EMC 110 – Summative Evaluations for the EMT-Basic

Competency Areas	Hours
EMT-Basic Clinical Skills Requirements
EMT-Basic Didactic Review	Class	2
EMT-Basic Skills Review	D. Lab	2
Ambulance/Emergency Department Clinical Rotations	P. Lab/O.B.I.	1
EMT-Basic Comprehensive Written Exam	Credit	5
EMT-Basic Comprehensive Practical Exam
Roles And Responsibilities Of The EMT-Intermediate*
EMS Systems For the EMT-Intermediate*
Medical/Legal Aspects For The EMT-Intermediate
Medical Terminology
EMS Communications For The EMT-Intermediate
Advanced Airway
Advanced Airway Practical Skills Lab

Prerequisite:	EMC 100, EMC 103
Corequisite:	EMC 105, EMC 108

Course Guide

Competency	After completing this section, the student will:	Hours
		Class	D.Lab	P.Lab/
		Class	D.Lab	O.B.I.
EMT-BASIC CLINICAL SKILLS REQUIREMENTS		0	0	32
Baseline Vital Signs and SAMPLE History
XX5-1.1*	Demonstrate the skills involved in assessment of breathing.(P-1,2) [5]
XX5-1.2	Demonstrate the skills associated with obtaining a pulse. (P-1,2) [5]
XX5-1.3	Demonstrate the skills associated with assessing the skin color, temperature,
	condition, and capillary refill in infants and children.(P-1,2) [5]
XX5-1.4	Demonstrate the skills associated with assessing the pupils. (P-1,2) [5]
XX5-1.5	Demonstrate the skills associated with obtaining blood pressure.(P-1,2) [5]
XX5-1.6	Demonstrate the skills that should be used to obtain information from the
	patient, family, or bystanders at the scene. (P-1,2) [5]
Lifting and Moving Patients
XX5-2.1	Working with a partner, prepare each of the following devices for use,
	transfer a patient to the device, properly position the patient on the device,
	move the device to the ambulance and load the patient into the ambulance:
	· Wheeled ambulance stretcher [2]
	· Portable ambulance stretcher
	· Stair chair
	· Scoop stretcher
	· Long spine board
	· Basket stretcher
	· Flexible stretcher (P-1,2)
XX5-2.2	Working with a partner, the EMT-Basic will demonstrate techniques for the
	transfer of a patient from an ambulance stretcher to a hospital
	stretcher.(P-1,2) [2]
Airway
XX5-3.1	Demonstrate the correct operation of oxygen tanks and regulators.(P-1,2) [1]
XX5-3.2	Demonstrate the use of a nonrebreather face mask and state the oxygen flow
	requirements needed for its use.(P-1,2) [1]
XX5-3.3	Demonstrate the use of a nasal cannula and state the flow requirements
	needed for its use.(P-1,2) [1]
Scene Size-Up
XX5-4.1	Observe various scenarios and identify potential hazards. (P-1) [5]
Initial Assessment
XX5-5.1	Demonstrate the techniques for assessing mental status.(P-1,2) [5]
XX5-5.2	Demonstrate the techniques for assessing the airway.(P-1,2) [5]
XX5-5.3	Demonstrate the techniques for assessing the patient for external
	bleeding.(P-1,2) [5]
XX5-5.4	Demonstrate the ability to prioritize patients.(P-1,2) [5]
Focused History and Physical Exam-Trauma Patients
XX5-6.1	Demonstrate the rapid trauma assessment that should be used to assess
	a patient based on mechanism of injury.(P-1,2) [1]
Focused History and Physical Exam-Medical Patients [1 of two below]
XX5-7.1	Demonstrate the patient care skills that should be used to assist with a
	patient who is responsive with no known history.(P-1,2)
XX5-7.2	Demonstrate the patient care skills that should be used to assist with a
	patient who is unresponsive or has an altered metal status.(P-1,2)
Detailed Physical Exam
XX5-8.1	Demonstrate the skills involved in performing the detailed physical exam.
	(P-1,2) [1]
On-Going Assessment
XX5-9.1	Demonstrate the skills involved in performing the on-going assessment.
	P-1,2) [1]
Communications
XX5-10.1	Perform a simulated, organized, concise radio transmission.(P-2) [1]
XX5-10.2	Perform an organized, concise patient report that would be given to the
	staff at a receiving facility.(P-2) [1]
Documentation
XX5-11.1	Complete a prehospital care report.(P-2)
	[5 of school/unofficial forms of documentation]
EMT-BASIC DIDACTIC REVIEW		8	0	0
	Review all aspects of the EMT-Basic National Standard Curriculum.
EMT-BASIC SKILLS REVIEW		0	12	0
	Demonstrate all skills relevant in preparation for either taking the National Registry Basic Examination, or proceeding on to EMT-Intermediate Courses.
EMT-Basic Comprehensive Written Examination		4	0	0
EMT-Basic Comprehensive Practical Examination		0	4	0

TOTAL HOURS		12	16	32

PLUS 13 additional contact hours for students who meet the below criteria
Sub Note
All Current Basic EMTs must receive additional training for the following Intermediate training before entering Module XX6
ROLES AND RESPONSIBILITIES OF THE EMT-INTERMEDIATE		4	0	0
EMS SYSTEMS FOR THE EMT-INTERMEDIATE		4	0	0
X1-4.1	Discuss citizen access and the various mechanisms of obtaining it.
X1-4.2	Discuss prehospital care as an extension of hospital care.
X1-4.3	Define stabilization of patients.
X1-4.4	Define and describe medical control
X1-4.5	Describe physician responsibility for Medical Control
X1-4.6	Describe the relationship between:
	- the physician on the scene, EMT-I and the physician on the radio
	- the physician who is with the patient when the EMT-I arrives
	- the physician who arrives on the scene after the EMT-I’s have started evaluating and treating the patient
X1-4.7	Describe the benefits of EMT-1 follow-up on patient condition, diagnosis, and retrospective review of prehospital care
X1-4.8	Describe GSA/KKK Ambulance standards
X1-4.9	Define the American College of Surgeons Essential Equipment List and how it relates to local State laws.
X1-4.10	Define the national standard levels of prehospital provider as defined by curriculum, respectively.
	A: Discuss ambulance placement and the parameters that should be utilized in its development, including the differences in urban, suburban and rural settings.
X1-4.11	Discuss the medical community role in overseeing prehospital care.
X1-4.12	Define protocols and standing orders.
X1-4.13	Describe the development of protocols.
X1-4.14	Define local training standards.
X1-4.15	Describe the legislation in the EMT-I’s State as regards prehospital care.
X1-4.16	Describe integration of prehospital care into the continuum of total patient care with the emergency department phase of hospital care
X1-4.17	Discuss replacement of equipment and supplies
X1-4.18	Discuss the EMT-I’s initial responsibilities when arriving on the scene.
X1-4.19	Discuss ambulance placement and the parameters that should be utilized in its development, including the differences in urban, suburban, and rural settings.
X1-4.19
X1-4.20	Discuss the varying philosophies between the management of medical patients and trauma patients, prehospital.
X1-4.20
X1-4.21	Describe the transition of patient care from the EMT-Intermediate, including:
	a. Transfer of responsibility (legal and medical)
	b. Reporting of patient status to physician or nurse.
X1-4.22	Describe basic concepts of incident management.
X1-4.23	Define the fundamental components of extrication.
MEDICAL/LEGAL ASPECTS FOR THE EMT-INTERMEDIATE (GA-IM-3) (2 hrs)		2	0	0
X1-7.1	Discuss the significance and scope of the following in relationship to EMT practice: State Medical Practice Act (O.C.G.A. 31-11), Good Samaritan Act/Civil Immunity, state EMS statutes (Georgia), state motor vehicle codes (Georgia), and state and local guidelines for "Do Not Resuscitate."
X1-7.2	Define the following:
	- Negligence
	- Medical liability
	- Tort
	- Duty to act
	- Battery
	- Slander
	- Libel
	- Informed consent
	- Expressed consent
	- implied consent
	- Abandonment
	- Liable
	- Assault
	- False imprisonment
	- Borrowed Servant Doctrine
X1-7.3	Describe the significance of accurate documentation and record keeping in substantiating incident. (Oral & Written)
X1-7.4	Identify those situations that require the EMT-I to report those incidents to appropriate authorities.
X1-7.5	Describe the four elements to prove medical liability.
X1-7.6	Describe the significance of obtaining expressed consent.
X1-7.7	Describe the extent to which force and restraint may be used to protect the EMT, the patient, and the third party.
MEDICAL TERMINOLOGY (GA-I-M5) (1 hr)		1	0	0
X1-10.1	Define and contrast Medical Terms
X1-10.2	Provide three examples of each of the following:
	- word root
	- prefix
	- suffix
	- combining form
	- combining vowel
X1-10.3	Identify various medical terms given to various anatomical parts of the body
X1-10.4	Identify common medical abbreviations from a list
X1-10.5	Identify common root words and determine their meaning.
X1-10.6	identify and define common prefixes and suffixes
X1-10.7	Locate one or more medical terms in a medical dictionary
X1-10.8	Describe the four planes of the human body
X1-10.9	Describe the main directional terms for the human body
X1-10.10	Describe the six normal body movements
X1-10.11	Describe the anatomic positions of the body
X1-10.12	Define the following prefixes: (See Addendum A-1)
X1-10.13	Define the following suffixes: (See Addendum A1)
EMS COMMUNICATIONS FOR THE EMT-INTERMEDIATE (GA-I-M4) (2 hrs)		2	0	0
X2-8.1	Describe the phases of communications necessary to complete a typical EMS event.
X2-8.2	Name the possible components of an EMS communications system and explain the function of each.
X2-8.3	Describe maintenance procedures for field radio equipment.
X2-8.4	Describe the position of the antenna on a portable transmitter/receiver that will deliver maximum coverage.
X2-8.5	Describe an advantage of a repeater system over a nonrepeater system.
X2-8.6	Describe basic functions and responsibilities of the Federal Communications Commission.
X2-8.7	Describe the responsibilities of an EMS dispatcher.
X2-8.8	Name information items that must be gathered from a caller by the dispatcher.
X2-8.9	Describe the ten-code used in the local community.
X2-8.10	Describe three communications techniques that influence the clarity of radio transmissions.
X2-8.11	Describe three communications techniques that influence the content of radio transmissions.
X2-8.12	Describe the importance of written medical protocols.
X2-8.13	Describe two purposes of verbal communication of patient information to the hospital.
X2-8.14	Describe information that should be included in patient assessment information verbally reported to the physician.
X2-8.15	Organize a list of patient assessment information in the correct order for radio transmission to the physician according to the format used locally.
X2-8.16	Demonstrate the proper use of a mobile transmitter/receiver to receive and transmit information.
X2-8.17	Demonstrate the proper use of a portable transmitter/receiver to receive and transmit information.
X2-8.18	Demonstrate the proper use of a digital encoder.
X2-8.19	Demonstrate the proper use of a mobile or portable transmitter in a real or simulated patient situation to organize and transmit patient assessment information, using a standardized format.
X2-8.20	Describe proper use of both mobile and portable radios to receive and transmit information
X2-8.21	Describe the proper use of a digital encoder
X2-8.22	Describe the interaction between the EMT-I and Medical Command authority in regard to: receiving hospital, family physician on the scene, bystander physician on the scene, orders for patient care, needs of the family, and needs of the patient.
X2-8.23	Identify and differentiate among the following communications systems:
	a. Simplex
	b. Multiplex
	c. Duplex
	d. Trunked
	e. Digital communications
	f. Cellular telephone
	g. Facsimile
	h. computer
X2-8.24	Describe how the Emergency Medical Dispatcher functions as an integral part of the EMS team.
X2-8.24
X2-8.25	Identify the role of Emergency Medical Dispatch in a typical EMS event.
X2-8.26	List appropriate information to be gathered by the Emergency Medical Dispatcher.
X2-8.27	List factors which enhance verbal communications.
X2-8.28	Describe the importance of written medical protocols.
X2-8.29	Describe the procedure of verbal communication of patient information to the hospital.
X2-8.29
X2-8.30	Name five uses of the EMS patient care report.
ADVANCED AIRWAY (GA-I-M7) (4 hrs minimum)		4	0	0
X2-11.1	Describe the anatomy of the following: upper airway, tongue, hypopharynx, nasopharynx, oropharynx, larynx, vocal cords.
X2-11.2	Describe the flow of air from outside the body into the trachea
X2-11.3	Describe the reasons for and mechanism of humidification and warming of the air as it passes through the naso-and oral pharynx
X2-11.4	Recall the anatomic relationship of the larynx to the tongue, pharynx, epiglottis, vocal cords, esophagus
X2-11.5	Relate the difference between true and false vocal cords
X2-11.6	Recall and demonstrate the essential elements of assessing airway patency, breathing effectiveness and oxygenation in the ill or injured patient
X2-11.7	Describe and demonstrate the procedures used to manually open the airway
X2-11.8	Describe the methods and management of an obstructed airway
X2-11.9	Discuss indications, contraindications, methods of insertion and use of the following: oropharyngeal airway, nasopharyngeal airway, EOA, Combitube, EGTA, and pharyngotracheal lumen airway.
X2-11.10	Discuss indications, contraindications, methods of insertion and use of the Laryngeal Mask Airway.
X2-11.11	Describe the anatomy of the following:
	Lungs
	Trachea
	Alveolus
	Diaphragm
	Thoracic wall
	Pleural space.
X2-11.12	Describe how pulmonary ventilation (inhalation and exhalation) is accomplished
X2-11.13	Describe the gaseous exchange across the alveoli-capillary membrane (02 and CO2)
X2-11.14	Describe the pulmonary problems that can complicate exhalation and inhalation, the mechanisms by which they reduce ventilation and management of each problem, including:
	Open pneumothorax
	Diaphragmatic injury
	Closed pneumothorax (simple and tension)
	Flail chest
X2-11.15	Describe the problems of ventilation
X2-11.16	Define mouth-to-mask ventilation, its benefits and limitations
X2-11.17	Discuss the bag-valve-mask (BVM), its benefits and limitations
X2-11.18	Discuss the techniques for evaluating the effectiveness of ventilation
X2-11.19	Describe the anatomy of the following: upper airway, tongue, hypopharynx, nasopharynx, oropharynx, larynx, and vocal cords.
X2-11.20	Describe the function of the vocal cords.
X2-11.21	Describe the pathological conditions that can occur in the nose, pharynx, and larynx to obstruct or retard air flow and identify the complications of laryngeal fracture.
X2-11.22	Explain the pathophysiology of airway compromise.(C-1)
X2-11.23	Describe the proper use of airway adjuncts.(C-1)
X2-11.24	Review the use of oxygen therapy in airway management.(C-1)
X2-11.25	Discuss ventilation with an Advanced Airway.
X2-11-26	Describe the methods of airway management.
X2-11.27	Describe how the cervical spine is protected throughout these maneuvers.
X2-11.28	Describe the relationship between:
	Cords and larynx
	Esophagus and larynx
	Epiglottis and larynx
	Tongue and larynx
	True cords and false cords
	Pharynx and larynx
X2-11.29	List factors which cause decreased oxygen concentrations in the blood.
X2-11.30	List the factors which increase and decrease carbon dioxide production in the body.
X2-11.31	Describe the measurement of oxygen in the blood.
X2-11.32	Describe the measurement of carbon dioxide in the blood.
X2-11.33	Given a list of arterial oxygen concentrations, the student should be able to select the normal P0,, for a young adult breathing air