Paramedic Handbook - University of Arkansas at Monticello

University of Arkansas at MonticelloCollege of Technology, McGehee

Paramedic ProgramStudent Handbook

Instructor: Gursarn Singh1609 East Ash St. P.O. Box 747

McGehee AR 71654Ph. 870-222-222-5360 ext. 5504 @ College

Cell 870-222-8929

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Index: Page

Absentee Slips 9Academic Policy 7

Admission & Selection Process 6

Appendix A: Video List 38

Appendix B: Officer’s Duties 43

Attendance Policy 8

Bereavement Policy 9

Book List 32

Calendar Paramedic Class 35

Class Schedule 37

Class Officers Duties 44

Classroom Policy 15

Clinical Training Sites 33

Clinical Policy 16

Costs 31

Criminal Background Check Policy 14

Disciplinary Policy 10

Equipment Policy 13

Evaluations 26

Fund Raisers 14

Goals & Objective 5

Grading Scale 15

Grievance Procedure 25

Grounds for Dismissal 10

Hepatitis B Vaccine Policy 23

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Library Policy 12

Make-up Exams 7

Malpractice Insurance 12

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Index: Page #

Maternity 12

Medication Errors 11

Negative Qualities 36

Office Hours 13

OSHA Standards Policy 23

Paramedic Department Objectives 5

Part-time Employment Policy 12

Philosophy 4

Positive Qualities 35

Preceptor (Problem Student) 18

Preparing for the Clinical Experience 33

Recycling Policy 11

Required Courses 33

Student Agreement Certification 26

Student Organization Policy 14

Substance Abuse Policy 18

Substance Abuse Policy Release Form 22

Tardy 8

Termination 11

Testing Policy 15

Transfers 11

Withdrawal 11

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UAM COT McGeheeParamedic Program

Handbook

Philosophy

The UAM COT McGehee Paramedic faculty believes and accepts the statement of philosophy of UAM COT McGehee and the philosophy of the board of directors.

We Believe:

That paramedic is a vital and integral process in providing quality pre-hospital health care.

That each human being, regardless of sex, race, national origin, or social status; is a worthy individual and paramedic shall evolve from this premise.

That studying the responses of people in their healthiest state in relation to family, community, and society, form a basis for understanding reactions as they occur in lesser states of health.

That provision for theoretical and practical applications in Paramedic Education creates an atmosphere for efficient learning and a strong foundation for continuing occupational development.

That education is a constant process and paramedic professionals shall be adaptable to the ever-changing health care procedures and techniques.

That learning is a behavioral change and learning takes place in an atmosphere that stimulates intellectual curiosity, clarifies concepts, and recognizes individual worth and contribution.

That membership in professional organizations enhances personal development through interchange with associates and educational programs.

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Goals & Objectives

The Paramedic Program strives toward the general goals and objectives that are inherently consistent with the philosophy and educational objectives of UAM COT McGehee

Paramedic Department Goals:1. Learners will acquire a knowledge and understanding of the

opportunities open to them for preparing for a productive life in a democratic society and will develop those skills and abilities, which will enable them to take full advantage of those opportunities including a positive attitude and respect toward their profession.

2. Learners will develop those occupational competencies consistent with their interests, aptitudes, and ability in the paramedic field.

3. Learners will develop practical and specific knowledge, skills and

competency to enter and advance in the paramedic field.

Paramedic Department Objectives:

At the completion of the UAM COT McGehee Paramedic Program, the student will:1. Recognize people as worthy beings that function as organized,

integrated units (bio/psycho/social/spiritual) and apply this concept along the health continuum.

2. Initiate plans of care utilizing the paramedic process to provide individual pre-hospital care.

3. Exhibit behaviors of awareness and knowledge in preventive health maintenance topromote wellness.

4. Be cognizant of their responsibility to contribute to society by functioning as an effective member of the health care team.

5. Utilize effective leadership, communication and time management skills.

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Learning Propositions:

1. If a learner knows what he is expected to learn, he will learn it more efficiently.

2. The learner should be given frequent positive reinforcement for exhibiting desired behaviors, attitudes, and skills thus enhancing progress.

3. A learned skill or knowledge, which is repeated often, will be remembered longer.

4. Active participation advances learning.5. Practicing what is learned in a variety of situations facilitates the transfer

of learning to new situations.6. Learning that is built on previous knowledge and experience is retained

longer. 7. A moderate amount of anxiety is essential for learning to occur, but high

levels of anxiety impede learning.8. An individual must be motivated in order to learn. Knowledge itself is a

strong motivator for some; others need more tangible external reinforcement.

9. Varying teaching techniques enhance learning and facilitate achievement of objectives.

10. Learners learn at different rates.11. Students are motivated when they are interested, when they can visualize

obtainable goals, and when they are given the opportunity to reach those goals.

Admission & Selection Process

Program Description

The course in Paramedic offered by UAM COT McGehee is approved by the Arkansas Department of Health EMS Division with regular evaluations to ensure a quality education in the paramedic field. It is designed to prepare qualified individuals to meet community paramedic needs and to perform those functions, which are generally recognized as being within the scope of The DOT Curricula for paramedics.

Admission Requirements

The following are prerequisites for the Paramedic Program:1. Be at least eighteen (18) years old by the completion of the program.2. Must be holding current status on EMT-Basic3. Must have a High School diploma or equivalent GED.4. Successful completion of Anatomy & Physiology I and II with labs 8 credit

hours or EMER 1103 Paramedic Human Anatomy and Physiology 3 credit hours.

5. Successful completion of the Paramedic Program enrollment

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requirements.

How do you become a paramedic student at UAM COT McGehee?

Take the ASSET test. You must score a 35 or better on all sections of the exam.

Or have ACT composite score of ≥18

1. You will receive a letter from Student Services to verify your scores.2. The student services will mail you an admission packet.3. The admission packet should be completed in full and returned to

University of Arkansas College of Technology, McGehee, Attn: Paramedic Department.

4. Take and pass Anatomy/Physiology I and II, each with 3 hours classroom and 1 hour Lab. You must complete these courses with a “C” or better, or take and pass EMER 1103 Paramedic Human Anatomy and Physiology 3 credit hours with a “C” or better or NUR 1514 PN anatomy and Physiology 4 credit hours with a “C” or better.

5. Upon receiving the admission packet, you will receive an interview date in writing.

6. You must interview.7. You will receive a letter once all interviews have been completed.8. For further information contact the Paramedic Department at 870-222-

5360 ext. 5504 or the Student Service’s office at 870-222-5360 ext. 5220.

Essential Requirements

The format utilized will include lecture and discussion, group problem-solving, modeling and questioning, concept mapping, demonstrations, audiovisuals, overhead projection, Power Point Presentations, videos, computers, hands-on practice in both classroom and clinical setting, reading the text, games, and completing the assignments.

Academic Policy:

I. The Paramedic program is progressive. Students must maintain an “C” (78%) in all courses or the following action will be taken:

A. Below “C” (78%) at anytime during progression through the program will result in probation.

B. Below “C” (78%) at completion of any course will result in termination.

II. Grades will be based on the following:

A. Theory Courses: Refer to the specific course syllabus. B. Clinical Courses: Refer to the specific course syllabus.

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III. Tests and Assignments: A. Students absent without notification on a scheduled test day will

receive 0% on that test.B. Students absent with notification on a scheduled test day will be

given a make-up test at the end of the course. Make-up exams will be allowed under the following circumstances: 1. An instructor or facility sends you home sick.2. You are absent with a physician’s excuse (limit of two days

per semester). 3. You have an immediate family member hospitalized

(spouse, parents, or children). Each of these will be evaluated on an individual basis by the paramedic staff.

4. You are subpoenaed to appear in court. 5. It is the student’s responsibility to schedule an appointment

for a make-up exam.

C. A make-up exam carries an automatic five point deduction from the test score. This will apply to any absence.

D. There will be a limit of two make-up exams per semester.

E. Any further absence on test days within the semester will result in a 0%. The only exception to this rule is a death in your immediate family or you are hospitalized.

F. Grades will not be posted immediately. It is the student’s responsibility to keep up with grades.

G. Theory and Clinical assignments must be handed in on time or a letter grade deduction will be given for each day the assignment is received late. The first day an assignment is received late the score starts with a 92%, the second day an 84%, the third day a 79%, the fourth day a 64% and the fifth day a zero.

1. Theory Assignments are considered late if received after the date they are due.

2. Clinical Assignments are considered late if received after report starts on the day they are due.

3. There will be no make-up of pop tests allowed.4. For an excused absence, assigned homework must be

handed in the next scheduled class/clinical day.

H. If a given presentation (tour, guest speaker, workshop, etc.) is missed the instructor has the option to:

1. Require the student to come back with the next available class and cover the missed material.

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2. Issue a 0% for the course material that is covered. 3. Require a make-up assignment that covers the missed

information.

I. The student is responsible for getting missed information and material without disruption to class!

J. All Scantrons, homework, and bibliography cards submitted for a grade become the property of UAMCT McGehee. The student will be allowed to view their work after it is graded.

K. Students will be evaluated as a portion of their grades. See evaluation forms on page 26-29 for criteria that will be evaluated.

Attendance Policy:

The attendance policy is strictly adhered to:

I. Each student will be allowed to miss a maximum of sixty hours from the first day of class until graduation. It is the student’s responsibility to keep up with the hours they are absent, late, or leave early from classes. The student will be notified at 20 hours and 40 hours of deficits. When the maximum hours have been met, the student will be terminated from the program. Exceptions are hospitalization or death in the immediate family. The Paramedic staff and the assistant director retain the right to evaluate missed time.

II. The student must meet minimum requirements of Paramedic set by Arkansas Department of Health EMS Division. (Page 33).

II. Classes begin promptly at 1200. Students are expected to be on time and prepared.A. Anyone arriving after 1200 for theory will be considered tardy and will automatically lose thirty (30) minutes. B. Anyone arriving after report begins for clinical will be considered

tardy and will automatically lose thirty (30) minutes.C. Students are required to sign in and out each day.

1. No student may sign for anyone but him or her self. 2. Failure to sign in/out or both may result in the student losing the hours for that day. This will apply to the sixty-hour maximum.

D. Clinical hours will be scheduled on all shifts and will consist of eight, ten, or 12-hour shifts.

IV. Theory: If a student must be absent or late, call the paramedic office, leave a message on the answering machine if staff is not present.

A. Failure to call-in the first time will result in probation.

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B. Failure to call-in the second time will result in termination.C. No one else may call in for a student.

V. Clinical: If you must be absent or late, call the assigned clinical instructor. You must speak with the instructor. You must also call the facility you are scheduled to rotate through one hour prior to the scheduled shift.

A. Failure to call-in the first time will result in probation.B. Failure to call-in the second time will result in terminationC. No one else may call in for a student.

VI. Leaving early is strongly discouraged unless the instructor or the facility sends you home. You should make every effort to schedule appointments after school hours. Repeatedly leaving early will not be tolerated and will be evaluated on an individual basis.A. When four hours are missed for leaving early, there will be an

eight-hour deduction from your time instead of four.B. The instructor or the facility is sending the only exception to this

home.C. If you leave early, you must sign out!

VII. Absentee slips will be completed by the student and given to the theory or clinical instructor before class begins. A doctor’s excuse must be presented for absences due to illness. An absentee slip is required for any time (absence/late/leave early) missed from class or clinical.

VIII. Any missed clinical will be made-up on the scheduled make-up days. If the student’s absences exceed the scheduled make-up hours, they will be making-up the necessary hours before graduation. The sixty-hour maximum absenteeism still applies.

IX. Agencies that grant financial assistance will be notified of all absences of those students receiving financial aid. The policy of each agency regarding payment when a student is absent will apply in each case.

X. Bereavement Policy: In the event of a death in the immediate family, the student will be allowed three days of excused time that will not be applied to the maximum sixty hours. The student will be allowed to make-up the hours if necessary, as well as, any missed work without a penalty. Hours must be made up if the student has not met minimum Arkansas Department of Health EMS Division requirements.

XI. Holidays - All holidays recognized by University of Arkansas at Monticello.

Disciplinary Policy:

Copies of all disciplinary actions will be given to the Assistant Director, School Counselor, and student. The original will remain in the student’s permanent record.

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A. Warning : A written warning will be given in regard to inadequate grades, unsatisfactory performance, absenteeism, and unsatisfactory attitudes. The Program Chairperson willcounsel students or Instructional Staff concerning their behavior and possible coping strategies will be discussed to prevent recurrence.

B. Probation : A written notice of infractions concerning policies and procedures will be addressed by the Program Chairperson or Instructional Staff and referred to the School Counselor. A specified time period for improvement will be stipulated. Academic probationis less than 78% in a course/courses.

C. Termination : A recommendation of elimination from the program will be addressed by the Program Chairperson/Instructional Staff and then referred to the school counselor.

Grounds for Dismissal:

1. Attendance as previously stated.2. Grades as previously stated.3. Failing to adhere to the college, paramedic program, and facility policies and

procedures.4. Cheating on exams or assignments.5. Theft. This includes providing false information to any agency affiliated with this

institution in any way (financial agencies & clinical facilities) Compounded Probation in any combination.

6. Use or possession of any type of mind-altering drug, which is not issued under a doctor’s prescription. Violation of this regulation will result in immediate termination from school and possible legal action. (See Drug Policy)

7. Disruption of class in any form, as perceived by the instructor.8. Sleeping in class, as perceived by the instructor.9. Caught in the paramedic or faculty offices without permission.10. Dishonesty of any type.11. Insubordination of any type that involves any employee of this institution or

affiliating institutions, as perceived by the parties involved.12. Medication Errors (see page 9).13. Providing false information on entrance application.

Medication Errors:

A. A medication error is defined as, giving a medication with one or more of the following inaccuracies: Incorrect medication

Incorrect dose Incorrect route Incorrect time Incorrect patient Failure to properly document

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Medication omitted Failure to have paramedic or licensed nurse with them. Failure to maintain standard precautions.

B. Medication errors will be subject to the following actions:1. First medication error - Written Reprimand2. Second medication error - Probation3. Third medication error - Dismissal

C. If the medication error could result in patient death (is life-threatening) the student will be dismissed immediately.

Withdrawal/Termination:

Termination/withdrawals (in good standing during the program) desiring to reenter must submit a written request to reenter with the next class within two weeks of withdrawal. Students failing to do this will not be allowed to reenter. In the event you change your mind and decide not to reenter, you must notify the paramedic department immediately. Failure to do this will result in your not being able to reenter the program at a later date. The paramedic department reserves the right to refuse any student readmission. For further information see Recycling on page 11 of the Paramedic Handbook.

Transfers:

UAM COT McGehee does not accept transfer paramedic credits. Human Anatomy and Physiology will be accepted if the student received a “C” or better from an accredited institution.

Recycling Policy:

Repeating a course may be required. 1. Recycling is allowed two times. 2. The school reserves the right to refuse recycling. 3. In the event a student is allowed to recycle, the student will enter the

program on a probationary status for a term of 90 days. 4. Students will meet with a council of UAMCOT in order to gain reentry.

This council will consist of Paramedic Staff, Administration, and the Student Counselor. At this time, the student will have to state the reason for termination and corrective action to prevent repeat termination.

5. A comprehensive exam will be given for courses the student previously completed successfully. A grade of “C” (78%) of the exam will be

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required, or the courses must be repeated, regardless of the previous course grade received. If a grade of “C” (78%) of the exam is received, the student will receive full credit earned in the previous courses completed.

6 A lab check-off will be completed. If the student completes the lab check-off successfully, the student will receive full credit earned in the previously completed Paramedic Clinical.

8. If more than one year has past since a student left the program, they must complete the entire program.

Employment Policy:

1. You must maintain acceptable grades of “C” (78%).2. You will not be released from class or clinical early to go to work. The

paramedic program will have priority over employment. 3. Students are not allowed to work eight hours prior to clinical or class.

Maternity:1. Should a student become pregnant during the program, they may train, if

they are in good health and written permission from their physician is obtained each month.

2. Students may return to the program with written permission from the physician after delivery.

3. Regular attendance policy will remain in effect, however, Administration and the Program Chairperson will handle time missed per situation.

Malpractice Insurance:1. As a student of the UAM COT McGehee Paramedic Program, you are

required to have malpractice insurance or you will not be allowed to participate in the clinical area.

2. Malpractice insurance is provided by UAM COT McGehee in a blanket policy for a minimal charge to the student.

3. UAM Paramedic program will not accept any personally purchased malpractice insurance.

Library Policy:

1. Books must be checked out. Failure to check books out will constitute theft of property.

2. Lost or damaged books will be charged to the student.3. There will be no drinks or food allowed in the library at any time.

Office Hours:

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1. Students may make an appointment with the paramedic staff before or after class/clinical (see office hours posted on instructor’s door).

2. Faculty offices are off limits to students, unless permission has been given or an appointment has been made (see Grounds for Dismissal, rule #10 at page 10).

Equipment Policy:

1. Certain pieces of equipment are available for student practice.2. You are responsible for any damage.3. Failure to return equipment will result in the student not graduating.

Statement on disruptive behavior: The following action is prohibited under the Student Conduct Code: Disorderly Conduct: Any behavior which disrupts the regular or normal functions of the University community, including behavior which breaches the peace or violates the rights of others.

Students with Disabilities: It is the policy of the University of Arkansas at Monticello to accommodate individuals with disabilities pursuant to federal law and the University’s commitment to equal educational opportunities. It is the responsibility of the student to inform the instructor of any necessary accommodations at the beginning of the course. Any student requiring accommodations should contact the Office of Special Student Services representative on campus; phone 870-222-5360; fax 870-222-4709.

Criminal Background Check Policy:

A. The Arkansas Department of Health EMS Division requires a criminal background check on anyone applying for the Arkansas or National paramedic. “Applicants for National Registry examination shall not be deem eligible to take the National Registry examination until such time that the results of the state and federal criminal background checks have been received”.

B. Criminal Background Checks will be processed by Arkansas Department of Health EMS Division: EX The fees for the state and federal criminal background checks are

the responsibility ofthe applicant and shall be submitted to the Arkansas State Police with the application.

FX The fees determined by the Arkansas State Police and the FBI are not refundable.

GX Arkansas State Police fees .........................................$23.00HX FBI fees ......................................................................$24.00

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C. Any person who has been convicted of a crime may not be allowed to take the National Registry Examination.

Student Organization Policy:

As a paramedic student you are encouraged to join Arkansas EMT Association, your professional organization. Arkansas EMT Association holds a yearly conference. Students are encouraged to attend the yearly Conference. This is a one or two night, out of town conference.

Class officers will be elected at the beginning of the class. These officers are responsible for the duties of their office. If for any reason a position becomes open during the year, the class will elect a new officer to fill the position. You will find a description of each officer’s duties on pages 60-64.

The student organization is responsible for fundraisers to pay for overnight conferences, graduation/reception, film for the historian, etc. The student organization, the advisor and the Assistant Director of the school must approve all fundraisers. There are no individual fundraisers allowed. All students are required to participate and attend a minimum of 50% of scheduled fundraisers. If you are employed, you will need to make arrangements to be off work to participate in these fundraisers. There will be no exceptions other than those granted for absences from class or clinical. Failure to participate and attend will meet disciplinary action.

Any monies owed the student organization will be paid prior to receiving your grades and/or transcript. All monies from the previous year’s student organization will be retained in the student organization account.

Testing Policy:1. There will be no talking during exams.2. If you have any questions or need to be excused from the exam, raise

your hand.3. Use a number 2 pencil with a good eraser to take the test. Any unusual

changes will be questioned. 4. The Scantron score will stand . The instructor will address any

discrepancies.The instructor’s decision is final!

5. Put all books and papers, student belongings, etc. under the table before beginning the exam.

6. Turn in your Scantrons sheet when you are done and leave the room.7. A posttest review will be performed at the convenience of the instructor.8. Testing on the computer may be instituted at some point. Rules #1,2,4,7

& 8 will apply.

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9. There will be no cheating allowed (see Grounds for Dismissal, #4, page 10).

Grading Scale:

Percent Grade Quality Points 100% - 93% A 4 92% - 85% B 3 84% - 78% C 2 77 %- 65% D 1 64%- Below F 0Withdrew W W’s and IP’s are disregardedIn Progress IP when calculating grade point averages.

To pass the Basic EMT class the student has to meet the following criteria:1. 120 classroom hours2. 24 hours in hospital clinical3. 8 hours in extrication4. 4 emergency ambulance runs5. A current HCP CPR card6. Maintenance of 78% minimum average of all the tests

To pass the Paramedic class the student has to meet the following criteria:1. 600 classroom hours2. 300 hours in hospital clinical with skills required by the program3. 300 hours in field internship with skills required by the program4. Current ACLS and CPR cards5. Maintenance of 78% minimum average of all the test scores

Classroom Policy:1. Professional and courteous mannerisms or habits are essential when

addressing instructors, administration, and professional staff with proper titles: Mr., Miss, Mrs., Ms., or Doctor.

2. Students are expected to return the classroom to proper order prior to dismissal.

3. Students are required to adhere to safety policies and procedures in the department.

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4. Classroom Attire: MODEST DRESS! There will be no tank tops, backless tops, ripped jeans, short-shorts, etc. allowed. The student will be sent home to dress appropriately with hours being deducted from their attendance.

5. Students will NOT be allowed to bring cellular phones or pagers to the classroom. Failure to comply with this will result in the student being sent home that day. Repeating this violation may result in termination from the program.

6. All business/personal phone calls will be made from the phones during the breaks or after the class.

7. Students are to receive no personal/business telephone calls during theory. Only emergency calls will be allowed.

8. Students are allowed to have beverages in the classroom. The containers must be spill proof. There will be no eating in the classroom. If a spill occurs, it must be cleaned up immediately please notify your instructor.

9. Students are not allowed to sleep or give the appearance of sleeping in the classroom.

10. Students are not allowed to leave the school without signing out and back in when they return.

11. Students are not allowed to leave the school without prior notification of the instructor.

12. Students are responsible for keeping the classroom, student center, and labs neat and orderly.

13. All items left in the refrigerator or kitchenette will be disposed of. Please take your dishes home.

14. Students will not be allowed to use tobacco products inside the school.15. Smoking or other tobacco products will only be allowed in the designated

areas.16. Students will read and sign the student handbook agreement. The

student is responsible for knowing the rules & regulations, as well as, the consequences for failure to follow these rules & regulations.

17. The student will maintain Standard Precautions as mandated by OSHA (see page 25-26).

18. The student will abide by UAMCOT Paramedic Program’s Substance Abuse Policy at all times (see page 19-24).

19. Any student officially enrolled at UAMCOT will be covered by the insurance provided by UAM COT McGehee while the student is at the place of training during regular school hours.

21. The student agrees to report any injury, accident, or fall to the clinical instructor immediately following the incidence.

Clinical Policy:

1. Professional and courteous mannerisms or habits are essential.2. Address instructors, administration, and professional staff with proper titles:

Mr., Miss, Mrs., Ms., or Doctor.

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3. Students are required to adhere to safety policies and procedures in the department.

4. Students will NOT be allowed to bring cellular phones or pagers to the clinical facilities. Failure to comply with this will result in the student being sent home that day. Repeating this violation may result in termination from the program.

5. All business/personal phone calls will be made from the phones during breaks outside the premises.

6. Students are to receive no personal/business telephone calls during clinical. Only emergency calls will be allowed.

7. Students are not allowed to eat or drink outside the designated areas within the facilities.

8. Students are not allowed to sleep or give the appearance of sleeping in the clinical facilities.

9. Students are not allowed to leave their assigned area without prior notification of the instructor/preceptor and then only after necessary arrangements have been made with the facility.

10. Clinical Dress Code:a. The student will wear the school approved uniform and shoes.b. The student’s hair will be worn off their collar.c. The student will not wear artificial nails to clinical.d. The student will not wear colored nail polish to clinical.e. The student will not wear any jewelry to clinical except a wedding

band, stud earrings, and watch. If necklaces are worn, they must be long enough to remain inside the shirt. This is for the student and patient’s safety.

f. The student will not be allowed to wear perfume, cologne or after-shaves to clinical.Patients who have compromised respiratory tracts cannot breathe

when exposed to many odors.g. Female students will wear discreet make-up.h. Males will keep all facial hair neatly trimmed.

11. Students will not be allowed to use any tobacco product inside the clinical facility.

12. Smoking or other tobacco products will only be allowed in the designated areas.

13. Students will maintain strict patient confidentiality.14. Students will read and sign the student clinical agreement. The student

is responsible for knowing the rules & regulations, as well as, the consequences for failure to follow theserules & regulations.

15. The student will maintain Standard Precautions as mandated by OSHA.16. The student will abide by UAMCOT Paramedic Program’s Substance

Abuse Policy at all times.17. The student will provide transportation to and from the clinical

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learning site.18. The student will notify his/her instructor and the facility one hour before

scheduled shift if they are unable to attend clinical. The regular attendance policy of the school will be in effect (see page 7-

19. The student will agree to accept any assignment in a learning site, which has been approved by the program chairperson or clinical instructor.

20. The student will maintain all required class records related to learning. 21. The student will maintain a current journal of their clinical assignments and

the hours attendedin each assigned area.

22. The student will agree to abide by all rules and regulations as outlined by the facility and the school.

23. The student will agree to perform all duties in a manner, which will reflect positively on the student, the instructor, the facility, and the school.

24. The student will discuss controversial learning problems with the instructor only.

25. The student will not confront any employee within the clinical facility. All problems will bebrought directly to the instructor and the instructor will intervene when necessary. The student will be in direct insubordination if they confront any employee within the clinical facility

26. The student will agree to be honest at all times. Any evidence of dishonesty or theft withmoney, merchandise, time, effort or equipment that results in dismissal from the facility will automatically dismiss the student from the Paramedic Program and the school (see page 10, Grounds for Dismissal).

27. Any student officially enrolled at UAMCOT will be covered by the insurance provided by UAM COT McGehee while the student is at the place of training during regular school hours.

28. We realize that sometimes students must work and attend school. If a student has a job, he/she is to rest at least 8 hours before attending clinical/field internship. This will lead to effective clinical/field internship experiences and will decrease incidents of mistakes and accidents.

29. Students will not be allowed to earn clinical/field internship hours/procedures at the same time they are working for an employer. 30. The student agrees to report any injury, accident, or fall to the clinical instructor immediately after the incidence.

Problems with Preceptors:If a preceptor has a problem with a student, call Gursarn Singh (program director) 870-222-8929. Gursarn Singh will counsel with the student. If the student is found to be wrong, a written warning will be issued. If the problem persists, the student will be put on probation. Continuation of the problem will

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result termination of the student out of the Paramedic Program.

Substance Abuse Policy:

Introduction

The UAM COT McGehee Paramedic Program recognizes its responsibility to provide a healthy environment within which students may learn and prepare themselves to become members of the paramedic profession. The school is committed to protecting the safety, health and welfare of its faculty, staff, and students and people who come into contact with its faculty, staff and students during scheduled learning experiences. The Paramedic Program strictly prohibits the illicit use, possession, sale, conveyance, distribution and manufacture of illegal drugs, intoxicants or controlled substances in any amount or in any manner and the abuse of nonprescription and prescription drugs.

Any paramedic student who tests positive for illegal, controlled or abuses potential substances and who cannot produce a valid and current prescription for the drug is at risk of being in violation of the Act, ACA 17-87-309 (a)(3)(4) and (6); and the Arkansas State Board Rules and Regulations Chapter Seven, Section XLA and Section XV.A.6.m.

Furthermore, any paramedic student who is aware that another paramedic student has violated a provision of the Arkansas Act is obligated to report that student to the Board. A failure to do so in and of itself is a violation of the Arkansas Act, ACA 17-87-309 (a)(6); and the Arkansas State Board Rules and Regulations Chapter Seven, Section XLA and Section XV.A.6.j. Similar professional expectations apply to paramedic students. Any paramedic student who is aware that another paramedic student is using or is in possession of illegal drugs, intoxicants, or controlled substances is obligated to report this information to the School of paramedic faculty member.

The intent of the Substance Policy is not just to identify those students chemically impaired, but also attempts to assist the student in the return to a competent and safe level of practice and to achieve his/her goal of becoming a Paramedic. Emphasis is on deterrence, education and reintegration. All aspects of the policy are to be conducted in good faith with compassion, dignity, and confidentiality.

The Substance Abuse Policies of the UAM COT McGehee ’s Paramedic Program are found in the student handbook.

As a condition of enrollment, each student will sign a Substance Abuse Policy Release Form agreeing to adhere to the Substance Abuse Policy (see release form, page 24).

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Drug Testing Procedures

Testing May Occur: The Paramedic Program requires the student to submit to drug testing under any or all of the following circumstance:1. Scheduled testing at unannounced designated times throughout the program.2. Random testing as required by the clinical agencies or the Paramedic

Program.3. For cause (see page 23)4. As part of a substance abuse recovery program

Cost: The approximate cost of each drug screen is about $35.00. The student is responsible to pay for the cost of the drug screens, which may include urine, blood, or Breathalyzer testing.

Facility: The Paramedic Program will identify a SAMHSA2 approved laboratory to perform testing utilizing the agency’s policies.

Sample Collection: The collection techniques will adhere to the guidelines in accordance with US Department of Transportation 49 CFR Part 40 following chain of custody protocol. If at any time the Paramedic Program deems necessary, the student will be required to submit to an observed specimen collection.

Substances: Substance-related disorders are listed in the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, (DSM-IV). Substances of abuse are grouped into eleven classes: alcohol, amphetamines or similarly acting sympathomimetics, caffeine, cannabis, cocaine, hallocinogens, inhalants, nicotine, opiods, phencylidine (PCP) or similarly acting arylcyclohexylamines and sedatives, hypnotics or anxiolytics. Testing may include any of these drug categories. The Paramedic Department retains the authority to change the panel of tests without notice to include other illegal substances as suggested by local and national reports or circumstances.

Positive Results Test results will be considered positive if substance levels excluding caffeine and nicotine meet or exceed the Arkansas Department of Health EMS Division established threshold values for both immunoassay screening and gc/ms confirmation studies, and the Medical Review Officer verification

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interviews verifies unauthorized use of the substance. Positive tests are run twice to verify substances. Split samples are saved at the original lab and may be sent to another SAMHAS approved lab for additional testing the student’s expense.

Confidentiality

All testing information, interview, reports, statements and test results specifically related to the individual are confidential. The Department Chairperson or designee will receive drug test results from the lab, and only authorized persons will be allowed to review this information. Records will be maintained in a locked, fireproof file cabinet. The Paramedic Program may be required by the Arkansas Department of Health EMS Division to include information regarding the student’s substance abuse history. This information, in writing, may be shared before the student would be permitted to take the National Registry examination for Paramedic.

Treatment, Referral & Reapplication

The outcome of a positive drug screen is in direct violation of the UAMCOT Paramedic Program’s handbook and result in immediate termination from the program. The Faculty will refer persons identified as having substances abuse problems for therapeutic counseling regarding substance withdrawal and rehabilitation. Referral sites include but are not limited to:

Delta Counseling Delta Regional Medical Center

A student will not be denied learning opportunities based on a history of substance abuse. The reapplication process for a student who has previously tested positive for substance abuse will include:

1. Demonstrated attendance at AA, NA, or a treatment program of choice from a legitimate substance abuse counselor for the term of the program (12 months). Evidence of participation must be sent to the UAMCOT Paramedic Program. Acceptable evidence shall consist of a written record of at least the date of each meeting, the name of each group attended, purpose of the meeting, and the signature of signed initials of the chairperson of each group attended.

2. Demonstrated at least 2 years of abstinence immediately prior to application.

3. Demonstrated letters of reference from all employers with the last 2 years.

4. Once readmitted, the student must sign an agreement to participate in monitoring by random drug screening consistent with the policy of the institution and the clinical agency where assigned client care. The student will pay for all testing.

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5. Once readmitted, the student must abstain at all times from the use of controlled or abuse potential substances, including alcohol, except as prescribed by a licensed practitioner from whom medical attention is sought. The student shall inform all licensed practitioners who authorize prescriptions of controlled or abuse potential substances of student’s dependency on controlled or abuse potential substances, and the student shall cause al such licensed practitioners to submit a written report identifying the medication, dosage, and the date the medication was prescribed. The prescribing practitioners shall submit the report directly to the Department Chairperson or designee within ten (10) days of the date of the prescription (adapted from the ASBN Suspension Motion, 0500).

6. Appeals shall be directed to the Grievance Committee.7. Once, a student who is readmitted to the paramedic program, and if a

positive test for substance abuse is found, the student will be terminated from the program and will be ineligible to return. Furthermore, the student will be ineligible to receive a letter of good standing from the paramedic program.

Testing for Cause

Any paramedic student, who demonstrates behavioral changes suspected to be related to the use of drugs, including but not limited to alcohol, will be subjected to testing. The paramedic faculty member decision to drug test will be drawn from those facts in light of the experience of the observers and may be based on:1. Observable phenomena such as direct observation of drug use and or

physical symptoms or manifestations of being under the influence of a drug.

2. Erratic behavior, slurred speech, staggered gait, flushed face, dilated/pinpoint pupils, wide mood swings, and deterioration of work performance.

3. Information that a student has caused or contributed to an accident that resulted in injury requiring treatment by a licensed health care professional.

4. Conviction by a court, or being found guilty of a drug, alcohol or controlled substance in another legitimate jurisdiction.

5. Upon request from a clinical facility, in which narcotics are missing.

Testing will be conducted using the following policy/procedure: 1. The faculty member will have another faculty member or staff

Paramedic to confirm the suspicious behavior.2. The student will be asked to leave the area and go with a faculty

member and a witness to discuss the situation in a location ensuring privacy and confidentiality. The discussion will be documented, and

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the decision to drug test will be made.3. If warranted, the student will submit appropriate laboratory specimens

in accordance with the Substance Abuse Policy and clinical agency policies, if appropriate.

4. The student will be suspended from all clinical activities until the appropriate personnel or committees, as designated by the paramedic program, have reviewed the case.

5. If the laboratory test is negative for substance classified in the Diagnostic and/or Clinical Statistical Manual of Mental Disorders (DSM-IV), the student will be allowed to return to class without penalty. Arrangement to make up missed work must be initiated by the student on the first day back to class or clinical (which ever comes first).

6. If any one-laboratory test is positive for substance classified in the Diagnostic and/or Clinical Statistical Manual of Mental Disorders (DSM-IV), the student will be immediately terminated from the program.

7. Confidentiality will be maintained.

UAM COT McGehee Paramedic

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Substance Abuse Policy Release Form

I, , have read the Substance Abuse Policy of the UAM COT McGehee ’s Paramedic Program and agreed as a student in the paramedic program to comply with all aspects of the policy as written, including urine, blood, or breathalyzer testing.

I agree that McGehee Hospital is authorized by me to provide the results of this test to UAM COT McGehee’s Paramedic Program. I agree to indemnify and hold the lab harmless from and against any and all liabilities of judgments arising out of any claim related to 1) compliance of the with federal and state law and 2) the’s interpretation, use and confidentiality of the test results, except when the lab is found to have acted negligently with respect to such matters.

I further understand that failure to adhere to the conditions specified in this policy will result in my being administratively withdraw from the program. Furthermore, I agree to abide by the provisions for determining withdrawal and to follow the conditions of readmission as outlined.

____________________ ______________________ ___________Student printed name Student signature Date

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UAM COT McGehee ParamedicHepatitis B Vaccine Policy

On December 6, 1991 the Occupational Safety and Health Administration (OSHA) published the “Occupational Exposure to Blood borne Pathogens” Standard. The purpose of this regulation is to eliminate or minimize occupational exposure to Hepatitis B Virus (HBV), Human Immunodeficiency Virus (HIV) and other blood borne pathogens.

In late 1986, the American Federation of State, County and Municipal Employees (AFSCME) petitioned OSHA to formally take action to reduce the risk to employees from exposure to various infectious agents. Later that same year, the Service Employees International Union, the National Union of Hospital and Healthcare Employees and other groups petitioned OSHA to create a standard to protect healthcare employees from the hazard posed by occupational exposure to the Hepatitis B Virus. It was these actions that prompted OSHA to begin work on the Blood borne Pathogens Standard.

Hepatitis B Vaccination

The Hepatitis B vaccination is recommended after the student has been accepted into the program to receive training, UNLESS:

A. The student has previously received the complete Hepatitis B vaccination series.

B. Antibody testing has revealed that the student is immune.C. The vaccine is contraindicated for medical reasons.D. The student signs a waiver releasing the school from responsibility of

possible exposure.

The student is responsible for arranging for the immunization and for providing documentation of such to the Program Chairperson and/or Instructional Staff.

OSHA Standards Policy:

A. All body fluids shall be considered potentially infectious materials and universal precautions shall be used.

B. Students will wash with soap and running water, hands or any other skin or flush mucous membranes with water immediately.

C. Students will report any incident in which they are exposed to blood and/or body fluids immediately to their clinical instructor.

D. Contaminated needles/sharps: 1. Will not be recapped.

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2. Will not be bent, sheared, or broken.3. If recapping or removing of CONTAMINATED sharp is required

by a specific medical procedure, it will be done via mechanical device or a one-handed technique.

4. As soon as possible after use, a CONTAMINATED sharp will be placed in an appropriate sharps container.

5. Will not be inserted into any object other than a facility approved sharps guard.

E. Eating, drinking, smoking, applying cosmetics or lip balm or handling contact lens are prohibited in clinical areas where there is a reasonable likelihood of occupational exposure.

F. Food and drinks shall not be kept in refrigerators, freezers, shelves, cabinets or bench tops where blood or other potentially infectious materials are present.

G. All procedures involving blood or other potentially infectious materials shall be performed in such a manner as to minimize splashing, spraying, spattering, and generation of droplets of these substances.

H. Specimens of blood or other potentially infectious materials shall be placed in a container, which prevents leakage during collection, handling, processing, storage, transport, or shipping.

I. ALL personal protective equipment shall be removed PRIOR to leaving the work area, and shall be placed in the appropriate designated area or labeled container for storage, washing, decontamination or disposal.

J. Gloves shall be worn when it is anticipated that the student may have hand contact with blood, other potentially infectious materials, mucous membranes, and no intact skin; when performing vascular access procedures; and when handling or touching contaminated items or surfaces.

K. Disposable gloves such as surgical or examination gloves shall be replaced as soon as feasible when they are contaminated, torn, punctured, or their ability to function as a barrier is compromised.

L. Masks in combination with eye protection devices, such as goggles or glasses with solid side shields, or chin-length face shields, shall be worn whenever splashes, spray, spatter, or droplets of blood or other potentially infectious materials may be generated and eye, nose, or mouth contamination can be reasonable anticipated.

M. Appropriate protective clothing such as, but not limited to, gowns, aprons, lab coats, clinical jackets, or similar garments shall be worn in occupational exposure situations.

N. Surgical caps or hoods and/or shoe covers or boots shall be worn in instances when gross contamination can reasonable be anticipated.

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UAM College of Technology-McGeheeStudent Appeal Procedure

As a part of the due process, the following steps will be used in any complaint or appeal:

Step #1 The complainant must present, in written form within five (5) working days of the alleged incident, the complaint to the Director of Instruction, designated as the school compliance officer. Complainant must include specific appeal/complaint, and specific remedies sought by the student.

Step #2 The Director of Instruction has a working week (5 days) in which to investigate and respond in written form.

Step #3 If not satisfied with the response of the Director of Instruction, the complainant may appeal within five (5) working days to the Vice Chancellor of the UAM College of Technology. The appeal must be in written form and include specific appeal/complaint, specific remedies sought by the student and reason for appeal.

Step #4 Response by the Vice Chancellor will be given within five (5) working days. That response will be in written form.

Step #5 If not satisfied with the response of the Vice Chancellor, the complainant may appeal within five (5) working days to the UAM College of Technology-McGehee Academic appeals Committee. The appeal must be in written form and include specific appeal/complaint, specific remedies sought by the student an reason for appeal.

Step #6 If a complaint and/or appeal concerns compliance with Title VI (race), Title IX (sex), or Section 504 of the Rehabilitation Act of 1973 (handicap), or the Americans with Disabilities Act, it may be submitted directly to:

Dr. Debbie Bryant, Affirmative Action OfficerUniversity of Arkansas at MonticelloP.O. Box 3578Monticello, AR 71656Telephone: 870-460-1121If not satisfied with the response of the Affirmative Action Officer, the complainant may appeal to the Office of Civil Rights at the address below. The appeal must be in written form and include specific grievance/complaint, specific remedies sought by the student and reason for appeal.Office of Civil Rights

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1200 Main Tower BuildingDallas, Texas 75202

These issues may be submitted to the Office for Civil Rights in conjunction with or without regard to this procedure.

UAM COT McGehee Paramedic ProgramStudent Agreement Certification

STUDENT AGREEMENT:

I have read and received a copy of the Paramedic Handbook and do hereby agree to abide by the rules and regulations of UAM College of Technology - McGehee, the Paramedic Program and the affiliating agencies (see handbook for list of affiliating agencies) where I receive my clinical learning experiences.

I have also read, understand and agree to abide by the following policies/procedures:

Academic Policy Attendance PolicyClinical Policy Classroom PolicyLibrary Policy Recycling PolicyStudent Organization Policy Disciplinary PolicyPart-Time Employment Policy Equipment PolicyOSHA Standards Policy Testing PolicyHepatitis B Vaccine Policy Substance Abuse PolicyGrievance Procedure

I also agree that each of these policies, as well as, the handbook was explained to me by the instructional staff of UAM COT McGehee Paramedic Program.

Should the faculty of UAM COT McGehee, the Program Chairperson and/or the Paramedic advisory Committee agree that I should discontinue Paramedic training for any justifiable reason or reasons, I shall abide by the decision and leave the program without malice or argument. I will ask for no special favors and I will follow the Grievance Procedure (refer to school handbook) if I am not in agreement with the decision.

__________________________Student’s printed name

_________________________ Student’s signature

_________________________ Date

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UAM COT McGehee Paramedic Program

Required Purchases

Cost is estimated & subject to change.

Tuition:

1st Semester....................................................................... Consult Student Services2nd Semester...................................................................... Consult Student Services3rd Semester....................................................................... Consult Student Services4th Semester…………………………………………………. Consult Student Services

Total Tuition = Consult Student ServicesNational Registry Exam

Arkansas State Arkansas Department of Health.................... Consult ADH National Registry................................................................... Consult National Registry

Criminal Background Check:

Arkansas State Police (Payable to Arkansas State Police)....…….. Consult ADHFBI (Payable to Arkansas State Police)......................................... Consult ADH

Malpractice Insurance.................................................................... Consult Student Services

Drug Screen (2 @ 35.00 each)....................................................... Consult Student ServicesHepatitis B (PCP or Health Department)...........................................Consult ADH

Lab Supplies : (Prices are at approximation)Lab Coat (warm-up).............................................................. $ 26.00Lab Coat (surgical cover up)................................................. $ 25.00Watch with second hand....................................................... $ 15.00Stethoscope.......................................................................... $ 15.00Blood Pressure Cuff.............................................................. $ 25.00Pen light................................................................................ $ 4.00Paramedic Scissors ............................................................. $ 5.00Bandage Scissors................................................................. $ 5.00Tape Measure....................................................................... $ 5.00Name Badge (two required @ 8.00 each)............................. $ 16.00CPR Micro Shield.................................................................. $ 10.00

Graduation: Cap & Gown........................................................................... $ 20.00Pictures.................................................................................. $ 15.00 and upPassport Picture..................................................................... $ 12.00

Total cost for supplies without books $ 198.00

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Suggestive Book List:

1. Nancy Caroline’s Emergency Care in Streets Paramedic Textbook, 6th EditionISBN# 0-763-729078

2. Nancy Caroline’s Workbook to accompany the above textbook.ISBN -10: 0-7637-4412-3

3. EMT Achieve Paramedic Test Preparation ISBN# 0-13-221737-6

4. Handbook of Emergency Cardiovascular Care for Healthcare Providers.ISBN# 0-87493-744-2

5. Basic Arrhythmias (Brady), 5th Edition ISBN# 0-8359-5305-X

6. EMS Field Guide ALS ISBN # 1890495212

Total Cost of Books approximately $250.00

Cost of Books $ 250.00Cost of Tuition $ 1,596.00Supplies $ 198.00State and National Exam fees $ 70.00Criminal History Check $ 50.00Physical Examination Expenses $ 145.00Malpractice Insurance (UAMCOT) $ 78.00

__________

Approximately Total Cost for Program $ 2,387.00

***This price does not include the cost of Pre-requisite Anatomy and Physiology.

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Required Courses for Graduation with Paramedic CertificationEMERGENCY MEDICAL TECHNOLOGY

PARAMEDIC PROGRAMCOURSE OUTLINE

ContactWKLY

T-L

TheoryHrs

LabHrs

TotalClockHrs

Sem.Cr.Hrs

First SemesterEMER 1103 Paramedic Human A & P (3-0) 48 0 48 3EMER 1138 EMT Basic (6-2) 120 48 168 8

COMM 1203Tech. Communication or

Higher level English(3-0) 48 0 48 3

Second SemesterEMER 1117 Paramedic I (4-3) 60 90 150 7EMER 1124 Paramedic Clinical I (0-4) 0 180 180 4

EMER 1203Tech. Mathematics or Higher

level(3-0) 48 0 48 3

Third SemesterEMER 2217 Paramedic II (4-3) 60 90 150 7EMER 2224 Paramedic Clinical II (0-4) 0 180 180 4

EMER 2323Advanced Cardiac Life

Support(2-1) 30 25 55 3

Fourth SemesterEMER 2237 Paramedic III (4-3) 60 90 150 7EMER 2244 Paramedic Field Internship I (0-4) 0 180 180 4

Fifth SemesterEMER 2317 Paramedic IV (4-3) 60 90 150 7EMER 2334 Paramedic Field Internship II (0-4) 0 180 180 4

Total Hours (33-31) 634 1153 1711 64

Exit: Technical Certificate in Emergency Medical Technology-Paramedic Program

DOT requirements – 600 hours in Theory excluding ACLS 300 hours in the Hospital (Paramedic Clinical I & II) 300 hours in the Ambulance (Paramedic Field Internship I & II)

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Clinical Training Sites:

Hospitals: Bradley County Hospital - Warren .................................... 870-226-3731Chicot Memorial Hospital - Lake Village ........................... 870-265-5351Drew Memorial Hospital - Monticello .................................. 870-367-2411Delta Regional Medical Center……………………………… 662-378-3783McGehee Desha County Hospital - McGehee ................... 870-222-5600

Pediatric Clinics:

Child Development Center - McGehee 870-222-5593

Ambulance Services:

McGehee Fire & Ambulance - McGehee .................. 870-222-6550Elite Ambulance - Dermott ..................................... 870-538-5886Dumas EMS -Dumas ................................................ 870-382-5511EASI Pine Bluff ......................................................... 870-536-0734EASI Warren.............................................................. 870-226-7782Elite Ambulance - Eudora................................... 870-355-4390Monticello Ambulance MASI..................................... 870-367-7384Emergystat Indianola……………………………….. 662-332-8008

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Outline for Paramedic Curricula 2000UAM COT McGehee

1609 E Ash St. P.O. Box 747McGehee AR 71654-0747

Paramedic Program Gursarn Singh BS NREMT-P AREMT-P Instructor

I. PREPARATORYDay 1 Ch. 1 EMS System/Roles & Responsibilities of the Paramedic

Ch. 2 The Well-Being of the Paramedic Injury & Illness PreventionCh. 3 Illness and Injury Prevention

Day 2 Ch. 4 Medical and Legal Issues Ethical IssuesCh. 5 Ethical Issues

Day 3 Ch. 6 General Principles of PathophysiologyDay 4 Ch. 7 PharmacologyDay 5 Ch. 8 Venous Access and Medication AdministrationDay 6 Ch. 9 Human Development Life Span Development

Ch. 10 Therapeutic Communications

II. AIRWAY MANAGEMENT AND VENTILATIONDay 7 Ch. 11 Airway management and Ventilation

Review and Section Exam

III. PATIENT ASSESSMENTDay 8 Ch. 12 History Taking

Ch. 13 Techniques of Physical ExamDay 9 Ch. 14 Patient AssessmentDay 10 Ch. 15 Critical Thinking and Clinical Decision Making

Ch. 16 Communications and DocumentationReview and Section Exam

IV. TRAUMADay 11 Ch. 17 Trauma Systems and Mechanism of Injury

Ch. 18 Hemorrhage and ShockDay 12 Ch. 19 Soft Tissue Trauma

Ch. 20 BurnsDay 13 Ch. 21 Head and Facial Trauma

Ch. 22 Spinal TraumaDay 14 Ch. 23 Thoracic Trauma

Ch. 24 Abdominal TraumaDay 15 Ch. 25 Musculoskeletal Trauma


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V. MEDICALDay 16 Ch. 26 Pulmonary Respiratory EmergenciesDay 17, 18, 19, 20, 21, 22 Ch. 27 Cardiovascular Emergencies ACLS CardiologyDay 23 Ch. 28 NeurologyDay 24 Ch. 29 EndocrinologyDay 25 Ch. 30 Allergies and AnaphylaxisDay 26 Ch. 31 GastroenterologyDay 27 Ch. 32 Renal/UrologyDay 28 Ch. 33 Toxicology Substance Abuse and PoisoningDay 29 Ch. 34 HematologyDay 30 Ch. 35 Environmental ConditionsDay 31 Ch. 36 Infectious and Communicable DiseasesDay 32 Ch. 37 Behavioral/Psychiatric DisordersDay 33 Ch. 38 GynecologyDay 34 Ch. 39 Obstetrics


VI. SPECIAL CONSIDERATIONSDay 35 Ch. 40 NeonatologyDay 36 Ch. 41 PediatricsDay 37 Ch. 42 GeriatricsDay 38 Ch. 43 Abuse, Neglect and AssaultDay 39 Ch. 44 Patients with Special ChallengesDay 40 Ch. 45 Acute Intervention for the Chronic Care Patient


VII. OPERATIONSDay 41 Ch. 46 Ambulance OperationsDay 42 Ch. 47 Medical Incident CommandDay 42 Ch. 48 Terrorism and Weapons of Mass DestructionDay 43 Ch. 49 Rescue Operations and AwarenessDay 44 Ch. 50 Hazardous Materials Awareness and OperationsDay 45 Ch. 51 Crime Scene Awareness and Operations


VIII. AppendicesDay 46 Appendix A Cardiac Life Support FundamentalsDay 47 Appendix B Assessment-Based Management

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VIII. MISCELLANEOUS CLASSROOM TIME (exams, reviews, final testing)Day 48 Final Semester Exam and Review Day 49 Practice Skills and Written ExamDay 50 Practice Skills and Written ExamDay 51 Practice Skills and Written ExamDay 52 Comprehensive Final Practice Skills ExamDay 53 PEARSDay 54 PEPPDay 55 PALSDay 56 ACLSDay 57 ASLSDay 58 PHTLSDay 59 Practical Skill ExamDay 60 Comprehensive Final Paramedic I, II, III, & IV

X. Hospital Clinical 300 hours

XI. Field Internship 300 hours

XII. Classroom 608 hours

Preparing for the Clinical Experience:

Paramedic Clinical I, EMER 1124 Hospital Clinical

Review the following:1. Donning Body Substance Isolation2. Medication Administration3. Intravenous therapy4. Ventilating Unintubated Patients with airway adjuncts5. Performing Comprehensive Assessment on *Pediatric

Patients (new born, infant, toddler, preschool, school age, and adolescent)

6. Performing Comprehensive Assessment on Adults7. Performing Comprehensive Assessment on Geriatrics

Paramedic Clinical II, EMER 2224, Hospital ClinicalReview the following:

1. Donning Body Substance Isolation2. Intravenous therapy3. Ventilating Unintubated Patients with airway adjuncts

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4. Performing Comprehensive Assessment on Adults5. Performing Comprehensive Assessment on Geriatrics6. Performing Comprehensive Assessment on Obstetrics7. Performing Comprehensive Assessment on Psychiatric

PatientsParamedic Field Internship I, EMER 2244, Ambulance

Review the following:1. Performing Comprehensive Assessment on *Pediatric

Patients (different age groups)2. Donning Body Substance Isolation3. Intravenous therapy4. Ventilating Unintubated Patients with airway adjuncts5. Performing Comprehensive Assessment on Adults6. Performing Comprehensive Assessment on Geriatrics7. Performing Comprehensive Assessment on Obstetrics8. Performing Comprehensive Assessment on Psychiatrics9. Endotracheal Intubation on live patients10. Performing Comprehensive Assessment on Trauma

Patients

Paramedic Field Internship II, EMER 2334, Ambulance

Review the following:1. Donning Body Substance Isolation2. Ventilating Unintubated Patients with airway adjuncts3. Performing Comprehensive Assessment on Adults4. Performing Comprehensive Assessment on Trauma

Patients5. Performing Comprehensive Assessment on Psychiatric

Patients6. Managing Dyspnea/Respiratory Distress Adults7. Managing Dyspnea/Respiratory Distress Pediatrics8. Performing Comprehensive Assessment on *Pediatrics9. Performing Comprehensive Assessment on Obstetrics

10. Managing Chest Pain Patients11. Managing Syncope Patients12. Managing Patients with Abdominal Complaints13. Managing Patients with Altered Mental Status14. Managing Patients as a Team Leader

* Pediatric Patients list includes newborns, infants (0-1y), toddlers (1-3y), preschoolers (3-5y), school age (6-12y), and adolescent 13-up

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Paramedic Skill Drills

SkillDate of practice

Observer’s signature

Spiking the Bag

Obtaining Vascular Access

Determining Whether IV is Viable

IO Infustion

Administering Medication via the Gastric Tube

Drawing Medication From an Ampule

Drawing Medication From a Vial

Administering Medication via the intramuscular Route

Administering Medication via the Intravenous Bolus Route

Administering Medication via the IO Route

Administering Medication via the Sublingual Route

Administering Medication via the Small-Volume Nebulizer

Performing Pulse Oximetry

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Peak Expiratory Flow Measurement

Head Tilt-Chin Lift Maneuver

Jaw-Thrust Maneuver



Jaw-Thrust Maneuver with Head Tilt

Tongue-Jaw Lift Maneuver

Managing Severe Airway Obstruction in a Conscious Adult or Child

Managing Severe Airway Obstruction in an Unconscious Adult or Child

Managing Severe Airway Obstruction in a Conscious Infant

Managing Severe Airway Obstruction in an Unconscious Infant

Removal of an Upper Airway Obstruction With Magill Forceps

Suctioning a Patient’s Airway

Inserting an Oral Airway

Inserting an Oral Airway With a 90º Rotation

Inserting a Nasal Airway

Placing an Oxygen Cylinder Into Service

Mouth to Mask Ventilation

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One-Person Bag-Mask Ventilation

Two-Person Bag-Mask Ventilation

Three-Person Bag-Mask Ventilation



Flow-Restricted, Oxygen-Powered Ventilation for Apneic Patients

Flow-Restricted, Oxygen-Powered Ventilation Device for Conscious, Spontaneously Breathing Patients

Cricoid Pressure (Sellick Maneuver)

Nasogastric Tube Insertion in a Conscious Patient

Orogastric Tube Insertion

Using Colorimetric Capnography for Carbon Dioxide Detection

Securing an Endotracheal Tube With Tape

Securing an Endotracheal Tube With a Commercial Device

Intubation of the Trachea Using Direct Laryngoscopy

Blind Nasotracheal Intubation

Digital Intubation

Transillumination Intubation

Performing Tracheobronchial Suctioning

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Performing Extubation

Performing Pediatric Endotracheal Intubation

Insertion of the PtL



Insertion of the Combitube

LMA Insertion

Performing an Open Cricothyrotomy

Performing Needle Cricothyrotomy and Translaryngeal Catheter Ventilation

Suctioning of a Stoma

Mouth-to-Stoma Ventilation (Using a Resuscitation Mask)

Bag-Mask Device-to-Stoma Ventilation

Replacing a Dislodged Tracheostomy Tube

Percussion

Assessing the Head

Examining the Eye

Eye Examination With an Ophthalmoscope

Examining the Ear With an Otoscope

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Examining the Neck

Examining the Chest

Auscultation of Heart Sounds



Examining the Abdomen

Examining the Musculoskeletal System

Examining the Peripheral Vascular System

Examining the Spine

Examining the Nervous System

Evaluation of Deep Tendon Reflexes

The Rapid Trauma Assessment

Applying PASG/MAST

Treating Shock

Controlling Bleeding From a Soft-Tissue Injury

Applying a Tourniquet

Needle Decompression (Thoracentesis) of a Tension Pneumothorax

Performing a Motor Function and Sensory Exam

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Restraining a Patient

Intubation of a Neonate

Inserting an Orogastric Tube in the Newborn



Inserting an Oropharyngeal Airway in a Child

Inserting a Nasopharyngeal Airway in a Child

One-Rescuer Bag-Mask Ventilation for a child

Performing Pediatric Endotracheal Intubation

Pediatric IO Infusion

Performing Infant Chest Compressions

Performing Chest Compressions on a Child

Decompression of a Tension Pneumothorax

Immobilization a Child

Immobilization an Infant

Cleaning a Tracheostomy

Obtain a Peak Flow Reading

Drawing Blood From a Central Venous Catheter

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Accessing an Implantable Venous Access Device

Catheterizing an adult Male Patient

Catheterization an Adult Female Patient



Replacing an Ostomy Device

Loading the Patient

Unloading a Patient

Breaking Tempered Glass

Stabilizing a Suspected Spinal Injury in the Water

Single-Rescuer Adult CPR

Two-Rescuer Adult CPR

Single-Rescuer Child CPR

Two-Rescuer Child CPR

Infant CPR

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Do Not Jeopardize the Patient! When working with patients, you are dealing with people’s lives!!!!

Positive Qualities in Paramedics

1. When in doubt, ask for help.

2. Ask questions.

3. Be quiet.

4. Be respectful.

5. Answer call-lights quickly.

6. Keep a neat and clean appearance.

7. Learn the routine.

8. Be caring.

9. Be enthusiastic.

10. Be interested.

11. Have a sense of humor.

12. Gain confidence in yourself.

13. Be gentle.

14. Be knowledgeable.

15. Take pride in your accomplishments.

16. Accept constructive criticism graciously.

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17. Be easy to get along with.

18. Put your client’s care first.

19. Be cheerful.

20. Be courteous and trustworthy.

21. Be on time.

22. Look for things to do.

Negative Qualities in Student Paramedics

1. A foul mouth.

2. A poor attitude.

3. Uncaring.

4. Lazy.

5. Can’t get along with people.

6. Poor knowledge.

7. Late.

8. Only does enough to “get by”.

9. To critical of others.

10. Complains.

11. Unclean, poor hygiene.

12. Appear blameless.

13. Makes excuses for everything.

14. Gossips.

15. Will not listen to others.

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“Let them know exactly what is expected of them”.

“A lot to learn in a short period of time”

“This is not easy, it takes a lot of self-discipline and it takes away most of your personal time”.

“Flexibility is everything”.

“Know and understand the process of osmosis. Everything is not in the book. Don’t be afraid to ask questions”.

“Come into this program with your eyes open because if you don’t, you will have a bad fall”.

“Be ready to put your life on hold, you will only have time for studying”.

“Dig in, hold on, and don’t give up”!!

“Sleep now while you can”.

“Never lose sight of the real reason you’re here because the end results is the best part”.

“The only thing certain about this program is that everything is subject to change”.

“Be prepared for lack of sleep. Don’t expect to see your family”.

“Determination, determination, determination, If you want it, it’s worth it”

“Life as you know, it is now officially OVER”.

Your handbook was developed to provide the information you need. Many hours have gone into planningThis academic year, Circumstances may require changes and alterations in the calendar. Be patient and Syllabus for each course that will include lecture, course objectives, lecture and test schedules, requiredReading, videos, computer lab and homework assignments, every effort is being made to adhere to this.Should changes be necessary, you will be notified in advance.

The Paramedic Staff

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AppendixA

Video List&

Computer Lab Programs

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Video List

Videos available at UAMCOT:

BN005 Principles & Guidelines for Hospital EmployeesBN010 Update for Health ProfessionalsBN015 AIDS, Part IIBN020 Feeding the PatientBN025 Enteral Feeding Tubes, Part IBN030 Enteral Feeding Tubes, Part IIBN035 Implantable PortsBN040 Management of TPN, Part IBN045 Management of TPN, Part IIBN050 Techniques of Therapeutic CommunicationBN055 Blocks to Therapeutic CommunicationBN060 Interactions for StudyBN070 Range of MotionBN075 Bandages & BindersBN080 Applications of Heat & ColdBN085 Shirley Holmes Tracks Down GermsBN090 Shirley Holmes Pursues Patient Safety, Part IBN095 Shirley Holmes Pursues Patient Safety, Part IIBN100 Auscultation & Percussion of Lungs & ThoraxBN105 Auscultation of Heart SoundsBN110 Alteration in Pattern: AssessmentBN115 Alteration in Pattern: DysuriaBN120 Alteration in Pattern: Temporary RetentionBN125 Incontinence: Independent Interventions & Indwelling CatheterBN130 Counseling Patients with Vaginal Yeast InfectionsBN140 Central Venous Access DevicesBN145 Chest Tube DrainageBN150 Suctioning Part IBN155 Suctioning Part IIBN160 Adapting the Physical EnvironmentBN165 Developing a Helping RelationshipBN170 GroomingBN175 Oral HygieneBN180 BathingBN190 CPR for Health Care ProvidersBN215 Skin Assessment, Care & DocumentationBN220 Documenting Nursing Practice

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BN250 Equipment Preparation & Patient Assessment

BN255 Access & Medication AdmBN260 Preventing Complications &

Discontinuing the IVBN265 Measuring Basic FunctionsBN270 Assuring SafetyBN275 Maintaining Personal HygieneBN280 Performing TreatmentsBN285 Maintaining Surgical AsepsisBN290 Administering Nonparenteral MedicationsBN295 Administering Injectable MedicationsBN300 Administering IV Medications

Geriatric Videos:

GER05 The Natural Process of AgingGER10 Normal Physiologic ChangesGER15 Physical Assessment, Part IGER20 Physical Assessment, Part IIGER25 Functional AssessmentGER30 Mental & Socioeconomic AssessmentGER35 When Someone You Love has

Alzheimers

Maternity/Infant Videos:

MI005 PregnancyMI010 Birth & the NeonateMI015 Reducing the Risk FactorsMI020 Nursing Assessment of the Postpartum

PatientMI025 Ineffective BreastfeedingMI030 Knowledge Deficit: Infant CareMI035 Physical Examination, Part IMI040 Gestational Age Assessment, Part IIMI045 Labor & Delivery: the LDRMI060 Labor & Delivery: Maternal Changes &

Prenatal CareMI070 Baby Care Basics for the Formula-

Feeding MotherMI075 Baby Care Basics for Your Baby’s Eary

MonthsMI088 Cesarean SectionMI090 Post partumMI095 Gestational Age Assessment

MI100 the Stages of Labor

MI105 Pregnancy Induced Hypertension

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Pathologic Videos:

MS005 HemorrhagingMS010 Anaphylactic ShockMS015 Mega CodeMS020 Tuberculosis (Prevention & Practices)MS025 The Critical Balance, Part IMS030 The Critical Balance, Part IIMS035 Code CallMS040 Eliminating Chaos During Code BlueMS045 Post-Abdominal SurgeryMS050 CHFMS055 Newly Diagnosed Diabetes MellitusMS060 Constipation: How Your Care Plan Can

Make the DifferenceMS065 Acute Pain Management: Operative or

Medical Procedures and TraumaMS070 DiabetesMS075 Ostomy CareMS080 When Someone You Love is a Cancer

SurvivorMS085 Preparing the Ostomy Patient for

DischargeMS090 Acute Neurological Care: Spinal Cord

InjuryMS095 Nursing Management of Acute Head

InjuriesMS100 Casts: Part IMS105 Casts: Part IIMS110 Pre & Post Op: Knee ReplacementMS115 Pre & Post Op: Hip ReplacementMS120 Pre & Post Op: Hip FractureMS125 Breaking the Chain of Nosocomial

Infections: Surgical Wound Infections

MS130 Breaking the Chain of Nosocomial Infections: Pneumonia

MS135 Breaking the Chain of Nosocomial Infections: UTI

MS140 Breaking the Chain of Nosocomial Infections: Bloodstream Infections

MS145 Critical Care: Emergency Burn Treatment

Pediatrics:

PED05 Medicating Children

PED10 Physical Growth & Motor Development

PED11 Physical Growth & Motor Development (b)

PED15 Cognitive Development

PED16 Cognitive Development (b)

PED20 Language Development

PED25

Emotional/Social Development

PED26 Peer

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RelationsPED27 Role PlayPED28 Psychosocial DevelopmentPED29 Compliance, Self-Control, and Prosocial

BehaviorPED30 Detection & Treatment of Sexually

Abused Children,

PED31 Intellectual Growth & Achievement

PED32 Psychosocial Care Infant & Toddlers

PED33 Preschool and School-Aged Children

PED34 AdolescentsPED35 Detection & Treatment of

Sexually Abused Children, Part II

PED 36 The Dying ChildPED40 Child Abuse: Prevention,

Detection & Management

Pharmacy: PH005 Administering Oral, Topical,

Supplemental & InhalantsPH010 Administering IM, ID, SQ

InjectionsPH015 Initiating IV TherapyPH020 Preparing & Administering IV

MedicationsPH025 Pharmacology Assessment:

Nursing ImplicationsPH030 Equipment PreparationPH035 Preparing Medication from

an AmpulePH040 Preparing Medication from a

VialPH050 Patient Controlled

Analgesia: Nursing Prospective (2) PH055 Oral Medication

AdministrationPH060 Administration & Absorption of

Parenteral MedicationsPH065 Administration & Absorption of Topical

Medications

PH070

Administration of Intravenous Medications

PH075

IV Therapy:

M196A Safer Infusion Therapy: the Basics

M196B Safer Infusion Therapy: Initiating Venipuncture

M196C Safer Infusion Therapy: Reducing

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Complications & Improving Outcomes

M196D Safer Infusion Therapy: Care and Maintenance

Mental Health:

MH005 Psychotropic Medications: Assessment, Intervention and Treatment

MH010 Psychotropic Medications: Schizophrenia and Bipolar Disorders

MH015 Psychotropic Medications: Depression and Anxiety

MH020 Medication Issues in Mental Health: Understanding Movement Disorders

MH025 Medication Issues in Mental Health: Preventing Adverse Drug Reactions

Vocational, Legal & Ethical:

VLE70 The Nature of Ethical ProblemsVLE75 Values ClarificationVLE80 A Patient’s Bill of RightsVLE85 Institutional PoliciesVLE90 Patient AutonomyVLE95 Nurse/Physician RelationshipVLE100 Nursing ObligationsVLE105 Concerning Death

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AppendixB

Class Officers Duties

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Student Organization Officer Duties

President

An elected officer that serves the student organization by:

1. Representing the student organization at Faculty Staff Meetings.2. Representing the student organization at the Student Council Meetings.3. Chairing all student organization meetings.4. Directing student organization in fund raising.

The president should not dominate the organization but lead it. The president votes only to break a tie. No action can be taken by the student organization of the individual class members without a majority vote.

Vice President

An elected officer that aids the president and the student organization

Secretary


Keeping detailed minutes of each organization meeting

Minutes should include:1. Date2. Time the meeting was called to order3. Who attended the meeting4. Old Business: this is unfinished items from the last

meeting.5. New Business6. Any motions made7. Who made the motion8. Who seconded the motion9. Any vote taken on the motion

10. Time the meeting was adjourned

All minutes should be typed and filed in the student organization’s notebook.

The advisor should receive a copy of the meeting minutes no later than one week after the meeting was held.

Treasurer

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An elected officer that serves the student organization by: Keeping a detailed record of organizational funds.

A. Financial Record should include: 1. Any deposits made.2. Any monies collected and from whom.3. Any withdrawals made and the purpose of the

expenditure.

B. A Financial Report should be filed with the Advisor no later than one week after each fundraiser.

Collecting all monies owed the student organization.

A. All monies should be given to Ms. Geraldine for deposit immediately.

B. When it is impossible to get the monies to Ms. Geraldine, give the monies to your student Advisor for deposit.C. No monies should change hands without a receipt!!!!!

Historian


Keeping a scrapbook of the student organization’s activities throughout the year

I Writing short articles or advertisements about the student organization and their activities for the local newspaper.

Parliamentarian


I. Keeping order in the student organization’s meetings.

Remember, no class member should rule the class. This is still a democracy. You all must work together for the good of the class or the whole class suffers.

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Paramedic Handbook - University of Arkansas at Monticello

Documents

paramedic process

paramedic education

paramedic field

paramedic professionals

efficient learning

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