Course Discipline and - Gavilan College



GAVILAN COLLEGE

CURRICULUM DEVELOPMENT

|NEW COURSE PROPOSAL - SECOND READING |

|Date: |07/22/10 |Prepared & Submitted by: |Sherrean Carr |

|Department: |CTE |Course Discipline and Number: |JFT 33 |

|1. |Anticipated first term of offering: Fall Spring Summer Year: 2011 |

|2. Suggested discipline, number, title, units, lecture and/or lab hours: |

|JFT |33 |      |Emergency Medical Technician - Refresher |.5-1 |.45 |.91-1.82 |      |

|Discipline |Course Number |CAN |Course Title |Units |Lecture |Lab hours |Recommended |

| | | | | |hours per |per week |LEH Factor |

| | | | | |week | | |

Course Numbering System:

0-99 Transfer & Degree Appropriate 99, 199, 299 Emergency, One Term, Special Topics Course

100-198 Degree Appropriate & Potential Transfer 300s Non Degree, Non Transfer Occupational

200-298 Associate Degree Appropriate & Non Transfer 400s Developmental courses

500s Special Populations (see College Catalog for complete descriptions) 600s Adult Education

700s Non Credit

3. Course Catalog Description:

EMT-Basic Refresher curriculum consists of 24-40 hours. The refresher training program is divided into six modules and follows the National Standard Curricula. This refresher course is competency based. EMTs who successfully complete this course must demonstrate competency over the knowledge and skills outlined in this refresher education program

4. Justification of recommendation for new course: (e.g. requirement for major’s sequence, general

education, trends in field or scholarship, etc. List agencies, groups, resources consulted to determine need, i.e.,

State Boards, advisory committees, surveys, other colleges’ offerings, etc.)

The Department of Transportations, National Highway Traffic Safety Administration requires EMT's to complete EMT Refresher Courses.

5. Proposed Grading System:

Select only one: Standard Letter grade

Pass/ No Pass

Option of a standard letter grade or pass/no pass

Non credit

6. Will course be Repeatable?

Additional skills that will be acquired by repeating this course must be included in the course outline.

a. Credit course - Yes No If yes, how many times? 1 2 3

b. Non credit course - Yes No If yes, how many times? 1 2 3 Unlimited (Non credit only)

7. Is this a stand alone course?

Yes (Course is NOT included in a degree or certificate program)

No (Course is included in a degree or certificate program)

8. Course Requisites:

List all prerequisites separated by AND/OR, as needed. Also fill out and submit the Prerequisite/Advisory form.

Prerequisite: EMT

Co-requisite:      

Advisory:      

9. Does this course focus on basic skills in English, ESL or Math?

No

Yes If yes,

Proposed 6 Digit TOP code      

Prior to College Code (A, B, C, D, E, F, G, H, Y)      

10. Will this course be offered via Distance Education? Yes No

If yes, fill out and submit form D - "Distance Education."

Internet-based:

Course development software, such as Moodle

Other      

Hybrid

Video conference

Telecourse

Other      

11. Does course meet cultural diversity requirement? Yes No

See Curriculum website for criteria for meeting cultural diversity requirement.

12. What resources will be needed in order to offer this class at Gavilan?

a. Staffing:      

b. Facility Usage:      

c. Supplies and equipment (include cost estimates):      

d. Tutoring Center resources, if applicable:      

e. Can existing library resources at Gavilan accommodate student needs for this class?

Yes No Verified by: An-Yeung (Verbal verification of Librarian is adequate.)

If no, list additional resources necessary & budget estimate.

     

f. Can existing computer software, hardware, and other technological resources at

Gavilan accommodate student’s needs for this class? Yes No N/A

If no, list additional resources necessary & budget estimate.      

13. If degree applicable, is a similar course offered at community colleges or 4 year colleges & universities? Yes No

| | | |Upper or |Units |

| | | |Lower Dir |Sem/Qtr |

|      |      |      | U L |      |

|Discipline & No |Title |College or Univ. | | |

|      |      |      | U L |      |

|Discipline & No |Title |College or Univ. | | |

|      |      |      | U L |      |

|Discipline & No |Title |College or Univ. | | |

14. If degree applicable, please complete the following information on articulation recommendations. See College Articulation Officer for assistance.

14A. Transfer: Would you recommend that this be a course that transfers to:

State Universities and Colleges Yes No University of California Yes No

Will the course satisfy a major requirement at CSU or UC? If so, complete the following:

|      |at |      |Required for |      |

|Course Title & No. | | CSUC or UC Campus | |Program or Major |

|      |at |      |Required for |      |

|Course Title & No. | | CSUC or UC Campus | |Program or Major |

|      |at |      |Required for |      |

|Course Title & No. | | CSUC or UC Campus | |Program or Major |

14B. General Education: Would you recommend that this be a course that satisfies the GE requirement in the following:

| |Natural |Social |Humanities/Art |Lifelong |Commun |Math/ |American |Cultural |

| |Science |Science | |Learning | |Quantitative |Institutions |Diversity |

|AA/AS/GE Degree | | | | | | | | |

|CSU G.E. | | | | | | | | |

|UC Transfer/GE | | | | | | | | |

|IGETC | | | | | | | | |

(Note that definitions of areas that can be counted in UC or CSU vary. Be sure to ask for assistance if needed.)

15. Second Reading - Routing/Recommendation for Approval:

| |Signatures | | |

|Dept. Approval (Chair sign) | | | |

| | |Date | |

|Area Dean | | | |

| | |Date | |

|Curriculum Committee Chair | | | |

| | |Date | |

|Head Librarian (if applicable) | | | |

| | |Date | |

|Distance Education Coordinator (if | | | |

|applicable) | |Date | |

16. Approval:

|Vice President of Instruction | | | |

| | |Date | |

|President | | | |

| | |Date | |

|CCC Chancellor’s Office | | | |

|(if applicable) | |Date | |

GAVILAN COLLEGE

CURRICULUM DEVELOPMENT

|COURSE OUTLINE |Course Discipline and #JFT 33 |

|DISCIPLINE: |JFT 33 |DEPARTMENT: |CTE |

| |(Name and Number) | | |

|COURSE TITLE: |Emergency Medical Technician Refresher |

(Maximum of 60 spaces)

|ABBREVIATED TITLE: |EMT REFRESHER |

(Maximum of 30 spaces)

|SEMESTER UNITS: .5-1 |LEC HOURS PER WEEK: .45 |LAB HOURS PER WEEK: .91-1.82 |

|Classification: |Non Credit Category: |Occupational Code (SAM): |

|TOP Code: 1250.00 |LEH Factor:       |FTE Load:       |

CATALOG DESCRIPTION:

EMT-Basic Refresher curriculum consists of 24-40 hours. The refresher training program is divided into six modules and follows the National Standard Curricula. This refresher course is competency based. EMTs who successfully complete this course must demonstrate competency over the knowledge and skills outlined in this refresher education program

COURSE REQUISITES:

(List all prerequisites and advisories separated by AND/OR, as needed. Attach Validation Form.)

Prerequisite: Must be a current EMT

Co-requisite:      

Advisory:      

PROPOSED GRADING SYSTEM:

Select only one: Standard Letter grade

Pass/ No Pass

Option of a standard letter grade or pass/no pass

Non Credit

STAND ALONE: Yes (Course is NOT included in a degree or certificate program)

No (Course is included in a degree or certificate program)

REPEATABLE FOR CREDIT:

(Note: Course Outline must include additional skills that will be acquired by repeating this course.)

Credit Course Yes No If yes, how many times? 1 2 3

Non Credit Course Yes No If yes, how many times? 1 2 3 Unlimited

(Noncredit only)

METHODS OF INSTRUCTION:

Class discussion, skills demonstration, skills test, written test

RECOMMENDED OR REQUIRED TEXT/S:

(The following information must be provided: Author, Title, Publisher, Year of Publication, Reading level and Reading level verification)

Recommended Required N/A

|Author: |Title: |Publisher: |Year of Publication: |

|      |      |      |      |

|ISBN: (if available) |Reading level of text: |Verified by: |

|      |      grade |      |

|Other textbooks or materials to be purchased by the student: |

|      |

STUDENT LEARNING OUTCOMES:

1. Complete this section in a manner that demonstrates student’s use of critical thinking and reasoning skills. These include the ability to formulate and analyze problems and to employ rational processes to achieve increased understanding. Reference Bloom's Taxonomy of action verbs.

2. List the Type of Measures that will be used to measure the student learning outcomes, such as written exam, oral exam, oral report, role playing, project, performance, demonstration, etc

3. Identify which Institutional Learning Outcomes (ILO) apply to this course. List them, by number, in order of emphasis. For example: "2, 1" would indicate Cognition and Communication.

(1) Communication, (2) Cognition, (3) Information Competency, (4) Social Interaction, (5) Aesthetic Responsiveness, (6) Personal Development & Responsibility, (7) Content Specific.

4. For GE courses, enter the GE Learning Outcomes for this course. For example "A1, A2". GE Learning Outcomes are listed below.

|1) Student Learning Outcomes |2) Measure |3) Institutional |4) GE Learning Outcomes |

| | |Learning Outcomes | |

|Define medical direction and discuss the EMT-Basic’s role in the process. |Measure: quiz |ILO: 1, 3 |GE-LO:       |

|Distinguish between methods of assessing breathing in the adult, child and|Measure: class exercise, |ILO: 2,1,3 |GE-LO:       |

|infant patient. |demonstration | | |

|Describe common hazards found at the scene of a trauma and a medical |Measure: quiz |ILO: 2, 3 |GE-LO:       |

|patient | | | |

|Working with a partner, demonstrate the technique for moving a patient |Measure: demonstration, |ILO: 3, 2,1 |GE-LO:       |

|secured to a stretcher to the ambulance and loading the patient into the |role play exercises | | |

|ambulance | | | |

|Perform an initial patient assessment and demonstrate the steps in the |Measure: role play |ILO: 3,2,1 |GE-LO:       |

|emergency medical care of a patient with open abdominal wounds. |exercises, quiz | | |

|Describe the steps the EMT-Basic should take for personal protection from |Measure: quiz |ILO: 2,3 |GE-LO:       |

|airborne and bloodborne pathogens. | | | |

|Demonstrate the skills involved in performing the detailed physical exam |Measure: class exercise, |ILO: 2,3,1 |GE-LO:       |

|and apply the components of the essential patient information in a written|written exercise | | |

|report. | | | |

| Demonstrate the steps in performing the skill of artificially ventilating|Measure: Class exercise, |ILO: 3,2,1 |GE-LO:       |

|a patient with a bag-valve-mask for one and two rescuers. |test | | |

|Demonstrate how to insert an oropharyngeal and nasopharyngeal airway. |Measure: Class exercise, |ILO: 3,2,1 |GE-LO:       |

| |test | | |

| Demonstrate CPR and the application and operation of the automated |Measure: class exercise, |ILO: 3,2,1 |GE-LO:       |

|external defibrillator. |test | | |

GENERAL EDUCATION LEARNING OUTCOMES

AREA A Communications in the English Language

After completing courses in Area A, students will be able to do the following:

1. Receive, analyze, and effectively respond to verbal communication.

2. Formulate, organize and logically present verbal information.

3. Write clear and effective prose using forms, methods, modes and conventions of English grammar that best achieve the writing’s purpose.

4. Advocate effectively for a position using persuasive strategies, argumentative support, and logical reasoning.

5. Employ the methods of research to find information, analyze its content, and appropriately incorporate it into written work.

6. Read college course texts and summarize the information presented.

7. Analyze the ideas presented in college course materials and be able to discuss them or present them in writing.

8. Communicate conclusions based on sound inferences drawn from unambiguous statements of knowledge and belief.

9. Explain and apply elementary inductive and deductive processes, describe formal and informal fallacies of language and thought, and compare effectively matters of fact and issues of judgment and opinion.

AREA B Physical Universe and its Life Forms

After completing courses in Area B, students will be able to do the following:

1. Explain concepts and theories related to physical and biological phenomena.

2. Identify structures of selected living organisms and relate structure to biological function.

3. Recognize and utilize appropriate mathematical techniques to solve both abstract and practical problems.

4. Utilize safe and effectives laboratory techniques to investigate scientific problems.

5. Discuss the use and limitations of the scientific process in the solution of problems.

6. Make critical judgments about the validity of scientific evidence and the applicability of scientific theories.

7. Utilize appropriate technology for scientific and mathematical investigations and recognize the advantages and disadvantages of that technology.

8. Work collaboratively with others on labs, projects, and presentations.

9. Describe the influence of scientific knowledge on the development of world’s civilizations as recorded in the past as well as in present times.

AREA C Arts, Foreign Language, Literature and Philosophy

After completing courses in Area C, students will be able to do the following:

1. Demonstrate knowledge of the language and content of one or more artistic forms: visual arts, music, theater, film/television, writing, digital arts.

2. Analyze an artistic work on both its emotional and intellectual levels.

3. Demonstrate awareness of the thinking, practices and unique perspectives offered by a culture or cultures other than one’s own.

4. Recognize the universality of the human experience in its various manifestations across cultures.

5. Express objective and subjective responses to experiences and describe the integrity of emotional and intellectual response.

6. Analyze and explain the interrelationship between self, the creative arts, and the humanities, and be exposed to both non-Western and Western cultures.

7. Contextually describe the contributions and perspectives of women and of ethnic and other minorities.

AREA D Social, Political, and Economic Institutions

After completing courses in Area D, students will be able to do the following:

1. Identify and analyze key concepts and theories about human and/or societal development.

2. Critique generalizations and popular opinion about human behavior and society, distinguishing opinion and values from scientific observation and study.

3. Demonstrate an understanding of the use of research and scientific methodologies in the study of human behavior and societal change.

4. Analyze different cultures and their influence on human development or society, including how issues relate to race, class and gender.

5. Describe and analyze cultural and social organizations, including similarities and differences between various societies.

AREA E Lifelong Understanding and Self-Development

After completing courses in Area E, students will be able to do the following:

1. Demonstrate an awareness of the importance of personal development.

2. Examine the integration of one’s self as a psychological, social, and physiological being.

3. Analyze human behavior, perception, and physiology and their interrelationships including sexuality, nutrition, health, stress, the social and physical environment, and the implications of death and dying.

AREA F Cultural Diversity

After completing courses in Area F, students will be able to do the following:

1. Connect knowledge of self and society to larger cultural contexts.

2. Articulate the differences and similarities between and within cultures.

|HOURS |Content, Student Performance Objectives, and Out-of-Class Assignments |

| |Hours - Total number of hours should be based on an 18 week term, even though we are on a 16 week calendar. For example, a 3 |

| |unit course should have 54 hours, less 2 for the final. |

| |Out of Class Assignments: essays, library research, problems, projects required outside of class on a 2 to 1 basis for Lecture |

| |units granted. |

|2-4 Hours |CONTENT: Module I: Preparatory |

| |I. Scene Safety |

| |A. Body substance isolation (BSI) (Bio-Hazard) |

| |1. EMT-B’s and patient’s safety |

| |B. Personal protection |

| |1. Hazardous materials |

| |2. Rescue |

| |3. Violence |

| |II. Quality improvement |

| |A. Medical Direction |

| |1. Medical direction laws and regulations vary from state to state |

| |2. All states mandate medical direction for EMT-Paramedic level |

| |3. Some states mandate medical direction for EMT-Basics |

| |4. Goal of EMS medical direction |

| |III. Health and Safety |

| |A. Lifting techniques |

| |1. Safety precautions |

| |2. Guidelines for lifting |

| |B. Carrying |

| |1. Precautions for carrying |

| |2. Guidelines for carrying |

| |C. Reaching |

| |1. Guidelines for reaching |

| |D. Pushing and pulling guidelines |

| |1. Push, rather than pull, whenever possible |

| |2. Keep back locked-in |

| |3. Keep line of pull through center of body by bending knees |

| |4. Keep weight close to the body |

| |5. Push from the area between the waist and shoulder |

| |6. If weight is below waist level, use kneeling position |

| |7. Avoid pushing or pulling from an overhead position if possible. |

| |8. Keep elbows bent with arms close to the sides |

| |E. Stressful situations |

| |1. Examples of situations that may produce a stress response |

| |2. The EMT-Basic will experience personal stress as well as |

| |encounter patients and bystanders in severe stress. |

| |F. Stress management |

| |1. Recognize warning signs |

| |2. Balance work, recreation, family, health, etc. |

| |3. EMS personnel and their family and friend’s response |

| |4. Seek/refer professional help. |

| |G. Critical incident stress debriefing (CISD) |

| |1. A team of peer counselors and mental health professionals who |

| |help EMTs deal with critical incident stress. |

| |2. Meeting is held within 24 to 72 hours of a major incident. |

| |3. How to access local system. |

| |H. Comprehensive Critical Incident Stress Management includes |

| |1. Pre-incident stress education |

| |2. On-scene peer support |

| |3. One-on-one support |

| |4. Disaster support services |

| |5. Diffusing |

| |6. CISD |

| |7. Follow up services |

| |8. Spouse/family support |

| |9. Community outreach programs |

| |10. Other health and welfare programs such as wellness programs |

| |IV. Medical - Legal |

| |A. Expressed Consent |

| |1. Patient must be of legal age and able to make a rational decision. |

| |2. Patient must be informed of the steps of the procedures and all related risks. |

| |3. Must be obtained from every conscious, mentally competent adult before rendering |

| |treatment. |

| |B. Implied Consent |

| |1. Consent assumed from the unconscious patient requiring emergency intervention |

| |2. Based on the assumption that the unconscious patient would consent to life saving |

| |interventions |

| |C. Children and mentally incompetent adults |

| |1. Consent for treatment must be obtained from the parent or legal guardian. |

| |2. Implied consent. |

| |D. Confidentiality |

| |1. Confidential information |

| |2. Releasing confidential information |

| |E. Refusal of Care |

| |1. The patient has the right to refuse treatment. |

| |2. The patient may withdraw from treatment at any time. |

| |3. Refusals |

| |4. “Release from Liability" form. |

| |F. Do Not Resuscitate (DNR) orders |

| |1. Patient has the right to refuse resuscitative efforts. |

| |2. In general, requires written order from the physician. |

| |3. Review state and local legislation/protocols relative to DNR orders and advance |

| |directives. |

| |4. When in doubt the EMTBasic should begin resuscitation efforts. |

| |G. Abuse and neglect (child or elder) |

| |1. Definition of abuse |

| |2. Definition of neglect. |

| |3. Signs and symptoms of abuse |

| |4. Signs and symptoms of neglect |

| |5. CNS injuries are the most lethal - shaken baby syndrome |

| |6. Do not accuse in the field |

| | |

| |STUDENT PERFORMANCE OBJECTIVES (SPO): Student will explain the role of EMS and the EMT-Basic regarding patients with DNR |

| |orders. |

| |Out-of-Class Assignments: Reading assignement |

|4-8 Hours |CONTENT: Module II: Airway |

| |I. Opening the Airway |

| |A. Head-tilt chin-lift when no neck injury suspected-review technique |

| |B. Jaw thrust when the EMT-Basic suspects spinal injury |

| |C. Assess need for suctioning |

| |II. Techniques of Suctioning |

| |A. Inspection of suction device |

| |B. Turn on the suction unit. |

| |C. Attach a catheter |

| |1. Suctioning mouth of an infant or child |

| |2. Suction of nasal passages |

| |D. Inserting the catheter into the oral cavity without suction |

| |E. Apply suction. |

| |1. Move the catheter tip side to side. |

| |F. Suction for no more than 15 seconds at a time. |

| |1. In infants and children, shorter suction time should be used. |

| |2. If the patient has secretions that cannot be removed quickly and easily by suctioning, |

| |the patient should be log rolled and the oropharynx should be cleared. |

| |3. If patient produces frothy secretions |

| |G. If necessary, rinse the catheter and tubing with water to prevent obstruction of the tubing |

| |from dried material. |

| |III. Techniques of Artificial Ventilation |

| |A. In order of preference, the methods for ventilating a patient by the EMTBasic are as |

| |follows: |

| |1. Mouth-to-mask with supplemental oxygen |

| |2. Two person bag-valve-mask |

| |3. Flow restricted, oxygen powered ventilation device |

| |4. One person bag-valve-mask |

| |B. Body substance isolation |

| |C. Bag-valve-mask |

| |1. Consists of a self-inflating bag, one way valve, face mask, oxygen reservoir |

| |2. Bag-valve-mask issues |

| |3. Use when no trauma is suspected |

| |4. Use with suspected trauma |

| |D. Flow restricted, oxygen-powered ventilation devices (FROPVD) |

| |1. Flow restricted, oxygen-powered ventilation devices |

| |2. Use when no neck injury is suspected |

| |3. Use when there is suspected neck injury. |

| |IV. Airway Adjuncts |

| |A. Oropharyngeal (oral) airways |

| |1. Oropharyngeal airways may be used to assist in maintaining an open airway on |

| |unresponsive patients |

| |2. Select the proper size |

| |3. Open the patient’s mouth. |

| |4. In adults, avoid obstructing the airway with the tongue |

| |5. Advance the airway gently until resistance is encountered |

| |B. Nasopharyngeal (nasal) airways |

| |1. Nasopharyngeal airways are less likely to stimulate vomiting |

| |2. Select the proper size |

| |3. Lubricate the airway with a water soluble lubricant |

| |4. Insert it posteriorly |

| |V. Oxygen |

| |A. Equipment for oxygen delivery |

| |1. Non-rebreather |

| |2. Nasal |

| |SPO: Student will perform techniques to assure patient has an open airway. |

| |OUT-OF-CLASS ASSIGNMENTS: Test preparation |

|4-8 Hours |CONTENT: Module III: Patient Assessment |

| |I. Scene Size-up/Assessment |

| |A. Definition |

| |B. Body substance isolation (BSI) review |

| |C. Scene safety |

| |1. Definition |

| |2. Personal protection |

| |3. Protection of the patient |

| |4. Protection of bystanders |

| |5. If the scene is unsafe, make it safe |

| |II. Initial Assessment |

| |A. General Impression of the Patient |

| |1. Definition |

| |2. Assess patient and determine if the patient has a life threatening condition |

| |B. Assess patient’s mental status |

| |1. Begin by speaking to the patient |

| |2. Levels of mental status |

| |C. Assess the patient’s airway status |

| |1. Responsive patient |

| |2. Unresponsive patient |

| |D. Assess the patient’s breathing |

| |E. Assess the patient’s circulation |

| |1. Assess the patient’s pulse |

| |2. Assess if major bleeding is present |

| |3. Assess the patient’s perfusion by evaluating skin color, temperature and condition. |

| |F. Identify priority patients |

| |G. Expedite transport of the patient. Consider ALS backup |

| |H. Proceed to the appropriate focused history and physical examination |

| |III. Focused History and Physical Examination |

| |A. Trauma |

| |1. Perform rapid trauma assessment |

| |2. Patients with no significant mechanism of injury, perform focused history and exam |

| |B. Responsive Medical Patients |

| |1. Assess history of present illness |

| |2. Assess complaints and signs or symptoms |

| |C. Unresponsive Medical Patients |

| |1. Perform rapid assessment |

| |2. Assess baseline vital signs |

| |3. Position patient to protect airway |

| |4. Obtain SAMPLE history from bystander, family, friends prior to leaving |

| |IV. Detailed Physical Exam |

| |A. Patient and injury specific |

| |B. Perform a detailed physical examination on the patient to gather additional information |

| |1. As you inspect and palpate, look and/or feel for the following |

| |examples of injuries or signs of injury - DCAP-BTLS |

| |a) D eformities |

| |b) C ontusions |

| |c) A brasions |

| |d) P unctures/penetrations |

| |e) B urns |

| |f) T enderness |

| |g) L acerations |

| |h) S welling |

| |2. Assess all four extremities |

| |3. Roll with spinal precautions and assess posterior aspect of |

| |body, inspect and palpate for injuries and signs of injury |

| |4. Reassess vital signs |

| |V. Ongoing Assessment |

| |A. Repeat initial assessment. |

| |B. Re-establish patient priorities |

| |C. Reassess and record vital signs |

| |D. Repeat focused assessment regarding patient complaint or injuries |

| |E. Check interventions |

| |VI. Verbal communication |

| |A. After arrival at the hospital, give a verbal report to the staff |

| |B. Introduce the patient by name (if known). |

| |C. Summarize the information given over the radio |

| |1. Chief complaint |

| |2. History that was not given previously |

| |3. Additional treatment given en route |

| |4. Additional vital signs taken en route |

| |5. Give additional information that was collected but not transmitted |

| |VII. Interpersonal communication |

| |A. Make and keep eye contact with the patient. |

| |B. When practical, position yourself at a level lower than the patient. |

| |C. Be honest with the patient. |

| |D. Use language the patient can understand. |

| |E. Be aware of your own body language. |

| |F. Speak clearly, slowly and distinctly. |

| |G. Use the patient’s proper name |

| |H. If a patient has difficulty hearing, speak clearly with lips visible. |

| |I. Allow the patient enough time to answer questions |

| |J. Act and speak in a calm, confident manner. |

| |VIII. Prehospital care report |

| |A. Functions |

| |1. Continuity of care |

| |2. Legal document |

| |3. Educational |

| |4. Administrative |

| |5. Research |

| |6. Evaluation and continuous quality improvement |

| |B. Use |

| |1. Types |

| |2. Sections |

| |3. Confidentiality |

| |4. Distribution |

| |C. Falsification issues |

| | |

| |SPO: Students will demonstrate the steps in performing a focused history and physical on a |

| |medical and a trauma patient. |

| |OUT-OF-CLASS ASSIGNMENTS: Quiz preparation |

|4-8 Hours |CONTENT: Module IV: Medical/Behavioral |

| | |

| |I. General Pharmacology |

| |A. Overview - the importance of medications and the dangers associated with their |

| |administration |

| |B. Medications (carried on the EMS unit) |

| |1. Activated Charcoal |

| |2. Oral Glucose |

| |3. Oxygen |

| |C. Medications |

| |1. Prescribed Inhaler |

| |2. Nitroglycerin |

| |3. Epinephrine auto-injector medication names |

| |D. Medication Form |

| |1. Medications the EMT-Basic carries or helps administer |

| |E. Dose - state how much of the medication should be given |

| |F. Administration |

| |G. Actions - state desired effects of a medication |

| |H. Side effects |

| | |

| |II. Breathing Difficulty |

| |A. Signs and symptoms |

| |B. Emergency Medical Care - Focused History and Physical Exam |

| |C. Medications |

| |III. Cardiac Emergencies |

| |A. Emergency Medical Care - Initial Patient Assessment Review |

| |1. Circulation - pulse absent |

| |2. Responsive patient with a known history - cardiac |

| |B. Cardiac |

| |1. Complains of chest pain/discomfort |

| |C. Relationship to Basic Life Support |

| |1. Not all chest pain patients become cardiac arrest patients |

| |2. One Rescuer CPR |

| |3. Two Rescuer CPR |

| |D. Automated External Defibrillation |

| |1. Importance of automated external defibrillation |

| |2. Overview of automated external defibrillators |

| |3. Use of automated external defibrillators during resuscitation attempts |

| |4. Standard operational procedures |

| |5. Defibrillator maintenance |

| |E. Medications |

| |1. Nitroglycerin |

| |IV. Emergency Medical Care of a patient with an Altered Mental Status |

| |A. Condtions that may cause an altered mental status |

| |V. Emergency medical care of altered mental status with a history of diabetes |

| |A. Perform initial assessment |

| |B. Perform history and physical exam |

| |C. Performs baseline vital signs and SAMPLE history |

| |D. Assure known history of diabetes (medical identification tags), etc. |

| |E. Determine last meal, last medication dose, any related illness |

| |F. Determine if patient can swallow |

| |G. Administer oral glucose in accordance with local medical direction or protocol |

| |H. Medication |

| |1. Oral Glucose |

| |VI. Emergency medical care of allergic reactions |

| |A. Patient complains of respiratory distress associated with allergies |

| |1. Perform initial assessment |

| |2. Perform a focused history and physical exam |

| |3. Assess baseline vital signs and SAMPLE history |

| |4. Administer oxygen if not already done in the initial assessment |

| |5. Contact medical direction |

| |6. Prescribed preloaded epinephrine |

| |7. Record and reassess in two minutes |

| |8. Record reassessment findings |

| |B. Patient has contact with substance that causes allergic reaction without signs of |

| |respiratory distress or shock (hypoperfusion) |

| |1. Continue with focused assessment |

| |2. Patient not wheezing or without signs of respiratory compromise or hypotension should |

| |not receive epinephrine |

| |C. Medications |

| |1. Epinephrine auto-injector |

| |2. Document all responses to medications |

| |VII. Emergency Medical Care of Poisoning/Overdose |

| |A. Ingested |

| |1. Signs and symptoms |

| |B. Emergency medical care |

| |1. Remove pills, tablets or fragments with gloves from patient’s mouth, as needed, without |

| |injuring oneself. |

| |2. Consult medical direction for administration of activated charcoal |

| |3. Bring all containers, bottles, labels, etc. of poison agents to receiving facility. |

| |C. Inhaled |

| |1. Signs and symptoms |

| |2. Emergency medical care |

| |D. Toxic injection |

| |1. Signs and symptoms |

| |2. Emergency medical care |

| |E. Absorbed |

| |1. Signs and symptoms |

| |2. Emergency medical care |

| |VIII. Behavioral Emergencies |

| |A. Assessment for Suicide Risk |

| |1. Depression |

| |2. Suicidal gestures |

| |B. Emergency medical care |

| |1. Scene size-up, personal safety |

| |2. Patient assessment |

| |3. Calm the patient - do not leave patient alone |

| |4. Restrain if necessary |

| |5. Transport |

| |6. Overdose |

| |C. Medical/Legal Considerations |

| |1. How to handle the patient who resists treatment |

| |D. Avoiding unreasonable force |

| |1. Reasonable force |

| |E. Police and medical direction involvement |

| |1. Seek medical direction when considering restraining a patient. |

| |2. Ask for police assistance if during scene size-up the patient appears or acts aggressive |

| |or combative. |

| |F. Protection against false accusations |

| | |

| |SPO: Students will be given a cardiac arrest scenario, and demonstrate the use of CPR and the AED. |

| |OUT-OF-CLASS ASSIGNMENTS:       |

|6-8 Hours |CONTENT: Module V: Trauma |

| | |

| |I. Shock (hypoperfusion syndrome) |

| |A. Severity |

| |1. Shock (hypoperfusion) |

| |2. Cell and organ malfunction and death |

| |3. Peripheral perfusion loss |

| |4. Trauma patients |

| |B. Signs and symptoms of shock (hypoperfusion) |

| |C. Emergency medical care |

| |1. Body substance isolation. |

| |2. Maintain airway/artificial ventilation |

| |3. Control any external bleeding |

| |4. Elevate the lower extremities |

| |5. Splint any suspected bone or joint injuries |

| |6. Prevent loss of body |

| |7. Immediate transport. |

| |II. Emergency medical care of an open chest wound |

| |A. Occlusive dressing to open wound |

| |B. Administer oxygen if not already done |

| |C. Position of comfort if no spinal injury suspected |

| |III. Emergency medical care for an open abdominal injury |

| |A. Do not touch or try to replace the exposed organ |

| |B. Cover exposed organs |

| |C. Flex the patient’s hips and knees, if uninjured |

| |IV. Emergency medical care of amputations |

| |A. Wrap the amputated part in a sterile dressing. |

| |B. Wrap or bag the amputated part in plastic and keep cool. |

| |C. Transport the amputated part with the patient. |

| |D. Do not complete partial amputations, immobilize to prevent further injury |

| |V. Emergency medical care of burns |

| |A. Stop the burning process, initially with water or saline |

| |B. Remove smoldering clothing and jewelry |

| |C. Body substance isolation |

| |D. Continually monitor the airway |

| |E. Prevent further contamination |

| |F. Cover the burned area with a dry sterile dressing |

| |G. Do not use any type of ointment, lotion or antiseptic |

| |H. Do not break blisters |

| |I. Transport |

| |J. Know local protocols for transport to appropriate local facility |

| |VI. Injuries to bones and joints |

| |A. Signs and symptoms |

| |B. Emergency medical care of bone or joint injuries |

| |1. Body substance isolation |

| |2. Administer oxygen if indicated. |

| |3. After life threats have been controlled, splint injuries in preparation for transport |

| |4. Application of cold pack to reduce swelling |

| |5. Elevate the extremity. |

| |C. General rules of splinting |

| |1. Assess pulse, movement, and sensation |

| |2. Immobilize the joint above and below the injury |

| |3. Remove or cut away clothing |

| |4. Cover open wounds with a sterile dressing |

| |5. Do not intentionally replace the protruding bones. |

| |6. Splint the patient before moving |

| |VII. Head and Spine Injuries |

| |A. Mechanism of injury with a high index of suspicion |

| |B. Signs and symptoms of Head and Spine injuries |

| |C. Assessing the potential spine injured patient |

| |1. Responsive patient |

| |2. Unresponsive patient |

| |3. Emergency Medical Care |

| |D. Skull injury - signs and symptoms |

| |VIII. Rapid Extrication |

| |A. Indications |

| |1. Unsafe scene |

| |2. Unstable patient condition warrants immediate movement and transport |

| |3. Patient blocks the EMT-B’s access to another, more seriously injured, patient. |

| |4. Rapid extrication is based on time and the patient |

| |B. Procedure |

| |1. Cervical spine and manual immobilization |

| |2. Cervical immobilization device / backboard |

| | |

| |SPO: Students will describe the emergency medical care of the patient with an open soft tissue injury. |

| |OUT-OF-CLASS ASSIGNMENTS: Reading assignment, test preparation |

|2-4 Hours |CONTENT: Module VI: Obstetrics, Infants, and Children |

| |I. Normal Delivery |

| |A. Pre-delivery considerations |

| |1. Transport an expecting mother |

| |2. Questions to ask |

| |B. Precautions |

| |1. Use body substance isolation. |

| |3. Do not let the mother go to bathroom. |

| |4. Recognize your own limitations |

| |C. Delivery procedures |

| |1. Apply gloves, mask, gown, eye protection for infection control |

| |2. Have mother lie with knees drawn up and spread apart. |

| |3. Elevate buttocks - with blankets or pillow. |

| |4. Create sterile field around vaginal opening |

| |5. When the infant’s head appears during crowning, place fingers on bony part of skull |

| |6. What to do if the amniotic sac does not break |

| |7. Umbilical cord |

| |8. Support the head |

| |9. Support the infant with both hands |

| |10. As the feet are born, grasp the feet. |

| |11. Wipe blood and mucus from mouth and nose |

| |12. Wrap infant in a warm blanket and place on its side |

| |13. Keep infant level with vagina until the cord is cut. |

| |14. Assign partner to monitor infant and complete initial care of the newborn |

| |15. Clamp, tie |

| |16. Observe for delivery of placenta |

| |17. Record time of delivery and transport |

| |D. Vaginal bleeding following delivery |

| |1. A 500 cc blood loss is well tolerated |

| |2. With excessive blood loss, massage the uterus |

| |E. Initial care of the newborn |

| |1. Position, dry, wipe, and wrap newborn in blanket |

| |2. Repeat suctioning |

| |3. Assessment of infant |

| |4. Stimulate newborn if not breathing. |

| |F. Resuscitation of the newborn follows the inverted pyramid |

| |1. Breathing effort |

| |2. Heart rate |

| |3. Color |

| |II. Abnormal Deliveries |

| |A. Prolapsed Cord |

| |1. Size up |

| |2. Initial assessment |

| |B. Breech birth presentation |

| |1. Newborn at great risk for delivery trauma |

| |2. Delivery does not occur within 10 minutes |

| |3. Emergency medical care |

| |C. Limb presentation |

| |1. Immediate rapid transportation upon recognition. |

| |2. Place mother on oxygen. |

| |D. Multiple births |

| |1. Be prepared for more than one resuscitation. |

| |2. Call for assistance. |

| |E. Meconium |

| |1. Do not stimulate before suctioning oropharynx |

| |2. Suction |

| |3. Maintain airway |

| |F. Premature |

| |1. Always at risk for hypothermia |

| |2. Usually requires resuscitation |

| |III. Medical Problems in Infants and Children |

| |A. Airway obstructions |

| |1. Partial airway obstruction - |

| |2. Emergency medical care |

| |B. Complete obstruction |

| |1. No crying or speaking and cyanosis. |

| |2. Clear airway |

| |3. Attempt artificial ventilations |

| |C. Respiratory emergencies |

| |1. Recognize difference between upper airway obstruction and lower airway disease |

| |2. Complete airway obstruction |

| |3. Emergency medical care |

| |D. Cardiac arrest |

| |1. Steps of child CPR |

| |2. Steps of infant CPR |

| |E. Seizures |

| |F. Shock (hypoperfusion) |

| |IV. Trauma in children |

| |A. Injuries are the number one cause of death in infants and children |

| |B. Blunt injury is most common |

| |1. The pattern of injury will be different from adults |

| |2. Falls from height, diving into shallow water - head and neck injuries |

| |3. Burns |

| |4. Sports injuries - head and neck |

| |5. Child abuse |

| |C. Specific body systems |

| |1. Head |

| |2. Chest |

| |3. Abdomen |

| |4. Extremities |

| | |

| |SPO: Students will review the steps to assist in the normal delivery of an infant. |

| |OUT-OF-CLASS ASSIGNMENTS: Test preparation |

|      Hours |CONTENT:       |

| |SPO:       |

| |OUT-OF-CLASS ASSIGNMENTS:       |

|      Hours |CONTENT:       |

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| |OUT-OF-CLASS ASSIGNMENTS:       |

|      Hours |Final |

METHODS OF EVALUATION:

|CATEGORY 1 - The types of writing assignments required: |

|Percent range of total grade: 10 % to 20 % |

| Written Homework |

| Reading Reports |

| Lab Reports |

| Essay Exams |

| Term or Other Papers |

| Other:       |

|If this is a degree applicable course, but substantial writing assignments are NOT appropriate, indicate reason: |

| Course is primarily computational |

| Course primarily involves skill demonstration or problem solving |

|CATEGORY 2 - The problem-solving assignments required: |

|Percent range of total grade: 15 % to 20 % |

| Homework Problems |

| Field Work |

| Lab Reports |

| Quizzes |

| Exams |

| Other:       |

|CATEGORY 3 - The types of skill demonstrations required: |

|Percent range of total grade: 40 % to 70 % |

| Class Performance/s |

| Field Work |

| Performance Exams |

|CATEGORY 4 - The types of objective examinations used in the course: |

|Percent range of total grade: 15 % to 25 % |

| Multiple Choice |

| True/False |

| Matching Items |

| Completion |

| Other:       |

|CATEGORY 5 - Any other methods of evaluation:       |

|Percent range of total grade:       % to       % |

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