GREAT BASIN COLLEGE EMERGENCY MEDICAL TECHNICIAN-BASIC EMS 108B SPRING 2008 INSTRUCTOR: Karen Mowrey, RN, MSN, EMS RN, EMT I, EMS INSTRUCTOR TELEPHONE: (O) 775 – 753 – 2212 OFFICE: HEALTH SCIENCES BUILDING – ROOM 110 FAX: 775 – 753 – 2151 E-MAIL: karenm2@gwmail.gbcnv.edu OFFICE HOURS: BY APPOINTMENT REQUIRED TEXTS: Limmer, D., O’Keefe, M. F., Dickinson, E. T. (Medical Editor). Up Dated: Emergency Care Brady, 10th Edition Update. Upper Saddle River, New Jersey: Pearson/Prentice Hall Limmer, D., O”Keefe, M.F. Dickinson, E.T. Workbook, Elling, B. Emergency Care Brady 10th Edition RECOMMENDED: EMT ACHIEVE: Pearson/Prenticehall - www.prenhall.com/emtachieve to register on line. Cost is approximately $30.00 for access to practice examinations. COURSE DESCRIPTION: (EMT-Basic: National Standard Curriculum) The course is designed to instruct students to the level of Emergency Medical Technician-Basic, who serve as a vital link in the chain of the health care team. It is recognized that the majority of prehospital emergency medical care will be provided by the EMT-Basic. This includes all skills necessary for the individual to provide emergency medical care at a basic life support level with an ambulance service or other specialized service. Prerequisites: Current CPR AHA Health Care Provider’s Card Or American RedCross Professional Rescue card and Proof of Medical Insurance, and 18 years of age. AHA BLS FOR HEALTHCARE PROVIDERS IS OFFERED ON JANUARY 26, 2008, 8:00 A.M. TO 12:00, ROOM 110 HEALTH SCIENCES (HSCI). Cost is $65.00 COURSE GOALS: (EMT-Basic: National Standard Curriculum) Specifically, after completion of the program, students will be capable of performing the following functions at the minimum entry level: Recognize the nature and seriousness of the patient’s condition or extent of injuries to assess requirements for emergency medical care; Administer appropriate emergency medical care based on assessment finding of the patient’s condition; Lift, move, position and other wise handle the patient to minimize discomfort and prevent further injury; and, 1 Perform safely and effectively the expectations of the job description. COURSE CONTENT: (EMT-Basic: National Standard Curriculum) Overview of the human body Medical-Legal Issues of EMS Assessing Emergency Scenes and prehospital patients EMT-Basic Pharmacology Respiratory and Cardiac Emergencies Drug and Alcohol-related crisis Environmental and Behavioral Emergencies Trauma Emergencies Emergency Childbirth and Pediatric Emergencies Functioning in the Prehospital Care Environment LEARNING OUTCOMES: Upon completion of the course, the student will demonstrate the ability to: Comprehend, apply and evaluate the clinical information relative to his/her role as an entry level EMT-Basic Demonstrate the technical proficiency in all skills necessary to fulfill the role of an entry=level EMT-Basic Able to follow protocols consistent with the National Standard Curriculum. ATTENDANCE AND PARTICIPATION: Attendance and participation to all classes and laboratory practice is required. Unavoidable absences: Contact the instructor The Department of Transportation curriculum states students may not miss more than 16 hours of the course or they will not be eligible for NAEMT certification (NO EXCEPTIONS). All missed hours must have make-up work completed and turned in one week after the absence. (This is a D.O.T. requirement and is kept on file) SPECIAL CONSIDERATIONS: Students will be required to perform assessments and skills on each other and act as patients themselves. Proper attire must be worn in order to safely and properly perform theses required tasks. Skirts, dresses, low cut shirts, “short” shorts, and sandals are not appropriate for activities required. Low cut jeans and pants must have a shirt/blouse that is long enough to cover sufficiently during lifting and bending activities. TOUCHING: DUE TO THE NATURE OF THIS CLASS STUDENTS ARE REQUIRED TO TOUCH EACH OTHER DURING ASSESSMENTS AND SKILLS. ANY INAPPROPRIATE TOUCHING OR SEXUAL COMMENTS WILL RESULT IN IMMEDIATE DISMISSAL FROM THE CLASS. EMERGENCY DEPARTMENT CLINICAL EXPERIENCE: 2 Wear a white or light colored shirt (button down or polo-type – No emblems), dark colored pants, CLEAN athletic shoes or dark leather shoes (no cowboy boots), hear clean and pulled away from face, facial hair neatly trimmed , no dangly earrings, and NO “facial or mouth” jewelry allowed. Clothing must be neat and clean. No sweat pants or shorts. DO NOT WEAR SCRUBS! Fingernails clean, and moderate length, light make-up and mild scents only. No gum chewing or food in the clinical area. Good personal hygiene with absence of mouth and body odor. OPTIONAL AMBULANCE RIDE ALONG: Applications will be available to apply for a temporary student license for the duration of the EMT – B Course. CLINICAL/FIELD ROTATIONS: You must bring the following with you to each clinical/field site: Great Basin College ID badge (photos will be taken in class) A watch with a second hand, stethoscope, pater and pen Evaluation form Appropriate dress IMMUNIZATIONS: Copies of your immunization records are due at the beginning of class on February 13, 2008 Emergency Department Clinical Rotation Requirements include: 1. Negative T.B. skin test or chest x-ray within the last 12 months; 2. * Current MMR (measles,mumps, rubella), or MMR Booster or appropriate titer levels; 3. Tetanus immunization with the last 10 years; 4. Hepatitis B series (2 required by first day of class (1/23/2008) 5. If you were born before 1957, you are exempt from the MMR requirement. Note: Immunizations are available at Nevada Health Centers at the old Elko Clinic building. Call 738-5850 for an appointment, or contact your health care provider To be eligible for National Registry of EMTs (NREMT) testing you must complete the 10 hour Emergency Room clinical rotation. Proof of immunization is required for the Emergency Room rotation. ACADEMIC INTEGRITY: Great Basin College considers academic integrity one of it highest values. A student how obtains academic credit for work that is not the product of his or her own effort is 3 being dishonest and undermine the academic integrity of the college. Violations of academic integrity include, but are not limited to, one or more of the following acts: Cheating (giving or receiving information related to examination questions) Plagiarism WebCampus Examinations: Students are not allowed to print or copy any test or any part of a test. This is considered a form of cheating and appropriate action will be taken. Such behaviors are also in violation of Great Basin College Student Conduct Code. EDUCATION AND CERTIFICATION: The education component is designed to facilitate the acquisition of cognitive knowledge and psychomotor skills necessary to obtain a certification to practice as an EMT-B. Although the educational component is closely associated with the entities that certify and license EMS providers, the two processes are separate and distinct. Successful completion of the education component does not ensure certification or licensure. CIVILITY STATEMENT FOR THE CLASSROOM: For the learning experience, mutual respect is required by the student and the instructor. Neither the student or the instructor, should be subject to behavior that is rude, disruptive, intimidating, or demeaning. The instructor has the primary responsibility for and control over classroom behavior and maintenance of academic integrity. METHOD OF EVALUATION: Seven (7) Module Tests (WebCT) Final Test Work Book (36 Chapters 5 pts each) Home Work Assignment: Geriatric Patients (Due March 3, 2008) Home Work Assignment: EMS Response to Terrorism (Due April 7,2008) Final Skills Application Scenarios (5) Practical Skills Competencies POINTS POSSIBLE = 700 points = 100 points = 180 points TOTAL Points Possible = 1,000 points = 10 points = 10 points = Pass/Fail = Pass/Fail Students have 70% cumulative average per DOT regulation and meet attendance requirements to be eligible to take the NREMT examination. GRADING SCALE: Course grade will be based on a percentage of total possible points according to the following scale: 4 100 93 89 86 83 - 94 90 87 84 80 = = = = = A A B+ B B- 79 76 75 - 77 - 70 = C+ = C = C- STUDENTS MUST HAVE AT LEAST A 70% CUMULATIVE AVERAGE & MEET THE ATTENDANCE REQUIREMENT TO BE ELIGIBLE TO TAKE THE NATIONAL REGISTRY EXAMINATION. Example: The student who has 70% but has missed more 16 hours of class would not be eligible for NAEMT testing. MEDICAL DIRECTOR: Our course medical director is Jill Oswalt, M.D., an Emergency Physician at Northeastern Nevada Regional Hospital. Dr. Oswalt approves the curriculum and acts as the ultimate medical authority regarding course content, procedures, protocols, and acts a liaison with the medical community. Dr. Oswalt or her designee is responsible to verify student competencies in the cognitive, affective and psychomotor domains. ACCOMODATIONS FOR DISABILITIES: GBC supports providing equal access for students with disabilities. An advisor is available to discuss appropriate accommodations with students. Please contact the ADA Officer (Julie Byrnes) in Elko at 775.753.2271 at your earliest convenience to request timely and appropriate accommodation. SCHEDULE FOR WebCampus TESTING MODULE I: Preparatory (Module I and IA) Test period begins February 7 at 0600 and ends February 11 at 2330 **Note: This test is in two (2) parts. 75 minutes is allowed for each part MODULE II: Airway Management Test period begins February 14 at 0600 and ends February 17` at 2330 MODULE III: Patient Assessment Test period begins March 6 at 0600 and ends March 9 at 2330 MODULE IV: Medical Emergencies Test period begins April 3 at 0600 and ends April 6 at 2330 MODULE V: Trauma Test period begins April 24 at 0600 and ends April 27 at 2330 MODULE: INFANTS & CHILDREN VI AND OPERATIONS VII Test period begins May 1 at 0600 and ends May 4 at 2330 FINAL TEST: Test period begins May 1 at 0600 and ends May 7 at 2330 WebCampus INFORMATION Students will be given designated timeframes (see above) of four days (Thursday through Sunday to complete WebCampus module evaluations. Please note that the time frame was extended to Monday 2330 for Module I because it consists of two parts. 5 Each evaluation module has 50 multiple choice questions worth 50 points. One hour and 15 minutes is allowed for each module. Once the test is started, students must finish their test within the 1 hour 15 minute time frame. WebCampus will not allow you to start a test and go back and finish it later. Printing or copying any test or part of test is cheating and action will be taken accordingly. (See Academic Integrity statement ) COMPUTER ACCESS ON THE GBC CAMPUS: HIGH TECH CENTER HOURS OF OPERATION Monday – Friday 0800 – 2200 Saturday 0800 - 1730 SCHEDULE FOR SATURDAY CLASSES AND NREMT SKILLS TESTING 04/24/08 Saturday Class 0900 – 1500 State EMS final Skills Testing – TO BE ANNOUNCED COURSE COMPLETION PAPERWORK Upon successful completion of the course students will complete the following: 1. EMS Course Completion Form. It is signed by the Medical Director and Course Coordinator. 2. A copy of a valid ID 3. A copy of your CPR card front and back 4. The Course Evaluation Form (complete in class) 5. The National Registry exam fee will be $70.00 due upon registration for the exam. NREMT registration and examination information will be available prior to completion of the program. 6. NREMT examinations are available at GBC by appointment . Information will be provided upon course completion. Revised: 01/11/2008 MEMORANDUM OF UNDERSTANDING THIS DOCUMENT MUST BE TURNED IN BY THE SECOND CLASS PERIOD on 1/28/08 I, __________________________________, acknowledge receipt of a (Print Name) 6 course syllabus and course outline. I understand I have enrolled in a class that requires higher grading standards and attendance requirements than other Great Basin College courses. I will do my best to maintain the higher standards in accordance with the D.O.T. National Standard Curriculum for the EMT –Basic. I have had an opportunity to ask questions and clarify the course requirements. I agree to follow these standards and expectations which include ethical and behavioral standards. Signed: _____________________________________ Date: ___________ Address: ____________________________________________________ Telephone Number: ____________________E-Mail: ________________ 7