SYLLABUS FOR EMSP 1401/1160 Emergency Medical Technician Semester Hours Credit: 5 Lecture Hours: 72 Lab Hours: 72 Clinic Hours: 25 Total Hours: 169 Co-/prerequisite: AHA BLS for Healthcare Provider Course Dates/Times: 07MAY16 to 06AUG16 Meeting times: Tuesday, Thursday 3.5 hours per day from 17:30 to 21:00 Saturday s 7.5 hours per day from 09:00 to 17:30 with 30 min lunch break Clinical Rotation Times: as determined by Landstuhl Regional Medical Center and Clinical Instructor Instructors: Felipe Gonzalez MD, Sonja Cross NRP, Pamela Frank NREMT, Seth Wood NREMT Class Location: Landstuhl, Learning Resource Center BLDG 3718 Office Hours: by appointment Instructor Email: bvfd333@gmail.com Phone:
Central Texas College in Europe, Course Course Description: A 5 credit hour course designed to provide students with the knowledge and skills to become Emergency Medical Technicians. This course prepares students for the National Registry Certification Examination and to work in hospitals, fire and rescue organizations, private ambulance companies and other health care agencies. This course allows the student to practice knowledge and skills necessary to render immediate care in an emergency situation. The course follows the National Emergency Medical Services 2009 Education Standards. Successful completion of the course entitles the student to take the National Registry certification exams. Course Objectives: At the completion of this course, the student will be able to: 1. Recognize the nature and seriousness of the patient s condition or extent of injuries and to assess requirements for emergency medical care. 2. Lift, move, position, and handle the patient to minimize discomfort and to prevent further harm. 3. Administer or assist with appropriate emergency medications based on assessment findings of the patient s condition. 4. Recognize and operate within the scope of practice set for the Emergency Medical Technician Basic by the Department of Transportation Standards of Care. Class Policies and Procedures: Attendance: Only 4 hours of missed class time are allowed. Make-up Examinations: If you miss an announced quiz or exam for duty reasons or illness, you must provide documentation in order to make up an examination. Plagiarism: Plagiarized papers, reports, or exams will receive a grade of 0 (zero), whether copied in whole or in part. Evaluation: There are two grades for this course. The final grade for the EMSP1401 portion of the course will be based on 5 written exams. On a 100 point scale each of the exams will have the following values: Exam #1 15 points Exam #2 15 points Exam #3 15 points Exam #4 15 points Exam #5 40 points If an instructor factors in scores for quizzes given during the class, the above scale may be modified accordingly. Grading Scale: A=90-100 points, B=80-89 points, C=70-79 points, D= 60-69 points, F= Below 60 points. A final grade of B (80) must be achieved to be eligible for the National Registry examinations. The final grade for the EMSP1160 part of the class will be based on 12 hands-on quizzes (40%), LRMC Computer based Trainings (5%), 10 patient contacts (25 %), and a final practical exam (30%). A grade of B must be obtained on the EMSP1160 for eligibility to take the National Registry examinations. Page 1 of 15
Faculty Biography: Felipe Gonzalez, MD Graduate School: UCLA School of Medicine, MD Profile: Dr. Gonzalez went through his physician level training in General Surgery at Los Angeles/ University of Southern California County General. Dr. Gonzalez has been a General Practioner and an Emergency Department Physician with the 97 th General Hospital in Frankfurt Germany, and Al-Hada Hospital in Taif Saudi Arabia. Dr. Gonzalez has been serving as the Central Texas College Emergency Medical Services Director and Instructor, for all of Europe, since 1990. Dr. Gonzalez has also taught Biology, Emergency Medical Technology, and various other medical topics at Big Bend Community College, City Colleges of Chicago, and University Maryland University College. Sonja Cross RN-BC, MSN, CEN, CPEN, NRP, EMS I, CCT Undergraduate Schools: Nebraska Methodist College, Diploma, Paramedic Iowa Western Community College, ADN, Nursing Bellevue University, BS, Healthcare Management Graduate School: Grand Canyon University, MSN, Emphasis in Public Health Profile: Ms. Cross is a National Registered Paramedic for 16 years and an Emergency Medical Service (EMS) Instructor for the past 13 years. Her past experiences include: Assistant Rescue Chief supervising 10 rescue squads and 130 EMTs and Paramedics. She served as clinical nursing lead and charge nurse for various Emergency Departments in Omaha, Nebraska and was a designated team leader for the Medical Reserve Corps. Currently she holds a position as the Head Nurse in Cardiology/Cath lab with the Landstuhl Regional Medical Center. Page 2 of 15
Seth Wood, NREMT Undergraduate Schools: Central Texas College, Diploma, Emergency Medical Technician University Maryland University College, AA, General Studies Profile: Mr. Wood is a Nationally Registered Emergency Medical Technician and has been a Clinical Instructor and Laboratory Instructor for Central Texas College EMS classes for the past 4 years. His experiences includes: American Red Cross volunteer as an Emergency Medical Technician, Medic Trainer, Nurse Aid, and Medication Technician for Landstuhl Regional Medical Center for the past 5 years. He is furthering his education by taking college classes toward a paramedic degree with the expectations of going to Medical School. Currently he holds positions teaching various American Heart Association classes, and is serving as a Medic in the Emergency Department. Pamela Frank, NREMT Undergraduate Schools: University Maryland University College, AA, General Studies Profile: Ms. Frank has been a Nationally Registered Emergency Medical Technician for 23 years with the US Army and recently retired with 23 years of service. She has worked as an ambulance medic, a field medic, and a clinic medic. She has also been in charge of Aid Stations at various points in her career. She taught Combat Medic Training and EMT to NREMT standards to Army trainees, preparing them for service during Operations Enduring & Iraqi Freedom (OEF; OIF), and is herself a veteran of OIF. She currently works for Central Texas College in an administrative role. Page 3 of 15
Location: LRMC, LRC, BLDG # 3718 Instructors: Felipe Gonzalez MD, Sonja Cross RN, NRP & Seth Wood, NREMT & Pamela Frank NREMT Dates: 07MAY2016 to 06AUG2016 Meeting times: Tuesday, Thursday 3.5 hours per day from 17:30 to 21:00 Saturday s 7.5 hours per day from 09:00 to 17:30 with 30 min lunch break Clinical Rotation Times: As determined by Landstuhl Regional Medical Center Emergency Department and Clinical Instructor Textbook: Limmer, D., Okeefe, M., (2016). Emergency Care, 13th edition. Pearson Education, Inc. NOTE: This schedule has been constructed to show adherence in content and sequence to the US DOT NSC curriculum. In practice, lab and lecture hours may be consolidated when more than one instructor is required during lab sessions. Class Date Chapter Chapter Topic Saturday, 07 May 2016 Tuesday, 10 May 2016 1 BLS: WEEK 1 BLS Training/Review/Situational Scenarios Introduction to Emergency Medical Services and the Health Care System 2 Lecture Hours EMSP 1401 Lab Hours EMSP 1160 7.5 Tuesday, 10 May 2016 2 The Well-being of the EMT 1.5 Thursday, 12 May 2016 3 Lifting and Moving Patients 1 Thursday, 12 May 2016 Lifting and Moving Patients 1 Thursday, 12 May 2016 4 Medical, Legal, and Ethical Issues 1.5 WEEK 2 Tuesday, 17 May 2016 5 Medical Terminology 2 Tuesday, 17 May 2016 6 Anatomy and Physiology 1.5 Thursday, 19 May 2016 7 Principles of Pathophysiology 2 Thursday, 19 May 2016 8 Life Span Development 1.5 WEEK 3 Tuesday, 24 May 2016 Test Test #1 Ch1-8 1.5 Tuesday, 24 May 2016 9 Airway Management 2 Page 4 of 15
Thursday, 26 May 2016 9 Airway Management (Continued) 1 Thursday, 26 May 2016 10 Respiration and Artificial Ventilation 1.5 Thursday, 26 May 2016 Respiration and Artificial Ventilation Saturday, 28 May 2016 11 Scene Size-up 2 1 Saturday, 28 May 2016 Scence Size-up 0.5 Saturday, 28 May 2016 12 The Primary Assessment 2 Saturday, 28 May 2016 The Primary Assessment 0.5 Saturday, 28 May 2016 13 Vital Signs and Monitoring Devices 2.5 Saturday, 28 May 2016 Vital Signs and Monitoring Devices 0.5 WEEK 4 Tuesday, 31 May 2016 14 Secondary Assessment 1 Tuesday, 31 May 2016 Secondary Assessment 1 Tuesday, 31 May 2016 15 Communication and Documentation 1.5 Thursday, 02 June 2016 Communication and Documentation 1 Thursday, 02 June 2016 Scene Size-up, The Primary Assessment, Secondary Assessment, Vital Signs and Monitoring Devices, Respiration and Artificial Ventilation, 2.5 WEEK 5 CLINICALS CAN BEGIN AS LONG AS ALL REQUIRE DOCUMENTS ARE COMPLETED. Tuesday, 07 June 2016 Test Test #2 CH8-16 2 Tuesday, 07 June 2016 16 General Pharmacology 1.5 Thursday, 09 June 2016 16 General Pharmacology Continued 1 Thursday, 09 June 2016 General Pharmacology 1 Thursday, 09 June 2016 17 Respiratory Emergencies 1.5 Saturday, 11 June 2016 17 Respiratory Emergencies Continued 1 Saturday, 11 June 2016 Respiratory Emergencies 1.5 Page 5 of 15
Saturday, 11 June 2016 18 Cardiac Emergencies 2 Saturday, 11 June 2016 Cardiac Emergencies 1 Saturday, 11 June 2016 19 Tuesday, 14 June 2016 Diabetic Emergencies and Altered Mental Status WEEK 6 Diabetic Emergencies and Altered Mental Status Tuesday, 14 June 2016 20 Allergic Reaction 2 Thursday, 16 June 2016 Allergic Reaction 1 2 1.5 Thursday, 16 June 2016 21 Poisoning and Overdose Emergencies 2 Thursday, 16 June 2016 Poisoning and Overdose Emergencies WEEK 7 Tuesday, 21 June 2016 22 Abdominal Emergencies 2 0.5 Tuesday, 21 June 2016 Abdominal Emergencies 1.5 Thursday, 23 June 2016 23 Thursday, 23 June 2016 Behavioral and Psychiatric Emergencies and Suicide Behavioral and Psychiatric Emergencies and Suicide Thursday, 23 June 2016 24 Hematologic and Renal Emergencies 1 2 0.5 Saturday, 25 June 2016 25 Bleeding and Shock 2.5 Saturday, 25 June 2016 Bleeding and Shock 1.5 Saturday, 25 June 2016 Cardiac Emergencies, Diabetic Emergencies and Altered Mental Status, Allergic Reaction, Poisoning and Overdose Emergencies, Abdominal Emergencies, Behavioral and Psychiatric Emergencies and Suicide 3.5 WEEK 8 Tuesday, 28 June 2016 Test Test #3 CH16-24 1.5 Page 6 of 15
Tuesday, 28 June 2016 26 Soft-Tissue Trauma 2 Thursday, 30 June 2016 26 Soft-Tissue Trauma Continued 1 Thursday, 30 June 2016 Soft-Tissue Trauma 1 Thursday, 30 June 2016 27 Chest and Abdominal Trauma 1 Thursday, 30 June 2016 Chest and Abdominal Trauma 0.5 WEEK 9 Tuesday, 05 July 2016 28 Musculoskeletal Trauma 2.5 Tuesday, 05 July 2016 Musculoskeletal Trauma 1 Thursday, 07 July 2016 29 Trauma to the Head, Neck, and Spine 1.5 Thursday, 07 July 2016 Trauma to the Head, Neck, and Spine Thursday, 07 July 2016 30 Multisystem Trauma 1 1 Saturday, 09 July 2016 Multisystem Trauma 1 Saturday, 09 July 2016 31 Environmental Emergencies 1 Saturday, 09 July 2016 32 Obstetric and Gynecologic Emergencies 2 Saturday, 09 July 2016 Saturday, 09 July 2016 Obstetric and Gynecologic Emergencies Chest and Abdominal Trauma, Musculoskeletal Trauma, Trauma to the Head, Neck, and Spine, Multisystem Trauma WEEK 10 0.5 3 Tuesday, 12 July 2016 Test Test #4 CH24-32 1.5 Tuesday, 12 July 2016 33 Pediatric Emergencies 2 Thursday, 14 July 2016 Pediatric Emergencies 1 Thursday, 14 July 2016 34 Geriatric Emergencies 1.5 Thursday, 14 July 2016 Geriatric Emergencies 1 WEEK 11 Page 7 of 15
Tuesday, 19 July 2016 35 Emergencies for Patients with Special Challenges 1 Tuesday, 19 July 2016 36 EMS Operations 2 Tuesday, 19 July 2016 EMS Operations 0.5 Thursday, 21 July 2016 37 Hazardous Materials, Multiple-Casualty Incidents, and Incident Management 2.5 Thursday, 21 July 2016 Hazardous Materials, Multiple- Casualty Incidents, and Incident Management 1 WEEK 12 Tuesday, 26 July 2016 38 Highway Safety and Vehicle Extrication 1.5 Tuesday, 26 July 2016 Highway Safety and Vehicle Extrication Thursday, 28 July 2016 39 EMS Response to Terrorism 2.5 2 Thursday, 28 July 2016 EMS Response to Terrorism 1 Saturday, 30 July 2016 Test Test #5 CH 1-39 2.5 Saturday, 30 July 2016 Pediatric Emergencies, Geriatric Emergencies, Hazardous Materials, Multiple-Casualty Incidents, and Incident Management, Highway Safety and Vehicle Extrication 5 WEEK 13 Tuesday, 02 August 2016 CH 1-39 Scenarios 3.5 Thursday, 04 August 2016 CH 1-39 Scenarios 3.5 Saturday, 06 August 2016 Test Test Psychomotor Examination 7.5 Class Completion Totals Ch's 1-39 American Heart Association Basic Life Support 72 72 Total Hours of Training 144 Page 8 of 15
CENTRAL TEXAS COLLEGE EUROPEAN DIVISION SCHEDULE EMSP 1401/1160-EMT-B Training Program Student Information EMSP 1401/1160 WELCOME to the EMSP 1401/1160 course of study. This is not an easy course, nor should it be. Upon completion of this course, you will enter the field of Emergency Medical Services (EMS). The EMT is an integral part of the EMS. Throughout the next several weeks, you will be taught the necessary knowledge and skills to become an effective member of the EMS Chain of Survival, providing treatment at the scene of an emergency. Here are some guidelines to assist you as you progress through the course of study. I. Attendance According to the National EMS Standards, attendance is mandatory for all lecture, lab sessions and testing throughout the course. The Central Texas College EMT Program allows for no more than 4 hours of class missed. Because of the amount of information given in such a short period of time, it is nearly impossible to make up missed class or lab time. II. Grades Your will receive two grades for this course. Your grade on the lecture part of the class, EMSP1401, will be based on 5 written exams. Your grade on the practical part of the class, EMSP1160, will be based on 12 hands-on quizzes, LRMC Computer based Trainings, 10 patient contacts, and a final practical exam. You must receive at least a B on each course to be eligible to take the certification exams from the National Registry. III. Clinical Rotations To comply with National EMS Standards you must complete a minimum of 10 patient assessments in a medical facility during 25 hours of clinical rotations. You must document your patient assessments on forms provided to you by your instructor or CTC s EMT staff. Instruments, paper or electronic, will be provided to you to document completion of the clinical rotation time and you will be guided by a member of CTC s EMT staff. The medical facility requires students to provide proof of immunization and records of health status prior to rotations. The course coordinator will provide the clinic with a list of the military students in the course so their medical records can be looked up. Civilian students will be required to make available relevant medical records to the clinic. If they cannot, they will be denied access to the clinic. The medical facility requires students to complete several online trainings and have security checks prior to rotations. The course coordinator will arrange for transfer of information between the students and the POC at the medical facility in this regard at the beginning of the class. Page 9 of 15
IV. Faculty Your class will have a primary instructor and one or more Lab/Clinical Instructors. The primary instructor is responsible for adherence to the Department of Transportation Standards, attendance, grades, counseling and all related class activities. The Lab Instructor is to assist and teach you the various skills and to prepare you for National Registry Skills Testing. The Clinical Instructor is there to guide you through your clinical rotations and assist you with clinical knowledge. Please note that the Lab Instructor and Clinical Instructor may be the same person. V. CPR Prior to enrollment in these courses, you need to have completed CPR for Health Care Providers or the Professional Rescuer. This is required by the National Registry. If you have not completed this, please notify your primary instructor. Because of this class taking place on a military installation you are required to have an American Heart Association Basic Life Support Provider card. VI. NATIONAL REGISTRY TESTING A. Skills testing: At the end of your course, you will be tested on the National Registry EMT required skills that you have been practicing during your course. Dr. Gonzalez, Medical Director, or his assistant, will administer this test. The following are the National Registry required testing stations and the time allowed to complete the station. Station #1 Patient Assessment/Management-Trauma, duration 10 minutes. Station #2 Patient Assessment/Management-Medical, duration 10 minutes. Station #3 Cardiac Arrest Management-/AED, duration 10 minutes. Station #4 Bag Valve Mask-Apneic Patient, duration 5 minutes. Station #5 Spinal Immobilization-Supine, duration 10 minutes. Station #6 Oxygen administration with nonrebreather mask, duration 5 minutes Station #7 Random Skill Verification, duration 5 to 10 minutes depending on the skill chosen at random: Spinal Immobilization with a short device, Bleeding and Shock Management, Joint Immobilization, Long Bone Splinting, Mouth-to-pocket mask ventilation with oxygen, Traction Splinting. You must pass all skill stations. You may retest three of the stations. If you fail four or more of the stations, you are not eligible to progress to the National Registry written certification exam. Testing nights are very long and tiring, you will need to set aside this time for concentration. B. Written testing: Upon successful completion of the skills testing, you will be eligible to take the National Registry written certification exam. This exam is given online and the cost of taking it is $70.00. The procedure for applying to take the exam online is described below in the handout APPLYING TO TAKE THE NATIONAL REGISTRY WRITTEN EXAM ONLINE FOR CTC EUROPE STUDENTS and in the flyer taken from the National Registry s website. The National Registry recommends that you apply to take the exam a few weeks before you plan to take it. When filling out the application you must follow the instructions carefully so that your application will be forwarded by the National Registry to the correct Program Coordinator/Medical Director. Page 10 of 15
APPLYING TO TAKE THE NATIONAL REGISTRY WRITTEN EXAM ONLINE 1. Sign on to http://www.nremt.org/ 2. Log in and set up an account. 3. Login with username and password. 4. Create New application. 5. Manage NREMT profile and fill out info and save. 6. Click on create new application. 7. Enter application level which would be EMT. 8. Fill out application form as follows: Initial course completion date: mm/yyyy Location of Initial Training Institution or Agency (State), Select Air Europe. Click on list of EMS Education Programs and then click on Central Texas College. At that point all of CTC EMT information should appear on your application form. CPR credential verification-enter expiration date. Enter practical exam completion date: mm/yyyy Licensing Action and Felony Statement-Answer the questions. Read disclaimer and then submit. Your application will be forwarded by the National Registry to the Director of CTC s EMT Program, Tammy Samarripa for approval. Approval by Tammy Samarripa will proceed after Dr. Gonzalez has confirmed that you have passed the course with a minimum letter grade of a B on both, hands-on and didactic portions of the course; and that you have passed the National Registry practical exam. In the US you need to contact a Pearson-Vue Computer Testing Center in your area to arrange a test date after you have been approved to take the computer based exam. In the Middle East the exam is offered at the following facilities: Ali Al-Salim Computer Testing Center, Kuwait; Camp Arifjan Education Center, Kuwait; Camp As Sayliyah Education Center, Qatar; Al Udeid Air Base, Qatar, and Sinai South Camp Education Center, Egypt. In Europe the exam is offered at the following facilities: National Testing Center Ramstein AB, Germany; National Testing Center Aviano, Italy; National Testing Center, Vicenza, Italy. New National Testing centers are opening up in Europe through the University of Maryland in the very near future. To find out their locations visit www.ed.umuc.edu and click on National Testing Centers. These centers may not be listed on the online Pearson View website and must be contacted directly by the student to make a testing appointment in advance. You have one year to take the computer based exam after passing the National Registry practical exam. If you have any questions contact a CTC field representative at the nearest education center who will put you in touch with, or forward your questions to, the EMT office at CTC Europe headquarters in Germany. You can also contact the EMT Program Director at felipe.gonzalez@europe.ctcd.edu. Page 11 of 15
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This is a list of all the skills the students should practice in lab. Each student will receive a copy at the beginning of the course and fill out the information at the top of the list. The skills are to be learned and practiced in lab as outlined in the National Registry Skill sheets provided by the course coordinator at the beginning of the course. Those skills listed below for which there is no National Registry skill sheet are to be learned as described in the relevant sections of the textbook. After the student has mastered the skill, the lab instructor will date and initial the corresponding line on the list. The completed list is given to the Program Director or his assistant at the end of the course and it is kept in the student s file for 2 years. Skills identified by the letters NR will be tested during the National Registry Practical exam. Student s Name: Location: Course Dates: SKILL Page 13 of 15 Date VITAL SIGNS Pulse Blood pressure Respirations Airways Oropharyngeal (NR) Nasopharyngeal SUCTION (NR) BAG-VALVE-MASK RESUSCITATOR (NR) MOUTH-TO-MASK VENTILATION WITH OXYGEN SUPPLEMENTAL OXYGEN ADMINISTRATION Nonrebreather mask (NR) Nasal cannula PATIENT ASSESSMENT MEDICAL (NR) MEDICATIONS Epinephrine Autoinjector Inhalers Instructor s Initials
SKILL Nitroglycerin Oral Glucose PATIENT ASSESSMENT TRAUMA (NR) CARDIAC ARREST MANAGEMENT/AED (NR) BLEEDING CONTROL/SHOCK MANAGEMENT (NR SPLINTING Long bone splinting (NR) Upper extremity Lower extremity Traction splint Joint splint (NR KED/Short Board (NR) Long Spine Board (NR) HELMET REMOVAL SPINAL IMMOBILIZATION DRESSING AND BANDAGING Abdominal evisceration Impaled objects Sucking Chest wound LIFTS AND MOVES Extremity lift Direct ground lift: three man, four man EMERGENCY CHILDBIRTH Normal delivery Prolapsed cord Breech delivery DEMAND VALVE RESUSCITATOR (Demonstration Date Instructor s Initials FINAL GRADE ON PRACTICAL EXAM : Page 14 of 15