Academic Catalog

EMS 62B: PARAMEDIC COGNITIVE, AFFECTIVE & PSYCHOMOTOR IIIB

Foothill College Course Outline of Record

Foothill College Course Outline of Record
Heading Value
Effective Term: Summer 2024
Units: 4
Hours: 2 lecture, 6.5 laboratory per week (102 total per quarter)
Prerequisite: EMS 61A and 61B.
Advisory: Not open to students with credit in EMTP 62B.
Degree & Credit Status: Degree-Applicable Credit Course
Foothill GE: Non-GE
Transferable: CSU
Grade Type: Letter Grade Only
Repeatability: Not Repeatable

Description

Paramedic skills presented: proper hand washing; personal protective equipment; patient assessment focusing on unbiased patient care; intravenous access; intraosseous infusion; bleeding control and shock management; pleural decompression; cricothyrotomy; pharmacology principles and applications; medication administration; airway management: endotracheal intubation, endotracheal intubation with spinal immobilization, oropharyngeal airway, nasopharyngeal airway, suctioning, dual lumen airways; pediatric advanced life support ambulance 911 call simulations and case studies; prehospital trauma life support ambulance 911 call simulations and case studies; synchronized cardioversion; transcutaneous pacing; defibrillation; end tidal carbon dioxide monitoring; capnography; 12 lead ECG interpretation. Emphasis on special population, pediatric, and trauma management and operations. Intended for students in the Paramedic Program; enrollment is limited to students accepted in the program.

Course Objectives

The student will be able to:

  1. Demonstrate proper hygiene techniques and Personal Protective Equipment (PPE).
  2. Demonstrate the various techniques to establish intravenous routes.
  3. Exhibit different basic and advanced airway management techniques.
  4. Demonstrate an understanding of different components of cardiac monitor devices.
  5. Demonstrate the different techniques of medication administration.
  6. Demonstrate through simulated scenarios how to manage scenes and provide unbiased patient care.
  7. Demonstrate the proper techniques for transferring patient care.
  8. Demonstrate proper management of special population, pediatric, and trauma patients.
  9. Analyze the pharmacokinetics of prehospital medications.
  10. Apply an in-depth understanding of the pharmacodynamics of prehospital medications.
  11. Select the appropriate pharmacological intervention based on the patient's needs.

Course Content

  1. Proper hygiene techniques
    1. Hand washing techniques
    2. Proper use of Personal Protective Equipment
    3. N-95 mask
    4. P-100 mask
    5. Donning and doffing medical gloves
  2. Establishing intravenous routes
    1. IV techniques
    2. IO techniques
    3. Setting up, starting IVs
  3. Basic and advanced airway management techniques
    1. NPAs, OPAs
    2. Suctioning
    3. Endotrachel intubation
    4. Tracheotomy care
    5. Multi lumen devices
    6. O2 therapy
  4. Cardiac monitor devices
    1. 4 lead
    2. 12 lead
    3. Cardioversion
    4. Pacing
    5. Defibrillation
    6. EtCO2
    7. Pulse Ox
  5. Medication administration
    1. Medication packaging
    2. Routes of administration
    3. Medication calculations
  6. Simulated scenarios to manage scenes and provide unbiased patient care
    1. Various special population (OB, pediatric, geriatric) and trauma patients
    2. Scene approach and control
    3. General impression
    4. History and physical
    5. Working diagnosis
    6. Appropriate treatment
  7. Transferring patient care
    1. Documentation
    2. Radio report
    3. Verbal report
  8. Trauma management
    1. Bleeding control
    2. Fluid replacement
    3. Bandaging and splinting
    4. Cervical spine precautions
    5. Environmental emergencies
  9. Pharmacokinetics of prehospital medications
    1. Drug absorption and distribution
    2. Metabolism and elimination
    3. Influencing factors in drug action
  10. Pharmacodynamics of prehospital medications
    1. Mechanism of action
    2. Drug dose relationships
    3. Drug classes and therapeutic applications
  11. Pharmacological intervention selection based of patient need
    1. Patient assessment
    2. Drug indications and selection
    3. Clinical decision making

Lab Content

  1. Proper hand washing, Personal Protective Equipment
  2. Patient assessment
  3. Intravenous access, intraosseous infusion
  4. Pharmacology, medication administration
  5. Airway management, endotracheal intubation, oropharyngeal airway, nasopharyngeal airway, suctioning, dual lumen airways
  6. Prehospital advanced life support
  7. Pediatric advanced life support
  8. 911 call simulations and case studies
  9. Special population, pediatric, and trauma management

Special Facilities and/or Equipment

1. Paramedic lab facilities
2. Paramedic ambulance equipment: manikin (that allows cricothyrotomy, pleural decompression, intubation, intraosseous infusion, intravenous access, intramuscular injection and subcutaneous injection); medication box with all paramedic medications; respiratory bag with airway management equipment; ECG monitor/defibrillator/pacer; suction; immobilization equipment
3. Ambulance simulator
4. Base station simulator equipment
5. When portions of the course offered online, students need on-going access to computer with email and internet access

Method(s) of Evaluation

Methods of Evaluation may include but are not limited to the following:

Laboratory psychomotor skill test
National-style oral examinations of 911 call simulations
National-style paramedic affective evaluation: observe student behavior, document, and counsel student
Written assignments, including prehospital patient care report forms
Written tests: multiple choice, matching, essays, fill-in-the-blank, short answer

Method(s) of Instruction

Methods of Instruction may include but are not limited to the following:

Students will practice skills in preparation for the NREMT skills testing
Lecture presentations and classroom discussion
In-class projects, group presentations

Representative Text(s) and Other Materials

Foothill College Paramedic Program. Student Laboratory Manual. 2021.

Types and/or Examples of Required Reading, Writing, and Outside of Class Assignments

  1. Read 1-6 books throughout the quarter on paramedic: anatomy and physiology, pediatric advanced life support, respiratory emergencies, etc. Weekly reading assignments 60-100 pages
  2. Writing assignments: weekly essays are assigned; for example, compare and contrast pulmonary edema secondary to left heart failure and cardiogenic shock
  3. Workbook/writing assignments are given each week and include: matching, multiple choice, fill-in-the-blank, identify, ambulance calls, true/false, short answer, word find, place photos in order, fill-in-the-table, problem solving, labeling diagram
  4. Medical research
  5. Write prehospital patient care report form

Discipline(s)

Emergency Medical Technologies