancy Caroline’s Emergency in the Streets, 6th edition, and workbook.
Prehospital Emergency Pharmacology by Bledsoe et al 6th edition
American Heart Association: Advanced Cardiac Life Support
American Heart Association: Pediatric Life Support
International Trauma Life Support by Campbell, 6th edition.
Course Outcomes:
Upon completion of this course and in addition to the outcomes of EG 109,110 and 206, students will be able to:
Adapt communication techniques to effectively communicate with patients experiencing a psychiatric or behavior
emergency.
Communicate appropriately with patients, family and staff, integrating history and physical examination
findings and treatments.
Demonstrate approved patient restraint techniques for patients suffering from psychiatric emergencies.
Define the medical/legal terms of unlawful imprisonment and kidnapping as it applies to restraining patients with
behavior emergencies.
Program Competencies:
Basic EMT
Perform proper Body Substance Isolation.
Properly conduct a patient history, physical examination and vital signs of a medical and trauma patient.
Properly manage medical and trauma patients according to national standard protocols.
Demonstrate manual airway maneuvers.
Administer oxygen therapy utilizing the Nasal Cannula and Non-rebreather mask.
Apply the proper airway management adjuncts to include: Oral and Nasal Airways, Suctioning.
Perform positive pressure ventilation using Bag Valve Mask (BVM) ventilation.
Demonstrate CPR and Choking maneuvers and the proper use of an Automatic External Defibrillator (AED) and
attain American Heart Association CPR credential at Healthcare Provider level.
Assist with self administration of Nitroglycerine, Aspirin
Perform with medical direction the administration of Nebulized Albuterol.
Properly manage central nervous system injuries to include: spinal immobilization techniques utilizing cervical
collars, KED, short and long spine boards and helmet removal techniques.
Properly manage orthopedic emergencies utilizing: Padded board splints, traction splints, air and vacuum splint
and cravats.
Properly manage soft tissue injuries and treatment of shock, demonstrating bleeding control and bandaging
techniques and the application of MAST pants.
Demonstrate techniques for assisting with normal and abnormal obstetrical emergencies.
Demonstrate techniques for managing psychiatric emergencies and the application of patient restraints.
Demonstrate proper lifting and moving techniques utilizing a stretcher, stair chair and manual lifts.
Demonstrate proper radio communication techniques.
Provide accurate written documentation in a Patient Care Report (PCR).
Explain the role of medical direction and performing as a team member
EMT Intermediate: Must perform all the competencies of a Basic EMT and all the following:
Perform peripheral vascular access demonstrating proper utilization of an angiocatheter, vacutainer, leuer adapter,
saline trap, Intraosseous needle and fluid administration.
Perform advanced airway maneuvers to include but not limited to: Endotracheal Inbubation, EOA/EGTA, King
Airway, Combitube, Bougee and chest decompression.
Demonstrate proper application of the Magill forceps during airway management.
Demonstrate patient assessment skills adapted for the geriatric and special needs patients.
Attain Pediatric Life Support and International Trauma Life Support (ITLS) credential.
EMT Paramedic: Must perform all the competencies of a Basic and Intermediate EMT and all the following:
Perform the expanded scope patient assessment to include the utilization of the Otoscope and Opthalmoscope.
Perform advanced airway techniques to include but not limited to: Laryngeal Mask Airway (LMA), Quicktrac,
needle cricothyrotomy and jet ventilation, CPAP/BiPAP, Waveform capnography,
Perform proper electrocardiogram (EKG) monitoring utilizing both the 3 lead and 12 lead techniques.
Properly interpret a 12 lead EKG and initiate proper treatment protocols.
Perform manual defibrillaton, synchronized cardioversion and external cardiac paceing.
Attain American Heart Association Advance Cardiac Life Support (ACLS) certification.
Attain American Heart Association Pediatric Advanced Life Support (PALS) certification.
Calculate drug dosages utilizing the metric system.
Demonstrate proper medication administration techniques to include: IM, SQ, I.V bolus and infusion, ET, SL,
Buccal, transdermal.
Contact the EMT department for the medication list under the paramedic scope of practice.
SUNY General Education Ten Knowledge Areas:
This section is not applicable.
ECC Graduate Learning Outcomes (GLO):
Communicate effectively.
Read and think critically.
Demonstrate personal and interpersonal integrity and maturity through leadership,
perseverance, motivation, adaptability, responsibility and respect for self and others.
Assessment of Student Learning:
All required hours must be completed according to the scheduled dates, times and locations of the assigned clinical
experience. (Accuracy)
Attendance signatures from the clinical preceptor, verifying successful completion of required hours must
accompany clinical documentation.(Attendance)
Appropriate documentation of skill performance at the clinical site verified by the clinical preceptor signatures is
required.(Quality)
All clinical experience and associated documentation must be completed and submitted by the stated due dates
unless otherwise instructed by the clinical coordinator.(Timeliness)
Grades will be determined on a percentage basis and students must achieve an 80% to remain in the program.
Points will be awarded for:
Attendance, Accuracy, Quality and Timely submission of all clinical documentation.
Neatness.
Following of instructions for scheduling/cancellation of clinical.
Written assignments will be graded utilizing a standard rubric.
Library Resources:
Each of the three ECC campuses has a library staffed with professional librarians. Several resource databases such
as Films on Demand, Health and Wellness Resource Center and Alternative Health Module, Medline,
ScienceDirect and WestLaw Campus Research are available for student access to research course topics and
content. Several textbooks are on reserve for all course levels, such as Nancy Caroline, Emergency Care in the
Streets for EMT Paramedic program. The library also carries the two most popular EMT related trade journals,
Journal of Emergency Medical Services (JEMS) and Emergency Medical Services (EMS) Magazine. Students
may borrow books and other materials for up to 4 weeks with the use of their student ID. Each libraries resources
vary to meet the needs of the specific campus. Interlibrary loan is available.
The college also loans laptops for use in the library at no additional fee to students.
For additional information, visit the Library Resource Center at http://elinks.ecc.edu/lbrary/.
In addition, the EMT Department at South Campus maintains of a small collection of EMS journals students may
reference, but may not take from the department.
Topical Outline:
Clinical Time Requirements
2010-2011
PARAMEDIC TRAINING PROGRAM
CLINICAL IV - EG 207
PSYCHIATRY: Start: 5/15/11 – End Date: 7/16/11
Erie County Medical Center or Wyoming County Community Hospital
A total of 12 hours, (1) 6 hour shift in CPEP and (1) 6 hour shift on a patient zone is required. CPEP is located at the back
of the ECMC ER. The zones are on the 11th floor.
Times Available:
Monday – Sunday: CPEP: 9:00am – 3:00pm, 3:00pm – 9:00pm
Wednesday – Friday:: Zone 11: 9:00am – 3:00pm, 3:00pm – 9:00pm
Limit to one student at a time in each zone and one in CPEP at any given time.
Street clothes with ECC ID – no uniforms, pull away ties.
WREMAC MEETING: Start: October 2010 – End Date: June 2011
Erie County Fire Training Acacemy, 3359 Broadway, Cheektowaga:
A total of 3 hours at 1 meeting. The physicians meet at 3 PM on the 3 rd Wednesday of every month. Dates & Times TBA.
Full clinical uniform with ID to be worn.
EMERGENCY DEPARTMENT: Start: 5/15/11 – End Date: 7/16//11
Students wil need to attend (13) 8 hour shifts at the following hospitals:
Brooks Memorial Hospital – Maximum of 1 student per shift.
Times available:
 Monday – Sunday: 11am – 7pm or 3p – 11p.
 To cancel clinical: 363-7297, (Michael Trippi RN, ER supervisor)
Erie County Medical Center –. Maximum of 1 student per shift. Minimum and maximum of 8 hours per shift. Report to
shift supervisor/nurse coordinator.
Times available:
Monday – Sunday: 7am – 3pm, 3pm – 11pm,11pm – 7am..
To cancel: 898-4240 or 3192.
Millard Fillmore Gates –. Maximum of 1 student per shift. Minimum and maximum of 8 hours per shift. Report to shift
supervisor/nurse coordinator
Times available:
 Monday – Sunday: 8a-4p, 4p-12mn.
 To cancel: 887-4007 or 4292.
Millard Fillmore Suburban – Maximum of 1 student per shift. Minimum and maximum of 8 hours per shift. Report to
shift supervisor/nurse coordinator.
Times available:
Monday – Sunday: 8a – 4p, 4p – 12mn.
Saturday & Sunday: 12 mn – 8am.
To cancel: 568-6550.
Veterans’ Administration –. Maximum of 1 student per shift. Minimum and maximum of 8 hours per shift. Reportto shift
supervisor/nurse coordinator. HIPAA training MUST be completed first.
**Entrance thru Ambulatory Care only. On first visit go directly to Education Office 418B to obtain VA ID. This
must be worn in addition to the ECC ID.
(Ask for Kathy Hamilton).
Times available:
Monday – Sunday: 8a – 4p, 4p – 12mn
To cancel: 834-9200, ext. 3640.
Wyoming County Community Hospital - Maximum of 1 student per shift. Report to ER Supervisor
Times available:
Monday – Sunday: 1p - 9p or 3p – 11p.
To cancel: 585-786-8962,.
Proposal Prepared By: EMT Department Faculty