COURSE SYLLABUS FALL 2012

EMS-200: Emergency Medical Technician Environmental Health and Safety Office division of Emergency Medical Services University of Illinois at Chicago ...
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EMS-200: Emergency Medical Technician Environmental Health and Safety Office division of Emergency Medical Services University of Illinois at Chicago

COURSE SYLLABUS | FALL 2012

Lead Instructor: E-Mail: Phone: Lecturer: E-Mail: Phone: Program Chair: E-Mail: Phone:

I.

Michael O’Brien, M.A., CCEMT-P [email protected] (773)837-2892 Martin Walsh, B.S., NREMT [email protected] (708)704-4692 Ronak Shah, EMT-P, NRP [email protected] (312)355-4EMS

Term: Class Meeting Days: Class Meeting Hours: Class Location:

Fall 2012 T, R, S 5PM – 9PM (T / R) 10AM-2PM (S) LCC - C3

Course Overview EMS-200 (Emergency Medical Technician-Basic) is designed to provide instruction in the skills necessary to administer basic life support (BLS) and care for the sick and injured patient within the guidelines set by the National EMS Education standards and the State of Illinois. Areas of instruction and skills include, but are not limited to: patient assessment, airway management, medication administration and medical, trauma, childbirth, pediatric and geriatric emergencies. Students will spend a minimum of 32 hours volunteering as healthcare providers in various clinical settings to help them effect positive change in patients’ lives. Periodic written assignments will encourage meaningful reflection upon these experiences and aid the instructor in monitoring the student’s progress. Upon successful completion of this course, the student will be eligible to sit for the licensure exam approved by the Illinois Department of Public Health (IDPH) or the certification exam approved by the National Registry of Emergency Medical Technicians (NREMT) to become a credentialed EMT-Basic. While all students are encouraged to obtain their professional license following the course, it is not a requisite for successful completion.

II.

Course Objectives At the conclusion of this course, students will be able to:  Understand the history and development of Emergency Medical Services as a profession.  Understand and evaluate the different leadership styles that characterize emergency responses.  Analyze the impact and efficacy of Emergency Medical Services personnel on the delivery of healthcare in the United States  Assess, treat and appropriately transport patients suffering from acute illness or injury.  Defend triage, treatment and transportation decisions made in the austere environment.  Understand the factors that shape Emergency Medical Services policies and procedures.

 Analyze the critical political, ethical, legal and professional issues related to EMS care.  Discuss the unique issues facing special populations (e.g., geriatric, pediatric, underserved).  Describe the EMT’s leadership role in advocacy for patients and healthcare policy in general.  Collaborate with a community partner to develop a relationship with the community at large. This list is not exhaustive, it is recommended that you go to the course Blackboard page and read the “Course Objectives” document. III.

Course Prerequisites  Immunizations: Proof of current immunization, to include the following vaccines: Measles, Mumps, Rubella, Tetanus, Diphtheria, Pertussis, and Hepatitis B are required for enrollment. Additionally, results of a negative Tuberculin Skin Test / PPD or Quantiferon Gold within the last two (2) years are required. For the vast majority of students, the University wellness center can provide an adequate copy of immunizations as st well as administer necessary tests. Documentation must be submitted no later than Monday October 1 , 2012  Drug Test: Students must agree to submit to a random urine drug screening. Details will be provided on the st first day of class. Failure to complete the drug screen by Monday, October 1 2012 may preclude the student from any patient contact, resulting in a reduction in their course grade and disqualification from obtaining EMT licensure (see grading policy below).  Background Investigation: Students must consent to a thorough criminal background investigation to be conducted by the University of Illinois at Chicago Police Department. Students with felony convictions, drugrelated convictions, or offenses that require registration as a sex offender will be precluded from any patient contact, resulting in reduction of their course grade (as indicated below), as well as disqualification from EMT licensure.

IV.

Course Credits This is a non-credit class, offered by the Environmental Health and Safety Office, division of Emergency Medical Services. Your grade in this class will in no way affect your transcript or grade point average. Regardless of the student’s outcome, there will be no refunds of course fees once the class has begun.

V.

Required Texts and Materials  Provider Manual, BLS for the Healthcare Provider; American Heart Association, 2012. ISBN-10: 1616690399 (No other versions may be substituted)  Emergency Care and Transportation of the Sick and Injured; Tenth Edition, American Association of Orthopedic Surgeons, 2010; Jones & Bartlett, ISBN-10: 1449615872 (No other editions may be substituted, online access code optional)  iClicker student response system; available at the UIC Bookstore or online Considering the subject matter at hand, we highly recommend you do not rent the textbook, as it will prove invaluable to you in studying for licensure as well as reference once you have completed the program.

VI.

Supplementary (Optional) Texts and Materials  Emergency Care and Transportation of the Sick and Injured, Student Workbook; Tenth Edition, American Association of Orthopedic Surgeons, 2010; Jones & Bartlett, ISBN-10: 076379256X

VII.

Course policies and procedures Attendance Policy: Class meets Tuesday, Thursday from 5:00pm to 9:00pm and occasionally on Saturday from 10:00am to 2:00pm in Lecture Center C, Room C3 according to the course schedule unless stated otherwise. Attendance and participation are particularly crucial to the learning and mastery of prehospital medicine. For those seeking licensure, the State of Illinois requires a minimum number of hours of didactic instruction across the assorted areas of the curriculum. Failure to complete the necessary training in the required areas will result in denial of licensure (Students who miss more than three (3) class periods for any reason will not be eligible. Attendance at practical and written examinations is mandatory. Additionally, arriving more than fifteen (15) minutes late or leaving before class is dismissed will incur a one day absence. Classroom and practical participation counts for a maximum of 10% of the final grade. Practical Exercise Expectations: The practical sessions of this course will combine the material presented during didactic sessions with practical demonstrations and instruction in the performance of required skills on mannequins and other students. Lab sessions have some inherent risks: this course involves strenuous physical activity including lifting & moving heavy objects and patients, the possible exposure to body fluids (including blood), the use of electrical and mechanical devices (compressed oxygen cylinders, cardiac defibrillators, etc.) and performance of these duties outside, in the dark, in the cold/snow and/or in otherwise less-than-ideal conditions. Practical Ambulance Experience: Students will be expected to participate in at least two eight-to-fourteen hour ride-along shifts in an ambulance at Ambulance Transportation Inc. (ATI). Shift selections will be made early in the course. Once a time is scheduled, attendance is mandatory barring illness or other documentable emergency. The ATI garage is located at 2819 South Stewart Avenue, Chicago, IL 60616. The student will observe the crew and, to the extent permitted, help secure the scene, assess the patient’s complaints and provide appropriate emergency treatment while transporting the patient to the requested destination. As a part of this exercise, students are expected to help clean and restock the ambulance at the conclusion of each call. The ambulance crew will complete student evaluations. Substandard evaluations may result in repetition of the ride-along and/or grade reduction. All students will spend their first shift on a Basic Life Support (BLS) ambulance. Contingent on successful completion of that shift, students will have the option to request to ride on an Advanced Life Support (ALS) ambulance for their second shift. These requests are honored as often as possible, but operational concerns may dictate that the request be cancelled. In such instances, affected students will be placed on a BLS ambulance for the shift. The dress code for ambulance ridealongs consists of UIC EMS uniform polo, navy or black pants and black shoes (steel-toed work boots recommended). Failure to dress appropriately will result in being sent home plus a grade reduction, as determined by the program faculty. In the event that a ride-along shift will be missed, the student will notify the ATI Ambulance Supervisor immediately at (312)808-3684. All ambulance ride-time shifts (with accompanying documentation and reflection paper) must be completed prior to sitting for the final written exam. Failure to meet this requirement will result in an automatic 10% reduction of the final grade. Clinical Expectations: EMT students must participate in at least two clinical rotation days prior to the completion of the course. We have arranged several clinical opportunities to assist you in completing this requirement. Participation in the clinical encounters carry the same risks associated with practical sessions – exposure to bodily fluids, strenuous activity and the use of electrical or mechanical devices. These activities may be in a hospital or clinical setting, or they may be outdoors in extreme weather. Specific guidelines for each clinical rotation have been set and will be distributed after selection of rotation sites. All clinical rotations (with accompanying documentation & reflection paper) must

be completed prior to sitting for the final written exam. Failure to meet this requirement will result in an automatic 10% final grade reduction. The dress code for these experiences consists of: UIC EMS polo, black or khaki pants and dress shoes. Students must wear their UIC ID on the outer layer of their clothing at all times while in the hospital. Failure to dress appropriately will result in a grade reduction as above. Classroom Expectations: As prehospital professionals-in-training, students are expected to be respectful and prepared for class. Arrive on time with pagers & cell phones muted or set to vibrate so as to not disturb the presenter. Laptop usage is discouraged as it may be distracting to fellow students, but allowed. The instructor may at anytime prohibit the student from usage of a laptop for any reason. Dress appropriately for class: there are many times we will be on the floor, working outside in inclement weather or in otherwise less-than-desirable conditions. At no time will open-toed footwear of any kind be acceptable. Classroom projects and practice sessions require physical contact with fellow students in addition to working in close proximity to others. Anyone feeling uncomfortable with the behavior, actions or language of another student should notify the instructor immediately and the program chair as soon as possible. Sexual harassment, in any form or by any means will result in forfeiture of recommendation for Illinois licensure, referral to the student’s Academic Dean, and/or other disciplinary action as based on University policy. The University of Illinois at Chicago policy on Sexual Harassment can be found online: http://www.uic.edu/depts/oae/docs/sharpost.pdf Accommodation for Disabilities: Participation in didactic, practical and clinical activities requires meeting certain cognitive, affective and psychomotor objectives as outlined in the EMT-B National Standard Curriculum. Illinois licensure as well as your course evaluation will be based primarily on these objectives. If a student has conditions, limitations, and/or special needs that may affect their learning or performance of these objectives, they must notify the program chair in writing prior to the first week of the course so that a determination regarding reasonable accommodations may be made. Licensure/Certification Examination: Upon completion of the course with a final average of at least 80%, the student may elect to take either the IDPH licensure examination or the certification exam given by the National Registry of Emergency Medical Technicians. The Illinois Department of Public Health will not allow a student to take the licensure or certification exams until they have met all requirements of the course, including documentation of training hours. Details pertaining to both examinations will be presented in class. Course Grading Policy and Testing: Performance in this course is directly proportional to the amount of time a student puts into studying and practicing the materials presented. It is recommended that students spend 3 to 6 hours outside of class each week reviewing the material. Course written and practical examinations will be based on information from the National Standard Curriculum, National EMS Education Standards, the required course text, class handouts and any other material presented in class. In the event there is any discrepancy between what a textbook indicates and what a presenter says, defer to the textbook for exam purposes.

Grading for the course is broken down as follows: Assessment Quizzes (22, 10 points each – 2 lowest dropped) Exams (4, 100 points each) Final Written Examination Practical Examinations (3, 20 points each) Final Practical Examination Ambulance Internship reflection paper Emergency Department Clinical reflection paper Attendance and Participation

Points 200 400 200 60 50 30 30 30 1000 Final grades will be assigned based upon a fixed percentage of total points earned. Any curve will be based upon the instructor. Grading Scale (%) 90-100 A 80 - 89 B 70 - 79 C 60 - 69 D 0 - 59 F All written examinations will be given during regular class time. No make-up exams will be given. Students with a documented emergency (who have contacted the instructors in advance) may take the exam at an alternate time at his discretion. VIII.

Miscellaneous Information: Make up policy There are no make-ups for in-class writing, quizzes, the midterm, or the final exam, except as explained above. Essays turned in late will be assessed a penalty: a half-letter grade if it is one day late, or a full-letter grade for 2-7 days late. Essays will not be accepted if overdue by more than seven days.

Academic Conduct Policy: Academic dishonesty in any form will not be tolerated. If you are uncertain as to what constitutes academic dishonesty, please consult The University of Illinois at Chicago Student Handbook for further details. As in all University courses, University Code of Conduct will be applied. Violations of these rules will result in a record of the infraction being placed in your file and receiving a zero on the work in question AT A MINIMUM. At the instructor’s discretion, you may also receive a failing grade for the course. Confirmation of such incidents can also result in expulsion from the University

XI. Schedule It may become necessary to deviate from this schedule. Changes will be announced in class, via e-mail, and placed on Blackboard with as much advance notice as possible. The intended schedule is as follows: Date

Topic

Chapters in ECTSI

Instructor

18-Sept (T)

Welcome, Introductions, Policies, EMS Systems, Workforce Wellness

1,2

O’Brien, Shah, Walsh

20-Sept (R)

Medical/Legal/Ethics

3

O’Brien

25-Sept (T)

The Human Body

4

Walsh

27-Sept (R)

Communication & Documentation

5

Shah

29-Sept (S)

EXAMINATION 1

2-Oct (T)

Lifting & Moving, Principles of Pharmacology

35,7

Walsh, Shah

Patient Assessment

8

Shah

Airway Management

9

Walsh

Respiratory Emergencies, Endocrine Emergencies

13, 17

Walsh

16-Oct (T)

Cardiovascular Emergencies

14

Shah

18-Oct (R)

EXAMINATION 2

TAs

20-Oct (S)

PRACTICAL 1

ALL

4-Oct (R) 9-Oct (T) 11-Oct (R)

23-Oct (T) 25-Oct (R)

TAs

Neurologic Emergencies

15

Walsh

Obstetrics & Gynecology

31

Walsh

27-Oct (S)

GI, Urologic and Immunologic Emergencies

16, 18

Walsh

30-Oct (T)

Toxicology, The Acute Abdomen

19

Walsh

1-Nov (R)

Psychiatric Emergencies

20

Walsh

3-Nov (S) 6-Nov (T)

EXAMINATION 3

TAs

PRACTICAL 2

ALL

8-Nov (R)

Shock

10

Shah

10-Nov (S)

Trauma Overview, Bleeding

22,23

Walsh

13-Nov (T)

Soft Tissue Injuries, Face & Neck injuries

24,25

Walsh

15-Nov (R)

Head & Spine Injuries, Chest Injuries

26,27

Walsh, Shah

17-Nov (S)

Abd, Genitalia, Orthopedic Injuries

28,29

Walsh

20-Nov (T)

Environmental Emergencies, Special Needs

30,34

Walsh

24-Nov (S)

EXAMINATION 4 & Ambulance Ops

36

TAs, Shah

27-Nov (T) 29-Nov (R) 1-Dec (S)

ALL

PRACTICAL 3 Pediatrics & Geriatrics

33,34

Walsh

Introduction to the Incident Command System, Vehicle Extrication and Rescue

37,38

Shah, Walsh

4-Dec (T)

Terrorism Response, Disaster Management

38,39

Terpin

6-Dec (R)

FINAL EXAM

TAs

8-Dec (S)

FINAL PRACTICAL

ALL

IX.

Important Dates to Remember Exam 1: Exam 2: Exam 3: Exam 4: Practical 1: Practical 2: Practical 3: Final Exam: Final Practical:

th

Sat, September 29 2012 th Thurs, October 18 2012 rd Sat, November 3 2012 th Sat, November 24 2012 th Sat, October 20 2012 th Tue, November 6 2012 th Tue, November 27 2012 th Thurs, December 6 2012 th Sat, December 8 2012