Paramedic Clinical Rotations

advertisement

Handbook

2013-2014

SECTION I

GENERAL INFORMATION

Philosophy and Objectives ............................................................................................................... 3

Equipment and Facilities .................................................................................................................. 3

Accreditation ..................................................................................................................................... 3

Equal Education Opportunity ............................................................................................................ 3

Individuals with Disabilities ............................................................................................................... 4

Control of Casual Contact Communicable Diseases ....................................................................... 4

Notification Regarding Blood-Borne Pathogens .............................................................................. 4

Paramedic Academy Health Screening, Requirements, and Costs ................................................ 4

Visitors .............................................................................................................................................. 5

Observation Cameras ....................................................................................................................... 5

Use of School Facilities .................................................................................................................... 5

Student Sales ................................................................................................................................... 5

Telephone Calls ................................................................................................................................ 5

Use of Electronic Communication Devices ...................................................................................... 5

Advertising Outside Activities ........................................................................................................... 6

SECTION II

ADMISSION AND FINANCIAL AID INFORMATION

Assessment ...................................................................................................................................... 7

Student Status .................................................................................................................................. 7

Registration ....................................................................................................................................... 7

Academic Credit ............................................................................................................................... 7

Transfer Policy .................................................................................................................................. 8

Ohio Articulation and Transfer Policy ............................................................................................... 8

Class Cancellation ............................................................................................................................ 8

Tuition and Fees ............................................................................................................................... 8

Refund Policy .................................................................................................................................... 8

Textbooks ......................................................................................................................................... 9

Tool/Lab Kits ..................................................................................................................................... 9

Protective Equipment and Safety Regulations ................................................................................. 9

Financial Aid ..................................................................................................................................... 9

Change of Circumstances .............................................................................................................. 10

Fraud .............................................................................................................................................. 10

Verification ...................................................................................................................................... 10

Special Conditions .......................................................................................................................... 10

Types of Financial Assistance ........................................................................................................ 10

Consumer Information .................................................................................................................... 11

SECTION III

SCHOOL POLICIES AND REGULATIONS

Satisfactory Progress ..................................................................................................................... 12

Academic Progress and Term Grades ........................................................................................... 12

Lab Sessions ................................................................................................................................. 12

National Incident Management Requirement ................................................................................ 13

D:\726933111.doc

1

Clinical Rotations/Clinical Book ..................................................................................................... 13

Tutoring .......................................................................................................................................... 13

Attendance ...................................................................................................................................... 14

Appeals/Reinstatement .................................................................................................................. 14

Probation ........................................................................................................................................ 15

Extenuating Circumstances ............................................................................................................ 15

Make-Up Time ................................................................................................................................ 15

Withdrawal Procedure .................................................................................................................... 15

Maximum Time Frame .................................................................................................................... 15

Certificate of Completion/Transcript Requests ............................................................................... 15

Career Passports ............................................................................................................................ 15

National Registry and State of Ohio Credentialing ........................................................................ 16

Early Placement.............................................................................................................................. 18

Emergency Closings and Delays.................................................................................................... 18

Address/Phone Changes ................................................................................................................ 19

Fire Drill and Tornado Procedures ................................................................................................. 19

SECTION IV

STUDENT SERVICES

Employability Skills ......................................................................................................................... 20

Placement and Follow-Up .............................................................................................................. 20

Food and Breaks ............................................................................................................................ 20

Personal Transportation to School-Driving Privileges .................................................................... 20

Lost and Found ............................................................................................................................... 21

Student Fund Raising ..................................................................................................................... 21

Student Welfare .............................................................................................................................. 21

Medication ...................................................................................................................................... 21

ADA Policy ...................................................................................................................................... 21

Privacy of Student Records ............................................................................................................ 22

Falsification of Documents ............................................................................................................. 22

SECTION V

ADULT STUDENT RESPONSIBILITIES

Professional and Legal Requirements of EMS Providers/Student Code of Conduct ..................... 24

Reporting Harassment .................................................................................................................... 25

Aiding and Abetting ........................................................................................................................ 25

Repeated Violations of School Rules ............................................................................................. 25

Butler Tech Honor Pledge .............................................................................................................. 25

Computer Access ........................................................................................................................... 25

Dress Code ..................................................................................................................................... 26

Administration of Student Disciplinary Code .................................................................................. 27

Student Suspension or Dismissal from Program ............................................................................ 27

Emergency Removal of Students ................................................................................................... 28

Discipline of Students with Disabilities ........................................................................................... 28

Search and Seizure ........................................................................................................................ 28

Student Rights of Expression ......................................................................................................... 29

Student Concerns, Suggestions, and Grievances .......................................................................... 29

Faculty Listing ................................................................................................................................. 30

Attachments A, B, and C ................................................................................................................ 32

D:\726933111.doc

2

SECTION I

GENERAL INFORMATION

The following information supersedes all prior guides and other written material on the same subjects and will remain in force until such time as new guides or materials are approved.

“Butler Tech will develop lifelong learners with marketable skills and knowledge by providing exceptional educational experiences and wo rkforce services.”

PHILOSOPHY AND OBJECTIVES

The Butler Technology and Career Development Schools (Butler Tech), is dedicated to the delivery of a variety of career technical and academic programs which provide students with the specialized knowledge and skills needed to enter the job market, participate in further educational programs, recognize their rights and responsibilities as productive citizens of society, and meet the changing needs of business, labor, and industry.

EQUIPMENT AND FACILITIES

D. Russel Lee Career~Technology Center (DRLCTC) and the Regional Public Safety Educational

Complex (RPSEC) are the primary Adult Education facilities for Butler Tech. Selected programs and classes are also offered at facilities in Hamilton and Cincinnati. Classrooms and labs provide a comfortable, safe, spacious environment conducive to learning. Labs are furnished with up-todate equipment. Hands-on learning is the focus of all programs. Ample parking is available for students.

ACCREDITATION

Butler Tech is approved and operated in cooperation with the Division of Career Technical and

Adult Workforce Education of the Ohio Board of Regents. Butler Tech is a Candidate for

Accreditation by the Commission of the Council on Occupational Education (COE), located at

7840 Roswell Road; Building 300, Suite 325; Atlanta GA 30350; www.council.org

. Telephone:

770-396-3898. Prior to our current candidacy status with COE, Butler Tech was accredited by

NCA.

The Paramedic Academy is accredited by the Ohio Department of Public Safety Services.

EQUAL EDUCATION OPPORTUNITY

It is the policy of this District to provide an equal education opportunity for all students, regardless of race, color, creed, disability, religion, gender, ancestry, national origin, social, or economic background.

Any person who believes that the school or any staff person has discriminated against a student on the basis of race, color, creed, disability, religion, gender, ancestry, national origin, social or economic background, has the right to file a complaint. To file a formal written complaint, individuals should request Form 2260 F1 and return to the District’s Compliance Officer:

Executive Director of Human Resources

Butler Technology and Career Development Schools

3603 Hamilton-Middletown Rd.

Hamilton, Ohio 45011

(513) 645-8240

The complaint will be investigated and a written response will be given to the concerned person within five business days. The Compliance Officer can provide additional information concerning

D:\726933111.doc

3

access to equal education opportunities. Under no circumstances will the District threaten or retaliate against anyone who files a complaint.

INDIVIDUALS WITH DISABILITIES

The Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act provide that no individual will be discriminated against on the basis of a disability. This protection applies not just to the student but also to all individuals who have access to the District’s programs and facilities. In the event that a student wishes to exercise ADA accommodations the student must refer to Section IV of this document, ADA Policy, for instructions on how to request an accommodation.

CONTROL OF CASUAL CONTACT COMMUNICABLE DISEASES

Because a school has a high concentration of people, it is necessary to take specific measures when the health or safety of the group is at risk. The school’s professional staff has the authority to remove or isolate a student who has been ill or has been exposed to a communicable disease or highly transient pests, such as lice.

Any removal will be only for the contagious period as specified in the school’s administrative guidelines.

NOTIFICATION REGARDING BLOOD-BORNE PATHOGENS

The District is subject to Federal and State regulations to restrict the spread of hepatitis B virus

(HBV) and human immunodeficiency virus (HIV) in the workplace. These regulations are designed to protect employees and students of the District who are, or could be, exposed to blood or other contaminated bodily fluids. Because of the very serious consequences of contracting HBV or HIV, the District is committed to taking the necessary precautions to protect both students and staff from its spread in the school environment.

Part of the mandated procedures includes a requirement that the District request the person who was the source of the potentially contaminated fluids to consent to be tested for HBV and HIV.

Individuals have the right to refuse such consent. Students who choose to be tested will do so at their own expense. Although incidents of exposure will be few, the District has provided this advanced notification. This policy is in place to protect students, faculty and staff. Every effort will be made to protect the privacy of all individuals.

PARAMEDIC ACADEMY HEALTH SCREENING, REQUIREMENTS, AND COSTS

Students enrolled in the Paramedic Academy must provide the following prior to beginning clinical rotations:

A completed physical form, signed by a medical doctor

Documentation of current vaccinations and immunizations

As the specific requirements of the various clinical sites can change during the program the student is required to provide any other medical information as requested by the EMS

Coordinator or Program Director. Failure to provide this information may result in the student being disallowed from utilizing one or more clinical sites thus forcing a dismissal from the program.

The student will be responsible for his/her own medical insurance coverage and costs of any health care provided to the student during clinical rotations. This includes, but is not limited to, costs incurred for testing due to an exposure occurring during a clinical rotation.. Students who do not meet clinical requirements will fail the academy.

D:\726933111.doc

4

VISITORS

Any person not on an official class roster is considered a visitor. In order to properly monitor the safety of students and staff, all visitors who wish to enter classrooms must report to the office, sign in, and obtain a visitor’s pass from the customer service window.

No adult student may have visitors at school without first obtaining written permission from the

Program Supervisor or designee. Students may not bring their children to class.

OBSERVATION CAMERAS

Observation cameras are in place to monitor the property and facilities of the Butler Technology and Career Development Schools. However, Butler Tech is not responsible for monitoring personal property or personal conduct with observation technology.

USE OF SCHOOL FACILITIES

Those wishing to use school facilities must receive prior approval from the Facilities Department or Building Administrator and will be held responsible for the proper use and safekeeping of the facility approved for their use.

STUDENT SALES

No student is permitted to sell any item or service in school for personal gain. Violation of this policy may lead to disciplinary action.

TELEPHONE CALLS

Except in an emergency situation, classes will not be disrupted for students to receive telephone calls.

USE OF ELECTRONIC COMMUNICATION DEVICES

The unethical use of electronic communication devices of any kind is strictly prohibited . Use of cell phone/electronic communication devices is not permitted during class time, except as directed by an instructor in an instructional exercise, including but not limited to text and voice communication, and is subject to disciplinary action.

Cell phones and other communications devices must be carried in a book bag, backpack, or handbag. Cell phones must be on vibrate or quiet at all times. If a cell phone rings during class time, the student must leave the room for the remainder of the class period and will be counted absent for the remainder of that class period. If a cell phone rings during a test, the test will be collected and graded at the time of the offense.

Cell phone usage by students is not permitted in the building, except as directed by an instructor in an instructional exercise. Students must either go outside the building or go to their cars to use their phones.

If a student knows that he/she has an extenuating circumstance (illness in the family, child care issues), the student should notify the instructor at the beginning of the class period. If the student needs to return a call, he/she may be allowed to leave the classroom to return a call.

Public telephones are available for student use in D. Russel Lee and at the Regional Public

Safety Education Complex for local use only. The phones are only to be utilized during non-class time for a maximum of three minutes.

D:\726933111.doc

5

ADVERTISING OUTSIDE ACTIVITIES

Announcements or postings of outside activities must have the approval of the Building

Administrator of either D. Russel Lee CTC or the Regional Public Safety Education Complex. A minimum of 72 hours’ notice is required to ensure that the Building Administrator has the opportunity to review the announcement or posting. The buildings have a central bulletin board located in the Student Commons/Break Area which may be used for posting notices only after receiving permission from the appropriate Building Administrator.

D:\726933111.doc

6

SECTION II

ADMISSION AND FINANCIAL AID INFORMATION

ASSESSMENT

Students desiring to be in full-time training programs are required to successfully complete the

ACT Work Keys tests in 1) Locating Information; 2) Reading for Information, and 3) Applied Math prior to admission .

Students who do not meet benchmark scores prior to admission will be given referrals for additional help before retesting. The final test results for both Work Keys and required industry credential testing are included in the graduate’s Career Passport. If industry credential test scores are not available at graduation, the graduate will be instructed to add them when they become available.

A school-identified industry credential assessment will be required of all completing full-time students.

STUDENT STATUS

Regular Student

A regular student must meet one of the following classifications:

1. Completed high school and received a high school diploma

OR

2. Acquired an equivalency diploma (G.E.D.) NOTE: Online GED sites must be accredited by either the United States Department of Education or the Council for Higher Education.

For more information on G.E.D. study and testing, contact the Hamilton or Middletown City

School Districts.

The school does not admit “ability to benefit” (non high school/GED graduates) students as regular students. Students wishing to enroll as non-certificate seeking students will be considered on a case by case basis and will not be eligible for Title IV financial assistance.

REGISTRATION

Registration for full-time adult education classes must be done in person in the Adult Workforce

Education Office at the D. Russel Lee Career Center per posted office hours. After passing the

Work Keys assessment, a non-refundable application fee is due at the time the student applies to become a student at Butler Tech. When the student has completed all necessary procedures to be admitted to a particular program, the student must then pay a non-refundable deposit to hold the student’s place in the program. This fee is credited toward first term tuition.

ACADEMIC CREDIT

In some designated programs, a student enrolled in a job-training course may receive credit toward a Certificate of Program Completion by demonstrating competence gained from previous education or training that relates directly to the field of study (s)he desires to pursue.

Upon the student’s written request for academic credit, testing will be arranged with the student’s instructor to examine the student’s expertise in specific areas of the course’s curriculum. The instructor will then make recommendations to the program Supervisor about the student’s competency, and the student’s record will be credited appropriately. The student will not be required to repeat areas where (s)he can demonstrate proficiency from prior education or training.

D:\726933111.doc

7

Materials and instruction will be made available so that the student may advance in his/her program even though other students may be studying introductory subjects. Students cannot be excused from class for that period of time; all students must meet the attendance requirement.

Students must test out of an entire term in order to receive credit for that term. The school reserves the right to charge the student an appropriate testing fee.

The Designated Administrator reserves the right to consider individually each request for academic credit and base determinations upon individual merits and the rules and regulations of external approving agencies.

TRANSFER POLICY

Students may be permitted to transfer into some full-time programs from other schools. Prior education will be evaluated on a case by case basis.

Students who wish to transfer from one Butler Tech program to another must meet with the

Registrar and with a financial aid officer to determine course options, space availability, and financial responsibility.

OHIO ARTICULATION AND TRANSFER POLICY

Students who successfully complete specified technical programs are eligible to have technical credit transfer to public colleges and universities. The Career Technical Credit Transfer (CT2) program allows adult career-technical completers the opportunity to transition to Ohio public institutions of higher education. For a complete list of eligible programs and certifications, as well as instructions on beginning the transfer process, please visit the Ohio Higher Ed/University

System of Ohio website at https://www.ohiohighered.org/transfer/ct2 .

CLASS CANCELLATION

The school reserves the right to cancel a class due to insufficient enrollment. If a class is cancelled for any reason, students will be notified prior to the scheduled class by mail or telephone.

TUITION AND FEES

Tuition for each term is due prior to the first class of each term. A student may opt to pay the full tuition for all terms at the beginning of the first term. Students who have not paid their tuition by the first day of class or made arrangements with the designated business manager for payment will not be allowed to attend class.

Individuals who are eligible for financial aid will be allowed to continue in the program. The student is required to pay any amount not covered by financial assistance at the beginning of each term.

All tuition and fees must be paid before graduation from any program. Students completing a program with tuition and fees unpaid will not be eligible to receive a transcript, Certificate of

Completion or Career Passport.

REFUND POLICY

Students are charged tuition and fees on a term-by-term basis. If a student withdraws during a term, tuition and fees owed are based on the following percentages:

Withdrawal Date (last date of attendance) Refund

After the first 50% of the enrollment period No refund

On or before 50% of the enrollment period 25%

D:\726933111.doc

8

On or before 25% of the enrollment period

On or before 10% of the enrollment period

On or before the first day of class

*(excludes $100.00 of deposit)

50%

90%

100%

Butler Technology and Career Development Schools complies with the Federal Return of Funds policy for all full-time students. This policy is based upon clock hours completed divided by (1) the clock hours in the payment period; and/or (2) the clock hours scheduled to be completed in the payment period. The resulting percentage determines the amount of funds to be returned, if any.

Any cash balance owed to the school becomes the responsibility of the student. Refunds will be processed within 30 days of the date the school determines that the student has withdrawn.

Refunds are made in the following order to the following programs:

1.) Unsubsidized Federal Stafford Loans

2.) Subsidized Federal Stafford Loans

3.) PLUS Loans

4.) Federal Pell Grant Programs

5.) Other (WIA/BVR, etc.)

6.) Student

TEXTBOOKS

Textbooks, workbooks, and manuals are not included in the tuition and are to be purchased from the school. Purchased books cannot be returned.

TOOL/LAB KITS

Tool kits and/or lab supplies are required in most programs. If the student already has tools,

(s)he should bring them to be evaluated by the instructor. If students choose to leave personal items on the school premises they do so at their own risk. Only unopened lab kits may be returned for a refund.

PROTECTIVE EQUIPMENT AND SAFETY REGULATIONS

In certain instructional areas where potentially dangerous machines and/or materials are used, all students, instructors, and visitors must wear appropriate protective equipment. Appropriate shoes must be worn in all shop areas.

The District promotes and enforces safety rules and regulations according to standards set up by the Occupational Safety and Health Administration (OSHA). Safety rules will be reviewed by instructor(s)at the beginning of and throughout the program . It is the student’s responsibility to follow the safety regulations set forth for his/her career-technical program. Students are to report

ALL accidents/injuries to their instructor immediately on the Student Accident Report (form 5340

F1).

Failure to abide by all safety regulations will result in disciplinary action

The school does not carry any type of primary accident/medical insurance on students.

FINANCIAL AID

The primary goal of the Federal financial aid programs is to provide financial assistance to students who, without such aid, would be unable to enroll in Butler Technology and Career

Development Schools programs. No student interested in attending full-time programs should fail to apply because of an inability to meet the expenses. The financial aid office attempts to provide

D:\726933111.doc

9

assistance to students whose personal and family resources are not sufficient for educational costs.

Financial assistance should be considered as supplemental to the individual and family effort.

Applic ation for financial aid should begin at least two months before the student’s classes begin.

CHANGE OF CIRCUMSTANCES

Students are responsible to report any significant changes of circumstances to the financial aid officer, including enrollment status, satisfactory progress, and permanent address and phone numbers.

FRAUD

There are severe penalties for falsification of financial aid documents or enrollment documents.

Misrepresentation will be reported to the proper authorities and may result in immediate dismissal.

VERIFICATION

Students may be required to provide documents that verify statements made on the Free

Application for Federal Student Aid (FAFSA). A student whose application is selected for verification must complete verification no later th an sixty days from the student’s last day of enrollment or August 30, whichever is earlier. If an applicant fails to complete verification by the applicable deadline, s/he forfeits eligibility for Federal student aid.

SPECIAL CONDITIONS

Financial aid eligibility is usually based on income figures for the calendar year previous to the current school year. If a student’s income for the current year is significantly lower than the base year’s income for reasons such as unemployment, illness, etc., (s)he may request that eligibility be calculated using the “current” year’s income rather than the “base” year. For more information on meeting “special conditions,” see the financial aid officer.

TYPES OF FINANCIAL ASSISTANCE

Federal Pell Grant : The Pell Grant is money available through the Federal government and does not have to be repaid. This grant is based upon the student’s financial need. The amount of the award is determined by the student’s expected family contribution and the cost of attendance. To apply for a Pell grant, the student must complete a Free Application for Federal

Student Aid (FAFSA) form or apply on-line at www.fafsa.ed.gov.

Federal Stafford Loan Program : Low-interest Stafford loans are available through the Direct

Loan (DL) program. The student must complete a FAFSA form before estimated eligibility for loan assistance can be determined. A student loan is a debt which must be repaid.

PLUS Loans : PLUS loans are low-interest loans which enable parents with good credit histories to borrow to pay the educational expenses of a dependent child who is enrolled at least half-time in an undergraduate program.

ENTRANCE and EXIT interviews are mandatory for all students receiving loans and may be accessed at www.studentloans.gov

. A PIN (personal identification number) is required.

Veterans Benefits: Many programs offered by Butler Tech are approved to accept and train veterans who qualify. Our counselors are available to work with veterans and provide information regarding government reimbursement.

D:\726933111.doc

10

Workforce Investment Act (WIA): Eligible residents of Butler County and several neighboring counties have received training at Butler through this federally funded program. For more information contact the W.I.A. office in your area or the financial aid counselor at the school. In

Butler County, the Butler County One Stop administers W.I.A. funds.

Butler Tech also works with Ohio Rehabilitation Services (BVR) to assist qualified individuals with funding.

Additional information and frequently asked questions about the financial aid process may be viewed at www.butlertech.org

.

CONSUMER INFORMATION

Information concerning campus security, percentage of program completers, and job placement is updated annually and is posted at the district’s website ( www.butlertech.org

)

D:\726933111.doc

11

SECTION III

SCHOOL POLICIES AND REGULATIONS

NOTE: POLICIES IN PROGRAM SPECIFIC HANDBOOKS SUPERCEDE THE INFORMATION

IN THE GENERAL HANDBOOK.

SATISFACTORY PROGRESS

To successfully complete a full-time program at Butler Tech, students must maintain satisfactory progress requirements. Satisfactory progress is measured by two criteria: 1) academic progress and technical/skill performance, and 2) attendance.

ACADEMIC PROGRESS AND TERM GRADES

Each student is required to complete his/her own work. (See Butler Tech Honor Pledge page 21 ).

The instructor evaluates academic progress on a term basis. Periodic student/instructor conferences and/or timely grade reports keep the student informed of his/her progress. The following grade scale apples to the Paramedic Academy:

93 – 100% = A Excellent

85 - 92% = B Good

76 - 84% = C Satisfactory

70 - 75% = D Passing

Below 70% = F Unsatisfactory

To maintain satisfactory academic progress, a student must achieve a minimum of 76% cumulative average at the end of each term. Any student who falls below 76% will not qualify to proceed to the next term and will be dismissed from the program. If the student ’s grade on any quiz, term exam, or term final is below 80% the student is allowed one (1) re-attempt at the evaluation and the two grades will be averaged.

For each term, quizzes will be computed at 30% of the grade, Term tests will be computed at

30% of the grade, and the term final will account for 40% of the grade. . .

A student must have a cumulative average greater than 76% and pass the FISDAP Paramedic

Readiness Exam (Term IV Final) within three (3) attempts to complete the Paramedic Academy and to qualify to sit for the National Registry Exam. The final program grade will be determined by averaging individual term grades. Note: The student will be charged $50.00 for the second reattempt of the FISDAP Paramedic Readiness Exam.

LAB SESSIONS

Lab sessions are part of the education of the pre-hospital care provider. The labs are designed to reinforce the didactic learning and teach the student the specific skills necessary to the occupation of the Paramedic. Summary skill sheets will be provided which outline the specific performance requirements of the skills taught in the lab. Students must demonstrate competency in the skill before attempting clinical rotations. The instructor’s signature on the skill sheet indicates that the student has successfully performed the skill in the lab setting. Signed skill sheets are retained in the student’s file as documentation of the student’s exposure to the skill.

After completion of the skills in lab, the student is permitted to perform the skill in the clinical setting under the direct supervision of a certified Paramedic, Licensed Nurse, or Physician.

Room 214 is designated as a permanent lab. Students are permitted the use of the lab equipment

(except SIM MAN) during non-class hours. Students may come in to practice skills with preapproval of the Program Coordinator.

D:\726933111.doc

12

NATIONAL INCIDENT MANAGEMENT SYSTEM (NIMS) REQUIREMENT

Each student is responsible to complete the following on-line courses or produce certificates of completion, prior to the end of Term I:

ICS 100.a - Introduction to the Incident Command System

IS – 700.a - NIMS an Introduction

These courses can be accessed at the following website: http://training.fema.gov/IS/

Each course will have a short quiz at the end of the presentation. Once the student has successfully completed the course and quiz (s)he will be provided a link, via e-mail, to access the certificate of completion for the courses. Students must bring a copy of the certificate to Butler

Tech for the student file; the student should also keep a copy for his/her records.

NOTE: You cannot proceed to Term II or obtain an EMS certification from the State of Ohio without completing these courses.

CLINICAL ROTATIONS/CLINICAL RECORDS

500 hours of the Paramedic Academy consist of clinical hours performed at various sites. The student shall adhere to the Butler Tech Code of Conduct during all clinical rotations. The student shall further adhere to rules, guidelines and objectives outlined in the Attachment A of this document. These clinical documents serve as a record of attendance for clinical hours. The student must turn in their clinical paperwork every Thursday when class is held.

The exact hours by clinical category and the required skills are contained in Attachment A. At the beginning of Attachment At is a sheet summarizing the skills which the student is permitted to perform. A student shall not perform any skill in the clinical setting until the skill has been verified and attested with a signature from a paramedic instructor in the lab setting on this sheet.

Each clinical term is designed to build on the previous term ’s skills. Any individual failing to meet

90% of the first term ’s clinical requirements and greater than 90% of each subsequent term’s cumulative clinical hour requirement will be dismissed from the Paramedic program for failure to meet the clinical requirement. At the end of the course 100% of the clinical hours and skills objectives must be completed successfully. Additional Emergency Department hours must be performed to ensure 1,000 total program hours. Clinical hours cannot be utilized to make up any classroom absences over 10% or required lab sessions.

Assuming the team leader role in patient emergency cardiac care is an essential goal in the clinical setting. The Paramedic Academy requires the successful completion of Basic Life

Support CPR (BLS), Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support

(PALS), or the current program equivalent by the end of the Term in which it is offered. If the student is unable to successfully complete these embedded courses (s)he will not pass that term ’s clinical requirement. If for some reason the student does not complete the embedded course, they must obtain it by the end of the term it is offered. This certification must be obtained by utilizing the AHA on-line course and successfully completion of the specific skills check, at the students cost, by Butler Tech Instructors.

TUTORING

Butler Tech does not employ individuals for the purpose of tutoring. However; the student does have the option of seeking tutoring for subjects covered in the Paramedic Academy. Whenever possible, upon written request from the student, assistance in locating tutors will be provided.

D:\726933111.doc

13

ATTENDANCE

Each student has primary responsibility for tracking individual absences and tardiness. Students are expected to arrive on time and stay until the end of the class. If a student must miss school due to illness or other emergency (s)he should notify the school prior to class time by calling

(513) 645-8350 or the academy coordinator, and the instructor at the number provided. Students are required to sign in and out on the class sign-in sheet for each session.

All arrivals after the designated starting time will be classified as a partial absence. Leaving class early will also be considered a partial absence. Partial absences will be computed in real time, and are factored into the attendance requirement. The student is responsible for the time allotted for class regardless of the circumstances. If there is a concern at any time those concerns should be addressed with the lead instructor; if the instructor is not available or the concerns are not resolved, issues should be brought to the academy coordinator, program director, and/or building supervisor per the chain of command.

Attendance is reviewed on a regular basis. The following are Adult Workforce Education general minimum standards. Certain programs may have higher attendance standards.

Please refer to program-specific handbooks.

1. The minimum attendance requirement to maintain satisfactory progress is 90% for the term and for the overall program. A student may miss no more than 10% of the scheduled clock hours per term. A student in the Paramedic Academy must maintain a minimum of 90% attendance in class / lab attendance as well as clinical hour requirements.

2. A student whose absences exceed 10% of the scheduled term hours (including clinical hours) at the first evaluation point (mid-point of each term) will receive an attendance notice for the remainder of that term.

3. If the student’s absences continue to exceed 10% of the scheduled term hours (including clinical hours) at the second evaluation point (the end of each term, which coincides with the first payment period) he/she will receive a Standards of Progress Warning. This

Warning will serve as a pre-dismissal notice.

4.

Subsequent attendance evaluations will then occur at the mid-point and end of each successive term.

5. Students who do not meet satisfactory standards of progress for two successive evaluation points will be dismissed from the program and must file an appeal for reinstatement (see Appeals/Reinstatement below).

Students who are absent from school for a two-week period without notifying the school will be dismissed. Students who miss all or a portion of the first day of class without notice to the program supervisor will forfeit their seat in the class.

NOTE: Butler Tech reserves the right to deviate from the above policy in cases where student absences are so excessive at any evaluation point that the student cannot mathematically achieve a 90% attendance average for the term or for the program.

Students who are not meeting minimum attendance/grade requirements at the time financial aid is scheduled for disbursement will not be eligible for those disbursements until satisfactory progress requirements have been met. If the student does not reestablish satisfactory progress within his/her probationary period, financial aid will not be disbursed and the student will be responsible for payment of all tuition and fees for the applicable term(s).

APPEALS/REINSTATEMENT

Students who have been dismissed for failure to maintain satisfactory progress may appeal the dismissal. Appeals must be in writing to the designated Supervisor and must include documentation of extenuating circumstances as well as an explanation of how the issues that lead to dismissal have been resolved. Note: lack of transportation and/or child-care are not

D:\726933111.doc

14

acceptable as extenuating circumstances. Students will be notified in writing of the

Supervisor’s decision within five business days of the appeal hearing.

If the appeal is accepted, the student may be readmitted for a probationary period and financial aid will be reinstated, if applicable. The requirements which the student must meet will be stipulated in the acceptance notification. If the student meets or exceeds standards during the probationary period, (s)he will be considered to be in good standing. If the student does not achieve minimum standards, (s)he will be dismissed with no additional opportunities for appeal.

PROBATION

A student may be placed on probation due to unsatisfactory academic progress, failure to meet attendance requirements, or for disciplinary reasons. A student that is dismissed from a clinical site for cause will, at a minimum, be placed on probation for the remainder of the course. A student that is dismissed from a second clinical site is subject to immediate dismissal A student will be notified in writing that (s)he is being placed on probation and that notice will include the reason for probation, the length of the probationary period, and the conditions for removal from probation, if removal is applicable. If the student does not meet the conditions of the probation period, (s)he is subject to dismissal.

EXTENUATING CIRCUMSTANCES

When documented extenuating circumstances exist, the school reserves the right to deviate from the stated attendance policy.

MAKE-UP TIME

The Paramedic Academy permits make-up time under the following conditions:

For class absences over 10% as well as any required Lab/Practical Sessions missed, students must arrange with their instructor or program coordinator to make up time.. Absences made up must be for the same amount of time and on the same topic as the subject missed. This make up time must be with an appropriate instructor for the required topic. Payment for make-up time is the student’s responsibility and must be received prior to the make-up sessions . The current cost for make-up time is $35/hour. The most cost effective way to complete this class is to attend EVERY class session.

WITHDRAWAL PROCEDURE

When withdrawing from a training program prior to the official graduation date, it is important for the student to complete appropriate paperwork with the Adult Workforce Education office and any sponsoring agency. Students must also have an exit interview with the program supervisor. This procedure is to insure credit for billing adjustments if they are required. Any refund due to the student will be processed within 30 days of a request.

MAXIMUM TIME FRAME

Federal regulations stipulate that a student must complete his/her program in a maximum time frame equal to one and one-half (1-1/2) times the standard length of the program as expressed in calendar time (weeks to complete the program).

CERTIFICATE OF COMPLETION/TRANSCRIPT REQUESTS

A Certificate of Completion will be awarded to each student who has met all academic, attendance, and financial requirements or who has successfully maintained an advanced placement assignment through the scheduled completion date . Duplicate certificates will not be issued . In lieu of a duplicate certificate an official letter/transcript verifying dates attended and

D:\726933111.doc

15

program completion will be issued to the student or the student’s designee upon written request.

A fee of $5.00 will be assessed.

CAREER PASSPORTS

The Career Passport is a portfolio containing training-related documents that describe the marketable skills of the program completer. It is designed to assist students in job seeking and career planning by presenting skills and knowledge acquired while enrolled at Butler Tech..

To receive a Career Passport a student must:

1. Successfully complete a training program.

2. Fulfill all financial obligations (payment in full for tuition, fees, books, etc.)

NATIONAL REGISTRY AND STATE OF OHIO CREDENTIALING

Butler Tech will host a practical exam for the National Registry of EMT at the conclusion of the

Paramedic Academy. Only the testing fees for the practical exam and the first written exam are covered within t he student’s tuition. Butler Tech students who are returning to retest a practical skills test after their class has completed, are subject to a testing fee. Please see the Butler Tech website or course catalog for current testing fees.

Subsequent reattempts at the written exam are the financial responsibility of the student. The written exam testing fee is paid directly to the

National Registry of EMT. These fees are set by the National Registry of EMT and their third party testing agency. Butler Tech has no control over testing fees or the manner in which they are adjusted.

After the successful completion of the National Registry Written and Practical Exams the student must make an appointment with the Butler Tech Program Director to complete the state certification application. The student has sole responsibility in obtaining his/her state certification.

The application process is outlined below.

1. Apply for your NREMT Exam after you have successfully completed the Paramedic program, including your clinical time. The application process should begin 3-4 weeks before you plan to test. (See the facsimile form at the end of this list).

2. After you have completed the exam application contact Butler Tech’s Program Director, who will verify that you have successfully completed the Paramedic program. NOTE: IF YOU

CHECK YOUR STATUS AND FIND THAT YOU HAVE NOT BEEN RELEASED TO TAKE

THE EXAM, CONTACT YOUR INSTRUCTOR TO INSURE THAT THE PROGRAM

DIRECTOR HAS BEEN INFORMED OF THE SUCCESSFUL COMPLETION OF ALL

REQUIREMENTS.

3. Once you have received an Authorization to Take Test (ATT) you must print the document to present at the Pearson Vue Test Center.

4. Contact Pearson Vue to set up your test appointment:

Cincinnati Office Dayton Office

4770 Duke Drive Suite 385 3033 Kettering Boulevard Suite 320

Mason OH 45040 Moraine OH 45439

513-229-8813 937-294-1458

Additional test sites can be found at http://www.vue.com

. The area of study is Health ,

Medicine, Nursing, and Pharmacy and the testing program is National Registry of

Emergency Medical Technicians (NRMET). Select “United States” and then choose the state in which you wish to test.

5. Once you test you may check your status at www.nremt.org

(National Registry website).

6. When you receive notification that you have successfully passed the exam you need to contact the Program Director at Butler Tech to make an appointment to complete your state application and DMA forms. PLEASE NOTE: YOU CANNOT RUN AS A PARAMEDIC WITH

ONLY THE NATIONAL REGISTRY CARD. YOU MUST COMPLETE THE STATE

APPLICATION.

D:\726933111.doc

16

Follow these easy steps 3 to 4 weeks in advance of when you plan to test. If you need additional assistance, please contact the NREMT at 1-614-8884484. We’re ready to help!

Step 1: Create Your Account

Step 2: Login

Step 6: Check to see if You Are Approved to

Take Your Exam and have been verified, you will see the following link: ‘Print

ATT Letter’.

Read this to avoid delay! You will only see the ‘Print ATT Letter’ when you have been verified to test! This link will not appear if the verification process is not yet complete! home page and login with the username and password you created.

Step 3: Manage Your Account Information information in the Personal Account

Information fields as prompted. The name you include in this area should be the same as what appears on your driver’s license (or the ID you will present at the testing center), and is what will appear on your application, National Registry certificate and card upon successful completion of the examination.

Read this to avoid delay! Make sure the name you use to set up your Account matches the name on your driver’s license EXACTLY

(or the ID you will present at the testing center) or you will be denied access to the testing center on the day of your exam!

Step 4: Create a New Application

Click on ‘Create a New Application’ to apply to take your exam.

Review the Personal Information Summary

– if any items are incorrect, you can make corrections by clicking on

‘Manage Account Information’. complete.

Step 5: Pay Application Fee your Authorization to Test (ATT) Letter by going to the

NREMT home page and logging in using your username and password.

Verification’, this means the NREMT has submitted your information to the program you indicated, and is waiting for authorization from the program indicating that you have completed the course.

Payment’, you must pay the fee prior to receiving an ATT

Letter.

Step 7: Print the ATT Letter to Schedule Your

Exam

Read this to avoid delay! Click on this link to print your ATT

Letter. Print and follow the instructions in your ATT Letter.

Step 8: Call Pearson VUE to Schedule Your

Exam number to call to schedule your examination. time you complete your online application. However, if you choose, you may pay at a later date. and choose ‘Application Payment’.

Read this to avoid delay! An Authorization to Test (ATT) Letter allowing you to schedule your exam will not be issued until payment has been received and all other verifications are complete. tracking slip for mailing your money order to the NREMT. information you should read carefully!

Read this to avoid delay!

You can reschedule your exam up to 24 hours in advance by calling Pearson VUE at 1-866-673-6896 or visiting the Pearson

VUE website. If you fail to appear for your exam, you will have to complete a new application and pay another application fee!

Refunds cannot be issued for no-shows.

If you arrive late for your exam, you may lose your appointment!

D:\726933111.doc

17

EARLY PLACEMENT

Students in certain full-time programs may be eligible to obtain employment prior to the completion of their training program and have the hours of employment count toward their program hours.

To be eligible to participate in Early Placement in programs which allow this activity, the student must complete an application and meet the following requirements:

1. Must be in the last 30 calendar days of the program

2. Must be current with all financial obligations (payment for tuition, fees, books, etc.)

3. Employer must agree to provide an evaluation of the student’s performance

4. Employment must be in a field related to training and be at least 30 hours per week

5. Must be in compliance with program attendance and academic requirements

6. Must have passed industry credential testing

An application to participate in advanced placement must be completed by the student, submitted to the instructor for sign off, and then approved by the Supervisor of Student Support Services.

EMERGENCY CLOSINGS AND DELAYS

If the school must be closed or the opening delayed because of inclement weather or other conditions, the school will post a notice on the school’s website www.butlertech.org

and notify the following radio and television stations:

WMUB - 88.5 FM WXEG - 103.9 FM WCPO - CHANNEL 9

WINK - 94.1 FM

WBTT - 94.5 FM

WOXY - 97.7 FM

WLQT - 99.9 FM

WTUE - 104.7 FM

WMMX - 107.7 FM

WPBF - 910 AM

WMOH - 1450 AM

WLWT - CHANNEL 5

WKRC - CHANNEL 12

WDTN - CHANNEL 2

WKEF - CHANNEL 22

WKRQ - 101.9 FM WONE - 980 AM WHIO - CHANNEL 7

All announcements will be aired under the name of Butler Tech, D. Russel Lee

Career~Technology Center or Butler Technology and Career Development Schools. Unless a specific announcement is made that states otherwise, Adult Workforce Education Division classes will be closed if the high school classes are closed. This includes evening programs, as communication with adult students becomes difficult-toimpossible concerning a change to “open” status.

Delay announcements refer to a delay in relation to the school’s opening time of 8:00 a.m. Delay announcements for Adult Workforce Education will be calculated from that time. In other words, a

“two hour delay” means that all classes after 10:00 a.m. will be OPEN. A class that normally begins at 8:00 a.m. will begin at 10: a.m.; a class that begins at 9:00 a.m. will also begin at 10:00 a.m. If the weather should become sufficiently inclement to cancel afternoon or evening classes, an announcement will be made via the same media stations. In all cases, adult students should use discretion as to whether or not it is safe to drive.

Classes with required hours must be made up and will be rescheduled by the program supervisor and instructor. Full-time classes with no hourly requirements regulated by outside agencies may be required to make up missed class time as determined by the program supervisor.

ADDRESS AND PHONE NUMBER CHANGES

It is imperative that all students notify the Adult Workforce Education office staff of any changes in address, e-mail address or phone number.

D:\726933111.doc

18

FIRE DRILL AND TORNADO PROCEDURES

The District has established fire and tornado drill procedures which will be explained by individual instructors. Emergency evacuation routes are posted in all classrooms. It is imperative that students remain with the class; no one is to leave until released by school personnel.

D:\726933111.doc

19

SECTION IV

STUDENT SERVICES

EMPLOYABILITY SKILLS

All full time programs offer instruction in employability skills appropriate to the specific program of study. Each program offers at least résumé preparation and interviewing skills. All students will be encouraged and have the opportunity to prepare a résumé.

PLACEMENT AND FOLLOW-UP

When a student obtains employment, either by Early Placement or following program completion, the student is requested to provide the following information to the career/technical instructor: employer name; employer address and phone number; immediate supervisor; job title, hourly wage and hours per week worked; job duties; and start date.

During February or March each year, students who completed during the previous 12-month period are contacted to determine current employment status. State and Federal regulations require that placement information be recorded and made available.

FOOD AND BREAKS

No food or drink will be permitted outside the commons/break area and cafeteria, Special permission for an exception may be granted only by the sub-division supervisor and only if the instructor assumes responsibility for making sure that all trash is cleaned up and properly discarded.

PERSONAL TRANSPORTATION TO SCHOOL-DRIVING PRIVILEGES

Maximum speed on school property is ten miles per hour (10 MPH) at all times, twenty miles per hour (20 MPH) at PSEC

Student drivers shall park in designated areas. Students driving to school should enter the building immediately upon their arrival. Loitering in the parking lot and in personal vehicles on school property is prohibited.

Parking Permits are required for all full-time students except RPSEC students.

Upon completion of the Student Application to Drive on School Property (5155 F1) students will be issued a parking permit (hanging tag). Students must have a displayed (visible) parking permit to park in the parking lot. Persistent parking violations or lack of parking permit wil l result in a loss of parking privileges or vehicles towed at the owner’s expense.

Driving is a privilege and if abused, the driving privilege will be revoked. Illegal parking or reckless operation, failure to follow directions given by parking lot supervisors, or disregard to parking lot safety in general will result in disciplinary action and/or loss of driving privileges.

NOTE: Per Ohio Revised Code Section 4509.101 Operation of motor vehicle without maintaining proof of financial responsibility is prohibited. “No person shall operate, or permit the operation of, a motor vehicle in this state, unless proof of financial responsibility is maintained with respect to that vehicle, or, in the case of a driver who is not the owner, with respect to is ope ration of that vehicle.”

D:\726933111.doc

20

LOST AND FOUND

The lost and found area is in the customer service offices. Students who have lost items should check there and may retrieve their items if they give a proper description. Unclaimed items will become the property of the Student Benevolent Fund.

STUDENT FUND-RAISING

With the permission of the Building Administrator, students participating in school-sponsored groups and activities will be allowed to solicit funds from other students, staff members, and members of the community in accordance with school guidelines. The following general rules will apply to all fund-raisers:

- Students involved in the fund-raiser will not interfere with class activities or students participating in other activities in order to solicit funds.

- A student will not be allowed to participate in a fund-raising activity for a group in which (s)he is not a member.

- No student may use the name Butler Tech for fund-raising activities without proper authorization and supervision by approved staff.

- No house-to-house canvassing is allowed by any student for any school approved fundraising activity.

- A staff member will monitor any fund-raisers that require students to exert themselves physically beyond their normal pattern of activity in order to prevent a student from overextending himself/herself to the point of potential harm.

- No student may participate in a fund-raising activity conducted by a booster club or community organization on school property without the permission of the appropriate administrator.

STUDENT WELFARE

The Program Director and the faculty serve as the student’s advisor in each program of study.

Faculty members are available by appointment to discuss student performance or other classroom concerns and make appropriate referrals. Students may seek counseling services through the office of the Student Support Services and/or the Adult Workforce Education (AWE)

Counselor. Students are encouraged to make the advisor or counselor aware of any special circumstances that affect their educational progress. The Assessment Center is available for student referral and assistance. The AWE counselor and district nurse are available to provide referrals for students with problems such as substance abuse, divorce, domestic violence, or other counseling needs.

MEDICATION

If a student is taking medication, that information should be made known to his/her instructor for health and safety reasons.

ADA POLICY

The Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act provide that no individual will be discriminated against on the basis of a disability. This protection applies not just to the student but also to all individuals who have access to the District’s programs and facilities.

D:\726933111.doc

21

The Office of Special Education Programs is the designated campus office to determine appropriate accommodations for students who have requested them. The determination is based on the disability documentation provided by the student and the functional limitations presented by the disability.

It is the student’s responsibility to disclose the scope and nature of his/her disability. Any student who has a disability and would like to request academic accommodations must register with the

Supervisor of Special Education Programs and submit documentation supporting the disability.

The registration and request for accommodations must be on file before any accommodations are considered.

Butler Tech does not assume responsibility for providing accommodations for students who have not identified themselves as having a disability or who have not provided current documentation from a qualified evaluator.

Butler Technology and Career Development Schools is required to advise all students that they may request reasonable accommodations for any testing or written examinations. Any student in an accredited training program with a documented disability, as that term is used in the

Americans with Disabilities Act (ADA), may qualify for reasonable accommodations as defined by the National Registry of EMT’s.

PRIVACY OF STUDENT RECORDS

Student records shall be defined as any material concerning individual students maintained in any form by the Board of Education or its employees, except personal notes maintained by teachers and other school personnel solely for their individual use and not communicated to any other person. All permanent student records are maintained by the Adult Workforce Education office,

Registrar’s office or official storage space.

The consent of the student shall be required when any item in the student’s record is divulged to any person except authorized personnel employed by the Board of Education and having direct educational contact with the student, or representatives of the Ohio Board of Regents, Ohio

Department of Education, and/or the United States Department of Education.

A student has the right to:

I. Inspect and review his/her education records

II. Request an amendment to his/her record

III. Request a hearing (if the request for an amendment is denied) to challenge the contents

of the education records, on the grounds that the records are inaccurate, misleading, or in violation of his/her rights

FALSIFICATION OF DOCUMENTS

Students who falsify any Butler Tech documents will be subject to immediate dismissal from his/her program

Falsification of any academy documents is also in violation of Ohio Revised Code (ORC) 4765 and Ohio Administrative Code (OAC) 4765-8-01. Any action or documentation that can in any way be proven or construed as false is classified as cheating and will result in IMMEDIATE dismissal from the paramedic academy and may be reported to the State. This includes, but is not limited to:

Falsification of Time

Falsification of Place

Falsification of Preceptor(s)

D:\726933111.doc

22

Falsification of Signature(s)

Falsification of Procedure(s)

Altering comments of preceptors in any way.

Falsification of run documentation

Dishonesty on any class quizzes, exams or tests

Dishonesty involving any classroom coursework

D:\726933111.doc

23

SECTION V

ADULT STUDENT RESPONSIBILITIES

STUDENT CODE OF CONDUCT

PROFESSIONAL AND LEGAL REQUIREMENTS OF EMS PROVIDERS,

An EMS student is subject to the same moral and ethical codes of the profession as those who are practicing in the field. While practicing OR training, the State of Ohio EMS Board requires strict adherence to the Professional Standards of Conduct as outlined in 4765-9-01 of the Ohio

Administrative Code. Access to the Laws and Rules governing EMS providers are available on the Ohio Department of Public Safety’s website ( http://ems.ohio.gov

)

Students learn best in an atmosphere of mutual acceptance and trust. Rules and regulations are necessary and, when applied, shall be reasonable and appropriate to the nature of the behavior and in accordance with the holdings of Ohio courts of law. In maintaining the student’s right to equal educational opportunity, it is reasonable and necessary to maintain order in the career/technical center. The Student Code of Conduct sets forth a student discipline code which outlines the conduct for which a student may be removed from an activity, be suspended, or dismissed from school. In the event that an adult student’s conduct is disruptive to the educational process, destructive to property in either the classroom or clinical setting, and/or deprives others of their basic rights, the school will take appropriate action for immediate removal and possible dismissal.

Students are expected to demonstrate the following:

1. A desire to learn and develop their professional skills

2. Preparation for each class

3. Attendance and punctuality for each class

4. Positive classroom participation

5. A courteous, respectful, and non-judgmental attitude towards staff and other students

6. A willingness to receive constructive feedback

7. The desire to take responsibility for their own values, attitudes, interpersonal relationships, and academic performance

Students are expected to refrain from the following:

1. Insubordination: A student shall not disregard or refuse to obey directions or instructions given by school personnel during any period of time when the student is properly under the authority of school personnel.

2. Disruption: A student shall not by use of violence, force, coercion, threat, harassment, unnecessary noise or talking or other behavior deemed undesirable, cause disruption or obstruction to the educational process.

3. Use of tobacco: Butler Tech is a smoke-free, tobacco-free campus

4. Theft

5. Possession of weapons or any item which can be construed as a weapon or destructive device.

6. Possession or consumption of alcohol, illegal drugs, or counterfeit controlled substances

7. Inappropriate dress (see Dress Code)

8. Frightening, degrading, lewd, or disgraceful acts or language (profanity)

9. Hazing

10. Harassment of any type

11. Cheating on any classroom assignments, quizzes, tests, or other assessments

12. Plagiarism or misrepresentation of another student’s work as his/her own.

13. Falsification of any documents used in the enrollment or financial aid processes.

D:\726933111.doc

24

Violation of the Student Code of Conduct will result in temporary removal, written reprimand, and/or dismissal from the program.

REPORTING HARASSMENT

Butler Tech enforces a zero tolerance policy for any type of harassment, including but not limited to physical, mental, and/or sexual harassment, coercion, interference, or intimidation. Any student who is a victim of harassment, or who witnesses harassment of another individual (staff or student), should report the incident to an instructor, guidance counselor, and/or program supervisor. The informed employee will document the incident in writing and begin an appropriate investigation of the accusations of harassment. Investigation techniques may include interviews with the accuser and the accused, interviews with witnesses, and counsel from local law enforcement.

Retaliation against a student who reports harassment will not be tolerated and is also subject to disciplinary actions.

AIDING AND ABETTING

A student shall not in any way aid or abet another student in violating the Student Code of

Conduct. A student behaving in this manner will be disciplined according to the consequences given for the rule being violated by the other student.

REPEATED VIOLATIONS OF SCHOOL RULES

Repeated violations of school rules may result in suspension and/or dismissal from the program.

BUTLER TECH HONOR PLEDGE

All Butler Tech adult students are members of a diverse academic and social community. The educational value of our programs is critically dependent upon academic integrity. Students are asked to commit themselves to the following Butler Tech Honor pledge:

Understanding that students of Butler Tech are members of an academic and social community, I recognize the importance of my education and the value of experiencing learning in such an integrated community. Because I understand that the value of my education and training is critically dependent upon academic integrity, I pledge to:

1. Complete all assignments and examinations by the guidelines given to me by my instructors

2. Avoid plagiarism and any other form of misrepresentin g someone else’s work as my own

3. Respect my instructors, administrators, peers, and others with whom I engage

4. Adhere to the policies and procedures in the Student Handbook as well as specific policies for the program in which I am enrolled

In doing this, I hold myself and my community to a higher standard of excellence and set an example for my peers to follow.

COMPUTER ACCESS

Due to the design of this program a student must have access to a computer with internet access to successfully complete class assignments. While the computer labs at Butler Tech are available for use by the student, the limited access may prohibit a student from completing the assignments in time allotted. It is the sole responsibility of the student to gain the appropriate access to the computer based assignments.

In order to have access to any district computer the student must sign an Acceptable Use Policy.

D:\726933111.doc

25

It is illegal to access another student’s account without permission. Such permission must be in writing and must include the instructor’s signature as authorization. Entering and/or reproducing any information that is not directly related to the instructional assignment is strictly prohibited.

It is the policy of the District that a student cannot interfere with the operation of school business.

Unauthorized access, entering unauthorized information, and/or reproducing unauthorized information/material falls under this policy. Students are not permitted to bring, install, or use unauthorized software in any classroom or on any district computer.

DRESS CODE

Appropriate personal hygiene is expected at all times.

Each Paramedic student will be provided two shirts and a photo ID badge. The academy shirt, in conjunction with dark blue or black, non-denim, pants and dark work shoes without open toe or heel, are to be worn while in class or on clinical assignments. Your ID badge must also be worn in class and while on clinical assignments. If the student appears in class without the appropriate attire (s)he will be asked to leave to obtain any missing items. The student will be solely responsible for any missed time and will fall under the partial absence policy.

The Medic Student is expected to be neat, clean and well groomed at all times. While on clinical rotation the student must comply with the following requirements:

The student photo ID must be worn at all times (in or out of uniform) .

No acrylic nails are permitted. Nails are to be manicured and are not to extend beyond finger pads when fingers are extended. Only clear polish is to be worn with the uniform.

Mustaches and beards must be neat and well-trimmed both in class and externship areas. .

Cosmetics must be in good taste and contribute to a professional appearance. Perfume and after shave lotion are not to be worn in clinical areas.

Students are not permitted to wear rings or other jewelry with the exception of the wedding band while in uniform.

The hair style must be professional in appearance and worn so as to avoid touching the collar.

Hair ornaments are not permitted.

Only one pair of small silver or gold ball shaped earrings are allowed in pierced earlobes; otherwise, no earrings are permitted, i.e. no nose rings, lip rings, multiple pairs in each ear(s), tongue studs, etc.

NOTE: If the dress code of the clinical rotation facility has a more restrictive dress code than that noted above, the student must comply with the policy of the facility.

In addition to the above requirements, the following Butler Tech Dress Code may be applicable:

Lower body articles of clothing must be hemmed. Students will not wear short shorts, spandex type clothing, athletic shorts, or miniskirts. Lower garments are to be worn at waist level at all times.

Upper body articles of clothing should cover the body from shoulders to waist; shirts exposing the midriff at any time will not be acceptable. The shirt must be hemmed. The armholes should not expose more than the underarm area. (Tank tops and spaghetti straps are not allowed.) Clothing

D:\726933111.doc

26

that bears statements, slogans, images, or insignia that are indecent, obscene, profane, lewd, or vulgar is not permitted.

Clothing that bears statements, slogans, images, or insignia that harass, threaten, intimidate, demean, discriminate or suggests violence, and that creates a reasonable risk of substantial interference of the educational process, is not permitted. Clothing that bears statements, slogans, images or insignia advertising, promoting, or depicting alcoholic beverages, tobacco products, or illegal drugs, and that creates a reasonable risk of substantial interference of the educational process, is not permitted.

Tattoos, slogans, insignia, buttons, and other paraphernalia may not be worn or displayed if the message may reasonably be anticipated to create a disruption in the educational process. In the case of exposed areas, the staff may require the student to cover a tattoo with a bandage, or by some other means, while at school. Visible body, facial, or tongue piercing, extreme makeup, and extreme hair color may be restricted, based on what may be acceptable in a typical work environment.

Hats, head coverings,(except in lab work) headgear, scarves, headbands, bandanas, gloves or mittens, and/or sun-glasses (unless directed by a doctor) are not to be worn. Heavy chains, studded bracelets, dog collars, and other articles which may be judged to be potentially harmful to the students and/or could be used as a weapon will not be permitted.

ADMINISTRATION OF STUDENT DISCIPLINARY CODE

While the primary responsibility rests with the program supervisor, the Building Director or designee shall also administer the student disciplinary code and shall use his/her professional judgment in determining the most appropriate disciplinary action to be taken in each individual case.

STUDENT SUSPENSION OR DISMISSAL FROM PROGRAM

A student may be suspended temporarily from a program for up to ten (10) days or dismissed from a program for violations of the Student Code of Conduct. At all levels of disciplinary hearings, the student may have one (1) representative present. The supervisor may elect, at his/her own discretion, to tape the proceedings or have a school employee present to take official notes of the proceedings.

If a supervisor intends to consider either the suspension or dismissal of a student from a program,

(s)he will provide written notification to the student of his/her intended action(s) and the reason(s) why the action is being considered. The student will be given the opportunity to meet with the supervisor and present his/her information. After this meeting, if the supervisor elects to suspend or dismiss the student, the supervisor will notify the student in writing of his/her final decision and provide the reasoning for the basis of the decision.

If the student wishes to appeal the decision of the supervisor, the student must file a written notice of his/her intention to do so with the Executive Director of Adult Workforce Education not later than five (5) days after receipt of the written decision of the supervisor. If an appeal is filed within that time, the student will meet with the Executive Director of Adult Workforce Education and be given the opportunity to present any evidence the student wishes as to why the student should not be suspended or dismissed from the program. The Executive Director of Adult

Workforce Education will consider the evidence and provide the student with his/her decision in writing. The decision of the Executive Director of Adult Workforce Education may be appealed to the Chief Executive Officer in writing within five (5) days of receipt of the Executive Director ’s decision.

If the suspension or recommended dismissal of a student is not upheld by the Executive Director of Adult Workforce Education or the Chief Executive Officer and the student missed class work because of the supervisor’s decision, the student will be permitted to make up all work missed

D:\726933111.doc

27

and receive credit for it. Students who are suspended or recommended for dismissal for breach of the Student Code of Conduct or for poor attendance may, at the discretion of the supervisor of the program, be allowed to continue to attend class pending appeal.

EMERGENCY REMOVAL OF STUDENTS

If a student's presence poses a continuing danger to persons or property, or an ongoing threat of disrupting the academic process taking place either in a classroom or elsewhere on school premises, the Executive Director of Adult Workforce Education or appropriate administrator may remove the student from curricular activities or from the school premises. A teacher may remove the student from curricular activities under the teacher's supervision, but not from the premises. If a teacher makes an emergency removal, the teacher will notify an administrator of the circumstances surrounding the removal in writing as soon as practical. No prior notice or hearing is required for any removal under this policy. In all cases of normal disciplinary procedures where a student is removed from a curricular activity for less than one (1) school day and is not subject to further suspension or expulsion, the following due process requirements do not apply.

If the emergency removal exceeds one (1) school day, then a due process hearing will be held within three (3) school days after the removal is ordered. Written notice of the hearing and the reason for the removal and any intended disciplinary action will be given to the student as soon as practical prior to the hearing. If the student is subject to out-of-school suspension, the student will have the opportunity to appear at an informal hearing before the appropriate administrator,

Executive Director of Adult Workforce Education or designee and has the right to challenge the reasons for the intended suspension or otherwise explain his/her actions. Within one (1) school day of the decision to suspend, written notification will be given to the student. This notice will include the reasons for the suspension, the right of the student to appeal to the Chief Executive

Officer or his/her designee and the student's right to be represented in all appeal proceedings. If it is probable that the student may by subject to dismissal, the hearing will take place within three

(3) school days. The person who ordered or requested the removal will be present at the hearing.

If the Executive Director of Adult Workforce Education or administrator reinstates a student prior to the hearing for emergency removal, the teacher may request and will be given written reasons for the reinstatement. The teacher cannot refuse to reinstate the student.

In an emergency removal, a student can be kept from class until the matter of the misconduct is disposed of either by reinstatement, suspension or expulsion.

DISCIPLINE OF STUDENTS WITH DISABILITIES

Students with disabilities will be entitled to the rights and procedures afforded by the Individuals with Disabilities Education Act (IDEA) and the Americans with Disabilities Act (ADA.), or Section

504 of the Rehabilitation Act of 1973.

SEARCH AND SEIZURE

Search of a student and his/her possessions, including vehicles, may be conducted at any time the student is under the jurisdiction of the Board of Education, if there is a reasonable suspicion that the student is in violation of law or school rules. A search may also be conducted to protect the safety of others. All searches may be conducted with or without a student’s consent.

Students may be provided lockers, desks or other equipment in which to store materials. It should be clearly understood that this equipment is the property of the school and may be searched at any time if there is reasonable suspicion that a student has violated the law or school rules. Locks are to prevent theft, not to prevent searches.

D:\726933111.doc

28

Anything that is found in the course of a search that may be evidence of a violation of school rules or the law may be taken and held or turned over to the police. The School reserves the right not to return items which have been confiscated.

STUDENT RIGHTS OF EXPRESSION

The school recognizes the rights of students to express themselves. With the right of expression comes the responsibility to do it appropriately. Students may distribute or display, at appropriate times: non-sponsored, noncommercial written material and petitions; buttons, badges, or other insignia; clothing, insignia, and banners; and audio and video materials. All items must meet school guidelines.

A. Material cannot be displayed if it:

1. is obscene, libelous, indecent or vulgar

2. advertises any product or service not permitted to minors by law

3. intends to be insulting or harassing

4. intends to initiate fighting or presents a likelihood of disrupting school or a school event

B. Materials may not be displayed or distributed during class periods, or during passing times between classes. Permission may be granted for display or distribution during lunch periods and after school in designated locations, as long as exits are not blocked and there is proper access and egress to the building.

STUDENT CONCERNS, SUGGESTIONS AND GRIEVANCES

Butler Tech is here for the benefit of the students. If a student has suggestions that could improve the school, (s)he should feel free to offer them. Written suggestions may be presented to instructors or office personnel.

When concerns or grievances arise, the best way to resolve the issue is through communication.

No student will be harassed by any staff member or need fear reprisal for the proper expression of a legitimate concern. Suggestions, concerns, and grievances may be directed to the program supervisor.

A student has the right to a hearing if the student believes (s)he has been improperly denied participation in a school activity or has been subject to an illegal rule or standard. A student may not petition to have a grade changed.

Any student having a grievance shall first discuss such grievance with his/her instructor within five

(5) working days following the act or condition which is the basis of the grievance. If the discussion does not resolve the issue, the aggrieved may: a. Lodge a written grievance with the program supervisor within five (5) working days following the discussion with the instructor. A standard form shall be supplied by the office of Adult Workforce Education. A copy of the form shall be filed with the program supervisor. A hearing shall be held by the program supervisor within five (5) business days of receipt of the grievance. The aggrieved shall have the right to be accompanied by one (1) representative. b. If the action taken by the program supervisor does not resolve the grievance, the aggrieved shall have a right to request a hearing before the Executive Director of Adult

Workforce Education. The request must be made in writing within five (5) working days following the decision of the program supervisor. The aggrieved shall be advised in writing of the time, place, and date of the hearing. The hearing shall be held within five (5) business days of receipt of the written request for the hearing. The aggrieved shall have the right to be accompanied by one (1) representative.

D:\726933111.doc

29

c. The Executive Director of Adult Workforce Education shall take action on the written grievance within five (5) working days after the conclusion of the hearing. The action taken and the reasons for the action shall be written and copies sent to the aggrieved and the program supervisor. d. If the action taken by the Executive Director of Adult Workforce Education does not resolve the grievance, the aggrieved may appeal in writing to the Chief Executive Officer within five (5) working days from the receipt of the written decision. The aggrieved shall be advised in writing of the time, place, and date of the hearing with the. Chief Executive

Officer. The aggrieved shall have the right to be accompanied by one (1) representative.

The Chief Executive Officer shall take action on the appeal within five (5) working days after the conclusion of the hearing. The action taken and the reasons for the action shall be written and copies sent to the aggrieved and the Executive Director of Adult Workforce

Education. The decision of the Chief Executive Officer is final.

If the student wishes to take further action after the final appeal has been made, he/she may contact Butler Tech’s accrediting agency. The Council on Occupational Education will require all documentation that the student has followed the stated grievance policy of the institution.

Council on Occupational Education

7840 Roswell Road

Building 300, Suite 325

Atlanta GA 30350

Telephone: 770-396-3898/ FAX:770-396-3790 www.council.org

FACULTY

Last Name First

Name

Degree Institution Credentials (if applicable)

5 years experience and

Anness Brenda Master

FULL TIME FACULTY

Walden University RN

Kollstedt Maurice High

School

Neanover Sharon Bachelor

Hamilton Catholic High

School

Miami University

Licensed State of Ohio-Electrician,

HVAC, Instrumentation and Certified

RES

RN

Pruett

Shaw

Anna

Donna

Youngstrom Lisa

Akemon

Aker

Bowles

Fidel

Tracy

Russ

Associate

Master

Master

High

School

High

School

High

School

Miami University

Walden University

American College of

Health Care Science

PART TIME FACULTY

Winton Woods

Butler Tech

Carlisle High School

RN

RN

RN

Certified Firefighter/Paramedic

Certified Firefighter Instructor

Certified EKG Technician

Journeyman

D:\726933111.doc

30

Bowling

Carhartt

Bryan

Carol

High

School

Bachelor

Dawley Todd High

School

Dunkman William Bachelor

Hamilton High School

Indiana Wesleyan

Swanton High School

Wilmington College

Certified Firefighter/Paramedic

Certified Firefighter Instructor

RN

Certified Welder

OPOTC

Eitel Jeff Associate Sinclair Community

College

Aiken High School Ferguson John High

School

OPOTC

Gillenwater Rick

Gross

High

School

Hopewell High School

Juliana Associate Brown Mackie College

Universal Certified HVAC Technician

Certified Pharmacy Technician

Hughes

Lolli

Scott High

School

Fairfield High School

Bachelor University of Dayton

OPOTC

Paul Certified Firefighter/Paramedic

Certified Firefighter/ EMS Instructor

Kristina Associate Southern Ohio College Certified Phlebotomy Technician Lyttle

Massey Susan

Sylvia

Associate

Master

Miami University

Walden University

Certified Phlebotomy Technician

RN Miller

Otto Robert Bachelor Xavier OPOTC

Robertson Nathaniel High

School

Tuckosh Lawrence High

School

Turner

Wentz

Wayne High

School

Suzette Associate

Preble Shawnee

Jewitt Scio High School

Fairfield High School

Cincinnati State

Willis Terry Associate Miami University

University of Phoenix Ziegler Leigh Master

Revised September 2013

Certified Paramedic

Certified EMS Instructor

MSSC, Certified Advanced

Manufacturing Technology

Certified Paramedic

Certified EMS Instructor

Certified Phlebotomy Technician

RN

Certified Professional Coder

D:\726933111.doc

31

Attachment A

Student Name: ___________________________

To Whom It May Concern:

The student whose name appears on the top of this page is currently cleared by Butler

Tech Paramedic Academy to perform the following INITIALED skills and ONLY under the direct supervision of a qualified medical professional . Documentation of the learned skill and competency evaluation are on file at the school. The assigned preceptor reserves the right to allow or disallow any procedure at any time.

If there are any questions or concerns, please contact any of the program’s faculty.

Robert Hasselfeld, Director

Butler Technology and Career Development Schools hasselfeldb@butlertech.org

(513) 645-8269 (Robert Hasselfeld Office)

513-645-8350 (Public Safety Education Complex Main Line)

Procedure Instructor

Initial

Date

Airway Management

Open and maintain the airway

Oropharyngeal airway adjunct

Nasopharyngeal airway adjunct

Manual removal of obstructed airway

Laryngoscopy for removal of airway obstruction

Oral suctioning

Endotracheal (ET) tube suctioning via through a previously established airway or a stoma

Tracheostomy tube replacement

Pulse oximeter and capnography equipment application and reading

Oxygen administration a. Nasal cannula b. Non-rebreather mask c. Mouth-to-barrier devices d. Partial rebreather mask e. Venturi mask

Ventilation management a. Bag valve mask b. Ventilation with a flow-restricted oxygen- powered device c. Positive pressure ventilation devices (manually triggered or automatic ventilators)

Orotracheal intubation a. Apneic patients b. Pulseless and apneic patients*

Nasotracheal intubation

Cricothyrotomy, Surgical

Cricothyrotomy, Needle

Dual Lumen Airway

D:\726933111.doc

32

a. Apneic Patients b. Pulseless and apneic patients

Extraglottic airways a. Apneic patients b. Pulseless and apneic patints

Ventilator management – 16 years of age or older

BiPAP administration and management

CPAP administration and management

PEEP administration and management

End Tidal monitoring and detecting

Oxygen humidifier equipment application and monitoring

Cardiac Management

Automated external defibrillator (AED)

Cardiac monitor strip interpretation

Manual defibrillation

Synchronized Cardioversion

Cardiopulmonary Resuscitation (CPR)

Transcutaneous cardiac pacing

12 lead EKG performance and interpretation

12 lead EKG set up and application for electronic transmission

Chest compression assist devices

Carotid massage

Medical Management

Patient Assessment - Medical

Glucose monitoring system

Glood Chemistry analysis

Peripheral IV blood specimens

Auto-injector epinephrine

Trauma Management

Trauma Patient Assessment

PASG

Long Spine Board

Short Spine Board

Splinting Devices

Traction Splint

Cervical immobilization device (CID)

Helmet Removal

Rapid Extrication procedures

Needle decompression of the chest

Soft tissue management

Management of suspected fractures

Bleeding control

Other

IV maintenance and fluid administration

Maintenance of medicated IV fluids

IV Push Medication Administration

IM/SQ Injections

IV infusion pump

Intraosseous insertion

Inhaled / Nebulized Medication Administration

D:\726933111.doc

33

Oral / Sublingual Administration of Medications

Gastric Decompression

Saline Lock initiation

Maintenance of blood administration

(Blood and Blood products)

Thrombolytic therapy initiation and monitoring

Chest tube monitoring and management

Central Line monitoring

Eye irrigation

Eye irrigation with Morgan lens

Proper BSI

BLS for HCP

ACLS

PALS

Access to indwelling catheter and Implanted central IV ports

Obstetrics & Gynecology

Assessment of the pregnant patient

Assist in normal delivery

Assist in delivery of placenta

BUTLER TECH PARAMEDIC ACADEMY

Clinical Information

The Clinical experience is essential to the education of pre-hospital providers. Clinical education reinforces the knowledge gained through the classroom and lab portions of the program and allows the student to apply the knowledge and skills to real life situations .

Program Clinical Requirements

****The student must complete all of the program’s clinical education requirements prior to being eligible to take the National Registry of EMT’s certification exam.

Emergency Department ADVANCED LEVEL:

(At least 12 hours in 3 different emergency departments and 24 hours at a Trauma Center) 136 hrs

Paramedic Transport Unit:

1) At least 12 hours at 3 different transport agencies.

Maximum 100 hours at one department)

2) A minimum of 48 hours must be scheduled with one or more of the following fire departments: Cincinnati Covington,

Dayton, Florence, Hamilton, Middletown

Behavioral Health Unit:

Emergency Medical Dispatch:

Pediatric Emergency Department:

ICU/CCU/MICU/SICU

Cardiac Cath Lab:

Labor and Delivery:

Respiratory Therapy:

Operating Room with Anesthesia:

306 hrs

4 hrs

4 hrs

20 hrs

4 hrs

4 hrs

6 hrs

4 hrs

4 hrs

D:\726933111.doc

34

Morgue/Cadaver Lab 4 hrs

There are many skill requirements as well. These are listed below. Students are not permitted to perform any skill until they have been formally trained and have performed the skill during a lab session. The student must also be signed off by program staff prior to performance.

Total Patient Assessment

- 15 Chest Complaints

- 15 Shortness of Breath

- 15 Abdominal Complaints

- 15 Altered Mental Status

- 10 Psychiatric Patients

- 5 Obstetrical Patient

- 2 Neonate Patients

50 of These Assessments must be completed during

ALS Runs during field rotations 90

Adult (>16 and < 70 years of age)

Geriatric (>70 Years of age)

50

30

Pediatric (<16 Years of age)

Life squad assessments

10

50 ALS

Skill Objectives

Successful IV Initiations

Successful IO

IV Bolus medications

50

2

40

Intramuscular Injections

Subcutaneous Injections

Oxygen administration

Nebulized/Inhaled medication administration

Sublingual or PO medication administration

Successful Intubation (LMA does not count)

20

5

10

10

15

5 total; LIVE 3

EKG interpretations

Electrical Therapy delivery

Notification calls

Viewing of live vaginal births & neonate assessments

50

2

15

2

Team Lead 30

In an effort to aid the student in accomplishing all the tasks needed to be successful in this course, clinical forms will be completed and FISDAP time will be closed out by THURSDAY of each week class is held. Clinical forms will be turned in to the EMS Coordinator’s box prior to class THURSDAY .

The time requirements for each term are as follows:

Term 1:

4 hours of clinical time with Emergency Medical Dispatch

4 hours of clinical time with the morgue or cadaver lab

58 hours of clinical time in the Emergency Department

D:\726933111.doc

35

TOTAL TIME: 66 hours

Term 2:

54 hours of clinical time in the Emergency Department

4 hours of clinical time with Respiratory Therapy

4 hours of clinical time in the Operating Room

4 hours of clinical time in the Cardiac Cath Lab

80 hours of clinical time with an Advanced Life Support Squad

TOTAL TIME: 146 hours

Term 3:

6 hours of clinical time in Labor & Delivery

14 hours of clinical time in the Emergency Department

4 hours of clinical time in an Intensive Care Unit

4 hours of clinical time in the Behavioral Health Unit

20 hours of clinical time in the Pediatric Emergency Department

90 hours of clinical time with an Advanced Life Support Squad

TOTAL TIME: 138 hours

Term 4:

136 hours of clinical time with an Advanced Life Support Squad

10 hours of clinical time in the Emergency Department

TOTAL TIME: 146 hours

Students will complete the clinical time as set in the schedule above. These are the minimum time requirements for each term. The student is able to work past these requirements in the areas of the emergency department and paramedic transport unit time ONLY . Classroom and clinical attendance will be reported to the Butler Tech Student Services office at the midterm and at the end of each term. If the student is not meeting the 90% attendance benchmark, financial aid disbursements will be delayed; academic probation may result as well. All clinical documentation must be completed and closed in FISDAP prior to the term final or you may not be able to sit for that exam.

The program reserves the right to reassign the breakdown of clinical time to react to the availability of clinical sites. Categories may be added or dropped as new opportunities become available or are no longer available. The goal is to ensure the best possible opportunity for a quality clinical experience.

Reminder: Clinical documentation is to be turned in weekly prior to class EVERY

THURSDAY. All hours to that date must also be accounted for and closed in FISDAP.

In Order to Complete This Course, All Clinical

Requirements Must Be Completed By The Last

Day of Class in Term IV.

Clinical Grading

The clinical experience will be graded on a pass/fail basis. Failure to complete the minimum clinical time requirements for any term will result in clinical academic probation. During the probationary term, the student’s clinical schedule will then be reviewed each week by appointment with the EMS Coordinator. If sufficient progress is not made to bring the clinical experience up to minimum levels by the end of the probationary term, the student may be dismissed from the program.

D:\726933111.doc

36

Documentation

All documentation generated during your clinical experience should be turned in as it is generated. It is in the s tudent’s best interest that all documentation should be copied and copies retained by the student in case there is a future need of this documentation. NOTE: there is no copier available for the student’s personal usage. The copier in the second floor teacher’s workroom is NOT for use by students. All documentation turned in should be placed in the EMS Coordinator’s mailbox. This is the only place to turn in this documentation. Nothing should be given to either classroom or lab instructor OR left outside the Clinical

Coordinator ’s or the EMS Coordinator’s office, OR with the secretaries. Quarterly reports may be generated reflecting a total of all time and skills for each student.

Expectations

Conduct: The Paramedic Academy is an adult education class. Conduct at the various clinical sites reflects that of a mature adult. All of the rules and regulations of Butler Tech Paramedic

Academy apply when attending a specific clinical site. All of the preceptors and course instructors have the right to excuse students from a rotation at any time if he/she feels the student’s actions and/or skills are not appropriate. Remember that students are functioning in someone else’s field under their particular medical licensure; respect and courtesy are mandatory .

Clinical site visits are completed during the course. If for any reason a student is dismissed from a clinical site by their preceptor and/or of the student’s own accord, the student is required to contact the EMS Coordinator IMMEDIATELY.

. The first occurrence of dismissal from a clinical site will result in the student being placed on probation. A second occurrence will result in the student being dismissed from the program.

Any action by a student that results in an untoward event involving a patient must be reported to the EMS Coordinator or Program Director within 24 hours. Failure to do so may result in disciplinary action up to, and including, dismissal from the program.

Asking questions related to the student’s learning is encouraged. Questions relating to one’s personal medical needs are PROHIBITED. DO NOT ask questions that equate to “Free Medical

Advice”.

Dress Code: Please Reference Paramedic Student Handbook

* Any questions about the dress code policy should be referred to one of the course instructors.

Attendance: When clinical time is scheduled, the student is required to attend. Missing clinical is the SAME as missing class and may result in dismissal from the program. There are several paramedic programs in the area competing for limited clinical time. Failure to appear for a scheduled rotation reflects poorly on both the student and the program. Non-attendance will NOT be tolerated. If a cancellation is required, the clinical site and the EMS Coordinator should be notified at least 24 hours prior to the scheduled rotation. Please record time, date, name of person you spoke with, and their title to include in your documentation. Students are permitted no more than one site cancellation per term. A second cancellation may result in probation. If there is a third cancellation within the remainder of that term or the following term the student may be subject to disciplinary action.

D:\726933111.doc

37

Random site checks may be done by course instructors to ensure compliance with attendance, conduct and dress code. All students have potential to be visited at a clinical site at least once a term.

Clinical Skills

The clinical documentation sheets have areas for documentation of all skills completed. It is the student’s responsibility to complete the necessary skills prior to graduation. It is the students’ responsibility to keep records of their own progress! This is where copies come in handy!

If the student is having difficulty completing some of the required skills or time and is worried about completion before the end of the term a course instructor should be notified immediately and a course of action(s) can be discussed. We can’t help you if you don’t tell us. Completion of the required skills AND time is the sole responsibility of the student.

Paramedic Clinical Rotations

The student will be notified when they may begin their clinical experience during term I provided the student has:

1. Turned in documentation of all immunizations and current TB test

2. Has undergone a background check

3. Has been issued a clinical shirt and badge

Term 1 requires 10 successful IV placements; these are to be done in the hospital setting ONLY.

Several of the advanced life support skills will be covered in lab prior to the student being able to complete time in the clinical setting; however, there will be some advanced life support skills not covered until after the start of the clinical rotations.

Students can under NO circumstances perform skills they have not yet completed in lab and been signed off on. Nor, can any skills assist in meeting the ALS run requirements prior to the student being signed off on those skills. As new skills are covered in lab and students show proficiency in them, they will be signed off, allowing them to perform these skills during their clinical rotations. A student may only perform those procedures in the

Paramedic scope of practice. If you are asked to perform a procedure not in your scope of practice (i.e. place a catheter or assist with pericardiocentisis), you must respectfully decline!

During all clinical rotations the student should have the opportunity to practice under the direct supervision of experienced providers and demonstrate proficiency.

Patient Assessments:

Purpose: Assessing patients is vital for the proper treatment in the pre-hospital care setting.

This clinical requirement will allow the paramedic student to start thinking more in depth about potential problems and possible pre-hospital diagnosis and treatment. By reviewing the assessment reports, the instructors will be able to gauge a starting level of assessment skills and documentation.

Goals and Expectations: All students are required to perform 20 basic patient assessments.

The narrative portion of the assessment report should focus mainly on the chief complaint of the patient and state any reasoning for the particular treatment given. Be sure to include everything you see relevant INCLUDING pertinent negatives.

Emergency Department:

D:\726933111.doc

38

o Observe patient assessment including developing relevant medical history and conducting a physical exam o Perform patient assessment to include the taking and recording of vital signs and auscultation of chest sounds o Assist in the Triage of Patients o Perform Peripheral IV insertion o Regulate IV flow rate and calculate drip rates accurately o Observe effects of pharmacological agents administered o Prepare and administer intramuscular, subcutaneous, intravenous, transdermal, sublingual, and oral, inhaled and nebulized medications. o Document classification and uses of drugs administered o Assist in and review the treatment of trauma cases including but not limited to:

Massive hemorrhages

Injuries to specific body areas

Multiple systems trauma

Suspected fractures

Head trauma

Burns o Assess and assist in the management of medical emergencies, including but not limited to:

Angina Pectoris

Acute Myocardial Infarction

Congestive Heart Failure

Infectious Diseases

Cardiogenic shock

Myocardial trauma

Acute hypertensive crisis

Neurological medical problems

Obstructive pulmonary disease

Substance abuse and overdose

Complications of diabetes

Behavioral health issues

Management of the anaphylaxis patient

Acute abdominal emergencies o Obtain and analyze relevant ECG strips o Assist in the management of cardiac arrest including the performance of cardiopulmonary resuscitation, airway management, and defibrillation. o Apply ECG monitoring electrodes o Observe the management and assist in the interview of the patient with the following behavioral health issues.

 Suicidal feeling

 Hostility and Violent behavior

 Acute grief and depression

 Paranoia

 Hysterical conversion

 Alcohol and drug abuse o Assist in the proper and safe restraint of combative patients as directed by specific facility staff members and according to that facilities guideline. o Observe and assist in other skills as directed by the preceptor

ALS Field Time: o The time is completed at an approved agency and municipality o The student is under the direction of an EMT Paramedic

D:\726933111.doc

39

o The student is to function as the third person only, meaning: The student can be removed and the unit would function normally o If the student is employed by the Agency, the time with an assigned preceptor should IDEALY be completed while the student is off duty. o Advanced Life Support Run Criteria:

The patient REQUIRED at least TWO advanced interventions [EKG, IV,

Medication, etc.]

Or , the patient ’s condition was such that delay of transport was unacceptable:

(LOAD AND GO AS DETERMINED BY LEAD MEDIC)

Or, the patient ’s condition was determined to be incompatible with life [DOA, decapitation, etc.]. Include all documentation supporting this determination.

The student transported patient to the hospital (if applicable)

The student was an integral part of the run, i.e., the student performed or attempted at least one advanced skill. A run in which the student observes but does not participate is a great learning experience but does not meet the

ALS run criteria.

The student was under the supervision of at least one Paramedic during all scene care and transport.

ALS Run forms are subject to audit by the course instructors at any time.

Level of Run status will ultimately be decided by the course instructors

Behavioral Health Rotation: o Describe the medical legal considerations for management of emotionally disturbed patients. o Describe the behaviors associated with various behavioral disorders o Describe the verbal techniques useful in managing the emotionally disturbed patient. o List the appropriate measures to ensure the safety of the paramedic and the patient. o Identify the techniques used to perform physical assessments on patients with behavioral problems. o List suicidal risk factors o List 10 pharmaceutical agents used to treat behavioral problems and their respective uses.

Emergency Medical Dispatch: o Demonstrate proper use of radio terminology. o Explain criteria used during the triage of calls. o Explain the need for clear and concise communications during medical emergencies.

Pediatric Emergency Department: o See clinical goals for Adult Emergency Department. Note differences of adult and pediatric patients and treatments.

Intensive Care Rotation: o Identify reasons for patient to come to ICU and potential outcomes due to injury or illness. o Name several types of central circulation IV devices o Discuss the possible complications of administering several different IV medications simultaneously o Discuss the role of medications given to patients, possible side effects, and any drug interactions.

Cardiac Cath Lab: o Identify the most commonly diseased arteries in the cardiac circulation

D:\726933111.doc

40

o Explain the process of cardiac catheterization o Describe the post procedure care and precautions o List the intervention procedures available during a cardiac cath o Identify modifiable and non-modifiable risk factors involved with heart disease

Labor and Delivery: o Identify the three terms of pregnancy and common problems associated with each stage o Identify the risk factors for mother and child with pre and post-term labor o Obtain patient history of the mothers in labor and identify the type of delivery expected o Identify the various stages of labor and what actions are necessary to prepare for an out-of- hospital delivery. o Identify the risk factors in problem pregnancies and births o Be able to assist in neonate care and/or resuscitation o Identify the sections of the inverted pyramid of neonatal resuscitation o Proper warming, drying, and suctioning of the neonate o Perform assessments on two neonatal patients. Document 1 minute and 5 minute

APGAR scores as well as the care given by the nursing staff

Respiratory Therapy: o Assist in and administer nebulized drug therapy. o Observe the collection of arterial blood gases. o Observe the setup and initiation of artificial ventilators. This is to include identifying key terms such as C-PAP, Bi PAP, PEEP. o Assist as needed in the manual ventilation of patients during resuscitative efforts. o Describe indications, contraindications, complications, flow rate and concentration of oxygen delivered of several devices used for gas delivery. o Describe the process of gas exchange in the lungs o Discuss acid/base derangements as it pertains to the respiratory system.

Operating Room: o Proper Bag Valve Mask operation o Demonstrate how to obtain a good mask seal. o Proper head positioning for airway management o Direct visualization and identification of airway anatomy o Proper suctioning technique o Proper visualization of the ET tube passing through the vocal cords o Confirmation of proper tube placement. o List techniques of confirming proper placement of endotracheal tubes o Identify commonly used paralytic drugs and their effects. o Define Fasciculation o Define and demonstrate Sellick’s Maneuver as pertaining to airway management o Define Mallampati scoring and its importance in airway management o Cadaver Lab: o Identify systems and structures of anatomy and their related physiology. o Identify possible cause of death in current understanding of pathophysiology. o Identify co-morbid conditions and how they might relate to present COD. o Note anything interesting or unusual about prior medical history or COD.

Health Screening

A completed physical form must be submitted and approved by the faculty prior to starting clinical rotations . Results of a Tuberculin screening test must be in the student’s file prior to scheduling hours for clinical experience. Documentation of immunization history / status must also be provided prior to the students starting any clinical rotations. The student will be responsible for

D:\726933111.doc

41

his/her own medical insurance coverage and charges incurred for events occurring during participation in the paramedic academy.

Falsification

Falsification of any academy documents is in violation of Ohio Revised Code (ORC) 4765 and

Ohio Administrative Code (OAC) 4765-8-01. Any action or documentation that can in any way be proven or construed as false is classified as cheating and will result in IMMEDIATE dismissal from the paramedic academy and may be reported to the State. This includes, but is not limited to:

Falsification of Time

Falsification of Place

Falsification of Preceptor(s)

Falsification of Signature(s)

Falsification of Procedure(s)

Altering comments of preceptors in any way.

Falsification of run documentation

Dishonesty on any class quizzes, exams or tests

Dishonesty involving any classroom coursework

Interaction with Patients

The student’s conduct should exhibit an overriding concern for the patient and the recognition of the patient’s dignity as a human being. The patient’s rights include but are not limited to:

Considerate and respectful care

Information concerning care given by the paramedic student

Refusal of treatment

Consideration of privacy concerning his/her own medical care with the expectation that all communications and records are to be treated as confidential.

Opportunity to give consent for treatment

To be informed of your status as a student PRIOR to care rendered.

HIPAA

Protected Health Information [PHI] under HIPAA is defined as information received from, created or received on behalf of your involvement in clinical learning and is any information about an individual which relates to past, present or future physical or mental health or condition of an individual; the provision of health care to an individual; or the past, present or future payment for the provision of health care to an individual.

PHI includes medical records and financial or billing information relating a patient’s past, present or future mental or physical condition. DO NOT DISCUSS your patient care experiences in detail with anyone outside the patient care team involved.

Scheduling

D:\726933111.doc

42

A MINIMIMUM OF 50% OF THE TERM’S REQUIRED CLINICAL HOURS MUST BE

COMPLETED BY THE MIDDLE OF THE TERM. FAILURE TO DO SO MAY PLACE YOU ON

ACADEMIC PROBATION.

Time scheduled for clinical rotations must be recorded into FISDAP prior to the shift start.

Students may schedule as far out as desired, but must have the time documented in FISDAP for submission to the EMS Coordinator. IF ADVANCED NOTICE IS NOT PROVIDED, THE

TIME/SKILLS/RUN, ETC, ARE SUBJECT TO REVOCATION.

OUR SPECIALTY DEPARTMENTS AND TRANSPORT UNITS ASSIST MULTIPLE SCHOOLS

IN THE PRECEPTING PROCESS. THEY HAVE REQUESTED A MINIMUM OF A WEEK’S

ADVANCE NOTICE OF TIME YOU WOULD LIKE TO SCHEDULE.

Paramedic transport unit

Contact the approved EMS service via telephone. Identify yourself as a paramedic student with

Butler Tech Paramedic Academy. Have ready a list a dates you are interested in riding. Ask to speak with the responsible party for scheduling paramedic students. Ask the responsible party if there are any special requirements [parking, meals etc.] of the particular agency and directions if need be. A list of approved agencies is attached.

If you have a question regarding a particular EMS agency, please speak with the EMS

Coordinator. Please note that the list is subject to availability and may change at any time. All time scheduled with the paramedic transport unit MUST be input on FISDAP prior to the date scheduled.

Emergency Room

Scheduling at various Emergency Rooms is variable do to differing hospital regulations, expectations and availability. A list of hospital emergency departments and contact persons is also enclosed in this clinical folder.

Other Departments/Units:

All scheduling for specific units will be done as listed at the appropriate time. You will be notified when you may schedule at the beginning of each term. If there is trouble reaching a certain contact, please bring it to the attention of the EMS coordinator so it can be rectified as soon as possible.

Please note there are several specialty areas you will schedule through the EMS Coordinator; those will be announced to you at the appropriate time.

Qualification of paramedic unit ride time: o The time is completed at an approved agency or municipality o The student is under the direction of a Paramedic o The student is to function as third person only, meaning: The student can be removed and the unit would function normally o If the student is employed by the Agency, the time with an assigned preceptor should be completed when the student is off-duty. o A student employed and on shift with the Agency may receive credit for skills and hours during his/her ride time ONLY if he/she is working as a third member of the transport team and supervised by a certified paramedic. o Time management is an essential part of the clinical experience and the paramedic program.

Please plan ahead.

D:\726933111.doc

43

Take the time to enjoy your clinical experience. The more questions you ask, the more you will learn.

Attachment B

Clinical Site Information

D:\726933111.doc

44

HOSPITAL

Atrium Medical Center

Bethesda North

NAME

Jackie Perkins

Jennifer Conger

PHONE NUMBER

513-705-4517

513-865-2351

Bethesda Arrow Springs

Christ Hospital

Cincinnati

Childrens

Jennifer Conger

Kimberly Butts

513-865-2351

513-585-1046 kimberly.butts@thechristhospital.com

(Liberty) Kenneth Crank

Will Schedule Through EMS

Coordinator

Cincinnati Childrens

Dayton Childrens

Fort Hamilton

Good Samartian

Kenneth Crank

Heather Koss kossh@childrensdayton.org

ER Staff

Jennifer Conger

937-641-4534

513-867-2270

513-865-2351

Grandview Hospital

Jewish Hospital

McCollough Hyde

Mercy Anderson

Kettering Medical Center

Mercy Clermont

Mercy Fairfield

Mercy Mt Airy

Mercy Western Hills

Miami Valley

Sycamore Hospital

Southview

Hospital

Dixie Kirkland

ER Staff

937-636-4302

513-686-3236

Joshua Ingham 937-298-3399 X55773

Joshua.ingham@khnetwork.org

ER Staff 513-524-5400

Jen MacRae 513-624-4515

JXMacrae@health-partners.org

Kathe Smith

Michelle Caudill

Kirk Fischer

Carol Brinker

Mike Callahan

ER Staff

Dixie Kirkland

513-732-8374

513-603-8084

513-853-5996 cabrinker@health-partners.org

937-208-2803

Brenden Deere 937-208-2386

937-384-8791

937-636-4302 or Josh Ingham -see Kettering M

`

D:\726933111.doc

45

SPECIALITY CONTACTS

EMERGENCY MEDICAL DISPATCH CONTACTS

AGENCY

Butler County

City of Eaton PD

Hamilton City

Hamilton County

Miami County

Middletown City

Northeast Comm

Preble County

Warren County

CONTACT

Bonnie Short

PHONE NUMBER

513-785-1300

Melissa Schneider 937-681-7677 firemedicmelissa@aol.com

Supervisor on Duty

Supervisor on Duty

Barb Temple

513-639-7880

513-825-2260

937-339-6400

Shelly Meehan

Jody Pettyjohn

Terry Snowden

Supervisor on Duty

513-425-7721

513-677-7000

937-456-6301

513-423-0601

OPERATING ROOM CONTACT

Bethesda North

CARDIAC CATH CONTACTS

Atrium Medical Center

Bethesda North

Good Samaritan

Fort Hamilton

Miami Valley

Mercy Fairfield

Kettering Medical Center

The Christ Hospital

Jennifer Conger

513-865-2351

SHIFTS BEGIN AT 0700 M-F ONLY

Reggie Clark

Jennifer Conger

Charge Nurse

Charge Nurse

Charge Nurse

Charge Nurse

Joshua Ingham

Patty Weinstein

513-420-5175

Dates to her via EMS Coor.

513-872-2370

513-867-2245

937-208-2029

513-870-7106

937-298-3399 X55773

513-585-2623

ICU/CCU CONTACTS

Atrium Medical Center

(CCU only) Jackie Perkins

Kettering Medical Center &

Sycamore Hospital Joshua Ingham

513-705-4517

937-298-3399 X55773

D:\726933111.doc

46

RESPIRATORY CONTACTS

Atrium Medical Center

Bethesda North

Fort Hamilton Hospital

Jackie Perkins

Jennifer Conger

513-705-4517

513-865-2351

Kurt.Schroeder@healthall.com

Good Samaritan Debbie Clifton

Kettering Medical Center Joshua Ingham

513-862-2423

937-298-3399

Mercy Western Hills

Sycamore Hospital

The Christ Hospital

Jim Betz

Joshua Ingham

April Gochberg

513-389-5148

937-298-3399

513-585-0851

513-705-4517

513-865-2351

OB CONTACTS

Atrium Medical Center

Bethesda North

Jackie Perkins

Jennifer Conger

Ft. Hamilton

Good Samaritan

Mercy Fairfield

Miami Valley

Unit Clerk/

Charlene Brown

Jennifer Conger

Debbie Snider

Charge Nurse

Kettering Medical Center Joshua Ingham

The Christ Hospital

CHILDRENS CONTACTS

Cincinnati Childrens Ken Crank

Cincinnati Childrens- Liberty Ken Crank

Dayton Childrens Heather Koss

513-867-2229

513-865-2351

513-870-7382

937-208-2029

937-298-3399 X55773

Will Schedule through EMS Coordinator

BEHAVIORAL HEALTH UNIT

Atrium Medical Center

Ft. Hamilton Hughes

Internal Medicine

UC Physicians Forest Park

Jackie Perkins

Stephanie Minton

Jennifer Dragisic

kossh@childrensdayton.org

513-705-4517

513-867-2611

513-648-9077

D:\726933111.doc

47

TRANSPORT UNIT CONTACTS

AGENCY

Anderson Township

Blue Ash

Camden FD

Cheviot Fire Department

City of Cincinnati FD

Clearcreek FD

Colerain Township

Covington FD

CONTACT

Lt. Hathorn

Fire Department On Duty Lt.

Sheila Taylor

Chief Clark

Lt. Douglas

PHONE NUMBER

513-688-8093

513-745-8533

937-452-1239

513-661-2958

513-357-7516

Rob Lantman

Greg Brown

For Pre-Ride Paperwork

937-748-2766

513-825-6143

ONLY DURING 10-12 & 16-1800 NO CALL OFF LESS THAN 24 HOURS

City of Dayton FD

Deerfield Twp

Delhi Townshp

Eaton FD

Evendale FD

Fairfield Fire Department

Fairfield Twp. FD

Florence FD

House Captain

Whomever answers**

Dennis Waldbillig

Jesse Moore

Battalion Captain

Bob Murray

Greg Cifuentes

Jim Coggin

Cpt. McVeigh

859-431-0462

937-333-3139

513-459-0875

513-922-2011

937-456-5361

513-563-2248

513-867-5379

513-887-4402

859-647-5660

Forest Park FD

Germantown FD

Golf Manor FD

Gratis FD

Green Township

Hamilton

Hamilton Township FD

Hanover Township FD

Harrison FD

Hillsoboro

JEMS

Lebanon FD

Liberty Township FD

Loveland/Symmes FD

Maderia/Indian Hill FD

Mason FD

Mt. Healthy (EMT & AEMT ONLY)

Miami Twp (Clermont)

Miami Twp (Hamilton)

Carol Hayes

Chief

Jim Puthoff

513-595-5243

937-855-7259

513-531-2022

Joan Vance or Renee Malone 937-733-7608 (Joan)

Tom Dietz

Jennifer Mason

937-733-7609 (Renee)

513-574-0474

513-785-7509

513-925-5576 Duty Captain

Ben Barnes

Steve Placke

Capt. On Duty**

On Duty Officer

Pat Kirk

Jim Limerick

Brian Hall

Mel Pomfrey

Battalion Chief On Duty

Capt. Ben Dagenhart

513-367-3710

937-393-2902

937-746-3471 Ext. 6

513-228-3852

513-759-7530

513-583-3001

513-271-2669 or 513-561-7926

513-317-2634

513-266-7082

Supervisor on Duty

Steve Ober

513-248-3700

513-941-2067

D:\726933111.doc

48

Miami Twp (Montgomery)

Middletown FD

Milford FD

Monroe FD

Montgomery FD

Morgan Twp FD

Moraine FD

Norwood FD

Reading FD

Ross FD

Sidney FD

Sharonville FD

Springdale FD

Springfield Twp FD

St. Bernard FD

St. Clair Twp FD

Sycamore FD

Tipp City FD

Trenton FD

Trotwood FD

Union Twp FD Warren Cty

West Carrollton FD

West Chester FD

West JAD

Whitewater Township FD

Wyoming FD

Rosie**

Todd Day

Mark Flanigan

Robin

AC Wolf

Randy McCreadie

Lt. Matheny

Ron Wallace

Lt. Greg Kline

On Duty Captain

Capt. Murphy

Troy Mirick

Michelle Bubmeyer

Shift Supervisor

Mark Senseman

Tina Tripp

Lt. Lackendorf

Leigh Ann

Steve Kelly

Nadine Swift

Steve Schneider

937-438-2340

513-425-7996

513-831-7777

513-539-8380

513-985-1633

513-659-4532

937-535-1120

513-458-4559

513-733-5537

513-863-3410

513-563-0252

513-346-5580

513-521-7578

513-242-9555

513-896-9058

513-792-8565

937-667-1680

513-988-6304

937-854-7270

513-284-1693

937-847-4645

513-777-1133

513-353-4079

513-353-1518

513-821-6836

D:\726933111.doc

49

D:\726933111.doc

Facility Specific

Clinical Site Information

50

D:\726933111.doc

51

D:\726933111.doc

52

D:\726933111.doc

53

Dress Code: Dark pants

Polo or plain tee shirt

Limit jewelry

Dark shoes

NO BLUE JEANS

Hours: No less than 4 hours and no more than 10 per day

One student per shift

ID: Wear school ID badge

Bring own stethoscope, manual BP cuff, and paperwork that needs signed off Equipment:

Sign In:

A “sign in” binder is located at the charge nurse desk. Every student must sign in and out each shift under the correct school tab to verify attendance. Report to the charge nurse and he/she will tell you the nurse you have been assigned to during your shift. If you need to cancel please contact me at least 24 hrs in advance.

Evaluation: Located in the “sign-in binder” in the front pocket is an evaluation on the RN that was your preceptor. Please complete this form and return it to the binder. I will pick these up after each shift. Thanks

To schedule time: Contact Judie Hammann, EMS Coordinator

Via email – www.jahammann@health-partners.org

Phone – 513-624-4515

D:\726933111.doc

54

D:\726933111.doc

55

D:\726933111.doc

56

D:\726933111.doc

57

D:\726933111.doc

58

D:\726933111.doc

59

D:\726933111.doc

60

D:\726933111.doc

61

Department of Fire

City of Dayton

(937) 333-3139 200 McFadden Avenue

FAX 333-8145 Dayton, Ohio 45403

VISITORS' IDENTIFICATION AND RELEASE

TO WHOM IT MAY CONCERN:

In consideration of the permission granted by the Chief of the Department of Fire of the City of Dayton...to accompany members of the Department of Fire in the performance of their duty and to ride Fire/EMS equipment...to work with and receive training from various units and members of the Department of Fire in conjunction therewith...I (print name),___________________________________________ do affirmatively and unconditionally, for myself, my heirs, executors, administrators, and assigns, WAIVE ANY CLAIM which

I may have against the City of Dayton, its officers or employees, for any bodily injury or property damage which I might sustain or incur arising out of or in any way connected with such work or use of equipment. It is understood that my presence in and around the property and equipment of the Department of Fire is granted subject to the discretion of the officers of said Department or any other valid safety official, and may be summarily revoked at any time.

This permission is valid from (Date and Time) __________________to___________________

_______________

X ____ _________________________

Witnessed by (Applicant's Signature) Approved by: (name, rank, assignment)

In compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA)

I, _

X

____________________ agree not to release any Medical information obtained during my ride time

with the Dayton Fire Department without the expressed written consent of the Dayton Fire Department.

If Applicable, FILL IN INFORMATION REQUESTED BELOW:

Fire Apparatus/Medic Unit # Platoon Hours ______ to__ ____ (Information obtained when scheduling ride time)

Representing: SCC WSU UD UNMC MVH GVH GSH CMC WPAFB GMH KMC OTHER___________

Title:STUDENT/RESIDENT/OTHER Contact Phone Number____________

SUBMITTED BY: (Return to Training Center when Completed)

Rank Assignment

Assignment Completed: Yes ______ No ________ No. of Hours Completed: ______

Company Officer's Initials

Original: Training Center

Duplicate: Applicant

Fire/Medic Company

D:\726933111.doc

62

Persons wishing to observe Fire/EMS activity with the Dayton Fire Department must:

1. First, call the

Fire Training Center

at

333-3139

to schedule a date and time to ride.

2.

Calls to schedule ride time

will be taken only

Monday through Friday betwee the hours of 0900AM and 3:00pm This and Item 4 below must be completed a minimum of one week in advance.

3. Riders should have dates and times in mind when calling. The Fire/EMS Office will assign your unit.

4, After scheduling a ride time by telephone, this form, "Visitors' Identification and

Release," must be submitted with date of ride time and appropriate signatures included. This form must be received in the Fire/EMS office

at least 5 days in advance of the ride date.

You may fax the form to the Fire/EMS office after you schedule your ride time. The fax number is

333-8145.

5. Please read the form carefully before signing it. If you have any questions or uncertainty about its meaning, feel free to call the Fire/EMS office during the times listed in Item 2.

When riding, observers must:

I. Be properly attired, with a neat and clean appearance. This means a white or light- colored shirt and dark pants. The observer is not to wear T-shirts, sweat shirts, jeans, sneakers or tennis shoes or long earrings. No patches or other departmental insignia may be displayed while riding with DFD.

(FAILURE TO

COMPLY WILL BE CAUSE FOR YOU NOT TO BE ALLOWED TO RIDE)

2. Student nametags are encouraged. Physicians and nurses are asked not to wear anything that identifies them as such.

3. Ride safely:

 Wear seatbelts whenever you are not directly involved in delivering patient care.

 If in delivering patient care, the student needs to stand, or extend his/her reach,

 Remember that the vehicle may become unstable. Take precautions! Hang onto the overhead grab bars. Use a widespread stance, keep your feet about shoulderwidth apart.

4.

Follow all instructions given by DFD personnel.

5. Those who wish to eat at the station should call before 07:30 and inform the company officer that you wish

to be included in the daily meal. (there is a small cost to you!)

6.

If you are going to be late or unable to fulfill the assignment, you must call that company to which you have been assigned, and inform the Company Officer that you will not be there Butler Tech will be notified of your absence.

D:\726933111.doc

63

Butler Technology and Career Development Schools

Paramedic Handbook

Receipt Acknowledgement

I have received, read, and understand the policies and procedures of the student Handbook, Paramedic. Any changes, additions, or new policies developed will be given to me throughout my course of study.

Schedule Changes – There may be a need for schedule changes during the course of the program. If at all possible students will be made aware of these changes in advance.

Print Name: __________________________________

Signature: __________________________________

Date: _____________________

This form must be signed, dated and returned to the Instructor

D:\726933111.doc

64

Download