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 Page 2 of 12 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 Page 3 of 12 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 Page 4 of 12 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 Page 7 of 12 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