Course Number and Title:
EMT 290 Paramedic Field Clinical
Prerequisites
Prerequisite: EMT 204 and EMT 212 and EMT 213 and EMT 215 and EMT 227
Course Credits and Hours
4 credit(s)
1 lecture hours/week
15 lab hours/week
Course Description
This course provides a supervised clinical experience in the prehospital setting. Students manage trauma and medical patients across all age groups as a team leader.
Additional Materials
none
Core Course Performance Objectives (CCPOs)
- Perform primary assessments, and manage patients requiring intervention. (CCC 1, 2, 3, 5, 6; PGC 1, 2, 3, 4, 5, 6, 7, 8)
- Perform secondary assessments based on patient presentation. (CCC 1, 2, 5, 6; PGC 1, 2, 3, 4, 5, 6, 7, 8)
- Interpret history and clinical findings, and use clinical reasoning to formulate a field impression as a team leader. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 5, 6, 8)
- Perform basic and advanced interventions as a team leader and a team member. (CCC 2, 3, 4; PGC 1, 5, 8)
- 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:
- Perform primary assessments, and manage patients requiring intervention.
- Recognize and correct any compromise in the primary assessment.
- Perform patient care that addresses deficits noted during the primary assessment using techniques such as maneuvers to open the airway, application of oxygen therapy, bag- valve-mask ventilation, positioning to address suspected shock-state, and external cardiac compressions.
- Perform body substance isolation techniques.
- Perform secondary assessments based on patient presentation.
- Use examination techniques: inspection, palpation, auscultation, and percussion.
- Modify approach based on patient severity and/or stability.
- Perform an accurate system assessment.
- Identify presence and type of adventitious lung sounds.
- Accurately assess vital signs: blood pressure, pulse rate, respiratory rate, pulse oximetry, ETCO2, and capnography.
- Interpret history and clinical findings, and use clinical reasoning to formulate a field impression as a team leader.
- Interpret vital signs to determine patient stability and status of respiration, circulation, and perfusion.
- Modify approach based on patient severity and/or stability.
- Formulate treatment plans integrating Delaware Standing Orders.
- Perform basic and advanced interventions as a team leader and a team member.
- Perform wound closure using a technique appropriate for the wound type.
- Obtain and interpret 3-lead and 12-lead EKGs.
- Insert catheters to establish intravenous access.
- Calculate and set flow rate for intravenous infusion.
- Perform clinical math calculations to calculate drug dosages.
- Prepare and administer medications via various routes: oral, inhalation, sublingual, intravenous, transdermal, intranasal, subcutaneous, and intramuscular.
- Prepare and perform advanced airway management techniques.
- Determine and perform electrical therapeutic interventions.
- Communicate effectively with patients and the clinical team.
- Use communication techniques to conduct a patient interview to obtain a medical history, history of present illness, and assess mental status.
- Communicate the treatment plan to the clinical team.
- Operate a radio to perform a patient report.
- Write a patient care report to accurately document a patient contact.
- 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.
Program Graduate Competencies (PGCs are the competencies every graduate will develop specific to his or her major)
- Perform all psychomotor, paramedic skills in the National Emergency Medical Services Education Standards consistent with acceptable practice for an entry-level paramedic.
- Conduct complete, accurate and timely patient assessments, to include history and physical exam, and communicate findings.
- Interpret assessment findings in order to accurately identify a differential diagnosis and integrate pathophysiologic principles and legal responsibilities to formulate a treatment plan.
- 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 and communicate.
- Assess a scene or situation in order to identify threats to operating safely.
- Apply communication and ethical decision-making skills required for an entry-level paramedic.
- Exhibit professional, affective behavior.
- 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)
- Apply clear and effective communication skills.
- Use critical thinking to solve problems.
- Collaborate to achieve a common goal.
- Demonstrate professional and ethical conduct.
- Use information literacy for effective vocational and/or academic research.
- 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.