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EMT 110 Paramedic Care Clinical I

A supervised clinical experience is provided in pertinent clinical and prehospital settings correlating with the knowledge skills and techniques presented in previous coursework. Emphasis is placed on advanced patient assessment, airway management, pharmacologic skills, and team leader development.

Credits

1

Prerequisite

EMT 102

See Course Syllabus

Course Number and Title:

EMT 110 Paramedic Care Clinical I

Campus Location

  • Dover

Effective Date

2024-52

Prerequisites

EMT 102

Course Credits and Hours

1 credit(s)

0 lecture hours/week

0 lab hours/week

Course Description

A supervised clinical experience is provided in pertinent clinical and prehospital settings correlating with the knowledge skills and techniques presented in previous coursework. Emphasis is placed on advanced patient assessment, airway management, pharmacologic skills, and team leader development.

Additional Materials

None

Required Text(s)

Obtain current textbook information by viewing the campus bookstore - https://www.dtcc.edu/bookstores online or visit a campus bookstore. Check your course schedule for the course number and section.

Disclaimer

None

Core Course Performance Objectives (CCPOs)

  

1.   Perform primary assessments and manage patients requiring intervention.  (CCC 1,2,3,4, 5,6; PGC-1, 2, 3, 4, 5, 6, 7, 8)

2.   Perform secondary assessments based on patient presentation.  (CCC 1,2,3,4, 5,6; PGC-1, 2, 3, 4, 5, 6, 7, 8)

3.   Interpret history and clinical findings and use clinical reasoning to formulate a field impression.  (CCC 1,2,3,4, 5,6; PGC-1, 5, 6, 8)

4.   Perform basic and advanced interventions.  (CCC 1,2,3,4, 5,6; PGC-1, 5, 8)

5.   Communicate effectively with patients and the clinical team.  (CCC 1,2,3,4; PGC-1, 4, 6, 7, 8)


See Core Curriculum Competencies and Program Graduate Competencies at the end of the syllabus. CCPOs are linked to every competency they develop.

Measurable Performance Objectives (MPOs)

Upon completion of this course, the student will:

  1. Perform primary assessments and manage patients requiring intervention.
    1. Recognize and correct any compromise in the primary assessment.
    2. Perform patient care that addresses deficits noted during the primary assessment using techniques such as maneuvers to open the airway, oral and nasal airway insertion, application of oxygen therapy, bag-valve-mask ventilation, positioning to address suspected shock-state and external cardiac compressions.
    3. Perform body substance isolation techniques.
  2. Perform secondary assessments based on patient presentation.
    1. Utilize examination techniques:  Inspection, Palpation, Auscultation, and Percussion.
    2. Modify approach based on patient severity and/or stability.
    3. Perform an accurate system assessment.
    4. Assess temperature and pain.
    5. Identify presence and type of adventitious lung sounds.
    6. Accurately assess vital signs: blood pressure, pulse rate, respiratory rate, pulse oximetry, ETCO2, and capnography.
  3. Interpret history and clinical findings and use clinical reasoning to formulate a field impression.
    1. Interpret vital signs to determine patient stability and status of respiration, circulation and perfusion.
    2. Interpret arterial blood gases and lab values.
    3. Modify approach based on patient severity and/or stability.
    4. Formulate treatment plans integrating Delaware Standing Orders.
  4. Perform basic and advanced interventions.
    1. Identify a wound and perform closure using a technique appropriate for the wound type.
    2. Apply and interpret 3-lead and 12-lead EKGs.
    3. Select and assemble materials and insert catheters to establish intravenous access.
    4. Calculate and set flow rate for intravenous infusion.
    5. Perform clinical math calculations to calculate drug dosages.
    6. Prepare and administer medications via various routes:  oral, inhalation, sublingual, intravenous, transdermal, intranasal, subcutaneous, and intramuscular.
    7. Prepare and perform advanced airway management techniques.
    8. Determine appropriate electrical therapeutic interventions.
  5. Communicate effectively with patients and the clinical team.
    1. Utilize communication techniques to conduct a patient interview to obtain a medical history, history of present illness and assess mental status.
    2. Communicate the treatment plan to the clinical team.
    3. Exhibit a professional affect.


Evaluation Criteria/Policies

The grade will be determined using the Delaware Tech grading system:

90-100 = A
80-89 = B
70-79 = C
0-69 = F
Students should refer to the Catalog/Student Handbook for information on the Academic Standing Policy, the Academic Integrity Policy, Student Rights and Responsibilities, and other policies relevant to their academic progress.

Final Course Grade

Calculated using the following weighted average


FINAL COURSE GRADE

(Calculated using the following weighted average)


Evaluation Measure

Percentage of final grade

Patient Contacts and Clinical Skills (equally weighted) (Summative)

50%

Specialty Rotations (Summative)

10%

Affective Behavior (Summative)

20%

Documentation (Formative)

10%

Medication Card Assignments (Formative)

10%

TOTAL

100%

Program Graduate Competencies (PGCs are the competencies every graduate will develop specific to his or her major)

  1. Perform all psychomotor Paramedic skills in the National Emergency Medical Services Education Standards consistent with acceptable practice for an entry level paramedic.
  2. Conduct complete, accurate and timely patient assessments to include history and physical exam, and communicate findings.
  3. Interpret assessment findings in order to accurately identify a differential diagnosis and integrate pathophysiologic principles and legal responsibilities to formulate a treatment plan.
  4. Effectively perform the role of Team Leader to include: timely decision making, effective resource utilization, implementing appropriate plan of action for a given situation, adapting the plan to changing conditions change and communicate.
  5. Assess a scene or situation in order to identify threats to operating safely.
  6. Apply communication and ethical decision making skills required for an entry-level paramedic.
  7. Exhibit professional affective behavior.
  8. Function effectively as an entry level paramedic in the pre-hospital working environment in the roles of Team Leader and Team Member.

Core Curriculum Competencies (CCCs are the competencies every graduate will develop)

  1. Apply clear and effective communication skills.
  2. Use critical thinking to solve problems.
  3. Collaborate to achieve a common goal.
  4. Demonstrate professional and ethical conduct.
  5. Use information literacy for effective vocational and/or academic research.
  6. Apply quantitative reasoning and/or scientific inquiry to solve practical problems.

Students in Need of Accommodations Due to a Disability

We value all individuals and provide an inclusive environment that fosters equity and student success. The College is committed to providing reasonable accommodations for students with disabilities. Students are encouraged to schedule an appointment with the campus Disabilities Support Counselor to request an accommodation needed due to a disability. The College's policy on accommodations for persons with disabilities can be found in the College's Guide to Requesting Academic Accommodations and/or Auxiliary Aids Students may also access the Guide and contact information for Disabilities Support Counselors through the Student Resources web page under Disabilities Support Services, or visit the campus Advising Center.

Minimum Technology Requirements

Minimum technology requirements for online, hybrid, video conferencing and web conferencing courses.

Academic Integrity

https://dtcc.smartcatalogiq.com/Current/Catalog/Academics/Academic-Integrity

Attendance

https://dtcc.smartcatalogiq.com/Current/Catalog/Search?q=attendance

Cell phone/Electronic Device

https://dtcc.smartcatalogiq.com/Current/Catalog/Student-Policy/Cell-Phone-and-Electronic-Device-Policy

Tuition Adjustment Policy

https://dtcc.smartcatalogiq.com/Current/Catalog/Financial/Tuition-Fee-Adjustment-Policy-Course-or-Semester-Withdrawal