Paramedic Class Fall 2015-2016

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EMT-PARAMEDIC-MODULE I
EMS 120-
Section: 001
Credit Hours: 7.00
Lab Hours: 2.00
IAI Core:
IAI Majors:
Semester: Fall
Course Begins: 8/17/2015
Days: Monday and Wednesday
Times: 0830-1230
Room: E202
Lecture Hours: 6.00
Course Ends: 12/16/2015
Instructor: Brandy Weirich, RN BSN TNS
E-mail: bweirich@mchenry.edu
Phone: 815-276-4460 (C)
Office Hours: 0830-1230, Mon Wed
Office Location: E
Other Contact Information: bweirich@centegra.com
Website (optional):
Required course:
Textbook(s): Pearson, Brady Paramedic Care 4th Edition
Supplies (if desired): Stethoscope
Course Description:
EMT-Paramedic - Module I is the first in a three-course sequence which, together with a hands-on
internship, provides the intensive classroom training and clinical experience needed to become a licensed
EMT-Paramedic in the state of Illinois. This module addresses the roles and responsibilities of the EMTP in the pre-hospital healthcare delivery system. It covers an overview of human body systems, medical
terminology and patient assessment; disaster scene and hazardous materials management; and the use of
radio telemetry equipment to communicate findings and treatments to the hospital emergency department.
This module focuses on advanced life support management techniques used in respiratory emergencies
and for traumatic injuries. Students are required to complete clinical work in a hospital emergency
department, in respiratory therapy and in an anesthesia/operating room, plus 15 patient contact hours in
delivering pre-hospital care with an area ALS provider agency.
Course Note: Uniform requirements for clinical work are dark slacks (no jeans), dark shoes,
departmental uniform shirt or white shirt with a collar, stethoscope and watch with second hand. On
successful completion of the course (i.e., 75% or higher) students are eligible to register for EMS 121Module II.
Course Prerequisite: Current CPR for Healthcare Providers; EMS 110 with current EMT-B licensure (6
months' pre-hospital experience preferred); affiliation with a local ALS provider agency; successful
completion of the program pretest, skills test and interview; and BIO 110 with a passing score of a C or
higher.
Section Notes:
Course Objectives:
Cognitive Objectives
1. Describe the differences in the role of the EMT Paramedic as it compares to other level of
licensed pre-hospital providers
2. Integrate the physiological, psychological and sociological changes throughout human
development with assessment and communication strategies for patients of all ages.
3. Discuss the importance of serving as a healthy role model to EMS peers
4. Discuss the responsibility for EMS providers to integrate primary injury prevention activities into
their practice
5. Differentiate between legal and ethical issues in providing patient care
6. Differentiate between scope of practice and standards of care for paramedic practice
7. Discuss the concept of medical control, both on-line and off-line, as it relates to standards of care
for paramedic practice
8. Demonstrate the ability to apply the general concepts of pathophysiology for assessment and
management of emergency patients
9. Integrate the pathophysiology of pharmacology to the assessment findings in order to implement
a pharmacological management plan.
10. Establish and maintain a patent airway in order to provide adequate oxygenation and ventilation
during the management of a patient in the pre-hospital setting.
11. Explain the pathophysiological significance of physical exam findings
12. Identify the principles of EMS documentation in recording patient assessment and treatment
13. Discuss the principles of kinematics to predict injury patterns in the trauma patient
14. Integrate the principles of pathophysiology and assessment findings in formulating a treatment
plan for the trauma patient
15. Integrate the principles of pathophysiology and assessment findings in formulating a treatment
plan for the patient presenting with respiratory compromise.
16. Discuss the standards and guidelines that help to ensure safe and effective patient transport by
ground ambulance and air ambulance
17. Distinguish between multiple victim incidents (MVI) and mass casualty incidents (MCI)
Manipulative Objectives
1. Demonstrate safe methods for moving and lifting patients
2. Demonstrate the proper procedures for taking personal protection from disease
3. Demonstrate proper technique for obtaining vascular access
4. Demonstrate appropriate technique in medication administration via- oral, topical, sublingual,
nebulizer, IM injection, Sub-Q injection, IV injection, intra-rectal absorption, and IO access
5. Demonstrate appropriate technique in administering oxygen via adjunctive airway devices and
suctioning
6. Demonstrate effective airway maintenance through intubation of the trachea through direct
visualization and cricothyrotomy
7. Obtain a medical history from a patient using appropriate techniques
8. Perform a physical assessment in a systematic format in providing pre-hospital patient care
9. Discuss the relationship between the patient’s medical history and physical exam findings in
performing patient assessment
10. Perform a focused history and physical exam in both a medical patient and a trauma patient
11. Complete an EMS patient run record
12. Demonstrate a clinical assessment of the patient who presents with multi-system traumatic
injuries.
13. Implement a treatment plan in accordance with the standards of paramedic practice in managing a
patient with critical traumatic injuries
14. Demonstrate a clinical assessment of the patient who presents with respiratory compromise
15. Develop a treatment plan in accordance with the standards of paramedic practice for the
management of a patient with respiratory compromise
16. Demonstrate securing a patient for transport by both ground and air transport
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17. Demonstrate scene triage and incident management in a MCI and MVI event
18. Demonstrate an awareness of the principles of rescue awareness and operations necessary to
safely access a patient from the water, hazardous atmosphere, trenches, highway, and hazardous
terrain
19. Evaluate a hazardous material emergency and recognize the resources indicated in securing a safe
scene
Affective Objectives
1. Understand the role/responsibility of the EMT Paramedic within the structure of the EMS
System.
2. Value the uniqueness of each age group of human development in the context of physiological
and psychological characteristics
3. Value the importance of personal wellness in EMS
4. Value the role of the paramedic as an advocate for patient rights and standards of care
5. Advocate the need to understand and apply the knowledge of pathophysiology to patient
assessment and treatment
6. Comply with the paramedic standards of medication administration
7. Defend the necessity of establishing and/or maintaining patency of the patient’s airway.
8. Appreciate the limitations of conducting a physical exam in the pre-hospital environment
9. Appreciate the value of trending assessment components in providing information for continuity
in transfer of patient care to other
10. Advocate the use of a thorough assessment to determine the priorities of management for the
victim of multi-system trauma
11. Value the importance of a thorough assessment to provide appropriate airway/ventilation support
for the patient with respiratory compromise
12. Value the need to serve as the patient advocate in providing appropriate transportation to
definitive care via ground or air.
13. Appreciate the value of scene triage when managing both an MCI and MVI event
14. Appreciate the need to identify the hot/cold zone in establishing incident command at a hazmat
incident.
Course Outline:
I.
Program Orientation
A. Class Policies and Procedures
B. Patient Privacy- HIPAA
C. Clinical Expectations
II.
Introduction to Advanced Pre-hospital Care
A. EMS Systems
B. Role of the EMT-Paramedic
C. Responsibilities of the Paramedic
D. Well Being of the Paramedic
III.
Illness and Injury Prevention
A. EMSC
B. Trauma Registry
C. Medical/Legal Issues in EMS
D. Ethics in providing pre-hospital patient care
IV.
Patient Assessment
A. Obtaining a patient history
B. Interview Techniques
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V.
VI.
VII.
VIII.
IX.
X.
XI.
C. Patient Assessment- Scene Size Up
D. Initial Patient Survey
E. Physical Exam- Focused
F. Physical Exam- Detailed
G. Ongoing evaluation
Communications
A. Radio operations
B. Telemetry Communications
C. Verbal report
D. Written Report
Clinical Decision Making
A. The Paramedic as a Patient Advocate
B. Legalities of documentation
C. The role of Medical Direction
Intro to Pathophysiology
A. The Cell
B. Organ Systems
C. Disease Process
D. The body’s response to disease and injury
Anatomy Review
A. The Brain and Neurological System
B. The Airway structures and Respiratory System
C. The Heart and the Cardiovascular System
D. The Gastrointestinal System
E. The Kidneys and the Renal System
F. The Musculoskeletal System
G. The Endocrine System
Intro to Pharmacology
A. Basic principles of pharmacology
B. Drug Classification
C. EMS Medications
D. Medication Administration
Airway Management
A. Assessment of airway compromise
B. Anatomy and Physiology of Respiratory Distress
C. Management of Airway Emergencies
D. Airway Management Techniques
E. Providing appropriate ventilation
Trauma Management
A. Mechanisms of Injury
B. Hemorrhage and Shock States
C. Head and Facial Trauma
D. Spinal Trauma
E. Thoracic and Abdominal Trauma
F. Soft Tissue Injuries
G. Musculoskeletal Injuries
H. Triage of Patient Injuries
I. Trauma Systems
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XII.
Rescue Awareness and Operations
A. Hazardous Materials
B. Special Rescue Situations
C. Terrorism- Weapons of Mass Destruction
D. Use of Aeromedical Transport
E. Motor Vehicle Extrication
F. Mass Casualty Incidents
Assignments and Grading Criteria
See policy and Procedure Manuel
Policies
Attendance policy: See policy and Procedure Manuel
Late work/make-up policy: See policy and Procedure Manuel
Weekly Course Schedule
MCHENRY WESTERN LAKE COUNTY EMS SYSTEM
2015– 2016 PARAMEDIC PROGRAM
McHenry County College: EMS 120 Paramedic Mod
Lead Instructor: Brandy Weirich, BSN TNS
Cell (815)276-4460 NIMC Office (815)759-8046
Date
Shift/Day
Lecture Topic
Textbook
Volume
Textbook
Chapter
Drug/M
Program Orientation
HIPPA
8/17/2015
First Day of
Class…
Welcome!
R/Mon
Class Policies and
Procedures
Orientation
Packet
Page 5 of 12
Intro to Paramedicine
8/19/2015
B/Wed
EMS Systems
1
1, 2, 3
1
4,5,6
1
7,8,9,10
Roles and
Responsibilities of the
paramedic
8/24/2015
Lilli (1100)
Adult
Learning
8/26/2015
Bill Muilkens
POLST
8/31/2015
Cindy Amore
Workplace Safety and
Wellness
G/Mon
Public health
Terminology Breakout
Medical/Legal Issues
Ethics
R/Wed
B/Mon
Comminication and
Documentation, POLST
training
MOD I Exam 1
Preparatory
CLASSROOM OPEN 1
EXA
Image Trend-computer
lab (D167A)
9/2/2015
9/7/2015
EMS Reasearch
G/Wed
Therapeutic
Communication and HX
Taking
R/Mon
NO CLASS, LABOR
DAY:)
9/9/2015
Tammy- FFL
B/Mon
9/14/2015
G/Mon
Interviewing Skills
Primary Assessment
Start Overview of
Anatomy
Secondary AssessmentAnatomy
3
3, 4
3
2
3
5, 6, 7
Page 6 of 12
Pt monitoring
technology
Patient Assessment in
the field, Anatomy
9/16/2015
R/Wed
Pt Assessment Lab
9/19/2015
Tammy FFL
R/Sat
0830finish
Social Media, Drones
and FFL Orientation
9/21/2015
B/Mon
MOD I Exam 2
(Assessment)
2
1
2
1
2
1, 2
CLASSROOM OPEN 1
EXA
Anatomy & Physiology
9/23/2015
G/Wed
9/28/2015
R/Mon
9/30/2015
B/Wed
Anatomy & Physiology
Cont.
Pathophysiology
Life Span
Development/ Body
Systems Project
Presentations
MOD I Exam 3
(Anatomy &
Pathophysiology)
CLASSROOM OPEN 1
EXA
Chap 3, Part
1 and 2
Pharmacology Part I
10/5/2015
10/7/2015
G/Mon
R/Wed
Med administration
Medical Math-my PP
Intravenous Access and
Med administration
2
Chap 4, Part 3
2
Chap 3, Part
2
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Medical Math Practice
10/12/2015
B/Mon
Med Admin Lab
Mandatory Attendence-wear tsh
Pharmacology Part II
10/14/2015
G/Wed
Emergency Medications
2
Chap 3, Part
2 and My PP
2
5
Mod I Exam 4
(Pharmacology)
10/17/2015
10/19/2015
Mark D
G/Sat
R/Mon
Pharmacology/Med
Admin, Venous
Access/Drug Calc
Skill Practical Testing
Airway Management &
Ventilation
Part I
A&P/Assessment/Basic
Management
10/21/2015
B/Wed
LEARNING LAB….
Advanced
Airway/Oxygenation
and
Ventilation/Suctioning
10/26/2015
G/Mon
Respiratory
Emergencies
2
5
4
1
O2, Atropine, Benzo
Etomidate, Fentany
Versed, Albuterol, A
Dopamine, Glucagon
Page 8 of 12
10/28/2015
R/Wed
Airway management
Lab
All Resp Dru
Mod I Exam 5
10/31/2015
R/Sat
(Airway Management
and Emergencies)
All Respira
Advanced Airway Skills
Testing
B/Mon
Dr Pacini
& Cindy
Amore
System airway lecture ,
skills, practical &
written exam
11/4/2015
G/Wed
Trauma systems, MOI,
Bleeding/Shock, Triage,
Blunt/Penetrating
Trauma
5
1,2,3,4
11/9/2015
R/Mon
Chest Trauma, Soft
Tissue Trauma
5
5, 8
Bicarb F
11/11/2015
B/Mon
Burns, Orthopedic
Trauma
5
6, 7
Bicarb Fentanyl, Nit
11/14/2015
B/Sat
Trauma Skills Learning
Lab
G/Mon
Abdominal &
Genitourinary Trauma 9
Environmental Trauma12
11/2/2015
11/16/2015
System powerpoint…MANDATO
All Drugs
5
9, 12, 13
Fentanyl, Nitrou
Page 9 of 12
Special
Condsiderations-13
11/18/2015
Ed Dagdick
R/Wed
Transport
OperationsVehicle
Extrication & Special
Rescue
B/Mon
Head/face/Neck/Spine
Trauma, Nervous
System Trauma
11/23/2015
7
4
5
10,11
Atrpine, Dopamine,
Tetracain
11/25/2015
G/Wed
NO CLASSTHANKSGIVING
BREAK!!!!
11/30/2015
R/Mon
Trauma Scenario
Learning Lab
All Drugs
12/2/2015
B/Wed
Trauma Review
All Drugs
12/7/2015
G/Mon
12/9/2015
R/Wed
12/12/2015
R/Sat
MOD I Exam 6 Trauma
Exam/Final review
Mod 1
Trauma Skill Practical
Testing
GOBBLE
All Drugs
Trauma Outdoor Skill
Lab…MANDATORY LAB
All Drugs
Final Exam- MOD I
12/14/2015
B/Mon
12/16/2015
G/Wed
All Drugs
Assign Cardiac Case
Reviews
Mod I Final Review
Page 10 of 12
"The scheduling of the activities and teaching strategies, but not the content or course objectives, on this
instructor"
ATTENDANCE IS REQUIRED AT ALL SESSIONS. A MAXIMUM OF 2 EXCUSED ABSENCES WILL BE ALLOWED. A
POLICY FOR ANY QUESTIONS…..forms can be found on
Module I Clinical Requirements Due:
12/16/2015
ER:
37 Hours
Triage:
8 Hours
7 hours of p
Resp
5 Hours
Therapy:
OR:
5 Hours
EMS:
125 Hours
(NO DRIVING IS INCLU
TIME
180 Hours
Teaching Schedule
The scheduling of the activities and teaching strategies on this syllabus, but not the objectives or content,
may be altered at any time at the discretion of the instructor.
Withdrawals: The last day to drop this course: 11/16/2015. Failure to attend class does not constitute official
withdrawal. If students are considering a withdrawal, they should consult directly with the instructor and an
academic advisor. Students may withdraw from a class through the Registration Office, either in person or by
fax: (815) 455-3766. In their request, students should include their name, student ID number, course prefix,
number and section, course title, instructor, reason for withdrawing, and their signature. Withdrawal from a
course will not be accepted over the telephone.
Academic Support for Special Populations Students
Students with Disabilities:
It is the policy and practice of McHenry County College to create inclusive learning environments. If you
are a student with a disability that qualifies under the American with Disabilities Act – Amended
(ADAA) and require accommodations, please contact the Access and Disability Services office for
information on appropriate policies and procedures for receiving accommodations and support.
Disabilities covered by ADAA may include learning, psychiatric, and physical disabilities, or chronic
health disorders. Students should contact the Access and Disability Services office if they are not certain
whether a medical condition/disability qualifies. To receive accommodations, students must make a
formal request and must supply documentation from a qualified professional to support that request.
However, you do not need to have your documentation in hand for our first meeting. Students who
Page 11 of 12
believe they qualify must contact the Access and Disability Services office to begin the accommodation
process. All discussions remain confidential. The Access and Disability Services office is located in
Room A260 in A Building in the Atrium. To schedule an appointment to speak with the manager, please
call (815) 455-8766. Information about disabilities services at MCC can be found at:
www.mchenry.edu/access
Students in Career/Technical Programs
As a student enrolled in a career or technical education program at McHenry County College, you may be
eligible for services and assistance under the Carl D. Perkins III Grant. Grant funds are used, in part, to
assist students who are at risk of not succeeding in their educational pursuits. The traits that often prevent
students from succeeding are: economic disadvantage, academic disadvantage, disability/disabilities,
single parent, displaced homemaker, enrollment in a program in which their gender is under represented,
and limited English proficiency (LEP). The definitions of each trait are available in the Access and
Disability Services office. Students with one or more of these traits are referred to as Perkins Special
Populations Students.
If you would like to know if you are eligible for services at any time during the semester, please do not
hesitate to contact the Manager, Access and Disability Services. The office is Room A260, and phone
number is (815) 455-8676.
Additional syllabus information and resources can be found at www.mchenry.edu/syllabusinfo.
STUDENTS ARE RESPONSIBLE FOR KNOWING ALL SYLLABUS INFORMATION.
Page 12 of 12
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