EMS 121

• Title: CPR I - Basic Life Support for Healthcare Provider
• Number: EMS-121
• Effective Term: Spring 2009
• Course Type: Career
• Credit Hours: 1
• Contact Hours: 20
• Lecture Hours: 1.5
• Lab Hours: 2.5

Description:

This course provides an overview of the cardiovascular and respiratory systems, a discussion of medical and environmental emergencies leading to the need for CPR, and an introduction to diagnostic signs and triage, as well as insight into the structure and function of the emergency medical services system. The most current practical CPR skills will be taught, including CPR, AED, and airway obstruction techniques for adults, children and infants. Upon successful completion of all American Heart Association standards, the student will receive affirmation at the Healthcare Provider level. 4 hrs. lecture, lab/wk. for 5 wks. This course will meet the general education requirement for Health and/or Physical Education.

I. Course Overview
   A. Review of course outline and syllabus
   B. Review of course objectives and competencies

II. Affirmation of Performance of CPR Sequences
   A. Mastery performance of adult CPR sequences
      1. Demonstrate one rescuer CPR.
      2. Demonstrate two rescuer CPR.
      3. Demonstrate unconscious foreign body airway obstruction.
      4. Demonstrate conscious foreign body airway obstruction.
      5. Demonstrate rescue breathing.
      6. Demonstrate recovery position.
      7. Demonstrate FBAO on pregnant or obese.
   B. Mastery performance of child CPR sequences
      1. Demonstrate one rescuer CPR.
      2. Demonstrate two rescuer CPR.
      3. Demonstrate unconscious foreign body airway obstruction.
      4. Demonstrate conscious foreign body airway obstruction.
      5. Demonstrate rescue breathing.
      6. Demonstrate recovery position.
   C. Mastery performance of infant CPR sequences
      1. Demonstrate one rescuer CPR.
      2. Demonstrate unconscious foreign body airway obstruction.
      3. Demonstrate conscious foreign body airway obstruction.
      4. Demonstrate rescue breathing.
      5. Demonstrate recovery position.
   D. Mastery performance of special procedures
      1. Demonstrate jaw thrust maneuver.
      2. Demonstrate cricoid pressure.
      3. Demonstrate AED usage.
      4. Demonstrate patient ventilation with a BVM.

III. Cardiovascular and Respiratory Systems
   A. Parts/functions of the cardiovascular system
      1. List the parts of the cardiovascular system.
      2. Explain the function/interrelationship of the parts of the
cardiovascular system.
      3. Trace the path of blood through the body.
      4. Describe the process by which food and oxygen are delivered to
cells.
      5. Describe the heart's electrical system.
      6. Explain the role of the brain in cardiac function.
   B. Parts/functions of the respiratory system
      1. List the parts of the respiratory system.
      2. Explain the function/interrelationship of the parts of the
respiratory system.
      3. Explain the role of the brain in respiratory function.
   C. Role of cardiovascular and respiratory systems in basic life
support
      1. Describe the interrelationship of the cardiovascular and
respiratory systems in basic life support.
      2. Explain the use of CPR as basic life support.
      3. Correlate techniques used in CPR with structure and function of
the cardiovascular and respiratory systems.
         a. Methods to open the airway
         b. Artificial ventilation
         c. Proper hand positioning
         d. Rates and ratios for CPR sequences
         e. Obstructed airway procedures
         f. Step CPR sequence

IV. Diagnostic Signs
   A. Identification of diagnostic signs
      1. List the seven diagnostic signs (level of consciousness,
respiration, pulse, blood pressure, skin color, temperature and moisture,
pupillary response).
      2. Describe the normal value, range or condition for each diagnostic
sign.
      3. Describe techniques used to assess each diagnostic sign.
   B. Relationship of diagnostic signs to patient assessment and CPR
      1. Describe the diagnostic signs for a patient in respiratory
arrest.
      2. Describe the diagnostic signs for a patient in cardiac arrest.

V. Medical and Environmental Emergencies
   A. Prevention and treatment of medical emergencies
      1. Identify signs and symptoms of common medical emergencies.
         a. Heart attack
         b. Stroke
         c. Congestive heart failure
         d. Diabetic emergencies
         e. Seizures
         f. Shock
      2. Describe treatment procedures for common medical emergencies.
         a. Heart attack
         b. Stroke
         c. Congestive heart failure
         d. Diabetic emergencies
         e. Seizures
         f. Shock
      3. List the risk factors for common cardiovascular emergencies
(heart attack, stroke).
      4. Suggest prevention strategies for common cardiovascular
emergencies (heart attack, stroke).
   B. Prevention and treatment of airway obstruction
      1. Identify signs and symptoms of airway obstruction.
         a. Anatomical obstruction (tongue)
         b. Foreign body
         c. Physiological (asthma, anaphylaxis, croup)
      2. Describe treatment procedures for airway obstruction.
         a. Anatomical obstruction (tongue)
         b. Foreign body
         c. Physiological (asthma, anaphylaxis, croup)
      3. List risk factors for airway obstruction.
         a. Anatomical obstruction (tongue)
         b. Foreign body
         c. Physiological (asthma, anaphylaxis, croup)
      4. Suggest prevention strategies for airway obstruction.
         a. Anatomical obstruction (tongue)
         b. Foreign body
         c. Physiological (asthma, anaphylaxis, croup)
   C. Prevention and treatment of environmental emergencies
      1. Identify signs and symptoms of common environmental emergencies.
         a. Drowning
         b. Electric shock
         c. Poisoning
         d. Fracture, wounds and bleeding
         e. Heat and cold emergencies
         f. Burns
         g. Shock
      2. Describe treatment procedures for common environmental
emergencies.
         a. Drowning
         b. Electric shock
         c. Poisoning
         d. Fracture, wounds and bleeding
         e. Heat and cold emergencies
         f. Burns
         g. Shock
      3. List risk factors for common environmental emergencies.
      4. Suggest prevention strategies for common environmental
emergencies.

VI. Patient Assessment, Triage and Treatment Simulations
   A. Triage
      1. Define triage.
      2. Classify patients according to triage guidelines based on a list
of presenting signs and symptoms.
   B. Simulations
      1. Select appropriate treatment strategies for individual patients
based upon assessment findings.
         a. Maintain airway
         b. Rescue breathing
         c. CPR
      2. Assess, prioritize and treat patients in a multiple person/injury
scenario.

VII. Introduction to Emergency Medical Services System
   A. EMS agencies
      1. Identify emergency care providers by level of training and
responsibility.
         a. Bystander
         b. First responder
         c. EMT
         d. Paramedic
      2. Describe the types of emergency medical services available
locally.
   B. Chain of survival
      1. Trace the "chain of survival" for victims of sudden illness or
injury.
      2. Discuss the importance of early entry into the EMS system.

Course Final Written Exam    100 points
Out of Class Assignment       75 points
AHA CPR Written Exam*         50 points
Total                        225 points  

Practical Exam*   Demonstration of all sequences   pass/incomplete

Criteria for Grade:
      90-100%  A
      80- 89%  B
      70- 79%  C
      60- 69%  D
       0- 59%  F

*For receipt of an AHA Healthcare Provider Card the student must score at
least 84% on the AHA written evaluation and demonstrate correct
performance of all CPR sequences.

EMS 128

• Title: EMS First Responder
• Number: EMS-128
• Effective Term: Spring 2009
• Course Type: Career
• Credit Hours: 5
• Contact Hours: 100
• Lecture Hours: 6
• Lab Hours: 6.5

Description:

This course is designed to provide training in emergency medical care for those who are apt to be the first persons responding to an emergency incident. Fire, police, civil defense personnel, school bus drivers, day-care providers, utility workers and industrial workers are a few examples of those persons who would benefit from this training. The student will receive both didactic and psychomotor skills training in CPR, patient assessment, fracture management, airway management and trauma management. Successful completion of this course with a minimum grade of "C" will enable the student to sit for the First Responder certification exam administered by the Kansas Board of Emergency Medical Services. The First Responder course meets the standards for Emergency Medical Responder (EMR) training and testing. 6 hrs. lecture, 6.5 hrs. lab/wk. for 8 wks. (average).

I. Introduction to First Responder
   A. Define the roles and responsibilities of the First Responder.

II. Overview of the Human Body
   A. Introductory anatomy and physiology
      1. Label major body parts and systems (including regions, organs,
cavities, quadrants, etc)..
      2. Describe the function of major body parts and systems.
   B. Basic medical terminology
      1. Describe anatomical position.
      2. Use correct directional terms when referring to the human body
(medial, lateral, distal, proximal, etc.).

III. Cardiovascular and Respiratory Systems
   A. Parts/functions of the cardiovascular system
      1. List the parts of the cardiovascular system.
      2. Explain the function/interrelationship of the parts of the
cardiovascular system.
      3. Trace the path of blood through the body.
      4. Describe the process by which food and oxygen are delivered to
cells.
      5. Describe the heart's electrical system.
      6. Explain the role of the brain in cardiac function.
   B. Parts/functions of the respiratory system
      1. List the parts of the respiratory system.
      2. Explain the function/interrelationship of the parts of the
respiratory system.
      3. Explain the role of the brain in respiratory function.
   C. Role of cardiovascular and respiratory systems in basic life
support
      1. Describe the interrelationship of the cardiovascular and
respiratory systems in basic life support.
      2. Explain the use of CPR as basic life support.
      3. Correlate techniques used in CPR with structure and function of
the cardiovascular and respiratory systems.
         a. Methods to open the airway
         b. Artificial ventilation
         c. Proper hand positioning
         d. Rates and ratios for CPR sequences
         e. Obstructed airway procedures
         f. Ten step CPR sequence

IV. Patient Assessment: Diagnostic Signs, Assessment Components, Triage
   A. Identification of diagnostic signs
      1. List the diagnostic signs (level of consciousness, respiration,
pulse, blood pressure, skin color, temperature and moisture, pupillary
response, capillary refill).
      2. Describe the normal value, range or condition for each diagnostic
sign.
      3. Describe techniques used to assess each diagnostic sign.
      4. Describe abnormal states for each diagnostic sign.
         a. Respiratory arrest
         b. Cardiac arrest
         c. Other illnesses
         d. Selected injuries
   B. Components of patient assessment
      1. Perform a scene size-up while verbalizing key points.
      2. Perform an initial assessment, verbalizing any steps not readily
observable.
      3. Perform the appropriate focused assessment.
         a.  Trauma
         b.  Medical
      4. Perform a detailed assessment relating findings.
      5. Maintain ongoing assessment of the patient.
      6. Use "SAMPLE" history, "OPQRST" and "DCAP-BTLS" as an
organizational strategy.
   C. Triage
      1. Define triage.
      2. Classify patients according to triage guidelines based on a list
of presenting signs and symptoms.

V. Treatment of Respiratory and Cardiac Arrest
   A. Treatment for adult respiratory and cardiac arrest
      1. Demonstrate one rescuer CPR.
      2. Demonstrate two rescuer CPR.
      3. Demonstrate unconscious foreign body airway obstruction.
      4. Demonstrate conscious foreign body airway obstruction.
      5. Demonstrate rescue breathing.
         a. Without adjuncts
         b. Using oropharyngeal airways
         c. Using masks and supplemental oxygen
      6. Demonstrate recovery position.
      7. Demonstrate FBAO on pregnant or obese.
      8. Demonstrate airway management of a laryngectomy patient.
      9. Demonstrate use of suction equipment to clear the airway.
     10. Demonstrate use of automated defibrillation devices.
     11. Demonstrate jaw thrust maneuver.
     12. Demonstrate cricoid pressure.
   B. Treatment for children in respiratory and cardiac arrest
      1. Demonstrate one rescuer CPR.
      2. Demonstrate two rescuer CPR.
      3. Demonstrate unconscious foreign body airway obstruction.
      4. Demonstrate conscious foreign body airway obstruction.
      5. Demonstrate rescue breathing.
         a. Without adjuncts
         b. Using oropharyngeal airways
         c. Using masks and supplemental oxygen
      6. Demonstrate recovery position.
   C. Treatment for infants in respiratory and cardiac arrest
      1. Demonstrate one rescuer CPR.
      2. Demonstrate unconscious foreign body airway obstruction.
      3. Demonstrate conscious foreign body airway obstruction.
      4. Demonstrate rescue breathing.
         a. Without adjuncts
         b. Using oropharyngeal airways
         c. Using masks and supplemental oxygen
      5. Demonstrate recovery position.

VI. Treatment for Traumatic Injury
   A. Soft tissue and internal injuries
      1. Identify the signs and symptoms of soft tissue injury
         a. Closed injuries.
         b. Open injuries.
         c. Injury to internal organs.
      2. Demonstrate wound care procedures
         a. Bleeding control (internal and external bleeding).
         b. Dressing and bandaging wounds.
         c. Special wound care procedures (scalp, eye, face, nosebleed,
abdomen, genitalia).
      3. Apply treatments for shock
   B. Injuries to extremities
      1. Identify the signs and symptoms of extremity injuries.
      2. Describe the general principles of splinting (immobilization).
      3. Apply the principles of splinting (immobilization).
         a. Upper extremities
         b. Lower extremities
   C. Injuries to the spine, skull and chest
      1. Demonstrate emergency care for head injury.
         a. Identify the signs and symptoms of head injury.
         b. Demonstrate wound care.
         c. Apply immobilization principles.
      2. Demonstrate emergency care for spinal injury.
         a. Identify signs and symptoms of spinal injury.
         b. Select and apply a cervical collar.
         c. Select and apply a short spine board.
         d. Immobilize on a long spine board with strapping techniques.
      3. Demonstrate emergency care for chest injury.
         a. Identify types of chest injuries by signs and symptoms.
         b. Describe emergency care of chest injuries.

VII. Treatment for Medical and Environmental Emergencies
   A. Prevention and treatment of cardiovascular emergencies
      1. Identify signs and symptoms of common cardiovascular
emergencies.
         a. Heart attack
         b. Stroke
         c. Congestive heart failure
         d. Shock
      2. Describe treatment procedures for common cardiovascular
emergencies.
         a. Heart attack
         b. Stroke
         c. Congestive heart failure
         d. Shock
      3. List the risk factors for common cardiovascular emergencies.
      4. Suggest prevention strategies for common cardiovascular
emergencies.
   B. Prevention and treatment of other medical and environmental
emergencies
      1. Identify signs and symptoms of other medical and environmental
emergencies.
         a. Diabetic emergencies
         b. Seizures
         c. Poisoning (ingested, inhaled, absorbed, injected)
         d. Substance abuse
         e. Burns
         f. Heat exhaustion
         g. Heat stroke
         h. Hypothermia
      2. Describe treatment procedures for other medical and environmental
emergencies.
         a. Diabetic emergencies
         b. Seizures
         c. Poisoning (ingested, inhaled, absorbed, injected)
         d. Substance abuse
         e. Burns
         f. Heat exhaustion
         g. Heat stroke
         h. Hypothermia
      3. Suggest prevention strategies for other medical and environmental
emergencies.
         a. Diabetic emergencies
         b. Seizures
         c. Poisoning (ingested, inhaled, absorbed, injected)
         d. Substance abuse
         e. Burns
         f. Heat exhaustion
         g. Heat stroke
         h. Hypothermia
   C. Emergency childbirth assistance
      1. Describe the stages of labor.
      2. Demonstrate procedures to assist delivery.
         a. Normal
         b. Abnormal (breech, prolapsed cord, excessive bleeding,
miscarriage)
      3. Rate newborns using the APGAR scale.
      4. Describe care after delivery.
         a. Newborn
         b. Mother
   D. Special considerations for pediatric patients
      1. Demonstrate examination of a child.
      2. Identify signs and symptoms specific to pediatric emergencies.
         a. High fever
         b. Seizures
         c. Asthma
         d. Croup
         e. Epiglottis
         f. Child abuse
         g. SIDS
         h. Trauma
      3. Demonstrate care for pediatric patient.

VIII. Gaining Access To and Moving Patients
   A. Gaining access to patients
      1. Use simple tools to gain access to patients in or under
vehicles.
      2. Demonstrate extrication techniques.
   B. Moving patients
      1. Determine the need for movement of the patient.
      2. Choose most effective lift and carry procedure for patient and
setting.
      3. Package patients in vehicles, using:
         a. Cervical collar
         b. Short board or KED
         c. Long board
      4. Remove packaged patients from vehicles.

Written exams:
Unit/Modular Exams      200-300 points
Final                   100-200 points
AHA Exam                40 points
Quizzes/Homework        50-150 points


Practical Exams*  
   Demonstration of all CPR sequences  pass/fail
   Patient Assessment                  pass/fail
   Airway Management                   pass/fail
   Trauma Management                   pass/fail
   Fracture Management                 pass/fail

Criteria for Grade:  
   90-100%  A
   80- 89%  B
   70- 79%  C
   60- 69%  D
    0- 59%  F

* If a student fails any portion of the practical exam, the student will
receive a grade no higher than D.

Attendance:
Due to the State Regulation (KAR 109-11-8), requiring 90% class
attendance, any student who does not meet this requirement will receive a
grade no higher than D.

EMS 131

• Title: Emergency Medical Technician*
• Number: EMS-131
• Effective Term: Fall 2013
• Course Type: Career
• Credit Hours: 10
• Contact Hours: 187.5
• Lecture Hours: 82.5
• Lab Hours: 105

Description:

Prerequisite: Successful completion of an Emergency Medical Responder or First Responder course with a 'C' or higher OR an Associate Degree or greater OR Program Director review of previous experience

This program is designed for individuals interested in providing medical care to patients in the pre-hospital setting. It will provide the participants with opportunities to gain information, skills and attitudes necessary for certification and practice as an emergency medical technician (EMT) in the state of Kansas. This program has been approved by the Kansas Board of Emergency Medical Services (BEMS). It addresses information and techniques currently considered the responsibility of the EMT according to the United States Department of Transportation, National Standard Curriculum. The program consists of didactic instruction, practical skill training and clinical experience. Students are also required to attend Saturday session(s) as necessary. Saturday dates and times will be announced during the first class session. Classroom instruction includes anatomy, physiology, recognition and care of medical emergencies and trauma-related injuries. CPR, bandaging, splinting, childbirth techniques and airway management are among the skills taught. An extrication session will give students hands-on experience with automobile accident situations. Upon instructor recommendation, students will participate in clinical and field observation. All transportation to and from off-campus sites is the responsibility of the student. Students completing this course with a minimum grade of "C" will be allowed to sit for the Kansas EMT State Certification examination and receive JCCC certificate of completion. Enrollment in this course requires that you be current in payment of a professional liability fee of $16.00. This fee is required once per calendar year based on enrollment in selected courses and must be in place prior to the start of classes. Students will be notified via their JCCC student email account if they are required to pay a $16 fee. 5.5 hrs. lecture, 7 hrs. instructional lab/wk.

I. Emergency Medical Services (EMS) Systems and the Role of the EMT 
   A. Differentiate the roles and responsibilities of the EMT-Basic from
other pre-hospital care providers. 
   B. Describe the roles and responsibilities related to personal safety.
   C. Discuss the roles and responsibilities of the EMT-Basic toward the
safety of the crew, the patient and bystanders. 
   D. Define quality improvement and discuss the EMT-Basic's role in the
process. 
   E. Define medical direction and discuss the EMT-Basic's role in the
process. 
   F. State the specific statutes and regulations in your state regarding
the EMS system. 
   G. Characterize the various methods used to access the EMS system in
your community. 
 
II. Personal Attitudes and Conduct of the EMS Provider 
    A. Assess areas of personal attitude and conduct of the EMT-Basic. 
    B. List possible emotional reactions that the EMT-Basic may experience
when faced with trauma, illness, death and dying.   
   C. Discuss the possible reactions that a family member may exhibit when
confronted with death and dying. 
   D. State the steps in the EMT-Basic's approach to the family confronted
with death and dying. 
   E. State the possible reactions that the family of the EMT-Basic may
exhibit due to their outside involvement in EMS. 
   F. State possible steps that the EMT-Basic may take to help reduce
critical incident stress. 
 
III. Well-being of the EMT 
   A. Explain the need to determine scene safety. 
   B. Discuss the importance of body substance isolation. 
   C. Describe the steps the EMT-Basic should take for personal protection
from airborne and bloodborne pathogens.   
   D. List the personal protective equipment necessary for each of the
following situations. 
      1. Hazardous materials 
      2. Rescue operations 
      3. Violent scenes 
      4. Crime scenes 
      5. Exposure to bloodborne pathogens 
      6. Exposure to airborne pathogens 
   E. Explain the rationale for serving as an advocate for the use of
appropriate protective equipment. 
   F. Demonstrate the use and disposal of personal protective equipment
and garments. 
   G. Explain the procedure for disinfection of all equipment. 
   H. Discuss reporting documentation. 
 
IV. Medical and Legal Issues Confronting the EMT 
   A. Define the EMT-Basic scope of practice. 
   B. Discuss Do Not Resuscitate [DNR] (advance directives).    
      1. Local or state provisions regarding EMS application 
      2. Rationale for the needs, benefits and usage of advance
directives
      3. Rationale for the concept of varying degrees of DNR
      4. Role of EMS and the EMT-Basic regarding patients with orders 
   C. Discuss the methods of obtaining consent. 
      1. Expressed 
      2. Implied consent 
      3. Consent of minors 
   D. Discuss the implications for the EMT-Basic in patient refusal of
transport. 
   E. Discuss the issues around performance of duty. 
      1. Abandonment 
      2. Negligence 
      3. Battery 
      4. Conditions necessary for a duty to act 
   F. Discuss patient confidentiality including: 
      1. Importance 
      2. Necessity 
      3. Legality 
      4. HIPAA 
   G. Discuss the considerations of the EMT-Basic in issues of organ
retrieval. 
   H. Differentiate the actions that an EMT-Basic should take to assist in
the preservation of a crime scene. 
   I. State the conditions that require an EMT-Basic to notify local law
enforcement officials. 
 
V. Understanding the Human Body 
   A. Identify topographic terms: medial, lateral, proximal, distal,
superior, inferior, anterior, posterior, midline, midclavicular,
bilateral, midaxillary. 
   B. Describe the anatomy and function of the following major body
systems. 
      1. Respiratory 
      2. Circulatory 
      3. Musculoskeletal 
      4. Nervous 
      5. Endocrine 
 
VI. Patient Assessment - Vital Signs 
   A. Differentiate between a sign and a symptom. 
   B. Defend the need for obtaining and recording an accurate set of vital
signs. 
   C. Explain the rationale of recording additional sets of vital signs. 
   D. Identify the components of the extended vital signs. 
   E. Explain the value of performing the baseline vital signs.   
   F. Demonstrate the skills involved in assessment of breathing
including: 
      1. Methods to obtain a breathing rate 
      2. Attributes that should be obtained when assessing breathing 
      3. Differentiate between shallow, labored and noisy breathing 
      4. Pulse rate 
      5. Assessment of pulse oximetry reading 
   G. Demonstrate the skills associated with obtaining a pulse,
including:
      1. The information obtained when assessing a patient's pulse
      2. Differentiating between a strong, weak, regular and irregular
pulse 
   H. Demonstrate the skills associated with assessing the skin,
including: 
      1. Color: differentiate between pale, blue, red and yellow skin
color 
      2. Temperature: differentiate between hot, cool and cold skin
temperature 
      3. Condition: identify normal and abnormal skill conditions 
      4. Capillary refill in infants and children: identify normal and
abnormal 
   I. Demonstrate the skills associated with assessing the pupils,
including: 
      1. Identify normal and abnormal pupil size 
      2. Differentiate between dilated (big) and constricted (small) pupil
size 
      3. Differentiate between reactive and non-reactive pupils 
      4. Differentiate between equal and unequal pupils 
   J. Demonstrate the skills associated with obtaining blood pressure,
including: 
      1. Defining systolic pressure 
      2. Defining diastolic pressure 
      3. Explaining the difference between auscultation, automatic and
palpation methods for obtaining a blood pressure 
   K. Demonstrate the placement of monitoring electrodes and 12 lead
electrodes. 
   L. Demonstrate the monitoring of a urinary catheter. 
   M. Demonstrate the use of glucometers to assess blood glucose,
including: 
      1. Normal glucose levels 
      2. Levels reflecting hypoglycemia 
      3. Indications for testing 
      4. Limitations to accuracy 
   N. Demonstrate the skills that should be used to obtain information
from the patient, family or bystanders at the scene. 
   O. Identify the components of the SAMPLE history. 
   P. Explain the importance of obtaining a SAMPLE history. 
   Q. Discuss how to respond to the feelings patients experience during
assessment. 
   R. Discuss the need to search for additional medical identification. 
 
VII. Lifting and Moving Patients 
   A. State three situations that may require the use of an emergency
move. 
   B. Describe the guidelines and safety precautions for moving, carrying
patients and/or equipment. 
      1. One-handed carrying techniques 
      2. Reaching 
      3. Log-rolls 
      4. Pushing and pulling 
      5. Carrying procedures on stairs 
   C. Explain the rationale for properly lifting and moving patients. 
   D. Demonstrate selection and safe use of each of the following devices.

      1. Wheeled ambulance stretcher 
      2. Portable ambulance stretcher 
      3. Stair chair 
      4. Scoop stretcher 
      5. Long spine board 
      6. Basket stretcher 
      7. Flexible stretcher 
   E. Demonstrate techniques for the transfer of a patient from an
ambulance stretcher to a hospital stretcher. 
 
VIII. Managing the Airway 
   A. Explain the rationale for basic life support artificial ventilation
and airway protective skills taking priority over most other basic life
support skills. 
   B. Recognize the signs and symptoms of respiratory distress. 
   C. Explain the rationale for providing adequate oxygenation through
high inspired oxygen concentrations to patients who, in the past, may have
received low concentrations. 
   D. Demonstrate the steps in performing the head-tilt chin-lift,
including: 
      1. Rationale for use 
      2. Techniques 
      3. Evaluating effectiveness 
   E. Demonstrate the steps in performing the jaw thrust, including: 
      1. Rationale for use 
      2. Techniques 
      3. Evaluating effectiveness 
   F. Demonstrate artificial ventilation technique, including: 
      1. Mouth to mask 
      2. Mouth to stoma 
      3. Infants 
      4. Children 
      5. Barrier shields 
   G. Demonstrate the indications and contraindications for, selection and
placement of airways, including: 
      1. Oropharyngeal airways 
      2. Nasopharyngeal airways 
      3. Multilumen/supraglottic airways 
   H. Demonstrate the indications and contraindications for, selection and
use of masks and ventilatory devices, including: 
      1. Pocket mask 
      2. Bag valve mask 
      3. Automatic transport ventilators 
      4. Manually triggered ventilator 
   I. Demonstrate the use of suction. 
   J. Demonstrate the use of supplement oxygen devices, including: 
      1. Bag valve mask 
      2. Oxygen powered ventilation 
      3. Nasal cannula 
      4. Nonrebreather mask 
   K. Given a handheld nebulizer, the student will demonstrate the ability
to assemble and use the nebulizer, and state the appropriate indications,
contraindications and oxygen flow rates. 
   L. The student should be able to correctly state the physiology, uses
and limitations of end tidal CO2 monitoring. 
   M. The student should be able to correctly state the implications for
airway management when given various end tidal CO2 readings. 
   N. Given a simulated patient with a supraglottic airway in place, the
student will demonstrate the ability to perform gastric decompression
using a nasogastric tube. 
   O. Given course information, the student will explain gastric
distention and its effects on the ventilation of apneic patients. 
   P. The student should be able to state the indications for and
demonstrate the proper use of Magill's forceps for foreign body airway
obstruction. 
 
IX. Assessing the Patient 
   A. Identify from various scenarios and identify potential hazards. 
   B. Identify need for additional help. 
   C. Summarize the reasons for forming a general impression of the
patient. 
   D. Demonstrate the techniques for assessing mental status. 
   E. Demonstrate the techniques for assessing the airway. 
   F. Demonstrate the techniques for assessing if the patient is
breathing. 
   G. Demonstrate the techniques for assessing if the patient has a
pulse.
   H. Demonstrate the techniques for assessing the patient for external
bleeding. 
   I. Demonstrate the techniques for assessing the patient's skin color,
temperature and capillary refill (infants and children only). 
   J. Demonstrate the ability to prioritize patients. 
   K. State reasons for management of the cervical spine once the patient
has been determined to be a trauma patient. 
   L. Explain the reason for prioritizing a patient for care and
transport. 
   M. Describe the areas included in the rapid trauma assessment and
discuss what should be evaluated. 
   N. Demonstrate the rapid trauma assessment that should be used to
assess a patient based on mechanism of injury. 
   O. Recognize and respect the feelings that patients might experience
during assessment. 
   P. Discuss the reason for performing a focused history and physical
exam. 
   Q. Describe the unique needs for assessing an individual with a
specific chief complaint with no known prior history. 
   R. Differentiate between the history and physical exam that is
performed for responsive patients with no known prior history and patients
responsive with a known prior history. 
   S. Demonstrate the patient care skills that should be used to assist
with a patient who is unresponsive with no known history. 
   T. Demonstrate the patient care skills that should be used to assist
with a patient who is unresponsive or has an altered mental status. 
   U. Demonstrate the skills involved in performing the detailed physical
exam. 
   V. Explain what additional care should be provided while performing the
detailed physical exam. 
   W. Distinguish between the detailed physical exam that is performed the
detailed physical exam. 
   X. Discuss the reasons for repeating the initial assessment as part of
the ongoing assessment. 
   Y. Demonstrate the skills involved in performing the ongoing
assessment. 
   Z. Explain the value of trending assessment components to other health
professionals who assume care of the patient. 
 
X. Communicating 
   A. Explain the importance of effective communication of patient
information in the verbal report. 
   B. List the proper methods of initiating and terminating a radio call.
   C. Perform a simulated, organized, concise radio transmission,
including: 
      1. To the scene 
      2. At the scene 
      3. To the facility 
      4. At the facility 
      5. To the station 
      6. At the station 
   D. Describe the attributes for increasing effectiveness and efficiency
of verbal communications. 
   E. Model the communication skills that should be used to interact with
the family, bystanders and individuals from other agencies while providing
patient care, and the difference between skills used to interact with the
patient and those used to interact with others. 
   F. Perform a brief, organized report that would be given to an ALS
provider arriving at an incident scene at which the EMT-Basic was already
providing care. 
   G. Perform an organized, concise patient report that would be given to
the staff at a receiving facility. 
 
XI. Documenting 
   A. Describe what information is required in each section of the
pre-hospital care report and how it should be entered. 
   B. Define the special considerations concerning patient refusal. 
   C. Explain the rational for using an accurate and synchronous clock so
that information can be used in trending. 
   D. Discuss all state and/or local record and reporting requirements. 
   E. Explain the rationale for using medical terminology correctly. 
   F. Complete a pre-hospital care report. 
 
XII. Understanding General Pharmacology 
   A. State the medications carried on the unit by the generic name. 
   B. Discuss the forms in which the medications may be found. 
   C. State the medications the EMT-B can assist the patient with by the
generic name. 
   D. Discuss the forms in which the medications may be found. 
   E. Read the labels and inspect each type of medication. 
   F. Demonstrate general steps for assisting patient with
self-administration of medications. 
   G. Discuss the indications, contraindications, side effects,
precautions and methods of administration of all medications carried on
the unit, including: 
      1. Activated charcoal 
      2. Aspirin 
      3. Atropine 
      4. Beta 2 bronchodilators 
      5. Nitroglycerin
      6. Epinephrine 
      7. Glucagon 
      8. Pralidoxime chloride 
      9. Oral, non-aspirin analgesics 
      10. Mark 1 or Duodote injector kit 
 
XIII. Providing Care for Respiratory Emergencies 
   A. Recognize the need for medical direction to assist in the emergency
medical care of the patient with breathing difficulty. 
   B. Defend EMT-Basic treatment regimens for various respiratory
emergencies. 
   C. Demonstrate the emergency medical care for breathing difficulty. 
   D. State the generic name, medication forms, dose, administration,
action, indications and contraindications for the prescribed inhaler. 
   E. Perform the steps in facilitating the use of an inhaler. 
   F. Distinguish between the emergency medical care of the infant, child
and adult patient with breathing difficulty. 
   G. Differentiate between upper airway obstruction and lower airway
disease in the infant and child patient. 
 
XIV. Providing Care for Cardiovascular Emergencies 
   A. Demonstrate the assessment and emergency medical care of a patient
experiencing chest pain/discomfort. 
   B. Discuss the position of comfort for patients with various cardiac
emergencies. 
   C. Predict the relationship between the patient experiencing
cardiovascular compromise and basic life support. 
   D. Explain the importance of urgent transport to a facility with
Advanced Cardiac Life Support if it is not available in the pre-hospital
setting. 
   E. Demonstrate the application and operation of the automated external
defibrillator. 
   F. Differentiate between the fully automated and the semi-automated
defibrillator. 
   G. Demonstrate the assessment and documentation of patient response to
the automated external defibrillator. 
   H. Explain the role medical direction plays in the use of automated
external defibrillation. 
   I. Demonstrate the maintenance of an automated external defibrillator.
   J. Demonstrate the skills necessary to complete the Automated
Defibrillator Operator's Shift Checklist. 
   K. Perform the steps in facilitating the use of nitroglycerin for chest
pain or discomfort. 
   L. Demonstrate the assessment and documentation of patient response to
nitroglycerin. 
   M. Practice completing a pre-hospital care report for patients with
cardiac emergencies. 
   N. Discuss the components that should be included in a case review. 
   O. The student will correctly demonstrate and explain the ECG patch
placement, including: 
      1. 3/4 limb lead placement 
      2. 12 lead placement 
   P. The student will correctly explain the basic concept of how cardiac
electrical activity is captured by the ECG monitor. 
 
XV. Providing Care for Diabetes and Altered Mental States 
   A. Identify the patient taking diabetic medications with altered mental
status and the implications of a diabetes history. 
   B. State the generic and trade names, medication forms, dose,
administration, action and contraindications for oral glucose. 
   C. Demonstrate the steps in the emergency medical care for the patient
taking diabetic medicine with an altered mental status and a history of
diabetes. 
   D. Evaluate the need for medical direction in the emergency medical
care of the diabetic patient. 
   E. Establish the relationship between airway management and the patient
with altered mental status. 
   F. Demonstrate the assessment and documentation of patient response to
oral glucose. 
   G. Demonstrate how to complete a pre-hospital care report for patients
with diabetic emergencies. 
   H. The student should correctly identify the normal blood glucose
level. 
   I. The student should correctly demonstrate the ability to measure a
blood glucose level using a glucometer. 
   J. The student should correctly state the limitations when using a
glucometer for glucose measurement. 
 
XVI. Providing Care for Allergic Reactions 
   A. Differentiate between the general category of those patients having
an allergic reaction and those patients having an allergic reaction and
requiring immediate medical care, including immediate use of epinephrine
auto-injector. 
   B. Describe the mechanisms of allergic response and the implications
for airway management. 
   C. State the generic and trade names, medication forms, dose,
administration, action and contraindications for the epinephrine
auto-injector. 
   D. Evaluate the need for medical direction in the emergency medical
care of the patient with an allergic reaction. 
   E. Demonstrate the emergency medical care of the patient experiencing
an allergic reaction. 
   F. Demonstrate the assessment and documentation of patient response to
an epinephrine injection. 
   G. Demonstrate completing a pre-hospital care report for patients with
allergic emergencies. 
 
XVII. Providing Care for Poisoning or Overdose 
   A. List various ways that poisons enter the body. 
   B. List signs/symptoms associated with poisoning and overdose. 
   C. Establish the relationship between the patient suffering from
poisoning or overdose and airway management. 
   D. Demonstrate the steps in the emergency medical care for the patient
with suspected poisoning or overdose. 
   E. State the generic and trade names, indications, contraindications,
medication form, dose, administration, actions, side effects and
re-assessment strategies for activated charcoals. 
   F. Perform the necessary steps required to provide a patient with
activated charcoal. 
   G. Discuss the emergency medical care of bites and stings. 
   H. Explain the rationale for contacting medical direction early in the
pre-hospital management of the poisoning or overdose patient. 
   I. Demonstrate the assessment and documentation of patient response. 
   J. Demonstrate completing a pre-hospital care report for patients with
a poisoning/overdose emergency. 
 
XVIII. Providing Care for Environmental Emergencies 
   A. List the signs and symptoms of exposure to cold. 
   B. Demonstrate the assessment and emergency medical care of a patient
with exposure to cold. 
   C. Recognize the signs and symptoms of water-related emergencies. 
   D. Describe the complications of near-drowning. 
   E. Demonstrate the assessment and emergency medical care of a
near-drowning patient. 
   F. List the signs and symptoms of exposure to heat. 
   G. Demonstrate the assessment and emergency medical care of a patient
with exposure to heat. 
   H. Demonstrate completing a pre-hospital care report for patients with
environmental emergencies. 
   I. Demonstrate the assessment and documentation of patient response. 
 
XIX. Providing Care for Behavioral Emergencies 
   A. Define behavioral emergencies. 
   B. Discuss the general factors that may cause an alteration in a
patient's behavior. 
   C. State the various reasons for psychological crises. 
   D. Explain the rationale for learning how to modify your behavior
toward the patient with a behavior emergency. 
   E. Discuss the special considerations for assessing a patient with
behavioral problems. 
   F. Discuss the characteristics of an individual's behavior which
suggests that the patient is at risk for suicide. 
   G. Discuss the general principles of an individual's behavior which
suggest that he is at risk for violence. 
   H. Discuss special medical/legal considerations for managing behavioral
emergencies. 
   I. Discuss methods to calm behavioral emergency patients. 
   J. Demonstrate various techniques to safely restrain a patient with a
behavioral problem. 
 
XX. Providing Care for Obstetric or Gynecological Emergencies 
   A. Identify the following structures: uterus, vagina, fetus, placenta,
umbilical cord, amniotic sac, perineum. 
   B. Identify pre-delivery emergencies. 
   C. Explain the rationale for understanding the implications of treating
two patients (mother and baby). 
   D. Establish the relationship between body substance isolation and
childbirth. 
   E. State indications of an imminent delivery. 
   F. Differentiate the emergency medical care provided to a patient with
pre-delivery emergencies from a normal delivery. 
   G. Identify and explain the use of the contents of an obstetrics kit. 
   H. Demonstrate the steps to assist in the normal cephalic delivery. 
   I. Demonstrate the procedures for the following abnormal deliveries:
vaginal bleeding, breech birth, prolapsed cord, limb presentation. 
   J. Demonstrate post-delivery care of infant. 
   K. Summarize neonatal resuscitation procedures. 
   L. Demonstrate the post-delivery care of the mother. 
   M. Demonstrate the steps in the emergency medical care of the mother
with excessive bleeding. 
   N. Discuss the emergency medical care of a patient with a gynecological
emergency. 
   O. Demonstrate completing a pre-hospital care report for patients with
obstetrical/gynecological emergencies. 
 
XXI. Providing Care for Traumatic Injuries 
   A. Establish the relationship between body substance isolation and
bleeding. 
   B. Establish the relationship between airway management and the patient
with chest injury, burns, blunt and penetrating injuries. 
   C. Establish the relationship between mechanism of injury and internal
bleeding. 
   D. Establish the relationship between airway management and the trauma
patient. 
   E. Explain the sense of urgency to transport patients who are bleeding
and show signs of shock (hypoperfusion). 
   F. State the types of open soft tissue injuries. 
   G. List the types of closed soft tissue injuries. 
   H. List the functions of dressing and bandaging. 
   I. Describe the steps in applying a pressure dressing. 
   J. Describe the classifications of burns. 
   K. List the signs of internal bleeding. 
   L. Demonstrate direct pressure as a method of emergency medical care of
external bleeding. 
   M. Demonstrate the use of diffuse pressure as a method of emergency
medical care of external bleeding. 
   N. Demonstrate the use of tourniquets as a method of emergency medical
care of external bleeding. 
   O. Demonstrate the care of the patient exhibiting signs and symptoms of
internal bleeding. 
   P. Demonstrate the care of the patient exhibiting signs and symptoms of
shock (hypoperfusion). 
   Q. Demonstrate the steps in the emergency medical care of closed soft
tissue injuries. 
   R. Demonstrate the steps in the emergency medical care of open soft
tissue injuries. 
   S. Demonstrate the steps in the emergency medical care of a patient
with an open chest wound. 
   T. Demonstrate the steps in the emergency medical care of a patient
with open abdominal wounds. 
   U. Differentiate the care of an open wound to the chest from an open
wound to the abdomen. 
   V. Demonstrate the steps in the emergency medical care of a patient
with an impaled object. 
   W. Demonstrate the steps in the emergency medical care of a patient
with an amputation. 
   X. Demonstrate the steps in the emergency medical care of an amputated
part. 
   Y. Demonstrate the steps in the emergency medical care of a patient
with superficial burns. 
   Z. Demonstrate the steps in the emergency medical care of a patient
with partial thickness burns. 
   AA. Demonstrate the steps in the emergency medical care of a patient
with full thickness burns. 
   BB. Demonstrate the steps in the emergency medical care of a chemical
burn. 
   CC. Demonstrate completing a pre-hospital care report for patients with
soft tissue injures. 
   DD. State the reasons for splinting. 
   EE. List the general rules of splinting. 
   FF. List the complications of splinting. 
   GG. Differentiate between an open and a closed painful, swollen,
deformed extremity. 
   HH. Explain the rationale for splinting at the scene vs. load and go. 
   II. Demonstrate the emergency medical care of a patient with a painful,
swollen, deformed extremity. 
   JJ. Demonstrate completing a pre-hospital care report for patients with
musculoskeletal injuries. 
   KK. Relate mechanism of injury to potential injuries of the head and
spine. 
   LL. Describe the method of determining if a responsive patient may have
a spine injury. 
   MM. Establish the relationship between airway management and the
patient with head and spine injuries. 
   NN. Relate the airway emergency medical care techniques to the patient
with a suspected spine injury. 
   OO. Describe the implications of not properly caring for potential
spine injuries. 
   PP. Demonstrate log-roll for a patient with a suspected spinal cord
injury, including: 
      1. Four person 
      2. Two person 
   QQ. Demonstrate securing a patient to a long spine board. 
   RR. Demonstrate using the short board immobilization technique. 
   SS. Demonstrate procedure for rapid extrication. 
   TT. Demonstrate knowledge of helmet management, including: 
      1. When and how to remove 
      2. Types of helmets 
   UU. Differentiate how the head is stabilized with a helmet compared to
without a helmet. 
   VV. Demonstrate completing a pre-hospital care report for patients with
head and spinal injuries. 
   WW. Demonstrate the use of the pelvic wrap for pelvic fractures. 
 
XXII. Providing Care to Infants and Children 
   A. Identify the developmental considerations for the following age
groups, including: 
      1. Infants 
      2. Toddlers 
      3. Pre-school 
      4. School age 
      5. Adolescent 
   B. Describe differences in anatomy and physiology of the infant, child
and adult patient. 
   C. Differentiate the response of the ill or injured infant or child
(age-specific) from that of an adult. 
   D. Differentiate between respiratory distress and respiratory failure.
   E. Indicate various causes of respiratory emergencies. 
   F. State the usual cause of cardiac arrest in infants and children vs.
adults. 
   G. Describe the methods of determining end organ perfusion in the
infant and child patient. 
   H. Summarize the indicators of possible child abuse and neglect. 
   I. Describe the medical/legal responsibilities in suspected child
abuse. 
   J. Demonstrate the assessment of the infant and child. 
   K. Discuss the field management of the infant and child trauma
patient.
   L. List the common causes of seizures in the infant and child patient.
   M. Describe the management of seizures in the infant and child patient
   N. Demonstrate the techniques of foreign body airway obstruction
removal in the infant.
   O. Demonstrate the techniques of foreign body airway obstruction
removal in the child. 
   P. Demonstrate oxygen delivery for the infant and child. 
   Q. Demonstrate bag-valve-mask ventilation for the infant. 
   R. Demonstrate bag-valve-mask ventilation for the child. 
   S. Identify the signs and symptoms of shock (hypoperfusion) in the
infant and child patient. 
   T. Attend to the feelings of the family when dealing with an ill or
injured infant or child. 
   U. Understand the provider's own response (emotional) to caring for
infants or children. 
   V. Recognize need for EMT-Basic debriefing following a difficult infant
or child transport. 
   W. The student will correctly explain the process of monitoring urinary
catheters. 
 
XXIII. Understanding and Performing Basic Operations 
   A. Discuss the medical and nonmedical equipment needed to respond to a
call. 
   B. List the phases of an ambulance call. 
   C. Describe the general provisions of state laws relating to the
operation of the ambulance and privileges in any or all of the following
categories, including: 
      1. Speed 
      2. Warning lights 
      3. Sirens 
      4. Right-of-way 
      5. Parking 
      6. Turning 
   D. List contributing factors to unsafe driving conditions. 
   E. Describe the considerations that should be given to escorts,
intersections. 
   F. Discuss "Due Regard for Safety of All Others" while operating an
emergency vehicle. 
   G. Summarize the importance of preparing the unit for the next
response. 
   H. Distinguish among the terms: cleaning, disinfection, high-level
disinfection and sterilization. 
   I. Identify what is essential for completion of a call. 
   J. Describe the purpose of extrication. 
   K. Discuss the role of the EMT-Basic in extrication. 
   L. Identify what equipment for personal safety is required for the
EMT-Basic. 
   M. Define the fundamental components of extrication. 
   N. State the steps that should be taken to protect the patient during
extrication. 
   O. Evaluate various methods of gaining access to the patient. 
   P. Distinguish between simple and complex access. 
 
XXIV. Understanding Overview Information 
   A. Discuss the various environmental hazards that affect EMS. 
   B. Describe what the EMT-Basic should do if there is reason to believe
that there is a hazard at the scene. 
   C. Explain the EMT-Basic's role during a call involving hazardous
materials. 
   D. Describe the actions that an EMT-Basic should take to ensure
bystander safety. 
   E. State the role the EMT-Basic should perform until appropriately
trained personnel arrive at the scene of a hazardous materials situation.
   F. Break down the steps to approaching a hazardous situation.
   G. Explain the methods for preventing contamination of self, equipment
and facilities. 
   H. Summarize the components of basic triage. 
   I. Describe the criteria for a multiple-casualty situation. 
   J. Evaluate the role of the EMT-Basic in the multiple-casualty
situation. 
   K. Define the role of the EMT-Basic in a disaster operation. 
   L. Describe basic concepts of incident management. 
   M. Review the local mass casualty incident plan. 
   N. Given a scenario of a mass casualty incident, perform triage.

Unit Final/Module Exams 500 points Homework/Quizzes/Experience Papers
150-300 points 
Final Exam 100-200 points Motor Skills Competency: By the final week of
class, the student must have demonstrated competency three times on each
of the motor skills in the EMT lab manual. 
 
A student who has not demonstrated competency three times in any given
skill by the final week will receive a failing grade (F) for the course. 
 
Grading Criteria: A = 90 - 100% 
                         B = 80 - 89% 
                         C = 70 - 79% 
                         D = 60 - 69% 
                         F = 0 - 59% 
 
Reminder: To be eligible to take state certifying exams and to receive the
JCCC certificate, a minimum grade of "C" is required.

EMS 133

• Title: Emergency Medical Technician Practicum*
• Number: EMS-133
• Effective Term: Spring 2009
• Course Type: Career
• Credit Hours: 3
• Contact Hours: 96
• Lecture Hours: 16
• Lab Hours: 80

Description:

Prerequisites: EMS 130 or EMS 131 or equivalent and a copy of current EMT-B card

EMT Practicum is designed to give the newly certified EMT-B the additional skills and confidence needed to successfully compete for a position as an EMT-B with an EMS service. Skills will include ambulance operation, driving, map reading, insurance billing and unit maintenance. This course will also provide high-fidelity scenario training in all aspects of the EMS call as well as extensive field lab time with a local EMS service. Students will participate in realistic medical emergency scenarios with "actors" playing life-like patients and bystanders as well as numerous field internship shifts on a licensed ambulance. Students will work through all phases of an ambulance call. They will be presented with complex patient care situations that require the development of critical thinking and decision-making skills. Students will be tested on their ability to lead a team of pre-hospital caregivers in the diagnosis, proper treatment and evacuation of a patient. Scenario simulations will be set up to be as life-like as possible. Enrollment in this course requires that you be current in payment of a professional liability fee of $16.00. This fee is required once per calendar year based on enrollment in selected courses and must be in place prior to the start of classes. Students will be notified via their JCCC student email account if they are required to pay a $16 fee. 2 hrs. lecture, 10 hrs. lab/wk. This course is only offered in the summer.

The objectives include both operational and clinical skills
objectives.

I. ALS BLS Interface
   A. Explain the various roles the EMT-B can play in supporting ALS
operations.
   B. Provide examples of support activities the EMT-B can perform with
ALS units.
   C. Explain the way that ALS and BLS units interact in the local
communities of interest.
   D. Define the role of medical direction in the interaction of ALS and
BLS personnel.   

II. EMS Communications
   A. Define and explain the concept of System Status Management in an EMS
system.
   B. Explain the role of Emergency Medical Dispatch in the local EMS
system.
   C. Demonstrate how to write a complete prehospital care report using
the SOAP format on the JCCC Patient Report form.
   D. Explain the importance of thorough documentation in a prehospital
care report.
   E. Describe the types of biocom reports an EMT may give to a hospital.
   F. Demonstrate a complete biocom report for a simulated EMS call.
   G. List the information that must be collected for insurance billing.
   H. Demonstrate proper use of mobile and portable radios.               
               

III. Map Reading and Navigation
   A. Explain the procedures for using the map book of the local EMS
system.
   B. Demonstrate how to find a given location using the dispatch
information and map book.

IV. Patient Assessment
   A. List the components of a history of an adult and a pediatric
patient.
   B. Elicit an accurate history from a patient using a variety of
techniques.
   C. Demonstrate the techniques used when performing a physical exam.
   D. Review the procedures used in taking vital signs.
   E. Demonstrate a complete physical assessment for each of the following
types of patient:
         1. Significant mechanism of injury trauma.
         2. Non-significant mechanism of injury trauma.
         3. Alert medical patient.
         4. Decreased LOC medical patient.
   F. Differentiate between safe and unsafe scenes.
   G. Value the need for maintaining a professional, caring attitude when
performing a focused history and physical exam.
   H. Differentiate between critical life-threatening, potentially
life-threatening and non-life-threatening patient presentations.          
            

V. Ambulance Operations
   A. Demonstrate the safe operation of an ambulance in a non-emergency
mode.
   B. Demonstrate the ability to back an ambulance using a backer.
   C. Identify potentially dangerous situations while operating an
ambulance.
   D. Describe the principles of defensive driving.                       
                  

VI. Basic Electrocardiogram Use
   A. Explain the basic principles of electrocardiography.
   B. Demonstrate how to apply limb leads and precordial leads to a
patient.
   C. Demonstrate how to acquire a 12 lead ECG.
   D. List the potential sources of interference in obtaining a 12 lead
ECG.
   E. Explain methods by which an ECG can be transmitted to a base
hospital.
   F. Justify the importance of obtaining an ECG during an EMS call.      
      

VII. Mass Casualty Incidents
   A. Explain the principles of MCI management.
   B. Define Mass Casualty Incident.
   C. Explain the concept of triage and its application to MCI management.
      

VIII. Field Internship (Field Laboratory) (144 hours:  12-12 hour shifts)
   A. Demonstrate the ability to serve as team leader on at least 5 BLS
level calls.
   B. Demonstrate an understanding of the concepts of scene management.
   C. Demonstrate appropriate compassion and empathy for patients while on
calls.
   D. Demonstrate the proper use of BLS ambulance equipment on calls.
   E. Demonstrate proper checkoff procedures of a BLS ambulance.
   F. Demonstrate the ability to transmit an appropriate biocom to the
receiving facility.
   G. Demonstrate the proper procedure for passing the care of an ill or
injured patient from the EMS crew to the receiving facility.
   H. Explain the appropriate use of patient restraints and demonstrate
their use on a simulated patient.

Cognitive:  Competency will be verified using homework assignments,
case studies, quizzes and a final exam. 

Motor Skills:  Competency will be verified by faculty observation of
student performance during call simulations utilizing standard task
analysis and by preceptor evaluation of field performance.

Affective:  Competency will be evaluated by faculty and field preceptors
utilizing a standardized evaluation instrument. These instruments will
utilize a Lickert scale with 3 defined as minimum competence.

Grading Scale:
   Cognitive:
      90-100% = A
      80- 89% = B
      70- 79% = C
      60- 69% = D
    Below 60% = F

Percent of total grade (percents are approximate):
   Homework assignments  30%
   Case studies          10%  
   Quizzes               25%
   Final exam            35%
   Total                100%

Motor Skills:          Pass/Fail
Affective Evaluations: Pass/Fail

Note: Successful course completion requires a passing grade in didactic
coursework AND successful demonstration of skills competency AND
acceptable evaluation of ALL affective competencies.

EMS 140

• Title: Basic Cardiology and EKG Recognition*
• Number: EMS-140
• Effective Term: Spring 2012
• Course Type: Career
• Credit Hours: 3
• Contact Hours: 45
• Lecture Hours: 45
• Lab Hours:

Description:

Prerequisites: Prospective students should be certified in a health profession, i.e., EMT, RN, LPN, EMT-P.

The health care worker with an understanding of ECG tracing will function more effectively when providing care for the cardiac patient. Increasing numbers of professionals are being called upon to utilize ECG tracing in their work settings, but without adequate knowledge of its use. This course will serve as both continuing education and the preparation for the job entry and/or job advancement. During the course, students will learn to apply monitoring and 12-lead electrodes, diagnose ECG dysrhythmias and infarct locations, treat ECG dysrhythmias, and defibrillate ventricular fibrillation. 3 hrs. lecture/wk.

I. Cardiology
   A. Identify and state the relevant parameters, clinical significance,
treatment, and etiology for the major cardiac dysrhythmias and infarct
patterns.
   B. State the topographic anatomical location of all of the electrode
positions for a 12 lead ECG.
   C. Demonstrate the procedures for electrical therapies.
   D. Identify all ACLS and BCLS algorithms and explain the rationale for
treatments.
   E. Given a description of a patient, write the appropriate treatment.

II. Cardiovascular System
   A. Label anatomic features of the human heart and circulatory system.
   B. Identify the normal physiological limits, components of, and factors
influencing:  cardiac output, myocardial oxygen demand, stroke volume,
afterload, preload, blood pressure.
   C. Define Starling's law and state its implications for cardiac
output.
   D. Identify and define the phases of the cardiac cycle and the function
and position of the heart valves during each phase.
   E. Label the parts of the heart's conduction system and state the
intrinsic firing rate of each part.

Unit quiz (3 at 100 points each)    300
Class work, homework, attendance    100
Final exam                          200
Total points possible               600

Grading Scale:
   Cognitive:
      90 -100% A
      80 - 89% B
      70 - 79% C
      60 - 69% D
       0 - 59% F

EMS 206

• Title: Training Officer I*
• Number: EMS-206
• Effective Term: Spring 2009
• Course Type: Career
• Credit Hours: 1
• Contact Hours: 20
• Lecture Hours: 15
• Lab Hours: 5

Description:

Prerequisites: Kansas Board of EMS certification at the Emergency Medical Technician - Basic (EMT-B) level or above and approval of the course instructor

This course is a requirement for the Kansas Board of Emergency Medical Services (KSBEMS) certification as a Training Officer (TO). The course is intended to prepare the student to plan, implement, coordinate, teach and evaluate continuing education programs. The course is a prerequisite for Training Officer II. 15 hrs. lecture, 5 hrs. lab total.

I. Roles and Responsibilities of the Training Officer
   A. Select, from a list, the roles of a training officer.
   B. Select, from a list, the responsibilities of a training officer.
   C. State the definition of a training officer as defined in Kansas
Administrative Regulations (K.A.R.) 109-1-1.
   D. Discuss the importance of the training officer in presenting a
positive role model.
   E. Discuss how development of personal and professional growth will
assist the training officer in carrying out their roles.
   F. Discuss why it is important for the training officer to know and
understand the state regulatory requirements governing continuing
education programs.
   G. State the importance of selecting qualified instructors to present
lessons within the continuing education programs.
   H. Discuss the importance of maintaining the State required instructor
to student ratio for laboratory training sessions.
   I. Discuss the importance in providing the required equipment to
student ratio for laboratory sessions.
   J. Discuss the importance of assuring the faculty meets the training
objectives.
   K. Discuss the importance of providing an effective learning
environment.
   L. Discuss the importance of assuring the training equipment is clean
and functional.
   M. Discuss the importance and benefits of evaluating the continuing
education programs.           

II. Continuing Education Training Programs 
   A. Identify those elements that are necessary to consider when planning
a training program.
   B. List those items that should be considered when selecting
facilities.
   C. List at least five common resources for facilities and audiovisual
equipment that may be available to you.
   D. List four common resources for procuring training equipment and
supplies.
   E. Select appropriately credentialed instructors to deliver the subject
matter.
   F. List the purposes of a syllabus.
   G. List the components of a syllabus.
   H. Discuss common concerns a Training Officer has during the
implementation phase of the training program.
   I. Identify the student to equipment ratio as required by Kansas
Administrative Regulations.
   J. List at least three different evaluation methods that could be used
to assure competency of faculty and students.          

III. Quality Assurance Plans for a Training Program
   A. Describe the relationship between evaluation factors and student
performance.
   B. Describe what information may be gathered while measuring student
progress. 
   C. Discuss the need to provide outcome data and evidence to make
program changes regarding instructional methods in EMS training programs.
   D. Discuss the need to provide outcome data and evidence to unmake
program changes regarding student evaluation in EMS training programs.
   E. Discuss the need to provide outcome data and evidence to unmake
program changes regarding proficiency attainment in EMS training
programs.
   F. Discuss the need of EMS training programs to meet regulatory
requirements set forth by the Board of EMS.
   G. Explain the importance of a continuous evaluation plan for improving
an EMS training program.
   H. Discuss the five components of a training program that have a direct
effect on quality.
   I. Participate in a training program evaluation scenario.       

IV. Available Resources and the Medical Directors Role in a Training
Program 
   A. Discuss ways to determine what resources are available for a variety
of types of EMS training.
   B. Defend the medical advisor’s role in the training program.       


V. Effective Evaluation Tools
   A. Define evaluation, formative evaluation and summative evaluation.
   B. Distinguish between formal and informal evaluation.
   C. Identify various types of evaluation, and the advantages and
disadvantages of each.
   D. Describe specific types of test items and the advantages and
disadvantages of each.
   E. State the general guidelines for test construction.
   F. Define reliability.
   G. Define content validity.
   H. List several examination resources.
   I.Develop two examples of correctly constructed test items for
cognitive evaluation in each of the following categories:
      1) Multiple choice
      2) True/false
      3) Matching
      4) Completion
      5) Essay
   J. Develop a skills checklist to evaluate a psychomotor skills
performance.
   K. Explain why evaluation is important to the total quality control of
an EMS program.
   L. Explain why formative and summative evaluations are both important
in the evaluation process

Written Examination 100% of grade 

In addition to the written exam the student must demonstrate competency in
all skills applicable to his/her level of attendant certification.
 
Grade Criteria:
  A = 90-100%
  B = 80-89%  
  C = 70-79%
  D = 60-69%
  F =   <60%

EMS 207

• Title: Training Officer II*
• Number: EMS-207
• Effective Term: Spring 2009
• Course Type: Career
• Credit Hours: 2
• Contact Hours: 40
• Lecture Hours: 33
• Lab Hours: 7

Description:

Prerequisites: Kansas Board of Emergency Medical Services certification at the provider level the student wishes to teach, completion of EMS 206 Training Officer I and approval of the course instructor

This course is a requirement for the Kansas Board of Emergency Medical Services (KSBEMS) certification as a Training Officer (TP). The course is intended to prepare the student to plan, implement, coordinate, teach and evaluate continuing education programs. As a TOII a student will also be qualified to plan, implement, coordinate, teach and evaluate Initial Instruction Programs for the First Responder level of certification in Kansas. 33 hrs. lecture, 7 hrs. lab total.

I. Course Syllabus & Schedule
   A. Explain the importance of a course description.
   B. Describe the important elements to be included in the course
description.
   C. Explain the importance of a course syllabus.
   D. Describe the important elements to be included in the course
syllabus.
   E. Identify the requirements for a course syllabus according to Kansas
Administrative Regulations (K.A.R.s.).
   F. Describe how the course syllabus is a contract between the
instructor and the students in the course.
   G. State the importance of a course syllabus to students in the EMS
training program.            

II. KSBEMS Requirements for First Responder Training
   A. Discuss the regulations governing First Responder initial training
courses.
   B. State the learning objectives which must be used for First Responder
initial courses.
   C.  State the records that must be maintained by the TO II and for how
long they must maintain these records.
   D.  State how the training officer may provide continuing education
credit to the faculty and already certified first responders auditing the
course.
   E. State the maximum number of students per instructor, which the board
requires for laboratory training sessions.
   F.  State the student to equipment ratio the board requires for
laboratory training sessions.
   G. State the minimum time frame for which a course must be submitted
prior to the date of the first class session.
   H. State the individual the board holds responsible for the program.
   I. State the minimum number of hours for the First Responder course.
   J. State the components that must be submitted with the application for
course approval.        

III. Examination & Certification Process 
   A. Discuss the criteria required to allow an individual to take the
Kansas Board of EMS First Responder examination.
   B. Discuss the Kansas Board of EMS examination cycle as it relates to
course completion.
   C. State the recognized date used by the Kansas Board of EMS to
determine the period of eligibility for certification as a First
Responder.        

IV. Principles of Adult Learning
   A. State the importance of a positive learning environment.
   B. List desirable behaviors for students in your classroom setting.
   C. Identify unacceptable student behaviors.
   D. Describe methods to engage students in the learning process through
a positive learning environment.
   E. Create a positive learning environment given a group of students in
a classroom setting.
   F. Role-play effective methods of engaging students in the learning
process as described in this module.
   G. State the importance of a positive learning environment and the
overall impact that has on the success of a class.
   H. Act as a role model for the positive behaviors expected in the
classroom setting.
   I. Discourage rude, offensive or distracting behavior and language in
students.
   J. Use his or her own words to state a definition of cognitive,
psychomotor and affective domains of learning.
   K. Identify the domain of learning and level of depth for a correctly
written objective.
   L. Give examples of behaviors that exemplify the three domains of
learning.
   M. Identify, within the context of an EMS call, knowledge and
behavioral examples for cognitive, psychomotor and affective domains.
   N. List classroom activities for each domain of learning.
   O. State at least one appropriate evaluation method for each domain of
learning.
   P. Acknowledge the need to teach within the three domains of learning
as identified within the National Standard Curriculum for any level of EMS
course.
   Q. Support activities that teach and evaluate the three domains of
learning.
   R. Value all three domains of performance by the EMS professional.

V. Practical Skills Instruction Methods
   A. Define psychomotor skills.
   B. Explain the relationship between cognitive and affective objectives
to psychomotor objectives.
   C. Describe teaching methods appropriate for learning a psychomotor
skill.
   D. Describe classroom activities used to teach and practice psychomotor
skills.
   E. List methods to enhance the experience of psychomotor skill practice
in the classroom.
   F. Demonstrate proper facilitation technique when demonstrating EMS
skills.
   G. Demonstrate the use of corrective feedback during a skill
demonstration.
   H. Create a skill session lesson plan which maximizes student practice
time.
   I. Create a skill scenario which enhances realism.
   J. Acknowledge the need to teach the mechanics of a skill before
students can apply higher level thinking about the process.
   K. Value the need for students to practice until they attain mastery
level.
   L. Model excellence in skill performance.         

VI. Instructional Objectives
   A. Define using, his or her own words, goal, objective and performance
agreement.
   B. Identify and describe the ABCD parts of an objective.
   C. Describe each of the three domains of learning: cognitive, affective
and psychomotor.
   D. Describe how to evaluate a planned learning activity (lecture,
demonstration, etc.) to determine if there is performance agreement
between the planned learning event and the course goals and objectives.
   E. Identify, using objectives supplied by the instructor, the A, B, C,
and D components.
   F. Take incomplete objectives (lacking 1 or 2 of the ABCD components)
and rewrite the objective to contain all of the necessary elements.
   G. Using a goal provided by the instructor, write at least one ABCD
objective for each domain of learning.
   H. Compare goals and objectives provided by the instructor to determine
if performance agreement exists.
   I. Explain why goals and objectives are important to well designed
learning.
   J. Explain how the evaluation of goals and objectives for performance
agreement enhances quality.                                               
                              
VII. Student Learning Styles 
   A. Use his or her own words to define and describe "learning style" and
"learning preference".
   B. List common learning styles found in adult learners.
   C. Identify the following characteristics for each learning style:
      1) Student needs, desires and preferences in instruction.
      2) Strengths and weaknesses inherent in that style.
      3) Explain how learning styles impact classroom dynamics.
   D. Given a lesson plan, describe activities that may be used to target
a specific learning style.
   E. Identify surveys and other tools used to classify learning styles.
   F. Describe how his or her own learning style will affect instruction.
   G. Create a lesson plan which utilizes a stimulating variety of
teaching techniques, activities and breaks for the purpose of maximizing
the various learning styles present in students.
   H.Value the diversity found in the various learning styles.
   I. Support the use of learning styles assessment in EMS education.
   J. Support the use of a variety of teaching styles to reach all
learning styles.           

VIII. Facilitating Class Participation 
   A. Describe facilitated learning.
   B. Describe why motivating students is an important factor in an
environment that promotes facilitated learning.
   C. Identify classroom arrangements and formats that promote and enhance
facilitation techniques.
   D. Explain why the standard lecturing method does not provide a
facilitated learning environment.
   E. List methods to enhance the lecture method to make it a more
facilitated learning experience.
   F. Explain the role of group work in a facilitated learning
environment.
   G. List tips or methods to facilitate a discussion in the classroom.
   H. List tips for facilitating a practical (psychomotor) classroom
session.
   I. Describe methods to maintain classroom control when using a
facilitated learning environment.
   J. Apply the learning principles described in this module to facilitate
a discussion of a small group (three-five participants) of
student-instructors.
   K. Apply the learning principles described in this module to facilitate
a psychomotor classroom session.
   L. Value the need for providing a facilitated learning environment for
adult students.
   M. Share techniques described within this module with other instructors
to promote facilitated learning principles.

Written Examinations         30% of grade 
Mini Teaching Presentations  30% of grade
Skills Evaluation Practicum  40% of grade
  Total                     100%
 
Grade Criteria:
  A = 90-100%
  B = 80-89%  
  C = 70-79%
  D = 60-69%
  F =   <60%

EMS 210

• Title: Emergency Medical Services Instructor Coordinator*
• Number: EMS-210
• Effective Term: Spring 2009
• Course Type: Career
• Credit Hours: 5
• Contact Hours: 12.5
• Lecture Hours: 10
• Lab Hours: 2.5

Description:

Prerequisites: Prospective students must meet all the requirements for selection as set forth by the Kansas Board of Emergency Medical Services, which includes certification as a care provider, documentation of pre-hospital experience and successful completion of the BEMS pre-selection process

This course covers the basic tenets of adult education as they apply to teaching emergency medical services provider courses. Students are oriented to all Kansas requirements for conducting initial courses of instruction for ambulance attendants. Successful completion will be the first step toward certification as a Kansas EMS instructor coordinator. This program has been approved by the Kansas Board of Emergency Medical Services (BEMS). It addresses information and techniques currently considered the responsibility of the EMT-IC according to the United States Department of Transportation, National Standard Curriculum. 5 hrs. lecture-demonstration/wk. for 8 wks.

I. Course Overview
   A. Review the purpose and goals of the Instructor Training Program.
   B. Clarify course requirements and expectations.
 
II. Instructor Roles and Responsibilities
   A. Defining instructor roles and attributes
      1. Generate examples of each instructor role.
         a. Administrator
         b. Counselor
         c. Disciplinarian
         d. Evaluator
         e. Facilitator
         f. Mentor
         g. Presenter
         h. Representative
         i. Role model
         j. Supervisor
      2. Self-Evaluate on each instructor attribute.
         a. Ethical
         b. Fair
         c. Professional
         d. Prepared
         e. Respectful
   B. Using Feedback
      1. Define three types of feedback.
         a. Positive
         b. Constructive
         c. Corrective
      2. Demonstrate the ability to use three types of feedback in role
play situations.
      3. Use feedback during classroom coaching sessions.

III. Ethical and Legal Implications
   A. Understanding harassment
      1. Describe types of harassment.
      2. Explain how the harassment law applies to instructors.
      3. Respond to classroom scenarios by applying harassment
guidelines.
   B. Identifying types of discrimination
      1. List the elements of an equal opportunity statement.
      2. Apply the major requirements of ADA to the EMS classroom
scenario.
   C. Recognizing confidentiality concerns
      1. Identify confidentiality issues within classroom situations.
      2. Identify confidentiality issues in the broader EMS environment.
   D. Applying negligence guidelines
      1. Define the four elements of negligence (duty, breach, harm,
causation).
      2. Evaluate scenarios against negligence claims.
      3. Review OSHA 1970 as it relates to EMS instruction.
   E. Following Grievance Procedures
      1. Identify grievance procedures.
         a. Informal
         b. Formal
      2. Outline grievance procedures for specific scenarios.
   F. Applying ethics in the educational process
      1. Define ethics.
      2. Explain unprofessional conduct as defined in KAR 109-1-1.
      3. Describe confidentiality as it relates to the instructor/student
relationship.
      4. Describe confidentiality as it relates to the provider/patient
relationship.
      5. Discuss the Buckley Amendment.
      6. Discuss reasons to avoid racial, religious, or ethnic humor in
the classroom.
      7. Discuss the importance of consistent student evaluation.
      8. Discuss the ethical issues involved in the student/instructor
relationship.
      9. Demonstrate a commitment to ethical instructional techniques.
     10. Propose methods to enhance the ethical behavior of EMS
instructors.

IV. Learning Theories
   A. Defining learning theory
      1. Describe the three major learning theories.
      2. Apply constructivist learning theory to EMS instruction.
   B. Working in the three learning domains
      1. Describe the relationship between cognitive, affective and
psychomotor domains.
      2. Compare the methods of teaching among the three domains.
      3. Compare the methods of evaluation among the three domains.
      4. List action verbs used in stating instructional objectives in the
each domain.
      5. Explain how attitudinal development may precede learning in other
domains.
      6. Propose solutions where teaching in the affective domain can lead
to better trained EMS providers.
   C. Understanding adult learners
      1. Describe characteristics of adult learners.
      2. Compare Constructivist and Adult Learning Theory.
      3. Review learning styles research.
      4. Create learning activities in each domain appropriate for adult
learners.

V. Effective Learning Environment
   A. Creating an effective learning environment
      1. Describe information-gathering techniques used to assess.
         a. An audience
         b. Physical environment
      2. Describe classroom management techniques for the EMS classroom.
         a. Be prepared 
         b. Norms
         c. Encourage active participation
         d. Practice active listening
         e. Read your audience
      3. Apply learning environment criteria to lesson preparation
assignments.

VI. Instructional System Design (ISD)
   A. Reviewing the ISD Model
      1. Describe four phases of ISD.
         a. Analysis
         b. Design
         c. Development
         d. Evaluation
      2. Apply the ISD Model to Lesson and Course Development.
   B. Developing and Implementing a Lesson Plan
      1. Evaluate and or rewrite lesson objectives according to the ABCD
guidelines.
      2. Use objectives as the basis for content presentation and student
evaluation.
      3. Research instructional strategies and methods to support
objectives.
      4. Design and use media to support your lesson presentation.
      5. Apply knowledge of training design and development to EMT-B
curriculum.
      6. Perform a resource and literature search on assigned topic.
      7. Demonstrate instructor skills in a realistic classroom setting by
presenting a 30 minute lesson from the EMT-B curriculum.

VII. Evaluation
   A. Creating valid and reliable evaluations
      1. Describe the purposes of evaluation.
      2. Evaluate existing testing tools for validity and reliability.
   B. Matching evaluation tools to objective
      1. Develop evaluation tools to match learning objectives.
      2. Evaluate developed tools for validity and reliability.

VIII. Practical Skills
   A. Demonstrating practical skills
      1. Demonstrate competency in patient assessment: medical.
      2. Demonstrate competency in patient assessment: trauma.
      3. Demonstrate competency in fracture management.
      4. Demonstrate competency in airway management.
   B. Learning to coach practical skills
      1. Identify common errors in performance of practical skills.
      2. Demonstrate effective coaching skills on each EMT-B component.
   C. Learning to evaluate practical skills
      1. Identify critical performance criteria for each sequence.
      2. Demonstrate effective performance evaluation techniques.
   D. Organizing for practical skills instruction
      1. Create an effective time schedule for skills instruction.
      2. Create staff assignments to maximize student engagement.

IX. Course Approval Guidelines
   A. Reviewing the course approval process
      1. Review the State statutes governing EMS course approval.
      2. Use the statutes to create EMT-B Mock Course materials and
documentation.
      3. Compare two types of approval of continuing education credit and
how they differ from one another.
      4. Differentiate between single program providers and approved
program providers.
      5. State the continuing education requirements for attendants and
instructor-coordinators.
      6. State the procedure used by the instructor coordinator to
document and award continuing education credit for attendants who attend
an initial course for the purpose of gaining continuing education credit.
   B. Following the course approval process
      1. Develop a mock course plan following state guidelines.
      2. Submit mock plan to the state for "approval."

X. State Examination Process
   A. Reviewing the state exam process
      1. Identify the criteria to allow an individual to take the Kansas
Board of EMS First Responder, EMT-B, EMT-I, and MICT examinations.
      2. Describe the KBEMS testing cycle as it relates to course
completion.
      3. Describe the practical skills testing required stations for each
level of certification.
      4. Discuss the role of the National Registry of EMTs in the
examination and certification process.
      5. Describe the process used by KBEMS when an Adjunct Staff Member
recommends failure of a candidate.
      6. Identify the criteria necessary to obtain a local test site.
      7. Identify the criteria to allow an individual to certify as a
First Responder, EMT-B, EMT-I, or MICT in Kansas.
      8. Discuss the availability of continuing education credit for
assisting at an examination site
   B. Preparing students for the state exam
      1. Describe methods to use in the context of normal instruction to
help prepare students for the State Exam.
      2. Include specific methods in the course/lesson planning
assignments.

XI. Quality Assurance
   A. Assuring quality of the training program
      1. Discuss the need to provide outcome data and evidence to make
program changes regarding instructional methods.
      2. Discuss the need to provide outcome data and evidence to make
program changes regarding student evaluation.
      3. Discuss the need to provide outcome data and evidence to make
program changes regarding proficiency attainment.
      4. Discuss the need of EMS training programs to meet regulatory
requirements set forth by the Kansas Board of EMS.
      5. Explain the importance of a continuous evaluation plan for
improving an EMS training program.
   B. Applying quality assurance guidelines
      1. Participate in a training program evaluation scenario.
      2. Include data collection procedures for QA in course planning
documents.
      3. Demonstrate a problem solving attitude regarding evaluation of a
training program.

XII. Risk Management
   A. Understanding risk management
      1. Define risk management.
      2. Identify those areas in the training course where high risk
concerns may occur.
      3. Determine ways to prevent or reduce the occurrence of high risk
events.
      4. Recognize the existence and content of a risk management statute
in Kansas law that has direct or indirect effect on training programs.
      5. Identify medical liability insurance carriers that provide
coverage for faculty and students.
      6. Realize the medical liability insurance policy requirements and
costs.
      7. Identify advantages of written contracts as it relates to risk
management concerns.
      8. List desired components of contracts with sponsoring
organizations, hospitals, EMS providers, and others involved with the
training program addressing risk management concerns.
      9. Describe the role of the training preceptor in the clinical and
field environment.
     10. Discuss the importance of performance guidelines to help
standardize student evaluations among different preceptors.
     11. Describe the rights afforded in the ADA and its importance.
     12. Describe the consequences of non compliance to ADA.
     13. Propose ways to remove barriers to persons with disabilities in
the EMS training environment.
     14. Demonstrate conducting an informal counseling session.
     15. Demonstrate conducting a formal counseling session.
     16. Demonstrate a problem solving attitude during the counseling role
play situation.
     17. State the requirements under Kansas Administrative Regulations
for student counseling.
   B. Planning for risk management
      1. Include risk management precautions in course plans.
      2. Evaluate other course participant’s plans for the inclusion of
risk management strategies.

XIII. EMS Training Programs
   A. Planning for EMS training.
      1. Identify those elements necessary to consider when planning a
training program.
      2. Select items that should be considered when selecting the
sponsoring organization, hospitals, and EMS clinical facilities.
      3. List at least five common resources for facilities and
audiovisual equipment that may be available.
      4. List common resources for procuring training equipment and
supplies.
      5. Select appropriately credentialed instructors to deliver the
subject matter for a variety of subjects.
   B. Writing the course syllabus
      1. List three purposes of the course syllabus.
      2. List at least 12 components of a course syllabus.
      3. Include all necessary elements in the mock course syllabus.
   C. Implementing the program
      1. Discuss common concerns the I/C has during implementation phase
of the training program.
      2. List advantages and disadvantages of affiliating your emergency
medical training program with an institution or organization.
      3. List advantages and disadvantages of teaching independently.
      4. Identify the student to instructor ratio required by Kansas
Administrative Regulations.
      5. Identify the student to equipment ratio required by Kansas
Administrative Regulations.
      6. List all four of the Instructor/Coordinator standards as outlined
in KAR 109-0-5.
      7. List at least three different evaluation methods that could be
used to assure competency of faculty and students.

Completion of all assignments is required. Three unit tests and a
final oral exam will be given. Attendance and  active participation is
important, points will be awarded.
Each participant will be required to visit a BEMS test site (6 hours) and
participate in a debriefing session.
Each participant will take the BEMS EMT- IC test at the end of the
course.

     Activity                Points      Grading Scale 
Unit Tests (3 @ 50 points)     50        A = 90-100%
Homework (3 @ 50 points)      150        B = 80-89%
Mini Presentation              50        C = 70-79  
Mock Course                   100        D = 60-69%      
Class Participation            50        F = < 60%
Final Oral Exam               100           
Total                         600         

Motor skill competence will be graded on a pass fail basis using state
BEMS skill criteria grading sheets.

EMS 220

• Title: MICT I*
• Number: EMS-220
• Effective Term: Fall 2010
• Course Type: Career
• Credit Hours: 10
• Contact Hours: 244
• Lecture Hours: 190
• Lab Hours: 54

Description:

Prerequisite: Admission to the MICT program

MICT I is the first of four courses in advanced out-of-hospital emergency medical care leading to the opportunity to sit for the National Registry Examination for Paramedics. In this narrowly focused but intense foundational course, the paramedic student will gain a significant knowledge of patient assessment, pharmacology and medication administration techniques, electrocardiography, advanced airway management, and paramedic scope of practice. Much material will be covered rapidly, and emphasis is on organization, internalization and synthesis of the basic knowledge of the discipline in this 10-week course. Additionally, during the initial psychomotor teaching labs, students will gain the ability to assess patients, administer medications, treat dysrhythmias and manage the airway through manikin practice. Enrollment in this course requires that you be current in payment of a professional liability fee of $16.00. This fee is required once per calendar year based on enrollment in selected courses and must be in place prior to the start of classes. Students will be notified via their JCCC student email account if they are required to pay a $16 fee. 192 hrs. integrated lecture/lab.

*( ) Indicates module-lesson in national standard curriculum

I. Preparatory
   A. Stress and the MICT
      1. List the physiological and psychological manifestations of
stress.
      2. List the common causes of job stress for the MICT, and activities
that could be utilized to reduce stress.
   B. EMS systems
      1. List the components of an EMS system, and outline various system
designs and funding methods.
      2. Define medical control, and differentiate between on-line and
off-line medical control.
      3. List the components of a quality improvement system.
   C. Role of the MICT
      1. When given a list of activities performed by all levels of
pre-hospital personnel, the student should be able to correctly identify
the activities performed exclusively by the MICT.
      2. Utilizing the concepts of restorative vs. supportive care, the
MICT should be able to contrast the roles of the MICT in each situation.

II. Anatomy and Physiology
   A. Acid/Base balance; fluids and electrolytes
      1. Identify normal pH and outline the function of the three
physiologic systems which maintain pH.
      2. Write a chemical equation that expresses the physiology of
acid/base balance.
      3. Given a set of blood gases identify what abnormality is
represented and list a common cause.
      4. Given a list of anions and cations, state which are chiefly
extracellular and which are intracellular.
      5. Explain the kidney's role in blood pressure maintenance, urine
formation, and acid/base regulation.
   B. Cardiovascular system
      1. Label anatomic features of the human heart and circulatory
system.
      2. Identify the normal physiological limits, components of, and
factors influencing: cardiac output, myocardial oxygen demand, stroke
volume, afterload, preload, blood pressure.
      3. Define Starling's law and state its implications for cardiac
output.
      4. Identify and define the phases of the cardiac cycle and the
function and position of the heart valves during each phase.
      5. Label the parts of the heart's conduction system and state the
intrinsic firing rate of each part.
      6. List the functions of blood, and define: hematocrit, hemoglobin,
universal donor, and universal recipient.
   C. Cellular physiology
      1. Identify the role of oxygen in cellular respiration and specify
the differences in resultant energy production when oxygen is absent.
      2. Identify the processes involved in the sodium pump and specify
any changes in cellular metabolism when the pump is inactive.
   D. Central and autonomic nervous systems
      1. Identify the autonomic neurotransmitters and their effects on the
body systems.
      2. List the processes of nerve impulse transmission.
      3. Label the anatomic parts and identify the function of the central
and peripheral nervous system.
      4. Identify the blood supply to the various regions of the brain,
and factors influencing cerebral blood flow.
   E. Musculoskeletal system
      1. Identify the sequence of events necessary for muscle
contraction.
      2. Describe the location of the major muscles.
      3. Describe the electrical phenomena, which result in neuromuscular
excitation.
   F. Respiratory system
      1. Given a diagram identify structures of the upper and lower
respiratory system.
      2. Write the primary stimulus for breathing and list five causes of
a change in respiratory rate.
      3. Identify the normal PaCO2 and PaO2, and given an increase or
decrease, name this condition and describe its effect on respiratory
activity and on blood pH.
      4. Given a PaO2, state the percent O2 saturation, and given a
percent O2 saturation, state the PaO2 using the oxygen hemoglobin
dissociation curve.
   G. Topographical anatomy
      1. Identify major topographic landmarks.
      2. Match definitions with terms denoting movement.
      3. Define anatomic terms that denote location with respect to a
reference point.

III. General Pharmacology, Patient Assessment and Communications
   A. EMS radio communications
      1. List and describe seven communication phases that occur in an EMS
event.
      2. List and describe EMS communications hardware.
      3. Describe the inherent differences in EMS communication radio
frequencies.
      4. Given a scenario, select the correct biocom format and content.
   B. General pharmacology
      1. Perform medication calculations.
      2. List those factors influencing the action of drugs, such as: age
of the patient, condition of the patient, dosage, absorption rate,
distribution, and elimination.
      3. Safely administer parenteral medications.
      4. Identify the trade name, class, actions, indications,
contraindications, precautions, side effects, and dosage for the
medications in the MICT formulary.
      5. List five routes by which drugs are absorbed, and rank absorption
rates from fastest to slowest.
   C. Medical records
      1. List the items that must be included in each part of a SOAP
narrative.
      2. After watching a videotaped scenario, complete a medical record
that conforms to SOAP format.
      3. Given a copy of a medical record, identify errors and omissions.
   D. Patient assessment
      1. Write the reasons for performing, and steps involved in initial,
focused, detailed, and on-going assessments.
      2. List the vital signs and their normal limits.
      3. Demonstrate a detailed physical examination.
      4. Effectively elicit a patient's medical history.
      5. Given a chief complaint, perform a differential diagnosis.

IV. Cardiology and Airway Management
   A. Cardiology
      1. Identify, state the relevant parameters, clinical significance,
treatment, and etiology for the major cardiac dysrhythmias and infarct
patterns.
      2. State the topographic anatomical location of all of the electrode
positions for a 12 lead ECG.
      3. Demonstrate the procedures for electrical therapies.
      4. Compare and contrast the signs/symptoms and field treatment for
angina, unstable angina, acute myocardial infarction, and cardiogenic
shock.
      5. Identify all ACLS and BCLS algorithms and explain the rationale
for treatments.
      6. Given a description of a patient, write the appropriate
treatment.
   B. CHF and pulmonary edema
      1. List the causes of signs/symptoms of compensatory mechanisms in
and events that can lead to decompensation in heart failure.
      2. Given a description of a patient in pulmonary edema, identify the
patient is in pulmonary edema, and initiate the appropriate treatment.
      3. List five etiologies for non-cardiogenic pulmonary edema and
differentiate between cardiogenic and non-cardiogenic pulmonary edema. 
   C. Techniques of airway management
      1. Given specific patient situations and illnesses, select the best
method of oxygen delivery.
      2. Given a list of situations describing patients with airway
maintenance problems, select those situations in which endotracheal
intubation is indicated.
      3. Given that a patient requires endotracheal intubation, list the
correct procedure to be followed, including all steps in the proper
sequence.
      4. Given a patient with an airway management problem, correctly
identify the most appropriate airway/ventilation interventions.

V. Psychomotor Skills
   A. Patient assessment/communications
      1. Write a patient report and deliver a biomedical communication
from a videotaped or simulated emergency call.
      2. Demonstrate initial assessment, focused assessment, detailed
assessment, and on-going assessment.
   B. Medication administration
      1. Perform subcutaneous and intramuscular injections, intravenous
cannulation and parenteral medication administration, and external jugular
vein catheterization.
      2. Demonstrate how to set up and administer an intravenous fluid
infusion including timing an IV drip rate.
      3. Calculate the dosage, prepare and administer IV piggyback
medications, preloaded medications, and medications drawn up from vials
and ampules.
   C. Electrical therapies
      1. Demonstrate use of all controls on various portable heart
monitor/defibrillators.
      2. Choose appropriate energy setting, charge defibrillator, and
cardiovert using paddles, fast patch, and quick combo systems.
   D. Airway management
      1. Correctly perform the following skills according to task
analysis: bag valve mask, metered dose inhaler, nonrebreather facemask,
and endotracheal intubation.
   E. Cardiac emergencies
      1. According to ACLS algorithms, manage simulated cardiac
emergencies including patient assessment, airway, electrical therapies,
and medication administration.

Cognitive - competency will be verified through 6 homework
assignments, 6 quizzes, and 3 module finals. Quizzes and module finals
will be blueprinted. Items will represent a variety of question types and
levels of taxonomy, each of which is tied to a course competency. The
module final exam must be passed before the student can proceed to the
next module

Grading Scale:
   Cognitive:
      94-100% = A
      86- 93% = B
      80- 85% = C - minimum passing score
      70- 80% = D
        < 70% = F

6 homework assignments  @ 80 points each
6 quizzes               @ 120 points each
3 module exams          @ 400 points each
Total didactic points =  2400

EMS 225

• Title: MICT II*
• Number: EMS-225
• Effective Term: Fall 2010
• Course Type: Career
• Credit Hours: 10
• Contact Hours: 253
• Lecture Hours: 154
• Lab Hours: 94

Description:

Prerequisite: EMS 220 with a grade of "C" or higher

MICT II is the second of four courses in advanced out-of-hospital emergency medical care leading to the opportunity to sit for the National Registry Examination for Paramedics. This course builds on the foundational knowledge developed in MICT I and covers advanced management of medical and trauma emergencies in the out-of-hospital environment. Much material will be covered rapidly, and emphasis is on organization, internalization, synthesis and application of the basic knowledge of the discipline in this 10-week course. Students demonstrate competency at motor skill performance, and extensive simulation practice is afforded. Students begin field observation with a paramedic ambulance crew and complete an Advanced Cardiac Life Support Course. 314 hrs. integrated lecture/lab/field experience.

*() Indicates module-lesson in national standard curriculum

I. Medical Emergencies
   A. Alcoholism and alcohol
      1. From a list, select the signs and symptoms related to various
alcohol emergencies.
      2. List the physical characteristics of a patient suffering from
advanced alcoholism
   B. Acute abdomen and GU emergencies
      1. List the signs, symptoms, field treatment, and pathophysiology of
causes of acute abdomenal conditions. 
      2. List at least five questions that should be asked of any patient
with abdominal pain
      3. List the acute abdominal conditions most likely to cause shock
   C. Allergic reactions
      1. List the clinical presentation of anaphylaxis, from initial onset
to cause of death
      2. Given a description of a patient manifesting the signs and
symptoms of anaphylactic shock, specify the treatment.
   D. Asthma
      1. Identify the pathophysiology of asthma
      2. Given a dyspneic patient with a wheeze, identify at least four
other etiologies for the wheeze
      3. Given a patient in an acute asthma attack, identify the
mechanisms that contribute to or cause death
      4. Identify the significance pulse rate, retractions, diaphoresis,
accessory muscle use, skin color, LOC, ability to speak, respiratory rate,
and a paradoxical pulse have on assessing the severity of the asthma
attack
      5. State the questions that must be asked when eliciting an asthma
patient's history
   E. Barotrauma/hyperbaric oxygen therapy
      1. List the signs and symptoms and treatment of decompression
sickness
      2. State the physiology of nitrogen gas in the body
      3. State the mechanism by which hyperbaric oxygen therapy is
beneficial
   F. Behavioral emergencies
      1. List steps in assessment and techniques to manage behavioral
emergency patients
      2. List the factors that increase the risk of suicide
      3. Differentiate various etiologies of organic, inorganic, and
chemically induced behavioral emergencies
   G. Bites and stings
      1. Identify the pathophysiology, signs, symptoms, and treatment of a
pit viper bite
      2. From a picture or description, identify a black widow and brown
recluse spider, and list the signs, symptoms, and treatment of a bite
   H. Carbon monoxide and toxic gas poisoning
      1. Identify potential sources of toxic gasses, the signs and
symptoms of poisoning, and the treatment
   I. Chronic obstructive pulmonary disease
      1. Given a COPD patient in acute respiratory distress, list the
presenting signs and symptoms, and the treatment
      2. Given a patient with a history of COPD experiencing dyspnea, list
five factors that would allow the MICT to differentiate between COPD, CHF,
asthma, and pneumonia
      3. Define acute respiratory failure, and differentiate the various
presentations of ARF
   J. Cerebral vascular accident
      1. List the history, signs, and symptoms of CVA and TIA, and the
treatment and possible complications
      2. Given a patient with a possible non-traumatic neurological
problem, list at least five questions that should be asked during
assessment
      3. Given a hypertensive CVA patient, state why the BP should not be
aggressively lowered
   K. Diabetes
      1. List the signs, symptoms, precipitating factors, treatment, and
clinical significance of diabetic emergencies
      2. List the source and functions of insulin and glucagon in the
body
      3. Define the following terms: diabetes mellitus, diabetic
ketoacidosis, insulin shock, hypoglycemia, hyperglycemia, hyperglycemic
hyperosmolar coma, type I diabetes, type II diabetes, glycogenolysis,
gluconeogenesis
   L. Differential diagnosis of chest pain
      1. Identify the conditions capable of causing pain in the six
dermatome pain bands and differentiate their presentations from each
other
      2. List the appropriate treatment for a patient with chest pain of
probably non-cardiac etiology
   M. Endocrine emergencies
      1. List the pathophysiology, symptoms, and treatment of adrenal
crisis, thyroid storm, and myxedemic coma
   N. Environmental emergencies
      1. Identify the history, pathophysiology, clinical significance,
signs, symptoms, and treatment for heat cramps, heat exhaustion, heat
stroke, frostbite, and hypothermia
      2. Identify the normal body temperatures in degrees F and C, and the
regulatory mechanisms of temperature control
      3. Identify the hazards associated with treatment of heat stroke and
hypothermia
   O. Geriatric emergencies
      1. List the special problems to be considered when dealing with the
geriatric patient
      2. List principles of management that are unique to geriatric
patients 
   P. Hypertension
      1. Define (including numerical criteria) hypertension and
hypertensive crisis
      2. List the signs and symptoms of a hypertensive crisis and the
treatment, including specifics of blood pressure management
      3. List the common prescription medications taken for hypertension
   Q. Hyperventilation
      1. List the organic and inorganic causes of hyperventilation, the
proper field management, and complications that may result
      2. Identify the homeostatic mechanism for acid/base balance, and how
it is offset in the alkalotic state of hyperventilation
      3. Write blood gases for a patient who is in simple
hyperventilation
   R. Infectious disease
      1. Identify the pathophysiology, signs and symptoms, and management
of tuberculosis, hepatitis, meningitis, syphilis, gonorrhea, herpes
simplex type 2, AIDS, scabies, lice
      2. Identify the measures to be taken to ensure paramedic safety as
related to handling the patient with suspected infectious disease
      3. Write the major components of the immune system and describe the
function of each
   S. Near drowning
      1. List the pathophysiologies and potential causes of death in near
drowning, drowning, and secondary drowning
      2. Given a description of a patient who has been involved in a near
drowning, correctly provide the appropriate field treatment
      3. State the four factors affecting prognosis from near drowning
episodes
   T. Obstetrics and gynecology
      1. Identify the assessment procedures used when evaluating the
patient who is suspected of being pregnant, and the complications that
arise in the 1st, 2nd and 3rd trimester
      2. Identify the assessment procedures used when evaluating the
patient suspected of being in labor, and list four signs of imminent field
delivery
      3. Identify the steps necessary to assist with normal and abnormal
delivery
      4. Given a situation where the postpartum mother is bleeding,
identify if that bleeding is excessive, and the proper treatment
      5. Identify the complications of an assessment for the pregnant
patient who suffers trauma
      6. Identify the signs/symptoms of the distressed neonate and the
steps necessary for care of the newborn
      7. List the causes, signs and symptoms, histories, and treatment
priorities for five non-obstetrical causes of female abdominal pain
   U. Pediatric emergencies
      1. State age appropriate assessment techniques and vital signs for
pediatric patients
      2. Given a pediatric patient in respiratory distress, correctly
identify the etiology, signs, symptoms, classic age group, and treatment
      3. Identify the etiology, history, signs, and symptoms and treatment
of seizures, meningitis, poisoning, battered child, SIDS, dehydration,
sepsis, dysrhythmias, and congenital heart disease
      4. List the signs/symptoms and management of impending ventilatory
failure in the pediatric patient
      5. Given a child in bradycardia, tachycardia, or cardiac arrest,
identify proper treatment per ACLS/BCLS/PALS algorithms
   V. Pneumonia and atelectasis
      1. State three signs and two symptoms frequently found in patients
with pneumonia and describe appropriate treatment
   W. Pulmonary emboli -- spontaneous pneumothorax
      1. List the histories, signs, symptoms, and treatment for pulmonary
embolus
      2. List three potential etiologies for spontaneous pneumothorax and
signs, symptoms, and treatment
   X. Seizure disorders
      1. List four possible etiologies for grand mal seizures, and eight
questions that should be asked when ascertaining a history for the seizure
patient
      2. Given a description of a patient in an active grand mal seizure,
list the appropriate treatment, provide the rationale for that treatment,
and list four possible complications
      3. List the drugs that are commonly given in maintenance doses to an
epileptic to prevent seizure activity
   Y. The unconscious patient
      1. List the possible causes of unconsciousness using the AEIOU EMTPS
mnemonic
      2. List the chronological order of the steps in the assessment of an
unconscious patient, and five questions that should be asked about the
patient
      3. Define and briefly describe common causes of syncope
   Z. Toxicology
      1. List the signs, symptoms, mechanism of action that may lead to
death, street names, and field treatment for the following substances:
stimulants, hallucinogens, narcotics, sedative/hyponotics,
anti-cholinergics, psychotropics, caustics, petroleum products, alcohols,
hydrocarbons, aspirin, acetaminophen, and calcium channel blockers
      2. For tricyclic antidepressant overdose, list and how to manage
complications and why all patients should be evaluated at a hospital
regardless of initial presentation
      3. Given a description of a suspected OD/poisoning patient, identify
the suspected substance, key elements in differential diagnosis and
appropriate treatment
   AA. Vascular emergencies
      1. Identify the pathophysiology, signs and symptoms, and treatment
of aneurysms

II. Trauma Management
   A. Abdominal trauma
      1. List two categories of abdominal trauma, and the organs most
often injured in each
      2. List the steps involved in the evaluation of possible abdominal
trauma, the signs, and symptoms, and the treatment
   B. Burns
      1. List the signs and symptoms of 1st, 2nd, and 3rd degree burns
      2. List those factors that mandate admission to a burn unit
      3. Identify the history, signs/symptoms, significance, and field
treatment for pulmonary burns
      4. List the steps in assessing the burn patient and the appropriate
treatment
   C. Chest trauma
      1. Identify the pathophysiology, clinical significance, history,
signs and symptoms, and the treatment for tension pneumothorax, open
pneumothorax, flail chest, pericardial tamponade, traumatic asphyxia, and
ARDS
      2. Given a patient with a tension pneumothorax, list the procedure
for field decompression
   D. Ear, eye, and nose trauma
      1. List the steps for management of foreign bodies, and hemorrhage
from the ear and eye
      2. List two hazards associated with blunt trauma to the eye
      3. List four causes of epistaxis, and list the treatment
   E. Pneumatic anti-shock garment
      1. Identify the indications, contraindications, and complications
associated with PASG use
   F. Neck and facial trauma
      1. List problems with airway management, hemorrhage control, and
shock involved with treatment of facial and neck trauma
      2. List considerations in managing each of the following: orbital
blow-out fracture, impaled objects in the face or neck, trauma to the
mouth and jaw, trauma to the teeth,  temporomandibular joint dislocation,
blunt trauma to the neck with inadequate ventilation
   G. Neurological trauma
      1. Define various types of head trauma, associated complications,
and list the steps in treatment
      2. List the pathophysiology, clinical significance, signs, symptoms,
and treatment of neurogenic shock
   H. Orthopedic injuries
      1. List the signs, symptoms, clinical significance and treatment for
fractures and dislocations involving various bones of the body
      2. List four orthopediac emergencies
      3. Identify the objective for splinting and the procedure for
application of various types of splints
   I. Pediatric trauma
      1. Identify the most common causes of pediatric death from trauma 
      2. List at least two anatomical differences between the adult and
pediatric trauma patient that result in different patterns of injury
      3. Differentiate between the physiologic response to hypovolemic
shock in pediatric and adult patients
   J. Radiation emergencies
      1. Given a situation describing a radiation emergency, list
appropriate management including avoidance of self-contamination
   K. Shock
      1. Identify the pumping action of the heart, peripheral vascular
resistance, and blood volume as they pertain to the physiology of the
various types of shock
      2. State the changes in vital signs which usually occur in early
compensated shock and those occurring in later progressive shock
      3. List the body's physiologic reaction to shock
      4. List at least two ways in which the MICT can estimate if
sufficient fluid has been administered to the hypovolemic patient
   L. Spinal trauma
      1. Correctly list the incidents that mandate spinal immobilization
      2. List the signs and symptoms of spinal injury and the treatments
      3. Identify the procedure for applying the Kendrick Extrication
Device, and the long spine board
   M. Multiple systems trauma
      1. Given a description of a patient with multiple systems trauma,
list the appropriate treatment in an appropriate order of priorities
      2. Identify the ten steps in MCI scene command
   N. Wounds and bleeding
      1. List in order the proper techniques for stopping bleeding
      2. List the signs of arterial, venous, and capillary bleeding
      3. List the proper bandaging techniques

III. Field Observation Lab
   A. Closely observe all aspects of EMS operations
   B. Write a patient report on each patient contact

IV. Advanced Cardiac Life Support
   A. Successfully complete an Advanced Cardiac Life Support course

V. Psychomotor Skills Labs
   A. Demonstrate competency in all component motor skills
   B. Run a cardiac emergency simulation according to skill criteria
   C. Given a simulated respiratory or cardiac emergency,  diagnose and
treat the patient according to established medical protocol

Cognitive - competency will be verified through 6 homework
assignments, 6 quizzes, and 3 module finals. Quizzes and module finals
will be blueprinted. Items will represent a variety of question types and
levels of taxonomy, each of which is tied to a course competency. The
module final exam must be passed before the student can proceed to the
next module.

Motor Skills - competency will be verified by faculty observation of motor
skills performance utilizing skills task analysis as the standard.

Affective - competency will be evaluated by field preceptors utilizing
field evaluation instruments, two program staff using lab evaluation
instruments.

Medical Director - synthesizing information about student's progress in
each of the three domains, the course medical director will make a final
decision about terminal competence, and thus course completion.

Grading Scale:
   Cognitive:
   94-100% = A
   86- 93% = B
   80- 85% = C - minimum passing score
   70- 80% = D
     < 70% = F

6 homework assignments @  80 points each
6 quizzes              @ 120 points each
3 module exams         @ 400 points each
Total didactic points = 2400

Motor skills: pass/fail
Affective evaluations: pass/fail

Note: Successful course completion requires passing grade in didactic work
AND successful demonstration of skills competency, AND acceptable
evaluation of ALL affective competencies.

EMS 230

• Title: MICT III Clinicals*
• Number: EMS-230
• Effective Term: Fall 2010
• Course Type: Career
• Credit Hours: 12
• Contact Hours: 342
• Lecture Hours: 25
• Lab Hours: 128

Description:

Prerequisite: EMS 225 with a grade of "C" or higher

MICT III is the third of four courses in advanced out-of-hospital emergency medical care leading to the opportunity to sit for the National Registry Examination for Paramedics. During MICT III, paramedic students have the opportunity to take the knowledge and skills gained in MICT I and II and apply them in actual supervised clinical practice. MICT III represents a brief, intense 14-week course in which knowledge and skills are synthesized and applied to patients under supervision of physicians and nurses in clinical practice in the emergency department, critical care unit, surgery/ recovery room, labor/delivery room, pediatric emergency department and burn center. Field observation lab and classroom and laboratory review are included as well. Enrollment in this course requires that you be current in payment of a professional liability fee of $16.00. This fee is required once per calendar year based on enrollment in selected courses and must be in place prior to the start of classes. Students will be notified via their JCCC student email account if they are required to pay a $16 fee. 622 hrs. integrated lecture/lab and field/clinical experience.

NOTE: The National Standard EMT-P curriculum was developed by the US
DOT's National Highway Traffic Safety Administration. The curriculum,
mandated for use at JCCC by the Kansas Board of Emergency Medical
Services, is a detailed, competency based curriculum containing well over
1,000 cognitive, psychomotor, and affective competencies. This course
outline rather than attempting to recreate the national standard
curriculum will provide a brief executive summary. The full curriculum
will be provided as a reference document.

*() Indicates module-lesson in national standard curriculum

I. Field Observation Lab
   A. Upon discretion of the preceptor, perform biomedical communication,
patient assessment, ECG monitoring, IV infusion, endotracheal intubation,
medication set-up
   B. Perform basic level EMT functions
   C. Write a patient report on each patient contact

II. Clinical Internship
   A. Emergency Department
      1. Perform patient assessment, including primary assessment,
history, vital signs, physical exam, and documentation
      2. Develop a clinical impression of the patient's diagnosis and
discuss this with the preceptor
      3. Initiate intravenous cannulation and administer parenteral
medications
      4. Perform airway management
      5. Correctly apply ECG leads
   B. Obstetrics
      1. Correctly identify the signs and symptoms of the different stages
of labor
      2. Closely observe and describe the normal delivery and management
of complications during labor, delivery, or postpartum care of mother and
baby
   C. Intensive Care Unit
      1. Perform patient assessment, including primary assessment,
history, vital signs, physical exam, and documentation
      2. Develop a clinical impression of the patient's diagnosis and
discuss this with the preceptor
      3. Initiate intravenous cannulation and administer parenteral
medications
      4. Perform airway management
      5. Correctly apply ECG leads
      6. Closely observe for and identify any complications in patient's
condition that are associated with pre-hospital care
   D. Anesthesiology
      1. Ventilate the patient with a bag mask assessing for adequate face
to mask seal and adequacy of chest rise
      2. Assess the degree of compliance and discuss the causes and
implications of increased or decreased compliance with preceptor
      3. Correctly intubate an unconscious patient with an endotracheal
tube and correctly tape the tube in place
   E. Burn Unit
      1. Observe and describe burn wound healing, debridement, surgical
procedures
      2. Observe and evaluate airway care including endotracheal
intubation, upper airway burns, oxygen saturation and blood gases, and
burns to the chest
   F. Pediatrics
      1. Correctly take and evaluate vital signs in the pediatric patient
      2. Observe and identify closely the treatment and symptomatology of:
asthma, croup, epiglottitis, pediatric trauma, dehydration, and seizures
      3. Assess pediatric patients
   G. Respiratory Therapy
      1. Evaluate patients in respiratory distress paying particular
attention to their lung sounds, respiratory mechanics, PEFR, blood gases,
oxygen saturation, and end tidal CO2
      2. Administer nebulized breathing treatments

III. Cognitive and Motor Skills
   A. Techniques of patient handling
      1. Demonstrate the body mechanics of proper lifting technique
      2. Demonstrate proper technique for side lifts, extremity lifts, and
sheet lift
      3. Demonstrate proper technique with the following adjunctive
equipment: cot, long spine board, portable stretchers, stair chair, scoop
stretcher
   B. Renal and dialysis emergencies
      1. List common emergencies associated with dialysis patients
      2. List the appropriate treatments
   C. The twelve lead ECG
      1. State the criteria for a presumptive diagnosis of AMI from the 12
lead ECG including acute Qwave and non-Qwave AMI, qualify and quantify
diagnostic changes, numbers of contiguous leads in which the change must
be observed, and reciprocal changes
      2. Given a 12 lead ECG, identify ECG changes present, localize the
infarct site, and arrive at a presumptive diagnosis ruling AMI out or in
   D. Clinical case study
      1. Select patient(s) cared for during clinicals and research
      2. Write and present in-depth case studies
   E. EMS call simulation
      1. Demonstrate a satisfactory performance on a randomly selected
simulated emergency call with three attempts

IV. Affective Domain

Attitudinal Competencies - from the MICT Student Manual

Successful completion of the JCCC MICT program shall include demonstration
of the following attitudes/behaviors.

1. INTEGRITY - The student is honest and trustworthy.
   Examples of professional behavior include, but are not limited to,
consistent honesty, being able to be trusted with the property of others,
can be trusted with confidential information, complete and accurate
documentation of patient care and learning activities.

2. EMPATHY - The student is respectful and compassionate.
   Examples of professional behavior include, but are not limited to,
showing compassion for others; responding appropriately to the emotional
response of patients and family members; demonstrating respect for others;
demonstrating a calm, compassionate, and helpful demeanor toward those in
need; being supportive and reassuring to others.

3. SELF-MOTIVATION - The student demonstrates personal responsibility to
initiate, follow through and complete tasks and assignments without
supervision.
   The student receives and acts upon constructive feedback. Examples of
professional behavior include, but are not limited to, taking initiative
to complete assignments, taking initiative to improve and/or correct
behavior, taking on and following through on tasks without constant
supervision, showing enthusiasm for learning and improvement, consistently
striving for excellence in all aspects of patient care and professional
activities, accepting constructive feedback in a positive manner, taking
advantage of learning opportunities

4. APPEARANCE AND PERSONAL HYGIENE - The student exercises good personal
hygiene and professional appearance.
   Examples of professional behavior include, but are not limited to,
clothing and uniform is appropriate, neat, clean and well maintained; good
personal hygiene and grooming.

5. SELF-CONFIDENCE - The student demonstrates composed competent
leadership.
   Examples of professional behavior include, but are not limited to,
demonstrating the ability to trust personal judgment, demonstrating an
awareness of strengths and limitations, exercising good personal
judgment.

6. COMMUNICATION - The student utilizes effective communication
strategies.
   Examples of professional behavior include, but are not limited to,
speaking clearly, writing legibly, listening actively, adjusting
communication strategies to various situations.

7. TIME MANAGEMENT - The student makes effective use of time, thus meeting
deadlines, and is punctual.
   Examples of professional behavior include, but are not limited to,
consistent punctuality, completing tasks and assignments on time.

8. TEAMWORK AND DIPLOMACY - The student values teamwork.
   Examples of professional behavior include, but are not limited to,
placing the success of the team above self-interest; not undermining the
team; helping and supporting other team members; showing respect for all
team members; remaining flexible and open to change; communicating with
others to resolve problems.

9. RESPECT - The student is respectful of others.
   Examples of professional behavior include, but are not limited to,
being polite to others, not using derogatory or demeaning terms, behaving
in a manner that brings credit to the profession.

10. PATIENT ADVOCACY - The student always keeps the patient number one.
   Examples of professional behavior include, but are not limited to, not
allowing personal bias or feelings to interfere with patient care, placing
the needs of patients above self-interest, protecting and respecting
patient confidentiality and dignity.

11. CAREFUL DELIVERY OF SERVICE - The student is thorough and safe.
   Examples of professional behavior include, but are not limited to,
mastering and refreshing skills; performing complete equipment checks;
demonstrating careful and safe ambulance operations; following policies,
procedures, and protocols; following orders.

Taken together, these values constitute professional behavior.

The student's progression in these areas is evidenced by initially
expressing willingness to learn new attitudes and behaviors, which
progresses to active participation in discussing them. Next, the student
demonstrates acceptance and integration of these attitudes and behaviors
in interactions with others. Later, the student demonstrates preference
for these values and ultimately an internal commitment to them.

Cognitive - competency will be verified through 6 homework
assignments, 6 quizzes, and sectionalized course final. Quizzes and module
finals will be blueprinted. Items will represent a variety of question
types and levels of taxonomy, each of which is tied to a course
competency. Students must achieve an overall passing grade in the course
as well as passing grades on each section of the final exam.

Motor Skills - competency will be verified by faculty observation of motor
skills performance utilizing skills task analysis as the standard.

Affective - competency will be evaluated by clinical and field preceptors
utilizing clinical and field evaluation instruments. These instruments
utilize a 1-5 Lickert scale with 3 defined as minimum competence.

Medical Director - synthesizing information about student's progress in
each of the three domains, the course medical director will make a final
decision about terminal competence, and thus course completion.

Grading Scale:
   Cognitive:
      94-100% = A
      86- 93% = B
      80- 85% = C - minimum passing score
      70- 80% = D
        < 70% = F

6 homework assignments @  66 points each
6 quizzes              @ 200 points each
1 course final         @ 500 points
Clinical case study    @ 100 points
Total didactic points = 2200

Motor skills: pass/fail
Affective evaluations: pass/fail

Note: Successful course completion requires passing grade in didactic work
AND successful demonstration of skills competency, AND acceptable
evaluation of ALL affective competencies.

EMS 271

• Title: MICT IV Field Internship*
• Number: EMS-271
• Effective Term: Fall 2010
• Course Type: Career
• Credit Hours: 15
• Contact Hours: 440
• Lecture Hours: 79
• Lab Hours: 256

Description:

Prerequisite: EMS 230 with a grade of "C" or higher

MICT IV is the final of four courses in advanced out-of-hospital emergency medical care leading to the opportunity to sit for the National Registry Examination for Paramedics. During MICT IV, paramedic students have the opportunity to take the knowledge and skills gained in MICT I, II and III and apply them in an actual practice environment. MICT IV represents an intense 4-month course in which knowledge, skills and professional behaviors are synthesized and applied to victims of sudden trauma or medical emergencies under supervision of paramedic preceptors at the emergency scene and in the ambulance. Entry-level competence into the profession is demonstrated as the student demonstrates the ability to assess the scene and the patient, develop a plan for therapeutic intervention as well as scene management, and effectively lead the out-of-hospital resuscitation team's effort. Classroom and laboratory review are included. Enrollment in this course requires that you be current in payment of a professional liability fee of $16.00. This fee is required once per calendar year based on enrollment in selected courses and must be in place prior to the start of classes. Students will be notified via their JCCC student email account if they are required to pay a $16 fee. 810 hrs. integrated lecture/ lab and field/clinical experience.

NOTE: The National Standard EMT-P curriculum was developed by the US
DOT's National Highway Traffic Safety Administration. The curriculum,
mandated for use at JCCC by the Kansas Board of Emergency Medical
Services, is a detailed, competency based curriculum containing well over
1,000 cognitive, psychomotor, and affective competencies. This course
outline rather than attempting to recreate the national standard
curriculum will provide a brief executive summary. The full curriculum
will be provided as a reference document.

*( ) Indicates module-lesson in national standard curriculum

I. Field Internship
   A. Perform patient assessment when given a real patient, according to
skill criteria. Patient assessment should include history, physical
examination, and vital signs.
   B. Given a variety of patients manifesting different degrees of illness
or injury, assign appropriate assessment, treatment and transportation
priorities.
   C. Given a situation where the student must perform Basic Cardiac Life
Support on a patient, performance should be consistent with established
standards.
   D. Given a patient requiring the following techniques, they should be
performed according to established skill criteria:
      1. Intravenous cannulation and parenteral medication administration
      2. Basic and advanced airway management
      3. Acquiring the 12 lead ECG and electrical therapies
      4. Mechanical CPR devices
      5. Spinal and extremity immobilization
      6. Hemorrhage control
      7. Patient handling
   E. Given a situation requiring biomedical communications, perform
according to skill criteria, with regard to patient's acuity.
   F. Identify specified ECG rhythms from written tracing or dynamic
tracing with 90% accuracy.
   G. State the dosages, indications, contraindications, side effects, and
precautions for any of the medications in the MICT Formulary.
   H. Given any medical or traumatic emergency, initiate appropriate
treatment, as per service protocols, in an assertive manner.
   I. Demonstrate the ability to communicate in a calm, professional
manner to the patient's family and/or bystanders, as determined by the
JCCC faculty or preceptor.
   J. Write patient reports in an acceptable fashion with regard to
spelling, grammar, legibility and content.
   K. Demonstrate the ability to constantly "put it all together, "
organize the call, assess the patient, assign priorities, treat
appropriately and demonstrate suitable patient rapport.

II. Cognitive and Motor Skills
   A. Demonstrate a satisfactory performance on a randomly selected
simulated emergency call within three attempts.
   B. Understand the legal issues that impact decisions made in the
out-of-hospital environment.
   C. Understand standards and guidelines that help ensure safe and
effective ground and air medical transport.
   D. Integrate the principles of general incident management and multiple
casualty incident (MCI) management techniques in order to function
effectively at major incidents.
   E. Integrate the principles of rescue awareness and operations to
safely rescue a patient from water, hazardous atmospheres, trenches,
highways, and hazardous terrain.
   F. Evaluate hazardous materials emergencies, call for appropriate
resources, and work in the cold zone.
   G. Demonstrate an awareness of the human hazard of crime and violence
and the safe operation at crime scenes and other emergencies.

III. Affective Domain
   Attitudinal Competencies - from the MICT Student Manual

   Successful completion of the JCCC MICT program shall include
demonstration of the following attitudes/behaviors.

   1. INTEGRITY - The student is honest and trustworthy.
   Examples of professional behavior include, but are not limited to,
consistent honesty, being able to be trusted with the property of others,
can be trusted with confidential information, complete and accurate
documentation of patient care and learning activities.

   2. EMPATHY - The student is respectful and compassionate.
   Examples of professional behavior include, but are not limited to,
showing compassion for others; responding appropriately to the emotional
response of patients and family members; demonstrating respect for others;
demonstrating a calm, compassionate, and helpful demeanor toward those in
need; being supportive and reassuring to others.

   3. SELF-MOTIVATION - The student demonstrates personal responsibility
to initiate, follow through and complete tasks and assignments without
supervision.
   The student receives and acts upon constructive feedback. Examples of
professional behavior include, but are not limited to, taking initiative
to complete assignments, taking initiative to improve and/or correct
behavior, taking on and following through on tasks without constant
supervision, showing enthusiasm for learning and improvement, consistently
striving for excellence in all aspects of patient care and professional
activities, accepting constructive feedback in a positive manner, taking
advantage of learning opportunities

   4. APPEARANCE AND PERSONAL HYGIENE - The student exercises good
personal hygiene and professional appearance.
   Examples of professional behavior include, but are not limited to,
clothing and uniform is appropriate, neat, clean and well maintained; good
personal hygiene and grooming.

   5. SELF-CONFIDENCE - The student demonstrates composed competent
leadership.
   Examples of professional behavior include, but are not limited to,
demonstrating the ability to trust personal judgment, demonstrating an
awareness of strengths and limitations, exercising good personal
judgment.

   6. COMMUNICATION - The student utilizes effective communication
strategies.
   Examples of professional behavior include, but are not limited to,
speaking clearly, writing legibly, listening actively, adjusting
communication strategies to various situations.

   7. TIME MANAGEMENT - The student makes effective use of time, thus
meeting deadlines, and is punctual.
   Examples of professional behavior include, but are not limited to,
consistent punctuality, completing tasks and assignments on time.

   8. TEAMWORK AND DIPLOMACY - The student values teamwork.
   Examples of professional behavior include, but are not limited to,
placing the success of the team above self-interest; not undermining the
team; helping and supporting other team members; showing respect for all
team members; remaining flexible and open to change; communicating with
others to resolve problems.

   9. RESPECT - The student is respectful of others.
   Examples of professional behavior include, but are not limited to,
being polite to others, not using derogatory or demeaning terms, behaving
in a manner that brings credit to the profession.

   10. PATIENT ADVOCACY - The student always keeps the patient number
one.
   Examples of professional behavior include, but are not limited to, not
allowing personal bias or feelings to interfere with patient care, placing
the needs of patients above self-interest, protecting and respecting
patient confidentiality and dignity.

   11.   CAREFUL DELIVERY OF SERVICE - The student is thorough and safe.
   Examples of professional behavior include, but are not limited to,
mastering and refreshing skills; performing complete equipment checks;
demonstrating careful and safe ambulance operations; following policies,
procedures, and protocols; following orders.

   Taken together, these values constitute professional behavior.

   The student's progression in these areas is evidenced by initially
expressing willingness to learn new attitudes and behaviors, which
progresses to active participation in discussing them. Next, the student
demonstrates acceptance and integration of these attitudes and behaviors
in interactions with others. Later, the student demonstrates preference
for these values and ultimately an internal commitment to them.

Cognitive - competency will be verified through 6 Homework
assignments, 6 quizzes, and sectionalized course final. Quizzes and module
finals will be blueprinted. Items will represent a variety of question
types and levels of taxonomy, each of which is tied to a course
competency. Students must achieve an overall passing grade in the course
as well as passing grades on each section of the final exam.

Motor Skills - competency will be verified by faculty observation of motor
skill performance utilizing skills task analysis as the standard.

Affective - competency will be evaluated by clinical and field preceptors
utilizing clinical and field evaluation instruments. These instruments
utilize a 1-5 lickert scale with 3 defined as minimum competence.

Medical Director - synthesizing information about student's progress in
each of the three domains, the course medical director will make a final
decision about terminal competence, and thus course completion.

Grading Scale:
   Cognitive:
      94-100% = A
      86- 93% = B
      80- 85% = C - minimum passing score
      70- 80% = D
        < 70% = F

6 homework assignments @  66 points each
6 quizzes              @ 200 points each
1 course final         @ 500 points
EMS Research Project   @ 200 points
Field Case Studies     @ 100 points
Total didactic points = 2400

Motor skills: pass/fail
Affective evaluations: pass/fail

Note: Successful course completion requires passing grade in didactic work
AND successful Demonstration of skills competency, AND acceptable
evaluation of ALL affective competencies, AND completion of ALL
requirements for skills performance as specified in the Students Manual
(pg. 21)