EMT EMERGENCY MEDICAL TECHNICIAN

EMT EMERGENCY MEDICAL TECHNICIAN COURSE DESCRIPTION: This intensive 200+ hour course is designed to prepare participants in all phases of pre-hospital...
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EMT EMERGENCY MEDICAL TECHNICIAN COURSE DESCRIPTION: This intensive 200+ hour course is designed to prepare participants in all phases of pre-hospital emergency care. Participants will be educated and prepared for the National Registry EMT examination (NREMT) upon successful completion of the course and eligible for Washington State EMT certification once affiliated. Content includes lecture and hands-on practice in emergency care, bleeding and shock, soft tissue injuries, environmental emergencies, lifting and moving patients, emergency childbirth, and other topics.

SCHEDULE:

Student commitment in the EMT class requires 100% attendance, one excused absence is allowed on a case-by-case basis. This course is offered Tuesday and Thursday nights from 6:00 pm to 10 pm and Saturdays from 8:00 am to 4:30 pm.

APPLICATION AND ADMISSION PROCESS: Applications are accepted on a first-come, firstserved basis. Do not wait to apply, as the course fills before the admission deadline. **APPLICATION DEADLINE: 12/6/2016 by 4p.m. pacific time.

ENTRANCE REQUIREMENTS:

1. 18 years of age prior to first day of the EMT course 2. High school diploma or GED or college transcript 3. Current Driver’s License 4. Successfully pass a background check 5. Physical strength adequate to perform the normal functions of an EMT 6. Verification of required immunizations 7. BLS CPR Card

IMMUNIZATIONS: Verification is required for everything on the “Immunization Checklist”. (Two) Hepatitis B shots must be completed prior to release to do clinicals. Be aware that after receiving the first Hep-B shot the second Hep- B shot cannot be given for another thirty days. Varicella (Chicken Pox)and Measles/Mumps/Rubella (MMR)

immunity is also required. A titer test is acceptable. BACKGROUND CHECK: A WSP Background Check, on each applicant will be conducted by Skagit EMS.

AFFILIATED STATUS: State of Washington -recognized Basic Life Support (BLS) Agency Affiliation is required for State of Washington EMT certification. ***NOTE: Students have one year from the completion of the course to meet the affiliation requirement to be certified by the State of Washington.

CONTINUING EDUCATION: Washington State requires EMT’s to complete quarterly continuing education each year of certification.

COST ESTIMATE / REQUIRED EQUIPMENT:

Class Tuition: Includes: Textbook, Binder, Test Prep, Class Shirt, NREMT Test Voucher, Background Check.

For Skagit County BLS Agencies Non Skagit County BLS Agencies Non Affiliated

$300.00 $600.00 $900.00

*Required supplies not included in fees MUST HAVE FOR FIRST DAY OF CLASS. Watch with a second-hand (not digital) Pencil and Pen (black or blue - Red is NOT to be used for exams or quizzes) Highlighter Penlight Note-book paper for note taking Blood-pressure cuff (MUST BE LATEX FREE) High-quality Stethoscope(MUST BE LATEX FREE) Dark Blue uniform pants

REFUNDS:

Non-Skagit County-affiliated students must pay for the class prior to the first night of class, Skagit Agencies will be invoiced once the student has been accepted. No refunds are given. This policy applies to both individuals and agencies. For more info contact: Bev Riesland, SEI [email protected] (360)416-1830

APPLICATION GUIDE Please follow this guide carefully. Complete all items and include all requested attachments. Applications missing required attachments will be rejected. REQUIRED APPLICATION ITEMS:  Completed EMT Training Application  Copy of Current Driver’s License  Copy of high school diploma or GED  Copy of proof of immunizations **APPLICATION DEADLINE 12/6/16 AT 4PM**Pacific Time SEND IN COMPLETED APPLICATION TO: SKAGIT COUNTY DEPT OF EMS 2911 E. COLLEGE WAY, SUITE C MT. VERNON, WA 98273 About Skagit County Dept of Emergency Medical Services Training Division The education and training you receive is meant to exceed those set forward by even the most stringent programs and is provided by over 45 EMS professionals. We have created a culture of excellence and take the responsibilities given to us by the citizens of Skagit County seriously to provide nothing less than the best training possible and to ensure that the standards they have charged us to enforce are followed. Application Requirements and Prerequisites: Due to high demand for EMT training, the application process can be very competitive. Only serious applicants should apply. The EMT course is a time intensive course, with significant out-of-class study, and an additional requirement of 20 hours clinical participation. Classes are held on Tuesday and Thursday evenings, and Saturdays. Applicants should review the course schedule to which they are applying as attendance is essential. No elements of the course can be missed due to absence, as there are no make-up classes.

EMT TRAINING APPLICATION Completion of this application does not guarantee admission to the EMT class. Incomplete applications will not be accepted. Submit all required attachments. Be certain to sign application. Successful applicants will be notified by mail or e-mail. **APPLICATION DEADLINE 12/6/16 at 4p.m.** APPLICANT INFORMATION: PLEASE PRINT LEGIBLY Name ____________________________________________________________ Soc. Sec. # ______________________________________________ Address _______________________________________________________________________ Date of Birth _____________________________ City _______________________________________________________________________________________ Zip _____________________________ Cell # _______________________________________________ E-mail _______________________________________________________________ Are you physically able to do work of an EMT? ___________Yes ___________ No Have you ever been an EMT, First Responder, EMR or Paramedic? _________ When &Where_____________________ T-Shirt Unisex Size _______________________________________ RELEASE AUTHORIZATION: a. Criminal Background checks are processed on each incoming student. Your signature on the bottom of this form gives permission for Skagit EMS to obtain background check information from various state and federal agencies. Refusal to allow such processing will result in denial of entry into the program. In addition, if a ‘less than satisfactory’ rating is assigned to the student, clinical facilities will deny access to the student. I am aware and agree that this information may be shared with the clinical sites that are a required part of this educational program While entrance to the EMT class will not be denied if a ‘less than satisfactory’ rating results, without access to the clinical facilities, student will be unable to satisfactorily complete the EMT course. b. If applicable, I agree to allow the instructor(s) of this course to speak with the person listed below from the affiliating agency, regarding my progress and performance in this course. d. I have reviewed the information presented on this form and I agree that it is correct as stated.

Signature (required)________________________________________________________ Date ____________________ ****************STUDENTS WITH AGENCY AFFILIATION COMPLETE THIS PORTION****************** Provide the following information from your affiliated emergency agency. NOTE: Participants who are not

affiliated have one year from the completion of this course to meet the affiliation requirement to be certified by the State of Washington.

Agency/District ___________________________________________________________________________________________________________ Chief/Supervisor: ____________________________________________________ Phone ____________________________________________ Email Address _____________________________________________________________________________________________________________ The above listed EMT candidate is a current, active member in good standing with this agency. I understand that Skagit County EMS will conduct a Criminal Background check and entrance to the EMT course may be denied due to those findings. You will be invoiced for the student’s course fees immediately after the course begins. Once class has begun no refunds will be issued. Signature of Chief or Supervisor __________________________________________________________________________ NOTE: students must submit all attachments listed

EMT TRAINING APPLICATION IMMUNIZATION CHECKLIST Instructions: Because you will be completing a ride-along in an ambulance and observing in a hospital emergency room as part of this training, you are required to submit documentation of immunizations. Documentation consists of signed and dated records of the immunization administration from your health care provider regarding each immunization. A “titer” is a blood test that shows whether or not you are immune to the disease. *****Please make sure to attach copies of your immunization records with your application*****

IMMUNIZATION REQUIREMENTS #1 HEPATITIS B SERIES Or TwinRix Hep A/B

Students must have verification of first 2 doses by 1/13/17 HEP B is a 3 part vaccination. 1st dose is given, 2nd dose is 30 days later, 3rd dose is 6 months later.

First 2 shots of 3 shot series required or Titer Test #2 PPD- Tuberculosis Skin Test #3 Varicella Vaccine

Students must have verification of 2 doses of Varicella Vaccine by 1/13/17

2 shots required or positive serology on Titer test #4 MMR Vaccine

Varicella (Chickenpox) is a 2 part vaccination. 1st dose is given, the 2nd dose is administered 4 weeks later. Students must have verification of 2 doses of MMR Vaccine by 1/13/17

MMR Vaccine +Booster or positive serology on Titer test #5 Seasonal Flu Vaccine

MMR is a 2 part vaccination. 1st dose is given then a booster 28 days later. Students must have verification of current Seasonal Flu Vaccine by 1/13/17

This will be administered in class.

How to get your immunization recordsContact your Primary Care Physician Ask you parents, they may have them.

Where to get immunizationsYour Primary Care Physician Some area pharmacies (Burlington Costco, etc.)

Emergency Medical Technician Class Handbook 2017 CLASS 60

Bev Riesland, Senior Instructor [email protected] Joel Pratt, NR-P, FP-C Senior Instructor Skagit County Medic One 2911 College Way, Suite C Mount Vernon, WA 98273 Phone : Office (360) 416-1830

Matthew Russell, M.D. Skagit County Medical Program Director

Students with disabilities that are protected by the Americans with Disabilities Act of 1990 and require special accommodations should contact Mr. Kevin Chao (360)416-1835 for possible accommodations.

INTRODUCTION

Welcome to the Skagit County Medic One EMT class. We are pleased that you have chosen to begin your studies in pre-hospital emergency care with us. We hope that your educational experience will be a rewarding one. The mission of the Skagit County Medic One Training and Education Department is to provide each student the best training available in order to become qualified, competent, and “industry-ready.” Classroom training is provided by dedicated instructors who meet requirements set forth by Medic One, the Skagit County Medical Program Director, the State of Washington and the NHTSA. Clinical and field-internship instructors take an active role in achieving this goal. A wide variety of media resources and training equipment are used to enhance learning opportunities. Carrying out this mission requires teamwork and quality education not only from the program and education staff, but also from you, the student. Your own personal contribution towards your education is the most important part of accomplishing this mission. The decision to succeed or to fail is in your hands. Your role will be to dedicate yourself to increasing your knowledge of patient care, basic and advanced life-saving skills, and to develop professionalism.

PURPOSE OF THE STUDENT HANDBOOK

This handbook has been prepared to provide the EMT student with an accessible source of information regarding the requirements, expectations, and policies of the Emergency Medical Technician Program. The handbook will serve as a guide, and the EMT student should be familiar with its contents. This handbook will inform the student of the content, purpose, and objectives of the program. The student will also be informed of his/her rights, appeal mechanisms, requirements for continuance and completion/graduation of the program. Various forms and methods of monitoring the progress of the student will be introduced as well as grading, evaluation, and other pertinent general information. At the end of the manual, a form stating that you, the student, have read and understood its contents will be signed and returned to the training and education department.

PROGRAM DESCRIPTION

The Emergency Medical Technician Course is a competency-based course that prepares the student to provide pre-hospital emergency care to acutely ill or injured patients under the direction of the MPD. The program adheres to the National Standard Curriculum developed by the National Highway Transportation and Safety Administration and also to the guidelines established by the Washington State Department of Health EMS Division. This program includes classroom instruction, laboratory practice, clinical training and field internship training, and consists of a minimum of 200+ classroom hours, plus 10 hours of Emergency Department clinical education. This time will be used to interview and assess a minimum of (5) patients. Students also must complete 10-20 hours of ambulance operations time. The EMT program is very intense, and a large amount of material is covered in a short period of time. It is designed for only those dedicated to striving for excellence, and those willing to put forth effort not typically required in basic college courses. It is imperative that the student EMT spends out of classroom time studying in order to accomplish this goal. More detailed information regarding the course, requirements, as well as grading and evaluation standards will be discussed later. 1

CLASS TIMES AND LOCATION All classes, unless otherwise specified, will be held at the RRTF located at: 2911 E. College Way, Mt. Vernon, WA 98273

Classes will begin promptly at 1800 (6pm) on Tuesday’s and Thursday’s and at 0800 (8:00am) on Saturday classes.

PROGRAM GOALS

1. Meet the training needs of students and therefore the emergency care needs of our

communities, by providing competently trained EMTs.

2. Prepare a practitioner at the EMT level ensuring affective, cognitive, and psychomotor

competency.

3. Offer academic courses to enhance the student’s personal, as well as professional

development.

4. Provide adequate facilities for clinical training and field experience through affiliation 5. 6. 7. 8. 9.

with area hospitals, ambulance services, and other emergency care providers. Adhere to uniform pre-determined admission requirements, thereby ensuring properly qualified applicants. Provide qualified instructors who meet pre-established criteria for education, experience and expertise as set forth by the Washington State Department of Health. Recruit and designate persons representing those involved in pre-hospital and hospital emergency care to serve as instructors and advisory staff for the program. Conduct ongoing program evaluations in order to assess the effectiveness of the program. Recruit, designate, and train persons representing those involved in the pre-hospital emergency care to serve as clinical and field preceptors.

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INITIAL COURSE REQUIREMENTS

The EMT class is selected by fair, objective criteria, and is open to all persons sponsored by a recognized emergency service agency in Skagit County. 1. The entrance requirements are as follows: 2. 18 years of age or older 3. Proof of high School diploma or GED 4. Proof of identity and age (current driver’s license—legible photocopy) 5. The ability to read and comprehend written course materials 6. Clear Washington State Patrol background check (performed by our office) 7. Sponsored Agency Affiliation 8. Vaccinations need to satisfy program requirements

COURSE COMPLETION REQUIREMENTS

In order to successfully complete the EMT program, the following requirements must be met. 1. Maintain an 80% on all coursework 2. Complete all assigned course work 3. Successfully complete all practical evaluation exams 4. Complete didactic hours. 5. Complete a minimum of 20 clinical Ambulance/Emergency Department hours 6. Demonstrate all Cognitive Competencies (see Achieving Competency) 7. Demonstrate all Psychomotor Competencies (see Achieving Competency) 8. Demonstrate all Affective Competencies (see Achieving Competency)

REASON FOR DISMISSAL

Students will be dismissed from the program for these reasons: 1. Absentees in excess of that allowed by program policy (see Absentee Policy) 2. Failing to maintain a 80% average (see Grading Policy) 3. Cheating on any assignment, documentation, or test 4. Falsifying clinical/field hours, attendance or experiences 5. Performing procedures in the clinical or field in which the student is not authorized or competent, as determined by documented evaluation 6. Reporting to class, clinical, or field under the influence of recreational or illegal drugs or alcohol 7. Falsification of any application information, clinical/field forms or other work while enrolled 8. Unprofessional conduct as determined by the instructor, preceptor, medical director, or program director 9. Insubordination 10. Failure to achieve any competencies 11. Failure to adhere to uniform policy

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PROGRAM COSTS AND MATERIAL REQUIREMENTS Students with a Skagit County BLS Sponsoring Agency: Students with a Non Skagit County BLS Sponsoring Agency: Students without BLS Sponsoring Agency:

$300.00 (invoiced to your sponsoring agency) $600.00 $900.00

Tuition Includes:  3-Ring Binder, 2”  EMT Text Book-Emergency Care and Transportation of the Sick and Injured, 11th Edition  Jones and Bartlett Navigate 2 Preferred Package  JB Test Prep for National Registry Exam  Class T-shirt (additional shirts available at student’s expense)  National Registry of EMTs (NREMT) exam test voucher  Washington State Patrol Background check

STUDENTS WITHOUT A SPONSORING SKAGIT COUNTY BLS AGENCY: The tuition is due prior to the first night of class. Vaccinations needed to satisfy program requirements (see vaccination worksheet) Personal Liability Insurance (through www.spso.com) approx. $40.00

ADDITIONAL REQUIRED CLASS SUPPLIES FOR ALL STUDENTS: (Not included in Tuition)         

Wrist watch with second hand (not digital or phone) Pencil and pens Highlighters Blood-pressure cuff (MUST BE LATEX FREE) High Quality Stethoscope (MUST BE LATX FREE) Penlight Note-book paper Dark blue uniform pants Safety Glasses/ Safety Goggles

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THE EMT PROGRAM

This EMT Program prepares the student to provide competent pre-hospital emergency care to acutely ill or injured patients under the direction of the Skagit County MPD. The program provides opportunities for the student to gain cognitive ability, psychomotor skills, and professional attributes necessary to function as a pre-hospital emergency care provider. Upon successful completion, the student will be prepared to take the National Registry EMT written exam.

CURRICULUM DESCRIPTION

The curriculum for EMT contains the following areas of emphasis: Principle of Pre-hospital Care, Applicable Anatomy and Physiology, Pharmacology, Patient Assessment, Medical and Trauma Emergencies, Obstetrics, Neonatology, Pediatrics, and Wellbeing of the EMT.

PROGRAM LENGTH EMT: 200+ hours

DIDACTIC DESCRIPTION The didactic or classroom portion of the EMT- curriculum consists of 200+ hours. The classroom presentations are made up of lectures and projects, guest speakers, and student discussion. Knowledge gained in the classroom is vital to the success of the student in the clinical and field internship settings, as well as success as a Washington State EMT. It is solely the responsibility of each individual student to take notes, ask questions, and learn from each presentation.

GRADING POLICY The grading scale is as follows: 90-100 A 80-89 B 79Unacceptable A score of 80% must be attained on each major examination. Below 80% constitutes a fail. Two retakes TOTAL will be allowed. Students are responsible for contacting the instructor to request a make-up test when they recognize that they have fallen below the required grade level. An 80% must be maintained on all class work and weekly quizzes. A passing assessment must be achieved on all clinical evaluations on the student. Any student that does not maintain an 80% on each examination, 80% course average, and as passing clinical evaluation will not be allowed to continue in the program. GRADING RUBRIC Grading Elements Quizzes Exams Practical Exams Class Presentation

450 points 836 points 307 points 100 points

Point Range

Grade

1693-1524

A

1523-1355

B

1354-1186

C

1185-1017

D

1016-Below

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ATTENDANCE POLICY

Students are expected to attend all classes, clinical, and other pre-scheduled meetings that are part of the course. The following policies have been adopted to guide and inform the student, and will be enforced by the Skagit Medic One instructors. Absences 1. The student is allowed to miss no more than one (1) class over the length of the program. 2. No more than one (1) make-up day will be allowed. 3. Absence must be approved prior to the missed class. 4. The student is responsible for any classroom or clinical material missed. It is the student’s responsibility to make-up work and arrange make-up class or clinical with the instructor. Tardiness 1. Class begins promptly at the scheduled time and lasts the scheduled number of hours on the scheduled days. The student will be considered tardy if not seated at scheduled start time. 2. Three (3) tardies will constitute one class absence. 3. Clinical tardies will be counted the same as a classroom tardy. 4. Tardiness will result in corrective action which will be at the discretion of the instructor staff.

BREAKS A maximum of ten (10) minutes of break-time is allowed for every hour of class. These may be taken at the discretion of the instructor.

CLASSROOM DRESS CODE 1. 2. 3. 4. 5.

Uniform shirts or class shirt & dark blue or black uniform pants will be worn in class. You must be clean You must wear closed toed shoes No tank tops Safety Glasses/Goggles

STUDENT PRESENTATIONS

Students may occasionally be asked to prepare and provide a lecture or presentation for the class. The student will receive this assignment from the instructor, and will receive a grade on their presentation.

QUIZZES Quizzes will be given frequently throughout the course to test the student understanding and knowledge of recently covered didactic content. Each quiz will count as a daily grade. The student must maintain an 80% in the daily quiz section.

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EXAMINATIONS

At the end of each module, a comprehensive examination covering all material in the textbook, workbook and worksheets, lecture, clinical, and out of class assignments will be administered. The student is responsible for reading all textbook material and will be held accountable on examinations for any information in the textbook. Out-of-class study is required in order to pass the EMT curriculum. A minimum score of 80% must be attained on each module examination in order to continue with the EMT course. At the completion of the course the student must pass a comprehensive examination that will cover all of the content covered in the course. Cheating Any student found cheating or passing tests and examinations in any dishonest manner will be subject to immediate dismissal from the program. Missed Examinations The student is responsible for taking missed examinations due to absences on the day they return to class, or to schedule a make-up examination with the instructor. If the student does not take the examination on the day they return back to class, they must schedule a make-up with the instructor or receive a zero.

PAGERS, PHONES, RADIOS

Pagers, phones, hand held radios, or any similar device will not be heard in the classroom. Cell phones and pagers, if required for work or emergencies must not be heard during class. Text messaging is not allowed during class times. Students that are not compliant with this policy will be subject to corrective action.

CLASSROOM TIDINESS/HOUSEKEEPING

It is the responsibility of the student to pick after him/herself. At the end of each class period, the student should clean up around his/her desk, and pick up trash, books, pens, or clutter. The student will also be responsible for cleaning up and putting away any equipment used during demonstrations or practical skill practice. An outline of duties will be posted in classroom. The student will be held accountable and must replace any desks, equipment, or classroom furniture, which has been willingly damaged. This includes writing on and defacing desks, tables or counters.

EATING, DRINKING, GUM CHEWING

Eating, drinking, gum chewing, usage will be allowed in the classroom. It must not interfere with ability to learn.

CORRECTIVE ACTION Corrective action will be taken as needed for issues of a non-dismissal nature. These corrective actions are at the discretion of the staff.

PRACTICAL SKILLS

Skills may be practiced on manikins, paid or volunteer victims or fellow students under the guidance and observation of an instructor. Practical scenarios are designed to help students learn from mistakes, ask questions, and perfect skills prior to entering the clinical and field internship settings. The skills may be practiced one-on-one, or with other students observing.

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SKILLS EVALUATION

There are numerous skills, in which the EMT student must be competent. They must be able to perform all basic skills, in addition to advanced skills, such as supraglottic airway intubation, defibrillation, and others. Each skill will be demonstrated in class prior to trying it in the practical setting. The student will then have the opportunity to attempt the skill. Upon completion, constructive criticism as well as positive aspects of the student’s performance will be discussed. The skills will be evaluated on a check-off sheet. This same check-off sheet will be used in the practical skills evaluation by preceptors when evaluating skill performance.

SKILLS PRACTICE

No skills may be practiced or performed without the knowledge and permission of the instructor. The instructor must be present in the area when the student practices any skill.

LIVE SKILL PRACTICE

In order to ensure safety of students and maintenance of equipment, it is imperative that the student refrain from any horseplay or rough behavior while practicing skills. Any students engaging in such behavior will be dismissed and receive a failing grade for the class. Since many non-invasive skills will be practiced on other class members, it is important to always perform skills as safely as possible to avoid injury. ( Skagit County Medic One and its instructors will not be held liable for any injury that occurs because of carelessness and failure to perform the skill as instructed.)

EQUIPMENT MAINTENANCE

Part of the practical evaluation will include handling and maintenance of equipment. Some very expensive equipment has been purchased to enhance training. It is important that the equipment be maintained for future students. All equipment has a designated storage area, and should remain there unless being used. Students will be responsible for retrieving equipment, setting up the practical stations, cleaning and picking up equipment, storing equipment, and keeping the classroom clean.

CLINICAL AND FIELD-INTERNSHIP DESCRIPTION

Clinical and field internship consists of (10) hours of in-hospital and (10-20) hours ambulance training under the direct guidance of a paramedic, RN, MD, EMT or equally qualified health provider. The clinical and field settings are areas that the student may begin to observe illnesses/injuries discussed in the classroom, shape and fine-tune assessment skills, learn additional information in which an EMT must be competent, and put together the overall picture of patient care. Learning at the clinical site is directly proportional to the aptitude of the student. The student is responsible for seeking learning opportunities, asking questions, being assertive, and bridging what is seen, back to prehospital emergency care. It is not the responsibility of the preceptor or clinical instructor to make the student learn, but to serve as a resource to learning.

CLINICAL AND FIELD-INTERNSHIP REQUIREMENTS

Field-Internship (Ambulance) - 10 hours Emergency Room – 10 hours These are the minimum number of hours required in each area, and a student may be required to exceed these hours in order to achieve competency. The Medic One instructors reserve the right to use their best judgment, based on experience, to evaluate progress of the student and possibly require further clinical assignments as needed. 8

FAILURE OF CLINICAL OR FIELD-INTERNSHIP

The following constitutes failure: 1. Failure to attend clinical or field internship without notification of an instructor. 2. Tardiness 3. Use of alcohol or illegal drugs at the clinical or field internship site. 4. Unprofessional conduct, including sexual harassment, inappropriate language, breach of patient confidentiality, discrimination (gender, racial, religious, etc.) or any conduct deemed inappropriate by the clinical institution or Medic One as outlined in the handbook or clinical institution policy and procedure manual. 5. Performance of a skill the student has not been approved to do, or is outside the EMT’s scope of practice as outlined in the Skagit County protocols. 6. Performance of a skill without preceptor supervision. 7. Non-Compliance with the clinical institution rules, regulations, and policies while at the clinical site. 8. Failure to present a completed clinical/field paperwork packet for evaluation on the assigned date.

CLINICAL AND FIELD-INTERNSHIP ATTENDANCE POLICY

Clinical and Field Internship will be pre-scheduled by the student and the instructor. A clinical schedule will be assigned to each student in advance. Field internship will be arranged with an assigned ambulance. The student must attend all pre-scheduled sessions in order to fulfill program requirements. In the event that a student has a valid excuse for not attending and must miss a clinical or field internship assignment, the student will then be given an opportunity to make-up the missed session at the instructor’s or field preceptor’s convenience. It is vital that the missed session is made up, or an Incomplete will be awarded and the student will not be eligible to graduate or take the state test If the above requirements are not met, the student will receive a failing grade, and will be unable to continue in the EMT program.

CLINICAL OR FIELD-INTERNSHIP TARDINESS Being tardy to a clinical or field internship session is especially serious, due to shift changes, hospital/ambulance availability. Provided on the clinical/field evaluation form the student will enter the start and finish time of the shift as well as the total hours completed.

CLINICAL AND FIELD-INTERNSHIP BREAKS

The student is allowed break-time during their clinical shift. These breaks should be taken during slower times, and are not to be taken when there is an active learning opportunity in progress. Before leaving the clinical area, the student should notify his/her preceptor and tell them when they will be back and where to reach them if a beneficial learning opportunity should arise. Field breaks shall be taken with the preceptor.

CLININCAL AND FIELD-INSTUDENT STUDENT DRESS CODE In order to look professional and abide by the Clinical and Field Internship site policies, it is important that the student be in proper attire when in a clinical or field internship. Students must wear class uniform at all times during training unless otherwise excused by staff. Students will wear the EMS Class Shirt and issued Student ID Badge during all clinical field time. Please note that no eccentric hair styles, colors, offensive visible body art, or piercings are allowed in the clinical/field setting. If the student arrives improperly dressed or groomed, the student must rectify the problem or be dismissed from clinical or field internship. Coats or jackets may be needed during field internship depending on weather conditions. Please be prepared and remember you are representing Skagit County Medic One and all your instructors. Field-Internship Dress Code  EMT Student class shirt  Uniform “EMT” pants, cargo pants or “khaki’s in dark blue or black  Closed-toe shoes, preferably boots (clean)  Class issued ID card  Stethoscope  Safety Glasses/Goggles  Please bring a jacket and spare set of clothes Grooming Hair must be neat and clean Beards and mustaches must be kept trimmed short and neat Side burns should not be of excessive length Fingernails should not extend beyond the length of the finger Nail polish should not be worn Wedding sets and a watch with a second hand are the only jewelry allowed Shoes and boots will be plain toes. No western styles permitted. No pins or badges are allowed on the shirts In cold weather a waist-length jacket may be worn

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CLINICAL AND FIELD INTERNSHIP BEHAVIORL EXPECTATIONS

In order to ensure professionalism, order and excellence, certain behaviors must be abided while representing Skagit County Medic One and the Emergency Medical Profession. Patient Confidentiality In the clinical and field settings, the student will have knowledge of patients’ personal information. It is important that the student hold all patient information confidential. Patient information is not to be discussed in halls, bathrooms, waiting rooms, public areas, or in any place where someone other than students and instructors may hear. Limit all conversations about patients to pre-conference, post-conference, or when communicating with preceptors or instructors. You will be held liable for any information you disclose about the cases in which you are involved in. Prior to entering the clinical site, a confidentiality form stating that you, the student, will hold all patient information confidential must be signed .

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Rules and Regulations Students are expected to abide by the rules and regulations of the clinical/field site when doing clinical or field internship. No Smoking policies, and designated smoking areas are to be adhered to. Students are also cautioned not to chew gum, eat, drink, or use any tobacco products while in clinical or field internship, unless it is during break in a designated area. Relationships with Staff, Patrons or Patients While at the clinical or field site, the student is expected to show the utmost respect to staff, patients, and hospital patrons. This may be done by avoiding unprofessional language (cursing, degrading or disrespectful terms), avoiding conflict by not arguing or talking back when in disagreement, avoiding sexual harassment, discrimination etc. Should a conflict arise with staff, preceptors, patients, or hospital patrons, the senior instructor should be called. It is possible that the student may be placed in a different clinical site, or dismissed if such an instance occurs. Relationships with Preceptors Preceptors are RNs, MDs, Paramedics, EMTs or other qualified individuals who have been pre-approved by the Skagit County Medical Director. Preceptors will serve as a resource and a guide during the clinical and field internship training sessions. The student must be assigned to a preceptor prior to performing any patient care. The student is expected to be actively involved with all patients that the preceptor attends to, and assist with skills that the student has been cleared to do. The student should show respect to preceptors, and avoid any verbal or physical conflict with them. The students should be attentive, ask questions, and assist the preceptor. Entering the Field Internship Site The student will schedule clinical rotations through the Senior Instructor or designee. It is up to the student to find out when and where to meet. Upon entering the field site, the student should find his/her preceptor and introduce him/herself. The student shall not perform any patient care without the direct supervision of the assigned preceptor. Leaving the Clinical/Field Internship Site Before leaving the clinical site or field internship site, the student should notify the preceptor that they will be leaving. Be sure to have your paperwork signed by your preceptor and reports completed.

PERFORMANCE OF SKILLS The student will learn various skills in the classroom and laboratory setting which can be attempted on patients in the clinical and field internship settings. When attempting a skill in clinical or field internship, a preceptor or clinical instructor must be present.

VACCINATIONS Prior to entering the clinical site, all childhood illness immunizations must be current. You will be asked to show proof of the following: 2 MMR shots, 2 Varicella and vaccination against Hepatitis B (series should be started). A TB skin test and follow-up may also be necessary. 11

INFECTION CONTROL PRECAUTIONS

The student must always employ “Body Substance Isolation” (BSI) when coming in contact with any patient, including but not limited to latex free gloves and safety glasses/goggles.

EXPOSURE TO INFECTIOUS DISEASE

If the student is exposed to an infectious disease during clinical, the student shall report it immediately to the clinical instructor. It is of extreme importance that exposures be reported immediately, since treatment must begin within hours of the incident. If the student does not report the exposure, Medic One, nor the clinical or filed internship site will be held liable.

STUDENT GRIEVANCE

Student appeals will go first to the Squad Leader, then the Senior Instructor, then to the Training Manager for a final decision.

WORK POLICY Students are responsible for meeting the class, clinical and field hour requirements of the program. Therefore students must realize their additional responsibilities if they choose to work.

STUDENTS WITH DISABILITIES

Students with disabilities that are protected by the Americans with Disabilities Act of 1990 and require special accommodations should contact Mr. Kevin Chao (360)416-1835 for possible accommodations.

ACHIEVING COMPETENCY Cognitive Competency In order to achieve cognitive competency, the student must pass all major examinations and courses with a minimum score of 80%. In order to do this, this student must achieve all competencies as set forth by the Washington State Department of Health and the NHTSA. These competencies are found in this section as well as with each course description. Cognitive competency will be monitored and tracked by the class instructors. Failure to achieve cognitive competency will result in failure to complete the EMT program. Psychomotor Competency In order to achieve psychomotor competency, the student must perform each skill at least three times in the practical setting under the supervision and evaluation of a class instructor. In addition, some skills must be performed on live patients in the clinical and field internship settings in order to achieve competency. All skills must be evaluated on a check-off sheet by a program-approved preceptor, and recorded on the student observation form. It is the responsibility of the student to see that this is accomplished. Credit will not be granted based on verbal confirmation, but only by written documentation. Failure to complete all psychomotor competencies will result in the student receiving an incomplete until all competencies are completed. If the competencies are not completed, the student will not complete the EMT curriculum. 12

Affective Competency The student will be evaluated on affective domain. This will be done by the instructors, clinical preceptors and field internship preceptors. The guidelines in this section will be used to evaluate the student’s progress throughout the year. It is of utmost importance that the student not only is proficient in skills and knowledge, but also has ethical and moral behavior when in contact with patients and providing patient care. Failure to achieve affective competency may result in failure of the student to complete the EMT course and receive a recommendation to sit for the National Registry NREMT exam.

A SUCCESSFUL STUDENT To successfully complete the EMT class affective competency must be demonstrated in classroom and clinical settings by displaying the following professional attributes:                              

Adherence to dress code and clinical uniform policies Adherence to class, program, and clinical site rules and regulations Attendance and punctuality Participation in classroom discussion and activities Displaying non-disruptive behavior Following directions Self-motivation in the class and laboratory settings Preparedness (assigned projects/homework, study materials/books) Completion of own work and tests Usage of correct grammar, spelling, medical terminology and penmanship Usage of appropriate language (no curse words, vulgar language) Remaining on task Positive attitude and facing challenges with a positive outlook Accepting and offering constructive criticism Courteousness to staff, patients, and students Assertiveness in patient care and in seeking learning opportunities Remaining under direct clinical supervision when performing skills Maintaining composure in stressful situations Strict adherence to universal precautions and body mechanics Assistance with maintenance of equipment and classroom/storage tidiness Taking personal responsibility for weaknesses and mistakes Effectively utilizing time Refraining from non-productive methods of conflict resolution such as complaining, whining, gossiping, etc. Attempting to maximize personal potential by setting goals above minimal course requirements Abstinence from tobacco, alcohol/drugs during classroom and clinicals Performance of skills within the students’ level of training Scheduling time to attend all classes, clinical and field sessions Refraining from discrimination in any form Speaking to and treating staff, patients and students in a dignified and respectful manner Observing patient confidentiality and patient modes 13

Release of Liability for EMT Training STUDENT NAME:____________________________________

CLASS#_60_____________

I ____________________________________________________ have read the EMT Class Handbook and agree to abide by the rules and expectations as outlined within. Express assumption of risk: I, the undersigned, am aware that there are significant risks involved in any emergency responder training program. These risks include, but are not limited to: infection, exposure to infectious disease and illness, falls which can result in serious injury or death, injury or death due to negligence on the part of myself, my fellow classmates, or other people around me, injury or death due to improper use or failure of equipment or damage of personal property. I understand that training will include exposure to patients both actual and simulated. I will be exposed to significant physical stress including, but not limited to; lifting, reaching, moving at odd angles, dragging and pulling heavy items. This includes moving real and simulated patients weighing in excess of 200lbs and carrying equipment weighing in excess of 50lbs. I may also be exposed to bodyweight physical exercise (PT). I understand that I am allowed to decline to participate in physical exercise or PT and can request reasonable accommodations under the Americans with Disabilities Act (ADA). I understand that I should contact a physician prior to engaging in emergency responder training. I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury, illness or death or damage that may result from participation in any activity or class while training with Skagit County Department of Emergency Medical Services.. Release: In consideration of the above mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participating in emergency responder training, I, the undersigned hereby release Skagit County Department of Emergency Medical Services and Skagit County Government, their principals, agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties. This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect. If I am signing on behalf of a minor child, I also give full permission for any person connected with Skagit County Department of Emergency Medical Services to administer first aid deemed necessary, and in case of serious illness or injury. Indemnification: The student recognizes that there is risk involved in the types of activities offered by Skagit County Department of Emergency Medical Services. I further agree to indemnify and hold harmless Skagit County Department of Emergency Medical Services and Skagit County Government, their principals, agents, employees, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offered by Skagit County Department of Emergency Medical Services. I have read and understand the foregoing assumption of risk, and release of liability and I understand that by signing it obligates me to indemnify the parties named for any liability for injury, illness or death of any person and damage to property caused by my negligent or intentional act or omission. I understand that by signing this form I am waiving valuable legal rights. Printed Name

Signature

Date

14

Release of Liability for EMT Training STUDENT NAME:____________________________________

CLASS#_60_____________

I ____________________________________________________ have read the EMT Class Handbook and agree to abide by the rules and expectations as outlined within. Express assumption of risk: I, the undersigned, am aware that there are significant risks involved in any emergency responder training program. These risks include, but are not limited to: infection, exposure to infectious disease and illness, falls which can result in serious injury or death, injury or death due to negligence on the part of myself, my fellow classmates, or other people around me, injury or death due to improper use or failure of equipment or damage of personal property. I understand that training will include exposure to patients both actual and simulated. I will be exposed to significant physical stress including, but not limited to; lifting, reaching, moving at odd angles, dragging and pulling heavy items. This includes moving real and simulated patients weighing in excess of 200lbs and carrying equipment weighing in excess of 50lbs. I may also be exposed to bodyweight physical exercise (PT). I understand that I am allowed to decline to participate in physical exercise or PT and can request reasonable accommodations under the Americans with Disabilities Act (ADA). I understand that I should contact a physician prior to engaging in emergency responder training. I willingly assume full responsibility for the risks that I am exposing myself to and accept full responsibility for any injury, illness or death or damage that may result from participation in any activity or class while training with Skagit County Department of Emergency Medical Services.. Release: In consideration of the above mentioned risks and hazards and in consideration of the fact that I am willingly and voluntarily participating in emergency responder training, I, the undersigned hereby release Skagit County Department of Emergency Medical Services and Skagit County Government, their principals, agents, employees, and volunteers from any and all liability, claims, demands, actions or rights of action, which are related to, arise out of, or are in any way connected with my participation in this activity, including those allegedly attributed to the negligent acts or omissions of the above mentioned parties. This agreement shall be binding upon me, my successors, representatives, heirs, executors, assigns, or transferees. If any portion of this agreement is held invalid, I agree that the remainder of the agreement shall remain in full legal force and effect. If I am signing on behalf of a minor child, I also give full permission for any person connected with Skagit County Department of Emergency Medical Services to administer first aid deemed necessary, and in case of serious illness or injury. Indemnification: The student recognizes that there is risk involved in the types of activities offered by Skagit County Department of Emergency Medical Services. I further agree to indemnify and hold harmless Skagit County Department of Emergency Medical Services and Skagit County Government, their principals, agents, employees, and volunteers from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in activities offered by Skagit County Department of Emergency Medical Services. I have read and understand the foregoing assumption of risk, and release of liability and I understand that by signing it obligates me to indemnify the parties named for any liability for injury, illness or death of any person and damage to property caused by my negligent or intentional act or omission. I understand that by signing this form I am waiving valuable legal rights.

Printed Name

Signature

Date

20

Winter/Spring 2017 EMT Class Schedule This schedule is subject to change with instructor availability. Classes will begin promptly at 1800 hrs and run until 2200 hrs unless otherwise noted DATE TOPIC ASSIGNMENT/ 1/17/17

1/19/17

Class Intro TB Testing Chpt. 1- EMS Systems Chpt. 2- Workforce Safety and Wellness Intro to ESO Protocols- General Orders, Charting, Reporting Child/Dependent Adult Abuse

1/21/17 0800-1730

Healthcare Provider CPR

1/22/17 0800-1730

First Aid/Intro to BLS Skills

1/24/17 1/26/17

1/31/17 2/2/17

2/4/17 0800-1730 2/5/17 2/7/17

2/9/17

2/11/17 0800-1730 2/14/17 2/16/17 2/21/17 2/23/17 2/25/17 0800-1630 2/28/17

Chpt. 3-Medical, Legal and Ethical Issues Chpt. 4-Communications and Documentation SOAP Reporting (Handouts) Chpt.7 Lifespan Development Chpt. 8 Lifting and Moving Patients Sick/Not Sick Chpt. 9 Patient Assessment Skills Demo- Patient Assessment Protocols- General Medical Assessment Chpt. 10 Airway Management Skills Instruction- OPA, NPA, Suction, O2, King Airway Chpt. 5-Medical Terminology Chpt.6-The Human Body Tissue Lab Continuation of Skills Instruction- OPA, NPA, Suction, O2, King Airway Skill Practice- Patient Assessment *ONLINE EXAM 1 (Chpt 1-10) DUE BY 2330* Chpt. 11 Principles of Pharmacology Skills Demo- Narcan, Epi, Nitro, Aspirin, Glucose, MDI, EPI Protocols- Anaphylaxis/Allergic Reaction, Medication Reference Chpt. 12- Shock Chpt. 13- BLS Resuscitation HP CPR Instruction Protocols- Shock, High Performance CPR, DOA, DNR Ambulance Orientation, ALS Monitor, Stair chair, Stryker In-service, IV Setup Skills Practice- Narcan, Epi, Nitro, Aspirin, Glucose, MDI, OPA, NPA, Suction, O2, King Airway VALENTINES DAY***NO CLASS TONIGHT Chpt. 14-Medical Overview Chtp. 15 Respiratory Emergencies Protocols- Respiratory Emergencies, Clinical Guidelines Skills Practice- Practical Exam 1 Skills Prep, Scenarios if time allows Skills Practice- Practical Exam 1 Skills Prep, Scenarios if time allows Practical Exam #1 NPA, OPA, BVM Vent of Apneic Patient, ASA, NTG, O2, Cardiac Arrest/AED, MDI, King Airway, Oral Glucose Skills Practice- Scenarios (Medical and Trauma) Chpt. 16 Cardiovascular Emergencies Chpt. 17 Neurologic Emergencies Protocols- Altered Mental Status, Cardiovascular Emergencies, Seizures

Quiz 1 (Chpt. 1-2)

ASHI CPR Exam NO QUIZ Quiz 2 (Chpt. 3-4)

Quiz 3 (Chpt. 7-8)

Quiz 4 (Chpt. 9)

Quiz 5 (Chpt. 10) Quiz 6 (Chpt. 5-6)

Quiz 7 (Chpt. 11)

Quiz 8 (Chpt. 12-13)

Quiz 9 (Chpt. 14-15)

Quiz 10 (Chpt. 16-17)

3/2/17 3/5/17 3/7/17

3/9/17

3/11/17 0800-1630

3/14/17 3/16/17

3/18/17

3/19/17 3/21/17 3/23/17 3/28/17 3/30/17

Chpt. 18 Gastrointestinal and Urologic Emergencies Chpt. 19 Endocrine and Hematologic Emergencies Chpt. 20 Immunologic Emergencies Protocols- Diabetic Emergencies *ONLINE EXAM 2 (Chpt 11-20) DUE BY 2330* Chpt. 21 Toxicology Chpt. 22 Psychiatric Emergencies Chpt. 23 Gynecological Emergencies Protocols- Behavioral Emergencies, Gynecological Emergencies Poisoning/Overdose Chpt. 24Trauma Overview Chpt.25 Bleeding Skills- Tourniquet, Wound Tissue Lab Protocols- Trauma, External Bleeding and Amputations, Tourniquet, Multisystem/Time Critical Trauma Mid-Term Written Exam (Chpt. 1-20) Skills Instruction- Bleeding Control/Shock Mgmt, Spinal Immobilization, Field C-spine Clearance, Helmet Removal, Ped Immobilization, KED Protocols- Spinal Immobilization Chpt.26 Soft-Tissue Injuries Chpt.27 Face and Neck Injuries Protocols- Rule of Nines, Burns Chpt.28 Head and Spine Injuries Protocol- Head and Spine Injury ANATOMY EXAM Chpt.31 Orthopedic Injuries Chpt.32 Environmental Emergencies Protocols- Extremity Injury Skills Instruction- Long Bone and Joint Immobilization, Traction Splinting, Chest Injuries *ONLINE EXAM 3 (Chpt 21-28) DUE BY 2330* Chpt. 29 Chest Injuries Chpt. 30 Abdominal and Genitourinary Injuries Protocols- Abdominal Injury, Chest Injury Chpt.34 Pediatric Emergencies Protocols- Environmental, Core Body Temp, Pediatric/Geriatric Chpt.33 Obstetrics and Neonatal care Protocols- Obstetrical Emergencies, APGAR Skills Practice- OB/GYN Skills Practice- Chest Injuries, Splinting, Bleeding Control, Traction Splint

Quiz 11 (Chpt. 18-20)

Quiz 12 (Chpt. 21-23)

Quiz 13 (Chpt. 24-25)

Quiz 14 (Chpt. 26-27)

Quiz 15 (Chpt. 28) Quiz 16 (Chpt. 31-32)

Quiz 17 (Chpt. 29-30

Quiz 18(Chpt. 34) Quiz 19(Chpt. 33)

NO QUIZ NO QUIZ

4/1/17 0800-1630

4/4/17

4/6/17 4/11/17 4/13/17

4/15/17 0800-1630

Practical Exam #2 Chest Injuries, Splinting (Long Bone/Joint), Bleeding Control, Traction Splint, Spinal Immobilization (Supine and Seated) Chpt.35 Geriatric Emergencies Chpt.36 Patients with Special Challenges Chpt.37 Transport Operations START Triage Chpt.39 Incident Management Protocols- START Triage Intro to Extrication Chpt.38 Vehicle Extrication and Special Rescue Chpt. 41 A Team Approach to Health Care Chpt. 40 Terrorism Response and Disaster Management Active Shooter Response and Triage Helicopter Operations and Safety Skills Practice- Extrication, Spinal Immobilization *BRING DUTY GEAR* Protocols- Airlift transport from field

Quiz 20(Chpt. 35-37)

Quiz 23(Chpt. 39)

Quiz 22(Chpt. 38) Quiz 24(Chpt. 40- 41)

NO QUIZ

4/18/17

Practice Scenarios

4/20/17

Practice Scenarios

4/23/17

ONLINE EXAM 4 (Chpt 29-41) DUE BY 2330* Practice Scenarios/ In Class Skills Practice for Final Practical Exam In Class Skills Practice for Final Practical Exam

4/25/17 4/27/17 4/29/17 5/2/17 5/4/17 5/6/17 0800-1630 5/6/17 1700-1930

Practical Exam #3- Patient Assessment (Medical/Trauma) Practice Scenarios

NO QUIZ NO QUIZ

NO QUIZ NO QUIZ

Incident Response to Terrorist Bombings

IRTB Exam

OTEP Skills Introduction and Practice EMS Online -Final TestingEMT Class Written Final (All Chapters) Cardiac Arrest, Major Medical, Major Trauma

NO QUIZ

EMT Class Graduation

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