Revised 03Feb2016
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Revised 03Feb2016
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TABLE OF CONTENTS
Introduction…………………………..……………...………………………………………………………...4 Credentialing…………………………………………………………………………………………………………...4
Continuing Education Personnel Contact Information………………………………………………………..4
Paramedic Program Personnel Contact Information……...…………………………………………………...4
Program Philosophy………………..………………...………………………………………………………..5
Program Goal.…………………..…………………...………………………………………………………...5
Course Information and Requirements……………...………………………………………………………...5
Program Pre-requisites……………………………...………………………………………………………....6
Program Co-requisites…………………………………………………………………………………………6
Financial Information………………….…………...……………………………………………………..…...7
Fees & Tuition……………………………………...…………………………………………..……………...7
Uniform Costs………………………………………………………………………………………………….8
Financial Aid Information…………………………...…………………………………..…………………….8
Business Office Information………………………...………………………….…….………………………..8
Billing of Tuition…………………………………...…………………………….….………………………...8
Student Refund Policy……………………………...………………………….…….………………………...8
Admissions to Paramedic Program……………………………………………………………………………9 EMT-Basic Entrance Exam…………………………………………………………………………………………....9
Attendance Policy…………………………………...……………………….……….………………………10 Tardiness……………………………………………………………………………………………………………...10
Absences……………………………………………………………………………………………………………...10
Clinical (Hospital & MICU) & Field Internship……………………………………………………………………...10
Penalties…………………………………………………………………………………………………....................10
Academic requirements……………………………...……………….………………….…………………...11
Incomplete Grades…………………………………...…….………………………….……………………...11
Grade Point Averages………….……………………...…………………………………………….………..12
Grading…………………………….…………………...…………………………………………………….12 Didactic Grades……………………………………………………………………………………………………….12
Clinical Grades………………………………………………………………………………………………………..13
Affective Domain Evaluations………………………………………………………………………………………..13
Exams…………………………………………………………………………………………………………14 ‘Written’ Exams………………………………………………………………………………………………………14
Practical Exams………………………………………………………………………………………….....................14
Computer Adaptive Testing (CAT)…………………………………………………………………………………..15
Academic Integrity Policy……………………………………………………………………………………15
Course Requirements……………..……….…………...……………………………………………………..17
Completion of Program…………..…………………...……………………………………………………...18
Causes for Dismissal from the Program………..……...……………………………………………………..18
Student Counseling Policy……….……………..……..……………………………………………………...19
Sexual Discrimination Policy………………………………………………………………………………...19
Harassment Policy…………………………………………………………………………………………....19
Discrimination or Sexual Harassment…...……..…………………………………………………………….19
Classroom / Clinical Appearance………………...……..…………………………………………………....19
Clinical Objectives……………………………….…………………………………………………………..20
Clinical Rotations…………………….……..…...…………………………………………………………...20
Clinical Experiences………………….…..……...…………………………………………………………...20
Clinical Paperwork………………………………..………………………………………………………….21
FISDAP……………………………..….………...…………………………………………………………..22
Student Rights, Responsibilities, & Expectations...………..……….………………………………………..22
Student Appeals Process…………..……………………………….………………………………………....23
Class Cancellation……………………………………………………………………………………………24
Student Code of Conduct…………………………………………………………………………………….25
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Student Counseling Report-Section I offenses……………………………………………………………...27
Student Counseling Report-Section II offenses……………………………………………………………...28
Classroom Behavior…………………………………………………………………………………………..30 Daily Class & Laboratory Conduct…………………………………………………………………………………...30
Daily Hospital Clinical Conduct……………………………………………………………………………………...31
Daily Field Experience & Internship Conduct………………………………………………………………………..31
Clinical Experience Requirements...………..……………………..………………………………………….33 Minimum Hours by Rotation/Department………………………………………………………………....................33
Total Hours…………………………………………………………………………………………………………...33
Additional Clinical Rotation Assignments…………………………………………………………………………...33
Assessment & Age Ranges…………………………………………………………………………………………...33
Complaints………………………………………………………………………………………………....................34
Impressions…………………………………………………………………………………………………………...34
Skills…………………………………………………………………………………………………………………..34
Field Internship Requirements………………………………………………………………………………..35
Clinical Sites………………………………………………………………………………………………….36 MICU.…………………..…………………………………………………………………………………………….36
ED…………………………………..……………….……………………………………………………..................38
ICU………………….……………….…………………………………………………………........………………..40
OR………………..…………………………………………………………………………………………………...41
Pre / Post Anesthesia Care Unit – PACU…………………………………………………………………………….42
Cardiac Cath Lab…………………..…………………….…………………………………………………………...43
Labor & Delivery………………………..…………………………………………………………………................44
PEDS……………………………….……………………..…………………………………………………..............45
NICU…………………………………………………………………………………………….………....................46
Telemetry………….…………………….……………………………………………………….…………………...47
Psychiatric………………………………………………………………………………………….…..…..................48
Same Day Surgery…………………………………………………………………………………..………………..49
Communications………………………………………………………………………………………....…………...50
Morgue..........………………………………………………………………………………....………………………51
Capstone Field Internship…………………………………………………………………………………….52 Internship Completion Requirements………………………………………………………………………………...52
Prerequisites…………………………………………………………………………………………………………..52
Overview……………………………………………………………………………………………………………...52
MICU Experience – what Internship is not…………………………………………………………………………..52
Clinical Educators & Mentors………………………………………………………………………………………...52
Capstone Field Internship…………………………………………………………………………………………….53
Prohibited EMS Activities…………………………………………………………………………………...54 Signing for Narcotics……………………………………………………………………………………....................54
EMS Documentation………………………………………………………………………………………………….54
EMS Protocols requiring 2 Paramedics…………………………………………………………………....................55
National Registry…...……..………………………………………………………………………….….…..56
Paramedic Overview.……………………………………………………………………………..………….57
Facilities……………………………………………………………………………………………………...58 CHS Affiliate Moses Taylor Hospital………………………………………………………………………………..58
Forms Dismissal due to attendance letter………61
Physical Risk Assessment………………62
Declaration of Understanding…………..63
Statement of Employer Awareness……..64
Academic Warning Form……………….65
Consent for Invasive Procedures………..66
PA State ALS Medication List………….67
DOH Criminal History Reporting Form…71
Affective Domain Evaluation Forms……………...74
Clinical & Field Evaluation……………..........74
Classroom Evaluation………………………...78
Laboratory Evaluation…………………...........82
Hospital/Field/Internship Patient Care Report……84
Functional Position Description for the ALS
Provider……………………………………………87
Clinical Educator / Student Agreement Form…….90
HIPPA Compliance……………………………….92
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Lackawanna College Paramedic Program – Student Handbook
This document contains information on the EMS Academy’s Paramedic Program, accredited by the Department
of Health and sponsored by Lackawanna College and its Clinical Affiliates.
Lackawanna College’s Paramedic Program encompasses 1604 hours. The program has established clinical
internships with several area hospitals and Mobile Intensive Care Units (MICU’s). This program is offered in a
post-secondary educational setting with clinical time accrued in participating community hospital settings and on
authorized MICU services throughout the region. The program includes a 200- 300 range of Capstone Field
Internship with participating MICU services.
Didactic 628
LAB 204
MICU Exp. 324
Hospital 248
Field Internship 300
Total Hrs. 1704
Student performance is measured and evaluated by quizzes, exams, laboratory instructions / performances,
practical examinations, clinical evaluations, research, reports, papers, oral presentations, willingness to participate
and demonstration of mature, responsible behavior. Students who graduate the program are eligible for National
Registry examination (National Registry of EMT’s Paramedic Certification Exam). Registration fees for National
Registry examination are not included in program tuition. Students are responsible for registration fees due to
National Registry.
Credentialing
Paramedic Graduates seek specific ‘card courses’ that will grant them the necessary credentialing
certificates for Medical Command Authorization by an EMS organizations’ Medical Command Physician
and subsequent employment. Lackawanna College’s Paramedic Program’s 628 Didactic hours includes
the following credentialing or ‘card courses’:
American Heart Association Basic Life Support (BLS) or (CPR)
American Heart Association Advanced Cardiac Life Support (ACLS)
American Heart Association Pediatric Life Support (PALS)
International Trauma Life Support (ITLS) or Prehospital Trauma Life Support (PHTLS)
Continuing Education Personnel Contact Information
Dean of Continuing Education Anita Cola 570.961.7815 [email protected]
Special Programs Manager Bridget Duggan 570.961.7883 [email protected]
Paramedic Training Personnel Contact Information
Academy Director:
Brent S. Parry, B.S., NRP, EMT-P
Phone: 570.504.7928 e-mail: [email protected]
Clinical Coordinator Paramedic Program:
Candance L. Burcheri, BSN, RN, CEN, PHRN
Phone:570-504-7928 e-mail: [email protected]
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Paramedic Program Director: Cheryl Sweet, B.S., RN, CEN, CPEN, SANE
Phone: 570-504-7928 e-mail: [email protected]
Medical Director:
Louis M. Kareha D.O.570.561.6595
Clinical Data Specialist:
F. Brian Romans
Phone: 570-504-7908 e-mail: [email protected]
Primary Instructors: Phone: 570-504-7908
Jeffery M. Thomas, BS, RN, CEN, CCRN, NRP, EMT-P, PHRN, CTRN, CCP
Joseph J. VanOrden, NRP, EMT-P, CCEMT-P, FP-C
Jordan R. Trygar, BSN, RN , NRP, EMT-P, FP-C
William V. Terry, BS, RN, CFRN, PHRN, EMT-P
Margret E. Lepore, LPN (Assistant Instructor)
Program Philosophy
The Paramedic Program prepares the student to take the National Registry of EMT’s Paramedic Level certificate
examination. Classroom education is combined with intensive clinical and field internships to enhance the
foundation of EMS and the healthcare provided in the field.
Program Goal
To prepare competent entry-level Emergency Medical Technician Paramedics in the cognitive (knowledge),
psychomotor (skills) and affective (behavioral) learning domains.
Course Information and Requirements
Lackawanna College has been certified by the Department of Health, as an accredited Paramedic Training
Institute. Under the provisions of the Emergency Medical Services Act, Lackawanna College offers
comprehensive training for pre-hospital personnel involving paramedic and other emergency medical service
education. The program prepares participants for the National Registry of EMT’s Paramedic level examination.
The paramedic program is a 1604- 1704 * hours program that combines classroom education with intensive
clinical and field experiences. (*) Capstone hours requirement may vary.
To participate, a students must first be certified as an Emergency Medical Technician of the Basic or Advanced
EMT levels. Students will be taught to provide basic and advanced pre-hospital care to ill and injured patients, to
master skills essential to coordination and management of EMS Systems and to interact efficaciously with
healthcare professionals, patients, and family members.
First Semester Second Semester EMS 105 Introduction to EMS (3cr.) EMS 210 Trauma (3cr.)
EMS 120 Assessment (1cr.) EMS 215 Medical Emergencies I (3cr.)
EMS 112 General Pharmacology (1cr.) EMS 225 Medical Emergencies II (3cr.)
EMS 125 Respiratory (3cr.) EMS 235 Advanced Clinical (5.cr)
EMS 130 Cardiology (6cr.) COL 201 Capstone Seminar (1cr. Degree students only)
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EMS 205 Clinical EMS (3cr.) EMS 200 Capstone Field Internship (3cr.) Semester Total: (17cr.) Semester Total (certificate): (17cr.)
Semester Total (EMS Degree): (18cr.)
Program Prerequisites Admission into the EMS Academy’s Paramedic Training Program requires completion of the following
procedures:
Submit a College Admission Application with the required $115 registration fee.
Submit a copy of your driver’s license.
Submit a copy of your current PA EMT-B Certificate (or AEMT if applicable).
o Must show proof of meeting CE requirements if certification expires within school year.
Submit a copy of your medical insurance.
Complete personal health history form including immunizations record.
Submit proof of a recent physical examination completed by physician and/or PA-C or CRNP:
Must include a two step TB test.
Date of examination must within 3 months prior to intended entrance into program and
state that student is in good health, free from communicable diseases and has no physical
restrictions (must be able to lift at least 50 lbs.)
Submit proof of the following background checks: PA State Police Background check, FBI Fingerprint
record, PA Child Abuse Clearance
Submit a copy of High School Diploma (or official transcripts) or GED Certificate.
Submit proof of having taken the college assessment test:
Showing strengths in writing, reading comprehension and arithmetic.
Successfully pass the Program’s EMT-Basic entrance exam.
Complete the Program’s Learner Assessment Evaluations
Complete face-to-face interview the Academy faculty. Submit to Urine Drug Screening. Degree students hoping to enter the Paramedic program must maintain a2.0 GPA and have no disciplinary
actions on or off campus during his/her time at Lackawanna College. NOTE: Due to the intense nature of this program, students are expected to have a strong command of writing and reading
comprehension, in English, as well as the ability to perform arithmetic computations. Students should have the ability to
perform mathematical computations including but not limited to, the use of: Addition, Subtraction, Division, Multiplication,
fractions, decimals, ratios, and Basic Algebra. Students who do not possess strong reading, writing and mathematical abilities
will be advised to seek remedial education to increase strength in those areas. Students who do not possess strong reading,
writing and mathematical abilities may have difficulty completing this program.
Financial Information
In addition to previous program prerequisites, students must fill out appropriate financial aid applications. An
appointment can be made by calling the Lackawanna College Financial Aid Office at 570-961-7859.
Registration Fee $115.00 (Fee is non-refundable and must be submitted with the application. Pre-enrollment testing will not be scheduled
until the fee is paid. Registration fee is for Lackawanna College registration not for National Registry
Examination purposes.)
Books and clinical software $1690.00 (Fee is non-refundable and due upon acceptance into the program. Purchase of *Fisdap account includes Fisdap
Skills Tracker & Scheduler. Books (Brady) for the paramedic course itself and credentialing courses may be
retained or kept by the student after completion of the program.
Credentialing Courses Software Books Drug Testing
ACLS - $200 FISDAP-$80 Brady Paramedic Text- - $850 UDS - $40
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PALS-$200 EMS Testing-$50 & Lap top.
ITLS-$220
CPR-$50
________
Subtotal: $670 Subtotal : $130 Subtotal: $850 Subtotal: $40
All fees, including registration, books, and tuition must be paid in full before the semester
begins. Students who have not paid fees for second semester will not be allowed to continue
until fees are paid in full.
Tuition:
First Semester $6490.00
Second Semester $6490.00
Total Costs for the program $ 14,785.00 (Costs for supplemental courses, if offered, in conjunction with the paramedic program such as CPR, ACLS,
PALS etc. are included in books and clinical software fees only for students enrolled in the paramedic program in
the same year as such supplemental programs are offered.)
Students who qualify may receive funding through Financial Aid to cover the full costs of tuition.
Registration fees for National Registry examination are not included in program tuition. Student is
responsible for registration fees due to National Registry.
Uniform Costs Uniform shirts are required by the Paramedic program; however the Program does not collect fees for Uniforms.
The student is required to make arrangements for the purchase of Uniform shirts prior to the first day of class.
Students are required to have sufficient quantity of Uniform shirts to meet the needs of their participation within
the Program.
The Uniform shirt will be a Dark Navy Blue Golf Shirt with the ‘Lackawanna College EMS Academy
embroidered on the left Breast and ‘Student’ embroidered on the right breast.
Hospital Clinical Uniform will consist of navy blue field pants or navy blue scrub pants with the Lackawanna
College EMS Academy uniform shirt. Shoes must be either black sneakers or black Dansko’s. NO WHITE
SNEAKERS will be allowed.
Uniform shirts and designated embroidery is available at the following vendors:
Starr Uniform Med Plus Uniforms
207 Center street 233 Scranton Carbondale Highway
Scranton PA, 18503 Scranton, PA 18508
570.344.6831 570.341.7445
Financial Aid Information Lackawanna College makes every effort to help students meet the educational expenses. All students are
encouraged to complete a Free Application for Federal Student Aid (FAFSA), which are available in the Financial
Aid Office. The Federal Pell Grant and several loan programs may be available to eligible paramedic students.
Please call 570-961-7826 to schedule an appointment.
Business Office Information The College requires that all tuition be paid in full prior to classes beginning in any semester. Any and all
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collection expenses incurred by the College to collect any delinquent receivables are the responsibility of the
student.
Billing of Tuition
Students who expect to have their tuition and/or books and/or lab fees paid for by an organization should present
letters to the Lackawanna College Business Office at the time of registration. The letters must state who will pay
tuition, where it will be billed and if books or any related items are to be included.
Student Refund Policy
The College must engage its faculty and make other costly commitments in advance on the basis of anticipated
revenue from tuition. When students withdraw, they leave a financial void that cannot be filled after a semester
has begun. Therefore, the following refund policy has been established for standard semesters (Fall & Spring):
If a student withdraws prior to the first week of classes, only the $115 registration fee and the $20
commitment fee will be retained. If a student withdraws during the second week of classes, the College will retain 25% of the total
tuition for that semester. If a student withdraws during the third week of classes, the College will retain 75% of the total
tuition for the semester. If a student withdraws during the fourth week of classes, the College will retain 100% of the tuition.
If a student’s financial aid is impacted negatively because of withdrawal or drop/add adjustments, the student
remains responsible for any balance owed and any costs incurred by the College to collect the monies owed.
The effective date of withdrawal is the date that written notice of withdrawal is received by the Continuing
Education Office. Withdrawal forms are available from the Continuing Education Office, Registrar’s Office, and
Student Services. In the event a student is requested to withdraw from the college for scholastic or disciplinary
reasons the standard refund policy applies. Please note that fees are not refundable.
Admissions to Paramedic Program
Each student who wishes to enter the Paramedic Training Program must complete the following admission
requirements prior to the registration deadline. The only exception is the Urine Drug Screening (UDS) which will
be facilitated (at cost to the student), by the program, during the first week of class. Positive UDS results will
result in immediate dismissal from the program.
Be at least 18 years of age at the start of the program.
Be an Emergency Medical Technician, preferably, (but not required) with at least one year's
experience.
Submit an Admissions Application and a copy of their medical insurance, driver's license, and proof
of current EMT, proof of current CPR and their high school diploma and/or high school official
transcripts or GED Certificate and any college transcripts.
Complete a personal health history form and submit a physical examination form completed and
signed by a physician or PA-C or CRNP with immunizations dates listed verified on the health
history form (page 5 of application).
Complete and submit results from an FBI-fingerprint background check without disqualifying
results.
Complete and submit results from a Pennsylvania Child Abuse History Clearance check without
disqualifying results.
Complete and submit results from a Pennsylvania State Background check without disqualifying
results.
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Have filled out the necessary Financial Aid Applications.
Have submitted payment for textbooks/laptops or have made payment arrangements with the
Business Office.
Have paid all admission fees.
Complete the college assessment test and the EMT-Basic entrance exam.
Successfully complete an oral interview conducted by the EMS Academy faculty.
Complete student assessments.
Have acquired the Paramedic program Uniform.
Submit to Urine Drug Screening
EMT-Basic Entrance Exam
Each prospective student will be required to take and achieve a score of 75% or better on the EMT-Basic
pre-admission exam prior to being accepted into the program. If a prospective student fails to achieve a
minimum score of 75% on the EMT-Basic pre-admission exam they can schedule a second attempt of
the exam with any EMS Academy faculty member. EMS Degree students are not exempt from meeting
this requirement. EMS Degree students who are unable to achieve a minimum score of 75% on the
EMT-Basic pre-admission exam will not be permitted to enter the Paramedic Training Program.
Should the prospective student fail the second attempt at the EMT-Basic pre-admission exam the
prospective student should consider the following two options:
1. Waiting for the next Paramedic Program offering and re-apply.
2. Entering the EMS Degree Program, complete Year 1 course work and re-apply.
Attendance Policy
Absence and tardiness are cumulative between didactic and clinical portions of the program; they are
not independent of each other.
Tardiness
Students entering class after roll has been taken will be listed as absent from that class unless they
subsequently inform the instructor of their late arrival. Students who are late for class should knock and
ask the instructor for permission to enter the class.
Absences
Student absences and tardiness is tracked by hours. Students may not miss more 30 hours per
semester or 60 hours cumulatively throughout the program; including Classroom, Laboratory,
MICU Experience, and Hospital Clinical. Students must contact the Clinical Coordinator or
designated faculty member prior to missing class, lab, clinical, MICU experience. Excess of 30
missed hours in one semester or the accumulation of greater than 60 missed hours for the
duration of the Program will result in the students’ dismissal from the program. All Field
internship absence time (CAPSTONE) must be reported to the Clinical Coordinator or
designated faculty member. All absent time must be made up by target completion date as
outline in CAPSTONE agreement.
Students must provide the Clinical Data Management Specialist with a written excuse from
class by a Physician and/or PA-C or CRNP for absences due to medical reasons. The
written documentation must be specifically a work/school excuse. Discharge paperwork or
a bill for services is not acceptable. The student must provide written documentation, from
a Physician and/or PA-C or CRNP, to the EMS Academy faculty prior to being allowed to
return to class. Subject to review by Program administration.
Attendance is required during all clinical hours. Any absent clinical time must be made up
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at the end of the year. The student will be charged for all clinical absence time.
Clinical (Hospital & MICU) & Field Internship
When Clinical (Hospital & MICU) and Field Internship assignments are scheduled, the student is
expected to attend as scheduled. Absences are disruptive to the schedule of Clinical and Field Internship
and wastes available resources which could benefit other students. The Program has implemented the
following Penalties Fees for each absence of Clinical or Field Internship Hours in addition to the
attendance penalty. Students are expected to pay the Penalty Fees (in the Continuing Education Office)
prior to the last scheduled classroom day. Failure to do so will result in the student not be allowed to
attend their make-up clinical shift or Field Internship time.
Penalties
Hospital Clinical $160.00
MICU Experience $240.00
Field Internship $480.00 Academic Requirements
Students are allowed to re-test a written Exam; one re-test only. Re-tests may not be carried over from
semester to semester. Re-test will be scheduled at the discretion of the EMS Academy faculty within 5
scheduled academic days from initial exam.
The maximum attainable score on any re-test is 75%
The initial Exam score (written) must be greater than or equal to 75%; otherwise a re-test is required.
The student must achieve at least a 75%, re-testing any (written) Exam or the student will be dismissed
from the program.
Students must successfully complete practical exams by the third attempt or be dismissed from the
program. No more than three attempts will be allowed on Practical Exams.
For any section of the Program, the clinical evaluation score must be greater than or equal to 75%,
otherwise the student will be dismissed from the program.
GPA for any section of the Program must be greater than or equal to 75%, otherwise the student will be
dismissed from the program.
Semester GPA must be greater than or equal to 75%, otherwise the student will be dismissed from the
program.
The supplemental credentialing (if offered, e.g. BCLS, ACLS, PALS, ITLS or PHTLS), must be
successfully passed to qualify for graduation from the Paramedic Training Program. Failure to
successfully complete any supplemental credentialing, at the time it is offered, will result in the student
being dismissed from the program.
Incomplete Grades
INCOMPLETE WORK The grade of Incomplete (I) is given to a student who, for a reason judged acceptable by the instructor, has not
completed all his/her coursework by the end of the semester.
The Student must petition for an incomplete grade by filling out a Petition for Incomplete Grade form, available in
the Registrar’s office. If the work is not completed by the time that was agreed upon by the instructor and the
student, the “I” will automatically be changed to an F# (failure-penalty grade). A student who has by examination
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or otherwise removed an Incomplete will receive written notice from the Registrar's Office within a week after
corrective entry has been made in the student's record. Apart from exceptional or clearly extenuating circumstances,
the due date for the removal of the Incomplete will be strictly observed.
The removal of an Incomplete by examination or by submitting make-up work demands a change in the
computerized records of the student and imposes an undue and costly burden on teachers and administrators. A fee
of $20, therefore, will be charged for changing “I” grades. – LC Student Handbook pg.11.
Incomplete grades for Paramedic Program:
In order for a Paramedic Student to receive the above approval for the Incomplete grade, the
Paramedic Program requires the student to obtain written approval from the Clinical Coordinator
or Paramedic Program Director and the Medical Director and present them to the Dean of
Continuing Education along with the following in writing:
1. a reasonable explanation regarding why assigned work was not completed on time
2. a detailed description of how the student intends to complete the incomplete work
3. a deadline for completion of work
If the EMS Academy administrative team and the Dean of Continuing education approve the
above documentation the student may petition the Registrar’s office for an “I” incomplete grade.
Grade Point Averages
The grade point averages for the didactic, lab and hospital phases of the program are determined as follows:
93-100% A 4.0 grade points
84-92% B 3.0 grade points
75-83% C 2.0 grade points
74% and below F 0.0 grade points
Grading
Semester I grade is an average of Intro to EMS, Assessment, General Pharmacy, Respiratory, Cardiology and
Clinical EMS.
Semester II grade is an average of Trauma, Medical Emergencies I, Medical Emergencies II, and Advanced
Clinical.
Final grade, for successful completion of the Program is averaged between both semesters.
Students will not be ‘cleared’ or approved to perform skills in the clinical setting until they are able to
demonstrate competence of the skill in the laboratory setting; as a result the clinical grade will be negatively
impacted if student is unable to demonstrate competence. Skills performed in laboratory setting are included in
overall clinical skills. All Laboratory practice is expected to be entered into FISDAP.
Didactic Grades
Didactic grades are derived from Exam scores, Quizzes, Laboratory performance, assignments, an
Affective Evaluation scores. Other scores may include but are not limited to completed workbooks,
quizzes, oral presentations, projects, research papers etc. Students will be assigned a grade for each
section of the Paramedic Program as described under Course Information and Requirements.
Grading for the Paramedic Training Program consists of grading of a student’s performance in the
Didactic, Laboratory and Clinical phases of the program. All grades within the designated divisions
and/or course sections as outlined in the curriculum.
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Clinical Grades
Clinical grades are derived from a student’s performance in their Clinical (hospital) and MICU clinical
rotation. Students are required to perform a required number of skills by the completion of Semester I and
prior to beginning Capstone Field Internship in Semester II. Students are required to perform a required
number of hours each semester. Completion of Clinical and MICU rotations include completion and
submission of all paperwork associated with clinical rotations; Due by 0800 each Monday. In the event
of school closing, the first class day of each week).
Hospital Clinical & MICU Experience Grades
Semester I Semester II
Minimum Hours
Hospital 120 hrs. 128 (semester II) 248 hrs. Total
MICU Exp. 192 hrs. 132 (semester II) 324 hrs. Total
Skills Goals min. 50 assessments All skills goals
Assignments All complete for semester All complete for semester
Affective Evals Described below Described below
The Minimum Acceptable Performance for EMS 205 Clinical EMS and EMS 235 Advanced Clinical is
that the student will complete hours, goals, assignments and demonstrate appropriate behavior. The
Academy faculty will complete a single Clinical Evaluation Form that will determine the students’ grade
for EMS 205 Clinical EMS and EMS 235 Advanced Clinical. This evaluation will emphasize:
Minimum Hours: Time-Mgt.
Skills Goals & Assignment – Self-Motivation
Tally of Affective Domain Evaluations received by Field / Hospital Clinical Educators
The Affective Domain will impact the Students’ grade as described in the next section.
Affective Domains Evaluations
Affective Domains Evaluations describe (#3) the minimally acceptable performance for entry level
Paramedics. Students are expected to perform at or above this level. For each Affective Domain a student
receives an evaluation equal to 2, FIVE points will be deducted from their Clinical Grades for the
Semester. For each Affective Domain a student receives an evaluation equal to 1, TEN points will be
deducted from their Clinical Grade.
If a student receives five Affective Domain evaluations equaling 2, within a semester or cumulatively
throughout the Program, the student will be dismissed from the program. If a student receives three
Affective Domain evaluations equaling 1, within a semester or cumulatively throughout the Program, the
student will be dismissed from the program.
Affective Domain scores equaling a 2 are unacceptable behaviors requiring the student to make
immediate improvements to correct behavior. Affective Domain scores equaling a 1 are egregious
behaviors and will not be tolerated. In addition to the points assigned for scores of 2 or 1’s an overall tally
throughout the program will be maintained. Negative points assessed during Semester I will not impact
the ‘letter’ or ‘percentage’ grade in Semester II. However, a tally of total offenses will be maintained
throughout the program.
For example: If a student receives two Affective Domain evaluations equaling a ‘1’ in the first semester
the students grade will be reduced by 20 points. Assuming, this student has an average above 75% they
will be allowed to continue into the next semester. If the student receives another Affective Domain
evaluations score equaling ‘1’ the students Semester II grade will be reduced by only 10 points. However,
this is the third time, throughout the duration of the Program, the example student has received an
Affective Grade equaling ‘1’. Therefore, in the eyes of this Program, the student has demonstrated an
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unwillingness to change their behavior and will be immediately dismissed from the Program regardless
of their academic standing.
Exams
Exams are comprised of both a written and a practical examination. Students are expected to be present, in class,
during the administration of exams. Make-up exams will not be given unless the student makes prior
arranges with academy faculty in writing with the approval of the program director or academy director.
Students absent for the administration of exams will be given a zero for the examination. Students who fail to
achieve a 75% on ‘written’ exams (or are absent for the first administration of exam) will re-test within 5
academy days. Students who fail to pass the practical exam by their 2nd attempt (or are absent for the first
administration of the exam) will be re-test the final attempt within 5 academy days.
Written & Practical Exams will be given for each section of the Paramedic Program. An exam will be given for
each of the following:
First Semester:
EMS 105 Intro to EMS EMS 120 Assessment EMS 112 General Pharmacy
EMS 125 Respiratory EMS 130 Cardiac Semester 1 Exam
Second Semester:
EMS 210 Trauma EMS 215 Med. Emergencies I Final Exam
EMS 225 Med. Emergencies II (Special Populations)
EMS 225 Med. Emergencies II (Operations)
Capstone Field Internship
Skills Competency Evaluation with Medical Director
Written Exams
Written exams will be either computerized or in written format. The EMS Academy utilizes BRADY
PARAMEDIC CARE administration of ‘written’ exams. Each examination question has been referenced
by: Reading Level, Difficulty Level, Bloom’s Taxonomy of Learning, Cut Score, National Registry Best
Practices, National EMS Education Standards and Textbook Objectives. Each exam has been reviewed
and approved by the Program Medical Director.
Practical Exams
Practical Exams will be given throughout the course. Practical Exams mimic the National Registry
Advanced Practice exams. Students will be allowed to make three attempts at the Practical Exam.
Students must complete the exam free of critical fail criteria. If a student is unable to complete a Practical
Exam by the third attempt the student will be dismissed from the program. The Practical Exams build up
to the National Registry Advanced Practice Practical exam. This means that for each Practical Exam
another skills station will be added to the exam. The student is required to complete each station of the
exam successfully. Failure to successfully complete any station within the exam by the third attempt will
result in failure of the exam and dismissal from the program. The Practical exam schedule will be as
follows:
First Semester Section: Practical Exam Stations
EMS 105 Intro to EMS Random Basic Skills (RBS)
EMS 120 Assessment RBS, Assessment
EMS 112 General Pharmacy RBS, Assessment, IV & Medications, Pediatric I/O
EMS 125 Respiratory RBS, Assessment, IV/Meds, Peds I/O, Peds Airway, Adult
Airway, Adult ALT Airway
EMS 130 Cardiac RBS, Assessment, IV/Meds, Peds I/O, Peds Airway, Adult
Airway, Adult ALT Airway, Static Cardiology, Dynamic
Cardiology
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Second Semester:
EMS 210 Trauma RBS, Trauma Assessment, IV/Meds, Peds I/O, Peds Airway,
Adult Airway, Adult ALT Airway, Static Cardiology, Dynamic
Cardiology
EMS 215 Med. Emergencies I RBS, Assessment, IV/Meds, Peds I/O, Peds Airway, Adult
Airway,
Adult ALT Airway, Static Cardiology, Dynamic Cardiology,
Oral Station A
EMS 225 Med. Emergencies II (Special Populations) RBS, Assessment, IV/Meds, Peds I/O, Peds
Airway,
EMS 225 Med. Emergencies II (Operations) Adult Airway, Adult ALT Airway, Static
Cardiology, Dynamic Cardiology, Oral Station
A, Oral Station B
Final Exam (prior to beginning Internship) RBS, Assessment, IV/Meds, Peds I/O, Peds
Airway, Adult Airway, Adult ALT Airway,
Static Cardiology, Dynamic Cardiology, Oral
Station A, Oral Station B
Skills Competency Evaluation with Medical Director RBS, Assessment, IV/Meds, Peds I/O, Peds
(After Capstone Field Internship & Prior to sign off) Airway, Adult Airway, Adult ALT Airway,
Static Cardiology, Dynamic Cardiology, Oral
Station A, Oral Station B
ACADEMIC INTEGRITY POLICY
Academic dishonesty in any form, such as plagiarism and cheating, will not be tolerated. Sanctions will include
an automatic F for plagiarism, but the severity or frequency of the violation may result in dismissal from the
College as well.
The following are among the forms of dishonesty for which sanctions may be applied:
Using books, notes or other materials during an examination, unless expressly permitted;
Using purchased essays, term papers or preparatory research for such papers;
Copying others' work or engaging in unauthorized cooperation during an assignment or examination;
Allowing another student to copy from an examination or other assignment intended to be performed
independently;
Borrowing from published works, whether material is taken verbatim or with minor alterations, without
proper and/or sufficient acknowledgment;
Submitting as one’s own work originally done by someone else;
Submitting the same written report in more than one course without prior approval from the instructor(s)
involved;
Stealing examinations or assignments;
Supplying or selling examinations or assignments;
Misrepresenting statements concerning work submitted;
Falsifying or fabricating experimental data or results;
Falsifying or fabricating the need for extensions on papers or make-up examinations.
The purpose of the Academic Integrity Policy is to insure that faculty oversees the application of sanctions
resulting from academic dishonesty, which both students and faculty members are aware of their rights and
responsibilities as they relate to academic integrity and that due process is provided to all parties. The primary
responsibility for maintaining personal integrity and honor in academic activities rests with the student.
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Lackawanna College’s faculty members have agreed to proceed in a uniform manner whenever they detect
violations of academic integrity. Therefore, regardless of the form these violations take (see list above), and
regardless of the class, location, or instructor, an offending student (or students) will incur the same penalty:
permanent dismissal from the classroom and a failing grade (F) for the course. This action will be taken
immediately after the violation has been reported and unless reversed through the appeal process (see below); will
remain in effect no matter the consequences to one’s financial aid, athletic eligibility or overall academic
standing.
Repeated violations of the Academic Integrity Policy may result in dismissal of the student from the College.
Under unusual circumstances, the Academic Vice President reserves the right to dismiss the student after the first
infraction of the Academic Integrity Policy. Upon a second violation, consultation with appropriate faculty
representative(s) will automatically occur. In all cases, notice to the student is required whenever disciplinary
action is contemplated.
The student has the right to appeal the action of the faculty member and/or Vice President when accused of a
violation of the Academic Integrity Policy. The typical process for doing so is outlined in the "Student
Dismissal/Appeal Policy."
While discussion and general idea-sharing incident to homework assignments is allowed, the actual step-by-step
completion of the assignments is the responsibility of each student. Any use of another's work is considered a
serious breach of academic honesty and is treated accordingly.
Food, Drink and Tobacco Products
Food, and drink are allowed in the classroom at the faculty members discretion. No energy drinks or related
products are allowed in the EMS Academy. The use of tobacco products is STRICTLY prohibited at all times.
Quality of Work
All written assignments should be neat, well organized, grammatically correct and word-processed.
Late Assignments and Missed Examinations
Faculty members are not required to accept assignments submitted late or give make-up examinations unless prior
authorization has been obtained via written request from signed both a faculty member and administrative team
member.
Course Requirements
Vision - Students must have visual acuity sufficient to distinguish visual color discrimination in examining
patients and determining by appearance diagnostic sign that require immediate detection and proper action.
Hearing - Students must have hearing acuity sufficient to receive verbal directions and instructions and to
distinguish diagnostic signs.
Reading - Students must have the ability to read English sufficiently to read items such as prescription bottles.
Writing - Students must have the ability to write English sufficiently to complete patient records forms,
narratives and examinations.
Physical – Students must have the ability to perform the skill objectives as outline in the National Standard
Curriculum and / or Health Professional Curriculum.
All students must have aptitudes as listed above when taking the practical skills examination for state certification
(now National Registry in Pennsylvania). Medical problems must be submitted to the Bureau of Emergency
Medical Services, in Harrisburg Pennsylvania, in writing, no later than two weeks after the course begins.
NOTE: In accordance with the Americans Disabilities Act (ADA), any requests for accommodations must
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be submitted to the Bureau of Emergency Medical Service, in Harrisburg Pennsylvania, in writing, no later than
two weeks prior to the beginning of course.
Completion of Program
Successful completion of the Paramedic Training Program entitles the graduate the ability to sit for the National
Registry of EMT’s Paramedic Level examination. Completion of the course in no way assures or implies success
on the National Registry Examination. A student must complete requirements for graduation to be eligible for
National Registry Examination. In order to be eligible for graduation, the student must:
Have met the attendance requirements.
Display competencies in all basic and advanced life support skills.
Have completed all clinical and field experience requirements.
Have maintained a minimum GPA of 75%
o in each semester
o on each Examination
o in Hospital & MICU Clinical rotations
Successfully completed each Practical Examination.
Demonstrated proper behavior through adequate Affective Domain Evaluations
Successfully completed all supplemental programs offered within the course.
o BCLS, ACLS, PALS, ITLS
Show proof of completing Co-Requisites prior to beginning Field Internship.
Pass the Comprehensive Final Exam
Demonstrate proficiency and successfully complete the practical skills review administered by the
Medical Director
Have met the requirements of the Clinical Coordinator
Successfully completed all requirements of Capstone Field Internship
Have paid all tuition and program related fees IN FULL.
Causes for Dismissal from the Program
Students will be dismissed from the program for the any of the following reasons:
Knowledge: If a student fails to maintain a 75%: within each semester, on each examination (written).
Behavior: Student fails to demonstrate assertiveness, and conscientiousness in any portion of the program.
Dismissal from the program on behavioral grounds may include, but is not limited to instances of inappropriate
conduct in class or clinical areas, cheating on examinations, arrival in class or clinical areas while under the
influence of alcohol, drugs or illegal substances, falsification of personal and/or medical records and fighting.
Failure of the student to abide by all rules set forth in Lackawanna College’s Student Handbook. Students who
fail to perform within acceptable guidelines of behavior may be immediately dismissed from the program without
written warning and at the discretion of the program administration. Students who fail to comply with Affective
Domain Criteria as described in the Clinical Grades section will be dismissed from the program.
Psychomotor: If a student fails to demonstrate specific skills (Practical Examination) or fails to complete
required volume of skills or number of clinical hours by the final date established for each clinical rotation.
Inability of the student to develop and demonstrate appropriate
Attendance: See attendance policy.
Loss of Certification / Licensure: Students are required to maintain certification or licensure
throughout the duration of their enrollment within the program. Loss of a student’s professional
certification or licensure (i.e. CPR, BLS provider, EMT-Basic, Advanced-EMT, RN, PA etc.) will result
in immediate dismissal from the program, regardless of reason for or duration of loss.
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Student Counseling Policy
The Academy faculty will primarily be responsible for counseling of students. The primary instructor, secondary
instructor, preceptors will notify the Clinical Coordinator of any student who may be in need of counseling or
remediation.
Students are encouraged to contact any member of the program staff to seek assistance with any educational
difficulties, skill performance, or personality conflicts.
The Academy administration shall notify and counsel students exhibiting problems with attendance, skill, or
knowledge deficiencies, conduct, or other related program matters. Counseling shall include, but not limited to,
the above. A counseling record will be kept for each counseling session and kept in the student’s file.
SEXUAL DISCRIMINATION POLICY
The College endorses and enforces Title IX of the Educational Amendments of 1972 that prohibits sex discrimination against
any participant in an educational program or activity that receives federal funds.
HARASSMENT POLICY
Lackawanna College is committed to providing an educational and work environment that is free from discrimination in the
form of harassment. In keeping with this policy, Lackawanna College will not tolerate any type of harassment related to race,
color, sex, religion, national origin, age, sexual preference, or physical or mental disability. For these purposes, the term
"harassment" includes, but is not necessarily limited to, slurs, jokes and other verbal, graphic or physical conduct relating to
an individual’s race, color, religion, sex, national origin, age or physical or mental disability. Violation of this policy by any
student, faculty or staff member shall subject that person to disciplinary action up to and including discharge or expulsion.
Harassment is a form of illegal discrimination and violates The Civil Rights Act of 1964, as amended, The Civil Rights Act
of 1991 and The Pennsylvania Human Relations Act. An individual copy of the Harassment Policy and Complaint Filing
Procedure Brochure is provided for each student at Orientation.
DISCRIMINATION OR SEXUAL HARASSMENT
Student files allegations with the Affirmative Action Officers, Anita Cola and Dan LaMagna. Lackawanna College is an
equal employment and educational opportunity institution conforming to all applicable legislation which prohibits
discrimination. The College does not discriminate on the basis of race, color, sex, religion, ancestry, national origin, age, or
applicable handicap in its educational programs, activities, admissions or employment practices as required by Title IX of the
Educational Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, and other applicable statutes. Inquiries
concerning Title IX and/or 504 compliance should be referred to: Ms. Sharon Ebert, Director of Human Resources ext. 7860
and/or the Affirmative Action Officers, Anita Cola, ext. 7815 and/or Dan LaMagna. Ext. 1579.
Classroom / Clinical Appearance Requirements
The navy blue Lackawanna College paramedic shirt must be worn to class, clinical and MICU. Shirts will
be tucked in and ironed. Uniforms must be free of wrinkles.
o Alternant classroom attire will consist of casual business clothing with socks and dress shoes.
Navy blue EMS pants must be worn.
Black steel toe or safety (reinforced toes) boots must be worn. Or Black dress shoes. Boots must be clean
and shined.
Students must maintain a professional appearance at all times. Uniforms and alternant clothing are to be
clean and wrinkle free.
Name badges must be worn and visible at all times. They must be worn on the right collar region.
Failure to wear name badge as indicated in the classroom or clinical or MICU settings will result in
student dismissal for that day. Dismissal for failure to wear name badge will be counted as an absence.
Geisinger “G” flu stickers must be placed on Lackawanna College ID badge.
No other stickers or products are to be applied to Lackawanna College ID badges at any time.
Use of hospital student ID badge may only be used during “HOSPITAL CLINICAL”. These MUST
NOT be used during MICU shifts or any other time.
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No audio / visual equipment will be used in the classroom by the students. This includes cell phones.
Cell phone use is not allowed during class / lecture / lab / clinical, MICU or testing. Cell phone MUST
be in a “Silent” mode at all times.
Jeans are not to be worn unless “dress down” is designated academy faculty. On dress-down days, jeans
and shirts are to be free of rips, tears, holes and inappropriate markings. Clean sneakers may be worn on
designated dress down days.
Hats are not to be worn in class, MICU or Hospital setting. (Winter time MICU, plain navy blue knit hat
may be worn to provide warmth).
Visible tattoos must be covered at all times.
No EMS Agency (employer/volunteer) Uniforms or EMS Agency attire is allowed to be worn at any
time.
Hospital & MICU Clinical Rotations
Many of the facilities and companies students will be utilizing as clinical sites require their employees to
maintain a professional appearance. This is in part due to the professional environment of Healthcare,
procedural diligence, safety and a means of reducing the spread of diseases. Also, many of the organizations
the program utilizes for clinical training are prospective employers for our students. Therefore the following,
regarding hygiene and appearance shall be applied:
Long hair must be pulled back and off the shoulders.
o Use of a hat (cap style or knitted) is allowed at MICU rotations only (free of labels and/or
markings).
Nails must be short. Press on or fake nails of any kind are not allowed.
The student must be clean, showered, groomed and not smell of body odor upon arrival at site.
Uses of colognes or perfumes are prohibited.
Facial hair must be neat and well groomed.
Ear rings may not dangle from the ear.
Facial piercings of any kind are prohibited.
Students are encouraged to not wear necklaces, bracelets or other jewelry of sentimental or market
value. Lackawanna College is not responsible for personal effects of a student that has become
damaged, destroyed or stolen during participation in the Paramedic Training Program.
During hospital clinical, clean, black sneakers are permitted.
Clinical Objectives
The purpose of the clinical rotation is to provide students with an opportunity for reinforcement of the skills
and development of entry level behaviors taught in the classroom through practice in clinical areas of
approved healthcare facilities.
Each clinical area has objectives that are based on the knowledge and skills taught in the didactic setting.
Additionally, the student is tested throughout all clinical rotations. It is the responsibility of the student to
follow appropriate universal blood and body substance / fluid isolation precautions.
All clinical experiences are under the supervision of a designated preceptor. The student assists the preceptor
in the completion of all required evaluation forms. A sample form is enclosed. The student is responsible for
adhering to all policies, procedures and guidelines of Lackawanna College and each individual clinical
facility.
Clinical Rotations
The student is authorized to perform ALS skills when scheduled (on Lackawanna College time only) to be on
a specific MICU or Hospital. AT NO TIME during work or volunteering is a student allowed to perform
skills above his/her actual level of certification.
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Clinical Experience
The role of students involved in clinical experience is identified in the clinical objectives for the Lackawanna
College EMS Academy’s Paramedic Program. The following shall serve as general guidelines for the conduct
of students in a clinical setting.
Students shall exhibit a neat, clean appearance; neat, clean and unwrinkled clothing; and appropriate student
identification badges.
Students are expected to stay in their assigned clinical area for the duration of their assignment except for
lunch (30 minutes maximum) or if the preceptor re-assigns the student. Under no circumstances are they
allowed to visit friends, or patients, within or outside the facility. No fraternizing or social interaction of other
EMS providers is permitted in the clinical areas.
Techniques and procedures may be performed differently in the various clinical facilities or departments.
Students should be cognizant of the fact that differences in technique are not incorrect, and they should
discuss these variations with their preceptor at an appropriate time.
Students shall observe all rules and regulations of the various clinical facilities and/or clinical sites. Students
are required to obey all expected practices of HIPPA with regard to their functions within the Paramedic
Training Program at all times. Students will comply with all patient care related care policies and procedures,
including, patient identification policies.
Students are required to exhibit a professional attitude and refrain from criticizing Physicians, Nurses,
Hospitals, EMT’s, Paramedics, Ambulance services and patients, faculty and other students. If pre-hospital
personnel have any type of complaint or criticism, it should be brought to the attention of the Clinical
Coordinator or Director of the Paramedic Training Program.
The clinical preceptor has the authority to dismiss any student from the clinical areas / site at his/her
discretion.
Clinical Paperwork
Enclosed is a copy of the Clinical Evaluation Form and the Patient Care Report. A Clinical Evaluation Form
is to be completed for every clinical / MICU shift attended by the student. It is to be signed and evaluated by
the health care provider the student has shadowed (preferred) or the attending clinical preceptor. (For the
purpose of this section, either entity shall be known as evaluator).
The student is to present the Clinical Evaluation Form to the evaluator and is to be completed and
graded.
The student is allowed to be within the evaluator’s presence while the evaluator is completing the
Clinical Evaluation Form.
The student should expect the evaluator (at his or her own discretion) to verbalize their opinion,
critique, or observations of student performance to the student and develop an agreeable plan
(assignment) for improvement.
The student is expected to complete the plan (or assignment) no later than the agreed deadline.
The student is expected to accept the evaluators critique as constructive criticism and not as an
opportunity to rebut or defend.
The student is expected to engage in questioning that will help the student improve performance of
skills, improve understanding of theory, or improve critical thinking skills.
Clinical Evaluation Forms that are incomplete or that are not properly filled out (i.e. missing
signatures) will not be accepted; will be returned to student. Student is responsible for incomplete
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paperwork.
The student must fill out a Patient Care Report (PCR) for every patient contact.
The information from the PCR is then to be entered into the FISDAP program.
The student is ultimately responsible for all of the information entered into FISDAP.
The student will print out a copy of e-PCR from FISDAP and attach it (by a single staple in the
upper left hand corner) to the paper PCR.
Each paper PCR is to be attached to a single FISDAP Narrative printout; do not bundle.
Paperwork is expected to be completed and submitted on Monday mornings, or in the event of no
class on Monday, it is to be submitted on the next scheduled class day.
White out is not to be used; ever.
Field Internship Data Acquisition Project – FISDAP
All data should be entered into FISDAP within 24 hours of shift completion.
FISDAP Robot generates a daily report which is sent to academy faculty daily which indicates data that
are late or incomplete.
Students with late or incomplete data may not be allowed to continue attending until clinical data is up to
date. This will be at the discretion of the EMS Academy faculty. Students will be penalized time missed
resulting from late or incomplete data.
Students are obligated to show up at scheduled times.
Students’ Rights, Responsibilities & Expectations
Student Rights - students have the right to:
Express his/her assessment of their learning experience, in an anonymous manner, through the use of
student program questionnaires and program resource survey; provided to the student upon program
completion.
Competent instruction, course counseling, and adequate facilities.
Expect the highest degree of excellence possible, within the resources of the training institute.
Protection from unreasonable and capricious actions by faculty and administration.
Be considered for admission regardless or of student’s sex, ancestry, religious beliefs, political beliefs, or
country of origin.
Know the rules by which he/she is governed through the medium of a clear and precisely written
exposition of the rules.
Invoke the student appeal process.
Student Responsibilities-students have the responsibility to:
Devote him/herself to the serious pursuit of learning.
Commit approximately 44 hours of time per week to the program. (Not including hours of study).
Adjust their schedules to complete requirements for the program.
Respect the rights and opinions of others, including faculty, administration and fellow students.
Comply with all the rules governing students of Lackawanna College and the EMS Academy.
Conduct him / her-self in accordance with the generally accepted standards of conduct as embodied in
society’s laws and regulations.
Conduct him / her-self in accordance with the rules and accepted standards of conduct as embodied in
Paramedic Program.
Observe and obey, at all times, regulations regarding the Health Insurance Portability and Accountability
Act of 1996 (HIPAA).
Observe and obey, at all times, regulations set forth by the Pennsylvania Department of Health and the
Pennsylvania Bureau of Emergency Medical Services.
Respect innovation and individual differences, and to conduct him / herself in an appropriate way not to
violate the rights of other students or members of the administration and faculty.
Complete assignments by established deadlines.
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Respect all rules and regulations of clinical sites.
Arrive at Clinical and MICU site in possession of the necessary paperwork to be completed.
Arrive on time, prepared to begin class.
Arrive on time or early for clinical.** It is recommended that you arrive at least 10 minutes early to
clinical shifts.**
Arrive at class or clinical with the necessary items for the day’s activities:
o Pen, notebook, textbooks, watch, scissors, stethoscope etc.
Have Clinical and MICU evaluators complete program paperwork, including signatures prior to leaving
site at the end of rotation or shift.
To continually strive to improve behaviors in a manner that exceeds the expectations of entry level
Paramedics as described by Affective Domain Evaluations.
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Expectations of student performance-students are expected to:
Obey the Rules of the Program.
Perform equipment check of unit prior to or at beginning of MICU shift.
Assist hospital & MICU staff with routine daily duties.
Ask questions, developing a better understanding of: anatomy, physiology, epidemiology,
presentation of patients’ symptoms, and formulation of diagnosis, care planning and initial &
definitive treatments.
Ask questions regarding health care provider’s experiences, education and chosen career paths /
goals.
Avoid developing intimate/romantic/social relationships with Hospital, MICU, College employees
and classmates for the duration of enrollment within the program.
Actively engage them-selves while attending Clinical & MICU, without the need for prompting by a
preceptor; actively display ‘interested’ body language. (I.e. avoid standing around with arms folded or
hands in pockets; do not read the newspaper, do not use laptop, do not send, receive or check text
messages).
Refrain from argumentative language.
Refrain from questioning a health care provider within the presence of patient or family. If the student
has questions for a health care provider (a previously mentioned) the student is expected to wait until
a more ‘professional’ moment arrives to begin questioning (i.e. at Nurse’s station, after return to
service from a call).
Contact Clinical Coordinator or designee immediately if a problem arises while at Clinical or MICU.
This includes but is not limited to being dismissed from rotation, leaving rotation early, or
unwillingness of an evaluator to complete necessary paperwork for the student.
Make the best possible use of ‘down time’. If in the unlikely event a hospital clinical site or MICU
site is idle, the student is expected to continue study of their profession. This may require creativity
on the part of the student. Although studying from the books is acceptable, other forms of studying
(i.e. use of training equipment, making or use of flash cards, familiarity with unit or department
medications, simulated patient scenarios, oral quizzing or examination from Clinical / MICU staff,
etc.) may assist student with retention and break up monotony of reading.
Refrain or avoid distracters such as entertainment (television, radio), print media (newspapers,
magazines), video games, phone calls (except in emergencies), Internet, e-mail, text messages,
satellite radio, DVD’s, CD’s, I-pods, Pod-casts and two-way direct connects while attending Clinical
& MICU rotations. NO CELL PHONES ARE ALLOWED IN CLINICAL.
To find and utilize other educational aids to assist their learning such as (but not limited to): other
medical books, websites, pod-casts, video, DVD, CD, professional journals, industry magazines,
FISDAP, quick reference guides, study guide charts, flash cards etc.
Participate in training being offered to the staff of Clinical & MICU sites. Often vendors or sites will
offer training to employees when introducing a new piece of equipment or medications. Often these
items become common place after their introduction. Participation of in-services is an excellent way
to ‘jump ahead’ and learn how to use new technologies or become familiar with new drugs.
Subject to Random Drug Screen per EMS Academy discreation.
Student Appeal Process
The student may appeal his/her dismissal before the Student Appeal Committee, which is comprised of the Dean
of Continuing Education, the Paramedic Program Director, Clinical Education Coordinator, EMS Faculty
members and the Medical Director.
The student should appeal the dismissal within three working days of being dismissed.
The student will be notified when a meeting is arranged.
The Committee will notify the student of its judgment, in writing, within 10 working days.
If the Committee upholds the dismissal, the student may formally withdraw from the program in
accordance with Lackawanna College’s stated withdrawal policies.
Students whom activate the appeal process may present statements, summon witnesses and fully
participate in the appeal process.
The student activating the appeal process must be present at the Student Appeal Committee Meeting.
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Students may not be assisted by third party representatives, (parents, friends) or legal counsel at any
point in the appeal process.
Class Cancellations
Cancellations due to inclement weather will be announced by 0600 for day classes and 1500 for
evening classes. The cancellation will be announced on all major television and radio stations. The
hourly requirements for this program are rigid and set by the Pennsylvania Bureau of Emergency
Medical Services. Any time, classroom, pre-hospital clinical or in-hospital clinical must be made up;
syllabus changes will be necessary to meet the hourly requirements for graduation. Students are not
allowed to attend their clinical rotations if Lackawanna College is closed.
**Paramedic Program will send out a text message with delays and/or cancellations to each
academy student.**
Student with the ability to receive text messages via cell phones are encouraged to sign up for and
utilize the WENS Emergency Notification System (which can be found on the Lackawanna College
student portal). Students may also find Lackawanna College class cancellations or delays on the
television or radio at:
Television:
WBRE 28, WYOU 22, WNEP 16
Radio:
WARM 590 AM
Magic 93, 92.9 FM,
97BHT 97.1 FM & 107.7 FM
WKRZ 98.5 FM
WEZX 106.9 FM (Rock 107)
STUDENT CODE OF CONDUCT The following behaviors will result in disciplinary action not excluding dismissal from the College:
1. Any action indicating a lack of respect or concern for the welfare or safety of others or conduct which may
discredit the College;
2. Any violation of published College policies, rules, and regulations;
3. Violation of federal, state, or local laws on or off campus while enrolled as a student;
4. Any action intended to intimidate another person because of race, color, religious or national origin,
disability, or sexual orientation;
5. Non-compliance with College policies and state and federal laws relative to drugs, alcoholic beverages, and
smoking.
6. Illegal or unauthorized use, possession or distribution of firearms, explosives, or other weapons (including
BB, pellet, and air guns) or chemicals of any type on College premises;
7. Obscene, lewd, or vulgar conduct, including public profanity;
8. Actions which demean a person's sexual freedom, gender, or sexual preference;
9. The display of sexually demeaning written or visual materials in any area of the College, including
classrooms and labs;
10. The deliberate creation on the part of an individual student or a group of students of a hostile (or potentially
hostile) environment;
11. Hateful acts or statements, expressions, or gestures that are abusive and/or intended to insult and/or
stigmatize an individual;
12. Hostile conduct or behavior that might incite immediate violence;
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13. Physical or verbal abuse or harassment/stalking of any person on College property, at College-sponsored
functions, or between members of the College community off campus. This includes incidents of sexual
assault and sexual harassment.
14. Theft, destruction, misuse or abuse of College property or property of any member of the College
community;
15. Tampering with, removal of, activation of, or damage to the fire safety equipment or alarm system at the
College when no apparent fire or immediate danger exists;
16. Unauthorized possession or use of keys to any College door or facility or unauthorized entry to or use of
College facilities;
17. Any form of gambling on College property;
18. Intentional disruption or obstruction of teaching, administration, student appeal hearings, or other College
activities;
19. Failure to comply with a request of authorized College officials (including all residence hall staff) acting in
performance of their duties and/or failure to identify oneself when requested to do so;
20. Furnishing false information to the College;
21. Forgery, alteration, or misuse of College documents, records, or student identification cards;
22. Any violation of the Academic Integrity Policy;
23. Theft or other abuse of computer time, including but not limited to:
Unauthorized entry into a file, to use, read, change the contents, or for any other purpose.
Unauthorized transfer of a file.
Unauthorized use of another individual's ID or password.
Use of computing facilities to interfere with the work of another student, faculty member, or
College official.
Use of computing facilities to send obscene or abusive messages.
Use of computing facilities to interfere with the normal operations of the College's computing
systems.
24. Any verbal, physical, or mental harassment and/or intimidation of any member of the College Judicial
Board or Student Appeal Committee, prior to, during and/or after an appeal hearing.
25. Any violation of the Residence Hall Regulations.
26. Any violation of the published Athletic Rules and Regulations.
27. Impersonating or in any way falsely representing oneself as a College official or acting on behalf
of the College.
28. Failing to disclose prior or current felony or misdemeanor convictions to the appropriate college office(s).
29. Behaving in a disrespectful manner toward any College official.
30. Any violation of the Social Media policy will result in IMMEDIATE dismissal from the program.
31. The EMS Academy has a strict NO TOBACO PRODUCTS USE policy.
NOTE: The College reserves the right to alert civil authorities to problems on or off-campus. Concerns
likely to be reported are those involving physical endangerment, illegal substances, or those resulting in
complaints from the local community.
25
In addition to the aforementioned Code of Conduct, the following Student Counseling Report lists
specific conduct that will be met with the penalty of a failing grade and permanent discharge from the
Program.
Lackawanna College
EMS Academy
Student Counseling Report – Section I
This counseling report will be made part of the following student’s file.
Student Name: __________________________ Date: ________________________
Person Issuing Counseling: ____________________________________________________________________
Section I:
Conduct: The following action(s) has / have been noted as unacceptable while participating in the Paramedic
Training Program.
Penalty: A Section I offense will be met with a failing grade in the course and permanent discharge from the
program.
1) Obtaining, possessing, selling or using illicit drugs, un-prescribed narcotics or alcohol while within the confines of
the program. Reporting to class, lab, clinical site, internship site under the influence of any of these substances.
2) Theft, abuse, misuse or destruction of any property or equipment of any patient, visitor, student, college employee,
clinical employee, the college or clinical sites.
3) Disclosing confidential information without proper authorization, including potential, probable or possible HIPPA
violation.
4) Immoral, indecent, illegal or unethical conduct.
5) Possessing, wielding or threatening to use any weapon while within the confines of the program.
6) Assault and/or battery on any patient, visitor, student or faculty.
7) Misuse or falsification of patient, student or official records.
8) Removal of patient, student or official records without prior written authorization.
9) Academic Dishonesty of any kind including but not limited to: cheating on any test, form, or official record of the
program.
The following Section I offense(s) has / have occurred: # ___, ___, ___, ___
Explanation:
___________________________________________________________________________________________
___________________________________________________________________________________________
Student Signature: ________________________________________________________ Date: ______________
Administrative faculty member signature: _____________________________________ Date: ______________
26
In addition to the aforementioned Code of Conduct, the following Student Counseling Report lists
specific conduct that will be met with the penalty of a counseling session with the Program
administration (first offense), suspension from the program (second offense) and discharge and failing
grade from the program (third offense).
Lackawanna College
EMS Academy Student Counseling Report – Section II
This counseling report will be made part of the following student’s file.
Student Name: __________________________ Date: ________________________
Person Issuing Counseling: ___________________________________________________________________
Section II:
Conduct: The following action(s) has / have been noted as unacceptable while participating in the Paramedic
Training Program.
Penalty: A Section II offense; the first offense will be met with a counseling session with the Academy
administration. Second offense, will be met with suspension from participation in the program; length of
suspension at the administrations discretion. A first or second offense, if judged severe enough by the Academy
administration (or multiple offenses), under Section II can lead to a failing grade in the course and permanent
discharge from the program.
1) Receiving an assessment less than ‘3’ on any affective evaluation (except laboratory).
2) Receiving a repetitive assessment less than 3 on laboratory affective evaluation.
3) Engaging in disorderly conduct that could ultimately threaten the physical well-being of any patient, visitor, student,
faculty or clinical employee.
4) Leaving class, lab, clinical, or internship area without proper authorization.
5) Sleeping during class, lab, clinical or internship.
6) Restricting or impeding clinical output.
7) Insubordination and/or refusal to obey the orders of any faculty, administrative representative of the college, clinical
site employee or field internship employee.
8) Inconsiderate treatment of patients, visitors, students, faculty, clinical site or field internship employees.
9) Excessive absences or tardiness.
10) Failure to perform or to exercise reasonable care in the performance of responsibilities.
11) Violation of safety regulations or failure to use safety equipment provided.
12) Misuse of clinical, field experience or internship time.
13) Unauthorized use of equipment.
14) Smoking or use of tobacco product(s).
15) Unauthorized posting, removing, or tampering with bulletin board notices.
16) Unauthorized soliciting, vending, or distribution of written or printed materials.
17) Creating or contributing to unsafe or unsanitary conditions.
18) Threatening, intimidating, harassment or coercing other students, patients, visitors, faculty, clinical site employees
or field internship employees.
19) Individual acceptance of gratuities from patients.
20) Inappropriate dress or appearance.
21) Causing or contributing to disruptions during lecture, lab or testing.
22) Violation of the academy’s social media policy.
27
The following Section II offense(s) has / have occurred: # ___, ___, ___, ___
Explanation:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Student Signature: ________________________________________________________ Date: ______________
Administrative faculty member signature: _____________________________________ Date: _______________
28
CLASSROOM BEHAVIOR
All classes at Lackawanna College must be conducted in an atmosphere characterized by courtesy, respect, attentive interest and the decorum that prevails in well-organized professional or business meetings. Instructors are obliged to interact with their students in a manner appropriate to such settings. Therefore, profanity, crude humor, intentionally intimidating, sexist or racially offensive assertions, personally degrading remarks directed at individual students or any other violation of the Student Code of Conduct as published in the Student Handbook are strictly prohibited in or out of class. Likewise, students are expected to extend every courtesy and consideration to their instructor and classmates. They should remain seated and attentive throughout each class, should not speak unless recognized, will refrain from sleeping or using cell phones in the classroom, should bring no food or beverages to their classrooms and should refrain from raising any issue not directly relevant to the subject matter of the particular course they are studying.
Daily Class & Laboratory Conduct
Students will conform to the follow behaviors in class & Lab:
Will apply with academy dress code at all times.
Cell phones are to be in vibrate mode prior to the start of class. Cell phones may be used during
break periods only.
Will not address administration, faculty, instructors or Clinical Educators, by their first name.
Student enrolled in the Paramedic Training Program are expressly limited to using surnames
prefaced by Mr., Ms. Mrs., Sir, Ma’am, or Dr. only.
If a student has a question about the material being covered or does not fully understand the
material being presented the students may feel free to ask questions. However, if the student
feels the question needs to be prefaced by a ‘story’ the student should refrain from a distracting
tangent, pose the question and provide the ‘back story’ if the instructor requires more
information to sufficiently answer the question and asks the student to elaborate. Otherwise the
student should pose the question after class, or on break to avoid tangents that distract the class
from the subject at hand.
Students will not engage in behavior that demonstrates the student is disengaged from the
learning activities; this includes but is not limited to: reclining in chairs, daydreaming, engaging
in ‘side’ conversations, heads on desk, texting, etc.
Students will not prepare to leave prior to dismissal. The students may leave when they are
actually dismissed. Students preparing to leave prior to dismissal will be assigned detention.
Students returning from lunch will be marked tardy and have missed time deducted.
Students not returning from lunch will be marked absent and have missed time deducted.
Students are to be prepared for class. This includes having the correct books, documents,
assignments, writing tools, trauma scissors, stethoscope, penlight, and a functioning watch.
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If students wish to engage in breakfast at the College (in cafeteria) they are to do prior to the
beginning of class or Lab are report to class or lab with sufficient time to be present, accounted
for and ready to begin.
Students will be required to participate in all clean-up activities upon the conclusion of class as
directed by faculty.
30
Daily Hospital Clinical Conduct
Students will conform to the follow behaviors during Hospital Clinical:
Be in uniform at all times (refer to specific clinical dress code policy) unless otherwise specified
by Hospital Department and approved by the Academy administration.
Profanity, crude humor, intentionally intimidating, sexist or racially offensive assertions,
personally degrading remarks directed at individuals or any other violation of the Student Code
of Conduct as published in the Student Handbook are strictly prohibited.
Students are expected to extend every courtesy and consideration to their instructor and
classmates.
No cells phone are allowed in a hospital setting.
Will not address administration, faculty, instructors or physicians by their first name.
Students will not engage in behavior that demonstrates the student is disengaged from the
learning activities; this includes but is not limited to: standing with hands in pockets, avoiding
patient contact, disobeying direction by clinical staff, etc.
Students are to be prepared for class. This includes having the correct books, documents,
assignments, writing tools, trauma scissors, stethoscope, penlight, and a functioning watch.
Students may bring books & study material to the clinical site in preparation for the possibility of
‘a slow day’.
Students will not pose questions in from of patients. Students are to wait for appropriate time to
question Doctors or clinical staff regarding patient conditions, disease processes, and medical
decision making.
Students will arrive early at area designated by the Clinical Educator to whom they are reporting.
If students wish to engage in breakfast (if available) at the clinical site they are to do so and are
to be finished prior to the beginning of the clinical day.
Daily Field Experience & Internship Conduct
Students will conform to the follow behaviors during Field Experience and Internship:
Be in uniform at all times.
Profanity, crude humor, intentionally intimidating, sexist or racially offensive assertions,
personally degrading remarks directed at individuals or any other violation of the Student Code
of Conduct as published in the Student Handbook are strictly prohibited.
Students are expected to extend every courtesy and consideration to their instructor and
classmates.
Student will not display or wear any articles that are not Lackawanna College EMS Academy
approved.
The student will immediately report to Clinical Educator.
The student will maintain contact with Mentor.
The student will complete assignments given by the Clinical Educator & Mentor by the
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established deadlines.
The student will strive to meet or exceed the expectations of the Clinical Educator & Mentor.
Students will not pose questions in from of patients. Students are to wait for appropriate time to
question Paramedics regarding patient conditions, disease processes, and medical decision
making.
Students are to be prepared Field Experience and Internship. This includes having the correct
books, documents, assignments, writing tools, trauma scissors, stethoscope, penlight, and a
functioning watch.
Students will not engage in behavior that demonstrates the student is disengaged from the
learning activities; this includes but is not limited to: standing with hands in pockets, avoiding
patient contact, avoiding calls, disobeying direction by EMS staff, etc.
Students are responsible for securing time during Field Experience.
Students are responsible for utilizing their MICU Experience in such a manner that they are
prepared to demonstrate and adequately perform as an entry-level Paramedic during their Field
Internship.
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Clinical Experience Requirements
Rotation Minimal Hours
Field (MICU)…………………………………………………………….324
Emergency Department………………………………………………… 128
Intensive Care Unit……………………………………………………….24
Operating Room…………………………………………………………..24
PACU……………………………………………………………………...16
Cardiac Catheterization Laboratory………………………………….……16
Labor & Delivery…………………………………………………………16
Pediatrics………………………………………………………………….16
Neonatal Intensive Care Unit………………………………………………8
Capstone Field Internship………………………………………………..200 possibly 300 for low volume
Total Hours……………………………………………………………....772 Hours
In addition to the above hours students may be assigned the following additional rotations to improve upon
deficiencies in meeting their clinical goals. The number of hours in each additional rotation depends upon
the students’ ability to meet clinical goals or demonstrate proficiency in specific skills.
Telemetry - Rhythm Interpretation proficiency
Psychiatric - Psychiatric Assessment goals
Same Day Surgery - Successful IV start proficiency & goals
In addition to the above hours students may be assigned the following additional rotations depending upon
the availability of the Site.
Communications Center……………………………………………………4
Morgue……………………………………………………………………...4
Assessments & Age Ranges
Student will receive credit for the following Assessment & Age ranges if they perform the patient interview
and the patient exam.
The student must perform a comprehensive patient assessment and patient exam on at least:
Pre-hospital Emergencies 75
Adults 100 (Starts at 18 Years)
Geriatrics 30 (Starts at 65 Years)
Pediatrics 30
New Born.…..2 (Starts at 0)
Infants……….2 (Starts at 1 Month)
Toddlers……..2 (Starts at 1 Year)
Preschoolers…2 (Starts at 4 Years)
School Age…..2 (Starts at 6 Years)
Adolescent…...2 (Starts at 12 Years)
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Complaints
Student will receive credit for the following Complaints if they perform the patient interview and the patient
exam.
The student must perform a comprehensive patient assessment and patient exam on at least:
Chest Pain……………………30
AMS………………………….30
Dizziness……………………..10
Change in Responsiveness …..10
Breathing Problems…………..30
Weakness……………………..10
Pediatric Respiratory…………10
Abdominal Pain………………20
Headache, Blurred Vision……10
Impressions
Student will receive credit for the following Impressions if they perform the patient interview and the patient
exam.
The student must perform a comprehensive patient assessment and patient exam on at least:
Abdominal…..20
Psychiatric…..20
CVA…………10
Respiratory…..30
Obstetrics……10
Cardiac………30
Medical………75
Trauma……….40
Cardiac Arrest…5
Neurological….10
Skills
Intravenous (IV) Access (must achieve 80% success) 50
Endotracheal Intubation 20
One pre-hospital Intubation is preferred
Live intubations are preferred but not required
Ventilation of un-intubated patients 20
Medication Administrations 50
At least 20 have to be administered intravenously (IV)
ECG Interpretations 75
At least 50 strips must include patient assessment documentation
At least 25 accurately interpreted 12-lead EKG’s
Obstetrical Deliveries 6
May be performed (vaginal deliveries only) or observed
Should include both vaginal deliveries & caesarian section
Defibrillation or Cardioversion 1
Suggested but not required for course completion
Clinical Requirements Revised 1/2015
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Field Internship Requirements
Student will receive credit for the following Team Leads if they perform the patient interview and the patient
exam while assuming the role of Team Leader.
The student must demonstrate their ability to run an ALS call from start to finish (which includes completing
paperwork & entering it into FISDAP in a timely manner) on at least:
Team Leads…..50 (Minimum # of Team Leads)
o ALS Calls…….30 (All Team Leads must be ALS in Nature)
Transports……20 (out of 50 ALS calls, 20 are allowed to be non-emergent
Transports)
200 Hours (Student must complete a minimum of 200 hours, even if the 50 Teams Leads have been accomplished prior to completing 200
hours at the discretion of the clinical coordinator).
Field Internship Requirements Revised 7/2012; 10/09/2013*
*Advisory Committee
06/2014 & 01/2015*
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Clinical Sites
Field – Mobile Intensive Care Unit
Minimum Required Hours – 324
The Mobile Intensive Care Unit (MICU) or field experience time is intended to give the student first-hand
knowledge of the profession within which he or she will be working and to prepare the student to perform
during their Capstone Field Internship.
Purpose – The student will have the ability to enhance their knowledge base, improve their skills and develop
critical thinking skills necessary for performance as a Paramedic. The student will have the opportunity to
apply theory and lecture material from the classroom, apply knowledge gained in other clinical experiences
and skills in real settings, while under the supervision of a Paramedic with Medical Command Authorization
status and has completed Clinical Educator (Preceptor) Training through the Lackawanna College Paramedic
Program.
Expectation – Initially, the student is expected to be able to follow direction and guidance while under the
supervision of a Clinical Educator. As the student progresses through the program, developing knowledge
base and skills along the way, the student is expected to develop the ability to perform independently from
and without the need for a Clinical Educator’s direction. Towards the end of the program (between March &
April) the student’s abilities should be such that the preceptors feel comfortable with the student’s ability to
perform without immediate direction or prompting from the Clinical Educator. The student will be choose (or
be assigned by clinical site) a Clinical Educator that will act as the student’s Mentor. The Mentor will provide
oversight of the students’ progress and facilitate the Field experience in order for the student to continuously
improve throughout the program as well as meet the previously mentioned expectations and Clinical Goals.
Although the student’s goal is to be able to perform independently of a preceptor, it is not intended that
the student be allowed to perform without the supervision of a Clinical Educator.
AT NO TIME is the student allowed to perform any skills without the supervision of the Clinical Educator
Paramedic.
Students are expected to choose one of the designated Clinical Educators associated with the Lackawanna
College EMS Academy Paramedic Program as a Mentor. Students who work in EMS are advised to choose a
Mentor with the opposite work schedule of the student. The student is expected to immediately establish
rapport and performance expectations for the year. The Mentor will oversee and facilitate the Field experience
and act as a resource for the student and if necessary a ‘sounding board’ for any difficulty the student may
require additional help or understanding. Due to scheduling difficulties the Mentor may not be the Paramedic
frequently assigned to the student during this phase of the program. The student is expected to maintain
communication with the Mentor; respect and obey the Mentor and in a timely manner complete any all
assignments given by the Mentor or the Clinical Educator.
Upon completion of all Clinical Requirements and successful completion of Final Exams, Paramedic
students will enter the Capstone Field Internship. During the Internship, the Paramedic Intern will
shadow the Mentor’s schedule explicitly. (More details provided under Capstone Field Internship).
Students are responsible for obtaining a signed contract with Clinical Educator agreeing to fulfill the role as
Mentor (or assigned) prior to beginning their Field Experience. The contract is an agreement between the
Paramedic Student and the Clinical Educator to a professional relationship similar to that of apprenticeship.
The Paramedic Student and the Mentor have expectations of one another that will be clearly defined in the
contract and must be agreed upon by both parties. The contract is meant to document, for the Paramedic
Training Program, the agreement to this relationship and its accompanying expectations by both parties.
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Students who are employed by an Emergency Medical Service are not permitted to utilize their employer as a
MICU clinical site. Exceptions may be allowed by the Academy administration only, if the student can
provide documented evidence, at the time of their request, showing:
1. How continuing at their current Field Clinical Site will negatively impact their ability to achieve
Clinical Goals and;
2. How switching Field Clinical Sites to that of their employer will greatly improve their ability to
achieve Clinical Goals and;
3. The employer is an approved Field Clinical Site within the program, and;
4. Their employer is willing to accommodate the student and;
5. A Mentor available (at the employers site) and willing to accept the student and;
6. The student is able to provide ongoing written documentation that shows the student is not working
while scheduled for Field Experience.
Without the above documentation, all requests will be denied.
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Hospital Clinical (Total = 248 hours)
Emergency Department - ED
Minimum Required Hours – 128
The Emergency Department is intended to help the student develop their understanding of their roles and
responsibilities, to the patient, as well as within the medical community and how their performances impact
overall patient outcomes.
Purpose - The student will have the ability to enhance their knowledge base, improve their skills and develop
critical thinking skills necessary to involve the student in all aspects of patient care commensurate with the
student’s didactic training for performance as a Paramedic. The student will have the opportunity to apply
theory and lecture material from the classroom, knowledge gained in other clinical experiences and skills in
real settings under the supervision a preceptor and under the guidance and direction of ED staff. The student
will have the opportunity to develop and accomplish proficiency in the following:
assessment skills
procedural skills
abilities to identify medical
emergencies
ability to differentiate between
medical etiologies
familiarity with commonly used
equipment
understanding of ED expectations of
EMS performance
rapport and communication with ED
RN’s & MD’s,
Medication administration as per PADOH standards under supervision of R.N. or Registered
Paramedic
Upon completion of this experience the student must be able to demonstrate the following:
1. Development and documentation of the following assessment and clinical skills:
a. Assessment of patient’s chief complaint (c/c)
b. Physical examination as it relates to c/c
c. Appropriate & professional interaction with the patient & their family members
d. Discussion of diseases, their epidemiology and treatment plan with the RN and/or
Physician caring for patient.
e. Implementation of the above stated treatment plan
f. Monitoring and reassessment of a patient’s status, complaints and condition before,
during and after a treatment is initiated.
2. Develop and document the following skills:
a. Use of all respiratory adjuncts
b. Demonstrate an understanding of the various risk factors associated with coronary
artery disease.
c. Identify common physical findings associated with heart disease
d. Correctly interpret cardiac rhythms (including 12-lead) and identify appropriate
treatment
e. Observe patient/family interactions and demonstrate familiarity with the resources
available to aid these patients and their families.
f. Administer pharmacological agents and identify their various physiological
interactions.
g. If possible, perform external pacing, electrical Cardioversion, and defibrillation under
the supervision of a designated preceptor.
h. Actively participate in cardiopulmonary resuscitations when available.
38
Emergency Department – ED Continued
Expectation - Initially, the student is expected to be able to follow direction and guidance while under
the direct supervision of a preceptor. As the student progresses through the program, developing
knowledge base and skills along the way, the student is expected to develop the ability to perform
independently from and without the need for a preceptor’s direction. The student is expected to be
able to accept direction and criticism of performance by Emergency Department staff. The student is
expected to be able to work cooperatively with the Emergency Department staff in an efficient and
seamless manner. The student should be able to anticipate the needs of a patient or staff member
given the situation in which the student is functioning.
The student is expected to participate in patient centered care with an emphasis on patient safety
while in the emergency department. Hospital policy patient safety practices are to be recognized and
followed at all times. This includes but not limited to:
1. Students are to utilize 2 patient identifiers (per hospital policy) at all times when administering
medications, performing procedures, and/or transporting patients to other areas.
2. Students must label all medications drawn up in syringes or in medication cups
3. Students must label specimens at the bedside of the patient according to hospital policy.
4. Students will assist nursing staff with obtaining and accurate and up to date list of home
medications
5. Students will respond timely to ALL bed alarms, call bells, and monitor alarms. At NO time
should a student walk by a call bell without answering it
6. Students will follow hand hygiene practices while in the hospital I.E Foam in, Foam out and
handwashing
7. Students will use aseptic technique when performing procedures such as: IV insertion,
fingersticks, or foley catheter insertions.
8. Students will report any safety concerns to nursing staff such as: suicidal or homicidal ideation
9. Students will follow all fall risk safety practices at all times.
Failure to follow the policies of the hospitals will result in disciplinary action.
39
Intensive Care Unit – ICU
Required Hours – 24
The Intensive Care Unit is intended to help the student develop proficiency with regards to
management of the unstable patient in critical care. Like the Operating Room, the Intensive Care Unit
is rigidly controlled and the student will not have the same functional freedom as in the ED or MICU
sites. Student’s goals are very specific in this clinical site.
Purpose - The primary purpose of the Intensive Care Unit clinical experience is to assist the student in
achieving proficiency in the management of the hemodynamically unstable patient. The student will
have the opportunity to work directly with Intensive Care Nurses and assist with their patient’s care.
The student will also learn to identify pathologies and etiologies that require more advanced medical
care than that provided at the ‘emergency’ level of care and identify the resources necessary for the
management of such patients.
Prior to completion of this experience the student will:
Obtain histories and perform accurate assessments on patients with the following conditions:
o Acute GI-Bleeding -
upper/lower
o Overdose / toxic exposure
o Acute Abdomen
o Hypothermia
o Kidney Failure
o Respiratory Failure
o Pancreatitis
o Diabetic Ketoacidosis
o Hyperosmotic non-ketonic
Coma
o CVA / Brain injury
Employ utilization of the appropriate precautions involved in the care of a patient with a
communicable disease (i.e. hepatitis, AIDS, meningitis, etc.)
Administer various medications and identify their physiological actions.
Develop proficient understanding of the dosages, implications, uses and side effects of ‘drip’
medications:
o Dopamine; Dobutamine; Nitroglycerin; Lidocaine, Cardizem
Observe patient/family interactions and demonstrate familiarity with the resources available
to aid critically ill patients and their families.
Observe the care of patients with invasive hemodynamic monitoring devices.
Actively participate in cardiopulmonary resuscitations when available.
Correctly interpret cardiac rhythms (including 12-lead) and identify appropriate treatment.
Expectation – The student is expected to be able to follow direction and be accepting of criticism
while in the Intensive Care Unit. The student is expected to investigate methods for managing the
hemodynamicaly unstable patient and develop a thorough understanding of how pharmacological
agents are used in management of these patients as well as how those pharmacological agents interact
with each other. Students may be required to change from their school uniform into hospital scrubs
while in the ICU.
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Operating Room – OR
Required Hours – 24
The Operating Room is intended to help the student develop proficiency with regards to controlling
an unstable airway, and improve the student’s understanding of human anatomy. The clinical time
spent in the Operating Room will allow the student to attain a better understanding of pre-hospital
management of critically ill or injured patients, the responsibilities of the paramedic with regards to
the patients care, and the relationship between the paramedics performance and the patients overall
outcome. The Operating Room is a rigidly controlled environment and does not allow the student the
same functional freedom as the ED or MICU. Student’s goals are very specific in this clinical site.
Purpose – The primary purpose of the Operating Room clinical experience is to assist the student in
achieving proficiency in airway control, most importantly being endotracheal intubation, but may
also include:
Bag-Valve Mask Ventilation
(BVM)
Oropharyngeal Airway use (OPA)
Nasopharyngeal Airway use (NPA)
Laryngeal Mask Airway (LMA)
Combitube use
Glide Scope
Sellick’s Maneuver
Suctioning
NG/OG insertion
Rapid Sequence Intubation
Physiology of Anesthesia
Detailed knowledge of Anesthesia
Medications
The secondary purpose of this experience is to assist the student in further understanding the anatomy
and physiology of the specific case with which they are involved.
Prior to completion of this clinical experience, the student should be able to:
Demonstrate proficiency in performing endotracheal intubation on patients to the satisfaction
of the designated preceptor.
Assess the successful placement of each intubation attempt; to the satisfaction of the
designated preceptor.
Demonstrate adherence to OR protocols for infection control including the principles of
‘aseptic technique’ and ‘sterile field’ parameters.
Identify the anatomical relationships of organs and the pathological basis of disease while
observing surgical procedures.
Attempt to observe at least one, of each of the following types of surgery:
o Cardiothoracic Cranial Abdominal Orthopedic Trauma
Expectation – The student is expected to be able to follow direction and be accepting of criticism
while in the Operating Room. The student is expected to arrive at the Operating Room with sufficient
knowledge of Airway & Respiratory Anatomy as well as sufficient knowledge of the tools he/she will
be using. The Operating Room staff will orally ‘test’ the student’s knowledge and assess the student’s
competency prior to allowing the student to assist with any procedures. The student may be
competing with CRNA students and Medical School students for the same intubation skills; the
student should exceed the expectations of the OR staff. Students may be required to change from their
school uniform into hospital scrubs while in the OR.
41
Pre / Post Anesthesia Care Unit - PACU
Required Hours – 16
The PACU is intended to help the student develop proficiency with regards to managing patients in
need of surgical intervention, become familiar with medical conditions requiring surgical
intervention, post Anesthesia care of a patient, and pre Anesthesia requirements and
contraindications. The clinical time spent in the PACU will allow the student to attain a better
understanding of pre-hospital management of critically ill or injured patients, the responsibilities of
the paramedic with regards to the patients care, and the relationship between the paramedics
performance and the patients overall outcome. The PACU is a rigidly controlled environment and
does not allow the student the same functional freedom as the ED or MICU. Student’s goals are very
specific in this clinical site.
Purpose – The primary purpose of the PACU clinical experience is to assist the student in achieving
proficiency in management of pre & post-surgical patients but may also include:
Management of Pts. in need of
Surgery/Anesthesia
Management of Pts. post-
Surgery/Anesthesia
Continuous reassessment & re-
evaluation of Pts. condition
Conditions requiring surgery
Risks associated with surgery
Complications associated with
Surgery
Rapid Sequence Intubation
Physiology of Anesthesia
Detailed knowledge of Anesthesia
Medications
The secondary purpose of this experience is to assist the student in further understanding the anatomy
and physiology of the specific case with which they are involved.
Prior to completion of this clinical experience, the student should be able to:
Identify the needs, risks and complications associated with surgical patients given their
conditions.
Demonstrate the ability to provide continuous monitoring of patients.
Demonstrate adherence to OR protocols for infection control including the principles of
‘aseptic technique’ and ‘sterile field’ parameters.
Expectation – The student is expected to be able to follow direction and be accepting of criticism
while in the PACU. The student is expected to arrive at the PACU with sufficient knowledge of
Airway & Respiratory Anatomy as well as sufficient knowledge of the tools he/she will be using. The
PACU staff will orally ‘test’ the student’s knowledge and assess the student’s competency prior to
allowing the student to assist with any procedures. The student may be competing with CRNA
students and Medical School students for the same patients; the student should exceed the
expectations of the PACU staff. Students may be required to change from their school uniform into
hospital scrubs while in the PACU.
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Cardiac Catherization Laboratory – Cardiac Cath. Lab.
Required hours – 16
Cardiac Catherization Laboratory is intended to assist the student in developing their understanding of
Cardiology as it applies to Myocardial Infarction, Heart Disease, 12-Lead EKG interpretation, and pre-
hospital management of these patients. The Cardiac Cath Lab is a rigidly controlled environment and does
not allow the student the same functional freedom as the ED or MICU. Student’s goals are very specific
in this clinical site.
Purpose – The primary purpose of the Cardiac Cath Lab is to familiarize the student with the major
arteries of the heart, cardiac disease, the symptoms presented by these patients and the physiology of
myocardial infarction in relation to the patient’s symptoms and 12-Lead EKG. As many EMS systems
and technologies continue to develop, the Cardiac Catherization Lab is becoming a primary location for
delivery of pre-hospital patients suffer Acute Myocardial Infarction; many of these patients are bypassing
the ED and initial stabilization in preference for immediate definitive treatment.
Prior to completion of the experience, the student will:
Identify signs, symptoms and treatment for the following:
o Acute Myocardial Infarction
o STEMI
o Non-STEMI
o Acute Coronary Syndrome
Identify Acute Myocardial Infarction (AMI) via 12-lead EKG.
Identify specifically part of heart involved in AMI.
Identify specifically the major arteries involved in AMI.
Explain the significance of EKG changes and conduction aberrancies.
Explain limitations of emergency care related to these patients.
Explain the resources available to patients in the Cardiac Cath Lab which are not available pre-
hospital.
Expectation – The student is expected to be able to follow direction and be accepting of criticism while in
the Cardiac Catherization Lab. Although the student may not have primary contact with the patient in this
setting, the student will be able to learn a great deal from the ‘control room’. The student is expected to
actively seek out the information necessary from the staff in the Cardiac Catherization Lab and further
develop the student’s understanding of Cardiology. The student is expected to arrive at this clinical site
with a basic understanding of Rhythm Interpretation, Cardiac Anatomy, Cardiac circulation, Cardiac
Electrical conduction, and the function of ‘grouped leads’.
43
Labor & Delivery – L&D
Required Hours – 16
Labor & Deliver is intended to help the student develop a proficiency in administering assistance to two
patients: (1) the Mother pre-partum, during Labor, and post-partum; (2) the newborn infant immediately
after delivery. Due to the nature of this particular healthcare field, students may require the consent of the
patient (mother) prior to assisting or performing any skills within the patient’s room.
Purpose – The primary purpose of the Labor & Delivery clinical rotation is to familiarize the student with
normal and complicated deliveries, assessments & treatments for mother and newborn.
Prior to completion of this experience, the student will:
Demonstrate competency in obtaining an OB/GYN history.
Demonstrate familiarity with the early sign & Symptoms of pregnancy.
Identify possible causes and treatment for 1st & 3rd trimester bleeding.
Explain the labor & delivery process.
Develop proficient understanding of the following complications:
o Pre-eclampsia & Eclampsia
o Cephalopelvic disproportion
o Abnormal fetal presentation
o Cord Prolapse
o Cord Strangulation
o Placental abruption
o Placenta previa
o Premature delivery
o Precipitous delivery
o Multiple births
o Meconium staining & aspiration
o Post Partum Hemorrhage
o Uterine Inversion
o Supine Hypotension Syndrome
Demonstrate the technique of fundal massage.
Observe the use of Oxytocin in the pre & post Partum patient.
Demonstrate proficient use of the APGAR scanning.
Demonstrate familiarity with routine care of the newborn.
Observe and/or assist infant resuscitation whenever possible.
Identify possible causes of abdominal pain in women of child bearing age.
See also Clinical Description for NICU.
Expectation – The student is expected to be able to follow direction and be accepting of criticism while in
the Labor & Delivery Unit. The student is expected to present to this unit with enthusiasm and eagerness
to learn. The student is expected to assist the nursing staff wherever and whenever possible. The student
should develop questions and wait until they are not in front of the patient or family to present
questions to the RN’s or Physicians. Before leaving this clinical rotation, the student is expected to have
developed sufficient proficiency to be competent and capable of assisting a mother delivery a child.
44
Pediatrics – PEDS
Required hours – 16
Pediatrics is intended to assist the student in developing proficiency with regards to pediatric patients and
development related to age groups from infant to pre-adolescence. The students ability to perform actual
skills in this department are greatly influenced by the students assertiveness and understanding of
pediatric ailments. The student may not have the same functional freedom as in the ED or MICU to
perform invasive procedures.
Purpose – The primary purpose of the pediatric clinical rotation is to familiarize the student with various
ages of pediatric patients, assessment of pediatric patients, differences in pediatrics based upon different
stages of child development, pediatric anatomy & physiology, and identification of pediatric illnesses and
etiologies.
Prior to completion of the experience, the student will:
Identify the emotional needs of the sick or injured child and his/her family and the unique
skills required for management of these patients or situations.
The student should be able to identify and develop a plan for treating the following:
o Croup
o Epiglottitis
o Respiratory distress
o Respiratory arrest
o Cardiopulmonary arrest
o Meningitis
o Seizures
o Vomiting & Diarrhea
o Dehydration
o Closed Head injury
o Child abuse
Expectation – The student is expected to be able to follow direction and be accepting of criticism while in
the Pediatric Unit. The student is expected to present to this unit with enthusiasm and eagerness to learn.
The student is expected to assist the nursing staff wherever and whenever possible. Often the student’s
experience in this clinical rotation is greatly influence by the student’s willingness to participate, ask
questions and become involved in the patient’s care through assisting the nursing staff. The student may
be competing with nursing students for the same skills and assessments.
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Neonatal Intensive Care Unit – NICU
Required Hours – 8
NICU is intended to help the student become proficient in the management of premature infants,
newborns and neonates requiring intensive care management. The NICU is a rigidly controlled
environment and does not allow the student the same functional freedom as the ED or MICU.
Purpose – The primary purpose of the NICU clinical rotation is to familiarize the student with the
specialized presentations, treatments, complications and needs of the Neonate.
Prior to completion of the experience, the student will:
Be able to describe intra-uterine circulation in the neonate.
Describe the complications and necessary changes for extra-uterine circulation in the neonate.
Identify signs, symptoms and treatment of the hypoxic neonate.
Demonstrate proficient use of the APGAR scanning.
Demonstrate proficient use of a length based drug calculation device.
Demonstrate understanding of umbilical cannulation and possible complications.
Be able to perform Intraosseous Infusion
Identify the role & responsibilities of the Paramedic in the NICU Transportation Team.
Identify differences in neonatal airway anatomy versus adult airway anatomy.
Identify possible complications of endotracheal intubation of the neonate.
Identify proper management of those previously mentioned complications.
Expectation – The student is expected to be able to follow direction and be accepting of instruction and
criticism while in the Neonatal Intensive Care Unit. The student is expected to arrive at this clinical site
with a basic understanding of neonatology and its application in the pre-hospital setting. The student
should be able to perform assessments on the patients even if they are not allowed to perform invasive
procedures. Although many babies are born in the hospital system across the country, there are many who
are born in the pre-hospital setting. The student is expected to assume the understanding that they will be
solely responsible for the care of the neonate in the pre-hospital setting, without the assistance of a
physician, nurse, respiratory therapist or a NICU transport team. Given this understanding, the student
should actively seek to be involved in patient care, assisting the nursing staff and develop a thorough
understanding of medical procedures, equipment & technology, and etiology of patient illness.
46
Telemetry – TELE
Telemetry is intended to help the student develop proficiency in rhythm interpretation. The student may
not have primary contact with patients during this clinical rotation however, the time spent at this clinical
site will present the student with opportunity to observe, determine and evaluate cardiac rhythms,
dysrhythmias and many conduction aberrancies. Students having difficulty demonstrating the ability to
appropriately interpret Cardiac Rhythm strips or read a Cardiac Monitor will be assigned to this
department, in addition to other clinical requirements, for the opportunity to improve their proficiency in
Cardiac Rhythm Interpretation. Students will be scheduled in 4 hours or 8 hours increments until they
have satisfactorily overcome the deficiency. The student will be assigned to a Telemetry Technician at
Geisinger-Community Medical Center who will assist the student in developing their rhythm
interpretation skill.
Purpose – The primary purpose of this clinical site is to familiarize the student with Cardiac Rhythm
Interpretation and the electrical conduction system of the heart.
Prior to completion of the experience, the student will:
Be proficient in ‘mapping out’ cardiac rhythms, including: o P-Wave
o QRS Complex
o Rates
o R-intervals
o P-R intervals
o ST Segments
o T-Waves
o Isoelectric line
Be able to identify the following rhythms & conduction aberrancies: o Sinus Rhythm
o Sinus Arrhythmias
o Sinus Arrest
o Wandering Atrial Pacemaker
o Atrial Fibrillation
o Atrial Flutter
o Sinus Tachycardia
o Premature Atrial Complexes
o Supraventricular Tachycardia
o Multifocal Atrial Tachycardia
o Sinus Bradycardia
o 1st Degree Atrioventricular Block
o 2nd Degree Atrioventricular Block
Type I
o 2nd Degree Atrioventricular Block
Type II
o 3rd Degree Atrioventricular Block
o Pauses
o Premature Junctional Complexes
o Paroxysmal Junctional Tachycardia
o Premature Ventricular Complexes
o Ventricular Escape Complex &
Rhythm
o Ventricular Tachycardia
o Torsades-de-Pointes
o Ventricular Fibrillation
o Asystole
o Artificial Pacemaker Rhythm
o Artificial Internal Cardiac
Defibrillators & Pacemaker (single
& dual chamber)
o Aberrant Ventricular Conduction
Expectation – The student is expected to be able to follow direction and be accepting of instruction and
criticism while in the Telemetry Department. Although the student may not have primary contact with the
patient in this setting, the student will be able to learn a great deal from the ‘monitor room’. The goal of
the student is to become proficient enough with interpretation skills that he/she will be able to interpret a
rhythm by sight and be able to confirm that interpretation through ‘mapping out’ a rhythm. Although
being able to correctly interpret cardiac rhythms by sight is a skill developed by most healthcare
professionals over a longer period of time than the program allows, correct and accurate interpretation by
sight is none the less the ultimate goal the student seeks to achieve. Students will be expected to interpret
by sight in the National Registry Practical Examination.
47
Psychiatric – Psych
Psychiatric is intended to help the student develop proficiency is the management of the psychiatric
patient and to dispel many of the publicly accepted stereotypes or misconceptions regarding the
physiology and treatment of these patients. The Emergency department usually provides ample
opportunity for students to assess and become familiar with Emergency management of the psychiatric
patient.
However, students having difficulty acquiring Psychiatric Assessments or difficulty demonstrating
management of the psychiatric patient will be assigned to this department, in addition to other clinical
requirements, for the opportunity to improve their proficiency in assessing Psychiatric patients or meet
their goals. Students will be scheduled in 4 hours or 8 hours increments until they have satisfactorily
overcome the deficiency.
Purpose – The primary purpose of this clinical rotation is to familiarize the student with the
complications, etiology and treatment of psychiatric illness and the management of psychiatric patients.
Prior to completion of the experience, the student will:
Be able to identify differences between several Mental Health diseases,
Identify specific needs of & availability of resources for patients depending on their disease etiology,
o Including:
Dual-diagnosis patients
Patients in crisis & impending crisis
Children
Elderly
Pre-partum, intra-partum and post-partum MH patients
Develop skills to manage patients with traditionally ‘non-medical’ needs,
Observe the management and therapy of MH patients.
Identify resources available for MH patients,
Identify the impact of substance abuse in relation to a patient with mental health disease,
Identify the role & value of a ‘support system’ for MH patients,
Identify disparities to care and access to care for MH patients,
Identify risk factors for suicide/homicide,
Demonstrate understanding of the patient committal process (i.e. treatment, legality, etc.)
Demonstrate the techniques utilized to manage a patient attempting suicide/homicide.
Demonstrate understanding of the MH rights of minors including treatment and dissemination of
information.
Expectation – The student is expected to be able to follow direction and be accepting of instruction and
criticism while in Psychiatric clinical rotation. Although the student may not have primary contact with
the patient in this setting, the student will be able to learn a great deal from their observations or
interactions with staff as well as patients.
Often medical professionals are challenged and greatly frustrated by the Mental Health patient. Such
frustration creates stereotypes and diminishes the quality of care provided and blemishes the integrity of
Emergency Medical Services. It is expected the student will become proficiently comfortable with the
care of these patients to be able to overcome the previously mentioned frustration, avoid stereotypes and
be able to provide exception care without prejudice to patients suffering from Mental Health diseases.
The goal of the student is to become proficient in assessing the patient with Mental Health disease,
identify the patient’s needs, managing the patient’s care and identify availability of resources to meet
those needs and how to assist a patient in crisis or impending crisis.
These rotations include several different sites including: D-7, Geisinger-Community Medical Center
(GCMC); Senior Medical Mental Health (SMMH), Moses Taylor Hospital, and Scranton Counseling
Center (SCC).
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Communications – Comm. Center
If available – 4 hours
The Communications Center is intended to give the student a broader understanding of the paramedic’s
role within the EMS chain of survival, County Communications, and the challenges presented to
communication centers on a daily basis.
Purpose – The primary purpose of the Communications Center clinical rotation is to familiarize the
student with the intricacies and challenges of daily communication.
Prior to the end of this experience the student will be able to identify:
Proper utilization of radio communication,
How information is relayed through the communications center,
How to request addition resources through the communications center,
Communication Center expectations of pre-hospital personnel,
Additional resources available through the communications center,
How resources are dispatched throughout the county,
Utilization of the AVL system & vehicle tracking,
How information is received by the Comm. Center and relayed to field units,
Criteria dispatchers use for assignment of resources,
How dispatchers interact with callers.
Expectation – The student is expected to observe the dispatchers and develop a strong understanding of
the dispatch process. The student is expected to be able to follow direction and be accepting of
instruction. The time spent in Communication Center will influence the student’s future abilities to
interact with the Communication Center, other units, and other agencies in an effective, professional
manner. The Communications Center is a locked down government agency, students may need to submit
to searches of their person or searches of their belongings or possessions upon entering the facility; photo
ID may be required for entry.
49
Morgue
Lackawanna College’s Paramedic Training Institute works cooperatively with The Lackawanna County
Coroner’s Office to offer the learning opportunities of gross anatomy to the Paramedic student.
Unfortunately, Autopsy posts are not always available at times that are convenient to Paramedic Student
schedules. Due to the frequency, timing and availability of Autopsy posts, students may need to make last
minute schedule changes to make them-selves available to this experience. As the Program learns of them
from the Coroner’s Office, it makes the students aware of dates & times of Autopsy.
Purpose – The Morgue is intended to help the student further their understanding of the human anatomy,
the placement of organs within the body and possibly relate specific disease or injury mechanisms to
corresponding organs.
Prior to completion of the experience, the student will:
Identify each of the major organs within the body,
Identify the location of the major organs within the body,
Identify the structures adjacent to the organs within the body,
Differentiate between structures of the Head, Thorax, Abdomen, Pelvis & Extremities,
Expectation – Lackawanna College’s Paramedic Training Institute students are guests of The Lackawanna
County Coroner’s Office. The Paramedic Training Institute has zero tolerance for dissent or misbehavior
while visiting the Morgue. Students are expected to respect and obey all direction by the County Coroner.
50
Capstone Field Internship
Minimum Required- 200-300 Hours (200 MICU recommended with a 100 hours of leadership)
Internship Completion Requirements:
Hour Requirements:200- 300 hours to 50 ALS calls.
TEAM LEAD a minimum of 50 ALS calls
Receive no scores less than ‘3’ on Affective Evaluations
Complete Skills testing with Medical Director and Program administration.
Prerequisites:
Completion of all Clinical/Field Experience Hours
Completion of Clinical Goals
Successful completion of Didactic courses
Successful demonstration of Laboratory skills
Successful completion of all exams
Co-Requisites:
Completion of credentialing courses
Overview
The Paramedic Training Program includes a Field Internship for Paramedic students. All of the Didactic
and Laboratory Training for Paramedic (as described in the National EMS Education Standards for
Paramedic) is completed prior to beginning the Field Internship. This does not include ‘card courses’
such as ACLS, PALS, PHTLS or ITLS. Any Field time performed prior to completion of the Didactic &
Laboratory Training is ‘experience’ and not Internship. The rationale behind this is that the Paramedic
student is expected to perform all the responsibilities, and meet all the expectations of an otherwise
certified Paramedic. In order to do this they must have received the training including subjects we
typically think of as ‘end of year’ subjects like Operations, Hazmat, MCI etc. So, the Internship cannot
begin until all that is completed.
MICU Experience
Historically, Paramedic students perform ‘ride time’ or ‘field time’ throughout the year. Although the
number of hours is 324 (as a minimum requirement; the student is allowed to do more time), the students
will still continue to do this time and must complete it before they will be allowed to begin their Field
Internship. ‘Team Leads’ will not be emphasized or tracked until the student begins their Field Internship.
In order for the student to be prepared and successful in their Field Internship, Clinical Educators will
prepare students to meet this expectation. The rationale for this is the same as described above. Anything
marked as ‘Team Lead’ prior to the Field Internship, will not be counted toward meeting the goals of the
Field Internship.
Clinical Educators & Mentors
Any Field Paramedic receiving a student must have Clinical Educator (Preceptor) Training. Just as
Medical Command Authorization is unit specific; Clinical Educator (Preceptor) Training is program
specific. Therefore, any Field Paramedic receiving a LC Paramedic Student must complete the Clinical
Educator (Preceptor) Training for the LC Paramedic Program, no exceptions.
51
Capstone Field Internship
The Capstone Field Internship is from May-July 1. The student is expected to demonstrate that they are
able to perform as an entry-level Paramedic. A more detailed explanation of this is to say the student must
demonstrate they are able to run EMS calls from start to finish with little or no prompting or assistance
from their Clinical Educator. The Clinical Educator needs to evaluate all aspects of the student behavior
to determine if the student has shown proficiency as an entry-level Paramedic. The Program and the
Advisory Board has determined that the student will be required to TEAM LEAD at least 50 ALS calls;
15 of those calls are allowed to be Transport (described as non-emergent. Not to be confused with
transporting versus rendezvous/EMS assist) in nature however, all 50 must be ALS.
An ALS call is described as follows: to receive credit for an ALS calls the student must apply the
EKG and start an IV OR administer a medication other than oxygen. The student must also
TEAM LEAD these calls which mean, they must perform the patient interview and patient exam.
The Program and Advisory Committee have further determined that during extremely critical calls in
which a certified Paramedic would reasonably call for assistance; the expectation of the student would be
to call for necessary assistance and not attempt to handle the call on their own. In such cases, the
Paramedic Intern should not be penalized for making an otherwise appropriate field decision to request
additional resources including but certainly not limited to their most available resource, the Clinical
Educator.
Class (with the exception of ACLS, PALS, and PHTLS or ITLS) is completed. Hospital Clinical is
completed. Final Exams are completed. The minimum number of hours required for completion of the
internship is 200- 300 hours (with 100 hours of leadership co-assigned to EMS Supervisor). The student
should average 37.5 hours per week. The program will allow for the 3on – 4off, 4on- 3off scheduling
typical of EMS. Student may be assigned to Critical Care Transport units during this rotation.
The Paramedic Intern is required to be paired up with a specific Clinical Educator for the length of the
Internship. The Paramedic Intern will ‘shadow’ the Clinical Educator’s schedule, whom, up to this point
has been the Intern’s Mentor. The Intern’s schedule is very simple: when their Clinical Educator is on
Duty, so is the Intern. The Paramedic Intern will be excused from their Internship to complete ACLS,
PALS, and PHTLS or ITLS or any other relevant EMS education opportunity deemed appropriate by
EMS program administration.
The Intern, upon entering their Internship, should already be familiar with the Field Site, their equipment,
policies, and day to day functions; as a result there should be no need for an orientation. The Intern
should, at this point, have a working relationship with their Mentor, who will now be evaluating their
performance; the Intern should be very familiar with their Mentor’s expectations for performance. The
Intern will be ‘shadowing’ the Mentor’s schedule so scheduling of student should not be convoluted as a
Mentor can only be assigned or choose one student.
Upon completion of the Internship, the Paramedic Intern will then be evaluated by the Medical Director
and Academy faculty to determine if the student has demonstrated proficiently, the ability to perform as
an entry-level Paramedic.
Prohibited EMS Activities-Things typically expected of Paramedics.
There are several activities typically expected of Paramedics that Paramedic Students or Paramedic
Interns are not allowed to do, regardless of their enrollment in a Paramedic Program, due to the fact that
PA DOH BEMS still perceives them to be, at minimum, an EMT-Basic.
52
Signing for Narcotics – An EMT-Basic cannot sign for narcotics. Students may be required to
sign for narcotics to which the student administers under supervision of a certified paramedic; co-
signature of certified paramedic is required.
If the Field Site determines that signing for Narcotics is a responsibility they wish to bestow upon LC
Paramedic Students/Interns, the Field Site will need to develop a policy that ensures that the
Student/Intern co-signs the Narcotic Log with the Clinical Educator and that the Student/Intern’s
signature must not stand alone. Also, such a policy should clearly state that this function is to facilitate the
Student/Intern to take responsibility for completing pre-shift checks and paperwork as is expected of
Paramedics by most EMS employers. Lastly, such a policy should also clearly state that the Certified
Paramedic whose signature accompanies the student’s on the Narcotic Log, bears sole responsibility for
the Narcotics.
Without such a policy on the behalf of the Field Sites, LC Paramedic Students/Interns cannot sign for
Narcotics.
EMS Documentation - All LC Paramedic Program Students/Interns are provided access to
FISDAP for the purpose of EMS Documentation. At no time, even if the Student/Intern is acting as Team
Leader during Internship, is the Student/Intern to complete formal EMS Documentation. The
Student/Intern is not, at any time, the highest trained EMS professional on the Crew. The certified
Paramedic (Clinical Educator) is still responsible for the formal Documentation of the ALS EMS call
(including stand-by, refusals and calls that do not result in Pt transport, or Pt contact such as
cancellations, no patient found, DOA).
(The following is assuming crew is made up of 1-Medic, 1-Emt + a Paramedic Student/Intern)
In the event that the EMS call is BLS in nature and the Crew determines the patient care is to be rendered
by the EMT (basic or advanced). The EMT rendering care to the patient is responsible for completing
their own formal Documentation of the BLS EMS call. At no time, should the Paramedic Student/Intern
complete BLS EMS documentation.
EMS Protocols requiring 2 Paramedics - LC Paramedic Program Student/Interns by definition
of being Student/Interns are not certified Paramedics. Therefore the Paramedic Student/Intern cannot
fulfill the role of a second Paramedic at any time Regional or State EMS Protocols requires two
Paramedics present to provide specific treatments or carry out specific Protocols.
53
National Registry
Practical Examinations (Candidate Pre-requisites)
Must be 18 years of age
Must possess a current EMT-B or EMT-I certification
Successfully complete a training program approved by the Department of Health Bureau of
Emergency Medical Services or previously certified to the level of the certification examination.
Possess a current CPR certification (professional rescuer level).
Completion of field and clinical time.
Major Examination Areas
Patient Assessment
Basic Life Support
Extremity Fractures
Soft Tissue Injury
Central Nervous System
Patient Lifting and Moving
Childbirth
Thoracic Injuries
Rhythm Interpretation
Medical Emergencies
Oxygen Therapy
Adjunctive Equipment
Absences
Persons who do not attend scheduled practice examinations must make arrangements through the regional
council to complete the practical examination at another regularly scheduled time.
Leaving Test Site
After the testing begins, any student leaving a test site prior to completion of all stations, without prior
permission of the regional coordinator, or designee, will be considered having FAILED the test.
Acceptable reasons for leaving the test site include, but are not limited to: personal illness, injury, or
family emergencies, which must then be documented in writing to the regional council within three (3)
working days.
Time Constraints
Students shall inform the regional coordinator or designee of any time constraints.
Time constraints must be identified by the student prior to the start of the examination.
Under normal circumstances, student will be scheduled so that they are oriented and testing
within three (3) hours.
Satisfactory grades
The candidate is able to identify the problem or task presented. The candidate is able to select and
prioritize appropriate treatment. The candidate is able to demonstrate appropriate treatment or skills
within the established objectives.
Unsatisfactory grades
The candidate is unable to identify the problem or task presented. The candidate is unable to select and
prioritize appropriate treatment. The candidate is unable to demonstrate appropriate treatment or skills
within the established objectives. The student performed task(s), treatment(s), or skill(s), which adversely
affects patient outcome.
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Paramedic Overview (Roles & Responsibilities)
A Certified Paramedic is authorized to provide Advanced Life Support services including, but not limited
to, rescue, triage, and the transfer and transport of both emergency and non-emergency patients in
accordance with the current Department of Transportation Emergency Medical Technician National
Standard Curriculum.
A Paramedic may perform all activities identified in the Roles & responsibilities of a Paramedic as
defined above.
A Paramedic, following the order of a Medical Command Physician, and/or a student in an approved
Paramedic Training Program, while under the supervision of an approved preceptor, may do the
following:
Perform pulmonary ventilation by the insertion and/or use of a Combi-Tube/King Airway.
Perform pulmonary ventilation by the use of oral and/or nasal endotracheal intubation.
Insert intravenous (IV) catheters, needles or other cannula and establishes IO access.
Obtain venous blood samples for analysis, except samples drawn for assessing blood alcohol
levels for legal purposed.
Prepared and administer approved medications and solutions by intravenous, intramuscular,
subcutaneous, oral, topical, inhalation, rectal and endotracheal routes.
Perform defibrillation, synchronized cardio-version, and transcutaneous pacing.
Perform gastric suction by nasogastric or orogastric intubation or through the Combi-Tube/King
Airway.
Visualize the airway by use of the laryngoscope and remove foreign bodies with forceps in
airway obstruction.
Apply electrodes and monitor cardiac electrical activity and use mechanical cardiopulmonary
resuscitation devices.
Assess and manage patients in accordance with the U.S. Department of Transportation,
Paramedic National Standard Curriculum for Health Professionals, in accordance with the
Department of Health Training curriculum.
Perform external transthoracic pacing and thoracic decompression.
Perform Cricothyrotomy and pulmonary ventilation.
Perform central venous (external jugular) cannulation and urinary catheterizations.
55
FACILITIES
In addition to the Paramedic Program Requirements, some clinical facilities have specific requirements
and expectations of students performing clinical at their facility. These facilities have made the Program
aware of their requirements as listed below. Students are expected to adhere to the rules, regulations,
policies and expectations of each clinical site.
CHS Affiliate Moses Taylor Hospital
Acceptable Performance and Behaviors:
1. Respect and empathy for the dignity of every patient and co-worker regardless of religion, race,
life-style or socio-economic status.
2. Respect for patient’s rights to privacy and confidentiality.
3. Recognition of the rights of patients and their families to be adequately informed about their
illness, the goals of treatment, and the potential benefits, risks and complications.
4. Demonstration of effort to improve skills in communicating with patients and families.
5. Skill in communicating with and working with other members of the health care team,
including peers.
6. Respect for and the ability to work harmoniously with other allied health care personnel.
7. Recognition and demonstration of the importance of constant self-assessment and independent
learning.
8. Ability to respond appropriately to constructive feedback and evaluation of one’s performance.
9. Demonstration of good judgment.
10. Ability to demonstrate self confidence and decisiveness.
11. Honesty and integrity.
12. Responsibility, reliability and conscientiousness.
Unacceptable Performance or Behaviors:
Failure to meet the expectations as outlined by Moses Taylor Hospital will result in the student’s
immediate removal from the clinical setting and possible suspension of privileges to practice as a student
at Moses Taylor Hospital.
1. A breach of any of the above principles of behavior.
2. Several instances of non-performance or failure to complete required curricular assignments.
3. Failure to respect a patient’s rights and dignity.
4. Failure to respect the private, political and/or religious beliefs of the patient and of co-workers.
5. Deliberate breach of hospital policy.
6. Removal of medical records from the hospital.
7. Misrepresentation of one’s role as a student in the care of the patient.
8. Display of poor judgment, such as:
a. Performance of a patient procedure without specific instructions to do so from a
physician, instructor, or preceptor.
9. Deliberate breach of confidentiality or of a patient’s privacy.
10. Any conduct unbecoming to a healthcare professional.
11. Falsification of medical records.
12. Lying and dishonesty.
56
13. Being under the influence of drugs or alcohol.
14. Theft of drugs or commission of any felony.
Uniform
The students and instructors will wear an appropriate uniform and applicable school name tag while on
duty in the hospital. Lab coats are permitted and name badges are required at all times. Students are
expected to follow the dress code policy of the hospital. We do not allow the following:
Tight, sheer, or revealing clothing. Clothing that exposes the midriff or cleavage.
Jeans of any color or jean material
Tank tops, spaghetti straps, or strapless shirts or tops. Off the shoulder blouses, sweaters, or
shirts.
Tee shirts, shirts, or sweatshirts with advertisements, sayings, or logos EXCEPT the MTH logos.
Shorts or skorts. Beachwear, sportswear, Sports attire; including jogging suits, sweatpants,
sweatshirts, hooded sweatshirts, or lycra leggings.
Hats, caps, bandanas
Fishnet stockings
Hospital scrubs
Skirts or dresses more than three inches above the knee
No excessive makeup – makeup should appear natural.
For safety and infection control reasons, excessive jewelry is not allowed – i.e. no more than 2
bracelets and a watch or 2 rings.
Visible Tattoos must be covered.
No facial jewelry i.e. lips, tongue, eye, nose, etc showing
Earrings – maximum of 3 per ear however, however dangling earrings longer than 1 ½ inches are
not allowed. No ear gages.
Hair must be well-groomed and clean. Hair must be worn in an acceptable manner that would not
interfere with daily job duties. For direct patient care providers, hair must be secured
properly. Hairstyles of any extreme are not acceptable i.e. neon colors, color stripes, laser cuts.
Face must be clean shaven except for beards and mustaches which must be clean, well-trimmed,
and neat.
Heavily scented perfumes, colognes, after shave lotions, and tobacco odors are not acceptable.
This our Cell Phone Usage Policy
The use of personal cell phones and other wireless devices, by a student is prohibited during
clinical experience at MTH. During clinical, cell phones should be kept where other personal
items are stored. Personal cell phones or other wireless devices should never be taken into a
patient’s room or be in the student’s possession while performing any part of patient care.
Personal cell phone usage or other wireless devices that uses cellular technology is limited to
meal time only.
The use of cell phones and/or other wireless devices in the restrooms of the hospital is prohibited
for confidentiality purposes.
Use of cell phones and/or other wireless devices to photograph or record video within the hospital
is strictly prohibited; transmission of such photos/video via text or other media upload is strictly
prohibited.
Violations of this policy will result in termination of clinical experience.
57
Appendix
Dismissal due to attendance letter
Physical Risk Assessment
Declaration of Understanding
Statement of Employer Awareness
Academic Warning Form
Consent for Invasive Procedures
Approved Drugs for ALS Ambulance Services (PA Bulletin 6564)
Department of Health Criminal History Reporting Form
Affective Domain Evaluation Forms
Clinical & Field Evaluation Form
Classroom Evaluation Form
Laboratory Evaluation Form
Hospital/Field/Internship Patient Care Report
Functional Position Description for the ALS Provider
Clinical Educator / Student Agreement Form
Certification of Eligibility
HIPPA Compliance
58
DOH DISMISSAL FORM
Date: _____________________
Student Name
Address
City, State, Zip
________________________________________________________
Director of EMS Academy
Lackawanna College, EMS Academy
501 Vine Street
Scranton PA 18509
Dear _____________________________________________:
Department of Health Bureau of Emergency Medical Services policy states that you must be dropped
for exceeding the maximum allowable missed hours.
Our records show you have missed the following hours of classroom / clinical time:
Date Hours
_____________________
_____________________
_____________________
_____________________
Total Hours Missed: ____
Although we completely understand the scheduling challenges that face students within the program,
we are obligated to obey the policies of the Department of Health Bureau of Emergency Medical
Services.
We hope you choose to enroll in another course, in the future, when your schedule permits you to
meet the participation criteria. Best wishes in your future endeavors.
Sincerely,
______________________________________________________
EMS Academy Administration
cc: Emergency Medical Services of Northeastern Pennsylvania
Lackawanna College EMS Academy
570.504.7928 / Fax 570-955-1551
59
EMS Academy
- Paramedic Training
Physical Risk Assessment
Participation in this course exposes the student to certain risks of illness, injury or infectious contact.
Interactions with clients in the healthcare system carry inherent risks to both the client and the
caregiver, including but not limited to, communicable diseases. In the curriculum, students will be
given information regarding known risks for various diseases and provided the information necessary
to develop skills to implement precautions appropriate to these risks. All students are expected to
provide appropriate care to all assigned clients in any healthcare setting as a learning experience.
These assignments may include clients with diagnoses such as tuberculosis, hepatitis, AIDS, HIV,
influenza, or other infectious diseases.
Students who develop a physical problem during participation, (acute, temporary, chronic or terminal)
may choose to continue in the Paramedic Training Program at Lackawanna College. If a student
chooses to stay enrolled in the course, he / she understands and agrees that excessive absenteeism or
inability to perform necessary duties related to the learning objectives and healthcare delivery can
result in the necessity for the student to discontinue the course.
It is the student’s responsibility to obtain, and provide to the Director of the EMS Academy, written
permission, from a Physician, to take part in all course functions, during the duration or period the
problem is present. Lackawanna College is not responsible for any exacerbation of this problem that
occurs as a result of the student’s continued participation in the course. Lackawanna College will not
be held responsible for any illness, injury, or results of infectious contact, which occurs throughout
the student’s participation in the course.
Student Name (printed)_________________________________________
Student Signature_______________________________________ Date _____________________
Witness Signature______________________________________ Date _____________________
Lackawanna College EMS Academy
570.504.7928 / Fax 570-955-1551
60
Declaration of Understanding
Please read and complete the following information and return it to the instructor at the first class.
I, ____________________________, verify that I have received and read Lackawanna College EMS
Academy’s Paramedic Program Student Handbook, Paramedic Program Syllabus, Physical Risk
Assessment and the Functional Position Description for the ALS Provider.
I declare, my signature below offers confirmation that I understand the rules by which I am governed;
accept the disciplines as described, the risks and potential risks involved in participation of this
course. Additionally, I comprehend what is expected of me during my enrollment in the Paramedic
Training Program. I further agree to comply with all policies and guidelines set-forth by the EMS
Academy.
Student Name (printed)_________________________________________
Student Signature_______________________________________ Date _____________________
Witness Signature______________________________________ Date _____________________
Lackawanna College EMS Academy
570.504.7928 / Fax 570-955-1551
61
EMS Academy
Statement of Employer Awareness Form To: Employers of Applicants to the Paramedic Training Program
RE: The Paramedic Training Program
______________________________________, one of your employees, has been enrolled in Paramedic
Training Program which is conducted at:
Lackawanna College, EMS Academy
501 Vine Street
Scranton, PA 18509
Due to the intense nature of the training program and the commitment essential for its completion, it is
sometimes necessary for a student to arrange and re-arrange his/her schedule according to the needs of
this course. This may involve shift changes, vacation days, leaves of absence, use of PTO time etc.
Below are some requirements of the course which may necessitate schedule adjustments:
The course lectures and lab are conducted on Monday, Tuesday and Wednesday from 8:00 a.m-
4:00 p.m, with occasional classes on evenings and weekends.
The course is 1604 to 1704 hours long and will last approximately 1 year.
Clinical experiences (Hospital, usually on Friday’s and may include multiple shifts; student is
responsible for scheduling their MICU time prior to internship), specialty courses, and
examinations are available only at specific times; students are required to adjust their schedules to
avail themselves for these experiences.
If, coincidentally, your business is a clinical site for this program; your employee cannot utilize
your service as a clinical/internship site while enrolled in this program.
In the past the program has accommodated students arriving to class late as a result of ‘late calls’
or other employment responsibilities. This practice will no longer continue. A student is
permitted no more than 30 absent hours during any semester or no more than 60 absent hours
cumulated for the course, regardless of reason. Student will be dismissed from program if they
are Tardy more than 5 times, regardless of reason.
The student must return this "Statement of Employer Awareness Form", signed by you. Thank you for
your cooperation.
I have read the above, and I understand the implication of these statements, as a result of employee,
___________________________________, being enrolled in the Paramedic Training Program.
_______________________________________________________
(Place of Employment)
_________________________________
(Signature of Supervisor/Manager)
________________________ ____ the above not applicable, unemployed at present.
(Date) Lackawanna College EMS Academy
570.504.7928 / Fax 570-955-1551
62
EMS Academy 501 Vine Street, Scranton, PA 18509
Academic Warning 1st 2nd 3rd
Student____________________________________________ Date:_________________________
Dear Student:
Your academic standing in class is in jeopardy. We fear that unless you attend to this problem you may
ultimately fail this course. If you are receiving financial aid, you risk losing this important resource.
The resolution of this problem begins with making a commitment to correct it. Meet with your instructor.
Ask what is wrong and determine what you must do to improve the situation.
We know from past experience that even in the most difficult cases, a solution can be found that will
allow you to continue in the pursuit of your goals. You need not face this problem alone. The faculty,
counselors and staff members are willing to help you.
This warning is a very serious matter, and you should attend to it IMMEDIATELY. Your future is
important to us, and we want you to get the most from your education at Lackawanna College.
Sincerely,
_____________________________________________________________________________________
EMS Academy Administration
Description of the problem:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Grade ________
Recommendations: (Circle all that apply)
A. Attend makeup session with Instructor
B. Seek assistance in the Math Lab
C. Seek tutorial assistance in the Act 101 Office
D. Meet with College Counselor
E. Withdraw from this course
F. Other: _____________________________________________
Lackawanna College EMS Academy
570.504.7928 / Fax 570-955-1551
63
EMS Academy
Paramedic Training Consent for Invasive
Procedures
As a student enrolled in the Lackawanna College Paramedic Training Program, I understand that
both instruction and laboratory practice regarding invasive techniques are necessary components
of the Paramedic curriculum. Therefore, I hereby consent to participate in the planned laboratory
experience, which provides that I perform any of the following procedures on another member of
the class (and he/she in turn, on me) under the direct supervision of a member of the Paramedic
Training instructional staff.
I agree that Lackawanna College shall have no liability or responsibility to me for any injury,
damage, claim arising from my participation in the planned laboratory experience which is part of
the Paramedic Training curriculum.
Venipuncture / Finger-stick / IV Cannulation
Student Name (printed): __________________________________________________________
Student Signature: _______________________________________ Date: _____________
Witness Signature: _______________________________________ Date: _____________
EMS Program Staff Witness Signature:______________________________________________
Date:______________
Lackawanna College EMS Academy
570.504.7928 / Fax 570-955-1551
64
NOTICES
DEPARTMENT OF HEALTH
Approved Drugs for ALS Ambulance Services
[42 Pa.B. 4229]
[Saturday, July 7, 2012]
Under 28 Pa. Code § 1005.11(b) (relating to drug use, control and security), the following
drugs are approved for use by ground advanced life support (ALS) ambulance services and may
be administered by emergency medical technicians—paramedics, prehospital registered nurses
and health professional physicians when use of the drugs is permitted by the applicable
Department of Health (Department) approved regional medical treatment protocols:
1. Activated charcoal
2. Acetaminophen
3. Adenosine
4. Albuterol
5. Amiodarone
6. Antimicrobials—for interfacility transports only
7. Aspirin
8. Atropine sulfate
9. Benzocaine—for topical use only
10. Bivalirudin—for interfacility transports only
11. Calcium chloride
12. Calcium gluconate
13. Captopril
14. Dexamethasone sodium phosphate
15. Diazepam
16. Dilaudid—for interfacility transports only
65
17. Diltiazem
18. Diphenhydramine HCL
19. Dobutamine
20. Dopamine
21. Enalapril
22. Epinephrine HCL
23. Etomidate (only permitted for services approved by a regional EMS council and
participating in the required QI program)
24. Fentanyl
25. Furosemide
26. Glucagon
27. Heparin by intravenous drip—for interfacility transports only
28. Hydrocortisone sodium succinate
29. Glycoprotein IIb/IIIa Inhibitors—for interfacility transports only
a. Abciximab
b. Eptifibatide
c. Tirofiban
30. Intravenous electrolyte solutions
a. Dextrose
b. Lactated Ringer's
c. Sodium chloride
d. Normosol
e. Potassium—for interfacility transports only
31. Ipratropium Bromide
32. Isoproterenol HCL—for interfacility transports only
33. Levalbuterol—for interfacility transports only
34. Lidocaine HCL
66
35. Lorazepam
36. Magnesium sulfate
37. Methylprednisolone
38. Midazolam
39. Morphine sulfate
40. Naloxone HCL
41. Nitroglycerin (all forms/routes, but continuous intravenous infusion must be regulated by
an infusion pump)
42. Nitrous oxide
43. Ondansetron
44. Oxytocin
45. Pralidoxime CL
46. Procainamide
47. Sodium bicarbonate
48. Sodium thiosulfate
49. Sterile water for injection
50. Terbutaline
51. Tetracaine—for topical use only
52. Total parenteral nutrition—for interfacility transport only
53. Verapamil
During interfacility transport, all medications given by continuous infusion (except
intravenous electrolyte solutions with potassium concentrations of no more than 20 mEq/L) must
be regulated by an electronic infusion pump. For prehospital transport, continuous infusions of
crystalloid solutions containing medication (except intravenous electrolyte solutions with
potassium concentrations of no more than 20 mEq/L) must be rate controlled by electronic IV
pump or a manual flow control device capable of setting specific numeric flow rates.
This list supersedes the list of approved drugs published at 41 Pa.B. 2286 (April 30, 2011).
The changes from the previous notice are:
1. The removal of heparin flush.
2. The addition of prehospital transport continuous infusions of crystalloid solutions
containing medication (except intravenous electrolyte solutions with potassium concentrations of
67
no more than 20 mEq/L) must be rate controlled by an electronic IV pump or a manual flow
control device capable of setting specific numeric flow rates.
Ambulance services are not authorized to stock drugs designated ''for interfacility transports
only.'' However, paramedics and health professionals may administer a drug so designated if the
facility transferring a patient provides the drug, directs that it be administered to the patient
during the transfer, and the regional transfer and medical treatment protocols permit the
administration of the drug by those personnel. See 28 Pa. Code § 1005.11(a)(3) and (d).
Section 1005.11 of 28 Pa. Code permits a ground ALS ambulance service, with Department
approval, to stock drugs, under specified circumstances, in addition to those drugs on the
approved list if a region's medical treatment protocols authorize their use within the region.
The list of drugs in this notice does not apply to air ambulance services. Under 28 Pa. Code §
1007.7(i)(2) (relating to licensure and general operating requirements), each air ambulance
service is to develop its own medical treatment protocols that identify drugs that may be used by
the air ambulance service. The air ambulance service is to then submit the protocols to the
medical advisory committee of the appropriate regional emergency medical services council for
the medical advisory committee's review and recommendations. Following its consideration of
the recommendations and making further revisions if needed, the air ambulance service is to file
the protocols with the Department for approval.
Persons with a disability who require an alternate format of this notice (for example, large
print, audiotape, Braille) should contact Robert Cooney, Department of Health, Bureau of
Emergency Medical Services, Room 606, Health and Welfare Building, 625 Forster Street,
Harrisburg, PA 17120-0701, (717) 787-8740. Speech or hearing impaired persons may use V/TT
(717) 783-6154 or the Pennsylvania AT&T Relay Service at (800) 654-5984 (TT).
ELI N. AVILA, MD, JD, MPH, FCLM,
Secretary
[Pa.B. Doc. No. 12-1270. Filed for public inspection July 6, 2012, 9:00 a.m.]
No part of the information on this site may be reproduced for profit or sold for profit.
This material has been drawn directly from the official Pennsylvania Bulletin full text database.
Due to the limitations of HTML or differences in display capabilities of different browsers, this
version may differ slightly from the official printed version.
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EMS Academy
Clinical & Field Experience Evaluation Form www.fisdap.com (570) 504-7928 office (570) 955-1553 fax www.lackawanna.edu
Assessments Other Skills
ALS Skills
Student: Please comment upon today’s clinical experience (include any skills not listed above that you observed or performed): __________________________________________________________________________
__________________________________________________________________________
__________
Plan for Improvement / Faculty Comments: (Must be completed by evaluator/preceptor).
__________________________________________________________________________
__________________________________________________________________________
Skill Perf. Obs. Skill Perf. Obs.
Oxygen Bandaging/Dressing Appl.
Ventilation
OPA/NPA 12-Lead ECG
Suction
NG/OG Tube CPAP/Bi-PAP
CPR Ventilator
Foley Cath.
Glucometer Capnography/Capnometry
Radio Report
Immobilize Lifting/Moving
KED Splinting
Phlebotomy RSI Procedure Assist
Assist Physician with procedure
(specify)___________________________________________
FAST Ultrasound
(Observ Only) Blood Product Transfusion
(Observ Only)
Student Name: Preceptor Name:
Geisinger Co-assigned Nurse Name:
Perf Obsv Team Lead Pediatric Assess: _____ _____ ______
Adult Assess: _____ _____ ______
Geriatric Assess: _____ _____ ______
OB Assess: _____ _____ ______
Trauma Assess: _____ _____ ______
Psychiatric Assess: _____ _____ ______
Chest Pain Assess: _____ _____ ______
Adult Resp Distress: _____ _____ ______
Ped Resp Distress: _____ _____ ______
Syncope: _____ _____ ______
Abd Complaint: _____ _____ ______
AMS: _____ _____ ______
Please make sure all information is complete and accurate prior to entering it into FISDAP.
Site: ________________ Department: ________________ Date: _______________ Time: ______________
Total Hours: _________ Total Number of Patients: __________ # MICU Calls functioning as Team Leader: _______
IV/IO Access Medication Administration
Attempts: _____ Success: _____ Obsv: _____ IV: ____ IM: ____ SQ: ____ Neb: ____
SL: ____ IO: ____ ETT: ____ PO: ____
Intubation/Combi-tube/King Airway
Attempt: _____ Success: _____ Obsv: _____
LMA Observation Only: _____ ECG
Interpretations: _____ Strips Included: _____
Electrical Therapy
Defibrillation Performed: _____ Observed: _____
Synchronized Cardioversion Performed: _____ Observed: _____
Transcutaneous Pacing Performed: _____ Observed: _____
Needle Cricothyrotomy Needle Thoracentesis
Performed: _____ Observed: _____ Performed: _____ Observed: _____
Student Physically Involved in Lifting Patient(s) □ Yes □ No
**SPECIFIC SKILL SETS ARE DONE IN HOSPITAL ONLY**
72
Evaluators/Preceptors: Please evaluate the student in the following categories at the end of their clinical shift. All scores below
‘3’ must be clarified with comments below. Please be fair but hold the student accountable for their performance. If the individual
you are evaluating is performing as an entry level provider they should obtain scores of “3” in most categories.
Domain Required Attributes to obtain the recommended score.
Integrity 5 Always honest, leads by example and models exemplary behaviors regarding integrity.
4 Consistently honesty assists, demonstrates professional interactions on all levels.
3 Consistently honesty, being able to be trusted with property & confidential information,
complete & accurate documentation of patient care & learning activities.
2 Minor infraction of 1 area of #3 but otherwise compliant with all aspects described in
#3.
1 Major infraction of 1 (or more) areas of #3 or many minor infractions in most areas of
#3.
Empathy 5 Seeks out opportunities to serve in the community / patients when the situation arises.
Provide contact information on assistance agencies, has the ability to set troubled
patients at ease and actively listens to their problems & concerns.
4 Able to show compassion & respond appropriately while maintaining professional
demeanor, demonstrating a strong desire to advocate for the patient, can direct patients
& their families to available community resources.
3 Showing compassion to others, responding appropriately to emotional responses by
others, demonstrating respect to others, being supportive & reassuring.
2 Being uncompassionate to others, or responding inappropriately to emotional responses
of patients/families.
1 Being deliberately disrespectful of others, making fun of others, being condescending or
sarcastic to others, clearly uncomfortable dealing with emotions of patients/families.
Self-Motivation 5 Demonstrates exceptional learning/professional behaviors.
4 Volunteering for additional duties, consistently striving for excellence in all aspects of
patient care and professional activities, seeking out a mentor or faculty member to
provide constructive criticism, informing faculty of learning opportunities.
3 Taking initiative to complete assignments, taking initiative to improve or correct
behavior, taking on and following through on tasks without constant supervision,
accepts constructive criticism in a positive manner.
2 Failing to meet 1-3 tasks as described in #3 but obviously making attempts to attain
acceptable standards.
1 Consistently failing to demonstrate exceptional learning/professional behaviors.
Appearance &
Personal
Hygiene
5 Uniform/appearance is always above average.
4 Clothing and uniform are above average. Uniform is pressed. Grooming & hygiene is
good or above average.
3 Clothing and uniform is appropriate, neat, clean & well-maintained, good personal
hygiene & grooming.
2 The uniform is unkempt (wrinkled), mildly soiled, or in need of minor repairs;
appropriate personal hygiene is common, but occasionally the individual is unkempt or
disheveled.
1 Inappropriate uniform or clothing worn. poor hygiene or grooming is noted.
Self- Confidence 5 Stands by and can defend personal choices when challenged by an authority figure,
actively seeks to improve on weaknesses.
4 Stand by his/her choices when challenged by an authority figure, aware of strengths &
weaknesses & seeks to improve, exercises good personal judgment and often serves as a
mentor.
3 Demonstrating the ability to trust personal judgment, demonstrating an awareness of
strengths and limitations, exercises good personal judgment.
2 Needs encouragement before, not trusting personal judgment, is aware of strengths but
does not readily recognize weaknesses, sometimes makes poor personal choices.
1 Does not trust personal judgment, is unaware of strengths or weaknesses, and frequently
exercises poor personal judgment.
73
Communications 5 Working on self in improving speaking and writing abilities, models and is able to
demonstrate active listening techniques to others. Is comfortable utilizing a variety of
communication styles these various settings.
4 Working on improving speaking & writing abilities, models active listening skills, able
to modify communication strategies easily in various situations & able to effectively
communicate a message in these various settings.
3 Speaking clearly, writing legibly, listening actively, and adjusting communication
strategies to various situations.
2 Needs work to speak or write clearly, knows how to actively listen although sometimes
is unable to model good listening skills, able to identify alternative communication
strategies needed in various situations but is still developing the skill to perform
alternative strategies.
1 Unable to speak or write clearly and is unable to correct their behavior despite
intervention by instructors, does not actively listen (requires instructions to be repeated
or appears unable to follow directions,) resistant to learning new communication
strategies.
Time
Management
5 Punctual (or early) all of the time.
4 Seldom late to clinical sites and generally ready to begin clinical prior to the actual start
time.
3 Consistent punctuality.
2 Occasionally late in arriving to clinical.
1 Often late to clinical sites, upon arrival needs additional time to be ready to begin
(changing into uniform, gathering supplies, etc.).
Teamwork &
Diplomacy
5 Placing success of the team above self-interest (even if that means a negative outcome
to self,) taking a leadership role & using good management skills while leading,
involving all appropriate team members in the decision making process, suggesting &
implementing changes to benefit the team, seeking ways to keep communications &
dialog going.
4 Placing success of the team above self-interest, supporting & holding up the team by
shouldering addition responsibilities, actively seeking to include all members of the
team in the decision making process were appropriate, welcoming change & remaining
flexible, helping to open the lines of communication.
3 Placing the success of the team above self-interest, not undermining the team, helping
& supporting other team members, showing respect for all team members, remaining
flexible & open to change, communicating with others to resolve problems.
2 Sometimes acting for personal interest at the expense of the team, acting independent of
the team or appearing non-supportive, being somewhat resistant to change or
occasionally unwilling to work out a solution.
1 Manipulating the team or acting with disregard to the team, being disrespectful of team
members, being resistant to change or refusing to cooperate in attempts to work out
solutions.
Respect 5 Modeling good professional behaviors when involved in clinical activities.
4 Being polite even when a situation is not going in his/her favor, always using respectful
language and modeling good professional behaviors.
3 Being polite to others, not using derogatory or demeaning terms, and behaving in a
manner that brings credit to the profession.
2 Being polite when required, occasionally overheard using demeaning or derogatory
language but confining it to situations other than in patient care settings, occasionally
acting unprofessional on the job.
1 Disrespect of authority, being argumentative, using inappropriate words or outbursts of
anger, deliberately undermining authority in words or actions or trying to provoke
others, frequently unable to act in a professional manner.
74
Patient
Advocacy
5 Models patient advocacy and able to defend the need to advocate for patients’ rights.
4 Not allowing personal bias or feelings to interfere with patient care; actively advocating
for patient rights, protecting confidentiality.
3 Not allowing personal bias or feelings to interfere with patient care, placing the needs of
patients above self-interest, protecting & respecting patient confidentiality & dignity.
2 Occasionally has difficulty dealing with patients because of personal bias or feelings.
1 Constantly unable to deal with patients because of personal biases, actively demeaning
or degrading patients with words or deeds, unconcerned about patient rights, feelings or
considerations, frequently takes shortcuts during care of patients.
Careful
Delivery of
Services
5 Functions independently & able to correct mistakes by self-reflection, able to assist in
the development of rules, regulations, policies & procedures.
4 Can be trusted to function independently of all but minor supervision; follows of all
rules, regulations, policies, protocols, and procedures.
3 Performing skills at an entry-level capacity a majority of the time, performing complete
equipment & supply checks, demonstrating careful & safe ambulance operations (MICU
Clinical), following policies and procedures & protocols, following orders.
2 Occasionally performing skills below the entry-level, requiring monitoring to ensure
completeness and accuracy in completing tasks, occasional minor breeches in policies,
procedures or protocols attributed to lack of knowledge of it but willing to learn, may
follow the letter of, but always the spirit, of rules and regulations.
1 Unable to perform skills at entry level or requiring constant monitoring or reinforcement
to perform skills, required to recheck tasks because of omissions or inaccuracies in
performance or documentation, unwilling to learn policies, procedures or protocols,
deliberate unwillingness to follow the letter or spirit of rules or regulations.
Did the student complete the previous plan for improvement by the assigned deadline? Yes_____ NO_____
Preceptor Printed Name: ______________________________________________________________________________
Preceptor Signature: _________________________________________________________ Date: __________________
Contact EMS Academy administration at (570) 504-7928, with any comments or concerns.
75
EMS Academy
Classroom Affective Domain Evaluation Form
(570) 504-7928 office (570) 955-1553 fax www.lackawanna.edu
Instructors: Please evaluate the student in the following categories at the end of the Program Module. All scores below ‘3’ must
be clarified with comments below. Please be fair but hold the student accountable for their performance. Failure to do so will not
help the student improve their performance. If the individual you are evaluating is performing as an entry level provider they
should obtain scores of “3” in most categories.
Domain Required Attributes to obtain the recommended score.
Integrity 5 Always honest, leads by example & models exemplary behaviors regarding integrity. Consistently turns in
paperwork that is complete & accurate prior to the due date.
4 Consistent honesty assists other classmates in understanding confidential issues & in developing their
documentation skills.
3 Consistent honesty, being able to be trusted with property & confidential information, complete & accurate
documentation of patient care & learning activities.
2 Minor infraction of 1 area of #3 but otherwise compliant with all aspects described in #3.
1 Major infraction of 1 (or more) areas of #3 or many minor infractions in most areas of #3.
Recommended
score:
>3
Evaluator/Preceptor Comments:
Empathy 5 Seeks out opportunities to serve in the community, when the situation arises can provide contact information
on assistance agencies, has the ability to set troubled patients at ease and actively listens to their problems &
concerns.
4 Able to show compassion & respond appropriately while maintaining professional demeanor, demonstrating a
strong desire to advocate for the patient, can direct patients & their families to available community resources.
3 Showing compassion to others, responding appropriately to emotional responses by others, demonstrating
respect to others, being supportive & reassuring.
2 Being uncompassionate to others, or responding inappropriately to emotional responses because you are
uncomfortable with their emotional displays. Acting coolly towards patients in distress & not acting as a
patient advocate.
1 Being deliberately disrespectful of others, making fun of others, being condescending or sarcastic to others,
clearly uncomfortable dealing with emotions of patients.
Recommended
score:
>3
Evaluator/Preceptor Comments:
Self-Motivation 5 Never missing a deadline & often completing assignments well ahead of the scheduled deadlines, reminding
other students of deadlines, supporting faculty in upholding the rules & regulations of the program, taking
seriously opportunities to provide feedback to fellow students, seeking opportunities to obtain feedback,
assisting faculty in arranging & coordinating activities.
4 Occasionally completing & turning in assignments before the scheduled deadline, volunteering for additional
duties, consistently striving for excellence in all aspects of patient care & professional activities, seeking out a
mentor or faculty member to provide constructive criticism, informing faculty of learning opportunities.
3 Taking initiative to complete assignments, taking initiative to improve or correct behavior, taking on &
following through on tasks without constant supervision, showing enthusiasm for learning, & improvement,
consistently striving for improvement in all aspects of patient care & professional activities, accepting
constructive criticism in a positive manner, taking advantage of learning opportunities.
2 Failing to meet 1-3 tasks as described in #3 but obviously making attempts to attain acceptable standards.
1 Consistently failing to meet established deadlines, unable to demonstrate intrinsic motivating factors requiring
extra extrinsic motivation from instructors, failing to improve even after corrective feedback has been
provided by faculty, requiring constant supervision t complete tasks or being asked to repeat a task that is
incorrectly performed.
Please make sure all information is complete and accurate prior to entering it into FISDAP.
Student Name: Instructor Name:
Program Site: ___________________ Program Module: __________________ Date: _______________Time: _________
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Recommended
score:
>3
Evaluator/Preceptor Comments:
Appearance &
Personal
Hygiene
5 Uniform is always above average, Non-uniform clothing is business-like. Grooming & hygiene is impeccable.
Hair is worn in an appropriate manner for the environment & student is free of excessive jewelry. Make-up &
perfume or cologne usage is discrete & tasteful.
4 Clothing & uniform are above average. Uniform is pressed & business casual is chosen when uniform is not
worn. Grooming & hygiene is good or above average.
3 Clothing & uniform is appropriate, neat, clean & well-maintained, good personal hygiene & grooming.
2 Appropriate clothing & uniform is selected for a majority of the time, but the uniform may be unkempt
(wrinkled), mildly soiled, or in need of minor repairs, appropriate personal hygiene is common, but
occasionally the individual is unkempt or disheveled.
1 Inappropriate uniform or clothing worn to class or clinical settings, poor hygiene or grooming.
Recommended
score:
>3
Evaluator/Preceptor Comments:
Self- Confidence 5 Stands by & can defend personal choices when challenged by an authority figure, actively seeks to improve
on weaknesses, seeks out opportunities to assist other classmates in developing their self-confidence.
4 Stand by his/her choices when challenged by an authority figure, aware of strengths & weaknesses & seeks to
improve, exercises good personal judgment & often serves as a mentor for classmates.
3 Demonstrating the ability to trust personal judgment, demonstrating an awareness of strengths & limitations,
exercises good personal judgment.
2 Needs encouragement before, not trusting personal judgment, is aware of strengths but does not readily
recognize weaknesses, sometimes makes poor personal choices.
1 Does not trust personal judgment, is unaware of strengths or weaknesses, & frequently exercises poor
personal judgment.
Recommended
score:
>3
Evaluator/Preceptor Comments:
Communications 5 Working on self & assisting classmates in improving speaking & writing abilities, models & is able to
demonstrate active listening techniques to other students, is comfortable utilizing a variety of communication
styles & able to effectively communicate a message in these various settings.
4 Working on improving speaking & writing abilities, models active listening skills, able to modify
communication strategies easily in various situations & able to effectively communicate a message in these
various settings.
3 Speaking clearly, writing legibly, listening actively, and adjusting communication strategies to various
situations.
2 Needs work to speak or write clearly, knows how to actively listen although sometimes is unable to model
good listening skills, able to identify alternative communication strategies needed in various situations but is
still developing the skill to perform alternative strategies.
1 Unable to speak or write clearly and is unable to correct their behavior despite intervention by instructors,
does not actively listen (requires instructions to be repeated or appears unable to follow directions,) resistant
to learning new communication strategies.
Recommended
score:
>3
Evaluator/Preceptor Comments:
Time
Management
5 Punctual (or early) nearly 100% of the time, completes tasks & assignments prior to the due date, seldom
requires reminding about deadlines or due dates, may assist instructor in reminding classmates about due
dates.
4 Seldom late to class or clinical sites, generally ready to begin class or clinical prior to the actual start time,
completes tasks & assignments by due date (and occasionally in advance of the due date) with minimal need
for reminders.
3 Consistent punctuality, completing tasks & assignments on time.
2 Occasionally late in arriving to class or clinical sites, occasionally late in turning in assignments or requires
reminding about deadlines.
1 Often late to class or clinical sites, upon arrival needs additional time to be ready to begin (changing into
uniform, gathering supplies, etc.) frequently late in turning in assignments, requires constant reminders about
due dates and will blame others if a due date is missed.
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Recommended
score:
>3
Evaluator/Preceptor Comments:
Teamwork &
Diplomacy
5 Placing success of the team above self-interest (even if that means a negative outcome to self,) taking a
leadership role & using good management skills while leading, involving all appropriate team members in the
decision making process, suggesting & implementing changes to benefit the team, seeking ways to keep
communications & dialog going.
4 Placing success of the team above self-interest, supporting & holding up the team by shouldering addition
responsibilities, actively seeking to include all members of the team in the decision making process were
appropriate, welcoming change & remaining flexible, helping to open the lines of communication.
3 Placing the success of the team above self-interest, not undermining the team, helping & supporting other
team members, showing respect for all team members, remaining flexible & open to change, communicating
with others to resolve problems.
2 Sometimes acting for personal interest at the expense of the team, acting independent of the team or appearing
non-supportive, being somewhat resistant to change or occasionally unwilling to work out a solution.
1 Manipulating the team or acting with disregard to the team, being disrespectful of team members, being
resistant to change or refusing to cooperate in attempts to work out solutions.
Recommended
score:
>3
Evaluator/Preceptor Comments:
Respect 5 Serving as a ‘Peacemaker’ in volatile situations, able to take abusive language or disrespect from patients
without reacting negatively towards the individual, modeling good professional behaviors even when outside
of the classroom or off the job.
4 Being polite even when a situation is not going in his/her favor, always using respectful language when
describing situations even when not in public areas, modeling good professional behaviors.
3 Being polite to others, not using derogatory or demeaning terms, and behaving in a manner that brings credit
to the profession.
2 Being polite when required, occasionally overheard using demeaning or derogatory language but confining it
to situations other than in patient care settings, occasionally acting unprofessional on the job.
1 Disrespect of authority, being argumentative, using inappropriate words or outbursts of anger, deliberately
undermining authority in words or actions or trying to provoke others, frequently unable to act in a
professional manner.
Recommended
score:
>3
Evaluator/Preceptor Comments:
Patient
Advocacy
5 Models patient advocacy & able to defend the need to advocate for patients rights, seeks out opportunities to
help fellow classmates learn the principles of patient advocacy, when the opportunity presents itself can be
called upon to follow through on an advocacy issue even if it means on their time off.
4 Not allowing personal bias or feelings to interfere with patient care despite strong negative feelings or biases
toward a patient or situation, actively advocating for patient rights, protecting confidentiality.
3 Not allowing personal bias or feelings to interfere with patient care, placing the needs of patients above self-
interest, protecting & respecting patient confidentiality & dignity.
2 Occasionally has difficulty dealing with patients because of personal bias or feelings, not always able to place
the needs of the patient first.
1 Unable to deal with patients because of personal biases, actively demeaning or degrading patients with words
or deeds, unconcerned about patient rights, feelings or considerations, frequently takes shortcuts during care
of patients because it is “easier” or “faster”.
Recommended
score:
>3
Evaluator/Preceptor Comments:
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Careful Delivery
of Services
5 Functions independently & able to correct mistakes by self-reflection, able to assist in the development of
rules, regulations, policies & procedures, will assist in monitoring fellow students in the completion of tasks
& may be able to assist fellow students identify weaknesses & strengths.
4 Can be trusted to function independently of all but minor supervision, does not need to be reminded to
perform routine maintenance checks, follows the letter & spirit of all rules, regulations, policies, protocols, &
procedures.
3 Performing skills at an entry-level capacity a majority of the time, performing complete equipment & supply
checks, demonstrating careful & safe ambulance operations, following policies & procedures & protocols,
following orders.
2 Occasionally performing skills below the entry-level, requiring monitoring to ensure completeness and
accuracy in completing tasks, occasional minor breeches in policies, procedures or protocols attributed to lack
of knowledge of it but willing to learn, may follow the letter of, but always the spirit, of rules & regulations.
1 Unable to perform skills at entry level or requiring constant monitoring or reinforcement to perform skills,
required to recheck tasks because of omissions or inaccuracies in performance or documentation, unwilling to
learn policies, procedures or protocols, deliberate unwillingness to follow the letter or spirit of rules or
regulations.
Recommended
score:
>3
Evaluator/Preceptor Comments:
Additional Comments:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
_______________________________________________________________
Instructor Signature: ______________________________ Date: ___________
Instructor Printed Name: ____________________________
79
EMS Academy Laboratory Affective Domain Evaluation Form
(570) 504-7928 office (570) 955-1553 fax www.lackawanna.edu
Instructors: Please evaluate the student in the following categories at the end of the Laboratory Session. We are seeking to
ensure all students at least meet the minimally accepted criteria for behaviors. Identified below are the entry level criteria used
throughout the program on all other affective domain evaluations. In laboratory we want to know: Did the student display the
minimally acceptable behaviors during Lab? All scores below ‘3’ must be clarified with comments below. Please be fair but
hold the student accountable for their performances. Failure to do so will not help the student improve their performance. If the
individual you are evaluating is performing as an entry level provider is expected in the laboratory, they should obtain scores of
“3” in most categories.
Affective Domain Evaluation
Domain Score Required Attributes to obtain the recommended score. Integrity Consistent honesty, being able to be trusted with property & confidential information, complete &
accurate documentation of patient care & learning activities.
Empathy Showing compassion to others, responding appropriately to emotional responses by others, demonstrating
respect to others, being supportive & reassuring.
Self-Motivation Taking initiative to complete assignments, taking initiative to improve or correct behavior, taking on &
following through on tasks without constant supervision, showing enthusiasm for learning, &
improvement, consistently striving for improvement in all aspects of patient care & professional
activities, accepting constructive criticism in a positive manner, taking advantage of learning
opportunities.
Appearance &
Personal Hygiene
Clothing & uniform is appropriate, neat, clean & well-maintained, good personal hygiene & grooming.
Self- Confidence Demonstrating the ability to trust personal judgment, demonstrating an awareness of strengths &
limitations, exercises good personal judgment.
Communications Speaking clearly, writing legibly, listening actively, and adjusting communication strategies to various
situations.
Time Management Consistent punctuality, completing tasks & assignments on time.
Teamwork &
Diplomacy
Placing the success of the team above self-interest, not undermining the team, helping & supporting other
team members, showing respect for all team members, remaining flexible & open to change,
communicating with others to resolve problems.
Respect Being polite to others, not using derogatory or demeaning terms, and behaving in a manner that brings
credit to the profession.
Patient Advocacy Not allowing personal bias or feelings to interfere with patient care, placing the needs of patients above
self-interest, protecting & respecting patient confidentiality & dignity.
Careful Delivery of
Services
Performing skills at an entry-level capacity a majority of the time, performing complete equipment &
supply checks, demonstrating careful & safe ambulance operations, following policies & procedures &
protocols, following orders.
Additional Comments / Improvement recommendations:
________________________________________________________________________________________________________
Please make sure all information is complete and accurate.
Student Name: ________________________________________________________________________________________________
Instructor Name (s): ____________________________________________________________________________________________
Lab Session Skill: _____________________________________ Date: ______________________ Time: ______________
80
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Instructor Signature: ___________________________________________________________ Date: ___________
Instructor Printed Name: ________________________________________________________
Contact EMS Academy administration at (570) 504-7928, with any comments or concerns.
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83
84
EMS Academy
Clinical Educator / Student Agreement
STUDENT
Today’s Date: ____________________________
Paramedic Student Clinical Educator
Name: ___________________________________ Name:
_________________________________________
Cell#:____________________________________ Cell#:
__________________________________________
Email: ___________________________________ Email:
_________________________________________
I, _____________________________, am enrolled in the Paramedic Training Program at
Lackawanna College’s EMS Academy. I am required to find an active Paramedic Clinical
Educator with our program who is willing to accept me as their student. The Paramedic Clinical
Educator needs to be willing to accept the responsibility and privilege of overseeing my clinical
education and act as my Mentor throughout the year. When I qualify for the Paramedic
Internship, it is understood that I will be assigned to you, and you will evaluate me as I
demonstrate to you that I have acquired the necessary knowledge, skills, and behaviors to begin
working as a Paramedic. As a Paramedic Student / Intern I have the following expectations of
you:
Provide me with orientation to the clinical site, vehicle, daily operating procedures for the
clinical site and equipment, including its uses & location.
Act as my Mentor,
Treat me with respect.
Emulate, implement, and execute the qualities you expect of me,
Provide guidance, understanding and explanation to me regarding:
All aspects of EMS operations, PA State Protocols, All aspects of Patient Care.
Be encouraging, be optimistic, and inspire me.
Make honest, fair assessment of me,
Clearly express your expectations, and be sure I understood you correctly,
If I am not meeting your expectation or am doing something incorrectly, correct me,
Tell me what I can do to improve or meet your expectation,
Give me the opportunity to meet your expectation.
Motivate me, in a positive manner, to continuously improve and strive for excellence.
Be certain I understand the basics,
Make me do things the long way, before you confuse me with the short-cuts.
Teach me what I ought to do, steer me away from bad habits.
Do not allow my mind or body to sit idle and simply endure.
Remember I am here to gain experience; do not forget me in the ‘heat of the moment’.
Contact me at least once a week.
Discuss my performance with clinical preceptor if it is not you.
Identify weaknesses in my performance and provide constructive, useful feedback,
Give me assignments that specifically address weaknesses in my performance.
Develop within me the skills, knowledge & behaviors necessary to pass the NREMT exams.
I want to be the best Paramedic I can be.
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Lackawanna College EMS Academy 570.504.7928 / Fax 570.504.7978
MENTOR
I, _____________________________, am a Trained Paramedic Clinical Educator at Lackawanna
College’s EMS Academy. I accept the responsibility and privilege to have you as my student. I will act as
your Mentor and coordinate with you, your preceptor (if it is not me) and the EMS Academy to ensure
you receive the most out of your Field Experience. When you qualify for the Paramedic Internship, it is
understood that you will be assigned to me, and I will evaluate you to determine if you demonstrate the
necessary knowledge, skills, and behaviors to begin working as a Paramedic. As your Mentor / Clinical
Educator I have the following expectations of you:
Arrive on time or early, in a neat, clean and professional uniform, prepared to begin your shift.
Conform to appropriate behaviors as listed the Affective Domain Evaluations.
Act as my Student,
o Treat me with respect.
o Follow my instructions and guidance,
o Accept my criticism of your performance,
Ask questions
o Express yourself clearly; I am not a mind reader.
o Even after you become certified, you do not know it all, so get a head start now.
o There are no ‘stupid’ questions; except the one you didn’t ask.
o Do not try to get ahead of where you are in class; you will only confuse yourself.
If you are unable to successfully perform a task I assign you; tell me immediately.
If there are complications with a task I assign you; tell me immediately.
If you do not understand my direction; tell me immediately.
My expectations of your performance are high; I will not lower them for you.
It is your responsibility to make the necessary changes to meet my expectations.
Assignments will be given to direct your attention to specific deficiencies I have observed,
o You will complete assignments by the initial deadline we establish; no extensions.
Demonstrate respect to everyone we meet; especially my partner, you will need him / her very
soon.
You will be assertive; you will move swiftly, with determination and purpose.
You will be familiar with equipment,
o Demonstrate you know how to use equipment properly before I allow you to perform on
a Patient,
o Know medications, like I know medications, or you will not give them.
Making good decisions is paramount for a Paramedic,
o You will need to express clearly why you chose a particular course of action,
o You will accept my input and not offer excuses for why you were correct.
Until your Internship begins, you may be with a Preceptor that is not me,
o You will extend the same courtesy to him / her that you extend to me,
o You will be held to my expectations even when not in my presence.
o If there is conflicting information or directions; follow your preceptors’ direction,
Contact me after the call and we will discuss it, together.
I will accept, _______________________, as my student. _________________________
__________ Student Name Printed Mentor Signature Date
I will accept, _______________________, as my Mentor. _________________________
__________ Mentor Name Printer Student Signature Date
This agreement will serve as a clearly stated, written expectation of the EMS experience and the Paramedic
Internship. Below, the expectations of the Paramedic Student and the Mentor/Clinical Educator are stated.
86
Signatures of both parties represent that each has read this document, agree to its terms, and are responsibly bound
to one another for the duration of the students’ participation in the Paramedic Training Program at Lackawanna
College. Violation of the agreement on the students’ behalf may result in failure or dismissal from the program.
Violation of the agreement on the Mentor/Clinical Educators’ behalf may result in dismissal from continued
participation as a Clinical Educator for this program. This agreement should not be taken lightly and should only be
made with strong consideration by both parties. A copy of this agreement will be kept with the student’s records at
Lackawanna College. Both parties are encouraged to make a copy for their own records.
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EMS Academy Paramedic Program Student Confidentiality Agreement Form
The Following Facility or Organization, (referred to herein as Clinical Site) has
agreed, through clinical contract, to allow Lackawanna College Paramedic Program students, access to
their site and patients:
Clinical Site Name: ________________________________________
The Paramedic Program has developed this Confidentiality Agreement in order to assist the Clinical Site
which has agreed to participate as clinical/internship site, in maintaining HIPPA Compliance and
confidential information. The Student Confidentiality Agreement is an agreement between Lackawanna
College, the Paramedic Student and the Clinical Site at which a student within the Paramedic Program
may be completing Clinical or Internship requirements. This agreement applies to all Paramedic program
functions in which a student may be participating. This agreement also includes any organizations
providing electronic resources to the Paramedic Program or student.
Due to the confidential nature of information, to which I may be exposed, I________________________
understand and agree to the following: PRINT STUDENT NAME
1. Confidential information includes but is not limited to, patient health information, Facility or
organizational financial information, other matters of a business or proprietary nature such as
information about business operations, prospects, business plans or affairs, financial or otherwise,
costs, profits, pricing policies, marketing, sales, suppliers, patients, customers, product plans,
marketing plans, strategies, or other information related in any other manner to the operations of
such Facilities or organizations (“Confidential Information”).
2. I understand that as a student/intern of the Lackawanna College Paramedic Program, I may come
in contact with, have access to, and be responsible for Confidential Information. I agree to keep
all information in strict confidence and will not at any time, during my enrollment period,
disclose or disseminate any confidential information that I may be exposed to as a result of my
association with any patient, facility or organization. I understand I am obligated to maintain
patient confidentiality at all times.
3. I agree not to disclose any Confidential Information related to my participation in the
Lackawanna College Paramedic Program to unauthorized people or use such information for
personal gain.
4. I understand that all the medical information/records regarding a patient are Confidential Medical
Information. This information will not be given to other individuals, unless proper authorization
is obtained. I understand that it is not appropriate to discuss a patient’s care and treatment in
public places (e.g. hallways, elevators, cafeteria, etc.) or with people that are not involved in the
case or have no reason to know the information and I agree that I will not do so.
5. I have no need to collect, record, or provide to Lackawanna College any information (name,
address, telephone number, cell phone number, social security number, e-mail, and social
networking contact or avatar) that may be used to identify a specific individual for the purpose of
completing Clinical/Internship requirements or documentation (i.e. patient charting, FISDAP data
Entry, etc.).
-Continued on Reverse Side…
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Student Confidentiality Agreement Form Continued
6. I agree not to disclose any confidential information as described in this
agreement. If for any reason I receive a court order or subpoena requiring me to release such
information, I will first provide immediate notice to Lackawanna College and the specific Facility
or Organization and give Lackawanna College and the specific Facility or Organization a
reasonable time in which to respond.
7. I will use Confidential Medical Information only as needed by me to perform legitimate duties, as
a student, on behalf of the Clinical Site with which I am assigned. I will not access Confidential
Medical Information which I have no legitimate need to know. I will only access the minimum
amount of Confidential Information necessary for me to perform services, as a student, on behalf
of the Clinical Site with which I am assigned. I will not in any way divulge, copy, release, sell,
loan, revise, alter, or destroy any Confidential Medical Information except as properly authorized
within the scope of my services as a student/intern. I will not misuse or carelessly handle or fail to
safeguard Confidential Medical Information.
8. I understand this agreement is solely for the purpose of compliance with regulations and with the
policies of the Clinical Sites for the Paramedic Program. I understand this agreement is not a
contract for employment and does not create any employment relationship.
9. Any violation of confidentiality, intentional or unintentional may result in termination of my
professional relationship with Clinical Site. Violation of confidentiality may result in disciplinary
action including termination from the Paramedic Training Program without the possibility of re-
enrollment.
10. I understand that violations of confidentiality and privacy laws may result in legal actions against
Lackawanna College, Clinical site and myself and may further result in criminal and/or civil
liability or fines.
11. As a student of Lackawanna College’s Paramedic Program, I agree to maintain all confidential
information.
12. The above confidentiality considerations have been explained to me and I was afforded the
opportunity to ask questions. I have read and agree to all of the above conditions to my status as a
student/intern. I understand the importance of privacy and confidentiality of patient and facility
and organization related data. My signature below certifies my understanding and agreement of
the above requirements and verifies receipt of a copy of this agreement.
Date: ________________
Paramedic Student Signature: _____________________________________________________________________
Lackawanna College EMS Academy
570.504.7928 / Fax 570-955-1551
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EMS Academy Hospital / Field / Internship Patient Care Report
570.504.7928 office 570.955-1553 Fax www.lackawanna.edu www.fisdap.net Student Name: Date:
Site Dept./Unit
Time of Patient Evaluation: FISDAP Assessment/Run #:
BACKGROUND INFORMATION (COMPLETE FOR FIELD ONLY)
EMS System Description (including urban/rural setting)
Vehicle type/response capabilities
Proximity to/level and type of facility
Consideration of additional resources
DISPATCH INFORMATION (COMPLETE FOR FIELD ONLY)
Dispatch Time (24-hour clock)
Dispatch Team Size and Type
Call Type ALS Primary Transport Unit
ALS Intercept (BLS Unit #_______________)
BLS Only
Nature of call as dispatched
Nature of call if different from dispatch
Location (not address)
Weather Conditions
Personnel on scene (includes family, Police, Fire, etc.)
SCENE SURVEY INFORMATION
Scene Considerations
Patient Location
Patient’s visual appearance (doorway impression)
Age, Gender, Weight
Immediate Surroundings (description of environment:
include bystanders, family, caregivers)
Patient technology assisted devices (e.g., home
ventilator, CPAP, etc.)
PATIENT ASSESSMENT (PRIMARY SURVEY)
Chief Complaint
History of Present Illness
Patient responses, symptoms and pertinent negatives
PAST MEDICAL HISTORY
Past Medical History
Medication Allergies
Other Allergies (food, environmental, etc.)
Social/Family Concerns (e.g., psychiatric concerns)
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EXAMINATION FINDINGS (SECOND SURVEY)
Initial Vital Signs BP: Resp: Pulse:
SpO2: GCS Etco2:
Cardiac Rhythm:
Respiratory ( include lung sounds)
Cardiovascular ( include heart sounds)
Gastrointestinal (include bowel sounds for GI case)
Musculoskeletal
Neurological
Integumentary
Hematological
Immunological
Endocrine
Psychiatric
PATIENT MANAGEMENT
Initial Stabilization
Treatments
Monitoring (Check if strip is attached with this
report)
Additional Resources
Patient response to interventions
TRANSPORT DECISION
Lifting and moving patient (stair chair, Reeves, etc.)
Mode / Facility Mode: Emergent Non-emergent
Facility:
_______________________________________
CONCLUSION
Field Impression and Differential Diagnosis
Rational for field impression/differential diagnosis
Related Pathology
Radio Report
Medical Command Physician/Orders (if applicable)
Transfer of Care / Verbal Report given to
(First name of R.N. and/or M.D.)
NOTES / ADDITIONAL PERTINENT INFORMATION
EMS ACADEMY FACULTY COMMENTS
EMS ACADEMY QUALITY CONTROL CHECK
Initial QC: Initials/Date: _______________________________ Revisions required? Yes No
Complete below only if revisions are required
If Yes: Date Returned to student: _____________________
Date Returned to CDS: ________________________________
Secondary QC: Initials/Date: __________________________
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