EMS Paramedic Program Syllabus/Handbook 2014-2015 Revised: 5/05/2014 This Program Handbook/Syllabus has been Reviewed & Approved By: ___________________________________ Wayne Gallops, DO EMS Program Medical Director 2 TABLE OF CONTENTS Student Contact and Program Contract…………………………………………. 4-6 College & Faculty Information..…..……………………………………………. 7 Mission, Philosophy, Beliefs,.................................................................................. 8 Affirmative Action/ American Disabilities Act ………………………………… 8 Accreditation/EMS Accreditation……………………………………………….. 9 Occupational Program Guarantee……..………………………………………… 9 Tuition & Fees…………………………………………………………………… 10 Course Withdrawal/Refund Policy……………………………………….……… 11 Employment as an EMT and Paramedic………………………………….……… 11 Admission Requirements………………………………………………………… 12 Program Description............................................................................................... 12 Curriculum Plan: Certificate and AAS-EMS…………………………….………. 13 Program Goal & Summative Objectives…………………………………………. 14-15 Course Descriptions & Learning Objectives ..……................................................ 15-22 Lesson Plan Goals............................…… …………..…………………………… 22-23 Additional Certifications Required for EMS Programs…………….……………. 23-24 Academic Honesty/Conduct………………………………………….………….. 24-25 Substance Abuse…………………………………………………………………. 25-26 Attendance……...................................................................................................... 26-27 Holidays/Dismissal/Withdrawals/Re-admissions/Grievance Procedure................. 28 Testing/Grading Criteria …………………………………………………………. 29-30 Incomplete Grades/Student Counseling/Student Evaluation.................................... 30-31 Clinical/Field Prerequisites……………………………………………………….. 31 Student Health/Health Records................................................................................ 32 Needle Stick/Blood and Body Fluid Exposures…………………………………... 33 Clinical & Field Hour Rotation Requirements…………………………………… 34 Field Rotation Policy……………………………………………………………… 35 Dress Code.............................................................................................................. 36 Graduation............................................................................................................... 37 National and State Examination Information…...................................................... 37 National and State Instructions for Licensing & Testing......................................... 37-39 Forms: Health History Check List/Health History Form…………………………. 40-44 3 Black Hawk College EMS Student Contact Form Please complete the following information: First Name: ______________________________________________________ Last Name: ______________________________________________________ Address: _________________________________________________________ _________________________________________________________________ Preferred e-mail Address:____________________________________________ Primary Phone Number: ____________________________________________ Alternate Phone Number: ____________________________________________ I have been given a copy of the Black Hawk College EMS Paramedic Handbook. I have been advised of the policies therein. I have also been referred to the Black Hawk College Catalog and College Student Handbook available at www.BHC.edu for additional College policy and procedures. _______________________________ Signature _________________ Date 4 PARAMEDIC PROGRAM CONTRACT I, __________________________________, (Print Name) have received or acknowledge the following conditions of the Emergency Medical Services Program: Please Initial _________ I have received the following information resources and will read, understand, and abide by all the information contained in these documents. College Catalog- available online at: www.BHC.edu BHC Student Handbook at : www.BHC.edu EMS Student Handbook Clinical/Field Handbook: Distributed at later date________________. _________ I understand that I must complete and turn in the following items in a timely fashion as prescribed by the program: 1) 2) 3) 4) 5) 6) 7) 8) 9) Copy of Illinois EMT-B License* Copy of NREMT-B Certification* (if applicable) Valid AHA CPR card* Copy of additional certifications* (if applicable) Immunization Records* Health Examination Criminal Background Check All completed clinical/field sheets Written Assignments & projects *It is my responsibility to ensure that these records are kept current at all times. _________ I understand that failure to successfully complete any component (didactic/lab, clinical and field) of the paramedic program will result in having to repeat all components of the program. _________ I understand that I must attend classes, specialty courses, labs and complete clinical and field hours in the time frame specified. _________ I understand that my attitude must be professional at all times. I must treat my fellow students, faculty, peers, and patients with the highest degree of courtesy and respect. _________ I understand the need to protect patient information at all times. If patient information is shared in the classroom for educational purposes, I will not discuss this information outside of the classroom. _________ I understand the need to maintain educational & professional confidentially and I will strictly follow “social media” guidelines that prevents breach of confidentiality regarding faculty, staff, student & patient information from being shared in all mediums including blogs, facebook, twitter, & cell phones. _________ I will participate in class with a positive attitude and facilitate an interactive learning environment while maintaining classroom decorum. This includes keeping all electronic devices turned off & put away during class and remaining seated until class is dismissed. _________ I understand the importance of academic honesty which includes doing my own work on exams, quizzes, & written assignments and accurately documenting skills, hours & performance in clinical & field rotations. 5 _________ I understand that I must maintain a 75% quiz average, and must achieve an 80% on all exams. _________ I understand that failure to achieve quiz and exam averages will result in a failing grade. _________ I understand that I must achieve a minimum of an 80% on the final exams to receive a passing grade. There are no probationary periods. _________ I understand that failure to achieve an 80% for each Module or failing to complete all requirements for each Clinical/Field course will result in a failing grade. _________ I understand that I will be evaluated regularly and that I must meet the standards of the program to remain in good standing. _________ I understand that I will strictly comply with the dress code when at clinical or field environment. _________ I understand that I must take the responsibility of signing up for and attending clinical and field hours. _________ I understand that I must take the responsibility to accurately enter all clinical/field hours, patient data, & skills in the FISDAP software within 72 hours of the clinical/field experience. _________ I have read and understood the rules and regulations of the program and I acknowledge that I will be held responsible for both the program and college rules and regulations. _________ I understand that failure to comply with any of the above can lead to my dismissal from the program. _____________________________ Name (Print) _____________________________ Signature _________________________ Date ___________________________________ EMS Program Coordinator Date ______________________________________ EMS Program Medical Director Date 6 COLLEGE & FACULTY INFORMATION Affiliate EMS System: Illini EMS System 801 Illni Drive Silvis, IL 61282 EMS System Coordinator: Chris Webster, EMT-P BHC EMS Faculty PHTLS, BCLS, ACLS, & PALS Instructor [email protected] (309) 281-4038 Affiliate Hospital: Genesis Health System Illini Medical Center 801 Illini Drive Silvis, IL 61282 BHC EMS Medical Director: C. Wayne Gallops DO, CPE BHC Emergency Medical Services Program Illini EMS System Alternate Medical Director Illini Medical Center Emergency Department Medical Director Med Force Medical Director [email protected] BHC EMS Program Director: Karen Wilson, MSN, RN Associate Profess ITLS, BCLS, ACLS, PALS, Instructor NRP Provider (309) 796-5361 Office Hours As Posted & by Appointment [email protected] BHC Clinical Coordinator: Chad Miner, EMT-P BCLS, ACLS &, PALS Instructor [email protected] (309) 281-2770 Governing Agency: Illinois Department of Public Health Chief, Division of Emergency Medical Services 525 West Jefferson Street Springfield, IL 62708 Accredited by: The Higher Learning CommissionNorth Central Association of Colleges and Schools 30 North LaSalle Street, Suite 2400 Chicago, Illinois 60602-2504 Commission on Accreditation of Allied Health Education Programs (CAAHEP)-CoAEMSP –Paramedic Program 1361 Park Street Clearwater, FL 33756 Phone: 727-210-2350 Fax: 727-210-2354 Approval by: Illinois Department of Public Health 535 West Jefferson Springfield, Illinois 62761 7 COLLEGE MISSION STATEMENT Black Hawk College provides the environment and resources for individuals to become lifelong learners. EMS PROGRAM MISSION STATEMENT The EMS Program shares the Mission Statement of the College as an institution dedicated to providing meaningful opportunities for individual growth in an ever-changing society. The mission of the Emergency Medical Services Program at Black Hawk College is to prepare entry level pre-hospital providers by adhering to nationally recognized standards for prehospital education and Illinois State EMS Regulations and scope of practice guidelines. PROGRAM PHILOSOPHY The College Emergency Medical Services Program prepares students to deliver culturally congruent healthcare and to perform as compassionate and knowledgeable healthcare providers of sick and injured patients under Medical Command Authority. When prepared, students will be able to provide care in pre-hospital settings, hospitals, clinical health care settings and other business/industry environments. Students will be taught the personal behaviors, skills, and knowledge appropriate to the level of the EMS practitioner program. Students are prepared as entry level practitioners with a focus on assessment, intervention & responsiveness, flexibility, integrity, and teamwork. The program is also committed to supporting the concept of life-long learning and the advancement of the profession through continuing education. BELIEFS The EMS faculty believes that the learning process is a responsibility shared by both the faculty and the students. The faculty is responsible for providing opportunities for learning and guidance that facilitates student achievement. Instruction is based on clearly written course syllabi describing learning goals, course objectives and required competencies. The primary responsibility for learning rests with the student. Level of achievement is based on the individual’s ability and motivation. AFFIRMATIVE ACTION Black Hawk College will make all educational and personnel decisions without regard to race, color, religion, gender, sexual orientation, marital status, national origin or ancestry, age, physical or mental disability unrelated to ability, or status as a disabled veteran or Vietnam era veteran, except as specifically exempted by law. ACCOMMODATIONS FOR STUDENTS WITH DISABILITIES As required by the Americans with Disabilities Act, accommodations are provided to ensure equal opportunity for students with documented disabilities. If you have a disability that requires accommodations, contact BHC Disability Services, Building 1, Room 241 on the Quad-Cities Campus (Susan Sacco at [email protected] or (309)796-5903 or the Advising Center BHC East Campus (Wendy Smith at [email protected] or (309)854-1713. 8 COLLEGE ACCREDITATION The Emergency Medical Services Program, as part of Black Hawk College, is accredited or approved by: The Higher Learning Commission Commission of the North Central Association of Colleges and Schools Illinois Board of Higher Education Illinois Community College Board Illinois State Board of Education EMS PROGRAM ACCREDITATION The Black Hawk College Emergency Medical Services Program is currently accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP). You can visit http://www.caahep.org/Find-An-Accredited-Program/ to view our accreditation status. The Commission on Accreditation of Allied Health Education Programs (CAAHEP) accredits programs upon the recommendation of the Committee or Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP). Further information regarding CAAHEP or CoAEMSP can be obtained by contacting: Commission on Accreditation of Allied Health Education Programs (CAAHEP) 1361 Park St Clearwater, FL 33756 Ph. 727-210-2350 CoAEMSP George W. Hatch Jr, Ed D, LP, EMT-P Executive Director of CoAEMSP 8301 Lakeview Parkway Suite 111-312 Rowlett, TX 75088 Ph: 214-703-8445 OCCUPATIONAL PROGRAM GUARANTEE Black Hawk College, as a demonstration of its dedication to providing a quality education that will contribute to a wellprepared workforce, guarantees that all graduates of its occupational programs have obtained the academic and technical skills that the program is designed to teach as outlined in the course syllabi at the time the course was taken. Graduates who, jointly with their employers, determine they are lacking the academic or technical skills identified in the course syllabi, and graduates who have been unable to pass required licensure exams shall be permitted to enroll in a maximum of 9 credit hours of appropriate existing instruction and access tutoring, customized instruction at the discretion of the College, and advising, free of tuition and fees. To initiate the guarantee process, the graduate must submit a letter to the office of the Dean of Students (Quad Cities Campus) or the Office of the Director of Education Services (East Campus) showing that the graduate is employed in a position directly related to the program of study and submit a statement, jointly signed by the employer, within six (6) moths of program completion, certifying that the graduate is lacking the entry-level skills identified in the course syllabi at the time courses were taken. Upon verification of eligibility under this guarantee, the College will work with the graduate, and if appropriate, the employer to determine the most appropriate courses that should be retaken or other training and services to be provided at the discretion of the College. The training must be completed within two calendar years of initiating the guarantee. In the case of licensure, the student must attempt to pass the licensure exam at least twice within one year of graduation and submit documentation from the licensing entity of the unsuccessful attempts to pass the exam. If refresher or test preparation courses are available at the College or through a cooperative agreement with another college, the student must also pass those courses prior to initiating the guarantee. This guarantee entitles the graduate to maximum of 9 credit hours of instruction regardless of the number of times the test is taken. This guarantee does not guarantee that the graduate will meet other noneducation licensure requirements. The limit of the College’s liability is to compensation stated herein. 9 TUITION AND FEES See Black Hawk College Catalog: Tuition-fees: EMS Program Billing Services Financial Aid Services Tuition Rates per Credit Hour (subject to change) Late Fee – A late fee charge of $25.00 will be applied to all past due accounts. Fees Where Do You Live? Tuition Per Credit Hour (includes Auxiliary Fee, $3.00; Instruction Fee, $2.00; Technology Fee, $7.50) In District 503 Outside District 503 $95.00 $204.00 $12.50 $12.50 $107.5 $216.50 $129.00 $12.50 $141.50 $204.00 $12.50 $216.50 $109.00 $12.50 $121.50 $129.00 $12.50 $141.50 Total Per Credit Hour (Illinois resident) Iowa student living in Clinton, Louisa, Muscatine or Scott Counties, Iowa All other out-of-state students On-line Learning Courses (Illinois students) On-line Learning Courses (Out-of-state students) Parking Tag - $15.00 per semester, Quad-Cites Campus only. Quad-Cites Campus lots #1, #2, and #3 require a parking hangtag - $15 each semester for fall and spring – summers are free! No hangtag is required to park in lot #4. For information concerning parking and to purchase hang tag, contact the Black Hawk College Police Department. Laboratory Fees Laboratory fees are charged for EMS courses that include laboratory sessions for which materials are supplied. These fees are listed for each EMS course in the Black Hawk College Schedule of College Credit Classes each semester. Please refer to this schedule for more specific information. Lab fees include the purchase of consumable products and for professional liability insurance for the student EMS 110 EMS 112 EMS 114 $200 $200 $100 EMS 210 EMS 212 EMS 214 EMS 216 $100 $100 $100 $100 Other Fees (Subject to Change) Uniforms/Equipment Books Criminal Background Check CPR Certification Physical Exam/Immunization Fisdap Tracking Evolve Exit Exam Varies $250.00 $25.00 Varies Varies College Covers Cost College Covers Cost The student will purchase the clinical/field uniform, black shoes or black work boots, wristwatch, and a stethoscope. These items and apparel are mandatory for all clinical and field assignments. 10 State and National Paramedic Licensure Exam Fees State and National Paramedic Licensure exam fees are the Student’s responsibility. Students will be eligible to take either the State of Illinois &/or National Registry Exam after successful completion of all program components. The Illinois State Paramedic Written Examination fee is $40.00 and the National Paramedic Written Examination fee is $110. Students opting to take the National Written Exam are required to take a National Practical Exam (fees vary according to sponsor and location). COURSE WITHDRAWAL AND REFUND POLICY See Black Hawk College Catalog: Tuition & Fees Refund Policy Refund Procedure Tuition Refund Schedule Withdrawals A. Students will follow the College Refund Policy. B. Students must drop courses prior to the start of the term to be eligible for a 100% refund. For detailed information regarding the Refund Schedule, go to www.bhc.edu/refund. C. It is the student’s responsibility to withdraw or drop from courses. Students who elect to withdraw from a course or the program must discuss their request with the EMS Program Director and sign the appropriate forms. Tuition refunds will be based upon the schedule as listed in the College Catalog. D. Students asked to withdraw from the program at the request of the EMS Program will follow the same tuition refund schedule as listed the College Catalog. E. There is no refund on textbooks. EMPLOYMENT AS AN EMT AND PARAMEDIC 1. Emergency Medical Technician (EMT) is a person who has successfully completed a course of instruction in basic life support as prescribed by the Illinois Department of Public Health; is currently licensed by the Department in accordance with standards prescribed by the Illinois Emergency Medical Services Systems Act and rules adopted by the Department pursuant to this Act, and practices with an EMS system. 2. A Paramedic a person who has successfully completed a course of instruction in advanced life support care as prescribed by the Illinois Department of Public Health; is licensed by the Department in accordance with standards prescribed by the Illinois Emergency Medical Services Systems Act and rules adopted by the Department pursuant to this Act, and practices within an Advanced Life Support EMS system. All phases of instruction, training and field experience must be completed before taking the EMT or Paramedic licensure examinations. Candidates may elect to take the National Registry of Emergency Medical Technicians examination in lieu of the Illinois Department of Public Health examination. (Portions of above statements are taken directly from the Illinois Emergency Medical Services Systems Act.) 11 ADMISSION REQUIREMENTS Paramedic: Must be able to read, write and speak English Must be physically able to perform the skills required for EMS personnel- See BHC Nursing and Allied Health Student: Health History Form for necessary Technical Abilities and Physical Requirements. Must possess an Illinois Basic License OR be eligible to obtain an IL Basic License at the start of the course A CPR card (AHA-Health Care Provider Basic Life Support) Must pass a criminal background check Completion of all health records as directed NOTE: EMS students who are enrolled in paramedic level courses and completed their EMT-Basic coursework at an outside institution will need to: 1) Provide an official transcript documenting the EMT-Basic classes. Note- If an official transcript is not available; a letter signed by an authorized representative, documenting the content of coursework and the dates the student attended is required. 2) The student must provide a copy of a current Illinois state EMT-Basic license or NREMT Basic certification with eligibility to obtain an IL license. Transcripts should be sent directly to the Enrollment Services Office from the institution granting the credit. The student can submit a copy of the state licensure card directly to Enrollment Services, or to the EMS Program Director. Black Hawk College will grant college transfer credit for EMS 100 and EMS 102 once the transcript and license have been received. PROGRAM DESCRIPTION A. Please Note: Black Hawk College is approved to teach the Paramedic Program by the Illinois Department of Public Health (IDPH). Once approved, IDPH provides a Course Number for each Paramedic Certificate Course requested. Students must meet all requirements under that IDPH Course Number to complete the Paramedic Certificate Program. If a student is unable to complete the paramedic certificate program and/or has exhausted course incompletes, the student will have to re-enter the paramedic program under a new IDPH course number and take paramedic classes starting with EMS 110 and clinical/field classes starting with EMS 114. B. The Paramedic Program consists of three components: classroom (didactic/lab), clinical, and field. C. Classroom presented by physicians, nurses, paramedics, and guest lecturers. Didactic: lectures, discussions, written evaluations and assignments. Labs: demonstrations, hands on practice and practical testing. See pages Clinical/Field Handbook for a list of Practical Skills that must be satisfactorily demonstrated. Skill check-off sheets will be utilized to evaluate skill performance in the lab setting. Classroom portions of the course are completed in two semesters for the certificate program and the equivalent of four semesters for the Associate of Applied Science Degree program. D. Clinical: Instruction and supervised practice of acquired skills occurs in various areas of The hospital and off campus sites. Clinical performance is supervised by a Physician, Registered Nurse, or approved hospital personnel appropriate for the unit/area assigned. Evaluation of performance in the clinical area is in collaboration with the medical director, program director, program clinical coordinator and clinical staff/ preceptors. The assigned clinical units include: surgical and medical intensive care, emergency department/trauma center, obstetrics, surgery, respiratory therapy, pediatrics, psychiatry, neonatal special care unit, and other specialty areas. The clinical experience coincides with the lectures presented in the classroom. Scheduling the clinical experience is the Student’s responsibility and is completed in conjunction with the Clinical Coordinator. E. Field: Ambulance ride time, otherwise known as Field Experience, takes place throughout the program in three progressive phases. Field performance is supervised by a Physician, Emergency Communication Registered Nurse, or approved licensed Paramedic/Pre-hospital RN Preceptor. Evaluation of performance for the field experience is in collaboration with the medical director, program director, clinical coordinator and field preceptors. The Field Experience must be completed within twelve months from the start of the Paramedic Program (August to August) and will be considered completed when all required entry-level competencies are achieved and a minimum number of field hours have been obtained. During the final Advanced Phase of the field experience, the Student will be functioning in the paramedic role under close observation of designated preceptors. 12 Black Hawk College Curriculum Plan for EMS Basic EMS 100 Basic EMS 102 Basic Clinical Credit Hours 8 1 Certificate Credit Hours EMS 110 Paramedic Theory I EMS 112 Paramedic Theory II EMS 114 Paramedic Clinical I 7 8 3 EMS 210 Paramedic Theory III EMS 212 Paramedic Theory IV EMS 214 Paramedic Clinical II 7 7 4 EMS 216 Paramedic Clinical III 5 13 Assoc. Degree BIOL 145 A&P I BIOL 150 Medical Terminology BIOL 146 A & P II PSYC 101 Intro to Psychology ENG 101 Composition SPEC. 175 Intercultural Comm. or ANTH 102 Intro to Cultural Anthro. Credit Hours 4 3 4 3 3 3 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM PROGRAM GOAL To prepare competent entry-level Paramedics in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains. Certificate in Emergency Medical Services Program Summative Objectives Cognitive (Knowledge) Demonstrate the ability to comprehend, apply, and evaluate information in the classroom, practical lab, and clinical/field component of the Paramedic program. Determine patient needs and choose necessary interventions appropriate for the Paramedic scope of practice. Demonstrate knowledge attainment by successfully completing the NREMT or licensure exam for the Paramedic educational experience. Psychomotor (Skills) Demonstrate satisfactory technical performance in all skills as required for the entry-level Paramedic during practical labs, exams and clinical/field rotations. Demonstrate satisfactory communication skills when communicating with faculty, patients, preceptors, and EMS/medical facility personnel. Demonstrate satisfactory documentation skills when documenting patient histories, assessments, patient care, and interventions. Affective (Behavior) Recognize EMS professionals are an essential component of the continuum of health care. Demonstrate personal behavior consistent with professional, faculty, and employer expectations of an entrylevel Paramedic as evidenced by the daily clinical/field evaluations and progressive/final field summary evaluations.. Demonstrate expected personal behaviors during patient/staff interactions in the clinical/ field rotations as evidenced by the daily clinical/field evaluations and progressive/final field summary evaluations. Demonstrate values consistent with the values of the College, EMS Program, and the State/National regulating bodies as evidenced by the daily clinical/field evaluations and progressive/final field summary evaluations. Recognize and accept cultural differences while providing patient care as evidenced by the daily clinical/field evaluations and progressive/final field summary evaluations. Associate of Applied Science in Emergency Medical Services Degree Summative Objectives Cognitive (Knowledge) Demonstrate the ability to comprehend, apply, and evaluate information in the classroom, practical lab, and clinical/field component in the Paramedic program. Determine patient needs and choose necessary interventions appropriate to the Paramedic scope of practice. Demonstrate knowledge attainment by successfully completing a licensure exam for the Paramedic educational experience. Demonstrate application of general education knowledge during major courses and EMS practice. Psychomotor (Skills) Demonstrate satisfactory technical performance in all skills as required for the entry-level Paramedic during practical labs, exams and clinical/field rotations. Demonstrate satisfactory communication skills when communicating with faculty, patients, preceptors, and EMS/medical facility personnel. Demonstrate satisfactory documentation skills when documenting patient histories, assessments, patient care, and interventions. Demonstrate application of general education knowledge when communicating, documenting and performing patient care. 14 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM Affective (Behavior) Recognize EMS professionals are an essential component of the continuum of health care. Demonstrate personal behavior consistent with professional, faculty, and employer expectations of an entrylevel Paramedic. Demonstrate expected personal behaviors during patient/staff interactions in the clinical/ field rotations as evidenced by the final field summary evaluation. Demonstrate values consistent with the values of the College, EMS Program, and the State/National regulating bodies. Differentiate cultural variations to appropriately modify behavior/attitude while providing patient care. Emergency Medical Services Course Descriptions and Learning Objectives EMS 100 Emergency Medical Technician Basic 8 cr. hrs. Prerequisite: At least 18 years of age, high school diploma or GED, current CPR card (healthcare provider level). Prepares individuals to provide basic emergency care at the scene of an accident or illness and to stabilize and transport the victim to a facility providing thorough emergency medical services. The course will include the treatment of common medical emergencies and injuries as well as the roles and responsibilities of emergency medical completion of the course, the student will be eligible to take the state EMT-B test or the National Registry. 6 lecture hours; 4 lab hours per week. EMS 102 EMT – Basic Clinical 1 cr. hr. Prerequisite: Concurrent enrollment in EMS 100. The student in this course will have field experiences under the direction of experienced preceptors. The student is required to complete a minimum number of hours of experience. This includes twenty-four hours in the Emergency Department and twenty-four hours of ride time in an ambulance. This course is designed to augment each phase of the didactic material presented in EMT-Basic (EMS 100). 0 lecture hours; 2 lab hours per week. EMS 110 Paramedic Theory I 7 cr. hrs. Prerequisite: EMS 100 & 102 or equivalent. Current Illinois EMT Basic License or hold NREMT-Basic certification with eligibility for Illinois EMT Basic License. Current CPR card (Healthcare Provider). Concurrent enrollment in EMS 114. Prepare individuals to complete preparation for paramedic certification. This eight-week course includes the roles and responsibilities of the paramedic, bloodborne pathogens, documentation & communication in EMS, medical records & HIPPA policies, Medical/Legal/Ethical considerations, anatomy and physiology of cells, tissues, muscular system, respiratory and cardiovascular systems, techniques for administration of medications and fluid resuscitation and an in-depth look at assessment and interventions for respiratory and cardiovascular conditions. Cardiac electrophysiology and EKG interpretation are also included. 6 lecture hours; 2 lab hours per week. EXPECTED LEARNING OBJECTIVES: Upon successful completion of this course, the student shall be able to: A. Review bloodborne pathogens encountered in the EMS workplace B. Examine roles and responsibilities of the paramedic C. Review medical terminology D. Discuss medical/legal issues in EMS E. Examine documentation, medical records and privacy, including HIPAA F. Examine communication & communication systems in EMS G. Examine foundations of human biology at the chemical, cellular and tissue levels H. Demonstrate the use of mathematics used in calculation of drug dosages 15 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM I. J. K. L. M. N. O. P. Q. R. S. T. U. V. W. Examine pharmacology theory and its application to EMS Examine formulary of medications used in EMS Examine proper techniques for medication administration and fluid resuscitation Examine anatomy and physiology pertaining to the airway and respiratory system Examine basic and advanced airway management techniques Compare and contrast pathophysiology and treatment of pulmonary conditions Review physical examination techniques and history taking Examine anatomy and physiology pertaining to the muscular and cardiovascular systems Examine cardiac electrophysiology and EKG interpretation Demonstrate the use and administration of medications given by EMS providers Demonstrate vascular and intraosseous access Demonstrate basic and advanced airway management techniques Demonstrate patient assessment and medical history taking Demonstrate the acquisition and interpretation of 3 lead and multi-lead EKG Demonstrate the assessment and treatment of patients with pulmonary/respiratory signs and symptoms COURSE OUTLINE: A. Bloodborne Pathogens B. HIPAA Policies C. Medical Terminology D. Roles and Responsibilities of the Paramedic E. Medical/Legal and Ethical Considerations F. Anatomy and Physiology: Chemical Organization, Cells, Tissues, Muscles G. Documentation, Medical Records and Privacy, including HIPAA H. Communication & Communication Systems in EMS I. Physical Assessment J. Pharmacology & Medical Calculations K. Medication Administration L. Anatomy and Physiology of the Respiratory System M. Assessment of the Respiratory System N. Airway Management and Ventilation O. Respiratory Emergencies P. Anatomy and Physiology: Cardiovascular System Q. Cardiac Electrophysiology R. Rhythm Strip Identification EMS 112 Paramedic Theory II 8 cr. hrs. Prerequisite: EMS 110 “C” or better and a current CPR card (Healthcare Provider). Concurrent enrollment in EMS 114 Prepare individuals to complete preparation for paramedic certification. This eight week course includes a variety of medical and surgical emergencies as well as emergency conditions related to the cardiac, respiratory, neurological, skeletal and integumentary systems. Advance Cardiac Life Support Certification will be included. Traumatic injuries including assessments, interventions, and certification in International Trauma Life Support will be provided. 7 lecture hours; 2 lab hours per week. EXPECTED LEARNING OBJECTIVES: Upon successful completion of this course, the student shall be able to: A. Describe the pathophysiology and treatment of cardiac conditions B. Describe the intervention of cardiac rhythms that are potentially harmful C. Complete the American Heart Association curriculum for Adult Advanced Cardiac Life Support D. Examine the anatomy and physiology of the central and peripheral nervous system E. Describe the pathophysiology and treatment of neurologic emergencies F. Overview the anatomy and physiology of the skeletal and integumentary systems G. Examine the assessment, pathophysiology and intervention for traumatic injury H. Complete the Illinois College Emergency Physicians curriculum for International Trauma Life Support 16 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM I. J. K. L. M. N. O. P. Q. Examine the assessment, pathophysiology and intervention for burn injuries Examine the assessment, pathophysiology and intervention for medical and surgical emergencies Practice adult resuscitation of cardiac arrest and pre- and peri-arrest interventions Practice the assessment and intervention for patients with cardiac pathologies Practice the assessment and intervention for patients with neurologic pathologies Practice the assessment and intervention for patients with burn injuries Practice the assessment and intervention for patients with medical and surgical emergencies Practice management of traumatic injury, including but not limited to immobilization Demonstrate needle thoracostomy for tension pneumothorax COURSE OUTLINE: A. Cardiac Emergencies B. Advanced Cardiac Life Support C. Anatomy and Physiology of the Nervous System D. Neurological Medical and Trauma Emergencies E. Adult Medical and Surgical Emergencies F. Trauma Related Respiratory Emergencies G. Anatomy and Physiology of Integumentary and Skeletal H. Trauma and Injury I. Burn J. International Trauma Life Support K. Overview of Trauma and Trauma Assessment EMS 114 Paramedic Clinical I 3 cr. hr. Prerequisite: Concurrent enrollment in EMS 110 and EMS 112 The student in this course will have field and clinical experiences under the direction of experienced qualified preceptors. The student is required to complete a minimum number of hours in assigned environments. This includes fifty-two hours in the Emergency Department, sixteen hours in a critical care/intensive care unit, four hours with cardiopulmonary/respiratory therapy staff, and twelve hours in the operating room/surgery, two hours in the Cardiac Cath Lab, two hours at the Burn/Wound Center and 50 hours of field (ambulance) experience. This course is designed to augment each phase of the didactic material presented in EMS 110: Paramedic Theory I and EMS 112: Paramedic Theory II. 0 lecture hours; 9 lab hours per week This course is a Pass/X course. All students will be expected to demonstrate satisfactory exposure to patients of various ages and conditions in clinical and field environments. Students are expected to achieve satisfactory skill frequency and competency in clinical & field environments. Students are expected to complete the Basic Field Level during the course and begin the Progressive Field Level competencies. Patient assessments, interventions and care will be monitored and documented under the direction and evaluation of a licensed RN, physician, paramedic preceptor, or other qualified personnel as specified. Students must complete documentation for all patient contacts and skills on the appropriate forms and computer software programs. EXPECTED LEARNING OBJECTIVES: Upon successful completion of this course, the student shall be able to: A. Practice standard precautions when performing skills and intervention in the clinical/field environment B. Demonstrate satisfactory understanding of HIPAA policy C. Demonstrate the ability to comprehend and apply knowledge and information from the classroom to patients in the clinical and field environment D. Demonstrate the ability to formulate and implement a treatment plan for trauma patients and medical patients of all ages to include patients with: chest pain/cardiac problems, and dyspnea/respiratory distress E. Demonstrate the ability to perform a comprehensive assessment on trauma and medical patients F. Demonstrate satisfactory communication skills when communicating with patients, preceptors, and EMS/medical facility personnel G. Demonstrate the ability to perform basic and paramedic skills H. Demonstrate the ability to successfully and safely gain venous access in all age groups 17 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM I. J. K. L. M. Demonstrate the ability to effectively ventilate non-intubated and intubated patients of all age groups Demonstrate the ability to safely administer medications including O2 and additional approved medications Demonstrate satisfactory documentation skills when documenting patient histories, assessments, patient care, and interventions Demonstrate values and personal behavior consistent with professional, faculty, preceptor and medical facility expectations Recognize and accept cultural differences while providing patient care I. COURSE OUTLINE: Emergency Department Critical Care/Intensive Care Cardiopulmonary/Respiratory Therapy Operating Room/Surgery Cardiac Cath Unit Burn/wound Clinic Field Hours Total 52 hours 16 hours 4 hours 12 hours 2 hours 2 hours 50 hours 138 hours EMS 210 Paramedic Theory III 7 cr. hrs. Prerequisite: EMS 110 and EMS 112 “C” or better, EMS 114 with a pass grade, and a current CPR card (Healthcare Provider.) Must be concurrently enrolled in EMS 214. Prepare individuals to complete preparation for paramedic certification. This eight week course includes a variety of medical emergencies related to shock & resuscitation, fluid and electrolyte imbalance, hematology & blood disorders, endocrine disorders & management, immunology/anaphylaxis assessment & management, gastrointestinal disorders, genitourinary disorders, toxicology/poisoning, infectious diseases, psychiatric/behavioral emergencies, drug and alcohol abuse, obstetrics, and newborn care. 6 lecture hours; 2 lab hours per week. EXPECTED LEARNING OBJECTIVES: Upon successful completion of this course, the student shall be able to: A. Examine the pathophysiology and treatment for shock B. Examine the assessment, pathophysiology and intervention for patients with various types of shock C. Examine the assessment, pathophysiology and intervention for patients suffering from bleeding & hemorrhage D. Examine electrolyte abnormalities E. Examine blood, the functions of blood components, and blood disorders F. Compare and contrast the physiology and abnormalities of the endocrine system G. Examine allergies and anaphylaxis, assessment & management H. Examine the physiology and abnormalities of the gastrointestinal system I. Examine renal and urologic emergencies J. Examine toxicology and poisoning, assessment & management K. Examine infectious diseases assessment & management/Public Health L. Examine pertinent psychiatric disorders and management of behavioral disorders M. Examine drug & alcohol abuse assessment & management N. Examine anatomy and physiology concepts in pregnancy and childbirth O. Examine childbirth procedures and complications of field delivery P. Examine concerns with pregnancy and complications of pregnancy Q. Practice fluid resuscitation techniques R. Practice the assessment and intervention for patients suffering from hemorrhage and shock S. Demonstrate simulated, uncomplicated vaginal delivery of the newborn T. Demonstrate simulated, complicated vaginal delivery of the newborn U. Demonstrate care and interventions for the neonate V. Demonstrate umbilical line placement with intravenous catheters W. Demonstrate specialized assessment for the pregnant patient and newborn 18 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM COURSE OUTLINE: A. Shock B. Fluid Resuscitation C. Electrolyte Imbalances D. Blood Components and Blood Disorders E. Endocrine Disorders F. Allergies and Anaphylaxis G. Gastrointestinal Disorders H. Renal and Urological Emergencies I. Toxicology and Poisoning J. Infectious Diseases/Public Health K. Psychiatric Disorders L. Drug & Alcohol Abuse M. Pregnancy and Childbirth N. Care of Newborn EMS 212 Paramedic Theory IV 7 cr. hrs. Prerequisite: EMS 210 “C” or better and concurrent enrolled in EMS 214 Prepares individuals to complete preparation for paramedic certification. This eight-week course includes a variety of emergency responses and management related to neonatal resuscitation, the care of the pediatric patient, certification in Pediatric Advanced Life Support, adult lifespan development, care of the geriatric patient, sensory impairments, home care, domestic violence, abuse and assault of children and adults, care of patients with special challenges, EMS research, cultural care, hazmat awareness, workforce safety and wellness, stress management, multiple casualty incident, rescue triage, incident management, terrorism and disasters, and summative evaluations.6 lecture hours; 2 lab hours per week. EXPECTED LEARNING OBJECTIVES: Upon successful completion of this course, the student shall be able to: A. Examine neonatal resuscitation B. Examine assessment and care of the pediatric patient C. Examine special conditions found in the pediatric population D. Complete certification in Pediatric Advanced Life Support as presented by the American Heart Association E. Examine assessment and care of geriatric patients F. Examine abuse and assault of children and adults G. Complete preparatory information for functioning on an EMS service such as hazardous materials awareness, clinical decision making, incident command and roles of the paramedic H. Demonstrate a competent resuscitation of a newborn I. Demonstrate a competent resuscitation of a pediatric patient J. Examine the various stages of the adult life span K. Examine EMS interventions for patients with sensory impairments L. Examine EMS interventions for home care/domestic violence/patients with special challenges M. Discuss EMS research N. Compare and contrast culture care for various groups O. Examine work force safety and wellness P. Compare and contrast EMS response to various Hazmat situations Q. Examine stress management R. Compare and contrast EMS response to various terrorism threats and disasters S. Outline incident management when functioning as a member of an EMS service T. Practice the assessment and triage of patients U. Demonstrate competency in cumulative knowledge and skills over the prerequisite courses in a practical and/or situational setting 19 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM COURSE OUTLINE: A. Neonatal Resuscitation B. Assessment and Care of the Pediatric Patient C. Pediatric Advanced Life Support D. Adult Life Span E. Assessment and Care of the Geriatric Patient F. Abuse and Assault of Children and Adults G. Sensory Impairments H. Home Care/ Domestic Violence/Patients with Special Challenges I. EMS Research J. Culture Care K. Work Force Safety and Wellness L. Stress Management M. Hazmat N. Incident Management, NIMS, CIS O. Mass Casualty Incident P. Terrorism and Disaster EMS 214 Paramedic Clinical II 4 cr. hrs. Prerequisite: Concurrent enrollment in EMS 210 and EMS 212 The student in this course will have field and in-hospital experiences under the direction of experienced preceptors. The student is required to complete a minimum number of hours of experience. This includes 52 hours in the Emergency Department, 16 hours in a critical care/intensive care unit, 4 hours with cardiopulmonary/respiratory therapy staff, 12 hours in the operating room/surgery, 16 hours in Obstetrics and Neonatal units, 16 hours in the pediatric units. 16 hours in the psychiatric units, and 2 hours in the dialysis center and 50 field hours. This course is designed to augment each phase of the didactic material presented in EMS 110, 112, 210, & 212. This course is also designed to act as a continuum of clinical/field experience from EMS 114. 0 lecture hours; 12 lab hours per week. This course is a Pass/X course. All students will be expected to demonstrate satisfactory exposure to patients of various ages and conditions in clinical and field environments. Students are expected to achieve satisfactory skill frequency and competency in clinical & field environments. Students are expected to complete the Progressive Field Level during the course and begin the Advanced Level in the Field environment. Patient assessments, interventions and care will be monitored and documented under the direction and evaluation of a licensed RN, physician, paramedic preceptor, or other qualified personnel as specified. Students must complete documentation for all patient contacts and skills on the appropriate forms and computer software programs. II. EXPECTED LEARNING OBJECTIVES: Upon successful completion of this course, the student shall be able to: A. Demonstrate the ability to comprehend and apply knowledge and information from the classroom to patients in the clinical and field environment B. Demonstrate the ability to formulate and implement a treatment plan for trauma patients and medical patients of all ages to include patients with: chest pain/cardiac problems, dyspnea/respiratory distress, syncope, abdominal complaints, altered mental status, psychiatric issues, urinary/gynecological/obstetrical emergencies, neurological problems, poisoning, shock, patients with special challenges, and patients suffering from traumatic injuries related to accidents or abuse C. Demonstrate the ability to perform a comprehensive assessment on trauma and medical patients of all ages D. Demonstrate satisfactory communication skills when communicating with patients, preceptors, and EMS/medical facility personnel E. Demonstrate the ability to perform basic and paramedic skills F. Demonstrate the ability to successfully and safely gain venous access in all age groups G. Demonstrate the ability to effectively ventilate non-intubated and intubated patients of all age groups H. Demonstrate the ability to safely administer medications including O2 and additional approved medications I. Demonstrate satisfactory documentation skills when documenting patient histories, assessments, patient care, and interventions J. Demonstrate values and personal behavior consistent with professional, faculty, preceptor and medical facility expectations 20 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM K. L. M. Recognize and accept cultural differences while providing patient care Demonstrate Work Force Safety and Stress Management practices and Wellness principles Demonstrate ability to function as a Member of an EMS service involved in various situations that may involve Hazmat response, multiple casualty Incidents, incident management terrorism and disasters COURSE OUTLINE: A. Emergency Department B. Critical Care/Intensive Care C. Cardiopulmonary/Respiratory D. Operating Room/Surgery E. Obstetrics/ Neonatal Units F. Pediatric Units G. Psychiatric Units H. Dialysis Center I. Field Hours Total 52 hours 16 hours 4 hours 12 hours 16 hours 16 hours 16 hours 2 hours 50 hours 184 hours EMS 216 Paramedic Clinical III 5 cr. hrs. Prerequisite: EMS 210 and EMS 212 “C” or better and EMS 214 with a pass grade The student in this course will have advanced field level experiences under the direction of qualified, experienced preceptors. During this course the student will continue field hours until a minimum of 300 hours has been reached within the program with an ambulance service under the direction of assigned preceptors. This course is competency based, and may result in the extension of clock hours to meet all clinical/field competencies & objectives. 0 lecture hours; 15 lab hours per week. This course is a Pass/X course. All students will be expected to demonstrate satisfactory exposure to patients of various ages and conditions in clinical and field environments. Students are expected to achieve satisfactory skill frequency and competency in clinical & field environments as listed. Students are expected to complete the Advanced Field Level competencies at the end of this course. Patient assessments, interventions and care will be monitored and documented under the direction and evaluation of a licensed RN, physician, paramedic preceptor or other qualified personnel as specified. Students must complete documentation for all patient contacts and skills on the appropriate forms and computer software programs. EXPECTED LEARNING OBJECTIVES: Upon successful completion of this course, the student shall be able to: A. Practice standard precautions when performing skills and intervention in the clinical/field environment B. Demonstrate satisfactory understanding of HIPAA policy C. Demonstrate the ability to comprehend and apply knowledge and information from the classroom to patients in the clinical and field environment D. Demonstrate the ability to formulate and implement a treatment plan for trauma patients and medical patients of all ages to include patients with: chest pain/cardiac problems, and dyspnea/respiratory distress E. Demonstrate the ability to perform a comprehensive assessment on trauma and medical patients F. Demonstrate satisfactory communication skills when communicating with patients, preceptors, and EMS/medical facility personnel G. Demonstrate the ability to perform basic and paramedic skills H. Demonstrate the ability to successfully and safely gain venous access in all age groups I. Demonstrate the ability to effectively ventilate non-intubated and intubated patients of all age groups J. Demonstrate the ability to safely administer medications including O2 and additional approved medications K. Demonstrate satisfactory documentation skills when documenting patient histories, assessments, patient care, and interventions L. Demonstrate values and personal behavior consistent with professional, faculty, preceptor and medical facility expectations M. Recognize and accept cultural differences while providing patient care N. Adequately document patient encounters in the pre-hospital setting O. Safely administer medications to at least 15 live patients 21 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM P. Q. R. S. Safely perform endotracheal intubation on 7 live patients Safely gain venous access in all age group patients in at least 25 patients with a success rate of 70% or better Effectively ventilate at least 20 unintubated patients Perform a comprehensive assessment on at least 30 pediatric patients To include at least 3 contacts in each of the following age categories: Newborn: < 1 month Infant: 1 month to < 1 year Toddler: 1-3 years Preschool: 4-5 years School Age: 6-12 years Adolescent: 13-<18 years T. U. V. W. X. Y. Perform a comprehensive assessment on at least 50 adult patients Perform a comprehensive assessment on at least 30 geriatric patients Perform a comprehensive assessment on at least 10 obstetric patients and observe at least 3 live births Perform a comprehensive patient assessment on at least 20 psychiatric patients Perform a comprehensive patient assessment on at least 40 trauma patients Perform a comprehensive patient assessment, formulate and implement a treatment plan on at least 30 patients with chest pain Z. Perform a comprehensive patient assessment, formulate and implement a treatment plan on at least 20 adult patients with dyspnea/respiratory distress AA. Perform a comprehensive patient assessment, formulate and implement a treatment plan on at least 8 pediatric patients (including infants, toddlers, and school age) with dyspnea/respiratory distress BB. Perform a comprehensive patient assessment, formulate and implement a treatment plan on at least 10 patients with syncope CC. Perform a comprehensive patient assessment, formulate, and implement a treatment plan on at least 20 patients with abdominal complaints (for example: abdominal pain, nausea/vomiting, GI bleeding, gynecological complaint, etc.) DD. Perform a comprehensive patient assessment, formulate and implement a treatment plan on at least 20 patients with altered mental status EE. Serve as the team leader for at least 50 pre-hospital emergency responses COURSE OUTLINE: A. The EMS 216 course includes a minimum of 100 hours of the Advanced Field Level competencies B. Minimum total combined field hours for EMS 114, EMS 214, and EMS 216 will equal at least 300 hrs C. This course is competency based, and may result in the extension of clock hours to meet all clinical/field competencies & objectives LESSON PLAN GOALS A. Able to integrate comprehensive knowledge of EMS systems, the safety/well-being of the paramedic, and medical/legal and ethical issues which is intended to improve the health of EMS personnel, patients, and the community. B. Able to integrate a complex depth and comprehensive breadth of knowledge of the anatomy and physiology of all human systems C. Able to integrate s comprehensive anatomical and medical terminology and abbreviations into the written and oral communication with colleagues and other health care professionals. D. Able to integrate a comprehensive knowledge of pathophysiology of major human systems. E. Able to integrate a comprehensive knowledge of life span development. F. Applies fundamental knowledge of principles of public health and epidemiology including public 22 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM health emergencies, health promotion, and illness and injury prevention. G. Able to integrate a comprehensive knowledge of pharmacology to formulate a treatment plan intended to mitigate emergencies and improve the overall health of the patient. H. Able to integrate a complex knowledge of anatomy, physiology, and pathophysiology into the assessment to develop and implement a treatment plan with the goal of assuring a patent airway, adequate mechanical ventilation, and respiration for patients of all ages. I. Able to integrate scene and patient assessment findings with knowledge of epidemiology and pathophysiology to form a field impression. This includes developing a list of differential diagnoses through clinical reasoning to modify the assessment and formulate a treatment plan. J. Able to integrate assessment findings with principles of epidemiology and pathophysiology to formulate a field impression and implement a comprehensive treatment/disposition plan for a patient with a medical complaint. K. Able to integrate comprehensive knowledge of causes and pathophysiology into the management of cardiac arrest and peri-arrest states. Integrates a comprehensive knowledge of the causes and pathophysiology into the management of shock, respiratory failure or arrest with an emphasis on early intervention to prevent arrest. L. Able to integrate assessment findings with principles of epidemiology and pathophysiology to formulate a field impression to implement a comprehensive treatment/disposition plan for an acutely injured patient. M. Able to integrate assessment findings with principles of pathophysiology and knowledge of psychosocial needs to formulate a field impression and implement a comprehensive treatment/disposition plan for patients with special needs. ADDITIONAL CERTIFICATIONS REQUIRED FOR PARAMEDIC COURSE COMPLETION The following certifications are to be completed and/or maintained as a Co-requisite, Prerequisite or as Part of the Paramedic Program: 1) BCLS for the Health Care Provider 2) Hazardous Waste Material Operations and Emergency Response (HAZWOPER) standard, 29 CFR 1910.120 (q)(6)(i) (or above level) First Responder Awareness Level First responders at the awareness level are individuals who are likely to witness or discover a hazardous substance release and who have been trained to initiate an emergency response sequence by notifying the proper authorities of the release. They would take no further action beyond notifying the authorities of the release. First responders at the awareness level shall have sufficient training or have had sufficient experience to objectively demonstrate competency. (This is a free on-line course that the College faculty will enroll the student in, if not already completed.) 3) FEMA ICS-100.b Introduction to Incident Command System, I-100 Course Overview This free on-line course introduces the Incident Command System (ICS) and provides the foundation for higher level ICS training. This course describes the history, features and principles, and organizational structure of the Incident Command System. It also explains the relationship between ICS and the National Incident Management System (NIMS). http://training.fema.gov/EMIWeb/IS/IS100b.asp 23 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM 4) FEMA IS-700.a NIMS An Introduction Course Overview This free online course introduces and overviews the National Incident Management System (NIMS). NIMS provides a consistent nationwide template to enable all government, private-sector, and nongovernmental organizations to work together during domestic incidents. http://training.fema.gov/emiweb/is/is700a.asp ACADEMIC HONESTY In keeping with its mission, Black Hawk College seeks to prepare its students to be knowledgeable, forthright and honest. Academic honesty includes adherence to guidelines established by the college and/or clinical and field sites. Any instance of academic dishonesty or other forms of dishonesty are grounds for immediate dismissal from the program. Cheating and Plagiarism Policy: (See Black Hawk College Catalog) The student bears the ultimate responsibility for being aware of College Cheating and Plagiarism policy, Definition of plagiarism. Plagiarism takes any one of three forms: Passing of words and/or images of another as one’s own. Passing of the ideas of another as one’s own. Using the original organizational scheme or plot of another as one’s own. Examples of unacceptable behavior can include but are not limited to: plagiarism, falsifying records, papers, resubmitting papers from another class, cheating or unauthorized collaborating on test, quizzes, case studies, or other graded assignments, retention of the materials which are the property of the College and/or the instructor, clinical misconduct or other unethical behavior. This is a zero tolerance policy and any infraction will result in dismissal from the program. Since it is the faculty member’s responsibility to assign grades, it is also his/her prerogative to determine what constitutes cheating or plagiarism as defined above in his/her class(es). The consequences for cheating or plagiarism are determined by the Program Medical Director, Program Director, & Faculty. Unless that judgment can be shown to be either capricious, arbitrary, or in bad faith, the Program Medical Director, Program Director, & Faculty member’s judgment will stand. CONDUCT The Black Hawk College EMS Program expects its students to conduct themselves in a professional manner at all times. This implies thoughtful consideration of Black Hawk College, all clinical and field sites; as well as all faculty, staff, peers, emergency personnel, bystanders and patients. PATIENT CONFIDENTIALITY must be respected at all times. Nothing seen or heard in any patient care area or during any field experience is to be discussed in any context other than an educational manner with other health care professionals directly involved with the patient, or in the classroom with faculty and/or staff present. ANY breach of patient confidentiality is grounds for immediate DISMISSAL from the program. It will be the responsibility of the instructor/preceptor to document the conduct that is inappropriate. When appropriate a student will be required to meet with the instructor to review the documentation. It will be at the discretion of the Program Medical Director, Program Director, & Faculty if this incident will result in immediate dismissal from the program or serve as a warning that if repeated the student will be dismissed from the program at that time. The following are some examples of conduct that are prohibited and may be subject to disciplinary action up to and including review for immediate dismissal from the program: 1. Academic dishonesty. (See following section on Academic Honesty) 2. Any suspicion of alcohol intoxication or illegal drugs and narcotics, or the use, sale, dispensing, or possession of alcoholic beverages and/or illegal drugs on the college campus/or clinical/field site property. 3. The use of profanity or abusive language, including inappropriate radio communication. 24 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM 4. 5. 6. 7. The possession of firearms at the college or clinical/field site property. Fighting or assault of a fellow student, employee, patient, or customer of the college or any of its affiliates. Theft, destruction, defacement, or misuse of college, clinical/field site property or any employee’s property. Failure to wear required personal protective equipment (PPE), e.g., gloves or goggles, or failure to abide by safety rules as taught in the Basic and Paramedic classes. 8. Engaging in any form of harassment. 9. Any other behavior that interferes with the operation of the program. All behavior as described above will be investigated for action up to and including immediate and permanent dismissal from the program. The two areas listed below will be utilized by the Program Medical Director, Program Director , & Faculty in determining whether or not the student may progress in the course regardless of performance in other course objectives. Failure in one or both of these areas indicates that the student is not performing within the realm of safe student practice. 1. PHYSICAL JEOPARDY: Any action or inaction on the part of the student which threatens the physical well-being. client’s There are no predetermined criteria for physical jeopardy. Because of the vast number of possibilities, the critical elements depend on the situation as judged by the instructor/preceptor. The instructor/preceptor is alert for behavior in the student which violates principles of safety. Documentation is the responsibility of the instructor. 2. EMOTIONAL JEOPARDY: Any action or inaction on the part of the student which threatens the clients emotional well-being. There are no predetermined criteria listed under this area because they are entirely dependent upon the student, the client, and the situation. The instructor will evaluate student behaviors which create emotional distress to the student’s clients. Documentation is the responsibility of the instructor. If a student violates one of the above areas of concern, they will receive an automatic failure in clinical component of the course. the Further information regarding academic or academic related misconduct and disciplinary procedures regarding such misconduct, may be obtained by consulting the current edition of the Black Hawk College Catalog. SUBSTANCE ABUSE POLICY In accordance with BHC’s Student Code of Conduct, students, including those of the legal drinking age, are not permitted to use, possess, manufacture, sell, deliver, or distribute alcohol or illegal drugs on College property, property used by Black Hawk College, as part of any College sponsored event, or while conducting or participating in Black Hawk College business and/or events. Students under the influence of alcohol or illegal drugs are not permitted to be present on campus or at campus-related activities. Students who are aware of alcohol or drug abuse by other students have a responsibility to report such infractions or violations to the Dean of Students (309) 7965047. Any student found in violation of the Code of Conduct will be subject to the sanctions outlined in the ‘Disciplinary Procedures’ section of the Student Handbook (located at www.bhc.edu). Upon determination that an individual has violated the Code of Conduct, the Student Disciplinary Committee will be convened in order to provide the individual with a full and fair hearing. After completing the student’s hearing in regard to the allegation, the Student Disciplinary Committee will impose one or more of the following sanctions: (a) restitution, (b) warning, (c) reprimand, (d) restriction, (e) probation, (f) expulsion. 25 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM Illinois Criminal Code states that the possession, sale and/or distribution of “Controlled Substances” (drugs) by anyone is a felony under Illinois Law. If the offense happens on College property the felony classification changes from 1, 2 or 3 and becomes a Class “X” felony. The fines and jail time can double and even triple depending on the substance and the amount. Students should be aware that their actions are also subject to all local, state, and federal laws relating to drug and alcohol abuse. The College will bring unlawful acts to the attention of proper law enforcement authorities. Due to patient safety, the use of alcohol and drugs (except as prescribed by a physician for a specific medical condition) by students will not be tolerated. In support of a zero tolerance policy, the following procedures will be followed: 1. If an instructor/preceptor suspects alcohol or drug use by a student during clinical hours, the student will be dismissed from the clinical area. If the student disagrees with the instructor, the student may go to the ER for drug testing. To be acceptable, the test must show zero substance use. The student will pay for any costs incurred for these tests. 2. If a student concurs with the instructor/preceptor and/or the testing reveals alcohol/drug use, the student will fail their current EMS course on the grounds of physical jeopardy. 3. To register for an EMS course in the future, the student must have an evaluation for substance abuse or dependence by a qualified evaluator at an approved agency within 15 days of the identified incident. The cost of this evaluation will be the responsibility of the student. 4. Reinstatement is also dependent upon compliance with the treatment recommendations and a commitment to abstinence prior to and during clinical/field experience. Compliance must be documented in writing by the qualified evaluator and forwarded to the EMS Program Director & Medical Director prior to registration. Alcohol and Drug Prevention and Counseling Services Black Hawk College offers limited counseling services to students, faculty, and staff, most often in the form of referrals to outside organizations. Individuals who feel the need to seek assistance may contact BHC Counselors in the Advising Center at either campus (or by calling 309-796-5101 or 309-854-1709). Some Local Alcohol and Drug Treatment Programs Riverside Retreat – Robert Young Mental Health Center – Rock Island (309) 779-3000 Center for Alcohol and Drug Services – Rock Island (309) 788-4571, East Moline (309) 792-1125 or Davenport (563) 322-3566/(563) 326-1150, Bettendorf (563) 332-8974 Psychological Services, Inc. – Moline (309) 757-9000 Good Shepherd Foundation – Geneseo (309) 944-6205 or (309) 944-3258 Bridgeway, Inc – Kewanee (309) 852-5541 Vera French Community Mental Health Center- Serving Scott County Iowa (563) 823-3460 ATTENDANCE A. Students are expected to attend all scheduled classes, labs, and clinical/field rotations. Regular class attendance is an essential component of academic success. Regular classroom attendance is required for students to be able to participate fully in discussion and laboratory sessions, and to seek clarification concerning newly presented materials. B. It is understandable that there may be a rare occasion when a student is unable to attend class, lab, clinical, or field time due to illness, death in the family, or other emergencies. Students are responsible for all program material presented during their absence. 26 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM C. Absences will be defined as excused or unexcused. 1. 2. Excused Absence: Whether or not an absence is excused will be determined by the Faculty. A Doctor’s excuse may be requested. Deciding to work over attending class is not considered an excused absence Unexcused Absence: Unexcused absenteeism will not be tolerated. In the event of an unexcused absence, the student may be counseled by the faculty &/or Program Director. D. Any absence will be considered on an individual basis. Absences will result in a reduction of participation points and excessive absenteeism is grounds for dismissal from the program, per the decision of the Program Director and/or the EMS Medical Director. E. It is important for Students to be present for all exams. Students will be expected to complete any scheduled quizzes, examinations, or class assignments the day they return to class or as arranged with the EMS Faculty. Students will not be able to make up quizzes or exams when absent unless the EMS program faculty are notified prior to the quiz/exam testing date and time in accordance to the EMS attendance policy. Depending on the circumstances of the absence, there may be a reduction in quiz, exam or assignment scores using “late assignment” deductions. Under no circumstances will make-up quizzes or exams be administered if a Student’s absence is considered unexcused. F. Late Assignment Deduction: Make-up work or work submitted late due to absence will have 10% deducted from the grade received for each weekday late (based on the time it was due) and 15% for each weekend, weekend with holiday or school break. The maximum deduction for a late assignment is 50%. This includes take-home quizzes, papers, and other assignments. G. Tardiness is a poor reflection of professional conduct and should only occur for legitimate reasons. Tardiness is defined as arrival to class after the designated start time. Being tardy will result in a reduction of participation points. Unexcused tardiness will result in counseling and is grounds for dismissal from the program if excessive. H. In the event of an absence or tardiness for class, the Student must notify the EMS program faculty prior to the designated class time by calling 309-796-5361. If no answer, leave a voicemail message. Students will not be able to make up quizzes or exams when absent unless the EMS program faculty is notified prior to the quiz/exam testing date and time unless there is an extreme emergency. I. In the event of absence or tardiness for scheduled clinical or field time, the Student must notify the EMS Clinical Coordinator and the clinical or field site 30 minutes prior to the designated scheduled start time. If a student does not report to the clinical or field site as assigned or does not notify the proper person of his/her absence or tardiness, the student will receive an unexcused absence or unsatisfactory performance. J. In the event of an emergency, it is the student’s responsibility to notify the EMS program faculty and the clinical/field site as soon as possible. It will be at the discretion of the Program Director, Medical Director, and/or EMS Faculty to determine if the emergency is deemed an excused or unexcused absence or tardy. K. In the event a Student has to leave a scheduled class, clinical or field area early, it is the student’s responsibility to notify the EMS Faculty and the clinical/field site as appropriate. Early departures may result in a reduction of participation points. L. Approved recording devices may be used in the classroom. Electronic Devices (cell phones, lap tops, etc) must be placed on silent mode and may be used during designated breaks during class. Electronic Device usage is prohibited during any portion of the Clinical/Field Rotation. *Additionally, see Attendance Policy as stated in the Black Hawk College Catalo and Handbook. 27 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM HOLIDAYS A. The didactic portion of the program will be conducted according to the course schedule and Black Hawk College academic calendar. Students will not be scheduled to attend class on observed holidays. B. Clinical or field rotations may be scheduled during the following holidays when mutually agreed upon by the student, preceptor, and program administration: New Year’s Day Memorial Day Independence Day Labor Day Veterans Day Thanksgiving Day Christmas Day Martin Luther King Day Columbus Day President’s Day DISMISSAL See Black Hawk College Catalog: Dismissal from the program can include, but is not limited to: 1. Progression through corrective action for unprofessional conduct as outlined in the Conduct Policy. 3. Failure to successfully complete any required certification course or meet Grading Criteria. 4. Failure to satisfactorily perform all clinical/field skills or meet clinical/field requirements. WITHDRAWALS / READMISSION See Black Hawk College Catalog: Course Withdrawal Procedure Administrative Withdrawal Withdrawal for Medical Reasons College Withdrawal Readmission A. Black Hawk College Emergency Medical Services Program reserves the right to request withdrawal of any Student whose conduct, academic achievement, clinical or field performance is not satisfactory or in compliance with the policies contained in this manual or in the College Catalog/College Student Handbook. B. Depending on the circumstances, students who are asked to withdraw from the program by the EMS Program Personnel may be eligible for readmission in the Paramedic Program. Failure to successfully complete a paramedic course or the paramedic program on two attempts will render the student ineligible for re-entry in the program unless extenuating circumstances warrant consideration. GRIEVANCE PROCEDURE Students having any complaints or concerns about a course, grade, and/or faculty member should first talk with the Faculty when possible. If a resolution is not reached or the situation warrants you may contact the Program Medical Director, Program Director and/or the Department Chair. If a resolution to the complaint or concern is not reached after these contacts, the student should follow the grievance policy as outlined in the Black Hawk College Student Handbook. 28 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM TESTING / GRADING CRITERIA A. Also See Black Hawk College Catalog: Quizzes are given on a regular basis throughout the didactic component. Exams are scheduled at intervals and will include material discussed during lectures, demonstrations, assigned readings, daily objectives and handouts. Students who are absent from class are required to complete any quizzes, exams or class assignments as scheduled with the class on return. On return, failure to take a scheduled exam, quiz or turn in an assignment will result in point deductions. Any assignment turned in after the designated time and date will have 10% deducted from the grade received for each weekday late (based on the time it was due) and 15% for each weekend, weekend with holiday or school break. The maximum deduction for a late assignment is 50%. This includes take-home quizzes, papers, and other assignments. B. ACLS, PALS and NRP certifications are according to the American Heart Association guidelines, and ITLS-Basic and Advanced certifications are in accordance with the Illinois College of Emergency Physician guidelines. Practical Exams and certification courses are mandatory components of the EMTParamedic Program. Each of these are graded on a satisfactory/unsatisfactory basis and must be successfully completed to remain in the program. C. The Paramedic Fall Final Written Exam will be administered at the completion of the Fall Semester. This exam includes information from all fall paramedic courses and all certification materials. The Student must score an 80% or greater on the Paramedic I Final Written Exam to remain in the program. The Fall Paramedic Final Written Exam may not be repeated. D. A comprehensive Paramedic Spring Final Written Exam will be administered on the last day of class of the Spring Semester. This exam will include material from both Paramedic semesters and all certification material including: ACLS, PALS, NRP, and ITLS-Advanced. The Student must score an 80% or greater on the Paramedic II Final Written Exam to graduate from the program. The Spring Paramedic Final Written Exam may not be repeated. E. Students must achieve an 80% or greater on each exam. Students who consistently fail to attain an 80% on each exam will be dismissed from the program. The threshold is typically 3or more exams below 80%. If the Student scores below an 80% on any exam (except the Final Exams), he/she must meet with the EMS faculty to make arrangements to retake the exam within 7 days. The exam retest score must be 80% or greater to succeed in the current course. The initial examination score will be the score received when calculating the Exam average. F. Students must maintain the following grade percentages: quizzes (75%), exams (80%), and course (80%). Failure to maintain the grade percentages at the end of each course will result in failure of the course and dismissal from the program unless probationary status is warranted and has been granted by the EMS Program Director and Medical Director. G. Clinical and Field requirements are graded on a Pass/Fail basis. All clinical/field competencies in conjunction with the didactic/lab component must be satisfactorily passed to successfully complete the Paramedic Program. Failure to successfully complete any components (didactic/lab, clinical and field) will result in the student having to repeat all components of the program.. H. Students must satisfactorily perform all the competency skills to meet program/graduation requirements. I. Minimum Clinical hours and paperwork for the fall semester must be completed one week prior to the Fall Final testing date, and minimum Clinical hours and paperwork for spring semester must be completed one week prior to the Spring Final testing date. J. If the Clinical &/or Field hours are not completed as outlined, this may result in non-advancement or dismissal from the Paramedic Program. 29 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM K. Students who do not meet quiz or exam requirements, do not pass the Semester Finals, the Practical Exams or fail to successfully complete the didactic, lab, clinical or field portion of the paramedic program will not be allowed to sit for the National Registry or IL State Exams. If a student does not withdraw from the course according to College policy (see College Catalog) and fails to successfully complete any of the requirements as listed, the student will receive the grade of “X” for the course. If an “X” grade is received or a withdrawal from a course or clinical/field course is granted, the student will have to repeat the entire program, if eligible. Grading Scale: A 92-100 B 84-91 C 80-83 D 67-79 (Final grades in this range receive an X) F 66 and below (Final grades in this range receive an X) Note: If a Didactic Final Course Grade is below 80%, an “X” grade will be given. The Module/Course grades will be calculated as follows: EMS 110: Exams Quizzes Assignments & Professionalism EMS 112: Final Exams Quizzes Assignments & Professionalism EMS 210: Exams Quizzes Assignments & Professionalism 60% 30% 10% 100% EMS 212: Final Exams Exit Assessment Exam Quizzes Assignments & Professionalism 25% 35% 30% 10% 100% 60% 30% 10% 100% 25% 30% 5% 30% 10% 100% EMS 214 Clinical/Field Pass/X EMS 114 Clinical/Field Pass/X EMS 216 Clinical/Field Pass/X Note: Professionalism includes attention during class, attendance, punctuality, respect for faculty & peers, electronic devices stored, and participating in discussions. Profanity, packing bags prior to end of class, getting up during class, disruptive conversations and sleeping will result in lost points. See Student Contract for additional professional behaviors. INCOMPLETE GRADES It may be necessary for a faculty member to assign an Incomplete grade at the end of the semester for an EMS Course. Because the clinical/field courses have minimum hour requirements and are competency based, these are the courses that an Incomplete grade may most likely be granted. These courses are: EMS 114-Paramedic Clinical I EMS 214-Paramedic Clinical II EMS 216-Paramedic Clinical III 30 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM When an Incomplete grade is assigned the student must meet with the faculty and/or the clinical coordinator to determine what requirements must be completed and the timeframe that will be granted to remain in good standing in the program. A contract will be written and the requirements and timeframe of the incomplete will be documented. The contract and timeframes are individualized and determined by the EMS faculty & Medical Director. Incomplete timeframes may be as short as 1 week, but generally will not be approved to exceed beyond 8 weeks. At the end of the granted timeframe, an Incomplete grade will be changed to reflect the passing grade if requirements are met. If all course requirements have not been met, the grade will be converts to an “X”. To summarize, all Incomplete grades will convert to an “X” if course requirements are not met in the timeframe granted. STUDENT COUNSELING / STUDENT EVALUATION A. At least three (3) evaluations will be scheduled with the Student during the program. The purpose of these scheduled evaluations is to review and summarize the Student’s progress within the program: 1. One evaluation at the completion of the fall semester with the EMS Faculty. 2. One evaluation at the completion of the spring semester with the EMS Faculty. 3. Final evaluation at the completion of the program with the EMS Faculty & Field Preceptor. B. A Student having specific academic or clinical/field issues will be counseled. This includes, but is not limited to: 1. Difficulty understanding program material. Students are encouraged to seek assistance from the program director and faculty when needed. 2. Not meeting the minimum 80% passing grade on an exam. 3. Consistently not meeting the minimum 75% passing grade on daily quizzes. 4. Not meeting the any of the necessary grade averages: quizzes (75%), exams (80%), course (80%). 5. Not satisfactorily performing or attaining Program objectives/requirements in the didactic/lab, clinical &/or field portion of the program. 6. Not developing professional behaviors and attitudes consistent with the affective objectives in the program. C. The Student may meet with the Medical Director or Program Director to discuss the areas in which he/she is having difficulty. D. Prompt consideration will be given to the Student whose personal problems interfere with their didactic/lab, clinical and/or field performance. E. Students may be referred to the Student Assistance Program by personal request or referral from the EMS Faculty. (See College Catalog regarding Counseling Program/Personal Concerns) CLINICAL/FIELD PREREQUISITES Students must show proof of completion of “HIPAA: Privacy Compliance” and “BBP In Your World” training on a yearly basis. This training will be done in class. Completion of this training is the responsibility of the student if not in attendance when offered. Students must show proof of having completed Health Care Provider CPR course from the American Heart Association. This includes adult, child and infant CPR as well as ventilation with bag-mask and oxygen and AED. Students are responsible for maintaining this certification. and must remain current throughout the EMS program. Prior to starting clinical/field hours, students must complete the College Criminal Background Check. If there is any concern regarding the results of the criminal background check, you are encouraged to complete this process before the start of the program or when the refund policy still applies. 31 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM STUDENT HEALTH / STUDENT MEDICAL INSURANCE / LIABILITY INSURANCE Also See Black Hawk College Catalog It is the student’s responsibility to ensure and all health requirements are met and kept up- to-date. Immunizations will be tracked and must be kept up-to-date. Failure to provide the required physical and immunization documentation or failure to maintain immunization status, will delay eligibility to start &/or continue clinical and field participation. The following health and safety records are MANDATORY for ALL students prior to any clinical/ride time experience: 1. 2. Students must complete a health physical. The physical exam must be performed by an MD, DO, FNP or PA. The Illinois Department of Public Health requires all health care workers to be checked for TB. For the TB Test – Students must provide results of a QuantiFERON Gold or T-Spot blood test. A voucher is available to complete this test for $43. If a student in the past has a positive TB reading (either from infection or BCG immunization), documentation and date of negative chest x-ray are required. In addition, a TB screening follow-up form should be completed each year. 3. You will need proof of two MMR (Measles/Mumps/Rubella) immunizations with doses at least 30 days apart or date of titer showing immunity. 4. All health care workers are strongly encouraged to have the Hepatitis B vaccine. If you choose not to be vaccinated or the series of three injections are not complete, a declination form will have to be signed when classes begin. 5. Students must validate their immunity to varicella (chicken pox). If you give a negative history to chickenpox, then the varicella zoster antibody should be drawn or the VZ vaccine should be taken (the vaccine is two injections within a 4-8 week period). 6. A seasonal flu/influenza immunization is required each year. 7. A Tetanus booster is required as needed with a breech in skin integrity 8. Working in the health field may involve some risk. After appropriate instruction, if the student follows correct protocol, procedures and policies, the risk of injury is VERY minimal. If an incident or illness occurs, the student assumes responsibility for testing, treatment, and any other expenses. If a student is injured in the clinical setting or field he/she must report the incident to their instructor/preceptor immediately. 9. The program reserves the right to request a physician’s written notice approving the student’s return to patient care areas as deemed necessary. 10. Black Hawk College and/or Genesis Health System/Illini EMS system can modify the health or safety requirements at any point during an EMS course. 32 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM Needle Stick/Blood and Body Fluid Exposure (As Revised from Genesis Health System Policy) See College Catalog Health & Safety Record Requirements for additional information In the event of an occupational exposure the following policy will be in effect. In the interest of timely and appropriate follow up, Genesis Health System will offer post exposure evaluation to non-employees with exposures occurring at Genesis. It will be the responsibility of the exposed individual to follow up with their own health care provider after initial assessment and treatment at Genesis. All expenses associated with this follow up are the responsibility of the student. 1. Immediately following possible exposure to blood or body fluids the student will clean exposed area as appropriate. 2. Immediately notify instructor/preceptor of the exposure. Instructor/preceptor will immediately notify appropriate unit manager. 3. The student will verify with instructor/preceptor if it is necessary that they complete an Incident/Exposure report (as required by Genesis Health System). 4. Exposure counseling will include completion of the Counseling and Testing Checklist for Potential Exposure to the (HIV) Human Immunodeficiency Virus (a Genesis Health System form). 5. A lab requisition will be generated. This lab requisition should be taken to the lab for lab work to be initiated on the source individual and exposed student. 6. The student will be drawn by the lab for Needlestick Protocol upon consent. 7. All expenses for any follow up testing will be the responsibility of the student. 33 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM HOURLY REQUIREMENTS FOR CLINICAL/FIELD ROTATION EMS 114 CLINICAL/FIELD ROTATION REQUIREMENTS Coincides with EMS 110 and EMS 112 Clinical Hours Minimum Maximum 1. Trauma Center 2. Critical Care/Intensive Care 3. Respiratory Therapy 4. Surgery / Recovery 5. Cardiac Cath Unit 6. Burn/wound Clinic Clinical Total 52 hours 72 hours 16 hours 4 hours 12 hours 2 hours 2 hours_______________ 88 hours 108 hours Field Hours 50 hours 125 hours EMS 214 CLINICAL/FIELD ROTATION REQUIREMENTS Coincides with EMS 210 and EMS 212 Clinical Hours Minimum 1. Trauma Center 2. Critical Care/Intensive Care 3. Surgery / Recovery 4. Cardiopulmonary care (Resp. TX) 5. Obstetrics/ Neonatal Special Care Unit 6. Pediatric Unit/ Pediatric Clinic 7. Psychiatric 8. Dialysis Center Clinical Total 52 hours 16 hours 12 hours 4 hours 16 hours 16 hours 16 hours 2 hours 134 hours Field Hours 50 hours Maximum 125 hours (up to 250 when combined with EMS 114) EMS 216 FIELD ROTATION REQUIREMENTS Minimum total combined field hours for EMS 114, EMS 214, and EMS 216 will equal at least 300 hrs (by the end of the summer session on July 31st). The EMS 216 course includes a minimum of 100 hours of the Advanced Field Phase. Note: When a student is awaiting intubations at affiliate hospitals, the student may go to the respective ER for ER hour completion. If a student obtains the required number of intubations, but has not met the clinical hour requirements for OR, the student must complete the hour difference in the ER. For further information, see the clinical/field handbook. 34 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM FIELD ROTATION POLICY A. Clinical and Field requirements are graded on a Pass/X basis. Failure to meet all required components (didactic, practical, clinical and field) of Paramedic Program will result in the student having to repeat all components of the program. For additional information, see the Clinical/Field Handbook. B. The field requirement is integrated with the didactic and clinical portion of the course and is referred to as the Field experience. The Paramedic Field experience is considered complete when all required Paramedic entry level performance competencies are achieved and minimum hours are met. C. Field performance is supervised by a Physician, Emergency Communication Registered Nurse, or approved licensed paramedic/pre-hospital RN preceptor. D. Field experience may include ride time at the following primary field agencies: Illini Ambulance in Silvis, IL, Moline Fire Department, or Rock Island Fire Department. E. Field rotation assignments are determined at the discretion of the College Clinical Coordinator (with field agency input). Students are not allowed to ride at a field agency where conflicts of interest may be present. F. Field experience will begin in September of each year after the student provides proof of current immunization status, completed a criminal background check and successfully passes the first Paramedic Written and Practical Exam. The student is required to schedule minimum ride hours in addition to meeting didactic and clinical requirements. Field internship hours will be in accordance with the designated primary ambulance shift rotation when applicable. G. Field experience and clinical requirements are continuous over weekends, Holiday breaks and scheduled College breaks throughout the College calendar year. Failure to do so will make it difficult to progress to entry level paramedic status and meet the clinical/field hour requirements. H. Minimum field hours for EMS 114 will equal 50 hrs (by the end of the fall semester). Students are encouraged to complete up to 100 field hours during EMS 114. At this time the student should display Basic Phase Field competencies. If the student fails to meet minimum hours or Basic Phase competencies, a review of student’s field progression will be completed by the EMS Clinical Coordinator, EMS Program Director and/or EMS Medical Director to determine student’s status within the Paramedic program. See Clinical/Field Handbook for additional information. I. Minimum combined field hours for EMS 114 and EMS 214 will equal 100 hrs or more (by the end of the spring semester). Students are encouraged to complete up to 200 field combined hours during EMS 114 and EMS 214. At this time the student should display Basic Phase and Progressive Phase Field competencies. If the student fails to meet minimum hours or Progressive Phase Competencies, a review of student’s field progression will be completed by the EMS Clinical Coordinator, EMS Program Director and/or EMS Medical Director to determine student’s status within the Paramedic program. See Clinical/Field Handbook for additional information. J. Minimum combined field hours for EMS 114, EMS 214, and EMS 216 will equal 300 hrs or more (by the end of the summer session). The EMS 216 course includes a minimum of 100 hours of the Advanced Field Phase. If the student fails meet minimum hours or Advanced Phase Competencies a review of the student’s field progression by EMS Clinical Coordinator, EMS Program Director and/or EMS Medical Director to determine student’s status within the Paramedic program. Students are advised that meeting minimum field hours does not equate to being released from field as an entry level EMT-P. Individuals vary in how many actual hours they need to ride to be released by their field preceptor and paramedic program as an entry level EMT-P. See Clinical/Field Handbook for additional information. 35 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM DRESS CODE See Black Hawk College Catalog as applicable regarding College Dress Code Emergency Medical Services Program Dress Code is as follows: The Student is expected to behave, dress, and function in a professional manner beginning on the first day of class. A. Students are expected to dress appropriately when participating in the clinical/field experience. B. Required clinical/field attire is as follows: 1. Official College Name Badge 2. Designated gray polo shirt with college logo only, tucked in to pants (purchased at Bookstore) 3. Dark Navy or Black slacks. Can be cargo pocket work pants (no jeans/stirrup pants) 4. Black belt 5. Black no scuff/non-skid athletic type shoes, dress shoes or boots (no cowboy boots) with no designs or logos 6. Stethoscope 7. Wrist watch with a second hand 8. Plain Dark Jacket (field only), nametag must be visible on outside 9. Turtleneck/crew neck long sleeve shirts under polo shirt (depending on weather) 10. Coats are to be a solid color: blue, black or yellow. No graphics (except BHC logo allowed) 11. Hats and stocking caps should be navy blue or black and must not have any graphics on them. 12. Some field services may require that the student purchase an ANSI-100 Safety vest. Other services will provide an ANSI-100 Safety Vest when needed. 13. No other attire or logo is allowed, unless prior approval has been received. C. Students appearing at clinical/field areas in inappropriate attire or with unkempt appearance will be dismissed from the area. D. Hair, shoulder-length or longer, will be tied back when in the clinical and field areas. Facial hair must be well groomed and trimmed. E. Fingernails must be kept short and clean. Nail polish is not permitted in the patient care areas. Artificial nails are not allowed. F. All tattoos shall be completely covered. All facial piercings shall be removed. No jewelry except for wedding rings, one pair of post-earrings in the ear < 5mm in diameter, Ear plugs must be removed and covered with band-aides or a skin tone solid plug may be inserted. G. Cellular telephones and/or pagers must be on silent if worn during clinical, and/or field. H. No fanny packs or pouches are allowed. Unobtrusive EMS utility belts are acceptable. I. The dress code is at the discretion of the Medical Director, Faculty, Clinical Coordinator, and Preceptors 36 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM GRADUATION Also See Black Hawk College Catalog A. A degree/certificate from Black Hawk College Emergency Medical Services Program will be awarded upon successful completion of all program and/or degree requirements. NATIONAL AND STATE EXAMINATION INFORMATION A. Students will be eligible to take either the State of Illinois &/or National Registry Exam after successful completion of all program components and release from the field requirement. The Illinois State Written Paramedic Examination fee is $40.00 and the National Registry Paramedic Written Examination fee is $110. Students opting to take the National Registry Written Exam are required to take a National Registry Practical Exam (fees vary according to sponsor and location). B. Prerequisites include: 1. Current Illinois State and/or National EMT-B or EMT -I licensure (students must maintain an Illinois State Basic or Intermediate license at all times while enrolled in the Paramedic program) 2. Photo Identification. 3. Graduation from approved Paramedic Education Program. C. Please Note: Black Hawk College does not seek to have Illinois State approval to teach the EMT-Intermediate or Advance EMT Course. Students who are unable to successfully complete the paramedic program or are unable to successfully pass the Paramedic State or National Registry exams will not be authorized by Black Hawk College/Illini EMS System to sit for the EMT-Intermediate or Advanced EMT licensure exams. INSTRUCTIONS FOR TESTING AND LICENSURE ILLINOIS Complete a testing application for the State of Illinois o The form is available at www.continentaltesting.net There is also a link to Continental Testing at the Illinois EMS site (www.idph.state.il.us/ems) o Once on the Continental site, along the top navigation bar select Application Services then select Illinois then select IDPH Dept of Public Health Exams then select your profession you are testing for. o The first link is for the application form that you must print and complete. We do not accept online applications from Continental. o As you scroll down the page, you will see testing dates and deadlines. You will need to enter the test center code on your application for the date and location you select. Do not use the deadline as your guide, as that is when the document needs to be received by Continental after processing by the EMS System. YOUR APPLICATION MUST BE SUBMITTED TO THE EMS SYSTEM 30 DAYS BEFORE THE TEST DATE. 37 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM You will also see an area for Site Code. You may leave this code blank as it is entered by the EMS system. It is helpful if you attach a piece of paper or a post-it note on which class you attended i.e. Black Hawk Spring 11 Day class or Colona 2012 class. You have three attempts at the exam. A refresher is required to be eligible for an additional three exam attempts. Take the completed application to the EMS System Coordinator. You may drop off the application in the inbox in the ER at Genesis Illini Campus. o Include your payment with the application. The payment must be a cashiers check or money order payable to CONTINENTAL TESTING SERVICES. The testing fees are listed in the instructions and below. An initial license fee is now required by the State of Illinois. In your materials from Continental Testing upon a successful exam result, you will find a code that you enter on the Illinois EMS Website (www.idph.state.il.us/ems) (follow the link under EMS Licensing and Renewals of pay fees) YOU WILL NOT RECEIVE A LICENSE UNTIL THE FEE IS PAID. If there is no code in your materials, you may contact the EMS System Coordinator. This fee is waived if you serve solely on a volunteer department that serves a population of less than 5000. An application for the waiver of the fee is available on the Illinois EMS Website under EMS Forms and is titled Volunteer License Fee Waiver Application. You may not practice without a license in the state in which you are practicing. As a student in the Illini System, you may participate on an Illini System service without further action. If the service you are on is in another system, you must contact them for the process of approval to practice. PLEASE NOTE: The Iowa Department of Public Health no longer accepts reciprocity applications for providers that do not hold a National Registry Certification. For more information on Iowa Reciprocity, visit the Iowa Bureau of EMS website at www.idph.state.ia.us/ems Once applications are approved and submitted to either Continental Testing or the NREMT, the EMS System and Clinical Coordinator are unable to change information or provide you with any more information about your exam. You may contact Continental Testing or NREMT, depending on which exam you have chosen if there is a problem after testing approval. You may only select one exam. You may not attempt a state exam and switch to NREMT or vice versa. NATIONAL REGISTRY Go to www.nremt.org and create a user account. o This may be done before your class is over Create a new application and pay the application fee. Fees can be paid online by credit card or print a voucher and send a money order. o Total fees B-70, I-100, P-110 (May pay later, but before testing) Call or e-mail the Clinical Coordinator when you have completed all of your ride time and class requirements. The EMS System does not authorize the NREMT Exams. Once approved, you will get an authorization to test (ATT) document online with instructions on how to schedule an exam. You must have an ATT to get into a National Computer Based Exam. 38 BLACK HAWK COLLEGE EMERGENCY MEDICAL SERVICES PROGRAM You have three attempts to complete the exam. You must complete a refresher course to be eligible for up to three additional attempts. Upon obtaining a National Registry Card YOU MAY NOT PRACTICE. You must be licensed in the state in which you are going to practice. To obtain state licensure in Illinois, simply submit the following to the EMS System Coordinator. o A Copy of your NREMT Card (The wall certificate is not needed) o A Copy of your CPR Card o A Renewal Notice form This form is located on the Illinois IDPH site toward the bottom of the page under EMS FORMS (www.idph.state.il.us/ems) You will answer 2 questions, one about child support and one about any felony convictions. Complete the area with your SSN, and sign and date the form. Also, provide your printed name and address legibly in the box on the lower left. An initial license fee is required for Illinois licenses. At this time there is no method to pay this fee online for initial licenses from an NREMT exam. The must be paid by a cashier’s check or money order to the Illinois Department of Public Health. You may submit this with your materials to the EMS System, or if you are more comfortable, you may send it directly to the department. If you do not include a fee with your license materials, you will receive a letter from the EMS System on how to submit the payment directly to the department. This fee is waived if you serve solely on a volunteer department that serves a population of less than 5000. An application for the waiver of the fee is available on the Illinois EMS Website under EMS Forms and is titled Volunteer License Fee Waiver Application. Illinois Initial License Fees: EMS System Coordinator: EMT-B –Registry 45.00 Testing Chris Webster National EMT-I – 45.00 Phone/Text: 563-650-6787 _ Go online to www.nremt.org and create an account. EMT-Basics will create a new account. EMT Paramedics EMT-P – 60.00 e-mail: [email protected] who have a National Registry EMT-B will use the same account. Paramedics that have never Waived for volunteers in will also create aYou drop off materials at any time at GMC-Illini Campus ED been nationally registered newmay account. Registration or at the GMC Ambulance Location on Avenue of the communities under 5000 pop. _ Follow the directions on the NREMT site.Cities. You may create your account at any time and pay for the exam any time before taking it. Illinois Testing Fees: Clinical Coordinator: 20.00and clinical requirements have Chadbeen Miner _EMT-B Once all– class met, contact the clinical coordinator to approve EMT-I – 30.00 Phone/Text: 309-373-5322 your exam. You will then receive instructions from the NREMT about how to schedule your electronic EMT-P – 40.00 e-mail: [email protected] examination. These fees cannot be waived and are non-refundable Obtaining Illinois Licensure From Successful NREMT Examination _ Go to www.idph.state.il.us/ems and print the form titled “Re 39
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