Standard

R State Standard £ Institutionally Developed College: n/a

EMS 213 – Clinical Applications for the EMT-Paramedic IV
Course Description The course will include clinical hours to be spent in Hospitals, Urgent Care Settings, and Ambulance Clinical Rotations. This course will include all of the EMT-Paramedic Clinical Procedures Requirements With Accompanying Psychomotor Objectives listed under Appendix B (Clinical Objectives) of the Georgia Office of EMS, EMT-Paramedic Curriculum standard. This course will include a minimum of 60 clinical hours, and along with "Clinical Applications for the EMT-Paramedic I", "Clinical Applications for the EMT-Paramedic II", "Clinical Applications for the EMT-Paramedic III", "Clinical Applications for the EMT-Paramedic V" & "Clinical Applications for the EMT-Paramedic VI", will include a minimum skill set and a minimum number of assessments in various categories.
Competency Areas	Hours
EMT-Paramedic Clinical Hours	Class	0
Ethics and Clinical Etiquette	D. Lab	0
EMT-Paramedic Clinical Tasks: Psychomotor Skills	P. Lab/O.B.I.	6
EMT-Paramedic Clinical Tasks: Assessments on Various Age Groups	Credit	2
EMT-Paramedic Clinical Tasks: Assessments on Patients with Various Pathologies
EMT-Paramedic Clinical Tasks: Assessment & Treatment Plan on Patients with Various Complaints

Prerequisite:	Program admission
Corequisite:	n/a

Course Guide

Competency	After completing this section, the student will be able to:	Hours
		Class	D.Lab	P.Lab/
				O.B.I.
EMT-Paramedic Clinical Hours		0	0	60
Total Clinical Hours	The student will complete at a minimum 330 clinical hours between the following courses: "Clinical Applications for the EMT-Paramedic I", "Clinical Applications for the EMT-Paramedic II", "Clinical Applications for the EMT-Paramedic III", "Clinical Applications for the EMT-Paramedic IV", "Clinical Applications for the EMT-Paramedic V" & "Clinical Applications for the EMT-Paramedic VI".
	Note: All clinical hours in each category listed below must be satisfied between the following courses: "Clinical Applications for the EMT-Paramedic I", "Clinical Applications for the EMT-Paramedic II", "Clinical Applications for the EMT-Paramedic III", "Clinical Applications for the EMT-Paramedic IV", "Clinical Applications for the EMT-Paramedic V" & "Clinical Applications for the EMT-Paramedic VI". Completion of the minimum hours in each category does not guarantee completion of all clinical objectives (see below), and so students may need to be assigned additional clinical time in a given clinical area to ensure completion of all clinical objectives.
Clinical Areas	The student will complete at a minimum 330 clinical hours. The student must spend a minimum of the following in each area (as per the Georgia Office of EMS). The hours in the categories below only add up to a total of 256 hours - the remaining 74 hours (330-256=74) is at the program discretion to decide how clinical time and educational opportunities are best utilized (these 74 hours will count as Flex Hours for the Office of EMS): 1. Operating Room 8 hours 2. Critical Care 16 hours 3. Pediatrics 16 hours 4. Labor/Delivery 16 hours 5. Psychiatric 8 hours 6. Emergency Room 120 hours 7. EMS** 72 hours
	**Note on EMS Hours: The State of Georgia Office of EMS requires a minimum of 120 clinical hours to be spent during EMS clinicals. The 48 hours of EMS Leadership clinicals listed in "EMS 201 - Summative Evaluation" counts towards this 120 hours, leaving a minimum of (120-48=72) 72 hours that must be completed during the regular EMT Paramedic Clinicals. Instructors must ensure that all EMT-Paramedic students have completed a minimum of 120 hours on an ALS ambulance between their regular clinical hours and the EMS Leadership Clinical Hours. The student must still complete a minimum of 330 clock hours in clinicals during the regular Paramedic Clinical Courses.
Ethics and Clinical Etiquette (Hours for this section are included under EMT-Paramedic Clinical Hours above)
	Comply with patient privacy rights Respect confidentiality Follow the rules and regulations of each clinical site Demonstrate respect for staff Demonstrate appropriate work ethic (i.e.: reporting on time)
EMT-Paramedic Clinical Tasks (Hours for this section are included under EMT-Paramedic Clinical Hours above)
	Note: ALL State of Georgia Office of EMS clinical objectives listed below (Psychomotor Skills, Assessments on Various Age Groups, Assessments on Patients with Various Pathologies, and Assessment & Treatment Plan on Patients with Various Complaints) must be completed between the following courses: "Clinical Applications for the EMT-Paramedic I", "Clinical Applications for the EMT-Paramedic II", "Clinical Applications for the EMT-Paramedic III", "Clinical Applications for the EMT-Paramedic IV", "Clinical Applications for the EMT-Paramedic V" & "Clinical Applications for the EMT-Paramedic VI". Completion of the following objectives may require more clinical hours in any clinical area, and so students may be required to attend additional clinical time to complete the required objectives.
EMT-Paramedic Clinical Tasks: Psychomotor Skills
Med. Administration	The student must demonstrate the ability to safely administer medications. The student should safely, and while performing all steps of each procedure, properly administer medications at least 15 times to live patients.
Intubation	The student must demonstrate the ability to safely perform endotracheal intubation. The student should safely, and while performing all steps of each procedure, successfully intubate at least 5 patients. Patients should be alive or recently expired. Animal laboratory experience may be substituted for human patients.
Venous Access	The student must demonstrate the ability to safely gain venous access in all age group patients. The student should safely, and while performing all steps of each procedure, successfully access the venous circulation at least 20 times on live patients of various age groups.
Ventilations	The student must demonstrate the ability to effectively ventilate unintubated patients of all age groups. The student should effectively, and while performing all steps of each procedure, ventilate at least 5 live patients of various age groups.
EMT-Paramedic Clinical Tasks: Assessments on Various Age Groups
Pediatric	The student must demonstrate the ability to perform a comprehensive assessment on pediatric patients. The student should perform a comprehensive patient assessment on at least 5 (including newborns, infants, toddlers, and school age) pediatric patients.
Adult	The student must demonstrate the ability to perform a compressive assessment on adult patients. The student should perform a comprehensive patient assessment on at least 20 adult patients.
Geriatric	The student must demonstrate the ability to perform a comprehensive assessment on geriatric patients. The student should perform a comprehensive patient assessment on at least 10 geriatric patients.
EMT-Paramedic Clinical Tasks: Assessments on Patients with Various Pathologies
Obstetric	The student must demonstrate the ability to perform a comprehensive assessment on obstetric patients. The student should perform a comprehensive patient assessment on at least 5 obstetric patients.
Trauma	The student must demonstrate the ability to perform a comprehensive assessment on trauma patients. The student should perform a comprehensive patient assessment on at least 20 trauma patients.
Psychiatric	The student must demonstrate the ability to perform a comprehensive assessment on psychiatric patients. The student should perform a comprehensive patient assessment on at least 5 psychiatric patients.
EMT-Paramedic Clinical Tasks: Assessment & Treatment Plan on Patients with Various Complaints
Chest Pain	The student must demonstrate the ability to perform a comprehensive assessment, formulate and implement a treatment plan for patients with chest pain. The student should perform a comprehensive patient assessment, formulate and implement a treatment plan on at least 5 patients with chest pain.
Dyspnea/Respiratory Distress	The student must demonstrate the ability to perform a comprehensive assessment, formulate and implement a treatment plan for patients with dyspnea/respiratory distress. The student should perform a comprehensive patient assessment, formulate and implement a treatment plan on at least 5 patients with dyspnea/respiratory distress.
Syncope	The student must demonstrate the ability to perform a comprehensive assessment, formulate and implement a treatment plan for patients with syncope. The student should perform a comprehensive patient assessment, formulate and implement a treatment plan on at least 5 patients with syncope.
Abdominal	The student must demonstrate the ability to perform a comprehensive assessment, formulate and implement a treatment plan for patients with abdominal complaints. The student should perform a comprehensive patient assessment, formulate and implement a treatment plan on at least 5 patients with abdominal complaints (for example: abdominal pain, nausea/vomiting, GI bleeding, gynecological complaint, etc.)
Altered Mental Status	The student must demonstrate the ability to perform a comprehensive assessment, formulate and implement a treatment plan for patients with altered mental status. The student should perform a comprehensive patient assessment, formulate and implement a treatment plan on at least 5 patients with altered mental status.

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Date Posted/Updated: 06/25/09