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HomeMy WebLinkAboutPAR-1031 2/6/2015 Bergen Community College Division of Health Professions Paramedic Science Program Fall 2014 PAR 103-001 Paramedic Diagnostic Methods I Meeting Times Mondays and Thursday 1:00p - 5:00p Location: Meadowlands Campus P111 Instructor: Professor McCarthy Professor Piccininni Office Location: P111 Phone: 201-301-1592 Office Hours: Tuesday and Wednesday 9:30 – 11:30 and by appointment Email Address: jmccarthy@bergen.edu Instructor: Professor Piccininni Office Location: P111 Phone: 201-301-1590 Office Hours: Monday and Thursday 10:30 – 12:00 and by appointment Email Address: jpiccininni@bergen.edu Course Description This course provides the student with the ability to gain paramedic skill competency for critically ill patients. Immersion in medical simulation will allow students to demonstrate the concepts and understanding of the roles and responsibilities of a param edic. Audio-visual recording will be utilized to promote patient safety. This course prepares students for clinical and field internship rotations. Lecture [1.00], Lab [4.00]. Prerequisite[s]: BIO-209, MAT Elective, PSY-201, SOC-101, [WRT-201 or WRT-202] Co-requisite[s]: PAR-101, PAR-102, PAR-104 Paramedic Program Core Competencies: A. Ethics and EMS Structure A1. Exhibit a professional code of conduct with personal and professional integrity. A1. Provide compassionate care to all populations while respecting cultural differences. A3. Comply with all state and federal regulation/laws for an entry-level paramedic. B. Patient Assessment and Skills B1. Utilize a systematic assessment to determine appropriate modalities for medical and trauma patients of all ages while prioritizing interventions needed to improve patient outcomes. B2. Demonstrate skill proficiency in all entry-level psychomotor skills, utilizing them when clinically appropriate and at the correct time to improve patient outcomes. B3. Function as a member of the paramedic team by using effective communication and proper behavior that promotes customer service and efficient care. 2 2/6/2015 C. Safety and Personal Wellness C1. Correctly identifies potential hazards to promote a safe environ ment for self, co- workers, patients and bystanders. C2. Uses critical thinking skills to properly manage and diffuse stressful environments. C3. Identifies personal stress and utilizes stress management techniques to ensure physical and emotional health. Student Learning Objectives: As a result of meeting the requirements in this course, students will be able to: Pharmacology Integrate comprehensive knowledge of pharmacology to formulate a treatment plan intended to mitigate emergencies and improve the overall health of the patient. Advanced Airway Integrate 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. Venous Access and Medication Therapy Integrate comprehensive knowledge of pharmacology to formulate a treatment plan intended to mitigate emergencies and improve the overall health of the patient. Vital Signs and Monitoring Devices 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. Cardiology 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. Chest Decompression 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. Patient Assessment 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 tre atment plan. 3 2/6/2015 Instructional Resources Available in the library and computer labs Annals of Emergency Medicine Journal of Emergency Medical Services (JEMS) Journal of Accident and Emergency Medicine New England Journal of Medicine Pre-Hospital Emergency Care Journal Means of Assessment In accordance with accreditation standards, students will be provided with ample feedback to allow them the ability to improve performance in cognitive, psychomotor and affective domains of learning. Semester Skill Quizzes (10) 20% Community Service Project 20% Behavioral (Affective) Assessment 20% Comprehensive Practical final 40% Moodle Structure: The delivery platform for this course is a hybrid format utilizing a Moodle program. Students must fully participate in both online and on campus components of the course to successfully complete the course. The Moodle structure will provide opportunities for discussion boards, email communication, class announcements, online patient cases, and completion of tests and quizzes. Course Menu in Moodle:  Online Syllabus  Course Announcements  Forums  Assignments  Email  My grades Recommended Practice To effectively manage this course for successful completion, you should do the following:  Read and follow the course syllabus by adhering to the assigned dates of completion  Read the messages under “Course Announcements”  Follow the course calendar in Moodle  Timely complete and submit all assignments – late assignments will not be accepted!  Use the email communication platform to communicate with other students and the instructor.  Actively participate in class and in online discussions 4 2/6/2015 Course Content This course will offer students the ability to gain cognitive knowledge related to patient care principles. The majority of the class will require students to work individually. Occasional group assignments may be utilized. Students will obtain clinical skill knowledge and competency prior to entering a clinical rotation. Special Features of the Course Pass Rate: The Paramedic Department pass rate is an 80%. Students are required to obtain a final average of an 80% in each core curriculum course. At the end of the semester, any student not achieving an 80% will be unable to continue in the program. Final Exam Minimum Score: In addition to the program pass rate, students are required to obtain a minimum grade of 77% on all final exams. Any student not obtaining a 77% on the final exam will be unable to continue in the program. Squad Assignments Students will be assigned to squads of no more than 6 students. The purpose of the squad is to promote teamwork, provide peer support and offer organization structure to the course. Students will take turns being the squad leader. The structure of squad s will help instill comfort for the students prior to them being required to function in a clinical affiliate paramedic unit where teamwork and communication is paramount. Skill Quizzes Students will be assessed on each clinical skill and a quiz grade will be earned from the assessment. Students will earn points for each skill correctly performed. The percentage of points accrued, will correlate to a quiz grade. In the event that a student performs any of the critical failure criteria areas outlined on a skill sheet, the student will receive zero “0” points for that skill quiz. Students will be remediated as to the reason that they did not successfully complete the skill and be required to correctly perform the skill. All students will successfully complete the skill assessment before being allowed to enter into a clinical rotation where that skill is a learning objective. Community Service Project: Each student will be responsible for creating and participating in some type of uncompensated community service project. A rubric tool will be utilized for grading the Community Service Project. 5 2/6/2015 Goal of project: Improve the safety and overall wellbeing of potential EMS patients while raising awareness about the EMS system within the community. Project Requirements: o Participate in an activity for which the student receives NO COMPENSATION. o Submit an outline summarizing your project – faculty approval must be obtained prior to starting the project. o After the community service is completed, each student will submit a reflection paper. The paper format will follow a SWOT analysis – utilize headers for each section of the analysis – Strengths of the project – Weaknesses identified with the project – Opportunities for improvement in the future – Things learned while completing the project. Grading for CSP Signed Outline 10% Quality of SWOT Paper 50% Storyboard 40% Practical Exam The practical final exam will consist of the clinical skills outlined in the semester skill booklet. Each student will earn points for each skill correctly performed. Grades will be calculated by adding all of the points earned through the final practical testing process. The percentage of points the student accrues, will correlate to a final exam grade. In the event that a student performs any of the critical failure criteria areas outlined on a skill sheet, the student will receive zero “0” points for that skill. Students will be remediated as to the reason that they did not successfully complete the skill and be required to correctly perform the skill. Students failing over 50% of the skills will not be retested on the same day; an alternate make - up session will be decided upon. The grade for any failed skill will remain a zero “0” even after remediation. In addition to the program pass rate, students are required to obtain a minimum grade of 77% on all final exams. Any student not obtaining a 77% on the final exam will be unable to continue in the program. Course Texts Required Text: American Heart Association. Advanced Cardiovascular Life Support Handbook, April 2011, American Heart Association Incorporated (ISBN – 978-1-6166-9000-7) Jones Bartlett Premier Bundle Package 2.0 (ISBN: 9781284038316) Jones Bartlett Bergen Medic Package (ISBN 9781284059342) 6 2/6/2015 Optional Text: Walls, Ron. Manual of Emergency Airway Management, 4th Edition, 2012, Lippincott, Williams and Wilkins. (ISBN 9781451144918) Research, Writing and Examination Requirements Students will be required to develop patient case studies that effectively depict a common medical emergency. Requirements will include appropriate description of signs, symptoms, patient presentation, pertinent medical history, medications and/or recent surgeries. Student will present their case to group. An affective behavior assessment will be included in the patient case study grade. In addition to the program pass rate, students are required to obtain a minimum grade of 77% on all final exams. Any student not obtaining a 77% on the final exam will be unable to continue in the program. Grading Scale A 93-100 B+ 89-92 B 85-88 C+ 82-84 C 80-81 F Below 80 N Incomplete (course requirements not fulfilled) Academic Conduct The paramedic program faculty adheres to the policy statement governing academic conduct as outlined in the Bergen Community College catalog.  Faculty may not post exam grades publicly due to privacy laws.  Scholastic dishonesty including but not limited to plagiarism, cheating, and collusion will not be tolerated. Any student who has demonstrated any of these behaviors will be disciplined according to the Policy and Procedure Manual of the program. Attendance Policy Please refer to the Paramedic Policy Manual for exact absence policy information. The Commission on Accreditation of Allied Health Education Programs (CAAHEP) requires that students meet a minimum number of didactic/lab, clinical and field internship hours. Therefore students are expected to attend all class sessions. No make-up quizzes, tests or exams will be given. Any student who is absent for a quiz, test, or exam will receive a grade of “0”. 7 2/6/2015 Students will be allowed one excused absence per semester for all four PAR courses. An absence is considered excused when a student notifies the professor prior to the start of class that they will be absent. Any additional absences will negatively affect the student’s grade. For each unexcused absence the final grade will reduce by 1 poin t. For each excused absence the final grade will reduce by 0.5 point. Tardiness will not be tolerated. In accordance with New Jersey state regulation, an attendance sheet will be available at the beginning of the class. If a student is tardy 3 times i t will be calculated as an unexcused absence. Other College, School and/or Departmental Policy Statements The Paramedic Program is accredited by two agencies, The Commission on Accreditation of Allied Health Education Programs (CAAHEP) and the New Jersey Department of Health and Human Service – Office of Emergency Medical Services. The Bergen Community College Paramedic Science Program has been issued a Letter of Review by the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP). This letter is NOT a CAAHEP accreditation status, it is a status signifying that a program seeking initial accreditation has demonstrated sufficient compliance with the accreditation Standards through the Letter of Review Self Study Report (LSSR) and other documentation. Letter of Review is recognized by the National Registry of Emergency Medical Technicians (NREMT) for eligibility to take the NREMT's Paramedic credentialing examination(s). However, it is NOT a guarantee of eventual accreditation. To contact CoAEMSP: 8301 Lakeview Parkway Suite 111-312 Rowlett, TX 75088 214-703-8445 FAX 214-703-8992 www.coaemsp.org The Paramedic Department Policy and Procedure Manual has been reviewed at orientation. The purpose of the manual is to clearly outline the role and responsibility of each stakeholder in the education process; the student, the patient, the faculty, the clinical affiliate and the college. Students and faculty are expected to adhere to the policies of the program. Student and Faculty Services Students are encouraged to seek assistance from peers and/or faculty members whenever they are having difficulties with the program curriculum. The Paramedic Science Program is structured to ensure the needs of the paramedic student will be met. There will be open skill labs and simulation sessions available to allow students to access adjunct faculty for support with any learning difficulties. Peer tutors will be utilized to facilitate further success in the program. 8 2/6/2015 Americans with Disabilities Act Students who require accommodations in accordance with Americans with Disabilities Act (ADA) can request these services form the Office of Specialized Services. To learn more about the services offered at Bergen Community College, visit them at www.bergen.edu/oss. Course calendar: Week Day Topic Assignment/Events 1 Thursday Course Orientation: Public Health; Work Force Safety & Wellness, Patient Safety Emergency Care in the Streets Chapter 2 and 3 2 Monday Orientation to Medical Simulation, Review of BLS Skills, Therapeutic Communications Techniques Emergency Care in the Streets Chapter 5 Thursday Introduction to Pharmacology Emergency Care in the Streets Chapter 10 3 Monday Emergency Pharmacology Quiz #1 Emergency Care in the Streets Chapter 12 Thursday Medication Calculations Emergency Care in the Streets Chapter 11 4 Monday Medications and Math Emergency Care in the Streets Chapter 8 Thursday Airway management and devices Quiz #2 Emergency Care in the Streets Chapter 11 and 12 5 Monday Airway management and devices Emergency Care in the Streets Chapter 15 Thursday Venous Access Quiz #3 Emergency Care in the Streets Chapter 11 6 Monday Medication Administration Emergency Care in the Streets Chapter 11 Thursday Venous and Medication administration Emergency Care in the Streets Chapter 11 7 Monday Differentiated Respiratory Assessment Quiz #4 Emergency Care in the Streets Chapter 16 Thursday Respiratory Simulation Emergency Care in the Streets Chapter 16 8 Monday Defibrillation/CPR AHA ACLS Textbook Core Cases Thursday Rhythm Interpretation Quiz #5 Emergency Care in the Streets Chapter 27 9 Monday Rhythm Interpretation Emergency Care in the Streets Chapter 17 Thursday Differentiated Cardiac Assessment Emergency Care in the Streets Chapter 17 10 Monday Patient Assessment Quiz #6 Emergency Care in the Streets Chapter 12 -15 Thursday Patient Assessment Emergency Care in the Streets 9 2/6/2015 Chapter 13 11 Monday Mega Code Emergency Care in the Streets Chapter 40 AHA ACLS Textbook Core Cases Thursday Mega Code Emergency Care in the Streets Chapter 40 AHA ACLS Textbook Core Cases 12 Monday Differentiated Medical Assessment Quiz #7 Emergency Care in the Streets Chapter 40 Thursday OFF Holiday 13 Monday Trauma Assessment Emergency Care in the Streets Chapter 13 and 17 Thursday Trauma Assessment Quiz #8 Emergency Care in the Streets Chapter 13 and 29 14 Monday Trauma skills Quiz #9 Thursday Trauma skills Quiz #10 15 Monday Community Service Presentations Final Review Thursday Final Exam All syllabus and course calendars are subject to change.