Health Careers and Natural Sciences Division Emergency Medical Technology Department Program Handbook Ohio EMS Program Accred. 312
Emergency Medical Technology Program Manual Page 1 The Ohio Department of Public Safety EMS Division Accreditation # 312 Student Information Name: Address: City, State Zip: Phone: Cuyahoga Community College 2900 Community College Avenue Cleveland, Ohio 44115 (216) 987-4449 Attention If found, please return to the EMT office or call 987-4449
Page 2 Emergency Medical Technology Program Manual Table of Contents 1 Welcome!... 13 2 Introduction... 14 3 Accreditation... 14 4 Profession Descriptions... 14 4.1 Emergency Medical Responder 14 4.2 Emergency Medical Technician 16 4.3 Advanced Emergency Medical Technician 18 4.4 Paramedic 18 5 Course Offerings... 19 6 Program Description and Course of Study... 19
Emergency Medical Technology Program Manual Page 3 6.1 Emergency Medical Responder 19 6.2 EMT- Basic 19 6.3 Advanced Emergency Medical Technician 19 6.4 Paramedic 19 6.5 Short Term Certificates 20 6.6 AAS in EMT 20 6.7 Program Sequence 20 7 The Mission of the Emergency Medical Technology Program... 23 8 Emergency Medical Technology Program Outcomes... 23 8.1 Communication 23
Page 4 Emergency Medical Technology Program Manual 8.2 Professionalism/Working with Others 23 8.3 Advanced Patient Assessment 23 8.4 Advanced Emergency Medical Treatment 23 8.5 Safety 24 8.6 Management 24 8.7 Organizational and Interpersonal Skills 24 8.8 Adapt to change/critical Thinking 24 8.9 Wellness 24 8.10 Certification Preparation 24 9 Withdrawal from Courses or from the Program... 24 10 Readmission to the Program
Emergency Medical Technology Program Manual Page 5... 25 11 Change of Name, Address, Contact Information... 25 12 Dismissal from the EMT Program... 25 13 Student Conduct Code... 26 14 Financial Aid... 27 15 Academic Advising... 27 16 Course Waivers and Substitutions... 27 17 Special Problems... 27 18 Attendance... 27 19 Laboratory Practice... 27 20 Evaluation Procedures
Page 6 Emergency Medical Technology Program Manual... 28 20.1 Grading Policy 28 20.2 Grade Scale 28 20.3 Examinations 29 20.4 Incomplete (I) Grades 29 21 Promotion Policies... 29 21.1 Clinical requirements 29 21.2 Prerequisites 29 21.3 EMT grades 30 21.4 Lecture/Lab course grades 30 21.5 Withdrawal/Absence 30
Emergency Medical Technology Program Manual Page 7 21.6 Withdrawal/Behavior 30 21.7 Grade point average 30 21.8 CPR certification 30 21.9 Student conduct code 30 21.10 Liability insurance 30 21.11 Student success 31 22 Lab Attire... 31 23 Assignment to the Clinical Area... 31 24 Qualifications for Clinical Education Placement... 31 24.1 Grade Point Average 32
Page 8 Emergency Medical Technology Program Manual 24.2 Liability Insurance 32 24.3 Cardiopulmonary Resuscitation Certification (CPR) 32 24.4 Background Check 32 24.5 Drug Testing 33 24.6 Health Requirements 33 24.7 Health Insurance 34 24.8 Financial Responsibilities 34 24.9 Attendance 35 24.10 Students used as normal staffing prohibited 35 24.11 Personal Business 36
Emergency Medical Technology Program Manual Page 9 24.12 Holidays 36 24.13 Snow Days 36 25 Regulations for Clinical Experience... 36 25.1 Dress Code 36 25.2 Behavior during Clinical/Field Experience 37 25.3 Records and Reports 37 26 Grade for Clinical Experience... 37 26.1 EMT 130L EMT-Basic Clinical/Field Experience 37 26.2 EMT 2300 EMT Intermediate 38 26.3 EMT 2340/50/60/70 Paramedic Theory 2-4 Clinical Experience/Field Experience 38
Page 10 Emergency Medical Technology Program Manual 27 Instructor Responsibility to Students... 38 28 Computer Use... 39 29 Program Files... 39 29.1 Student Program File 39 29.2 Course Summary File 40 29.3 Course student file 40 30 Student Services... 41 30.1 Access/Disabled Student Services 41 30.2 Student Support Services 42 30.3 Women in Transition 42
Emergency Medical Technology Program Manual Page 11 30.4 Veterans Upward Bound 42 30.5 Book Center 42 30.6 Student Health Insurance 42 31 My Tri-C Space... 42 31.1 Registration 43 31.2 Student records 43 31.3 Financial Aid 43 31.4 Book Centers 43 31.5 Public Safety 43 31.6 Personal Information 43
Page 12 Emergency Medical Technology Program Manual 32 Library Services and OhioLINK... 44 33 Technology Learning Centers (TLC)... 44 34 Safety and Evacuation... 44 35 Notice of Nondiscrimination... 45 36 Guidelines for Addressing Student Concerns*... 45 36.1 GRIEVANCE PROCEDURE 45
Emergency Medical Technology Program Manual Page 13 1 Welcome! Welcome to Cuyahoga Community College and the Emergency Medical Technology Program. The Health Careers and Natural Sciences Division and Emergency Medical Technology Program administration, faculty, and staff members are here to support you during this learning process. It is our hope that you will find the program both educational and enjoyable. During this program you will learn skills, gain knowledge, and develop professional behaviors that will enable you to enter into a challenging career. As health care professionals and educators we are here to assist you in attaining success. Cuyahoga Community College has numerous resources available to assist you. This manual is designed to give students enrolled into the program complete, accurate, and current information about the program, as well as inform students about the policies and procedures for successful completion of the program. Any information contained herein is subject to modification, deletion or change. Approved modifications, deletions or significant changes will be published and provided to the student as they occur. Please refer to the Tri- C Student handbook and college catalogue for additional information. The administration, faculty, and staff of the EMT department wish you success!
Page 14 Emergency Medical Technology Program Manual 2 Introduction This Emergency Medical Technology Program Handbook has been prepared to provide accurate information for the faculty and staff of the Cuyahoga Community College's Emergency Medical Technology Program. The Emergency Medical Technology Department offers classes on all campuses and at off campus locations. The administrative office is located at the Metropolitan Campus of Cuyahoga Community College. Faculty and staff are responsible for knowledge of all information contained in the Handbook. 3 Accreditation Cuyahoga Community College is accredited by the Higher Learning Commission of the North Central Association of Colleges and Schools. The Emergency Medical Technology Program is accredited by: The State of Ohio Emergency Medical Services Division accreditation number 312. 4 Profession Descriptions 4.1 Emergency Medical Responder The Emergency Medical Responder (EMR) may function in the context of a broader role, i.e., law enforcement, or industrial response. With a limited amount of equipment, the EMR answers emergency calls to provide efficient and immediate care to ill and injured patients. After receiving notification of an emergency, the EMR safely responds to the address or location given. Functions in uncommon situations; Has a basic understanding of stress response and methods to ensure; personal wellbeing; Has an understanding of body substance isolation; Understands basic medical-legal principles; Functions within the scope of care as defined by state, regional and local regulatory agencies; Complies with regulations on the handling of the deceased, protection of property and evidence at scene, while awaiting additional EMS resources; Before initiating patient care, the EMR will "size-up" the scene to determine that the scene is safe, to identify the mechanism of injury or nature of illness, and the total number of patients, and to request additional help if necessary. In the absence of law enforcement, creates a safe traffic environment. Using a limited amount of equipment, renders emergency
Emergency Medical Technology Program Manual Page 15 medical care to adults, children, and infants based on assessment findings. Duties include but are not limited to: Opening and maintaining an airway; Ventilating patients; Administering cardiopulmonary resuscitation; Providing emergency medical care of simple and multiple system trauma such as: o Controlling hemorrhage, o Bandaging wounds, o Manually stabilizing injured extremities. Providing emergency medical care to: o Assist in childbirth o Manage general medical complaints, altered mental status, seizures, environmental emergencies, behavioral emergencies and psychological crises. Searching for medical identification emblems as a guide to appropriate emergency medical care. Reassuring patients and bystanders by working in a confident, efficient manner. Avoiding mishandling and undue haste while working expeditiously to accomplish the task. Where a patient must be extricated from entrapment, assesses the extent of injury and assists other EMS providers rendering emergency medical care and protection to the entrapped patient. Performs emergency moves and assists other EMS providers in the use of the prescribed techniques and appliances for safely removing the patient. Under the direction and supervision of other EMS providers, assists in lifting the stretcher, placing the stretcher in the ambulance, and seeing that the patient and stretcher are secured. If needed, radios the dispatcher for additional help or special rescue and/or utility services. In cases of multiple patients, performs basic triage. Reports directly to the responding EMS unit or communications center the nature and extent of injuries, the number of patients, and the condition of each patient. Identifies assessment findings that may require communicating with medical oversight for advice. Constantly assesses patient while awaiting additional EMS resources. Administers additional care as indicated.
Page 16 Emergency Medical Technology Program Manual Orally reports their observations and emergency medical care of the patient to the transporting EMS unit. Upon request, provides assistance to the transporting unit staff. After each call, restocks and replaces used supplies, cleans all equipment following appropriate disinfecting procedures, and carefully checks all equipment to ensure availability for next response. Attends continuing education and refresher education programs as required by employers, medical oversight, and licensing or certifying agencies. Meets qualifications within the functional job analysis. See Appendix A. 4.2 Emergency Medical Technician The Emergency Medical Technician (EMT) responds to emergency calls to provide efficient and immediate care to the critically ill and injured, and transports the patient to a medical facility. After receiving the call from the dispatcher, drives the ambulance to address or location given, using the most expeditious route, depending on traffic and weather conditions. Observes traffic ordinances and regulations concerning emergency vehicle operation. Upon arrival at the scene of crash or illness, parks the ambulance in a safe location to avoid additional injury. Prior to initiating patient care, the EMT will also "size-up" the scene to determine that the scene is safe, the mechanism of injury or nature of illness, total number of patients and to request additional help if necessary. In the absence of law enforcement, creates a safe traffic environment, such as the placement of road flares, removal of debris, and re-direction of traffic for the protection of the injured and those assisting in the care of injured patients. Determines the nature and extent of illness or injury and establishes priority for required emergency care. Based on assessment findings, renders emergency medical care to adult, infant and child, medical and trauma patients. Duties include but are not limited to, opening and maintaining an airway, ventilating patients, and cardiopulmonary resuscitation, including use of automated external defibrillators. Provide prehospital emergency medical care of simple and multiple system trauma such as controlling hemorrhage, treatment of shock (hypoperfusion), bandaging wounds, and immobilization of painful, swollen, deformed extremities. Medical patients include: Assisting in childbirth, management of respiratory, cardiac, diabetic, allergic, behavioral, and environmental emergencies, and suspected poisonings. Searches for medical identification emblem as a clue in providing emergency care. Additional care is provided based upon assessment of the patient and obtaining historical information. These interventions include assisting patients with prescribed medications, including sublingual nitroglycerin, epinephrine auto-injectors and hand-held aerosol inhalers. The EMT will also be responsible for administration of oxygen, oral glucose and activated charcoal. Reassures patients and bystanders by working in a confident, efficient manner. Avoids mishandling and undue haste while working expeditiously to accomplish the task.
Emergency Medical Technology Program Manual Page 17 Where a patient must be extricated from entrapment, assesses the extent of injury and gives all possible emergency care and protection to the entrapped patient and uses the prescribed techniques and appliances for safely removing the patient. If needed, radios the dispatcher for additional help or special rescue and/or utility services. Provides simple rescue service if the ambulance has not been accompanied by a specialized unit. After extrication, provides additional care in triaging the injured in accordance with standard emergency procedures. Complies with regulations on the handling of the deceased, notifies authorities, and arranges for protection of property and evidence at scene. Lifts stretcher, placing in ambulance and seeing that the patient and stretcher are secured, continues emergency medical care. From the knowledge of the condition of the patient and the extent of injuries and the relative locations and staffing of emergency hospital facilities, determines the most appropriate facility to which the patient will be transported, unless otherwise directed by medical direction. Reports directly to the emergency department or communications center the nature and extent of injuries, the number being transported, and the destination to assure prompt medical care on arrival. Identifies assessment findings which may require communications with medical direction for advice and for notification that special professional services and assistance be immediately available upon arrival at the medical facility. Constantly assesses patient en route to emergency facility, administers additional care as indicated or directed by medical direction. Assists in lifting and carrying the patient out of the ambulance and into the receiving facility. Reports verbally and in writing their observation and emergency medical care of the patient at the emergency scene and in transit to the receiving facility staff for purposes of records and diagnostics. Upon request, provides assistance to the receiving facility staff. After each call, restocks and replaces used linens, blankets and other supplies, cleans all equipment following appropriate disinfecting procedures, makes careful check of all equipment so that the ambulance is ready for the next run. Maintains ambulance in efficient operating condition. Ensures that the ambulance is clean and washed and kept in a neat orderly condition. In accordance with local, state or federal regulations, decontaminates the interior of the vehicle after transport of patient with contagious infection or hazardous materials exposure. Determines that vehicle is in proper mechanical condition by checking items required by service management. Maintains familiarity with specialized equipment used by the service. Attends continuing education and refresher training programs as required by employers, medical direction, licensing or certifying agencies. Meets qualifications within the functional job analysis.
Page 18 Emergency Medical Technology Program Manual 4.3 Advanced Emergency Medical Technician Advanced Emergency Medical Technicians (AEMT) have fulfilled prescribed requirements by a credentialing agency to practice the art and science of out-of-hospital medicine in conjunction with medical direction. Through performance of assessments and providing medical care, their goal is to prevent and reduce mortality and morbidity due to illness and injury for emergency patients in the out-of-hospital setting. AEMTs possess the knowledge, skills and attitudes consistent with the expectations of the public and the profession. AEMTs recognize that they are an essential component of the continuum of care and serve as a link for emergency patients to acute care resources. The primary roles and responsibilities of AEMTs are to maintain high quality, out-ofhospital emergency care. Ancillary roles of the AEMT may include public education and health promotion programs as deemed appropriate by the community. AEMTs are responsible and accountable medical direction, the public, and their peers. AEMTs recognize the importance of research. AEMTs seek to take part in life-long professional development, peer evaluation, and assume an active role in professional and community organizations. 4.4 Paramedic Paramedics have fulfilled prescribed requirements by a credentialing agency to practice the art and science of out-of-hospital medicine in conjunction with medical direction. Through performance of assessments and providing medical care, their goal is to prevent and reduce mortality and morbidity due to illness and injury. Paramedics primarily provide care to emergency patients in an out-of-hospital setting. Paramedics possess the knowledge, skills and attitudes consistent with the expectations of the public and the profession. Paramedics recognize that they are an essential component of the continuum of care and serve as linkages among health resources. Paramedics strive to maintain high quality, reasonable cost health care by delivering patients directly to appropriate facilities. As an advocate for patients, paramedics seek to be proactive in affecting long term health care by working in conjunction with other provider agencies, networks, and organizations. The emerging roles and responsibilities of the Paramedic include public education, health promotion, and participation in injury and illness prevention programs. As the scope of service continues to expand, the Paramedic will function as a facilitator of access to care, as well as an initial treatment provider. Paramedics are responsible and accountable to medical direction, the public, and their peers. Paramedics recognize the importance of research and actively participate in the design, development, evaluation and publication of research. Paramedics seek to take part in lifelong professional development, peer evaluation, and assume an active role in professional and community organizations.
Emergency Medical Technology Program Manual Page 19 5 Course Offerings The Emergency Medical Technology Program offers courses leading to eligibility for state certification in EMR, EMT, AEMT, and Paramedic. EMT and Paramedic are scheduled on a regular basis. EMR and AEMT are scheduled for groups that are interested in these programs. The program offers an Associate in Applied Science in Emergency Medical Technology, which includes the EMT and Paramedic certification courses. It also offers the certification courses in an EMT Short Term Certificate, and a Paramedic Short Term Certificate. The EMT Short Term Certificate serves as the prerequisite to the Paramedic Short Term Certificate. Continuing education courses are offered through the colleges Workforce and Economic Development Division (WEDD) through EMS Advanced Training. 6 Program Description and Course of Study 6.1 Emergency Medical Responder EMT 1250 Emergency Medical Responder (Proposed) 6.2 EMT-Basic EMT 1302 EMT-Basic; 6 sem/hour EMT 130L EMT-Basic Special Lab; 1 sem/hour 6.3 Advanced Emergency Medical Technician EMT 2300 EMT-Intermediate 6.4 Paramedic BIO 2330 Anatomy and Physiology I BIO 2340 Anatomy and Physiology II or EMT 1400 Paramedic Success 4 sem/hours EMT 2330 Paramedic Theory 1; 6 sem/hours EMT 2340 Paramedic Theory 2; 6 sem/hours EMT 2350 Paramedic Theory 3; 6 sem/hours EMT 2360 Paramedic Theory 4; 6 sem/hours EMT 2370 Paramedic Theory 5; 5 sem/hours 6.4.1 Healthcare Professional to Paramedic course Certain licensed healthcare professionals are eligible for credit for previous training. The Healthcare Professional to Paramedic course is designed for Physician Assistants and Registered Nurses. Other healthcare professionals will be accepted on a case by case basis with approval of the medical director and program manager. Students must be State of Ohio EMT certified.
Page 20 Emergency Medical Technology Program Manual The Healthcare Professional to Paramedic program offering is being transitioned to WEDD EMS Advanced training. Requirements will be published once finalized. 6.5 Short Term Certificates The college offers short term certificates that provide an academic certificate for coursework leading to career opportunities. The EMT program offers two certificates, EMT-Basic and Paramedic. The EMT ST certificate is the prerequisite to the Paramedic ST certificate. Students who seek Paramedic Certification that achieved EMT certification through another program need to complete the EMT 1400 Paramedic Success course as a prerequisite to begin EMT 2330 Paramedic Theory I. 6.5.1 EMT-Basic ST Certificate EMT 1400 Paramedic Success 4 sem/hours EMT 1302 EMT-Basic; 6 sem/hours EMT 130L EMT Basic Special Lab; 1 sem/hour 6.5.2 Paramedic ST Certificate EMT 2330 Paramedic Theory 1; 6 sem/hours EMT 2340 Paramedic Theory 2; 6 sem/hours EMT 2350 Paramedic Theory 3; 6 sem/hours EMT 2360 Paramedic Theory 4; 6 sem/hours EMT 2370 Paramedic Theory 5; 5 sem/hours 6.6 AAS in EMT Emergency Medical Technology is a two-year program leading to an associate degree. The Associate of Applied Science degree will be awarded to students who complete the required number of credit hours in general education and in Emergency Medical Technology. The curriculum includes natural science such as anatomy and physiology. It also includes courses that provide theory and skills for the EMT. Planned clinical experience will be provided in a variety of health care facilities to implement classroom theory into practical application. 6.7 Program Sequence C = Capstone Course EMERGENCY MEDICAL TECHNOLOGY ASSOCIATE OF APPLIED SCIENCE DEGREE SEMESTER SEQUENCE Effective Fall 2012 First Credit Hrs
Emergency Medical Technology Program Manual Page 21 HTEC 1120 Critical Thinking in Healthcare 1 EMT 1302 Emergency Medical Technician - Basic 6 EMT 130L EMT Basic Practical Lab 1 BIO 2331 Anatomy and Physiology I (1) 4 ENG 1010 College Composition I 3 or ENG 101H Honors College Composition I 3 15 Second Credit Hrs EMT 1320 Heavy Rescue (2) 2 or EMT xxxx EMT elective course (3) 2 UST 1010 Introduction to Urban Studies 3 MATH 1xxx 1000-level MATH course or higher (5) 3 MA 1020 Medical Terminology I 3 BIO 2341 Anatomy and Physiology II 4 ENG 1020 College Composition II 3 or ENG 102H Honors College Composition II 3 18 Third Credit Hrs EMT 2330 Paramedic Theory I (6) 6
Page 22 Emergency Medical Technology Program Manual EMT 2340 Paramedic Theory II (7) 6 PSY 1010 General Psychology 3 or PSY 101H Honors General Psychology 3 15 Fourth Credit Hrs EMT 2350 Paramedic Theory III (8) 6 EMT 2360 Paramedic Theory IV (9) 6 PSY 2020 Life Span Development 4 or PSY 202H Honors Life Span Development 4 16 Summer Credit Hrs EMT 2370 Paramedic Theory V C 5 5 PROGRAM TOTAL 69 (1) Requires passing Science Assessment Test or prerequisite BIO 1100. (2) Students who successfully complete Tri-C's Fire Academy will receive credit for this course. Students not planning to pursue Firefighter certification may use other approved courses to meet this requirement, (3) Elective course may be selected with written approval from the EMT department; EMT Basic ST certificate students may use EMT 1400 Paramedic Success to meet this requirement. (5) Nursing Transfer consider MATH 1200 or higher; CSU BA in Public
Emergency Medical Technology Program Manual Page 23 Safety Management (PSM) Transfer consider MATH 1250 or MATH 1410 (6) Consecutive eight week course. (7) Consecutive eight week course. (8) Consecutive eight week course. (9) Consecutive eight week course. 7 The Mission of the Emergency Medical Technology Program The program is committed to educating students who believe in the dignity of the individual and specifically in the right of the individual to receive skilled comprehensive health care in times of illness or injury and who will participate in delivering such skilled health care as an EMR, EMT, AEMT, or Paramedic under the direction of a physician. The program is dedicated to providing students with the knowledge, skills and attitudes necessary to become confident, innovative and contributing health care professionals. The program strives to develop students to assume a responsible role in society and a concern for all persons that is best met by combining technical education with the basic liberal arts education that is provided within the community college framework. This educational process must foster leadership abilities and collaborative relationships within a changing health care environment that includes a dedication to lifelong learning, ethical values consistent with the profession, and service to a multicultural community. 8 Emergency Medical Technology Program Outcomes 8.1 Communication Utilize various non-verbal, verbal, written and electronic communication methods to interact with a diverse group of populations. 8.2 Professionalism/Working with Others Exhibit professional, ethical and compassionate behavior when interacting with diverse groups of patients and their families, healthcare professionals, and community members. 8.3 Advanced Patient Assessment Use patient assessment skills to identify mechanism of injury or nature of illness to determine therapeutic modalities for the medical and trauma patient and establish the priority of interventions needed to improve the patient outcome within a Paramedic s scope of practice. 8.4 Advanced Emergency Medical Treatment Demonstrate skill proficiency in pre-hospital and inter-facility assessments and treatments using advanced medical techniques and equipment available within a Paramedic s scope of practice. Ethics/Professionalism
Page 24 Emergency Medical Technology Program Manual 8.5 Safety Identify current and potential hazards and perform duties maintaining a safe work environment for themselves, co-workers, patients and bystanders. 8.6 Management Use strategic management and ethical decision making skills to lead, schedule, and staff Emergency Medical Services (EMS) Systems. 8.7 Organizational and Interpersonal Skills Effectively resolve conflict and solve problems, and utilize personal organizational skills to excel in a fast-paced, dynamic work setting. 8.8 Adapt to change/critical Thinking Apply critical thinking skills to identify and adapt to potential changes within the dynamic field of Emergency Medical Services. 8.9 Wellness Values wellness and participates in activities to promote sound physical, psychological, and spiritual health in themselves, patients and their families, healthcare professionals and community members. 8.10 Certification Preparation Sit for the National Registry of Emergency Medical Technician Basic Exam, National Registry of EMTs Paramedic Certification Exam. 9 Withdrawal from Courses or from the Program Withdrawal from a course for academic reasons must be initiated by a student prior to the withdrawal deadlines published in the Academic Calendar each semester. Withdrawal must be in writing on specific forms available in the Office of Admissions and Records at each campus. Students who officially withdraw from a course prior to the last day of week twelve of the semester will have no notation made on their permanent records; withdrawal thereafter will be noted on permanent records. An instructor may withdraw a student for never attending a course, according to college policy. This is done through the college s never attended reporting system. Students should not expect any instructor to drop them officially from class. It is the student s responsibility to withdraw from class officially by completing a withdrawal form in the office of admissions and records by the deadline date. Failure to do so could result in an "F" grade. A student unable to complete an academic semester for reasons beyond his/her control, such as an emergency medical condition, may petition in writing the designated campus administrative authority for permission to withdraw from class beyond the twelfth week of the semester.
Emergency Medical Technology Program Manual Page 25 10 Readmission to the Program If a student leaves the program for any reason other than disciplinary action (academic dismissal, health or personal challenges), they must do the following to be readmitted to the program: 1. A written request to return to the program must be submitted to the Program Manager. 2. Written documentation from a physician that student is able to return if they left for health reasons. 3. The student must have a plan for educational success that must be approved by the program manager and will become a mutually agreed upon contract. Failure to abide by this contract will result in dismissal from the program. A student may return once within two years with the above on a space available basis. Students requesting to return to the program more than a second time or after more than 2 years must enter the applicant pool for the next available class. Due to the rapid changes in health technology, students may be required to repeat courses they have already successfully completed, or demonstrate proficiency through a written and/or practical examination. Students may be required to repeat clinical experiences. 11 Change of Name, Address, Contact Information It is mandatory that the Program be informed in writing of any updates to name, address or contact information. Any change in name, permanent address, telephone number, local address (if different from permanent address) or e-mail address should be given to the program manager for prompt student folder update. If not notified, the program assumes no responsibility for failure of information that is sent by U.S. Mail, telephone, or e-mail to reach the student. The Office of Admissions and Records must also be promptly informed of any change in name and/or address by the student. Failure to do so can result in future problems for the student. 12 Dismissal from the EMT Program A student may be dismissed * from the Emergency Medical Technology Program for the following reasons: 1. Engaging in dishonest behavior: cheating, plagiarism, and/or theft. Failure to adhere to the Student Conduct Code. 2. Being under the influence of alcohol or illegal drugs on campus, at a clinical site, or any other program related activities.
Page 26 Emergency Medical Technology Program Manual 3. Any form of unprofessional behavior such as the use of profane or vulgar language on campus or at an off campus assignment, hostility, insubordination, demonstration of uncooperative or negative attitude toward College faculty, clinical instructor, patients, or fellow students. 4. Failure to maintain confidentiality of patient records or violation of HIPAA regulations. 5. Failure to maintain appropriate patient records at the health care facility to which assigned. 6. Accepting gratuities from patients. 7. Violation of College or Program policies. 8. Engaging in unethical or unsafe behavior at a clinical site, in the classroom, laboratory, or any other program related activities. If a student is dismissed from the program for the any of the above reasons, they will not be not be given the privilege of applying for re-admittance into a Health Career Program. A student may also be withdrawn from the program for the following reasons: 1. Excessive absenteeism: Never attended policy. 2. Failure of a program course or a prerequisite course. 3. Failure to demonstrate professional behaviors. A student may apply for re-admittance into a Health Career Program if they are withdrawn for the above reasons. They must follow the Re-admittance Policy of the program into which they are seeking re-admittance. * Dismissal means the involuntary and total separation of a student from the college. 13 Student Conduct Code The student will abide by the Student Conduct Code. The student agrees not to receive or give aid during examinations. The student agrees to conduct him/her self honestly in all clinical and laboratory procedures. The student agrees to work alone on assignments unless otherwise indicated by the instructor. This includes giving aid to student partner during laboratory practical examinations. Failure to abide by this Code will result in dismissal from the program.
Emergency Medical Technology Program Manual Page 27 14 Financial Aid Financial aid in the form of loans, grants, scholarships and combinations thereof are available. Contact the Financial Aid Office for specific information. Apply early. 15 Academic Advising It is the student's responsibility to seek academic advising. It is recommended that you see counseling, faculty, program manager, and/or program staff each semester. The faculty advisor/program manager will confer with students for review of academic progress in the classroom and clinical, and for program advising and career counseling. 16 Course Waivers and Substitutions Course waivers and substitutions should be discussed with the Program Manager. Delay in processing may affect graduation. 17 Special Problems Any problems or unforeseen circumstances relative to successful completion of the program should be brought to the attention of the Program Manager/Faculty as soon as possible. 18 Attendance Attendance is required in all Emergency Medical Technology lectures, labs, and clinical assignments. Call the instructor when you are unable to report to class. Missed class work must be made up at the discretion of the instructor. Absences may result in point deductions, grade penalty, and/or failing grade in the course. Absent or tardy students are held responsible for all handouts, lecture and laboratory materials, including announcements and assignments that are presented during an absence. Excessive tardiness demonstrates unprofessional behavior and may result in point deductions, grade penalty, and/or failing grade in the course. Refer to course syllabus for specific details. An instructor is not required to contact an absent student regarding missed work, or share lecture material from the missed class. It is the student's responsibility to initiate make-up work by contacting the instructor following an absence. Instructor assistance is available upon request. Program students are also expected to attend and participate in any off-campus course or program activities. This may include field trips to various health care facilities, professional presentations, or promotional programs. Students will be advised of these activities in advance by course instructor or program manager. 19 Laboratory Practice All students of the Emergency Medical Technology Program are required to practice and experience all procedures in lab unless it is medically contraindicated for the student. The student is required to provide documentation from a physician to verify this medical contraindication. Students who suspect they may be pregnant should notify their instructor
Page 28 Emergency Medical Technology Program Manual and clinical preceptor immediately. There are some procedures performed that are potentially harmful to a developing fetus. Students who are unable to perform essential skills in the lecture, lab, and/or clinical experience may be required to seek a medical withdrawal, as performance of skills is required for successful completion of most courses. 20 Evaluation Procedures 20.1 Grading Policy The final letter grade for the course is determined by the instructor as indicated in the course syllabus and is earned by the student by the following methods of evaluation: 1. Lecture: quizzes, tests, research papers, case studies, interviews, oral reports and any additional projects as outlined by the course instructor. 2. Laboratory: quizzes, skill sheets, practical exams, student participation, and professional conduct. 3. other assigned work such as clinical journal, review of professional articles, progress notes, laboratory reports, group presentations, field trips, etc. 4. In those courses that have a lecture, laboratory, and/or clinical component, the student must pass all components independently in order to receive a passing grade of C or better for the final course grade. 20.2 Grade Scale The grading scale for courses that lead to eligibility for National Registry of EMTs testing is different than the standard grading scale. The final letter grade for the course is determined by the instructor as based on the following scale: 94%+ A 87% - 93.99% B 80% - 86.99% C 74% - 79.99% D UNDER 74% F Any grade below a C is considered unsuccessful. The D grade is intended for students who have made significant strides towards success in the program, but have not attained the competency levels necessary for initial practice. S/U (satisfactory/unsatisfactory) grades may be given for labs and clinicals. The U or unsatisfactory is considered a failing grade.
Emergency Medical Technology Program Manual Page 29 20.3 Examinations All students are expected to be present for examinations at the scheduled date. In the event that students are absent, they must discuss their absence with the instructor and arrange for an alternate date. Make-up exams may be different from the original. All missed examinations and/or quizzes must be made up upon the student's return to class. Students who do not meet this requirement should expect a zero for the missed exam or quiz. Practical exams are given in laboratory courses. The practical is based on procedures learned in the course. The format will be as designated by course and/or laboratory instructor. The points assigned for examinations and assignments are left to the discretion of the instructor. Refer to the syllabus for each course for the explanation of the point distribution for any individual course. A final examination and/or evaluation is required in each course and is given at a regularly scheduled time. Except under emergency circumstances, students may not be excused from these examinations. If students are unable to appear, it is their responsibility to inform the instructor prior to the scheduled examination. It is up to the instructor s discretion if permission for a make-up will be granted. A student may REQUEST AN INCOMPLETE (I) GRADE. Again, it is up to the instructor s discretion if an (I) grade will be awarded. 20.4 Incomplete (I) Grades An (I) incomplete grade means that a student has not completed course requirements due to circumstances JUDGED BY THE INSTRUCTOR to be beyond the student s control The student must personally REQUEST AN INCOMPLETE (I) GRADE. It is not granted automatically. Incomplete grades must be removed no later than the end of the sixth week of the next academic Semester in which the incomplete grade was received. Failure to complete such requirements will result "F" (FAILURE) GRADE F0R THE COURSE. Check class schedule booklet each semester for specific dates. 21 Promotion Policies In order to continue in the Emergency Medical Technology Program, the student must meet the following requirements: 21.1 Clinical requirements The student must have an annual physical examination and any laboratory tests, inoculations or x-rays as directed by the College Health requirements. The requirements are based on current facility and OSHA regulations for students in the clinical area. The student must demonstrate proof of medical insurance for field experience assignments (see section 24). 21.2 Prerequisites The student must successfully complete with grade of "C" or better all course prerequisites as stated in the Emergency Medical Technology course descriptions in the College Catalog. If the student drops or has not taken a course prerequisite to an EMT course, he/she may
Page 30 Emergency Medical Technology Program Manual not register for Emergency Medical Technology classes. Students registered for EMT courses that have not completed the required prerequisite courses will not be permitted to continue in the course. Students who inadvertently complete an EMT course without completing the required prerequisites are required to complete the prerequisites prior to being permitted to complete certification examinations. The student must complete all courses required by the program with a grade of "C" or better for graduation. 21.3 EMT grades The student must earn a grade of C or better in each of the EMT courses. The C grade is interpreted as "student meets the minimum standards for competency." A student who does not meet minimum standards has obviously failed to do so. A student who makes significant strides toward competency, has not attained it may receive a grade of D. Students who need significant improvement receive a grade of F. In clinical education courses if the grade of S/U is given, a student must earn a grade of S (satisfactory) in order to attain a C grade. 21.4 Lecture/Lab course grades In a course that has both a laboratory and a lecture component, the student must earn a grade of C or better in both the lecture and the laboratory component in order to receive a passing grade in the course. 21.5 Withdrawal/Absence A student may be withdrawn from the program if the student has had excessive absences. (See Attendance, Section 18) 21.6 Withdrawal/Behavior A student may be withdrawn from the program if the faculty identifies a behavior problem, which in the opinion of the faculty will interfere with the student's successful, ethical or legal performance of the duties of an Emergency Medical Technician. Serious behavioral problems may lead to dismissal through the Student Conduct Code. 21.7 Grade point average The student must maintain an overall 2.00 grade point average. 21.8 CPR certification The student must maintain current AHA BLS for Healthcare Provider CPR certification or approved equivalent for attendance to all clinical and field experience assignments. 21.9 Student conduct code The student must adhere to the Student conduct code, college procedure 3354:1-30-03.5 21.10 Liability insurance The student must maintain current Tri-C Health Careers Liability Insurance while participating in clinical or field experiences (see section 24.2).
Emergency Medical Technology Program Manual Page 31 21.11 Student success To foster retention, student support services and tutoring services are available. Notify your instructor or Program Manager if you feel that you are in need of a tutor. Please do not wait until you are overwhelmed and have fallen behind in a course. Seek help early. 22 Lab Attire Many of the Emergency Medical Technology courses have a laboratory component. Unless otherwise instructed, proper lab dress means trousers, shorts, sweat pants, long-sleeved, short-sleeved, or sleeveless shirt, and supportive, flat-heeled shoes, preferably with rubber soles. EMT lab requires kneeling, crouching, bending, heavy lifting, etc. Lab instructor will notify students of special lab attire. Required lab activities may also occur in other locations than the program laboratory. On these occasions, the student will be required to wear their identification tag. This includes the times when students are in the Allied Health and Nursing Center. 23 Assignment to the Clinical Area The program at Tri-C is affiliated with an outstanding group of health care agencies that participate in clinical education of students. The program manager/clinical preceptor screens all clinical education sites, prior to negotiating an agreement, to ensure that the Emergency Medical Technology student will receive a quality learning experience in a variety of settings. A written, legal affiliation agreement exists between the academic program at Tri-C and the clinical education facilities which have been selected and agreed to provide clinical education experiences for the Emergency Medical Technology students. All arrangements and decisions regarding student clinical placement will be made by the Program Manager or clinical preceptor. Decisions regarding assignments are based on the educational needs of the individual student and the type of experience provided by the clinical site. In all cases, the decision of the Program Manager/ clinical preceptor is final. The students may not change clinical assignments without their permission. Prior to clinical placement, the student will provide information about the need for public transportation or of potential conflicts with any clinical site. These factors are also taken into consideration when clinical placements are made. The student is not paid for clinical experience time but does receive College credit. The student is responsible for all personal expenses including meals and transportation. The student who expects to complete the program must be able to meet these financial obligations. 24 Qualifications for Clinical Education Placement The following qualifications must be completed prior to the start of the clinical assignment or the student will not be given an assignment. Failure to complete the requirements therefore could result in the student having to delay completion of the clinical course, and therefore the program. Student will need to complete site specific requirements prior to the first clinical experience.
Page 32 Emergency Medical Technology Program Manual 24.1 Grade Point Average In order to qualify for placement in a health care agency, the student must maintain a 75% in the current certification course. A student who does not maintain a 75% class average may be put on program probation and clinical experiences put on hold until the student can demonstrate an appropriate level of performance. If a student has requested and received an incomplete grade for an Emergency Medical Technology course, the course work required to remove the incomplete grade must be finished and the grade changed to a C or better in order for the student to continue in the clinical experience. 24.2 Liability Insurance In order to provide protection against any possible act of negligence or any other incident, the student must purchase the liability insurance policy required by the college. The fee for this policy is automatically charged to the student when registering in the first clinical course of the program. In certain circumstances, students who take more than a year to complete the program may need to pay the fee again. It is available through the enrollment center at Cuyahoga Community College. The cost currently is $12.50 per year and may be subject to change. Any student who has not purchased a liability policy will not be placed in a clinical area. The program is notified of those charged the fee. The student who takes more than a year to complete must present his/her policy to the clinical instructor on the first day of assignment to the clinical for each assignment as proof of compliance with the written agreement between the clinical facility and the College. 24.3 Cardiopulmonary Resuscitation Certification (CPR) Students must have a valid certification in AHA BLS for the Healthcare Provider or equivalent cardiopulmonary resuscitation course to be eligible for clinical assignment. The Program Manager must approve equivalent courses. This may be obtained from the College by taking the EMT 1310 course or through the WEDD EMS advanced training program. Alternatively, contact the American Heart Association or American Red Cross. A copy of the certification card must be turned in to the program manager/clinical course instructor and will be kept in the student s folder. The student should be prepared to show the certification card to the clinical instructor on the first day of the clinical assignment. It is the students responsibility to maintain current certification. 24.4 Background Check Background checks are required for all health careers students attending clinical experience. The background check must be performed through the college s approved vendor. Cost varies based on residency. Results shall be kept confidential. If it is determined that something in the check makes the student ineligible to attend that facility, the program manager will notify the student in writing. Keep in mind that a felony background, by state rule, impacts your ability to enter and remain in the program.
Emergency Medical Technology Program Manual Page 33 24.5 Drug Testing At this time the program does not require mandatory drug testing of all students prior to assignment to a clinical site. Some clinical facilities may require drug testing of a student. In most cases, if this is required by the facility, they have a designated site for the student to have the testing. This is at the student s expense. 24.6 Health Requirements Each student is required to have a physical examination that is current within one year of the first day of clinical experience. The completed health forms should be returned to the program to be kept in the student s folder. The student should make copies of all forms prior to returning them to the program. The student should be prepared to show copies of all health requirements to the clinical instructor at each clinical assignment. Plan well and early. As noted below the timing of some of these requirements is crucial. Health Exam A health exam by an physician (M.D. or D.O.) is required prior to clinical placement. Also note that the TB Double Mantoux has to be completed within six months of first day at clinical assignment. Documentation of the following is required as part of the physical examination requirements for clinical education: 24.6.1 Tuberculosis Testing Plan carefully: The TB test must be given before the measles and rubella vaccines as they will interfere with the PPD results. 24.6.1.1 Double Mantoux TB Test The written documentation of a negative, double Mantoux (PPD) is required. If the reaction to the first TB test is negative, a second TB test is given no earlier than seven (7) days and no later than fourteen (14) days. The second test is read between 48 and 72 hours after it is given. Self-reading is not acceptable. The test must be given and read not more than three (3) months prior to the first day of clinical experience. The IGRA blood test for TB (e.g. QuantiFERON) may be obtained in place of the double Mantoux test. A single Mantoux TB test is required annually. If this is not completed within the one year period, the student must repeat the double Mantoux. 24.6.1.2 Chest X-ray (only for positive skin test) Any student with a history of a positive TB test will need written documentation of a negative chest x-ray taken within one year prior to the first day of clinical experience and confirmation from a physician that attendance in clinical is safe.