EMERGENCY MEDICAL TECHNICIAN-BASIC

Transcription

EMERGENCY MEDICAL TECHNICIAN-BASIC
EMERGENCY MEDICAL TECHNICIAN-BASIC
EMS 110Credit Hours: 7.00
IAI Core:
Semester: Summer
Days: M, W, Th
Section: 001
Lab Hours: 2.00
Lecture Hours: 6.00
IAI Majors:
PCS: 1.2
Course Begins: 6/1/2015
Course Ends: 8/6/2015
Times: 8:00 AM – 11:50 AM
Room: E202
Instructor: Scott Wessel
E-mail: swessel@mchenry.edu
Phone: (815) 790-5848
Office Hours: By Appointment
Office Location: E205
Other Contact Information:
Website (optional):
Required Course:
Textbook(s):
Emergency Care (12th Ed.) ISBN: 0132824418
Associated Workbook ISBN: 0132375346 [Must be new, may not be rented]
Supplies: Wrist watch, Stethoscope, Approved clinical uniform.
Course Description:
Emergency Medical Technician - Basic is an in-depth study of the identification and treatment of people
with illness and traumatic injuries. It is intended for those who are involved with fire/rescue agencies or
private ambulance services or those who wish to pursue a career in emergency medicine in a prehospital
setting. Training is conducted in cooperation with the Illinois Department of Public Health Division of
Emergency Medical Services and Highway Safety, in accordance with the U.S. Department of
Transportation's EMT-Basic National Standard Curriculum. The training promotes an assessment-based
approach to identifying illness or injury and developing an appropriate plan of treatment within the
limitations of basic life support practices, including the use of prehospital patient care and rescue
equipment. Instruction includes classroom lecture, practical skill demonstration in a lab setting, and 30
hours of direct patient care in a hospital emergency department. On completion of the course, students
are eligible to take the Illinois EMT licensure exam. Licensure is required for employment as an EMT-B.
Salaries vary greatly from volunteer/paid-per-call compensation to full-time employment.
Course Note: Uniform requirements for clinical work are dark slacks (no jeans), dark shoes, and
light blue polo shirt with a collar, stethoscope and watch with a second hand. Students must be 18
years old and provide evidence of a high school diploma or GED to take the state exam.
Course Prerequisite: Documentation of current CPR for Healthcare Providers. EMS 105 or NAE
100 with a grade of C or higher, or permission of Centegra Department of EMS. If not on rescue
squad, must provide proof of your own medical insurance for the clinical work.
Section Notes:
Course Objectives:
Upon completion of this course, the student will be able to:
1. List the possible emotional reactions that the EMT-B may experience when faced with trauma,
illness, death and dying
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2. Discuss the EMT-B role in communicating with the patient and family in the situation which
involves trauma, illness, death and dying.
3. Define CISD
4. Recognize the indications for CISD
5. Describe the importance of scene safety
6. -Define body substance isolation
7. Identify the various types of personal protective equipment
8. -Define the EMT-Basic scope of practice
9. Define medical control in EMS practice
10. Discuss the importance of advanced directives in providing emergency care
11. Define: abandonment; negligence and battery
12. Discuss the role of the EMT-Basic in working with law enforcement in a potential crime scene
13. Discuss the role of the EMT-Basic in maintaining patient confidentiality in providing prehospital
emergency care-Identify the various types of personal protective equipment
14. Describe the anatomy and function of the following body systems: Respiratory, Circulatory,
Musculoskeletal, Nervous, and Endocrine
15. Identify the components of vital signs
16. Differentiate between sign and symptom
17. Discuss the importance of good body mechanics in moving and lifting of patients and equipment
18. Describe the steps involved in maintaining a patient airway for both patients with medical illness
and traumatic injury
19. Define the components of an oxygen delivery system
20. Discuss the importance of forming a general impression of the patient with the initial assessment.
21. Discuss the components of the detailed physical exam.
22. Describe trending of assessment findings
23. List the proper methods of initiating and terminating a radio call.
24. Describe what information is required in each section of the patient written report
25. Identify the medications approved for administration by the EMT-Basic
26. Discuss the indication, action, side effects and contraindications to the medications approved for
administration by the EMT Basic
27. Describe the emergency medical care of the patient with respiratory distress
28. Describe the emergency medical care of the patient with chest pain
29. Identify the indications for use of an AED
30. Describe the emergency care of the patient who presents with an altered mental status
31. Describe the process of childbirth
32. Differentiate the emergency medical care provided with predelivery complications from a normal
delivery
33. Discuss the elements of caring for the newborn during the delivery process
34. List the contents of the OB delivery kit
35. List the signs and symptoms of shock
36. State the elements of emergency care for the patient with signs and symptoms of shock
37. Identify the signs and symptoms of a patient with a musculoskeletal injury
38. Discuss the clinical signs of burn injuries to the skin, which may result from thermal or chemical
exposure
39. Describe the anatomical/physiological difference between the adult and pediatric population
40. Describe the legal aspects of operating an emergency vehicle
41. Identify the required equipment for a BLS response vehicle
42. Summarize the components of triage in a mass casualty incident
43. Discuss the local mass casualty response plan
44. Demonstrate the use of appropriate personal protective equipment
45. Demonstrate the assessment of vital signs using appropriate technique
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46. Perform a patient interview and obtain a patient history
47. Demonstrate appropriate techniques for moving and lifting using a variety of patient carrying
devices
48. Demonstrate the appropriate techniques for maintaining a patent airway through proper
positioning and use of airway adjunct devices
49. Demonstrate the appropriate technique for the delivery of oxygen via nasal cannula, nonrebreather mask and bag valve mask device.
50. Demonstrate the ability to prioritize patients
51. Demonstrate the skills involved in performing a detailed physical exam.
52. Perform a simulated patient report via radio transmission.
53. Complete a written prehospital patient care report
54. Demonstrate the general steps in assisting the patient with the self-administration of medications
55. Demonstrate the appropriate BLS interventions in managing the care of a patient with a medical
emergency
56. Demonstrate the appropriate BLS interventions in managing the care of a patient with traumatic
injuries
57. Demonstrate the use of an AED in conjunction with performing CPR
58. Demonstrate the steps to assist with a normal cephalic delivery
59. Demonstrate appropriate technique for wound care, splinting and bandaging
60. Participate in an exercise involving removal of a trauma victim from a motor vehicle
61. Participate in an exercise involving a mass casualty response, and the EMT B role in triage and
treatment of victims
62. Explain the importance of scene safety in providing prehospital patient care
63. Explain the rationale for properly lifting and moving patients
64. Explain the rationale for serving as an advocate for the patient in accessing emergency care
65. Explain the patient’s right to privacy in the context of accessing prehospital emergency care
66. Explain the importance of incorporating positive lifestyle behaviors for the overall well-being of
the EMT-Basic
67. Explain the rational for basic life support ventilation and oxygen administration as a priority over
most other basic life support skills.
68. Explain the value of performing an initial assessment
69. Explain the value of performing an ongoing assessment.
70. Explain the rationale for patient care documentation via both verbal and written report
71. Explain the rationale for assisting a patient with self-administration of medications
72. Explain the implications of dealing with two patients in prehospital management of childbirth
73. Explain the rationale for having knowledge and silks appropriate to meeting the special needs of
the pediatric patient
74. Explain the importance of communicating with parent/caregivers in providing pediatric
emergency care.
75. Explain the rationale for having your EMS unit prepared to respond at all times
Course Outline:
I.
Introduction to EMS
A. Role of the EMT-Basic
B. EMS Systems
C. EMS Law
D. Patient Rights
E. EMS Safety Practices
II.
The Human Body
A. Human Anatomy
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B. Body Systems and Functions
C. Patient Assessment
III.
IV.
V.
VI.
VII.
VIII.
IX.
X.
XI.
Cardiopulmonary Resuscitation
A. Patient Assessment-ABC’s
B. Rescue Breathing
C. Barrier Devices and BVM
D. Chest Compressions- Professional Rescuer
E. Foreign Body Airway Obstruction
F. AED
Patient Assessment
A. Scene Size Up
B. Initial and Focused Assessment
C. Detailed Assessment
D. Ongoing Assessment
E. Vital Sign Assessment
Trauma Assessment
A. Bleeding
B. Soft Tissue Injuries
C. Burn Injuries
D. Shock States
E. Extremity Injuries
F. Head, Neck and Spine Injuries
Trauma Management
A. Wound care and bandaging
B. Splinting of extremity injuries
C. Shock Management
D. Spinal Immobilization
Medical Emergencies
A. Respiratory Distress
B. Cardiac Emergencies
C. Neurological Emergencies
D. Diabetic Emergencies
Medical Emergency Management
A. Administration of Patient Assisted Medications
B. Indications and Use of the AED
Environmental Emergencies
A. Poisonings
B. Bites and Stings
Childbirth
A. Female Reproductive System
B. Physiology of Pregnancy
C. Emergency Childbirth
D. Complications of Childbirth
Infants and Children
A. Care of the Newborn
B. Growth and Development in Children
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C. Pediatric Patient Assessment
D. Common Medical Emergencies
E. Common Traumatic Injuries
XII.
XIII.
Ambulance Operations
A. Moving and Lifting Patients
B. Emergency Vehicle Operations
C. The Anatomy of an EMS Call
Gaining Access
A. Motor Vehicle Accident Response
B. Motor Vehicle Extrication
C. Multiple Patient Incidents
D. Triage Principles
Assignments and Grading Criteria
Grading Scale: 93% and up
A
84%-92.99% B
75%-83.99% C – MINIMUM PASSING SCORE –
67% - 74.99% D
>67%
F
Course Requirements: Students must meet several benchmarks in order to meet the passing requirements
of the course. Students must maintain an average exam score of 75% or greater, must pass Exam 2 with a
score of 75% or greater, must pass the Final Exam with a score of 75% or greater and must earn an
overall passing grade of 75% or greater in the course. Additionally, students must pass a series of
psychomotor examinations in which students are evaluated and tested in their ability to perform skills
pertinent to an Emergency Medical Technician. Included within the psychomotor requirements is
completion of 30 properly documented clinical hours of patient contact, assessment and care. Failure to
meet any of the benchmarks above will result in the student receiving a grade of “F” for the course and
ineligibility to sit for any licensing exam.
Policies
Attendance policy: Attendance is mandatory. The student must contact the instructor for all absences,
excused or unexcused. Failure to contact the instructor prior to the absence will result in an unexcused
absence and no make-up work will be accepted/permitted. Students who miss more than 3 class sessions
may be dropped from the course and given a grade of “F”. Tardiness is not acceptable and will account
for ½ class unexcused absence.
Late work/make-up policy: Late work is not accepted. Make-up work will be accepted for excused
absences only and must be turned in the class immediately following the absence.
Revised 5/1/2015
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Weekly Course Schedule
Date
Topic
Assignment
6/1/2015
Welcome and Orientation
Introduction to Emergency Care
The Well-being of the EMT
Medical, Legal and Ethical Issues
Read Ch 1-2, 4-6
Workbook Ch 1-2, 4
Orientation Quiz
6/3/2015
Quiz: Ch 1-2, 4 {Workbooks Due}
Medical Terminology, Anatomy and Physiology
Principles of Pathophysiology
Read Ch 3, 7, 12, 38
Workbook Ch 5-6
NIMS ICS-100 (Canvas)
6/4/2015
Quiz: Ch 5-6 {Workbooks Due}
Lifting and Moving Patients
Life Span Development
Vital Signs and Monitoring Devices
Ambulance Operations
Review Ch 1-7, 12, 38
Workbook Ch 3, 7, 12, 38
Life Span Chart
6/8/2015
Exam 1 [Ch 1-7, 12, 38] {Workbooks Due}
Airway Management
Read Ch 8-9, Appendix B
Workbook Ch 8-9
Ch 8 & 9 Street Scenes
(Textbook)
Respiration and Artificial Ventilation
6/10/2015
Skills Lab - Airway, Vital Signs, Lifting/Moving, CPR
Quiz: AHA CPR Exam
Review Ch 8-9
Review Ch 8-9, Appendix B
Terminolgy Quiz (Canvas)
6/11/2015
Quiz: Ch 8-9 {Workbooks Due}
Skills Lab - Airway Testing
Exam 2 Review
Review Ch 8-9, Appendix B
Discussion Board (Canvas)
6/15/2015
Exam 2 [Ch 8-9, Appendix B]
Scene Size-Up
Primary Assessment
Clinical Orientation
Read Ch 10-11, 13-15
Workbook Ch 10-11
Terminology Quiz (Canvas)
**Clinical Documents Due**
6/17/2015
Assessment of the Trauma Patient
Assessment of the Medical Patient
Reassessment
Read Ch 16-17, Appendix C
Workbook Ch 13-15
Topic
Assignment
Skills Lab - Assessment
Workbook Ch 16-17
Date
6/18/2015
Revised 5/1/2015
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Critical Thinking and Decision Making
Communication and Documentation
Research and EMS
Review Ch 10-17, App C
Review Ch 10-17, App C
6/22/2015
Quiz: Ch 10-15 {Workbooks Due}
Skills Lab - Assessment
Review Ch 10-17
6/24/2015
Exam 3 [Ch 10-17]
Hazmat Presentation
Read Ch 18-19
NIMS ICS-700 (Canvas)
Terminology Quiz (Canvas)
**NIMS ICS-100 Due**
6/25/2015
General Pharmacology
Respiratory Emergencies
Read Ch 20
Workbook Ch 18-19
6/29/2015
Quiz: Ch 18-19 {Workbooks Due}
Cardiac Emergencies
Read Ch 21-22
Workbook Ch 20
7/1/2015
Quiz: Ch 20 {Workbooks Due}
Skills Lab - ALS Assist
Diabetic Emergencies and Altered Mental Status
Allergic Reactions
Read Ch 23-25
Workbook Ch 21-22
7/2/2015
Poisoning and Overdose Emergencies
Abdominal Emergencies
Behavioral and Psychiatric Emergencies
Read Ch 26, 33
Workbook Ch 23-25
**15 Hours Clinical Due**
7/6/2015
Hematologic and Renal Emergencies
Environmental Emergencies
Skills Lab - Medical Emergency Management
Review Ch 18-26, 33
Workbook Ch 26, 33
7/8/2015
Skills Lab - Medical Emergency Management
Exam 4 Review
Review Ch 18-26, 33
7/9/2015
Exam 4 [Ch 18-26, 33] {Workbooks Due}
Bleeding and Shock
Read Ch 27-29
Workbook Ch 27
Terminology Quiz (Canvas)
7/13/2015
Soft-Tissue Trauma
Chest and Abdominal Trauma
Trauma Skills Breakout Lab
Read Ch 30-32
Workbook Ch 28-29
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Date
Topic
Assignment
7/15/2015
Quiz: Ch 27-29 {Workbooks Due}
Musculoskeletal Trauma
Trauma to the Head, Neck and Spine
Multisystem Trauma
Traum Skills Breakout Lab
Read Ch 39-40
Workbook Ch 30-32
7/16/2015
Skills Lab - Trauma Emergency Management
Mass Casualty / Triage
Highway Safety and Vehicle Extrication
Review Ch 27-32
Workbook Ch 39-40
**NIMS ICS-700 Due**
7/20/2015
Skills Lab - Trauma Emergency Management
Exam 5 Review
Review Ch 27-32
7/22/2015
Exam 5 [Ch 27-32] {Workbooks Due}
Pediatric Emergencies
Geriatric Emergencies
Peds Assessment Breakout Lab
Read Ch 34-36
Workbook Ch 35-36
7/23/2015
Obstetric and Gynecological Emergencies
Skills Lab - OB / Peds
Read Ch 37
Workbook Ch 34
7/27/2015
Quiz: Ch 34-36 {Workbooks Due}
Emergencies for Patients with Special Challenges
Exam 6 Review
Review Ch 34-40
Workbook Ch 37
7/29/2015
Exam 6 [Ch 34-40] {Workbooks Due}
Disease/Disability Case Study Presentations
**30 Hours Clinical Due**
7/30/2015
Final Exam Review
Review Ch 1-41
8/3/2015
Skills Lab - Final Skills Practice
Final Exam Review
Review Ch 1-41
8/5/2015
Skills Lab - Final Skills Testing
Review Ch 1-41
8/6/2015
Final Exam
Review Ch 1-41
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Withdrawals: The last day to drop this course is [Insert date according to
www.mchenry.edu/academiccalendar.asp ]. Failure to attend class does not constitute official withdrawal.
If students are considering a withdrawal, they should consult directly with the instructor and an academic
advisor. Students may withdraw from a class through the Registration Office, either in person or by fax:
(815) 455-3766. In their request, students should include their name, student ID number, course prefix,
number and section, course title, instructor, reason for withdrawing, and their signature. Withdrawal from
a course will not be accepted over the telephone.
Please refer to the following link for other important college dates:
www.mchenry.edu/academiccalendar.asp
General Education Goals:
1. Critical Thinking: To identify, define, analyze, synthesize, interpret, and evaluate ideas.
2. Information Literacy: To locate, evaluate, and use resources effectively.
3. Effective Communication: To develop, articulate, and convey meaning.
4. Ethical Awareness: To identify and make responsible choices in a diverse world.
5. Technological Literacy: To use tools skillfully.
Assessment:
Some student work may be collected for the purpose of assessment, including student competency in the
general education goals, the program, or the course.
Effective Fall 2014: Student E-Portfolio:
The instructor of the course will designate at least one graded assignment for possible inclusion in the
student E-portfolio. Students applying for an AA, AS, AFA, AES, or AGE degree must document their
learning outcomes with a graded assignment for each of the five general education goals by the time of
graduation. These five assignments and a cover letter will be in the student E-portfolio in Canvas.
Academic Support for Special Populations Students
McHenry County College offers support services for students with special needs. It is the student's
responsibility to meet with the Special Needs Coordinator and provide current documentation regarding
his/her disability and receive information about the accommodations that are available.
In addition, as a student enrolled in a career or technical education program at McHenry County College,
you may be eligible for services and assistance under the Carl D. Perkins III Grant. Grant funds are used,
in part, to assist students who are at risk of not succeeding in their educational pursuits.
The traits that often prevent students from succeeding are: economic disadvantage, academic
disadvantage, disability/disabilities, single parent, displaced homemaker, nontraditional, and limited
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English proficiency (LEP). The definitions of each trait are available in the Special Needs Office.
Students with one or more of these traits are referred to as Perkins Special Populations Students.
If you would like to know if you are eligible for services at anytime during the semester, please do not
hesitate to contact the Special Needs Coordinator. The office is Room A260, and phone number is (815)
455-8676.
Academic Integrity
As an educational community, McHenry County College values the pursuit of academic excellence and
integrity. In accordance with this philosophy and Chapter 10, Act 5 of the 1994 Illinois Community
College Act, academic dishonesty in any form, including cheating, plagiarism, and all other acts of
academic theft, is considered intolerable. Appropriate sanctions, up to and including suspension from the
College will be imposed by authorized College personnel.
Copyright Policy
MCC will maintain current procedures and guidelines to ensure that all staff and students comply with
applicable copyright laws and other intellectual property protection laws. The College will encourage
staff and students to engage in the development of intellectual property and facilitate ownership
protections with respect to such development of intellectual property.
The College expects that staff and students will act responsibly and ethically in a manner consistent with
all copyright laws and College copyright procedures and guidelines. This policy authorizes the College to
adopt and maintain such procedures and guidelines necessary to ensure compliance with copyright laws
and to facilitate ownership protection with respect to the development of intellectual property.
Student Code of Conduct and the Judicial Process
Consistent with the MCC mission is an expectation that students will govern themselves in terms of
appropriate behavior with emphasis on self-respect and respect for others. It is the practice of the College
to respect the properly exercised rights of its students. The College recognizes a student’s rights within
the institution to freedom of speech, inquiry and assembly; to the peaceful pursuit of education; and to the
reasonable use of services and facilities at MCC.
MCC has adopted a Student Code of Conduct and judicial process to maintain a learning environment of
respect, civility, safety, and integrity for all members of the MCC community.
Whenever possible, sanctions for violations of the Student Code of Conduct may be educational in nature.
However, violations affecting the health and safety of members of the MCC community are deemed to be
the most serious. Therefore, acts of violence, threats or dangerous behavior are most likely to result in a
suspension from the College. Violations of the academic dishonesty policy may also result in suspension
or expulsion from the institution and/or reduced or failing grade.
Children on Campus
For the safety of children on campus, children (i.e., less than 16 years of age) are not permitted on campus
unattended by a parent/guardian, except when they are attending classes offered by MCC for children.
The College requires that no children be allowed into a classroom/laboratory environment, including the
Testing Center, Learning Center and computer labs, solely for the purpose of a parent/guardian to provide
direct supervision of his/her child.
Teaching Schedule
The scheduling of the activities and teaching strategies on this syllabus, but not the objectives or content,
may be altered at any time at the discretion of the instructor.
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Resources
The following are useful resources available to you as a student at McHenry County College:
Advising and Transfer Center:
Phone (815) 479-7565; Office A257
www.mchenry.edu/atc
Library:
Phone (815) 455-8533; Office A212
www.mchenry.edu/library
Counseling:
Phone (815) 455-8765; Office A257
www.mchenry.edu/counseling
Special Needs:
Phone (815) 455-8676; Office A260
www.mchenry.edu/specialneeds
Financial Aid:
Phone (815) 455-8761; Office A262
www.mchenry.edu/financialaid
Tutoring and Study Skills (Sage Learning
Center):
Phone (815) 455-8579; Office A247
www.mchenry.edu/sage
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