Paramedic STUDENT POLICIES Class

Paramedic STUDENT POLICIES Class 2017-2018 Rev. 1/2/2018 BMR

TABLE OF CONTENTS Topic Page# Table of contents 2 Mission statement 3 Program goals 4 PM-1 syllabus 6 PM-2 syllabus 13 PM-3 syllabus 19 Course policies and procedures 23 Student contract 50 2 Rev. 1/2/2018 BMR

3 NORTHWEST FLORIDA STATE COLLEGE PARAMEDIC PROGRAM MISSION STATEMENT It is the mission of the Northwest Florida State College Paramedic Program to provide the highest quality education and training to paramedic students that is possible. The Program pledges to use the most up-to-date information in the pursuit of excellence in paramedic education. The EMS Programs faculty and staff will endeavor to ensure that our paramedic students can competently perform the necessary skills to conserve life, alleviate suffering, and promote health. Students will be trained to act in ways that preserves their own safety as well as the safety of their patients. Students will be taught first rule of medicine is non malfeasance, meaning to do no harm. Students will be trained to respect diversity in their patient populations and do provide care irrespective of the patient s race, creed, national origin or ability to pay. Rev. 1/2/2018 BMR

4 NORTHWEST FLORIDA STATE COLLEGE PARAMEDIC PROGRAM PROGRAM GOALS To prepare competent entry---level---paramedics in the cognitive (knowledge),psychomotor (skills), and affective (behavior) learning domains. Upon completion of the program, all paramedic graduates will have demonstrated the necessary: 1. Knowledge base to collect, comprehend, evaluate and apply patient information to implement safe, effective and appropriate care in the role as entry-level Registered Emergency Medical Technician-Paramedics (REMTP). 2. Technical skills proficiencies to implement safe, effective and appropriate care in the role as an entry-level REMTP. 3. Professional attitudes and behaviors to implement safe, effective and appropriate care in the role as an entry level REMTP. 4. Recognition of one s own needs for continuing education. Evaluation format for program goals: 1. The evaluation method for goal #1 is a comprehensive course written exam, the National Registry advanced written exam and employer s survey. 2. The evaluation method for goal #2 is a final practice practical exam utilizing the National Registry of EMT Psychomotor exam, along with clinical and field internship evaluations. 3. The evaluation method for goal #3 is completed using Affective / Summative evaluation reporting. 4. The evaluation method for goal #4 is completing surveys from the graduate and their employer. Rev. 1/2/2018 BMR

NORTHWEST FLORIDA STATE COLLEGE EMS PROGRAMS FALL 2017 EMS 2231C (5-Credits) Paramedic Processes I Monday 8 a.m. 1:30 p.m. EMS 2435L (5-Credits) Paramedic Processes I Lab/Clinical Wednesday 8 a.m. 12 p.m. Monday Tuesday Wednesday Thursday Friday OFFICE HOURS: By appointment By appointment By appointment By appointment By appointment OFFICE PHONE: (850) 729-4924 or (850) 729-6447 5 Rev. 1/2/2018 BMR

NORTHWEST FLORIDA STATE COLLEGE PM-1 and PM-1 LAB SYLLABUS COURSE TITLE: COURSE NUMBER: CREDIT HOURS: CONTACT HOURS: SEQUENCE: PREREQUISITES: Paramedic Processes I and Paramedic Processes I Lab EMS 2231C (PM-1) and EMS 2435L (PM-1 Lab) 5CH + 5CH = 10CH Lecture: 104 Lab: 72 Clinical: 216 Total: 392 Term: Fall 2017 Length: 16-weeks EMS 1119, EMS 1401, EMS 1335 I. COURSE DESCRIPTION: EMS 2231 is the first course in the sequence necessary for Paramedic program completion. The course is designed to integrate concepts and clinical skills learned at the EMT level with advanced life support concepts and skills. Emphasis is placed upon patient assessment, pharmacology, medical pathologies and emergencies, ACLS and PALS skills. Other topics are assessment and management of OB/GYN emergencies, psychiatric emergencies, pediatric emergencies, musculoskeletal injuries. The course is consistent with the most current National Standard curriculum. EMS 2435 is the clinical and skills laboratory portion of the course, designed to provide instruction in the advanced paramedic skills, and the opportunity to apply these skills in the clinical setting. By state rule, the instructor-to-student ratio will not exceed six students to one instructor. II. COURSE OBJECTIVES: Upon completion of this semester, the paramedic students will be able to: 1-1 Describe his or her roles and responsibilities within an EMS system and how these roles and responsibilities differ from other levels of providers. 1-2 Describe and value the importance of personal wellness in EMS and serve as a healthy role model for peers. 1-3 Integrate the implementation of primary injury prevention activities as an effective way to reduce death, disabilities and health care costs. 6 Rev. 1/2/2018 BMR

1-4 Describe the legal issues that impact decisions made in the out-of-hospital environment. 1-5 Describe the role that ethics plays in decision making in the out-of-hospital environment. 1-6 Apply the general concepts of pathophysiology for the assessment and management of emergency patients. 1-7 Integrate pathophysiological principles of pharmacology and the assessment findings to formulate a field impression and implement a pharmacologic management plan. 1-8 Safely and precisely access the venous circulation and administer medications. 1-9 Integrate the principles of therapeutic communication to effectively communicate with any patient while providing care. 1-10 Integrate the physiological, psychological and sociological changes throughout human development with assessment and communication strategies for patients of all ages. 2-1 Establish and/ or maintain a patent airway, oxygenate and ventilate a patient. 3-1 Use the appropriate techniques to obtain a medical history from a patient. 3-2 Explain the pathophysiological significance of physical exam findings. 3-3 Integrate the principles of history taking and techniques of physical exam to perform a patient assessment. 3-4 Apply a process of clinical decision making to use the assessment findings to help form a field impression. 3-5 Follow an accepted format for dissemination of patient information in verbal form, either in person or over the radio. 3-6 Effectively document the essential elements of patient assessment, care and transport. 4-1 Integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with respiratory problems. 4-2 Integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with cardiovascular disease. 4-3 Integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with a neurological problem. 4-4 Integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the patient with an endocrine problem. 4-5 Integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the patient with an allergic or anaphylactic reaction. 7 Rev. 1/2/2018 BMR

4-6 Integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with a gastroenterologic problem. 4-7 Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the patient with a renal or urologic problem. 5-8 Integrate pathophysiological principles and assessment findings to formulate a field impression and treatment plan for the patient with a toxic exposure. 5-9 Integrate the pathophysiological principles of the hematopoietic system to formulate a field impression and implement a treatment plan. 5-10 Iintegrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with an environmentally induced or exacerbated medical or traumatic condition. 5-11 Integrate pathophysiological principles and assessment findings to formulate a field impression and implement a management plan for the patient with infectious and communicable diseases. 5-12 Describe and demonstrate safe, empathetic competence in caring for patients with behavioral emergencies. 5-13 Use gynecological principles and assessment findings to formulate a field impression and implement the management plan for the patient experiencing a gynecological emergency III. COURSE FACULTY: Medical Director: Program Director Clinical Coordinator: Lead instructor: Dr. Martin Landa Barry Reed Andrea Jockers IV. METHODS OF INSTRUCTION: Lecture High-fidelity Simulation Audio-visual presentations Group discussion Group participation Scenarios and role playing Skills demonstration, drill and practice 8 Rev. 1/2/2018 BMR

V. REQUIRED TEXTS: 1. Nancy Caroline s Emergency Care in the Streets, AAOS (7th edition), 2012 2. Advanced Cardiovascular Life Support, American Heart Association, 2015 3. All studens will be required to bring a tablet or laptop to every class. If you do not have one, a tablet may be loaned to you for the program. Smart phones are not sufficient. Tablets will be used for testing as well as interactive lecture and lab sessions. VI. METHODS OF EVALUATION: Didactic Grading: Grade averages will be determined in the following manner: Project Initial Report participation --------------- 5% Classroom Participation --------------------------- 10% Written Exams ---------------------------------------- 40% Homework -------------------------------------------- 10% Affective Evals ---------------------------------------- 10% Final Drug Calculation exam --------------------- 10% Final Comprehensive exam ---------------------- 15% Total ---------------------------------------------------- 100% The minimum passing grade for didactic (written) testing is 75%. Students may retake a maximum of two failed tests during a semester. If the retake (retest) is successfully passed, the original failing grade will be replaced with a 75% regardless of the score of the retest. Any missed exams must be made up within 1 week of the original exam date by scheduling an appointment (outside of normal course time) with the EMS Manager. All make-up (missed) exams will be penalized with a 5% reduction in the overall test score. Students are only allowed to retest any one exam, one time only. Laboratory Skills grading: Students will be graded daily for their performance during lab. The total lab grade for the semester will count at 40% of the Clinical / Lab assessment. The Program uses the National Registry of Emergency Medical Technicians Advanced Level Practical Examination as its skills test. Grading is on a pass/fail basis. Failure of any part of a skills station constitutes failure of the entire station. Retesting individual stations is required. Failure to successfully retest any skill will constitute failure of the course. 9 Rev. 1/2/2018 BMR

National Registry skills stations to be tested during PM-1 Laboratory are as follows: 1. Oral Station A 2. Oral Station B 3. Dynamic Cardiology 4. Static Cardiology 5. Integrated Out-of-Hospital Scenario Copies of skills testing sheets will be available on the www.nremt.org website. Clinical Grading: Clinical grades are determined by the Clinical Coordinator, based upon written evaluations from the Clinical Preceptors and direct observation by the Clinical Coordinator. Objectives and expectations for each clinical area are provided to the student during clinical orientation. Clinical grading will count as 60% of the Clinical / Lab assessment. ACLS Skills Testing: ACLS is counted as part of the Paramedic Processes II curriculum. Attendance is mandatory. Students must successfully pass ACLS final written testing and all ACLS skills stations. Grading is on a pass/fail basis. Students may fail no more than one skill station during ACLS testing to be eligible for retesting. VII. EMS Program Grading Scale: The grading scale is as follows: A: 90-100 B: 89-80 C: 79-75 F: 74-0 P = Pass F = Fail FA = Fail for Attendance I = Incomplete REQUIREMENTS FOR COURSE COMPLETION: 1. A minimum of 75% grade on each of the course examinations. 2. A minimum grade of 80% on the Final Drug Calculation exam. 3. A minimum of 80% grade average on each skills performance exam. 4. Complete and proper documentation of all clinical requirments prior to established deadlines. 5. Maintenance of the Health Care Provider CPR requirement (CPR Provider must be approved by the Florida Department of EMS). 6. Maintenance of the HIV education requirement. 7. Completion of the EVOC course requirement (if not previously completed) 10 Rev. 1/2/2018 BMR

8. Completion group project Intitial Report. 9. Completion of EMS2552 (Advanced Cardiac Life Support course). 10. Completion of familiarization of Florida Statute 401 and FAC 64J. 11 Rev. 1/2/2018 BMR

NORTHWEST FLORIDA STATE COLLEGE EMS PROGRAMS SPRING 2018 EMS 2232C (5-Credits) Paramedic Processes II Date / Time TBD EMS 2436L (5-Credits) Paramedic Processes II Lab/Clinical Date / Time TBD Monday Tuesday Wednesday Thursday Friday OFFICE HOURS: By appointment By appointment By appointment By appointment By appointment OFFICE PHONE: (850) 729-4924 or (850) 729-6447 12 Rev. 1/2/2018 BMR

E-MAIL ADDRESS: NORTHWEST FLORIDA STATE COLLEGE PM-2 and PM-2 LAB SYLLABUS COURSE TITLE: COURSE NUMBER: CREDIT HOURS: CONTACT HOURS: SEQUENCE: PREREQUISITES: Paramedic Processes II and Paramedic II Lab EMS 2232C (PM-2) and EMS 2436L (PM-2 Lab) 5CH + 5CH = 10CH Lecture: 152 Lab: 64 Clinical: 192 Total: 408 Term: Spring 2018 Length: 16-weeks EMS 1119, EMS 1401, EMS 1335, EMS 2231, EMS 2435L I. COURSE DESCRIPTION: EMS 2232 is the second course in the sequence necessary for Paramedic program completion. It is designed to integrate and reinforce concepts and clinical skills learned in PM-1. Emphasis is placed upon patient assessment, pulmonary anatomy and physiology, advanced airway management, pathophysiology and clinical management of shock, medical emergencies and traumatic injuries. The course is consistent with the most current National Standard curriculum EMS 2436 is the clinical and skills laboratory portion of the course, designed to provide instruction in the advanced paramedic skills and the opportunity to apply these skills in the clinical setting. By state rule, the instructor-to-student ratio will not exceed six students to one instructor. II. COURSE OBJECTIVES: Upon completion of this semester, the paramedic students will be able to: 6-1 Integrate the principles of kinematics to enhance the patient assessment and predict the likelihood of injuries based on the patient s mechanism of injury. 6-2 Integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with shock or hemorrhage. 6-3 Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement the treatment plan for the patient 13 Rev. 1/2/2018 BMR

with soft tissue trauma. 6-4 Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement the management plan for the patient with a burn injury. 6-5 Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the trauma patient with a suspected head injury. 6-6 Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the patient with a suspected spinal injury. 6-7 Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for a patient with a thoracic injury. 6-8 Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement the treatment plan for the patient with suspected abdominal trauma. 6-9 Integrate pathophysiological principles and the assessment findings to formulate a field impression and implement the treatment plan for the patient with a musculoskeletal injury.. 7-1 Apply an understanding of the anatomy and physiology of the female reproductive system to the assessment and management of a patient experiencing normal or abnormal labor. 7-2 Integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the neonatal patient. 7-3 Integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the pediatric patient. 8-1 Integrate the pathophysiological principles and the assessment findings to formulate and implement a treatment plan for the geriatric patient. 8-2 Integrate assessment findings to formulate a field impression and implement a treatment plan for the patient who has sustained abuse or assault. 9-1 Pathophysiological and psychosocial principles to adapt the assessment and treatment plan for diverse patients and those who face physical, mental, social and financial challenges. 9-2 Integrate the pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the acute deterioration of a chronic care patient. III. COURSE FACULTY: Medical Director: Program Director Clinical Coordinator: Lead instructor: Dr. Martin Landa Barry Reed Andrea Jockers 14 Rev. 1/2/2018 BMR

IV. METHODS OF INSTRUCTION: Lecture High-fidelity Simulation Audio-visual presentations Group discussion Group participation Scenarios and role playing Skills demonstration, drill and practice V. REQUIRED TEXTS: 1. Nancy Caroline s Emergency Care in the Streets, AAOS (7th edition), 2012 2. Pediatric Advanced Life Support, American Heart Association, 2015 4. Miami ASLS & ACS textbooks (Will be loaned out by the program) 5. International Trauma Life Support, 8 th edition 6. All studens will be required to bring a tablet or laptop to every class. If you do not have one, a tablet may be loaned to you for the program. Smart phones are not sufficient. Tablets will be used for testing as well as interactive lecture and lab sessions. VI. METHODS OF EVALUATION: To complete the course, students must receive a passing grade in didactic testing, skills testing, and clinical rotations. Didactic Grading: Grade averages will be determined in the following manner: Project Initial Report participation --------------- 10% Classroom Participation --------------------------- 10% Written Exams ---------------------------------------- 40% Homework -------------------------------------------- 5% Affective Evals ---------------------------------------- 10% Final Drug Calculation exam --------------------- 10% Final Comprehensive exam ---------------------- 15% Total ---------------------------------------------------- 100% The minimum passing grade for didactic (written) testing is 75%. Students may retake a maximum of two failed tests during a semester. If the retake (retest) is successfully passed, the original failing grade will be replaced with a 75% regardless of the score of the retest. Any missed exams must be made up within 1 week of the original exam date by scheduling an appointment (outside of normal course time) with the EMS Manager. All make-up (missed) exams will be penalized with a 5% reduction in the overall test score. Students are only allowed to retest 15 Rev. 1/2/2018 BMR

any one exam, one time only. Laboratory Skills grading: Students will be graded daily for their performance during lab. The total lab grade for the semester will count at 40% of the Clinical / Lab assessment. The Program uses the National Registry of Emergency Medical Technicians Advanced Level Practical Examination as its skills test. Grading is on a pass/fail basis. Failure of any part of a skills station constitutes failure of the entire station. Retesting individual stations is required. Failure to successfully retest any skill will constitute failure of the course. National Registry skills stations to be tested during PM-2 Laboratory are as follows: 1. Oral Station A 2. Oral Station B 3. Dynamic Cardiology 4. Static Cardiology 5. Integrated Out-of-Hospital Scenario Copies of skills testing sheets will be available on the www.nremt.org website. Clinical Grading: Clinical grades are determined by the Clinical Coordinator, based upon written evaluations from the Clinical Preceptors and direct observation by the Clinical Coordinator. Objectives and expectations for each clinical area are provided to the student during clinical orientation. Clinical grading will count as 60% of the Clinical / Lab assessment. PALS Testing: PALS is counted as part of the Paramedic Processes II curriculum. Attendance is mandatory. Students must successfully pass PALS final written testing and all PALS skills stations. Grading is on a pass/fail basis. Students may fail no more than one skill station during PALS testing to be eligible for retesting. ITLS Testing: ITLS is counted as part of the Paramedic Processes II curriculum. Attendance is mandatory. Students must successfully pass ITLS final written testing and all ITLS skills stations. Grading is on a pass/fail basis. Students may fail no more than one skill station during ITLS testing to be eligible for retesting. 16 Rev. 1/2/2018 BMR

NORTHWEST FLORIDA STATE COLLEGE EMS PROGRAMS SUMMER 2018 EMS 2233C (2-Credits) Paramedic Processes III Date / Time TBD EMS 2425 (4-Credits) Paramedic Field Externship Date / Time by arrangement with preceptor Monday Tuesday Wednesday Thursday Friday OFFICE HOURS: By appointment By appointment By appointment By appointment By appointment 18 Rev. 1/2/2018 BMR

NORTHWEST FLORIDA STATE COLLEGE PM-3 and PM-3 LAB SYLLABUS COURSE TITLE: COURSE NUMBER: CREDIT HOURS: CONTACT HOURS: SEQUENCE: PREREQUISITES: Paramedic-III and Paramedic Field Internship EMS 2233 (PM-3) and EMS 2425 (Field Externship) 2CH +4CH = 6CH Lecture: 24 Lab: 48 Clinical: 272 Total: 344 Term: Summer 2018 Length: 12-weeks EMS 2231C, EMS 2232C, EMS2435L, EMS 2436L I. COURSE DESCRIPTION: EMS 2233 is the final course necessary for Paramedic program completion. It is designed to prepare the student for both Florida State Board and National Registry examinations. It emphasizes the integration of paramedic knowledge, attitudes and behaviors. By state rule, the skills instructor-to-student ratio will not exceed six students to one instructor. The course is consistent with the most current National Standard curriculum. EMS 2425 is the final Clinical Externship. The Externship consists of ten (20), 12- hour shifts at on an Advanced Life Support Unit with Okaloosa County EMS, Walton County EMS or South Walton Fire-Rescue EMS Division. The paramedic student functions as the Paramedic Team Leader during this experience. Each student is assigned to Senior Paramedic Preceptors for the entire Externship. II. COURSE OBJECTIVES: Upon completion of this semester, the paramedic students will be able to: 7-1 Integrate the principles of assessment-based management to perform an appropriate assessment and implement the management plan for patients with common complaints. 8-1 Describe standards and guidelines that help ensure safe and effective ground and air medical transport. 8-2 Integrate the principles of general incident management and multiple casualty incident (MCI) management techniques in order to function effectively at major incidents. 8-3 Integrate the principles of rescue awareness and operations to safely 19 Rev. 1/2/2018 BMR

rescue a patient from water, hazardous atmospheres, trenches, highways and hazardous terrain. 8-4 Evaluate hazardous materials emergencies, call for appropriate resources and work in the cold zone. 8-5 Have an awareness of the human hazard of crime and violence and the safe operation at crime scenes and other emergencies. III. IV. COURSE FACULTY: Medical Director: Dr. Martin Landa Program Director Barry Reed Clinical Coordinator: Andrea Jockers Lead instructor: METHODS OF INSTRUCTION: Lecture High-fidelity Simulation Audio-visual presentations Group discussion Group participation Scenarios and role playing Skills demonstration, drill and practice V. REQUIRED TEXTS: 1. Nancy Caroline s Emergency Care in the Streets, AAOS (7th edition), 2012 2. All studens will be required to bring a tablet or laptop to every class. If you do not have one, a tablet may be loaned to you for the program. Smart phones are not sufficient. Tablets will be used for testing as well as interactive lecture and lab sessions. VI. METHODS OF EVALUATION: To complete the course, students must receive a passing grade in didactic testing, skills testing, and clinical rotations. Didactic Grading: Grade averages will be determined in the following manner: Project Initial Report participation --------------- 10% Classroom Participation --------------------------- 10% Written Exams ---------------------------------------- 35% Homework -------------------------------------------- 5% Affective Evals ---------------------------------------- 15% Final Drug Calculation exam --------------------- 10% 20 Rev. 1/2/2018 BMR

Final Comprehensive exam ---------------------- 15% Total ---------------------------------------------------- 100% The minimum passing grade for didactic (written) testing is 75%. Students may retake a maximum of two failed tests during a semester. If the retake (retest) is successfully passed, the original failing grade will be replaced with a 75% regardless of the score of the retest. Any missed exams must be made up within 1 week of the original exam date by scheduling an appointment (outside of normal course time) with the EMS Manager. All make-up (missed) exams will be penalized with a 5% reduction in the overall test score. Students are only allowed to retest any one exam, one time only. Laboratory Skills grading: Students will be graded daily for their performance during lab. The total lab grade for the semester will count at 40% of the Clinical / Lab assessment. The Program uses the National Registry of Emergency Medical Technicians Advanced Level Practical Examination as its skills test. Grading is on a pass/fail basis. Failure of any part of a skills station constitutes failure of the entire station. National Registry skills stations to be tested during PM-2 Laboratory are as follows: 1. Oral Station A 2. Oral Station B 3. Dynamic Cardiology 4. Static Cardiology 5. Integrated Out-of-Hospital Scenario Copies of skills testing sheets will be available on the www.nremt.org website. Clinical Grading: Clinical grades are determined by the Clinical Coordinator, based upon written evaluations from the Clinical Preceptors and direct observation by the Clinical Coordinator. Objectives and expectations for each clinical area are provided to the student during clinical orientation. Clinical grading will count as 60% of the Clinical / Lab assessment. 21 Rev. 1/2/2018 BMR

EMS Program Grading Scale: The grading scale is as follows: A: 90-100 B: 89-80 C: 79-75 F: 74-0 P = Pass F = Fail FA = Fail for Attendance I = Incomplete VII. REQUIREMENTS FOR COURSE COMPLETION: 1. A minimum of 75% grade on each of the course examinations. 2. A minimum grade of 80% on the Final Drug Calculation exam. 3. A minimum of 80% grade average on each skills performance exam. 4. Complete and proper documentation of all clinical requirments prior to established deadlines. 5. Maintenance of the Health Care Provider CPR requirement (CPR Provider must be approved by the Florida Department of EMS). 6. Maintenance of the HIV education requirement. 7. Completion of the Presentation of Paramedic Presentation. 8. Completion of DSC2055 (Issues in Disaster Management) 9. Completion of all program pre- and co-requisites prior to terminal competency COMPREHENSIVE FINAL EXAMINATION: Students must take and pass a comprehensive written (minimum 75%) in EMS 2233 to successfully complete the Paramedic program, prior to taking the Comprehensive Psychomotor Examination. COMPREHENSIVE PSYCHOMOTOR EXAMINATION: All Paramedic students that have successfully completed PM-III will be required to attend and pass the National Registry sanctioned Psychmotor exam hosted by the NWFSC EMS program. The psychomotor exam is administered by the National Registry of Emergency Medical Technicians and costs $125.00. This fee covers the psychomotor examination as well as the NREMT written exam. Payment of this fee is the student responsibility. This exam will be scheduled by EMS administration prior to the last day of class. This will serve as the final practical exam for successful completion of the Paramedic program. Retesting individual stations is required. Failure to successfully retest any skill will constitute failure of the course. 22 Rev. 1/2/2018 BMR

23 Anyone failing any required retest will receive an I (Incomplete) for completion of the Paramedic program and must schedule to re-take the failed stations at another site, prior to the end of the subsequent semester or the grade will be changed from I to F per college policy. PROGRAM POLICIES and PROCEDURES 24. Attendance for Classroom 25. Attendance for Laboratory 26. Conduct 27. Dress code 29. Employment during training program, i.e., class, laboratory or clinical 30. Grading criteria for the Paramedic Psychomotor skills examination 31. Mandatory Classes: 2-hour Trauma Scorecard Methodology and 4-Hour HIV/AIDS, SIUDS 32. Property Use 33. College E-Mail requirement 34. Failures / Withdrawals 35. Graduation / Letter of Completion 36. Affective Professional Behavior Evaluation 37. EMT Functional Position Description 38. National Standard Cirriculum 43. College Policies 46. Requirements for course completion. 47. FISDAP and Clinical paperwork 48. Written papers 49. Acknowledgement of Program Policies and Procedures. This student handbook serves as an introduction to the NWF EMS Programs policies and procedures for the Paramedic Program. The policies and procedures listed here supplement but do not replace those of the College or published in the College Catalog. These program policies are subject to change.

24 ATTENDANCE POLICY FOR CLASSROOM (LECTURE) Attendance for classroom, skills lab and clinical rotations is mandatory. Class: Paramedic Processes I and Paramedic Processes II If at any point during a semester, a student is absent a total of 8 hours (Lecture) during PM-I or PM-II, that student will be placed on Academic Probation for the remainder of the current semester. 8 hours max per semester. o If a student is placed on Academic Probation, that student must then meet with the EMS Manager to discuss his/her continuation in the program. There shall be NO MORE than 12 (twelve) hours of total (Lecture) absence during PM-I or PM-II. o Any student absent more than 12 (twelve) hours during either PM-I and PM-II (Lecture) will receive a grade of F for failure of the course due to excessive absences. Paramedic Processes III If at any point a student is absent a total of 3 hours (Lecture) during PM-III, that student will be placed on Academic Probation for the remainder of the program. o If a student is placed on Academic Probation, that student must then meet with the EMS Manager to discuss his/her continuation in the program. There shall be NO MORE than 5 (five) hours of total (Lecture) absence during PM-III. o Any student absent more than 5 hours (Lecture) during PM-III (Lecture), will receive a grade of F for failure of the course due to excessive absences. Early Dismissal: Any student leaving early from Class (Lecture) or Lab, before the class is dismissed by the instructor, will have the time remaining counted toward their total hours of absence. The time will be rounded to the nearest ½ (half) hour. Ex: The student exits class at 13:10 and class is dismissed by the instructor at 14:30, will be counted absent a total of 1-1/2 (1.5) hours of classroom instruction. The 13:10 time will be rounded back to 13:00. Note: There are no differentiations between excused or unexcused absences. They

25 both account for total time absent from the program. All absent hours must be made up prior to the completion of the current semester. ATTENDANCE POLICY FOR LAB: Attendance for classroom, skills lab and clinical rotations is mandatory. Lab: Paramedic Processes I and Paramedic Processes II If at any point during a semester, a student is absent a total of 5 hours (Lab) during PM-I or PM-II, that student will be placed on Academic Probation. o If a student is placed on Academic Probation, that student must then meet with the EMS Manager to discuss his/her continuation in the program There shall be NO MORE than 8 (eight) hours of total (Lab) absence during PM-I or PM-II. o Any student absent more than 8 (eight) hours (Lab) during either PM- I and PM-II will receive a grade of F for failure of the course due to excessive absences. Paramedic Processes III If at any point during this semester, a student is absent a total of 4 hours (Lab), that student will be placed on Academic Probation. o If a student is placed on Academic Probation, that student must then meet with the EMS Manager to discuss his/her continuation in the program. There shall be NO MORE than 6 (six) hours of total (Lab) absence during PM-III. o Any student absent more than 6 (six) hours (Lab) during PM-III, will receive a grade of F for failure of the course due to excessive absences. Early Dismissal: Any student leaving early from Class (Lecture) or Lab, before the class is dismissed by the instructor, will have the time remaining counted toward their total hours of absence. The time will be rounded to the nearest ½ (half) hour. Ex: The student exits class at 13:10 and class is dismissed by the instructor at 14:30, will be counted absent a total of 1-1/2 (1.5) hours of classroom instruction. The 13:10 time will be rounded back to 13:00. Note: There are no differentiations between excused or unexcused absences. They both account for total time absent from the program. All absent hours must be made up prior to the completion of the current semester. The paramedic program utilizes an electronic attendance tracking system. It is the student s responsibility to sign in and out of class each day. Failure to sign in will be

26 noted as a failure to attend that class. In the case of a dispute regarding attendance it is the responsibility of the student to provide proof of their attendance. Failure to provide such proof will result in a documented absence. CONDUCT: Students are expected to conduct themselves in a professional - adult manner during classroom, lab and clinical sessions. Inappropriate behavior and/or any conduct that reflects negatively on the Program will result in written counseling by the Clinical Coordinator and/or Program Manager and may be cause for probation or expulsion from the program. Refer to the NWF Catalog for additional information regarding disciplinary action. Infractions that may result in disciplinary action, dismissal, or failure include: 1. Dishonesty, including providing false statements (lying) or falsification of documents 2. Cheating on written or skills exams 2. Vulgarity during class, clinical or field internship 4. Disruptive behavior in class, clinical or field internship 5. Harassment or disrespect of instructors or of fellow students 6. Inappropriate attire worn for clinical or field internship 7. Breech of patient confidentiality, giving out information, copying run reports or hospital records. 8. Falsification of any information of student attendance, clinical records or evaluations 9. Violation of absence and/or tardiness policies 10. Failure to meet minimum scholastic, clinical or field internship requirements as outlined in policies 11. Violation of class or lab/clinical attendance policy 12. Reporting late or leaving a class or clinical early without permission (excessive tardiness) of Instructor, Preceptor or Course Coordinator 13. Theft of hospital, EMS or ambulance property 14. Unprofessional conduct or derogatory language of any kind toward college or agency personnel. 15. Behavior indicating drug or alcohol abuse may be grounds for immediate dismissal 16. Any event which may alter criminal background investigation MUST be reported to the department immediately.

27 DRESS CODE: Classroom: Students are expected to arrive for class well-groomed and appropriately attired. Students are required to wear their uniform for all program activities. Students are asked not to wear hats or caps in the classroom. Dress code requirements for classroom attendance: Students must wear program specific polo or tee shirt, with appropriate pants and black boots. Classroom, Clinical, and Field: Students are expected to arrive well-groomed and appropriately attired. Students arriving for classroom or clinical rotations inappropriately attired or groomed may be dismissed from the class or rotation and counted as absent. The following dress code applies to all classroom, clinical and field rotations and is as follows: 1. Shirt: A. NWF EMS Program approved Paramedic Program uniform polo 1. No other patches, logos or insignia may be worn 2. Shirts are available in the NWF College Store 2. Pants: A. Navy-blue uniform pants B. No jeans or denim material is allowed 3. Belt: Black leather or web uniform belt 4. Navy blue or black uniform socks 5. Boots A. Black boots with black shoe laces B. All boots must be in good repair and polished 6. Jewelry/Miscellaneous: A. A watch and wedding band are permissible to worn in the clinical setting. B. One pair of stud earring may be worn in the earlobes only. C. ALL other Piercing and tattoos must be completely covered when in uniform. D. While at clinical sites, students must adhere to additional policies regarding jewelry, hair, perfume etc. set forth by the individual site. E. No artificial nails 7. Equipment: A. Scissors

28 B. Black ink pen C. Pen light D. Stethoscope E. Protective Eyewear F. No "fanny packs" may be worn 8. No jumpsuits may be worn during any clinical rotation 9. Jackets or sweaters: A. May be worn during cold weather B. Must be navy-blue C. May display the NWF patch D. May not display any other logo, patch or insignia E. Denim and leather jackets are NOT allowed 10. Hats: A. Students may be authorized to wear a designated NWF Public Safety baseball cap style hat approved by the program director. Students arriving for classroom or clinical rotations (1) inappropriately attired, (2) poorly groomed, (3) with offensive body or breath odor or (4) without necessary equipment, MAY BE SENT HOME and will be counted as absent for that day/rotation. Students in violation of this policy shall not attend further rotations until counseled by the Clinical Coordinator or the Program Manager. Students should wear the full NWF EMS student uniform to and from Operating Room rotations. Scrubs or plain clothes are not to be worn to or from the hospital.

29 EMPLOYMENT DURING TRAINING PROGRAM State rules forbid students from being subject to call to duty during the paramedic training program that includes class, laboratory or clinical rotation. Violations of this rule are grounds for dismissal from the program.

30 GRADING CRITERIA FOR THE FINAL SKILLS EXAMINATIONS: The Program uses the National Registry of Emergency Medical Technicians Paramedic Psychomotor Examination as its comprehensive skills test. Students must successfully pass all skills stations. Grading is on a pass/fail basis. Failure of any part of a skills station constitutes failure of the entire station. Retesting individual stations is allowed if two or fewer stations are failed. One retest per skill will be allowed on the day of the original practical examination, if allowed by time and NREMT representative. Should the retest be failed, the student must schedule with the NREMT to attend Paramedic Psychomotor skills testing at an alternate location. The second full attempt must be administered prior to the end of the subsequent NWFSC semester. Failure of three or more stations constitutes a failure of the entire practical examination. Should this occur, the student will be required to obtain a signed certificate of retraining before being allowed to retest the entire practical exam. Retesting of the entire practical exam must occur on a different day than the original examination date. Failure to successfully retest any skill will constitute failure of the course. National Registry skills stations to be tested are as follows: 1. Patient Assessment Trauma 2. Dynamic Cardiology 3. Static Cardiology 4. Oral Station A 5. Oral Station B 6. Integrated Out-of-Hospital Scenario Copies of skills testing sheets for each of the above listed skills will be given to the students during the semester. Students are encouraged to become familiar with skills testing criteria before attempting testing by visiting www.nremt.org.

31 MANDATORY CLASSES: 2-HOUR TRAUMA SCORECARD METHODOLOGY 4-HOUR HIV/AIDS SUDDEN INFANT UNEXPLAINED DEATH SYNDROME State rules require that all students participate in 2-hour Trauma Scorecard Methodology, 4-hour HIV/AIDS instruction, and Sudden Infant Unexplained Death Syndrome. These classes are taught in Paramedic Processes theory. Any student missing these classes must make them up before being certified for graduation.

32 PROPERTY USE: As a proud department of Northwest Florida State College, we are fortunate to have modern,accommodating facilities. As professionals, we will respect the property of the College. And as members of a team, we share in the responsibility to maintain a safe and clean learning environment. Classrooms and labs will be kept in a neat and orderly fashion. The classroom and lab should be cleaned, equipment put back in place, tables and chairs returned to original locations, etc. at the end of each day. This is a portion of daily grading. If you use it, put it back If you break it, let an instructor know If you make a mess, clean it up. Any damage to equipment that involves a student must be reported to the Program Manager within 24-hours from when the indicent occurs, or is noticed. Students who willfully drop, break, or destroy any college, hospital, or ambulance equipment may be financially responsible for replacement.

33 COLLEGE E-MAIL Students are to keep and maintain their Northwest Florida State College assigned email address throughout their duration as an EMS student. All correspondence for the EMS program will be provided through the official college email system. Students are expected to check their College email at least every 48 hours. Students will also be contacted through their College email after graduation for up to one year. After successful completion of the Paramedic program, please ensure that you complete the CoAEMSP survey.

34 FAILURES / WITHDRAWALS If any portion of a given course was not completed successfully, the student must successfully repeat that entire course prior to progressing in the program. If a student fails to complete any phase of the program successfully NWFSC EMS medical director will determine appropriate reentry into next paramedic cohort. Proficiency must be demonstrated for all skills covered during the previous semester attended. Exceptions may be made on a case by case basis at the Medical Director s Discretion. Only two attempts at any given course are permitted. The student may not re-enter the program, if they have been removed due to Disciplinary Procedure / Code of Conduct violations. Per FS401.2701 (1) (a) 4 a: The medical director shall have the duty and responsibility of certifying that graduates have successfully completed all phases of the education program and are proficient in basic or advanced life support techniques, as applicable.

35 GRADUATION / LETTER OF COMPLETION Per State requirements 64J-1.201 (1)(d): Course directors shall submit a roster of students eligible to take the state certification examination to the Department of Health within 14 days after course completion, but not before course completion. This roster shall be signed by the program director. Furthermore, the program is to issue the students their letter of completion no later than 14 days from the date of program completion (as loaded in the Raidernet system). If the ceremonial graduation occurs prior to this deadline, blank certificates will be handed out. It is the student s responsibility to acquire the official letter from the Program Director, either directly or by submitting a self-addressed envelope.

36 AFFECTIVE PROFESSIONAL BEHAVIOR EVALUATION The affective professional behavior evaluation is an important part of the EMS students overall performance in the EMS Program, as well as a requirement for CoAEMSP accreditation. The Professional Behavior Evaluation includes 5 levels of achievement: 1.Inadequate 2.Marginal 3.Normal 4.Superior 5.Outstanding There are 13 categories which include appearance, attendance, physical fitness, relationship with people, learning ability, teamwork, knowledge, attitude, initiative, care of equipment and supplies, use of supplies and equipment, quality of work, and accepts responsibility. If the Primary Instructor identifies a weakness during the semester, an evaluation will be done at that time and a remediation plan will be initiated. Up to 10% may be awarded toward the student s final grade for their Affective Professional Behavior Evaluation. Scores are posted in the class grade book on D2L and a hard copy of the evaluation is placed in the student file after the document has been reviewed with the student. Affective evaluations will be completed after each semester of the Paramedic program. A final Summative Affective evaluation will be completed after PM-III for the entirety of the program. There are opportunities for students to complete a write-in response to evaluations.

37 NORTHWEST FLORIDA STATE COLLEGE PARAMEDIC PROGRAM EMT FUNCTIONAL POSITION DESCRIPTION (TECHNICAL STANDARDS) Without compromising patient care, the EMT/Paramedic must be able to show ability to: 1. Communicate verbally by telephone and radio equipment 2. Lift, carry and balance up to 125-pounds (250-pounds with assistance) 3. Interpret written, oral and diagnostic form instructions 4. Use good judgment and remain calm in high-stress situations 5. Work effectively in an environment with loud noises and flashing lights 6. Function efficiently throughout an entire work shift 7. Calculate weight and volume ratios and read small print, both under lifethreatening time constraints 8. Read and understand English language manuals and road maps 9. Accurately comprehend street signs and address numbers 10. Interview patient, family members and bystanders 11. Document (in writing) all relevant information in prescribed format, considering the legal ramification of such 12. Converse in English with coworkers and hospital staff concerning the patient's health status 13. Perform all tasks, with good manual dexterity, related to highest quality patient care 14. Bend, stoop and crawl on uneven terrain 15. Withstand varied environmental conditions such as extreme heat, cold and moisture 16. Work in low light, confined spaces and other dangerous environments.

38 EMT-Paramedic: National Standard Curriculum Module and Unit Objective Summary 1 At the completion of this module, the paramedic student will understand the roles and responsibilities of a Paramedic within an EMS system, apply the basic concepts of development, pathophysiology and pharmacology to assessment and management of emergency patients, be able to properly administer medications and communicate effectively with patients. 1-1 At the completion of this unit, the paramedic student will understand his or her roles and responsibilities within an EMS system and how these roles and responsibilities differ from other levels of providers. 1-2 At the completion of this unit, the paramedic student will understand and value the importance of personal wellness in EMS and serve as a healthy role model for peers. 1-3 At the completion of this unit, the paramedic student will be able to integrate the implementation of primary injury prevention activities as an effective way to reduce death, disabilities and health care costs. 1-4 At the completion of this unit, the paramedic student will understand the legal issues that impact decisions made in the out-of-hospital environment. 1-5 At the completion of this unit, the paramedic student will understand the role that ethics plays in decision making in the out-of-hospital environment. 1-6 At the completion of this unit, the paramedic student will be able to apply the general concepts of pathophysiology for the assessment and management of emergency patients. 1-7 At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles of pharmacology and the assessment findings to formulate a field impression and implement a pharmacologic management plan. 1-8 At the completion of this unit, the paramedic student will be able to safely and precisely access the venous circulation and administer medications. 1-9 At the completion of this unit, the paramedic student will be able to integrate the principles of therapeutic communication to effectively communicate with any patient while providing care. 1-10 At the completion of this unit, the paramedic student will be able to integrate the physiological, psychological and sociological changes throughout human development with assessment and communication strategies for patients of all ages. 2 At the completion of this module, the paramedic student will be able to establish and/or maintain a patent airway, oxygenate and ventilate a patient.