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PERCOM
Clinical/Internship Manua
Advanced Level Courses
Intermediate and Paramedic students are required to complete certain field and clinical rotations and turn in paperwork on these rotations and experiences which is signed by preceptors (persons certified or licensed as RN, MD,DO,PA,RT, EMT-I, or EMT-P who supervise the student during the patient contact). These experiences must be documented appropriately to successfully complete the course through PERCOM, and all students are responsible for reviewing and complying with all clinical rules and regulations as specified in this document and in the Clinical and Field Rotation Manual that is a part of this document.
First, read the Rules and Regulations specified in the first section of the Clinical Manual. It has specific guidelines that you MUST follow including referring to the guidelines from the Infectious Disease Manual, which you were provided in your Student Enrollment Packet. Students are expected to review all of these guidelines and follow them during rotations. These rules and regulations are designed to protect you and to protect the future of PERCOM students and their ability to continue to be accepted as active participants at designated field and clinical sites.
Students are expected to behave in a professional manner any time that they are representing PERCOM, including in the rotation environment. Students should be aware that physical appearance plays a huge role in being accepted as a professional. Be sure to arrive for all rotations at least 15 minutes prior to your scheduled shift, in full uniform (including student nametag), clean and pressed, wearing a watch and bearing your own stethoscope. Plan to wear your uniform to ALL sites, even if you might have to change into scrubs at the request of the staff. If this occurs, remember that the scrubs are the property of the facility and are not to be removed from the facility, as this is theft and is grounds for dismissal from the program.
Also bring with you a good attitude and demeanor. You are expected to function as part of the EMS crew or clinical crew for the day, so you should actively look for ways to help your preceptors with daily responsibilities such as washing the unit, checking out the truck, stocking, changing beds and stretchers, etc. These activities not only acclimate you to various portions of the job that don’t necessarily have to do with direct patient care, but they help you establish rapport with your preceptors so they are more willing to allow you to perform skills and assessments on their patients throughout the shift. You are also under the direct supervision of EMS or clinical staff during your rotation and must only do what they allow you to
do and nothing more. Students are also barred from performing any skill for which a PERCOM designated instructor has not checked them off. Students are NOT allowed to be in the clinical environments until they have completed their PRACTICE/TESTING SESSION
Bring all paperwork with you that you will need to complete and have signed by your preceptor. Ensure that the preceptor signs all appropriate places on your paperwork and completes and signs a Daily Clinical Evaluation form to evaluate your performance.
Whatever you do, do NOT remain a wallflower. Experiences will not usually find you; YOU must find them. When you arrive at your rotation site, introduce yourself to the shift leader, chief, or charge nurse. Tell that person that you are an Intermediate/Paramedic student from PERCOM EMS Academy and are scheduled to rotate with their department. Ask them who will be your preceptor. Be sure to introduce yourself to the preceptor and tell him or her that you are looking for every opportunity to help assess patients, take vital signs, and participate in every learning experience available.
If you are rotating in obstetrics, let the nurse know that you must observe a vaginal delivery so that you may be more prepared to deliver a baby in the field if the need arises and ask her to assist you in gaining access to the delivery room. (Male students typically will have a slightly more difficult time in this area of the hospital gaining experiences and must usually make a large effort to assist the mothers in labor, gain report with the patient and her family, and assist the nurse as much as possible to be able to gain access to a delivery suite.)
These clinical and field rotations will be what YOU make of them; you should strive to be personable and motivated, so that you can gain as much experience as possible during your limited time in these sites.
REQUIRED ROTATIONS
Review the Chart below which delineates what rotations will be required for you to complete this course. If you have questions, please e-mail them to the clinical Liaison. These rotations and experiences are mandatory for course completion and some students may have to attend more rotations than others before gaining the minimum patient contacts and experiences.
INTERMEDIATE
PARAMEDIC
You should arrive for your rotation at least 15 minutes early. Take the clinical documentation paperwork with you, complete it prior to leaving the site, and have the preceptor complete and sign all appropriate places:
Instructions for Completing
Clinical Paperwork
On our website you should have downloaded PERCOM/TEEX Clinical Daily Form and the PERCOM/TEEX PCR. The Clinical daily form should be filled out for every shift (EMS and Hospital).
You should fill out all the information at the top of the form. Be sure to get the preceptor you worked with to sign the form. The total patients contacted blank must match the information listed in the form. If you do not list the patient and the care given on the form you cannot claim it as a patient contact.
You should list the type of patient (adult, geri, pedi, ect) followed by illness/injury type (trauma, medical, respiratory, ect) followed by the skills/interventions you preformed on the patient. You can use the second sheet if need to add more patients. Remember if it is not on the chart, it did not happen.
Do not write in the area at the bottom of the page.
On the Evaluation form you should fill out the top only and sign at the bottom.
The Preceptor should fill out the remainder of the form and sign at the bottom.
You will not received clinical credit for any shift in which we do not receive back the Clinical Internship Documentation Form AND the Preceptor Evaluation Form.
The PCR should be filled out on EVERY Patient You Transport, during an EMS shift. They do not need to be filled out for Hospital shifts.
Inclusion of PHI (Protected Health Information) on the PCR is a violation of the HIPPA Policy that you have signed and is cause for dismissal from the Program!!!!! Please review what constitutes PHI before attending your first clinical rotation.
The PCR should be filled out fully. Incomplete PCR submissions will be disallowed and you will not receive credit for the contacts/skills preformed on the patient. If there is a blank that is not applicable to the call/patient with which you are dealing, it should be marked with an N/A.
If you check a box you should include information relating to the check mark on the form or in your narrative (preferably both).
Your Narrative should tell the story of all of the events of the call from dispatch to the transfer of patient care to a Medical Care Professional. This should be written as if you were the lead EMS caregiver for this patient and should include all pertinent information. Narratives should be written so that a jury member, notwithstanding medical terminology, would understand clearly everything that went on during this call. Narratives should be legible and the use of abbreviations should be curtailed.
Please use one of the standard charting formats for EMS Patient Care Reports. SOAP, CHART, Chronological, ect. You can find examples in your textbook. Incomplete PCR’s or unsubstantial or disorganized narratives may be cause for rejections of the PCR. PCRs that are rejected will not be counted towards contact/skills totals.
Clinical Documentation is a teaching/learning experience. Feedback will be given on your PCR documentation. For this reason Clinical paperwork must be submitted ASAP after completing the end of the shift. This allows for adequate review time and feedback. We recommend strongly to our students to fax the documentation from the clinical site at the end of the shift. Our toll free FAX number is 866-941-5105. Most facilities do not mind toll free outgoing faxes. Alternatively you may scan and email it to donroyder@percomonline.com .
All Clinical Documentation must be Faxed or emailed to us within 48 hours of the end of the Clinical shift. If documentation is not received within 48 hours, you will be considered a “NO SHOW” for the clinical shift and no credit will be given for the shift. You will also be subject to the disciplinary policy with regards to “NO SHOW” as stated in the student handbook.
Clinical and field rotations can be a fun and even exhilarating experience. Please try to relax and enjoy the opportunity to learn from these opportunities. We want you to learn everything possible during the short exposure you will have, so please seek out opportunities while at these hospital and field sites. If you have any problems, please contact your Clinical Liaison at (325)480-2617 or (979)595-8241. If it is an emergency situation, attempt to contact the Clinical Liaison immediately. If you cannot contact your Clinical Liaison regarding an EMERGENCY clinical situation, please contact Jane Dinsmore at (325)480-2617.
Professional Education and Resources Company
PERCOM
Clinical/Internship Student Manual
Intermediate/Paramedic
CLINICAL/INTERNSHIP RULES:
ALL AMBULANCE RUNS, INCLUDING ROUTINE TRANSPORTS AND NO TRANSPORTS, MUST BE WRITTEN UP, JUST AS YOU WOULD IF YOU WERE ACTUALLY AN EMS EMPLOYEE.
NO AMBULANCE INTERNSHIP PATIENT CONTACTS MAY BE DONE WHILE AT WORK UNLESS YOU ARE IN 3RD RIDER STATUS WITH A PRECEPTOR. ALL AMBULANCE INTERNSHIPS MUST BE DONE AS THIRD RIDER IN THE PATIENT COMPARTMENT. SKILLS OPPORTUNITIES ON DUTY MAY RECEIVE CREDIT WITH PRIOR APPROVAL. STUDENT IS PROHIBITED FROM DRIVING.
Student shall not initiate or direct patient care. Student will perform only those specific tasks delegated by preceptors. Student will not perform any action that exceeds those permitted by the Clinical/Internship objectives.
Students will not attend any clinical or internship experience for which they are not signed up on the Clinical /Internship roster unless authorized by the Clinical Coordinator, instructor or the Course Coordinator.
Student shall study Clinical and ambulance objectives and become familiar with them. Student shall carry the Clinical Manual at all times during clinical and internship. Students who perform activities not authorized by the objectives for the experience involved do so without authority and beyond the scope and purpose of training and are solely and personally responsible for such acts. Students who violate state regulations may be dropped from the course with a failing grade. PERCOM and its instructors are not responsible for such acts.
Students must sign up for clinical and ambulance times through the Clinical Liaison or other designated route. Students shall arrive on time for all scheduled rotations and must notify the Clinical Liaison personally or by paging his/her if there is a problem. A fine of $50.00 will be paid for each missed rotation. (See “No Show” Policy in your student handbook)
Students found sleeping during clinical rotations may be dismissed from the course. Breaks of not more than 10 minutes for each hour of clinical time
may be taken. Students who are absent from the clinical area for longer periods of time may be disciplined or dismissed from the course.
Students must complete all clinical, internship, and skills requirements by the due date. Clinical and Internship documentation that is incomplete will not be counted toward the minimum required number of patient reports. Students with incomplete Clinical/ Internship records will receive the course grade of “F” or, in unusual circumstances and at the sole discretion of the Clinical Coordinator, a grade of Incomplete may be given.
Students with Incomplete grades will not be certified to take the NREMT exam until the Incomplete grade is removed. Failure to do so within 30 days from the due date of Clinical/Internship notebooks may result in the student receiving an "F" for the course. Such students may be required to retake the course, clinicals and/or internship in order to be certified to take the state examination.
Students must learn and follow all rules set forth by clinical and ambulance providers. Rules may vary concerning the number of students and level of students allowed on an ambulance or at a clinical site at any one time. Students must comply with rules that are announced by instructors and Clinical Liaison. Students should report any incidents or difficulties with clincal or ambulance preceptors or otherwise immediately to the Clinical Liaison by paging him/her. A student who is barred from any Clinical /Internship site by the Clinical /Internship provider may be dropped from the course with an overall grade of F.
INFECTIOUS DISEASE CONTROL: PLEASE REFER TO THE STUDENT MANUAL FOR INFECTION CONTROL AND EXPOSURE POLICY AND PROCEDURES.
ALCOHOL AND DRUG POLICY:
Consumption of alcohol and drugs is inconsistent with a good learning experience. Students who come to class after having ingested alcoholic beverages will be required to leave class, and an unexcused absence will be recorded. Students will not drink alcoholic beverages while performing clinical or internship experiences; nor within a period of 8 hours prior to such experiences; nor at any time or place when wearing the PERCOM EMS Academy uniform. Students shall not perform clinical or internship
experiences while under the influence of any drug that impairs performance, whether such drug be prescription or over-the-counter. Students shall not be under the influence of any illegal drug. An instructor who has reason to believe that a student is under the influence of either alcohol or drugs during class or during clinical or internship experiences may require that the student submit to a blood or urine test at the student’s expense. Refusal to submit to a required alcohol or drug test will result in dismissal from the program with the grade of F. If it is determined that a student is under the influence of alcohol and/or drugs during class or a clinical or internship experience, the student may either be required to receive counseling or be dropped from the program as determined by the Course Coordinator. Violation of drug and alcohol policy may result in dismissal from the program and an overall grade of "F" assigned to the course.
EMT-INTERMEDIATE CLINICAL OBJECTIVES
1.0 Infection control and safety
1.1 Demonstrate safe methods for lifting and moving patients in emergency and non-emergency situations.
1.2 Demonstrate the proper procedures to take for personal protection from disease.
1.3 Demonstrate the use of protective equipment appropriate to the environment and scene.
1.4 Demonstrate the ability to comply with body substance isolation guidelines.
1.5 Demonstrate the donning and doffing of appropriate PPE.
1.6 Demonstrate how to safely place a patient in, and remove a patient from, an ambulance.
2.0 Venous Access and Medication Administration
2.1 Demonstrate cannulation of peripheral or external jugular veins.
2.2 Demonstrate intraosseous needle placement and infusion.
2.3 Demonstrate clean technique during medication administration.
2.4 Demonstrate administration of meds via the following routes:
2.4.1 Oral/Sublingual
2.4.2 Inhalation
2.4.3 IVP
2.5 Demonstrate preparation and techniques for obtaining a blood sample.
2.6 Demonstrate proper disposal of contaminated items and sharps.
3.0 Airway Management and Ventilation
3.1 Perform body substance isolation procedures during basic airway management, advanced airway management, and ventilation.
3.2 Perform pulse oximetry.
3.3 Perform end-tidal CO2 detection.
3.4 Perform manual airway maneuvers
3.5 Perform manual airway maneuvers for pediatric patients.
3.6 Perform the Sellick maneuver.
3.7 Perform complete airway obstruction maneuvers.
3.8 Demonstrate suctioning the upper airway.
3.9 Perform tracheobronchial suctioning in the intubated patient.
3.10 Demonstrate insertion of an oropharyngeal airway.
3.11 Demonstrate insertion of a nasopharyngeal airway.
3.12 Demonstrate ventilating a patient.
3.13 Perform oxygen delivery with an oxygen cylinder and various delivery devices.
3.14 Perform endotracheal intubation.
3.15 Perform assessment to confirm correct placement of the endotracheal tube.
3.16 Adequately secure an endotracheal tube.
3.17 Perform extubation.
3.18 Perform insertion of a Combitube or LMA.
3.19 Perform assessment to confirm correct placement of the Combitube or LMA.
4.0 Patient Assessment
4.1 Demonstrate the skills involved in performing each phase of the patient assessment skill.
4.2 Demonstrate a caring attitude when performing physical examination skills.
4.3 Demonstrate proficiency in the assessment of vital signs.
5.0 Communications
5.1 Demonstrate the ability to use the local dispatch communications system.
5.2 Demonstrate the ability to use a radio.
5.3 Demonstrate the ability to therapeutically communicate with patients, bystanders, preceptors, fire personnel, law enforcement personnel, and other healthcare personnel.
6.0 EMS Field Objectives
6.1 Perform assessments, treatments, and interventions at EMT-Intermediate student level of patients with the following complaints:
6.1.1 CVA/AMS
6.1.2 Cardiac
6.1.3 Trauma
6.1.4 Medical
6.1.5 Other patients
EMT-PARAMEDIC CLINICAL OBJECTIVES
7.0 Infection control and safety
7.1 Demonstrate safe methods for lifting and moving patients in emergency and non-emergency situations.
7.2 Demonstrate the proper procedures to take for personal protection from disease.
7.3 Demonstrate the use of protective equipment appropriate to the environment and scene.
7.4 Demonstrate the ability to comply with body substance isolation guidelines.
7.5 Demonstrate the donning and doffing of appropriate PPE.
7.6 Demonstrate how to safely place a patient in, and remove a patient from, an ambulance.
8.0 Venous Access and Medication Administration
8.1 Demonstrate cannulation of peripheral or external jugular veins.
8.2 Demonstrate intraosseous needle placement and infusion.
8.3 Demonstrate clean technique during medication administration.
8.4 Demonstrate administration of meds via the following routes:
8.4.1 Oral/Sublingual
8.4.2 Inhalation
8.4.3 Gastric tube
8.4.4 Rectal
8.4.5 Parenteral
8.4.6 IVP
8.4.7 Subcutaneous
8.4.8 Intramuscular
8.4.9 IV piggy back drip
8.5 Demonstrate preparation and techniques for obtaining a blood sample.
8.6 Demonstrate proper disposal of contaminated items and sharps.
9.0 Airway Management and Ventilation
9.1 Perform body substance isolation procedures during basic airway management, advanced airway management, and ventilation.
9.2 Perform pulse oximetry.
9.3 Perform end-tidal CO2 detection.
9.4 Perform manual airway maneuvers
9.5 Perform manual airway maneuvers for pediatric patients.
9.6 Perform the Sellick maneuver.
9.7 Perform complete airway obstruction maneuvers.
9.8 Demonstrate suctioning the upper airway.
9.9 Perform tracheobronchial suctioning in the intubated patient.
9.10 Demonstrate insertion of a nasogastric tube.
9.11 Demonstrate insertion of an orogastric tube.
9.12 Perform gastric decompression.
9.13 Demonstrate insertion of an oropharyngeal airway.
9.14 Demonstrate insertion of a nasopharyngeal airway.
9.15 Demonstrate ventilating a patient.
9.16 Perform oxygen delivery with an oxygen cylinder and various delivery devices.
9.17 Perform endotracheal intubation.
9.18 Perform assessment to confirm correct placement of the endotracheal tube.
9.19 Adequately secure an endotracheal tube.
9.20 Perform extubation.
9.21 Perform insertion of a Combitube or LMA.
9.22 Perform assessment to confirm correct placement of the Combitube or LMA.
10.0 Patient Assessment
10.1 Demonstrate the skills involved in performing each phase of the patient assessment skill.
10.2 Demonstrate a caring attitude when performing physical examination skills.
10.3 Demonstrate proficiency in the assessment of vital signs.
11.0 Communications
11.1 Demonstrate the ability to use the local dispatch communications system.
11.2 Demonstrate the ability to use a radio.
11.3 Demonstrate the ability to therapeutically communicate with patients, bystanders, preceptors, fire personnel, law enforcement personnel, and other healthcare personnel.
12.0 Foley catheterization
12.1 Demonstrate the proper technique and procedure for insertion of a Foley catheter.
13.0 Opthalmoscope/Otoscope
13.1 Demonstrate proper utilization of the opthalmoscope in patient assessment situations.
13.2 Demonstrate proper utilization of the otoscope in patient assessment situations.
14.0 Trauma
14.1 Demonstrate the assessment and management of patients with signs and symptoms of hemorrhagic shock.
14.2 Demonstrate the assessment and management of patients with signs and symptoms of external hemorrhage.
14.3 Demonstrate the assessment and management of patients with signs and symptoms of internal hemorrhage.
14.4 Demonstrate the assessment and management of a patient with signs and symptoms of soft tissue injuries.
14.5 Demonstrate the assessment and management of the burn patient.
14.6 Demonstrate a clinical assessment to determine the proper management modality for a patient with a suspected traumatic spinal injury.
14.7 Demonstrate a clinical assessment to determine the proper management modality for a patient with a suspected non-traumatic spinal injury.
14.8 Demonstrate immobilization of the urgent and non-urgent patient with assessment findings of a spinal injury.
14.9 Demonstrate documentation of suspected spinal cord injury to include:
14.9.1 General area of spinal cord involved
14.9.2 Sensation
14.9.3 Dermatomes
14.9.4 Motor function
14.9.5 Area(s) of weakness
14.9.6 Before and after immobilization techniques
14.10 Demonstrate preferred methods for stabilization of a helmet in a potentially spine injured patient.
14.11 Demonstrate helmet removal techniques.
14.12 Demonstrate the following techniques of management for thoracic injuries:
14.12.1Needle decompression
14.12.2Fracture stabilization
14.12.3Elective intubation
14.12.4ECG monitoring
14.12.5Oxygenation and ventilation
14.13 Demonstrate a clinical assessment to determine the proper treatment plan for a patient with suspected abdominal trauma.
14.14 Demonstrate the proper use of PASG in a patient with suspected abdominal trauma.
14.15 Demonstrate the proper use of PASG in a patient with suspected pelvic fracture.
14.16 Demonstrate a clinical assessment to determine the proper treatment plan for a patient with a suspected musculoskeletal injury.
14.17 Demonstrate the proper use of fixation, soft and traction splints for a patient with a suspected fracture.
15.0 Pulmonary
15.1 Demonstrate proper use of airway and ventilation devices.
15.2 Conduct a history and patient assessment for patients with pulmonary diseases and conditions.
16.0 Cardiology
16.1 Demonstrate how to set and adjust the ECG monitor settings to varying patient situations.
16.2 Demonstrate a working knowledge of various ECG lead system – 3 lead and 12 lead.
16.3 Demonstrate how to record an ECG.
16.4 Perform, document and communicate a cardiovascular assessment.
16.5 Set up and apply a transcutaneous pacing system.
16.6 Assess and manage a patient with signs and symptoms of heart failure.
16.7 Demonstrate satisfactory performance of the following skills in the patient care environment:
16.7.1 CPR
16.7.2 Defibrillation
16.7.3 Synchronized cardioversion
16.7.4 Transcutaneous pacing
17.0 Neurology
17.1 Perform an appropriate assessment of a patient with coma or altered mental status.
17.2 Perform a complete neurological examination as part of the comprehensive physical examination of a patient with coma or altered mental status.
17.3 Appropriately manage a patient with coma or altered mental status, including the administration of oxygen, oral glucose, 50% dextrose and narcotic reversal agents.
17.4 Perform an appropriate assessment of a patient with syncope.
17.5 Appropriately manage a patient with syncope.
17.6 Perform an appropriate assessment of a patient with seizures.
17.7 Appropriate manage a patient with seizures.
17.8 Perform an appropriate assessment of a patient with stroke and intracranial hemorrhage or TIA.
17.9 Appropriately manage a patient with stroke, intracranial hemorrhage, or TIA.
18.0 Hematology
18.1 Perform an assessment of the patient with a hematologic disorder.
18.2 Appropriately manage a patient with a hematologic disorder.
19.0 Infectious Disease
19.1 Perform an assessment of a patient with infectious/communicable disease.
19.2 Effectively and safely manage a patient with infectious/communicable disease.
20.0 Behavioral/Psychiatric
20.1 Demonstrate safe techniques for managing and restraining a violent patient.
20.2 Demonstrate appropriate assessment techniques for the patient with a behavioral/psychiatric emergency.
21.0 Obstetrics/Gynecology
21.1 Demonstrate proper assessment of a patient with a gynecological complaint.
21.2 Demonstrate proper care of a patient with:
21.2.1 Excessive vaginal bleeding
21.2.2 Abdominal pain
21.2.3 Sexual assault
21.3 Demonstrate proper assessment of an obstetric patient.
21.4 Demonstrate how to provide care for a patient with:
21.4.1 Excessive vaginal bleeding
21.4.2 Abdominal pain
21.4.3 Hypertensive crisis
21.5 Demonstrate how to prepare the obstetric patient for delivery.
21.6 Demonstrate how to assess the patient in labor to include:
21.6.1 Fetal heart tones
21.6.2 Fetal position
21.6.3 Crowning
21.6.4 Maternal assessment
21.7 Demonstrate how to assist in the normal cephalic delivery of the fetus.
21.8 Demonstrate how to deliver the placenta.
21.9 Demonstrate how to deliver post-delivery care to the mother and neonate.
21.10 Demonstrate procedures for assisting with abnormal deliveries.
21.11 Demonstrate proper care of the mother with delivery complications.
22.0 Neonatology
22.1 Demonstrate preparation of a newborn resuscitation area.
22.2 Demonstrate appropriate assessment techniques for examining a newborn.
22.3 Demonstrate appropriate assisted ventilation of the newborn.
22.4 Demonstrate appropriate endotracheal intubation of the newborn.
22.5 Demonstrate appropriate insertion of an orogastric tube.
22.6 Demonstrate needle chest decompression for a newborn or neonate.
22.7 Demonstrate appropriate CPR techniques for the newborn.
22.8 Demonstrate vascular access cannulation techniques for a newborn.
22.9 Demonstrate initial steps in resuscitation of a newborn.
22.10 Demonstrate oxygen delivery techniques for a newborn.
23.0 Pediatrics
23.1 Demonstrate the appropriate approach for assessing and treating infants and children.
23.2 Demonstrate appropriate intervention techniques with families of acutely ill or injured infants and children.
23.3 Demonstrate appropriate techniques for assessing pediatric vital signs.
23.4 Demonstrate the use of a length based resuscitation tape when treating an infant or child.
23.5 Demonstrate the appropriate approach for treating for treating infants and children with respiratory distress, failure, and arrest.
23.6 Demonstrate the appropriate use of airway adjuncts, both basic and advanced, for infants and children.
23.7 Demonstrate the proper placement of a gastric tube in infants or children.
23.8 Demonstrate appropriate techniques for gaining vascular access in infants and children.
23.9 Demonstrate the appropriate techniques for administration of medications by various routes.
23.10 Demonstrate the appropriate method for insertion of an intraosseous line.
23.11 Demonstrate proper assessment and management of infants or children with partially of completely occluded airways.
23.12 Demonstrate appropriate assessment and management of pediatric trauma victims to include:
23.12.1Head injury
23.12.2Chest injury
23.12.3Abdominal injury
23.12.4Extremity injury
23.12.5Burns
23.13 Demonstrate appropriate parent/caregiver interviewing techniques for infant and child death situations.
23.14 Demonstrate proper infant and child CPR.
23.15 Demonstrate proper techniques for performing infant and child defibrillation and synchronized cardioversion.
24.0 Geriatrics
24.1 Demonstrate the ability to assess a geriatric patient.
24.2 Demonstrate the ability to adjust assessment and treatment of the geriatric patient.
25.0 Abuse and Assault
25.1 Demonstrate the ability to assess a spouse, elder or pediatric abused patient.
25.2 Demonstrate the ability to assess a sexually assaulted patient.
26.0 Chronically Ill Patients
26.1 Demonstrate proper care of a tracheostomy patient.
26.2 Demonstrate proper technique for drawing blood from a central venous line.
26.3 Demonstrate the method of accessing vascular access devices found in the home health care setting.
26.4 Demonstrate proper care of a peg tube.
26.5 Demonstrate proper care of the patient with a urinary catheter.
26.6 Demonstrate wound care in the bed bound or chronically ill patient.
27.0 Rescue Awareness and Operations
27.1 Demonstrate stabilization techniques for a vehicle involved in a MVC.
27.2 Demonstrate access techniques for a patient involved in a MVC.
27.3 Demonstrate techniques for accessing and moving patients in various situations such as high angle, water, enclosed spaces, etc.
28.0 EMS Field Objectives
28.1 Perform assessments, treatments, and interventions at EMT-Paramedic level of patients with the following complaints:
28.1.1 CVA/AMS/Seizure
28.1.2 Cardiac
28.1.3 Trauma
28.1.4 Geriatric
28.1.5 Pediatric
28.1.6 Neurological
28.1.7 Pulmonary
28.1.8 Endocrine
28.1.9 Allergy/Anaphylaxis
28.1.10Gastrointestinal
28.1.11Obstetrical/Gynecological
28.1.12Renal
28.1.13Toxicological/Overdose
28.1.14Hematological/Cancer
28.1.15Communicable Disease
28.1.16Behavioral/Psychiatric
STUDENT EVALUATION OF PRECEPTOR/SITE
Please complete one of these forms for each of your clinical or internship sites. We would like to know when you have good experiences as well as bad ones. This will help guide us in making improvements to our preceptor training, site selection process, etc.
1. Name of Clinical or Internship Site:
_________________________________________________
2. Location within site (ED, OB Department, Station or Unit #, etc.):
_________________________________________________
3. Name and certification or licensure level of preceptor:
_________________________________________________
4. On a scale of 1 – 5 (with one being poor and 5 being the best), how would you rate your experiences and treatment at this site?
1=poor or not beneficial 2=slightly beneficial 3=good, beneficial
4=above average or very beneficial 5=excellent, extremely beneficial
5. Also using a scale of 1-5, please rate your designated preceptor for the shift.
1=not professional, not helpful, or did not seem comfortable with students
2=seemed professional but was not very helpful or was uncomfortable with students
3=seemed professional and facilitated skills opportunities during the rotation
4=very professional and worked closely with the student during the rotation to facilitate skills opportunities and provided guidance
5=extremely professional and helpful, guided and taught the student as well as provided skills opportunities
6. Do you have any suggestions or comments regarding this clinical or internship site, or specific comments regarding your preceptor
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