Program Catalogue For the RCFD Paramedic Program. Rapid City Fire Department 10 Main Street Rapid City, SD 57701

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Program Catalogue For the RCFD Paramedic Program Rapid City Fire Department 10 Main Street Rapid City, SD 57701

CoAEMSP Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions 8301 Lakeview Parkway Suite 111-312 Rowlett, TX 75088 214-703-8445 ADMISSIONS PROCESS Students may enroll in the paramedic course only after being formally admitted to the program. To apply for admission they must meet the prerequisites and submit the completed application for student status. The application along with a course syllabus and reciprocity form can be found online at: WWW.RCGOV.ORG The interview will be done by the medical director, EMS Chief, EMS Section Chief, Program Director, and Clinical Director PREREQUISITES The following are pre-requisites for admission into the program and verification must be submitted before the applicant can be considered for entrance into the program: Must be at least eighteen years old at the beginning of the course. Must have EMT certification. Must be a current member or employee of an ambulance service, work as an EMT in a hospital, or have received reciprocity from the state of SD if currently working in another state. You must have a SD EMT number before being accepted into the program. One year of patient care experience recommended in RCFD, or 3 years with services outside RCFD. Must have a copy of a current CPR card Must have a proof of your highest level of Education Immunization Records 2

Credits for experiential learning/transfer of credits The RCFD Paramedic Program recognizes those who have done previous Paramedic training, but those accepted into this program, will need to go through the entire program start to finish to ensure consistent material will be covered. Completion of this program will consist of evaluation of student s progress, completion of didactic, clinical and field internship rotations that include the proper number of hours and contacts fulfilled to meet the programs minimum standards. TUITION, FEES, REFUNDS Paramedic Total tuition and lab fees for RCFD Paramedic Program are $6,500 on or before the first day of the didactic phase program. Tuition includes classroom instruction, skills lab supplies, clinical fees, FISDAP, and professional liability insurance. If a student elects to attend an internship site outside the area, the student is responsible for all travel and living costs. In some, but not all areas, local fire departments are able to house students in their stations. The RCFD will work with all students in an attempt to find a field internship opportunity that will work for them.. Withdrawals If a student voluntarily leaves the program for any reason, refunds will as follows: A. Prior to classes beginning, or within the first five days of class, the student will refunded all tuition paid. B. All other withdrawals, will be at a pro-rated rate. Refund Schedule 1 All refunds owing will be made within Sixty (60) ninety (90) calendar days of the date of determination of student withdrawal. 2 If the RCFD cancels the Paramedic Program subsequent to a student s enrollment, the institution will refund all monies paid by the student. 3

CLINICAL REQUIREMENTS Clinical time has been arranged at Rapid City, SD, Rapid City Regional Hospital, Spearfish Regional Hospital, Sturgis Hospital and Fall River Hospital in Hot Springs. Field internship time has been arranged at The Rapid City Fire Department, Spearfish Ambulance Service, Hot Springs EMS, Sturgis Fire and EMS. Additional classroom, skills lab, clinical, or field internship time may be arranged on an individual student-by-student basis as needed during the course. These hours represent the MINIMUM time that will be spent on each subject area. For this reason the dates for course completion and National Registry testing are subject to some change. Location Minimum Hours Date Opens IV Team (or Lab) 8 Operating Room 40 Emergency Department 180 Dialysis Unit or ER 12 Pediatric Unit 24 Labor/Delivery/ Newborn Nursery Minimum Total Hospital Clinical Time Paramedic Ambulance Field Internship Minimum Total Clinical And Field Internship Time 24 276 400 676 During the available clinical and field internship time, the student will be responsible for demonstrating proficiency to the preceptor in the following areas: 4

PSYCHOMOTOR SKILLS The student must demonstrate the ability to safely administer medications. The student should safely, and while performing all steps of each procedure, properly administer medications at least 15 times to live patients. The student must demonstrate the ability to safely perform endotracheal intubation. The student should safely, and while performing all steps of each procedure, successfully intubate at least 10 live patients. The student must demonstrate the ability to safely gain venous access in all age group patients. The student should safely, and while performing all steps of each procedure, successfully access the venous circulation at least 25 times on live patients of various age groups. The student must demonstrate the ability to effectively ventilate unintubated patients of all age groups. The student should effectively, and while performing all steps of each procedure, ventilate at least 20 live patients of various age groups. AGES The student must demonstrate the ability to perform a comprehensive assessment on pediatric patients. The student should perform a comprehensive patient assessment on at least 30 (including 2 newborns, 2 infants, 2 toddlers, 2 preschool and 2 school age, 2 adolescent) pediatric patients. The student must demonstrate the ability to perform a compressive assessment on adult patients. The student should perform a comprehensive patient assessment on at least 50 adult patients. The student must demonstrate the ability to perform a comprehensive assessment on geriatric patients. The student should perform a comprehensive patient assessment on at least 30 geriatric patients. PATHOLOGIES The student must demonstrate the ability to perform a comprehensive assessment on obstetric patients. 5

The student should perform a comprehensive patient assessment on at least 10 obstetric patients. The student must demonstrate the ability to perform a comprehensive assessment on trauma patients. The student should perform a comprehensive patient assessment on at least 40 trauma patients. The student must demonstrate the ability to perform a comprehensive assessment on psychiatric patients. The student should perform a comprehensive patient assessment on at least 20 psychiatric patients. COMPLAINTS The student must demonstrate the ability to perform a comprehensive assessment, formulate and implement a treatment plan for patients with chest pain. The student should perform a comprehensive patient assessment, formulate and implement a treatment plan on at least 30 patients with chest pain. The student must demonstrate the ability to perform a comprehensive assessment, formulate and implement a treatment plan for patients with dyspnea/respiratory distress. The student should perform a comprehensive patient assessment, formulate and implement a treatment plan on at least 20 adult patients with dyspnea/respiratory distress. The student should perform a comprehensive patient assessment, formulate and implement a treatment plan on at least 8 pediatric patients (including infants, toddlers, and school age) with dyspnea/respiratory distress. The student must demonstrate the ability to perform a comprehensive assessment, formulate and implement a treatment plan for patients with syncope. The student should perform a comprehensive patient assessment, formulate and implement a treatment plan on at least 10 patients with syncope. The student must demonstrate the ability to perform a comprehensive assessment, formulate and implement a treatment plan for patients with abdominal complaints. The student should perform a comprehensive patient assessment, formulate and implement a treatment plan on at least 20 patients with abdominal complains (for example: abdominal pain, nausea/vomiting, GI bleeding, gynecological complaint, etc.) 6

The student must demonstrate the ability to perform a comprehensive assessment, formulate and implement a treatment plan for patients with altered mental status. The student should perform a comprehensive patient assessment, formulate and implement a treatment plan on at least 20 patients with altered mental status. TEAM LEADER SKILLS The student must demonstrate the ability to serve as a team leader in variety of prehospital emergency situations. The student should serve as the team leader for at least 50 ALS prehospital emergency responses. *You will be required to complete all clinical shifts. For example, if you have completed 400 hours of ride time and it is only 11am but the ambulance shift that you are doing runs 7am to 7pm you will need to stay until 7pm and finish out the shift. Clinical Area Hours Emergency 180 Pediatrics 24 OR 40 Dialysis 12* OB/NICU 24 IV 8 Cadaver Lab (Lions Eye Bank) * Ride Time 400 Totals 676 Dialysis rotations may be completed in the ER Cadaver lab is optional through the Lions Eye Bank and is available during a case of theirs. Documentation will be documented in FISDAP. 7

Date s, Tests, Quizzes Week 1- Anatomy & Physiology Orientation Medical Terminology Introduction Day 2 1: Structure & Function 1: Quiz 1: 2: of Life Chemistry 2: Quiz 2: 3: Cells & Tissues Day 3 4: Organ Systems 5: Integumentary System 6: Skeletal System 3: Quiz 3: 4: Quiz 4: 5: Quiz 5: 6: Quiz 6: Day 4 7: Muscular System 7: Quiz 7: 8

Day 5 8: Nervous System 9: Senses 10: Endocrine System 8: Quiz 8: 9: Quiz 9: 10: Quiz 10: Date s, Tests, Quizzes Week 2-Anatomy & Physiology 11: Blood 12: Cardiovascular System 11: Quiz 11: 12: Quiz 12: Day 2 13: Lymphatic System 13: Quiz 13: 14: Respiratory System 14: Quiz 14: Day 3 15: Digestive System 15: Quiz 15: 9

16: Nutrition & Metabolism 16: Quiz 16: Day 4 17: Urinary System 17: Quiz 17: 18: Fluid & Electrolyte Balance 18: Quiz 18: Day 5 19: Acid-Base Balance 19: Quiz 19: 20: Reproductive System 20: Quiz 20: Date s, Tests, Quizzes Week 3 - Introduction Anatomy &Physiology Exam A&P Exam 10

Volume 1 1: Introduction to Paramedicine Ch. 1: Quiz Ch. 1: Ch. 2: Quiz Ch. 2: Day 2 Day 3 2: EMS Systems 3: Roles and Responsibilities of the Paramedic 4: Workforce Safety and Wellness 5: EMS Research Ch. 3: Quiz Ch. 3: Ch. 4: Quiz Ch. 4: Ch. 5: Quiz Ch. 5: Day 4 Day 5 6: Public Health 7: Medical/Legal Aspects of Prehospital Care 8: Ethics in Paramedicine 9 : EMS System Communications 10 : Documentation Ch. 6: Quiz Ch. 6: Ch. 7: Quiz Ch. 7: Ch. 8: Quiz Ch. 8: Ch. 9: Quiz Ch. 9: Ch. 10: Quiz Ch. 10: 11

Lab: Documentation Date s, Tests, Quizzes Week 4 - Fundamentals Intro to Paramedicine Exam Volume 2 Volume 1 Introduction Exam Day 2 Day 3 Day 4 Day 5 1: Pathophysiology 2: Human Life Span Development 3: Emergency Pharmacology Lab: Emergency Pharmacology 4: Intravenous Access and Medication Administration Lab: Intravenous Access and Medication Administration 5: Airway Management and Ventilation Ch.1: Quiz Ch. 1: Ch. 2: Quiz Ch. 2: Ch. 3: Quiz Ch. 3: Ch. 4: Quiz Ch. 4: Ch. 5: Quiz Ch. 5: Lab: Airway Management and 12

Ventilation Date s, Tests, Quizzes Week 5 - Pharmacology Fundamentals Exam Pharmacology Volume 2 - Fundamentals Exam Day 2 1: General Information 2: Pharmacoki netics and Pharmacodynamics 3: Administration of Medications 1 1 Quiz 2 2 Quiz 3 3 Quiz Day 3 Lab: Administration of Medications 4: Medication Dosage Calculation 4 4 Quiz Day 4 Lab: Dosage Calculations 5: Fluids and IV Therapy 5 5 Quiz 6: Autonomic Nervous System 6 6 Quiz 13

Day 5 7: Cardiovascular Emergencies 7 7 Quiz Date s, Tests, Quizzes Week 6 Day 2 Day 3 Day 4 8: Respiratory Emergencies 9: Anaphylaxis 10: Metabolic Emergencies 11: Neurologic Emergencies 12: OB/GYN 13: Toxicology 14: Behavioral 15: GI Emergencies 8 8 Quiz 9 9 Quiz 10 10 Quiz 11 11 Quiz 12 12 Quiz 13 Quiz 13 Quiz 14 Quiz 14 Quiz 15 Quiz 15 Quiz 16: Pain Management 16 Quiz 16 Quiz Day 5 17: Weapons 17 Quiz 14

of Mass Destruction 17 Quiz Date s, Tests, Quizzes Week 7 Assessment (Volume 3) Pharmacy Exam Pharmacy Exam Volume 3: 1: Scene Size- Up 1: Quiz 1: Day 2 2: Primary Assessment Lab: Scene Size-Up and Primary Assessment 3: Therapeutic Communications 4: History Taking 2: Quiz 2: 3: Quiz 3: 4: Quiz 4: 5: Secondary Assessment 5: Quiz 5: 15

Day 3 6: Patient Monitoring Technology 7: Patient Assessment in the Field 6: Quiz 6: 7: Quiz 7: Day 4 Lab: History Taking, Secondary Assessment and Patient Assessment Assessment Exam Volume 4 Volume 3 Assessment Exam 1: Pulmonology 1: Quiz 1: Day 5 2: Cardiology 2: Quiz 2: Date, Tests,Quizzes, Week 8 Medicine (Volume 4) 3: Neurology Lab: Neurology 3: Quiz 3: 16

4: Endocrinology 5: Immunology Lab: Endocrinology and Immunology Day 2 6: Gastroenterology Lab: Gastroenterology 4: Quiz 4: 5: Quiz 5: 6: Quiz 6: 7: Urology and Nephrology 7: Urology and Nephrology Day 3 Lab: Nephrology 8: Toxicology and substance abuse 8: 8: Quiz 9: Hematology Lab: Toxicology, Substance Abuse, and Hematology 9: 9: Quiz Day 4 10: Infectious Disease and Sepsis 10: Infectious Disease and Sepsis 11 Psychiatric and Behavioral 11 Psychiatric and Behavioral 17

Disorders Disorders Lab: Sepsis and Psychiatric Disorders. Lab: Sepsis and Psychiatric Disorders. Day 5 12: Diseases of the Eyes Ears Nose and Throat 12: 12: Quiz 13: Nontraumatic Musculoskeletal Disorders 13: 13: Quiz Date s, tests, quizzes Week 9 (Cardiology) Day2 Medicine Exam Basic Arrhythmias Ch 1-4 Lab Basic Arrhythmias Ch 5-8 Volume 4 Medicine Exam 1-4: Workbook 5-8: Workbook Day3 Basic Arrhythmias Ch 9-10 9-10: Workbook 12 Lead ECG Ch 1-4 12 Lead Lab 12Lead 1-4: Workbook 18

Day4 12 Lead ECG Ch 5-8 12 Lead 5-8: Workbook Day5 12 Lead Lab 12 Lead ECG Ch 9-14 12 Lead 9-14: Workbook 12 Lead Lab Date s, Tests, Quizzes Week 10 - Trauma ACLS-Advanced Cardiac Life Support ACLS Reading Day 2 Day 3 Day 4 ACLS-Advanced Cardiac Life Support ACLS Review and Exam Volume 5 -Trauma 1: Trauma and trauma systems 2: Blunt Trauma Lab: Blunt Trauma 3: Penetrating trauma 4: Hemorrhage and ACLS Exam 1: 1: Quiz 2: 2: Quiz 3: 3: Quiz 4: 19

Shock Lab: Blunt Trauma, Hemorrhage, and Shock 4: Quiz Day 5 5: Soft Tissue Trauma 6: Burn Trauma Lab: Soft Tissue and Burn Trauma 5: 5: Quiz 6: 6: Quiz Date, Tests, Quizzes Week 11 Trauma 7: Orthopedic Trauma 8: Thoracic Trauma Lab: Orthopedic and Thoracic Trauma Day 2 9: Abdominal Trauma 7: 7: Quiz 8: 8: Quiz 9: 9: Quiz 10: Head, 10: 20

Neck, Face and Spinal Trauma 10: Quiz Lab: Abdominal, Head, Neck, Face, and Spinal Trauma Day 3 11: Nervous System Trauma 11: 11: Quiz 12: Environmental Trauma 12: 12: Quiz Day 4 Day 5 Lab: Nervous System and Environmental Trauma 13: Special Considerations in Trauma Review Trauma Exam PHTLS 13: 13: Quiz Volume 5- Trauma Exam PHTLS Reading Date, Tests, Quizzes Week 12 Special Populations PHTLS PHTLS Exam 21

Day 2 Volume 6 Special Patients 1: Gynecology 1: 1: Quiz 2: Obstetrics Lab: OB/GYN Day 3 3: Neonatology 4: Pediatrics Lab: Neonatology and Pediatrics Day 4 5: Geriatrics Day 5 6: Abuse, Neglect, and Assault Lab: Geriatrics, Abuse, Neglect, and Assault 7: The Challenged Patient 8: Acute 2: 2: Quiz 3: 3: Quiz 4: 4: Quiz 5: 5: Quiz 6: 6: Quiz 7: 7: Quiz 22

interventions in the Chronic Care Patient 8: 8: Quiz Lab: s 7&8 Date s, Tests, Quizzes Week 13 Special Operations Exam Special Patients Volume 6 Exam Day 2 Day 3 PALS Pediatric Advanced Life Support PALS Pediatric Advanced Life Support Volume 7 Special Operations 1: Ground Ambulance Operations 2: Air Medical Operations PALS Exam 1: 1: Quiz 2: 2: Quiz Lab: Ground 23

Day 4 Ambulance and Air Medical Operations 3: Multiple Casualty Incidents and Incident Management 3: 3 Quiz 4: Rescue Awareness Lab: Multiple Casualty Incidents and Rescue, Incident Management, and Rescue Awareness and Operations Day 5 5: Hazardous Materials 4: 4: Quiz 5: 5: Quiz 6: Crime Scene Awareness Lab: Hazmat and Crime Scene Awareness 6: 6: Quiz Date s, Tests, Quizzes Week - 14 24

7: Rural EMS 7: 7: Quiz 8: Responding to Terrorist Acts 8: 8: Quiz Lab: Rural EMS and Terrorist Acts Day 2 Operations Exam Volume 7 Exam Advanced Medical Life Support- AMLS Day 3 Advanced Medical Life Support- AMLS AMLS Exam Day 4 Final Exam Review Day 5 Final Written Exam Final Skills Exam Date s, Tests, Quizzes Week 15 LAB/MAKEUP/CLINCAL PREP Clinical 25

Day 2 Day 3 Day 4 Day 5 Preparation Lab Makeup Clinical Preparation Lab Makeup Clinical Preparation Lab Makeup Clinical Preparation Lab Makeup Clinical Preparation Lab Makeup Date Week 16-17 Clinical I Day 2 Day 3 Clinical IV, OR, OB, PEDS Clinical IV, OR, OB, PEDS Clinical IV, OR, OB, PEDS Clinical Admin As Needed 26

Class Day 4 Day 5 Clinical IV, OR, OB, PEDS Clinical IV, OR, OB, PEDS Date Week 18-23 Clinical II Clinical Emergency Room- Clinical Internship Day 2 Clinical Emergency Room- Clinical Internship Day 3 Clinical Emergency Room- Clinical Internship As Needed Clinical Admin Class Day 4 Clinical Emergency Room- Clinical Internship Day 5 Clinical Emergency Room- Clinical Internship Date Week 24-33 Clinical III Clinical Field 27

Day 2 Day 3 Internship Clinical Field Internship Clinical Field Internship Clinical Admin Class As Needed Day 4 Day 5 Clinical Field Internship Clinical Field Internship 28