EMS A150: Emergency Medical Technician

Course Outline of Record
Item	Value
Curriculum Committee Approval Date	12/11/2013
Top Code	125000 - Emergency Medical Services
Units	10 Total Units
Hours	180 Total Hours (Lecture Hours 180)
Total Outside of Class Hours	0
Course Credit Status	Credit: Degree Applicable (D)
Material Fee	Yes
Basic Skills	Not Basic Skills (N)
Repeatable	No
Open Entry/Open Exit	No
Grading Policy	Standard Letter (S)

Course Description

An overview of the EMT’s roles and responsibilities including the evaluation and treatment of medical and trauma emergencies. This would include extrication and transport of the sick, ill, and injured patient. Successful completion of all corequisite courses qualifies the graduating student to take the National Registry EMT certifying exam. PREREQUISITE: American Heart Association (AHA) BLS Provider CPR card; This will be validated on the FIRST day of class; Card must be BLS PROVIDER from the AHA, no other CPR card will be accepted. Formerly known as EMT A150. COREQUISITE: EMS A150L and EMS A151. Transfer Credit: CSU.

Course Level Student Learning Outcome(s)

Demonstrate in the correct sequence, an appropriate patient assessment for both a medical and traumatic prehospital emergency, including scene safety and vital signs; adapt to various patient care settings and patient ages; develop appropriate interventions; and communicating both verbally and in writing effectively with various healthcare professionals regarding patient presentation and care.
Successfully pass the seven elements of the National Registry of Emergency Medical Technicians’ Skills Validation Testing at the completion of the course with a score of 70% or better

Course Objectives

1. Apply fundamental knowledge of the EMS system, safety/well-being of the EMT, and medical/legal and ethical issues to the provision of emergency care.
2. Apply fundamental knowledge of the anatomy and function of all human systems to the practice of EMS.
3. Use foundational anatomical and medical terms and abbreviations in written and oral communication with colleagues and other health care professionals.
4. Apply fundamental knowledge of the pathophysiology of respiration and perfusion to patient assessment and management.
5. Apply fundamental knowledge of life span development to patient assessment and management.
6. Use simple knowledge of the principles of illness and injury prevention in emergency care.
7. Apply fundamental knowledge of the medications that the EMT may assist/administer to a patient during an emergency.
8. Apply knowledge (fundamental depth, foundational breadth) of anatomy and physiology to patient assessment and management in order to assure a patent airway, adequate mechanical ventilation, and respiration for patients of all ages.
9. Apply scene information and patient assessment findings (scene size-up, primary and secondary assessment, patient history, reassessment) to guide emergency management.
10. Apply scene information and patient assessment findings (scene size-up, primary and secondary assessment, patient history, reassessment) to guide emergency management.
11. Apply fundamental knowledge to provide basic emergency care and transportation based on assessment findings for an acutely ill patient.
12. Apply a fundamental knowledge of the causes, pathophysiology, and management of shock, respiratory failure or arrest, cardiac failure or arrest, and post-resuscitation management.
13. Apply fundamental knowledge to provide basic emergency care and transportation based on assessment findings for an acutely injured patient.
14. Apply a fundamental knowledge of growth, development, aging and assessment findings to provide basic emergency care and transportation for a patient with special needs.
15. Demonstrate knowledge of operational roles and responsibilities to ensure patient, public, and personnel safety.

Lecture Content

The EMT Program Curriculum in EMT 150 and EMT 150L follows and adheres to the U.S. Department of Transportation (DOT) National EMS Education Standards (DOT HS 811 077A, January 2009) and the U.S. DOT EMT Instructional Guidelines (DOT HS 811 077C, January 2009) 2. Introduction and overview of fundamental knowledge of the Emergency Medical Services (EMS) system, safety/well-being of the EMT, and medical/legal and ethical issues to the provision of emergency care 3. EMS and the Dynamic Process of Continuous Quality Improvement (CQI) 4. Patient Safety and recognizing high risk activities and preventing errors 5. EMS policies, procedures and protocols developed by using evidence-based decision-making that is based on medical knowledge, intuition and judgment that is supported in current research and practice 6. Standard Safety Precautions, Body Substance Isolation, Personal Protective Equipment and Standard Precautions 7. Stress Management 8. Maintaining Health and Wellness in the work environment 9. -size: medium; Injury Prevention, Proper Body Mechanics and Safe Moving and Lifting Techniques 10. Principles of accurate Medical Documentation and Report Writing 11. Prehospital Care Report and the Minimum Dataset 12. Health Information Portability and Accountability Act of 1996 (HIPAA) the EMT s responsibility as it relates to confidentiality and distribution 13. Electronic Medical Record 14. Medical Abbreviations 15. Special Situations/Reports/Incident Reporting 16. An Overview of EMS Communications System 17. Communication with Other Health Care Professionals 18. Using Communication Equipment to Communicate within the System 19. Team Communication and Dynamics 20. Principles of Communication, Improving Therapeutic Communication, Verbal and Non-Verbal Communication 21. Special Circumstances in Communication; Patients with Spe cial Needs and Transcultural Considerations 22. Introduction to the EMT s Legal Duties and Ethical Responsibilities in EMS 23. Obtaining Patient Consent and Refusal of Care 24. Advanced Directives, DNRs, POLST, and Durable Power of Attorney 25. Recognizing Death in the Prehospital Setting 26. Tort and Criminal Actions, including Negligence, Abandonment, and False Imprisonment 27. Statutory Responsibilities, Mandatory Reporting Situations, and Ethical Principle/Moral Obligations 28. COBRA and EMTALA implications and protecting yourself in transport and transfer situations 29. Lifting and Moving Techniques, including Various Types of Patient Moves 30. Patient Packaging for Transport 31. Introduction to Anatomy, Physiology, and Medical Terminology 32. Anatomical Terms, Body Positions, and Body Planes and Landmarks 33. Body Systems w ith Special Emphasis on Cardiovascular and Respiratory Systems 34. Overview of Pathophysiology 35. Cellular Metabolism 36. Systemic and Cellular Perfusion and how to Distinguish Between Adequate and Inadequate Perfusion Stasis 37. Introduction to Life Span Development 38. The Affects of Age in Assessment and Care for Neonates/Infants, Toddlers, Preschoolers, School-Age Children, Adolescence, Young Adults, Middle-Age Adults, and Late-Age Adults 39. Airway Management, Respiration, and Artificial Ventilation 40. Assessment of Airway 41. Assessment of Breathing; Adequate versus Inadequate Breathing 42. Oxygen Therapy, Ventilation Techniques, and CPAP 43. Special Consideration in Airway Management and Ventilation and Oxygen Therapy 44. Baseline Vital Signs, Monitoring Devices, and History Taking 45. Trending Vital Signs and Other Objective Patient Data 46. How to use and apply S-A-M-P-L-E History 47. Scene Size-Up and Determining Scene Safety 48. Recognizing Mechanism-of-Injury (MOI) and Nature-of-Illness (NOI) and Establishing Control 49. Patient Assessments and Exams 50. Primary/Initial Assessment and Immediate Interventions 51. Secondary Assessment Using both an Anatomical Approach a Body Systems Approach 52. Using Deformities, Contusions, Abrasions, Punctures, Burns, Tenderness, Lacerations, and Swelling (D-C-A-P-B-T-L-S) as an Assessment Tool 53. Reassessment, Ongoing Assessment, and Evaluating Trends and Interventions 54. Communication with Medical Direction 55. Pharmacology and Medication Administration 56. Medications Commonly Administered by the EMT 57. Medication Administration versus Assisting with Medications 58. Orange County EMT Scope of Practice and Medication Administration 59. The Seven (7) Rights of Medication Administration 60. Overview of Shock and Resuscitation including the most Common Underlying Conditions Relation to Shock 61. Pathophysiology of Cardiac Arrest 62. Cardiopulmonary Resuscitation and Automated External Defibrillation (AED) 63. Special Considerations for AED Use 64. Introduction to Patients with Medical Presentations 65. Assessment and Care of Respiratory Emergencies 66. Pathophysiology of Conditions that Cause Respiratory Distress that can lead to respiratory Emergencies 67. Metered-Dose-Inhalers (MDI) and Small-Volume Nebulizers (SVN) for the treatment for COPD Conditions and Emergencies 68. Age-Related Variations in Respiratory Emergencies 69. Assessment and Care of Cardiovascular Emergencies 70.

Lecture (02)

Instructional Techniques

Lecture and application of ideas,. Use of the online classroom online discussions boards and journals, Practice quizzes, Internet links, slideshows, audio-enhanced lectures from the instructor, and interactive learning through this media. The computer center on campus has all the required software and support for those students without computers or high speed Internet access.

Reading Assignments

Four to Eight Textbook Chapters per week, Prefessional Journal Articles, lab manuals. Approximately 6-12 hours per week.

Writing Assignments

Discussion boards, journal entries and research essays. Approximately 3-6 hours per week.

Out-of-class Assignments

Online practice questions, patient care reports, online quizzes, class presentations, and workbook assignments. Approximately 6-12 hours per week.

Demonstration of Critical Thinking

Frequent and weekly online writing assignments that demonstrate understanding of the class content and application of critical thinking is required. Use of correct spelling and grammar is necessary and reinforced throughout the progression of the class as this is a vital skill related to documentation and written communication in EMS. Clarity and organization of thoughts are developed through writing. Basic English proficiency is needed for reading comprehension and minimum entrance writing capability.

Required Writing, Problem Solving, Skills Demonstration

Eligible Disciplines

Emergency medical technologies: Any bachelor's degree and two years of professional experience, or any associate degree and six years of professional experience. Nursing: Master's degree in nursing OR bachelor's degree in nursing AND master's degree in health education or health science OR the equivalent OR the minimum qualifications as set by the Board of Registered Nursing, whichever is higher. Master's degree required. Nursing science/clinical practice: Any bachelor's degree and two years of professional experience, or any associate degree and six years of professional experience.

Textbooks Resources

1. Required Mistovich, J. Hafen, B., & Karen K.. Pre-Hospital Emergency Care, 11th ed. New Jersey: Pearson/Pearson/Prentice Hall, 2018

Software Resources

1. MyLab BRADY for Mistovich, Prehospital Emergency Care, 11e Copyright 2018 Pearson Education. Copyright 2018 Pearson Education, 11th Edition ed. Online Software Component of Mistovich, Prehospital Emergency Care, 11e Copyright 2018 Pearson Education

Other Resources

1. Basic Life Support the Health Care Provider. American Heart Association 2016

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