Course Number and Title: HEM 100 Emergency Medical Technician

Loyola University Chicago Marcella Niehoff School of Nursing Fall 2016

Course Number and Title: HEM 100 – Emergency Medical Technician

IDPH State License: 080583B1216BY

Number of Credits: 4 semester hours

Meeting Schedule: See LOCUS for meeting times for each section

Course Location: Crown Center 210

Faculty: Griffin Byers, NRP, CCEMT-P

Teaching Assistants: Ryan Schultz NREMT Bailey DeCoursey NREMT Daniel Strama EMT Christopher Merriman NREMT

Faculty Contact Information Email: [email protected]

Office Hours: Tuesday, Thursday 1600-1700. By appointment only

Pre-requisites: None

Co-requisites: None

Course Description: HEM100 is the entry-level course to an academic minor and/or career in Emergency Medical Services. It provides instruction in the skills necessary to administer basic life support (BLS) and care of the sick and injured patient as set forth by the American Heart Association, the National Transportation and Safety Administration (NHTSA), and the State of Illinois. Areas of instruction and skills include, but are not limited to, patient assessment, airway management, medication administration, and medical, trauma, childbirth, pediatric and geriatric emergencies. Students will spend a minimum of 32 hours volunteering as healthcare providers in various urban clinical settings to help them effect positive change in patients’ lives. Periodic written assignments will encourage meaningful reflection upon these experiences and aid the instructor in monitoring student progress. Upon successful completion of this course, the student will be able to sit for the licensure exam approved by the Illinois Department of Public Health (IDPH) or the certification exam approved by the National Registry of Emergency Medical Technicians (NREMT) to become a credentialed EMT. While all students are encouraged to obtain their

EMT Syllabus – Fall 2016 professional certification/license following the course, it is not a requisite for successful completion. Course Outcomes:

At the conclusion of this course, students will be able to: 1. Describe the history and policies that shape contemporary EMS practice. 2. Evaluate leadership styles that characterize emergency responses and patient advocacy. 3. Analyze the impact and efficacy of emergency medical services on the delivery of health care in the United States. 4. Assess, treat, and transport patients suffering from acute illness and injury. 5. Defend triage, treatment, and transport decisions in different environments. 6. Analyze critical social, political, legal and professional issues in EMS practice. 7. Discuss unique issues in EMS practice with special populations.

Evaluation:

Element Points Quizzes (lowest dropped) 170 Exams (4, 100 points each) 400 Final written exam 125 Practical examinations 50 EMS research paper (Due 10/10) 50 Ambulance Field Internship and Reflection Paper (Due 12/5) 50 Emergency Department Internship and Reflection Paper (Due 12/5) 50 ICS and Terrorism Awareness Self-Study (Due 11/28) 30 Engaged Learning Reflection (Due 12/5) 25 Attendance and Participation 50 Total Points 1000

Grading Scale:

Final grades will be assigned based upon a fixed percentage of the total points earned:

A - 94 - 100% C+ - 80 – 83% A- - 92 - 93% C - 77 – 79% B+ - 89 – 91% C- - 75 – 76% B - 86 – 88% D+ - 72 – 74% B- - 84 – 85% D - 69 – 71% F - < 68%

Examinations: All written examinations will be given during regular class time. No make-up exams will be given. Students with a documented emergency (who have contacted the course director in advance) may take the exam at an alternate time, at the instructor’s discretion.

EMT Syllabus – Fall 2016 Licensure/ Certification Examination:

Upon completion of the course with a final average of at least 80%, the student may elect to take either the IDPH licensure examination or the certification exam given by the National Registry of Emergency Medical Technicians. The Illinois Department of Public Health will not allow a student to take the licensure or certification exams until they have met all requirements of the course, including completion of 120 hours of training. Details pertaining to both examinations will be presented in class.

Required course materials:

Provider Manual, BLS for the Health Care Provider, American Heart Assn, 2015. ISBN 978-1616694076

Emergency Care and Transportation of the Sick and Injured; Eleventh Edition, American Association of Orthopedic Surgeons, 2010; Jones & Bartlett, ISBN: 978-1284106909.

Blood Pressure Cuff, Stethoscope, and Wristwatch with second hand capabilities Class Polo and EMS-appropriate pants and shoes (to be discussed in class)

Additional Course Requirements:

Immunizations: Proof of current immunization, to include the following vaccines: Measles, mumps, rubella, tetanus, diphtheria, pertussis and hepatitis B prior to enrollment. Additionally, results of a negative Tuberculin skin test/PPD or Quantiferon Gold test within the last 2 years are required. All immunizations must be submitted no later than 9/15/2016

Drug Test: Students must complete a urine drug screen prior to the date specified at the first class meeting. Failure to complete the drug screen will preclude the student from any patient contact, resulting in a reduction of their course grade and disqualification from EMT licensure. Drug testing must be completed no later than 9/15/2016

Background Investigation: Students must consent to a thorough criminal background investigation, to be conducted by the Illinois State Police. Further information related to the scheduling of the background investigation will be provided during the first class meeting. In accordance with Illinois state law, students with felony convictions, drug- related convictions, or offenses that require registration as a sex offender will be precluded from any patient contact, resulting in a reduction in their course grade and disqualification from EMT licensure. The background investigation must be submitted no later than 9/15/2016

Course Evaluation Expectation:

It is a professional expectation that all students participate in course evaluations to guide ongoing program improvement. The IDEA survey will be conducted during the last two

EMT Syllabus – Fall 2016 weeks of the course.

Academic integrity statement:

Academic honesty is an expression of an ethic of interpersonal justice, responsibility and care applicable to Loyola University faculty, students and staff, which demands that the pursuit of knowledge in the university community be carried out with sincerity and integrity. http://www.luc.edu/academics/catalog/undergrad/reg_academicintegrity.shtml

Accommodation for Disabilities:

Participation in didactic, practical, and clinical activities requires meeting certain cognitive, affective, and psychomotor objectives as outlined in the EMT National Education Standards. Illinois licensure as well as your course evaluation will be based primarily on these objectives. If a student has conditions, limitations, and/or special needs that may affect their learning or performance of these objectives, they must notify the course director in writing prior to the end of the first week of the course so that a determination regarding reasonable accommodations may be made

Course Attendance & Participation:

Class meets in Crown Center 210 according to the course schedule unless stated otherwise. Attendance and participation are particularly crucial to the learning & mastery of pre-hospital medicine. For those seeking licensure, the State of Illinois requires a minimum of 120 hours of training across the assorted areas of the curriculum. Failure to complete 120 hours of training in the required areas will result in denial of licensure. Students who miss more than three (3) class periods for any reason will not be eligible for licensure. Arriving more than 15 minutes late or leaving before class is dismissed will incur a one day absence.

Classroom and practical participation counts for a maximum of 10% of the final grade.

Classroom Expectations:

As pre-hospital professionals-in-training, students are expected to be respectful and prepared for class. Arrive on time with pagers & cell phones muted or set to vibrate so as not to disturb the presenter. Dress appropriately for class: there are many times we will be rolling around on the floor, working outside, inclement weather, or in less-than-desirable conditions. At no time will open-toed footwear of any kind be considered acceptable.

Classroom projects and practice sessions require physical contact with and assessing fellow students in addition to working in close proximity to others. Anyone feeling uncomfortable with the behavior, actions, or language of another student should speak with the

EMT Syllabus – Fall 2016 Instructor or course director immediately. Sexual harassment, in any form or by any means, may result in forfeiture of recommendation for Illinois licensure, referral to the student's Academic Dean, and/or other disciplinary action as based on University policy. The Loyola University Chicago policy on Sexual Harassment can be found online: http://www.luc.edu/hr/policies/policy_sexualharassment.shtml Practical Exercise Expectations:

The practical sessions of this course will combine the material presented during didactic sessions with practical demonstrations and instruction in the performance of required skills on mannequins and other students. Lab sessions have some inherent risks. This course involves strenuous physical activity including lifting & moving heavy objects and patients, the possible exposure to body fluids (including blood), the use of electrical and mechanical devices (compressed oxygen cylinders, cardiac defibrillators, etc.), and performance of these duties outside, in the dark, in the cold/snow, and/or in otherwise less than-ideal conditions.

Practical Ambulance Experience:

Students will be expected to participate in at least two eight-to-fourteen hour ride-along shifts in an ambulance at Superior Ambulance Service located at 3301 N Knox Chicago IL. Shift scheduling is the responsibility of the student. Once a time is scheduled, attendance is mandatory, barring illness or other documentable emergency. The student will observe the crew and, to the extent permitted, help secure the scene, assess the patient's complaint(s), and provide appropriate emergency treatment while transporting the patient to the requested destination. As a part of this exercise, students are expected to help clean and restock the ambulance at the conclusion of each call. Substandard evaluations may result in repetition of that ride-along day and/or grade reduction. Students must arrive a minimum of 15 minutes before the start of their scheduled shift and must be prepared to stay past the schedule end time. In the event that a ride-along shift will be missed, the student will notify the Superior Garage Supervisor immediately. All ambulance ride-time shifts (with accompanying documentation & reflection paper) must be completed prior to sitting for the final written exam. Failure to meet this requirement will result in an automatic 10% final grade reduction. A 2-4 page reflection paper detailing your experience will be due 12/5/16.

Clinical Expectations:

EMT students must participate in at least two clinical rotation days prior to the completion of the course. We have arranged several clinical rotations to assist you in completing this requirement. Participation in the clinical encounters carries the same risks as practical sessions - exposure to body fluids, strenuous activity, and the use of electrical or mechanical devices. These activities may be in a hospital or clinic setting, or they may be outdoors in extreme weather. Specific guidelines for each clinical rotation have been set and will be distributed prior to the selection of rotation sites. All clinical rotations (with accompanying documentation & reflection paper) must be completed prior to sitting for the final written exam. Failure to meet this requirement will result in an

EMT Syllabus – Fall 2016 automatic 10% final grade reduction. A 2-4 page reflection paper detailing your experience will be due 12/5/16.

Clinical and Ambulance Ride Along Attire:

The dress code for these experiences consists of: class polo shirt, navy pants, black belt and black shoes (steel-toed work boots recommended). Tattoos should be covered to the extent possible, and there should be no visible piercing other than simple earrings. Students must bring a wristwatch, CPR card, and government-issued photo ID. Students must wear their student ID visibly at all times. Failure to dress appropriately will result in being sent home plus a grade reduction. Course Lecture Schedule It may become necessary to deviate from this schedule. Changes will be announced in class, via e-mail, and placed on Sakai with as much advance notice as possible. The intended schedule is as follows:

Day/Date Topic Chapters Week 1 Course Introduction, CPR 13 EMS Systems, First Aid 1 Week 2 No Class (Labor Day) - Workforce Wellness, Medical/Legal/Ethics 2,3,4 Communication & Documentation - Week 3 The Human Body, Pharmacology 5,6,11 Patient Assessment, Medical Overview 7, 9,14 Week 4 Airway Management 10 Respiratory Emergencies 15 Week 5 Cardiovascular Emergencies 16 Neurologic and Endocrine Emergencies 17,19 Week 6 Review (Both practical and Didactic)* - OB/GYN 23,33 Week 7 Fall Break - Gastrointestinal and Urology 18 Week 8 Shock and Immunologic Emergencies 12,20 Toxicology and Psychiatric Emergencies 21,22 Week 9 Review (Both practical and Didactic)* - Trauma Overview, Bleeding, Face and Neck 24,25,27 Week 10 Orthopedic Injuries, Soft Tissue Injuries 26,31 Head and Spine and Chest Injuries 28,29 Week 11 Abdominal and Genital Injuries 30 Transport and Ambulance Operations 37,38 Week 12 Environmental and Aquatic Emergencies 32 Skills Testing* - Week 13 Pediatrics, Geriatrics, Special Needs 34,35,36 Thanksgiving Break - Week 14 Terrorism Response, Disaster Management 39,40 IRTB Week 15 Final Review, Skills Testing* - Sim Lab, ALS Skills* 41

Course Lab Schedule It may become necessary to deviate from this schedule. Changes will be announced in class, via e-mail, and placed on Sakai with as much advance notice as possible. The intended schedule is as follows:

Day/Date Topic

EMT Syllabus – Fall 2016 Week 1 CPR Week 2 Lifting and Moving (Lecture and Skills) Week 3 Exam 1, Pharmacology Skills Week 4 Patient Assessment and Airway Skills Week 5 Cardiac, Neuro and Endocrine Skills Week 6 Exam 2 Week 7 No Lab Fall Break Week 8 Shock, OB/GYN, Tox and Psych Skills Week 9 Exam 3 Week 10 Bleeding Control, Orthopedic, Burns Skills

Week 11 Head, Neck, Chest and GI/GU Skills Week 12 Ambulance Operations, Pool Night Week 13 No Lab THANKSGIVING Week 14 Exam 4 Week 15 Final Exam

EMT Syllabus – Fall 2016