HomeMy WebLinkAboutPAR-2051
2/6/2015
Bergen Community College
Division of Health Professions
Paramedic Science
PAR 205 Paramedic Clinical Concepts III
Date of most recent syllabus revision: New Course
Course typically offered: Spring Semester
Syllabus last reviewed by: BCC General Education Committee _____ Date: _________
Ad Hoc Committee on Learning Assessment
Curriculum Committee ______ Date: _________
Basic Information About Course and Instructor
Semester and Year Summer U + III 2015
Course and Section Number PAR 2XX-001
Meeting Times and Locations: Wednesday 8:30 – 12:30 Meadowlands Campus
Instructor: TBD
Office Location: TBD
Phone: TBD
Department Secretary: TBD
Office Hours: TBD
Email Address: TBD
Course Description
2 Lecture 0 lab 2 Clinical Total 3 credits
PAR-205 Paramedic Clinical Concepts III is designed to review materials covered by the
National Standard Curriculum for the Paramedic. Emphasis is placed on validation of
knowledge and skills through didactic review, skills lab performance, computer simulation
and practice testing. Current trends in pre-hospital care will be reviewed. Upon course
completion, students will be sufficiently prepared to sit for the paramedic licensure
examination. Lecture [2.00], Clinical [2.00]. Prerequisite[s]: PAR-200, PAR-201, PAR-202,
PAR-203, PAR-204. Co-requisite[s]: PAR-206, PAR-207.
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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.
C. Safety and Personal Wellness
C1. Correctly identifies potential hazards to promote a safe environment 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:
Rapid Sequence Intubation/Induction
Integrate Rapid Sequence Induction into a complex patient assessment and correctly
perform the skill within the assigned time limit and acceptable state standards.
Airway and Breathing
Implement effective airway and breathing management in complex patient cases using the
correct methods and techniques as well as demonstrating cognitive competency.
Cardiology
Implement effective airway and breathing management in complex patient cases using the
correct methods and techniques as well as demonstrating cognitive competency.
Medical
Implement effective airway and breathing management in complex patient cases using the
correct methods and techniques as well as demonstrating cognitive competency.
Trauma
Implement effective airway and breathing management in complex patient cases using the
correct methods and techniques as well as demonstrating cognitive competency.
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OB/GYN/Pediatrics
Implement effective airway and breathing management in complex patient cases using the
correct methods and techniques as well as demonstrating cognitive competency.
Operations
Implement effective airway and breathing management in complex patient cases using the
correct methods and techniques as well as demonstrating cognitive competency.
Issues and Trends in Paramedicine
Understand current issues and trends impacting pre-hospital care both regionally and
nationally.
Terminal Competency
Demonstrate cognitive and psychomotor competence as an entry level paramedic provider.
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 ample feedback to
allow them the ability to improve performance in cognitive, psychomotor and affective
domains of learning. Assessment for this course will include feedback in the following
areas written, psychomotor and behavior.
Quizzes (6) 30%
Tests (2) 10%
Affective Behavior Assessment (2) 20%
Terminal Competency Written Exam 20%
Terminal Competency Practical Exam 20%
From the BCC Distance Learning Education Website:
Partially online course: A partially online (hybrid) course (indicated by a suffix of HY --
eg., WRT-101-005HY) is a class that meets part of the time in a traditional classroom
setting and the rest of the class work is done online via the Internet. Typically, a partially
online (hybrid) course replaces at least one meeting time per week with online course
activities through Moodle. The online work is completed within the week before the next
in-class meeting, but normally does not require a student to be at their computer at a
specific time of the day.
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It is the responsibility of the student to login to their online or hybrid course to continue
weekly discussions and submit assignments at the best time of day or night for the student,
giving these types of courses flexibility not available to a regular classroom course. You
must be willing to come to campus (usually once a week) because face-to-face class time is
required and an attendance policy will be enforced.
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
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.
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.
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Course Texts
Aelert, Barbara. ECGs Made Easy, 4th Edition. 2009, Mosby JEMS (ISBN 978-0323069243)
American Heart Association. Advanced Cardiovascular Life Support, April 2011, American
Heart Association Incorporated (ISBN – 978-1-6166-9010-6)
American Heart Association. Advanced Cardiovascular Life Support Handbook, April
2011, American Heart Association Incorporated (ISBN – 978-1-6166-9000-7)
American College of Surgeons. Advanced Trauma Life Support, 9th Edition, October 2012.
Caroline, Nancy. Emergency Care in the Streets, 6th Edition, 2008, Jones and Bartlett
Publishing, Sudbury, Mass (ISBN – 978-0-7637-6469-2)
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.
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.
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Attendance Policy
Bergen Community College’s attendance policy states: “All students are expected to attend
punctually every scheduled meeting of each course in which they are registered.
Attendance and lateness policies and sanctions are to be determined by the instructor of
each course. These will be established in writing on the individual course outline.”
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”.
Students will be allowed one excused absence per semester. 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 point. 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
it 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 Paramedic Department Policy and Procedure Manual will be reviewed at orientation
and revisited at the start of any core courses. The manual will address specific policies
required by either the state or national accrediting bodies. 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 will be encouraged to utilize the support services offered by BCC. During the
School of Health Profession orientation, these services will be highlighted. The faculty of
the Paramedic Program will encourage students to access these services.
In addition, the Paramedic Program is structured to ensure the needs of the paramedic
student will be met. Each squad will be assigned an adjunct faculty mentor to help facilitate
their interaction positively within the program. There will be open skill labs and
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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.
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.
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Course Outline and Calendar
Week Topic Assignment
1 Course Orientation
Rapid Sequence Intubation
NJ State RSI Manual
2 Rapid Sequence Intubation NJ State RSI Manual
3 Rapid Sequence Intubation NJ State RSI Manual
4 Rapid Sequence Intubation Test #1 NJ State RSI Manual
5 Practice Cognitive and psychomotor quiz
1 Airway and Breathing
6 Practice Cognitive and psychomotor quiz
2 Cardiology
7 Practice Cognitive and psychomotor
quiz3 Medical
8 Practice Cognitive and psychomotor quiz
4 Trauma
9 Practice Cognitive and psychomotor quiz
5 OB/GYN/Pediatrics
10 Practice Cognitive and psychomotor quiz
6 Operations
11 Issues and Trends in Pre-Hospital Care
12 Issues and Trends in Pre-Hospital Care
13 Issues and Trends in Pre-Hospital Care
Test #2
14 Terminal Competency Written
15 Terminal Competency Psychomotor
Syllabus Subject to Change
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Unit Objectives:
As a result of meeting the requirements in this course, students will be able to:
Rapid Sequence Intubation/Induction
During the RSI rotation, the paramedic student will interact in the medical simulation lab
practicing the skill of RSI. Multiple scenarios will be presented in which the student must
act appropriately as part of the paramedic team and assist with the accurate delivery of RSI
procedure.
A New Jersey State written and practical exam will be administered. Students are required
to achieve a 90 on the written assessment and perform the skill without causing harm to
the simulation mannequin.
Upon successful completion of the RSI, the student shall be able to:
1. Describe the pharmokinetics and general information of each medications used in
the state protocol.
2. Based upon a specific patient scenario provided, choose the most appropriate
medication.
3. Execute the RSI procedure without performing any critical actions as outlined on
the skill sheet.
4. Demonstrate the required documentation related to the skill.
Airway and Breathing
1. Implement a patient care plan for proper management of Airway and Breathing
difficulties.
2. Demonstrate proficiency in psychomotor skills related to Airway and Breathing
management.
3. Participate with a professional demeanor that brings credibility to the paramedic
profession.
Cardiology
1. Implement a patient care plan for proper management of cardiac patient care.
2. Demonstrate proficiency in psychomotor skills related to cardiac patient care
management.
3. Participate with a professional demeanor that brings credibility to the paramedic
profession.
Medical
1. Implement a patient care plan for proper management of medical patient care.
2. Demonstrate proficiency in psychomotor skills related to medical patient care
management.
3. Participate with a professional demeanor that brings credibility to the paramedic
profession.
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Trauma
1. Implement a patient care plan for proper management of trauma patient care.
2. Demonstrate proficiency in psychomotor skills related to trauma patient care
management.
3. Participate with a professional demeanor that brings credibility to the paramedic
profession.
OB/GYN/Pediatrics
1. Implement a patient care plan for proper management of imminent birth and
pediatric patient care.
2. Demonstrate proficiency in psychomotor skills related to imminent birth and
pediatric patient care management.
3. Participate with a professional demeanor that brings credibility to the paramedic
profession.
Operations
1. Implement a patient care plan for proper management of operations and rsponses
to special situations.
2. Demonstrate proficiency in psychomotor skills related to operations and responses
to special situations.
3. Participate with a professional demeanor that brings credibility to the paramedic
profession.
Issues and Trends in Paramedicine
1. Discuss current trends impacting pre-hospital care regionally and nationally.
2. Evaluate new Emergency Medicine protocol changes.
3. Evaluate new Emergency Medicine devices.
4. Participate with a professional demeanor that brings credibility to the paramedic
profession.
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Terminal Competency
Student Learning Outcomes to be achieved prior to Terminal Competency
Assessment:
1. Demonstrate professionalism in all aspects of care
2. Demonstrate the delivery of a highly technical level of patient care
3. Demonstrate compassion and respect for human dignity
4. Demonstrate the ability to provide emotional support for patients and families
5. Demonstrate mastery of the following as they relate to NJAC 8:41A
6. Demonstrate medical knowledge necessary to function as an entry-level
paramedic
7. Demonstrate competency in performance of all paramedic clinical skills and
special procedures
8. Demonstrate knowledge of treatment protocols, including NJ state Standing
Orders, NJ state medication formulary, and NJ state paramedic scope of practice
9. Formulate a field impression and implement the appropriate medical care based
on that impression.
10. Develop an appropriate treatment plan for patients experiencing a critical illness
or injury.
11. Perform a complete patient assessment and assign priorities of care.
12. Assess the effects of all treatments.
13. Prepare for and transport the patient to the appropriate facility.
14. Transfer patient care and provide appropriate verbal and written
documentation to the receiving medical team.
15. Complete a full and accurate documentation of the call.
Clinical (in-hospital) Skills Minimum # successful
Safely Administer Medications 25
Endotracheal Intubation 10
Live Intubation 5
Safely Gain Venous Access 50
Ventilate a Patient 10
Assessment of Newborn 3
Assessment of Pediatric Patient
Toddler, Preschooler, School Agers, Adolescents
5
Assessment of Adult 40
Assessment of Geriatric Patient 5
Assessment of Obstetric Patient 5
Assessment of Medical Patient 15
Assessment of Trauma Patient 5
Assessment of Psychiatric Patient 3
Assess and Plan Rx of Cardiac Patient 5
Assess and Plan Rx of Respiratory Patient 5
Assess and Plan Rx of Syncope Patient 3
Assess and Plan Rx of Abdominal Complaint 3
Assess and Plan Rx of Altered Mental Status 3
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Field Externship Skills Minimum # successful
Safely Administer Medications 25
Live Intubation 3
Safely Gain Venous Access 50
Ventilate a Patient 3
Assessment of Newborn 0
Assessment of Pediatric Patient
Toddler, Preschooler, School Agers, Adolescents
5
Assessment of Adult 100
Assessment of Geriatric Patient 10
Assessment of Obstetric Patient 0
Assessment of Medical Patient 90
Assessment of Trauma Patient 10
Assessment of Psychiatric Patient 5
Assess and Plan Rx of Cardiac Patient 20
Assess and Plan Rx of Respiratory Patient 20
Assess and Plan Rx of Syncope Patient 10
Assess and Plan Rx of Abdominal Complaint 10
Assess and Plan Rx of Altered Mental Status 10
Field Externship Team Leader 25