Suffolk County Community College s1

SUFFOLK COUNTY COMMUNITY COLLEGE LETTER-OF-INTENT TO CAMPUS DEAN(S)

PROPOSER E-MAILS LETTER-OF-INTENT AS WORD DOCUMENT TO DR. ALLEN JACOBS, COLLEGE ASSOCIATE DEAN FOR CURRICULUM AND ASSESSMENT. Dr. Jacobs determines which campuses are affected by proposal and forwards the Letter-of-Intent to the appropriate Campus Dean(s) for Letters-of- Support.

Proposer _Matthew Zukosky______Campus: A___X_ E____ G_____ (name)

Department/Discipline _EH&HS, Emergency Medical Care__

Telephone__451-4678______Email_ __ [email protected]

Name of Curriculum/Course Proposal __ Paramedic A.A.S .______

Proposer attaches a brief description and rationale for the proposal on a separate page. See attached.

Date__8/16/2007______

College Associate Dean for Curriculum and Assessment completes form below this line. ****************************************************************** Type of Proposal

Course

New______

Revised______

Adoption______

Curriculum

New _Paramedic______A.A._____ A.S. _____ A.A.S __X___

Revised______Certificate __

Expedited Revision______

This proposal requires the following approval(s)

Single Campus __X___ *College_____

ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 New-Curriculum Proposal Form, Pg. 2

*College approval is required when the proposal has an impact on more than one campus.

SUFFOLK COUNTY COMMUNITY COLLEGE LETTER-OF-SUPPORT FROM CAMPUS DEAN(S)

CAMPUS DEAN(S) E-MAILS LETTER-OF-SUPPORT TO THE FACULTY MEMBER INITIATING THE LETTER OF INTENT. (Dr. Allen Jacobs, College Associate Dean for Curriculum and Assessment, receives an electronic copy of Letter-of-Support sent to proposer.)

****************************************************************** TO: Matthew Zukosky, Coordinator of Emergency Medical Care Program FROM: William F. Connors, Jr. , Executive Dean - Ammerman Campus DATE: August 19, 2007 *********************************************************** Comments:

I support the concept of exploring a new A.A.S. Paramedic degree program at the Ammerman Campus. In developing the proposal, I would encourage you to work closely with Dr. Jacobs in order to make sure that it meets SUNY guidelines. The proposal has much merit and could be a valuable program for the residents of Suffolk County.

cc: Dr. Allen Jacobs, College Associate Dean for Curriculum and Assessment

DEPARTMENT OF EDUCATION, HEALTH & HUMAN SERVICES AMMERMAN CAMPUS

To: Dr Allen Jacobs, Associate Dean of Curriculum and Assessment

Date: August 16, 2007

Re: Letter of Intent for AAS Paramedic Degree Program

Dr. Jacobs,

I am excited to begin the application process for the creation of a new A.A.S. Paramedic Program curriculum proposal for Suffolk Community College. The EMT-Paramedic preparation and certification is the highest level of pre-hospital medical professional throughout the nation.

The Emergency Medical Care Program at SCCC has been providing the only college level Emergency Medical Technician education in Suffolk County since the early 1980’s. This program currently provides education and certification programs sanctioned by the New York State Department of Health at the Emergency Medical Technician -Basic and EMT Critical Care levels (2nd highest level of certification). Every semester the program provides Suffolk County Community College students with the most current educational and professional standards in the Emergency Medical Services field. While these individual courses lead to a certification through the New York State Department of Health and students earn college credit, they cannot terminate with a degree nor do they give our students the highest professional credential in the Emergency Medical Care field.

Every week I receive inquires from emergency medical care providers in Suffolk County as to if and when Suffolk County Community College will start a paramedic degree program. Currently, residents of Suffolk County are forced to travel out of the region to attend a credit bearing paramedic education program. Anyone who aspires to earn an associates degree in this specialized area must travel to New York City and attend a number of SUNY community colleges offering this degree

Many community colleges in the SUNY system offer these successful and vital programs; they are currently operating and conferring such degrees. As the Emergency Medical Services profession continues to grow and the dynamic of EMS in Suffolk County transforms to a combination of volunteer and paid/ career based services, this degree program will provide the

ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 New-Curriculum Proposal Form, Pg. 5 residents of Suffolk County with the opportunity to achieve the highest level of education in the EMS field, an opportunity for career advancement and the prestige of a college degree.

The AAS Paramedic program can be established at a minimal cost to SCCC as much of the infrastructure, faculty, and equipment are already available. I believe that the addition of a Paramedic AAS Degree Program would aid and support meeting the Mission and Vision of Suffolk County Community College. I look forward to speaking with you regarding this process. Thank you.

Sincerely,

Matthew Zukosky, Professor Emergency Medical Care Program Coordinator 451-4678

SUFFOLK COUNTY COMMUNITY COLLEGE CAMPUS DEAN FINAL-APPROVAL FORM

PROPOSER E-MAILS COMPLETED PROPOSAL TO APPROPRIATE EXECUTIVE DEAN(S) AND REQUESTS A COMPLETED CAMPUS DEAN FINAL-APPROVAL FORM. The Executive Dean(s) completes this form and returns it to the proposer. ****************************************************************** * The Campus Dean Final Approval acknowledges a campus’s ability and commitment to support a proposal in terms of:  Academic Merit  Availability of Personnel  Adequacy of Facilities  Budgetary Needs for Supplies and Equipment ****************************************************************** *

Name of Proposal: _A.A.S./Certificate Paramedic______

Campus: A__x_ E____ G_____

Type of Proposal: x_New Curriculum ___Curriculum Revision ___Expedited Curriculum Revision

___New Course ___Course Revision ___Inter-Campus Course Adoption

Approved___William F. Connors, Jr. Not Approved______(Name of Executive Dean) (Name of Executive Dean)

Date____November 6, 2008

****************************************************************** * Comments:

cc: Dr. Candice Foley, College Associate Dean for Curriculum Development

SUFFOLK COUNTY COMMUNITY COLLEGE NEW-CURRICULUM PROPOSAL FORM

ORIGINATING CAMPUS: ( X ) Ammerman ( ) Eastern ( ) Grant Date Submitted to Curriculum Committee: _____ 03/08 _____

PROPOSER E-MAILS ENTIRE CURRICULUM PROPOSAL PACKET TO THE APPROPRIATE CURRICULUM COMMITTEE CHAIR AS A WORD DOCUMENT.

To meet the ideals of Suffolk County Community College, a new curriculum should, if appropriate, consider issues arising from elements of cultural diversity in areas of textbook choice, selection of library and audio-visual materials, and teaching methodology.

Issues of transferability MUST be addressed for curricula leading to an A.A. or an A.S. degree. Issues of workforce demand MUST be addressed for curricula leading to an A.A.S. degree or a Certificate. The Counseling Office and Library of each campus have materials that can help locate answers about transferability (II d.) and other colleges that offer similar courses (VI a. and b.). Contact Dr. Allen Jacobs, College Associate Dean for Curriculum and Assessment, for further information.

Proposal Checklist Proposer records appropriate departmental votes here and checks to be sure all the documents are contained within the packet.

( X ) Electronic Letter-of-Intent

( X ) Electronic Letter-of-Support from Campus Dean(s) ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 New-Curriculum Proposal Form, Pg. 7

( X ) Vote(s) of Department:

Name of Department: _(Education Health and Human Services)_ For: _10____ Against: ___0__ Abstentions: _____ Date of Vote: __8/29/07______Proposer's Initials: _MZ____ Select One: Approved__X___ Not approved_____

Name of Department: _(Name of Department/Campus)_ For: _____ Against: _____ Abstentions: _____ Date of Vote: ______Proposer's Initials: _____ Select One: Approved_____ Not approved_____

( ) Campus Dean Final-Approval Form(s)

( ) Course Syllabi For All New Courses and Revised Courses Proposed along with this New Curriculum Proposal List Courses Here: PAR101, PAR102, PAR103, PAR104, PAR201, PAR202, PAR203

(Proposer completes form to this line before sending entire proposal packet to the appropriate Curriculum Committee Chair) ------Curriculum Committee Chair completes form below this line and, upon approval, the Curriculum Committee Chair e-mails the entire proposal packet to the College Associate Dean for Curriculum and Assessment, with electronic copies to the appropriate Campus Deans and the College Curriculum Committee Chair. (If the proposal is not approved, the Curriculum Committee Chair e-mails proposer and explains why proposal was not approved and sends an electronic copy of explanation to the College Curriculum Chair and the College Associate Dean for Curriculum and Assessment.)

( ) Vote of Curriculum Committee Name of Committee:______For: _____ Against: _____ Abstentions: _____ Date of Vote: ______Select One: Approved_____ Not approved_____

( ) Vote of Ammerman Faculty Senate (if appropriate) For: _____ Against: _____ Abstentions: _____ Date of Vote: ______

Select One: Approved_____ Not approved_____ Abstention_____

( ) Vote of East Congress (if appropriate) For: _____ Against: _____ Abstentions: _____ Date of Vote: ______Select One: Approved_____ Not approved_____ Abstention_____

( ) Vote of Grant Assembly (if appropriate) For: _____ Against: _____ Abstentions: _____ Date of Vote: ______Select One: Approved_____ Not approved_____ Abstention_____

Proposal is _____Approved _____Not Approved

Date______

cc: Dr. Allen Jacobs, College Associate Dean for Curriculum and Assessment Dr. Tina Good, Chair of College Curriculum Committee Academic Chairs of affected departments

NAME OF NEW CURRICULUM: ___EMERGENCY MEDICAL TECHNICIAN – PARAMEDIC AAS OR CERTIFICATE

DEPARTMENTS AND CAMPUSES REPSONSIBLE FOR ADMINISTERING NEW CURRICULUM___EDUCATION HEALTH & HUMANS SERVICES, AMMERMAN CAMPUS

I. CATALOG DESCRIPTION/PROGRAM SUMMARY

This program fulfills the requirements set by state and national agencies for credentialing of the AEMT- IV paramedic. Students will become proficient in the art and science of out of hospital medicine with medical direction. The program stresses mastery in advanced-life-support skills, which will be accomplished in college laboratories, affiliated hospitals and advance- life-support ambulances. Competency in theoretical knowledge and developing the student’s professional attitude consistent with the expectations of the public and the profession are also stressed.

High school applicants must have Sequential Math I, I,I and III and at least an 80 average in each of the following courses: Sequential Math II, Regents biology, and Regents chemistry. Students must complete BIO130: Anatomy and Physiology I with a grade of C or better to enroll in the Paramedic (PAR) level courses.

NYS EMT-Basic or higher certification is required for admission. The student’s certification must remain valid for the duration of the program. It is recommended that applicants have at least one year of field experience at the EMT Basic level prior to application.

Students must also complete an application packet including 2 letters of recommendation and a personal statement.

The number of students in the program is limited on the basis of clinical facilities available. Upon completion of this program, graduates are eligible to take the New York State and National Registry certifying Paramedic exams..

An Associate in Applied Science (A.A.S.) degree is awarded upon completion of the requirements for this program.

II. EDUCATIONAL/CAREER OBJECTIVES

The mission of the Paramedic Program at Suffolk County Community College is to provide cutting edge, quality education for out-of-hospital, emergent and non-emergent medical care that is innovative and comprehensive.

A combination of classroom, lab, and clinical field experiences comprise either certificate or degree programs. Successful program completion is accomplished through the student’s dedication to the study of advanced pre-hospital medicine, self-discipline, and academic and ethical integrity. It is through this educational process that the graduates will be highly competent and efficient healthcare professionals serving in their communities.

III. INSTITUTIONAL CONTEXT A. Identify existing or projected programs at the college in the same or related disciplines and the anticipated impact of the proposed program on them.

The Paramedic Program would enhance enrollment in the Emergency Medical Care courses such as HSC126, HS1C28, HSC234/236, Biological Science, and Mathematics as well as General Education courses such as ENG111/13, COM112.

B. Indicate whether this program replaces any existing program(s).

C. What percentage of courses in the curriculum (either required or elective) will be available to students through a distance education modality?

Initially, no paramedic DE courses would be available to students. However, as interest and populations of students wishing to enroll in the Paramedic Program DE may be utilized to allow lecture portions of the classes to be seen at three campuses.

DE courses can be utilized for applicable General Education requirements.

IV. LEARNING OUTCOMES & ASSESSMENT A. Outline the programmatic goals and objectives for the program, including a list of the learning outcomes students should demonstrate upon completing the program.

At the completion of the paramedic education program, the paramedic student will be able to integrate the principles of assessment and management to perform an appropriate assessment and implement the management plan for patients with common complaints in accordance with the NYS Department of Health Bureau of EMS and the NHTSA Paramedic Curriculum.

At the completion of the program the paramedic student will be able to:

1 Explain how effective assessment is critical to clinical decision making.

2 Explain how the paramedic’s attitude affects assessment and decision making.

3 Explain how uncooperative patients affect assessment and decision making.

4 Explain strategies to prevent labeling and tunnel vision.

5 Develop strategies to decrease environmental distractions.

6 Describe how manpower considerations and staffing configurations affect assessment and decision making.

7 Synthesize concepts of scene management and choreography to simulated emergency calls.

8 Explain the roles of the team leader and the patient care person.

9 List and explain the rationale for carrying the essential patient care items.

10 When given a simulated call, list the appropriate equipment to be taken to the patient.

11 Explain the general approach to the emergency patient.

12 Explain the general approach, patient assessment, differentials, and management priorities for patients with the following problems:

a. Chest pain b. Medical and traumatic cardiac arrest c. Acute abdominal pain d. GI bleed e. Altered mental status f. Dyspnea g. Syncope h. Seizures I. Environmental or thermal problem j. Hazardous material or toxic exposure k. Trauma or multi trauma patients l. Allergic reactions m. Behavioral problems n. Obstetric or gynecological problems o. Pediatric patients

13 Describe how to effectively communicate patient information face to face, over the telephone, by radio, and in writing.

14 Appreciate the use of scenarios to develop high level clinical decision making skills.

15 Defend the importance of considering differentials in patient care.

16 Advocate and practice the process of complete patient assessment on all patients.

17 Value the importance of presenting the patient accurately and clearly.

18 While serving as paramedic, choreograph the EMS response team, perform a patient assessment, provide local/ regionally appropriate treatment, present cases verbally and in writing to other healthcare providers within the EMS system

19 While serving as a paramedic, assess patients, consider differentials, make decisions relative to interventions and transportation, provide the interventions, patient packaging and transportation, work as a team and perform various roles for the following common emergencies including but not limited to:

a. Chest pain b. Cardiac Arrest 1. Traumatic arrest 2. Medical arrest c. Acute abdominal pain d. GI bleed e. Altered mental status f. Dyspnea g. Syncope h. Seizure I. Thermal/ environmental problem j. Hazardous materials/ toxicology k. Trauma 1. Isolated extremity fracture (tibia/ fibula or radius/ ulna) 2. Femur fracture 3. Shoulder dislocation 4. Clavicular fracture or A-C separation 5. Minor wound (no sutures required, sutures required, high risk wounds, with tendon and/or nerve injury) 6. Spine injury (no neurologic deficit, with neurologic deficit) 7. Multiple trauma-blunt 8. Penetrating trauma 9. Impaled object 10. Elderly fall 11. Athletic injury 12. Head injury (concussion, subdural/ epidural)

l. Allergic reactions/ bites/ envenomation 1. Local allergic reaction 2. Systemic allergic reaction 3. Envenomation

m. Behavioral 1. Mood disorders 2. Schizophrenic and delusional disorders 3. Suicidal

n. Obstetrics/ gynecology 1. Vaginal bleeding 2. Childbirth (normal and abnormal)

o. Pediatric 1. Respiratory distress ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 New-Curriculum Proposal Form, Pg. 12

2. Fever 3. Seizures

B. What is the proposed date of the initial periodic assessment of the program?

NYS Department of Health Course Sponsorship Audit: 6 years.

Commission on Accreditation of Allied Health Education Programs (CAAHEP) and Committee on Accreditation of Educational Programs for the EMS Professions (CoAEMSP) recommended periodic assessment is 5 years.

V. ADMISSION REQUIREMENTS List admission requirements. Describe how these requirements assure that students are prepared to complete the program.

a. NYS EMT-Basic Certification that is valid for the duration of the course is required.

b. High school applicants must have Sequential Math I, I,I and III and at least an 80 average in each of the following courses: Sequential Math II, Regents biology, and Regents chemistry. Students must complete BIO130: Anatomy and Physiology I with a grade of C or better to enroll in the paramedic Courses.

c. Completion of an application packet (including 2 letters of recommendation and personal statement) The Paramedic Program is highly competitive. Meeting minimum requirements for admission does not guarantee acceptance into the program. The college reserves the right to make final decisions based upon the applicant pool each year.

VI. CURRICULUM OUTLINE Using the table in the appendices below, outline all curricular requirements by semester for the proposed program.

See Attached Course Map and Appendices

VII. IMPACT OF NEW PROGRAM A. Justify the need for the proposed program in terms of the students it will serve and the economic and/or educational needs of Suffolk County and New York State. How was the level of need established?

Program Justification

According to the NYS Department of Labor and United States Department of Labor statistics, Emergency Medical Technician, Advanced EMT and Paramedic employment is expected to grow by 19 percent between 2006 and 2016. Faster growth may be seen in Suffolk County as it is becoming increasing difficult for emergency medical services to recruit and retain unpaid volunteers because of the amount of training and the large time commitment these positions require. The job prospects should be favorable in all sectors of the EMS field. According to the Bureau of Labor statistics, Paramedics who have advanced education and credentials should enjoy the most favorable job prospects as clients and patients demand higher levels of care before arriving at the hospital. ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 New-Curriculum Proposal Form, Pg. 13

The Emergency Medical Care Program at SCCC has been providing the only college level Emergency Medical Technician education in Suffolk County since the early 1980’s. This program currently provides education and certification programs sanctioned by the New York State Department of Health at the Emergency Medical Technician -Basic and EMT Critical Care levels (2nd highest level of certification). Every semester the program provides Suffolk County Community College students with the most current educational and professional standards in the Emergency Medical Services field. While these individual courses lead to a certification through the New York State Department of Health and students earn college credit, they cannot achieve a college degree nor do they give our students the highest professional credential in the Emergency Medical Care field EMT-Paramedic..

As program director I receive inquires from emergency medical care providers in Suffolk County as to if and when Suffolk County Community College will start a paramedic degree program. Currently, residents of Suffolk County are forced to travel out of the region to attend a credit bearing paramedic education program. Anyone who aspires to earn an associates degree in this specialized area must travel to New York City and attend a number of CUNY community colleges offering this degree. I have received requests through the SCCC Executive Vice President Gatta’s office and Presiding Officer William Lindsay from the Suffolk County Legislature to investigate and pursue the creation of a Paramedic Program at SCCC.

Many community colleges in the SUNY system offer these successful and vital programs; they are currently operating and conferring such degrees. As the Emergency Medical Services profession continues to grow and the dynamic of EMS in Suffolk County transforms to a combination of volunteer and paid/ career based services, this degree program will provide the residents of Suffolk County with the opportunity to achieve the highest level of education in the EMS field, an opportunity for career advancement and the prestige of a college degree.

The AAS Paramedic program can be established at minimal cost to SCCC because much of the infrastructure, faculty, and equipment are already available. Tthe addition of a Paramedic AAS Degree Program would aid and support meeting the Mission and Vision of Suffolk County Community College by providing access to a collegiate level program, career preparation for job growth, and improve the communities of the residents of Suffolk County .

Additionally, there is a financial incentive for EMS providers in our region to attend Suffolk Community College and continue their education which leads to an academic degree for little to no cost. Since the inception of the The Suffolk Educational program for Retention in the Voluntary Emergency Service (SERVES) grant, inquiries as to when a paramedic program at SCCC will begin have been at increasing to one or two inquiries a day..

B. Identify similar programs at other institutions, public and independent, in the service area, region and state, as appropriate. (Recent enrollment data for SUNY institutions is available from the Academic Programs Information System at http://www.sysadm.suny.edu/APIS/main.cfm. Information for non- SUNY institutions is available from SED’s Inventory of Registered Programs at http://www.nysed.gov/heds/IRPSL1.html.)

Institution Program Title Degree Enrollment Stony Brook Paramedic Training NONE 30 Hospital North Shore Paramedic Training NONE 25

University Hospital Laguardia AAS Paramedic AAS 20 Community College Borough of AAS Paramedic AAD 20 Manhattan Community College

VIII. RELATIONSHIP TO STUDENTS

A. Projected Enrollment: 1. When the program begins: Full Time___18_____ Part Time____6____ After 5 years: Full Time__18______Part Time ___6_____ 2. How were projections determined?__Staffing, logistic needs, and clinical rotation site capacity. 3. What plans have been made for the possibility that anticipated enrollment estimates are not achievable?

The Paramedic Program faculty and equipment will be utilized for other Emergency Medical Care Courses that will be running throughout the semesters. The faculty assignment process will rely on contractual rules to ensure adjunct faculty is receiving appropriate contact hours for EMT course running. Equipment currently utilized will be available for faculty and students until suitable populations of paramedic students are enrolled for a paramedic program sequence of courses.

B. Transferability N/A Proposals for programs leading to an A.A. or an A.S. degree must include documentation that program graduates will be able to transfer into at least two registered baccalaureate programs and complete them within two additional years of full-time study. List transfer programs here, and complete the SUNY Transfer Course Equivalency Table found below.

Institution Baccalaureate Program Title Degree

C. For programs designed to prepare graduates for immediate employment, document the potential employers of graduates. Specify employers who have requested establishment of the program and describe their specific employment needs.

Employer__ Rocky Point Fire District______Projected Positions in initial year___3__ In fifth year__5__ Employer___Southampton Village EMS______Projected Positions in initial year__3__ In fifth year___5_ Employer___Wading River Fire District______Projected Positions in initial year__4__ In fifth year__6__ ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 New-Curriculum Proposal Form, Pg. 15

Employer___Emergency Ambulance Services Inc. ______Projected Positions in initial year__3__ In fifth year__6__

IX. RELATIONSHIP TO FACULTY A. List the name and qualifications of each faculty member who would teach required and/or elective courses in the major. Would additional faculty need to be hired in order to fully the implement program? If so, specify.

As this is being developed as a fulltime program, the amount of available faculty with the required NYS and SCCC hiring credentials is limited. With the exception of Professor Zukosky there are no full time faculty members for the Emergency Medical Care Program. The majority of EMT coursework at SCCC is currently utilizing adjunct faculty. In an effort to move towards the college’s goal of 70% fulltime faculty another faculty member specific to the EMT and Paramedic level coursework should be considered.

Additionally New York State DOH requires a Full Time Paramedic Program Director for an institution to be granted approval to teach at the paramedic level. This individual would have oversight and responsibility for the operation of the program as required by the DOH Bureau of EMS.

A Physician Medical Director is also required for EMT and Paramedic level program oversight. Currently the Suffolk County Medical Director provides this service to SCCC free of charge, however as we expand our program and student population we should anticipate monetary compensation for a physician serving in the Medical Director role. Compensation would still need to be determined. (Stipend, etc.)

Current Faculty with credentials to teach within the Paramedic Program if needed.

1. Matthew Zukosky, MA, NREMT-P, Program Coordinator 2. Eric Niegelberg, Adjunct Instructor, EMT-P 3. David Brenner, Full Time Eastern Campus Phys. Ed. And EMT-P 4. William Masterton, Adjunct Instructor EMT-P 5. Winston Lee, Adjunct Instructor EMT-P 6. Robert Delagi, Adjunct Instructor EMT-P

All of the faculty members listed above are currently teaching in the lower EMT level courses. As faculty is reassigned to Paramedic level courses additional adjunct faculty may be needed to cover their reassignment.

B. Number of other staff positions required.

1. Full Time PA for the Emergency Medical Care Program. (credentials required: Associates Degree (Bachelors preferred) EMT-Critical Care or higher, BLS Instructor, ACLS Instructor within one year of hire, Certified Lab Instructor within one year of hire)

X. RELATIONSHIP TO SUNY GENERAL EDUCATION REQUIREMENTS* N/A

All A.A. and A.S. degree programs must fulfill 7 of the 10 SUNY knowledge and skills areas, and it is strongly encouraged that these degree programs fulfill all 10 areas. Demonstrate how this curriculum as proposed fulfills this requirement. (A current list of SUNY GE courses may be found on the Curriculum Website.)

Mathematics:_ ___ Natural Sciences:__ ___ Social Sciences:____ American History:_____ Western Civilization:_____ Other World Civilizations:_____ Humanities:__ ___ The Arts:_____ Foreign Language:_____ *Basic Communication:______

*Please note that to fulfill the Basic Communication requirement, the curriculum must include BOTH EG11 and an oral communications course.

XI. RELATIONSHIP TO SCCC GENERAL EDUCATION REQUIREMENTS N/A A. Demonstrate how this curriculum as proposed fulfills SCCC General Education A.A. or A.S. requirements: All curriculum programs leading to an A.A. and A.S. degree must also fulfill the College’s degree requirements. (NYSED requirements state that, for the A.A. degree, ¾ of the total credits must be designated as General Education [Liberal Arts and Sciences] courses. For the A.S. degree, ½ of the total credits must be designated as General Education courses.)

EG11__ ___ EG13__ ___ Mathematics:_____ Science: ____ P.E. (2 credits):___ __ Freshman Sem ___

*Humanities (9 credits) *Social Sciences (9 credits) *only one course may be English *one course must be History ______

B. Demonstrate how this curriculum as proposed fulfills SCCC General Education requirements for the A.A.S. degree. All curriculum programs leading to an A.A.S. degree must satisfy the College’s degree requirements. (According to NYSED requirements, one-third of the credits for the curriculum must be designated as General Education courses. Outlined in Yellow

Course No. Descriptive Title Cr. Course No. Descriptive Title Cr. Hrs. Hrs.

Semester One Semester Three

ENG 101 Composition I 3 ENG102 Intro to Literature 3 BIO130 Anatomy and Physiology 4 PAR103 Paramedic Medical Emergencies 7 COL101 Freshmen Seminar 1.5 PAR202 Paramedic Clinical 2 4 MAT111 Intermediate Algebra 4 PSY101 Intro To Psychology 3 POL102 State and Local Politics 3 PED Elective 1 Total 16.5 Total 17

Semester Two Semester Four

PAR101 Introduction To Paramedic 7 PAR104 Special Topics For Paramedics 7 PAR201 Paramedic Clinical 1 4 PAR203 Paramedic Clinical 3 4 COM102 Interpersonal Communication 3 SOC101 Intro To Sociology 3 PED Elective 1 HSC128 Vehicle Extrication 3

Total 16 Total 17

Summer One PAR102 Patient Assessment and Trauma 6

Total 6 Total Degree Hours 71.5

C. If curriculum leads to a Certificate, describe the demographics of the target group of students for the Certificate program.

A Certificate can be awarded to those students who do not seek an A.A.S. degree but wish to become certified as a Paramedic through the SCCC training program. The specific population seeking this certificate will be EMS providers functioning within the Suffolk County EMS system that seek paramedic level education but do not seek and academic degree. There has been increased interest and strong support in a certificate program since the idea of SCCC creating a paramedic program has been circulated throughout EMS education circles within Suffolk County. Students pursuing the certificate only option will be required to meet all prerequisite requirements for the A.A.S. degree option. Students opting for the certificate option must successfully complete all Paramedic (PAR) coursework and requirements to be eligible for

XII. RESOURCES REQUIRED:

Expenditures Start Up When Program Begins After 5 years Personnel 1. FT Faculty (1 1. PT Physician 1. PT Physician Inst.@$49,18 Medical Director Medical Director 0 2009 (12hr per month @ (12hr per month @ Contract) Assoc. Professor Assoc. Professor 2. FT PA (PA0 Hourly Rate Approx. Hourly Rate Approx. 2009 Contract ($13,000) ($13,000) @$34,719) Library 3500.00 1000.00 1000.00 Laboratories 2000.00 1000.00 1000.00 Supplies & Expenses 2500.00 1000.00 1000.00 Capital Expenditures None Other 3 Contact Hours Per Semester & Summer1 Reassigned Time For Paramedic Prg. Director

ACCREDITATION FEES CAAHEP Annual Fee: 450.00 CoAEMSP Fees: Annual Fee: 1200.00 Technology Fee (1x) 250.00 Site Visit (every 5th year) 2500.00 Self Study (every 5th year) 500.00 Total 11,500.00

XII. RELATIONSHIP TO LIBRARY Provide information about the library holdings that would serve this new program. What is the extent of the current holdings in the discipline area? What are the plans, including timetable, for the acquisition of additional holdings?

New materials needed would include EMS Professional Publications, journals, and texts that would be accessible to students for research. XIII. COURSE SYLLABI

PLEASE SEE ATTACHED SYLLABI AND SCHEDULES FOR:

A: PAR101 PAR102 PAR103 PAR104

B: PAR200 CLINICAL COURSES HANDBOOK

ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 APPENDIX A

Curriculum Tables

Fall Spring

Course Course Course Course Offering Number CR CT GE LA M RE E N/R Instructor Offering Number CR CT GE LA M RE E N/R Instructor ENG101 3 3 X PAR101 7 9 X BI0130 4 4 X PAR201 4 4 X COL101 1.5 X COM102 3 3 X MAT111 4 PED 1 X POL103 3 X PED 1 X X

Total 16.5 Total 15

Fall Spring

Course Course Course Course Offering Number CR CT GE LA M RE E N/R Instructor Offering Number CR CT GE LA M RE E N/R Instructor ENG102 3 X PAR104 7 9 X PAR103 7 9 X PAR203 4 4 X PAR202 4 4 X S0C101 3 PSY101 3 X HSC128 3 3 X

Total 17 Total 17

SUMMER SESSION PAR102 6 6 M

CR = Credits RE = Restricted Elective CT = Contact Hrs. E = Elective

ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 New-Curriculum Proposal Form, Pg. 21 GE = General Education N/R = Non-restricted Elective LA = Liberal Arts M = Major

ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 PARAMEDIC A.A.S. DEGREE TRACK

Course No. Descriptive Title Cr. Course No. Descriptive Title Cr. Hrs. Hrs.

ENG 101 Composition I 3 ENG102 Intro to Literature 3 BIO130 Anatomy and Physiology 4 PAR103 Paramedic Medical Emergencies 7 COL101 Freshmen Seminar 1.5 PAR202 Paramedic Clinical 2 4 MAT111 Intermediate Algebra 4 PSY101 Intro To Psychology 3 POL102 State and Local Politics 3 PED Elective 1 Total 16.5 Total 17

PAR101 Introduction To Paramedic 7 PAR104 Special Topics For Paramedics 7 PAR201 Paramedic Clinical 1 4 PAR203 Paramedic Clinical 3 4 COM102 Interpersonal Communication 3 SOC101 Intro To Sociology 3 PED Elective 1 HSC128 Vehicle Extrication 3

Total 16 Total 17

Total 6 Total Degree Hours 71.5

PARAMEDIC COURSE CONTACT HOUR BREAKDOWN

Course Number CR CT GE LA M RE E N/R Instructor PAR101 7 9 X TBA PAR102 6 8 X TBA PAR103 7 9 X TBA PAR104 7 9 X TBA PAR201 4 4 X TBA PAR202 4 4 X TBA PAR203 4 4 X TBA

PARAMEDIC CERTIFICATE TRACK PARAMEDIC CURRICULUM MAP AND CONTACT HOUR BREAKDOWN

ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 New-Curriculum Proposal Form, Pg. 23 Course No. Descriptive Title Cr. Course No. Descriptive Title Cr. Hrs. Hrs.

PAR103 Paramedic Medical Emergencies 7 PAR202 Paramedic Clinical 2 4

Total Total 11

PAR101 Introduction To Paramedic 7 PAR104 Special Topics For Paramedics 7 PAR201 Paramedic Clinical 1 4 PAR203 Paramedic Clinical 3 4

Total 11 Total 11

Total 6 Total Certificate Hours 39 Suffolk County Community College

I. PAR101 Introduction to Paramedic 6 3 7 Course Number Course Title Lec. Lab. Cr. Hours

Department: Education Health and Human Services Applicable Programs: Emergency Medical Technician-Paramedic (PAR) Required In: Emergency Medical Technician-Paramedic (PAR) SUNY Gen Ed Appendix: Non-Applicable

II. Course Description

This initial course established the parameters that a paramedic operates within the pre-hospital setting. Topics include roles and responsibilities of a paramedic, medical and legal considerations, EMS communications and documentation. This course provides students with a general overview and principles of anatomy and pathology along with life span development. Students will review basic life support airway assessment and management techniques, and develop mastery in the ability to establish and maintain a patient’s airway, deliver oxygen and ventilate a patient at an advanced level. The paramedic student will be provided with the fundamentals of pharmacology including routes of drug absorption, administration, distribution, biotransformation and elimination, dosage calculations, and packaging. This course also begins to establish the parameters that a

23 New-Curriculum Proposal Form, Pg. 24 paramedic operates within the pre-hospital setting. Students will study ambulance and rescue operations, along with the Medical Incident Command System. During this course students will begin clinical requirements in communications and morgue labs. Prerequisites: Student must be accepted into the Paramedic Program. Must hold a minimum certification of Basic EMT and maintain that certification throughout the entire program. It is recommended the student has one year EMS field experience.

b. List of pre-requisites and/or co-requisites

EMT Basic Certification, BIO130

III. Course Objectives and SCCC General Education Objectives

Course Objectives: (A complete list of module objectives will be provided by your instructor)

Upon completion of this course, the paramedic student will be able to:

1. Identify EMS Systems in the US and Abroad and compare their functioning. 2. Differentiate anatomical, physiological and pathophysiological function of the various organ systems in the adult and pediatric patient. 3. Identify and demonstrate the use of basic and advanced equipment in airway management of adult and pediatric patients. 4. Describe the indications, contraindications, advantages, disadvantages and complications in airway management of adult and pediatric patients. 5. Identify and demonstrate the utilization of a wide variety of medications and their specific administration to adult and pediatric patients. 6. Describe the proper procedures for interacting with a variety of agencies and situations such as crime scenes or hazardous material responses.

SCCC General Education Objectives

1. Critical thinking, problem solving and decision making: Students will develop an understanding of various airway and ventilation assessment techniques and apply information gleaned through their assessment to develop an appropriate differential diagnosis. Students will be expected to generate and implement a treatment plan designed to resolve any immediate threats to the patient.

2. Develop essential skills in reading and writing Students must read and understand instructions for laboratory procedures. Students will be expected to read and understand a patient’s clinical information, including medical history, exam findings and lab values. Students will be asked to utilize their writing skills regularly on case studies and periodically to answer essay questions on quizzes and exams.

3. Develop essential skills in listening and speaking Lab instructions will be given orally by the instructor. Students will have to display interpersonal skills while interacting with patients, cohorts, other allied healthcare personnel and the general public. Students will be asked to provide oral reports in lab concerning treatment modalities and physical exam findings.

4. Develop essential skills in mathematics

24 New-Curriculum Proposal Form, Pg. 25 Basic mathematics will be utilized in calculating weight conversions, oxygen flow rates, percentage of oxygen supplied, pharmacological administration, fluid administration.

IV. Student Learning Outcomes (A complete set of learning outcomes will be provided upon request from the instructor) 1. Discuss current issues in his/ her state impacting EMS 2. Provide examples of activities that constitute appropriate professional behavior for a paramedic 3. Differentiate between the scope of practice and the standard of care for paramedic practice 4. Explain the importance and necessity of patient confidentiality and the standards for maintaining patient confidentiality 5. Describe cellular injury and cellular death 6. Describe the factors that precipitate disease in the human body 7. Discuss special consideration in drug treatment with regard to pregnant, pediatric and geriatric patients

8. Discuss the paramedic's responsibilities and scope of management pertinent to the administration of medication 9. Students will be able to explain the differences in form and function of the adult and pediatric airway. Attention will be paid to the visual landmarks associated with advanced airway management techniques: direct laryngoscopy, open/needle crichothyrotomy, etc. 10. Assess personal practices relative to ambulance operations which may affect the safety of the crew, patient, and bystanders.

VI. Course Outline indicating Topics covered 1. EMS Systems, Medical Legal, Well Being, Stress Management 2. Anatomy and Physiology, Pathophysiology 3. Pharmacology, Pharmacological Intervention 4. Anatomy and Physiology of the airway 5. Basic and Advanced airway management 6. EMS Operations Instructional methods

Instruction in the lab will allow students to practice and demonstrate proficient level of performance in the skills of airway management, medication administration, and assessment. Labs will include the use of simulation equipment (SimMan), specialized medical equipment and technologically advanced diagnostic tools for applied activities in which students must show a mastery level of skills performance. Students will use the lab time to learn and master skills through practice and remediation. Students identified as needing more practice will use the lab at their convenience and the labs availability to reach mastery level performance before the final skills evaluation. Students must achieve a final grade of C or better to progress to any course requiring this course as prerequisite. Course requirements

The course consists of three hours per week of skill proficiency in the lab. Attendance at all class periods is required and is in conformity with college policy. In the lab students will be evaluated to ensure proficiency of all skills relating to topics covered. Quizzes will evaluate comprehension of each section of the course as the student progresses. Homework will support the learning process and evaluate effort. Written exams will be given to evaluate students’ cognitive development. Lab exams and a final practical exam will be conducted to evaluate skills competency. The National Registry EMT- P practical skills forms will be used to evaluate the critical skills as required by NYS. Satisfactory skill evaluation by a New York State Paramedic Certified Lab Instructor or Certified Instructor Coordinator is necessary to pass this course.

25 New-Curriculum Proposal Form, Pg. 26

EXAMINATION AND GRADING POLICIES

In order to evaluate the learned knowledge of each student, frequent examinations will be given. This should assist the student to develop the necessary knowledge and skills to react promptly, correctly and safely in emergency situations. Academic credit will not be given for missed examinations.

Practical skills will be graded on a Pass/Fail basis. Students must achieve a grade of “Pass” on all skills in order to be eligible for academic credit and in order to sit for the New York State EMT-Paramedic Certification Examinations. Students who do not pass all skill examinations will not pass the course regardless of their academic average.

Grading practices Quizzes 40% Case Studies 10% Skills evaluations Pass Midterm and final written examination 25% Midterm and final practical examination* 25%

*A satisfactory score on the critical skills proficiency final examination, based on the National Registry skill performance guidelines, must be achieved to receive a passing grade in this course.

Students must achieve a final course average of 70%, successfully complete all practical, clinical and internship requirements and submit appropriate assignments to pass PAR101 and enroll in PAR102. Students must achieve a final summative paramedic course average of 70% successfully complete all practical, clinical and internship requirements to be eligible to take the New York State Certification Examination. Students should be aware that the New York State Examination process is separate from the academic portion of the course.

ANY STUDENT CARRYING A FAILING GRADE DUE TO REASONS OTHER THAN ACADEMICS (ATTENDANCE, MEDICAL NON-COMPLIANCE) WILL NOT BE PERMITTED TO ATTEND ANY CLINICAL SITE.

CONDUCT, ETHICS, AND BEHAVIOR

Emergency Medical Technicians and Advanced Emergency Medical Technicians are health care professionals regardless of whether or not they receive monetary compensation for their work. Thus, an EMT is bound by the highest standards of professional conduct and ethics. The Emergency Medical Technician training program will not tolerate a breech of these standards by its students.

The student is to maintain professional appearance and behavior throughout didactic and clinical training. Lack of appropriate conduct may result in the student being unable to sit for the NYS Certification Examinations and or failure of the course. This inappropriate conduct includes, but is not limited to, unprofessional behavior, stealing, cheating, and breech of patient confidentiality and as defined on pages 114-116 in the SCCC Student Handbook.

Every effort will be made to maintain an environment conducive to learning in this course. Therefore, disrupting the class, or showing lack of respect for faculty, staff, fellow students or guests will not be permitted. Throughout the course students will be expected to conduct themselves in a responsible and mature manner. All pagers, beepers and cell phones must be turned off at the start of class and remain off until the end of class.

CLASS CANCELLATION PROCEDURE

Visit www.SUNYSUFFOLK.EDU for class cancellation notices

The following radio and TV stations will announce any cancellation of classes or delayed opening because of inclement weather .

1. WALK 1370 AM or 97.5 FM or www.WALKRADIO.com 2. WBAB 102.3 FM & East 95.3 FM 3. WBLI 106.1 FM 4. WLNG 92.1 FM 5. WRCN 103.9 FM 6. WMJC 94.3 FM 7. WBZO(B103) 103.1 FM 8. WRIV 1390 AM 9. WLVG(LOVE) 96.1 FM 10. News 12 LI

Information regarding cancellation of classes or a delayed opening will also be available by calling 696-4910, 451-4110 (Ammerman), 548-2500 (Eastern), or 851-6700 (Western).

ATTIRE AND HYGIENE

During practical skill sessions you will be working on the floor of the classroom and expensive clothing should not be worn. Ladies should wear slacks to these sessions. Uniforms are not appropriate. Students and faculty often need to work in close proximity during skill sessions. Therefore, personal hygiene (body and breath) and general cleanliness will be appreciated by all.

CPR CERTIFICATION

The New York State Department of Health Bureau of Emergency Medical Services mandates that all students must pass the skills performance and written CPR examinations to the standard of the American Heart Association, the American Red Cross or the National Safety Council as part of this EMT course. Students will recertify during the first practical laboratory session regardless of prior certification. Any student who is unable to pass these examinations will not pass this course.

AGE ELIGIBILITY REQUIREMENTS

Students must be at least 18 years of age prior to the last day of the month in which he/she is scheduled to take the New York State Written Certification Examination.

VANDALISM AND DESTRUCTION OF PROPERTY

Training equipment used in the program is costly and replacement is difficult. Any student seen damaging property or equipment will be subject to disciplinary action including, but not limited to, receiving an F grade, which will render the student ineligible participate in the NYS Certification Examination.

27 New-Curriculum Proposal Form, Pg. 28 STUDENT CODE OF CONDUCT & STUDENT JUDICIAL PROCESS

Please refer to pages 114-116 of the Suffolk County Community College Student Handbook.

CRIMINAL CONVICTION POLICY STATEMENT

At the first class students will be required to complete the New York State Application for Emergency Medical Services Certification form which contains the following affirmation:

I affirm that in accordance with the requirements of 10 NYCRR 800.8(e), I have not been convicted of or are not currently charged with any misdemeanors or felonies. I understand that if I have a conviction it will be individually reviewed and that any such conviction may not be an automatic bar to certification. The Department of Health will determine if the conviction is applicable under the provisions of Part 800.

The New York State conviction review process may be lengthy and the outcome will determine whether the student sits for the New York State Certification Examinations.

LEARNING CONTRACTS

When necessary, a written learning contract will be developed to ensure that student, faculty and the Program Coordinator all agree to the student’s requirements for successful completion of the course.

COURSE EVALUATIONS

As per NYS department of Health policy students participating in EMS educational coursework will be expected to complete a course evaluation. Students will be asked to rate and comment on subjects such as: time allocations within the course, level of instruction, instructor presentations, training aids and equipment, etc. These evaluations will be used to improve the quality of the course.

AMERICANS WITH DISABILITIES

The Americans with Disabilities Act makes it possible for students with certain types of disabilities to request an accommodation for the New York State CFR, EMT, or AEMT Written Certification examination with proper documentation of their disability. An accommodation means changing the manner in which the examination is conducted for the student. There will be no accommodations made for the New York State Practical Skills Examination. This memorandum applies to the certification process only and does not address the education/training of the student.

Any student wishing to request an accommodation to the State written examination must contact the NYS EMS Bureau Central Office at 518-402-0996. They must make this contact no later than six (6) weeks prior to the scheduled State Certification Examination for their course. It is the responsibility of the student to make this request and not that of the instructor or course sponsor. The Bureau will only accept an accommodation request from the student. The student should speak privately with the CIC or the course sponsor about their accommodation request by the second session of the course.

For the New York State Final Practical Skills Examination, the Department is not permitting testing accommodations, but will consider the use of certain aids by candidates. Candidates with an identified disability may be permitted to use certain aids, which they would be responsible to provide and reasonably be able to bring to the patient’s side in actual practice. The only types of aids which are permitted are those which do not alter the essential functions of a Certified First Responder, Emergency Medical Technician or Advanced Emergency Medical Technician. For example the use of prescription

28 New-Curriculum Proposal Form, Pg. 29 or reading glasses, hearing aids, and personal stethoscopes has been permitted since they serve as an aid to a provider. In contrast, a Braille sphygmometer would not be permitted since sight is considered an essential function of the certified EMS provider.

If you have any questions or need further assistance with ADA issues, please contact the NYS EMS Bureau Central Office at 518-402-0996

No. 00-10

New York State Date: 09/25/00 Department of Health Bureau of Emergency Medical Services Re: EMT-B / AEMT

POLICY STATEMENT Supercedes/Updates: Policy Statement 92-04 Page 1 of 3

Functional Position Description Emergency Medical Technician – Basic (EMT-B) Advanced Emergency Medical Technician (AEMT)

Purpose: Provide a guide for those who are interested in understanding what qualifications, competencies and tasks are expected of the EMT-B and/or the AEMT.

Qualifications: · Complete the Application for Emergency Medical Services Certification (DOH-65), including affirmation regarding criminal convictions · Successfully complete an approved New York State EMT-B or AEMT course · Achieve a passing score on the practical and written certification examinations · Must be at least 18 years of age by the end of the month in which they are scheduled to take the written certification examination · Knowledge and Skills required show need for high school or equivalent education · Ability to communicate effectively via telephone and radio equipment · Ability to lift, carry and balance up to 125 pounds (250 pounds with assistance) · Ability to interpret oral, written and diagnostic form instructions · Ability to use good judgment and remain calm in high stress situations · Ability to be unaffected by loud noises and flashing lights · Ability to function efficiently without interruption throughout an entire work shift · Ability to calculate weight and volume ratios · Ability to read English language, manuals and road maps · Ability to accurately discern street signs and addresses 29 New-Curriculum Proposal Form, Pg. 30 · Ability to interview patients, patient family members and bystanders · Ability to document, in writing, all relevant information in prescribed format in light of legal ramifications of such · Ability to converse, in English, with coworkers and hospital staff with regard to the status of the patient · Possesses good manual dexterity with ability to perform all tasks related to the highest quality patient care · Ability to bend, stoop and crawl on uneven terrain · Ability to withstand varied environmental conditions such as extreme heat, cold and moisture · Ability to work in low light situations and confined spaces · Ability to work with other providers to make appropriate patient care decisions Competency Areas:

The EMT-B Must demonstrate competency is assessment of a patient, handling emergencies using Basic Life Support equipment and techniques. Must be able to perform CPR, control bleeding, provide non- invasive treatment of hypoperfusion, stabilize / immobilize injured bones and the spine, manage environmental emergencies and emergency childbirth. Must be able to use a semi-automatic defibrillator. Must be able to assist patients with self-administration or administer emergency medications as described in state and local protocol.

The AEMT-Intermediate Must demonstrate competency in all EMT-B skills and equipment usage. Must be able to provide Advanced Life Support using intravenous therapy, defibrillator and advanced airway adjuncts to control the airway in cases of respiratory and cardiac arrest.

The AEMT-Critical Care Must demonstrate competency in all EMT-B skills and equipment usage. Must be able to provide Advanced Life Support using the AEMT-Intermediate skills and equipment. Must be able to administer appropriate medications.

The EMT-Paramedic Must be capable of utilizing all EMT-B and AEMT-intermediate skills and equipment. Must be able to perform under Advanced cardiac Life Support (ACLS) and Basic Trauma Life Support (BTLS) standards. Must be knowledgeable and competent in the use of a cardiac monitor/defibrillator and intravenous drugs and fluids. The EMT-Paramedic has reached the highest level of pre-hospital care certification.

Description of Tasks:

Responds to calls when dispatched. Reads maps, may drive ambulance to emergency site using most expeditious route permitted by weather and road conditions. Observes all traffic ordinances and regulations.

Uses appropriate body substance isolation procedures. Assesses the safety of the scene, gains access to the patient, assesses extent of injury or illness. Extricates patient from entrapment. Communicates with dispatcher requesting additional assistance or services as necessary. Determines nature of illness or injury. Visually inspects for medical identification emblems to aid in care (medical bracelet, charm, etc.) Uses prescribed techniques and equipment to provide patient care. Provides additional emergency care following established protocols. Assesses and monitors vital signs and general appearance of patient for change. Makes

30 New-Curriculum Proposal Form, Pg. 31 determination regarding patient status and priority for emergency care using established criteria. Reassures patient, family members and bystanders.

Assists with lifting, carrying and properly loading patient into the ambulance. Avoids mishandling patient and undue haste. Determines appropriate medical facility to which patient will be transported. Transports patient to medical facility providing ongoing medical care as necessary enroute. Reports nature of injury or illness to receiving facility. Asks for medical direction from medical control physician and carries out medical control orders as appropriate. Assists in moving patient from ambulance into medical facility. Reports verbally and in writing observations of the patient’s emergency and care provided (including written report(s) and care provided by Certified First Responders prior to EMT-B/AEMT arrival on scene) to emergency department staff and assists staff as required.

Complies with regulations in handling deceased, notifies authorities and arranges for protection of property and evidence at scene. Replaces supplies, properly disposes of medical waste. Properly cleans contaminated equipment according to established guidelines. Checks all equipment for future readiness. Maintains ambulance in operable condition. Ensures cleanliness and organization of ambulance, its equipment and supplies. Determines vehicle readiness by checking operator maintainable fluid, fuel and air pressure levels. Maintains familiarity with all specialized equipment.

REQUIRED TEXTBOOKS AND SUPPLIES:

1. Emergency Care in the Streets, Caroline, Jones and Bartlett

2. Emergency Care in the Streets Workbook, Caroline, Jones and Bartlett

3. BLS for Healthcare Providers (American Heart Association)

6. BP Cuff and Stethoscope

5. Watch with second hand

6. Short White Lab Coat for Clinical Rotations SUFFOLK COUNTY COMMUNITY COLLEGE NEW-COURSE PROPOSAL FORM

ORIGINATING CAMPUS: ( x ) Ammerman ( ) Eastern ( ) Grant Date Submitted to Curriculum Committee: _____ 11/08 _____

To meet the ideals of Suffolk County Community College, new courses should, if appropriate, consider issues arising from elements of cultural diversity in areas of textbook choice, selection of library and audio-visual materials, and teaching methodology.

PROPOSER E-MAILS ENTIRE COURSE PROPOSAL PACKET TO THE APPROPRIATE CURRICULUM COMMITTEE CHAIR AS A WORD DOCUMENT.

31 New-Curriculum Proposal Form, Pg. 32 ( ) Electronic Letter-of-Intent

( ) Electronic Letter-of-Support from Campus Dean(s)

( ) Vote(s) of Department:

Name of Department: _(Education Health and Human Svcs.)_ For: _10____ Against: ___0__ Abstentions: _____ Date of Vote: _8/29/07______Proposer's Initials: _____ Select One: Approved_____ Not approved_____

(Proposer completes form to this line before sending entire proposal packet to the appropriate Curriculum Committee Chair) ------

Curriculum Committee Chair completes form below this line and, upon approval, the Curriculum Committee Chair e-mails the entire proposal packet to the College Associate Dean for Curriculum and Assessment, with electronic copies to the appropriate Campus Deans and the College Curriculum Committee Chair. (If the proposal is not approved, the Curriculum Committee Chair e-mails proposer and explains why proposal was not approved and sends an electronic copy of explanation to the College Curriculum Chair and the College Associate Dean for Curriculum and Assessment.) ******************************************************************

( ) Vote of Ammerman Faculty Senate (if appropriate) For: _____ Against: _____ Abstentions: _____ Date of Vote: ______Select One: Approved_____ Not approved_____

32 New-Curriculum Proposal Form, Pg. 33 Abstention_____

( ) Vote of Grant Assembly (if appropriate) For: _____ Against: _____ Abstentions: _____ Date of Vote: ______Select One: Approved_____ Not approved_____ Abstention_____ ******************************************************************

Date______

Comments:

33 New-Curriculum Proposal Form, Pg. 34 NAME OF PROPOSAL: _____PAR101__Introduction to Paramedic______

DEPARTMENT/DISCIPLINE:____Education, Health, Human Svcs._____

I. CATALOG DESCRIPTION:

This initial course established the parameters that a paramedic operates within the pre-hospital setting. Topics include roles and responsibilities of a paramedic, medical and legal considerations, EMS communications and documentation. This course provides students with a general overview and principles of anatomy and pathology along with life span development. Students will review basic life support airway assessment and management techniques, and develop mastery in the ability to establish and maintain a patient’s airway, deliver oxygen and ventilate a patient at an advanced level. The paramedic student will be provided with the fundamentals of pharmacology including routes of drug absorption, administration, distribution, biotransformation and elimination, dosage calculations, and packaging. This course also begins to establish the parameters that a paramedic operates within the pre-hospital setting. Students will study ambulance and rescue operations, along with the Medical Incident Command System. During this course students will begin clinical requirements in communications and morgue labs. Prerequisites: Student must be accepted into the Paramedic Program. Must hold a minimum certification of Basic EMT and maintain that certification throughout the entire program. It is recommended the student has one year EMS field experience.

II. STATEMENT OF COURSE OBJECTIVES (Course objectives should be stated in the form of precise, measurable learning outcomes, e.g., “Upon successful completion of this course, students will . . . . ”)

7. Identify EMS Systems in the US and Abroad and compare their functioning. 8. Differentiate anatomical, physiological and pathophysiological function of the various organ systems in the adult and pediatric patient. 9. Identify and demonstrate the use of basic and advanced equipment in airway management of adult and pediatric patients. 10. Describe the indications, contraindications, advantages, disadvantages and complications in airway management of adult and pediatric patients. 11. Identify and demonstrate the utilization of a wide variety of medications and their specific administration to adult and pediatric patients. 12. Describe the proper procedures for interacting with a variety of agencies and situations such as crime scenes or hazardous material responses.

III. RELATIONSHIP TO STUDENTS B. Credits and Contact Hours (Provide a rationale for proposed credits and contact hours. See the formula for credit hours and contact hours on the Curriculum Website.)

Credit Hours___7__ Contact Hours__9___

Lecture__6___ Lab__3___ Studio_____ Internship_____

B. Course Fees (Will the student be charged additional fees for this course?)

34 New-Curriculum Proposal Form, Pg. 35 Lab Fees__50.00______Course Fees___16.00 (to be paid to SCCC AHA training center for CPR credentinaling) Please explain as necessary:______

C. Required/Elective/Restricted Elective (Will this be a required course? If so, for which curriculum(s)? Provide a rationale as to why this course should be required. If this is proposed as an elective or restricted elective course, state what elective category it will fulfill and why it is appropriate for that elective category.)

This is the first of 4 required lecture/lab courses for the Paramedic AAS/Certificate curriculum.

D. Prerequisites/Co-requisites (What prerequisites or co-requisites will be required for this course? Provide a rationale for these requirements.)

1. Current EMT Basic Certification or higher. This is required by NYS for enrollment in any advanced EMT education program.

2. BIO130 (A&P 1) the national standard for collegieate level paramedic programs contains at least 4 credit hours prior to admission to paramedic level education. Greater knowledge of the human body and it’s functions is highly emphasized throughout the paramedic training. Students with prior A&P preparation statistically do better academically and on credentialing examinations.

E. Transferability (Would this course transfer to any other institutions? If so, give examples of transfer institutions/departments who would accept this course. Give the name(s) of the courses it would transfer as.) This is a program specific course and would be unlikely to transfer

F. Master Schedule (How would this course fit into the Master Schedule? How often would it be offered? Would it be offered in the Fall? Spring? Summer? Winter?) This course would run the spring semester ever other year.

G. Estimate of student enrollment (How many students are anticipated to initially enroll in this course per semester? Per year? How were these enrollment figures determined?)

24 students maximum due to clinical site space.

H. Class Size (What is the maximum number of students that should be allowed to enroll in one section of this course? Provide a rationale for this class size. Should the class size be forcible?) A maximum of 24 students will be allowed. NYS DOH sets student to faculty ratios at 6 students to 1 instructor for lab settings. This cannot be changed and students may not be forced into the course.

IV. RELATIONSHIP TO FACULTY A. Number of current faculty available to teach proposed course and number of additional faculty required.

1Full Time 35 New-Curriculum Proposal Form, Pg. 36 4 Adjunct

Will require 1 Full Time Faculty Member (for the EMT Program) Will require 2-3 Adjunct Lab instructors

1 Full Time PA for the EMT Program

C. Discipline(s) required and/or minimum preparation in order to teach the course.

Masters or higher in an education or health related field. NYS EMT-Paramedic Certification NYS Instructor Coordinator Certification AHA BLS, ACLS, PALS Instructor Certification PHTLS Instructor PEPP Instructor

V. RELATIONSHIP TO SUNY GENERAL EDUCATION REQUIREMENTS* N/A Is this course being proposed as a SUNY General Education Course. If so,

A. Identify which of the ten SUNY knowledge and skills areas the course would fulfill.

*The ten SUNY knowledge and skill areas are Mathematics, Natural Sciences, Social Sciences, American History, Western Civilization, Other World Civilizations, Humanities, The Arts, Foreign Language, Basic Communication.

B. Demonstrate how the course objectives map to the SUNY Learning Outcomes for the knowledge and skills areas you have identified. (See the Curriculum Website for further details about the required outcomes.)

C. How does this course incorporate the SUNY infused competencies of Critical Thinking and Information Management? (See the Curriculum Website for further details about the required outcomes for Information Management and Critical Thinking.)

D. Do the faculty within the department/discipline agree to assess this course according to the approved SUNY General Education Assessment Plan, using assessment measures, i.e., instruments that measure the attainment of student learning outcomes as described in the plan?

VI. COSTS List costs and space requirements.

R39 Riverhead Bldg EMT Lab is available for the course and has no master schedule room conflicts.

Instructor Contact Hours Section Lead Instructor 6 Lecture/3 Lab 1 (six students) Adjunct 3 Lab 2 (six students) Adjunct 3 Lab 3 (six students) Adjunct 3 Lab 4 (six students)

TOTAL 18 Faculty contact hours 24 students

VII. COURSE SYLLABUS (See Appendices below.) PAR 101 Lecture Schedule Monday Lectures meet from 10AM-1PM Wednesday Lectures meet from 10AM-11AM (11-12:15COMMON HOUR) 12:15PM-2:15PM Date Session Topic Hours Reading Number Assignment Mon 1 EMS Systems, 1 Roles and Responsibilities 2 Wed 2 Well Being, Injury Prevention, CISM 3

Mon 3 Medical Legal & Ethics 3

Wed 4 General Anatomy Review 3

Mon 5 Pathophysiology 1 (Cellular syst, Acid/Base, 3 Shock)

Wed 6 Pathophysiology 2 (Genetics, Immunity,Stress) 3

Mon 7 Pathophysiology 3 (Acute & chronic Disease) 3

Wed 8 Life Span Development 3

Mon 9 Therapeutic Communications 3

Wed 10 Preparatory Division Exam 3

Wed 11 Pharmacology (Form, Function, Classifications) 3

Mon 12 Pharmacology (Medication Administration) 3

Wed 13 Pharmacology (Medication Administration, IV 3 Therapy) Mon 14 Medication Mathematics & Calculations 1 3

Wed 15 Medication Mathematics & Calculations 2 3 37 New-Curriculum Proposal Form, Pg. 38

Mon 16 Medication Mathematics & Calculations 3 3

Wed 17 Common Paramedic Medications, Regional 3 Medications, ACLS Medications Mon 18 Division 1 Pharmacology Exam 3

Wed 19 Respiratory System A&P Overview 3

Mon 20 Basic and Advanced Airway Management 1 3

Wed 21 Basic and Advanced Airway Management 2 3

Mon 22 Surgical Airway Techniques and Practice 3

Mon 23 Division 2 Airway Exam 3

Wed 24 EMS Operations 3

Mon 25 Medical Incident Command Systems 3

Wed 26 EMS Rescue (Automobile, Technical, ETC.) 3

Mon 27 Crime Scene Awareness 3

Wed 28 Hazardous Materials Awareness 3

Mon 29 Clandestine Drug Lab Awareness/ Mandated 3 Reporter Wed 30 Division 11 Operations Exam 3

38 New-Curriculum Proposal Form, Pg. 39 PAR101 Lab Schedule All labs meet from 2:30PM-5:30PM Date Lab Topic Hours Homework Session Assignment Number WED 1 BLS CPR Refresher 3

WED 2 Basic Life Support Skills Review and Practice 3

WED 3 Medical Legal Case Review, Documentation Lab 3

WED 4 Medication Administration Lab 3 IV Access, Administration Routes, Phlebotomy WED 5 Medication Administration Lab 3 IV Access, Administration Routes, Phlebotomy WED 6 Medication Administration Lab 3 IO, Pediatric IV Skills WED 7 IV, Medication Skills Practice 3

WED 8 IV & Medication Scenarios 3

WED 9 Medication and IV Skills Testing 3

WED 10 Basic and Advanced Airway Management 3 (OPA, NPA, COMBITUBE, LMA, BVM) WED 11 Basic and Advanced Airway Management 3 (ET INTUBATION) WED 12 Advanced Airway Management 3 (ET Intubation, Surgical Airways) WED 13 Advanced Airway Management 3 Difficult Airway Scenarios WED 14 Cardiac Monitor Use and Application 1.5 MCI Preplanning 1.5 WED 15 MCI Exercise 3

Suffolk County Community College

I. PAR102 Assessment and Trauma Care 5 1 6 Course Number Course Title Lec. Lab. Cr. Hours

39 New-Curriculum Proposal Form, Pg. 40 III. Course Description

This course established additional parameters that a paramedic operates within the pre-hospital setting. The student will be provided with a solid understanding of patient assessment-the foundation for providing quality patient care . The student will study trauma to the various body systems, including burns, along with the kinematics and mechanism of injury. Students will also be prepared for certification in Pre-Hospital Trauma Life Support. During this course students will begin clinical requirements in communications and morgue labs. Prerequisites: Student must be accepted into the Paramedic Program. Must hold a minimum certification of Basic EMT and maintain that certification throughout the entire program, and a C grade or better in PAR101.

b. List of pre-requisites and/or co-requisites

PAR101 with a Grade of “C” or better

III. Course Objectives and SCCC General Education Objectives

Course Objectives: (A complete list of module objectives is available from your instructor)

1. The paramedic student will be able to take a proper history and perform a comprehensive physical exam on any patient and communicate the findings to others.

2. The paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for any patient as it relates to traumatic injury.

SCCC General Education Objectives

7. Develop essential skills in reading and writing Students must read and understand instructions for laboratory procedures. Students will be expected to read and understand a patient’s clinical information, including medical history, exam findings and lab values. Students will be asked to utilize their writing skills regularly on case studies and periodically to answer essay questions on quizzes and exams.

8. Develop essential skills in listening and speaking Lab instructions will be given orally by the instructor. Students will have to display interpersonal skills while interacting with patients, cohorts, other allied healthcare personnel and the general public. Students will be asked to provide verbal reports in lab concerning treatment modalities and physical exam findings.

9. Develop essential skills in mathematics Basic mathematics will be utilized in calculating weight conversions, Vital sign assessment, fluid administration, height and speed assessment relating to the kinematics of trauma.

IV. Student Learning Outcomes (A complete set of learning outcomes will be provided by the instructor upon request)

40 New-Curriculum Proposal Form, Pg. 41 1. At the completion of this unit, the paramedic student will be able to use the appropriate techniques to obtain a medical history from a patient.

2. At the completion end of this unit, the paramedic student will be able to explain the pathophysiological significance of physical exam findings.

3. At the end of this unit, the paramedic student will be able to apply a process of clinical decision making to use the assessment findings to help form a field impression.

4. At the end of this unit, the paramedic student will be able to apply a process of clinical decision making to use the assessment findings to help form a field impression.

5. At the completion of this unit, the Paramedic student will be able to integrate the principles of kinematics to enhance the patient assessment and predict the likelihood of injuries based on the patient’s mechanism of injury.

6. At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression ad implement the treatment plan for the patient with shock or hemorrhage, musculoskeletal jury, burn, and soft tissue injury.

VI. Course Outline indicating Topics covered

7. Documentation for the Prehosptital Provider 8. Patient Assessment Techniques 9. Trauma Systems 10. Trauma Assessment and Treatment Instructional methods

Instruction in the lab will allow students to practice and demonstrate a mastery level of patient assessment of both medical and trauma patients, performance in the skills of airway management, and some pharmacological administration. Labs will include the use of simulation equipment (SimMan), specialized medical equipment and technologically advanced diagnostic tools for applied activities in which students must show a mastery level of skills performance. Students will use the lab time to learn and master skills through practice and remediation. Students identified as needing more practice will use the lab at their convenience and the labs availability to reach mastery level performance before the final skills evaluation. Students must achieve a final grade of C or better to progress to any course requiring this course as a pre-requisite. Course requirements

EXAMINATION AND GRADING POLICIES 41 New-Curriculum Proposal Form, Pg. 42

Grading practices Quizzes 40% Case Studies 10% Skills evaluations PASS% Midterm and final written examination 25% Midterm and final practical examination* 25%

*A satisfactory score on the critical skills proficiency final examination, based on the NYSDOH/National Registry skill performance guidelines, must be achieved to receive a passing grade in this course.

The student is to maintain professional appearance and behavior throughout didactic and clinical training. Lack of appropriate conduct may result in the student being unable to sit for the NYS Certification Examinations and or failure of the course. This inappropriate conduct includes, but is not limited to, unprofessional behavior, stealing, cheating, and breech of patient confidentiality and as described in the college student handbook.

Every effort will be made to maintain an environment conducive to learning in this course. Therefore, disrupting the class, or showing lack of respect for faculty, staff, fellow students or guests will not be permitted. Throughout the course students will be expected to conduct themselves in a 42 New-Curriculum Proposal Form, Pg. 43 responsible and mature manner. All pagers, beepers and cell phones must be turned off at the start of class and remain off until the end of class.

1. WALK 1370 AM or 97.5 FM or www.WALKRADIO.com 2. WBAB 102.3 FM & East 95.3 FM 3. WBLI 106.1 FM 4. WLNG 92.1 FM 5. WRCN 103.9 FM 6. WMJC 94.3 FM 7. WBZO(B103) 103.1 FM 8. WRIV 1390 AM 9. WLVG(LOVE) 96.1 FM 10. News 12 LI

ATTIRE AND HYGIENE Remember that at practical skill sessions you will be working on the floor of the classroom and expensive clothing should not be worn. Ladies should wear slacks to these sessions. Uniforms are not appropriate. Remember, students and faculty often need to work in close proximity during skill sessions. Therefore, personal hygiene (body and breath) and general cleanliness will be appreciated by all.

CPR CERTIFICATION

The New York State Department of Health Bureau of Emergency Medical Services mandates that all students must pass the skills performance and written CPR examinations to the standard of the American Heart Association, the American Red Cross or the National Safety Council as part of this EMT course. Any student who is unable to pass these examinations will not pass this course.

43 New-Curriculum Proposal Form, Pg. 44 Training equipment used in the program is costly and replacement is difficult. Any student seen damaging property or equipment will be subject to disciplinary action including, but not limited to, not being permitted to sit for the NYS Certification Examination.

STUDENT CODE OF CONDUCT & STUDENT JUDICIAL PROCESS

Please refer to the Suffolk County Community College Student Handbook.

The New York State conviction review process may be lengthy and the outcome will determine whether the student sits for the New York State Certification Examinations. LEARNING CONTRACTS

When necessary, a written learning contract will be developed to ensure that students, faculty and the Program Coordinator all agree to the student’s requirements for successful completion of the course.

COURSE EVALUATIONS

Several times during the course students will be expected to complete a course evaluation. Students will be asked to rate and comment on subjects such as: time allocations within the course, level of instruction, instructor presentations, training aids and equipment, etc. These evaluations will be used to improve the quality of the course.

For the New York State Final Practical Skills Examination, the Department is not permitting testing accommodations, but will consider the use of certain aids by candidates. Candidates with an identified disability may be permitted to use certain aids, which they would be responsible to provide and

44 New-Curriculum Proposal Form, Pg. 45 reasonably be able to bring to the patient’s side in actual practice. The only types of aids which are permitted are those which do not alter the essential functions of a Certified First Responder, Emergency Medical Technician or Advanced Emergency Medical Technician. For example the use of prescription or reading glasses, hearing aids, and personal stethoscopes has been permitted since they serve as an aid to a provider. In contrast, a Braille sphygmometer would not be permitted since sight is considered an essential function of the certified EMS provider.

If you have any questions or need further assistance with ADA issues, please contact the NYS EMS Bureau Central Office at 518-402-0996

SUFFOLK COUNTY COMMUNITY COLLEGE NEW-COURSE PROPOSAL FORM

( ) Electronic Letter-of-Intent

Name of Department: _(Name of Department/Campus)_ 45 New-Curriculum Proposal Form, Pg. 46 For: _____ Against: _____ Abstentions: _____ Date of Vote: ______Proposer's Initials: _____ Select One: Approved_____ Not approved_____

( ) Vote of Ammerman Faculty Senate (if appropriate) For: _____ Against: _____ Abstentions: _____ Date of Vote: ______Select One: Approved_____ Not approved_____ Abstention_____

Date______

Comments:

47 New-Curriculum Proposal Form, Pg. 48 NAME OF PROPOSAL: _____PAR102__Paramedic Patient Assessment and Trauma_____

This course established additional parameters that a paramedic operates within the pre-hospital setting. The student will be provided with a solid understanding of patient assessment-the foundation for providing quality patient care . The student will study trauma to the various body systems, including burns, along with the kinematics and mechanism of injury. Students will also be prepared for certification in Pre-Hospital Trauma Life Support. During this course students will begin clinical requirements in communications and morgue labs. Prerequisites: Student must be accepted into the Paramedic Program. Must hold a minimum certification of Basic EMT and maintain that certification throughout the entire program.

2. The paramedic student will be able to take a proper history and perform a comprehensive physical exam on any patient and communicate the findings to others.

2. The paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for any patient as it relates to traumatic injury.

III. RELATIONSHIP TO STUDENTS C. Credits and Contact Hours (Provide a rationale for proposed credits and contact hours. See the formula for credit hours and contact hours on the Curriculum Website.)

Lab Fees__50.00______Course Fees___

Please explain as necessary:__To help offset costs of supplies used throughout the course______

48 New-Curriculum Proposal Form, Pg. 49 This is the second of 4 required lecture/lab courses for the Paramedic AAS/Certificate curriculum.

PAR101 with a Grade of “C” or better

F. Master Schedule (How would this course fit into the Master Schedule? How often would it be offered? Would it be offered in the Fall? Spring? Summer? Winter?) This course would run the Summer Session of ever other year.

1Full Time 4 Adjunct

Masters or higher in an education or health related field. NYS EMT-Paramedic Certification NYS Instructor Coordinator Certification AHA BLS, ACLS, PALS Instructor Certification 49 New-Curriculum Proposal Form, Pg. 50 PHTLS Instructor PEPP Instructor

Instructor Contact Hours Section Lead Instructor 6 Lecture/3 Lab 1 (six students) (FT) Adjunct or FT 3 Lab 2 (six students) Adjunct 3 Lab 3 (six students) Adjunct 3 Lab 4 (six students)

50 New-Curriculum Proposal Form, Pg. 51 TOTAL 18 contact hour total 24 students

VII. COURSE SYLLABUS (See Appendices below.) PAR 102Lecture Schedule Lectures meet from 10AM-1PM Summer Session One Date Lecture Topic Hours Reading Session Assignment Number Mon 1 Documentation 2 Overview of Patient Assessment & History Taking 2 Tue 2 Overview of Patient Assessment & History Taking 4 Wed 3 Patient Assessment and Techniques of the Physical 4 Exam Mon 4 Patient Assessment and Techniques of the Physical 4 Exam Tue 5 Interpersonal Communication 2 Critical Thinking, Clinical Decision Making 2 Wed 6 Clinical Decision Making 1 Division 3 Exam 3 Mon 7 Trauma Systems, 1 Kinematics 3 Tue 8 Shock 4 Wed 9 Shock 1 Head, Neck Spinal Trauma 3 Mon 10 Head, Neck Spinal Trauma 4 Tue 11 Thoracic and Abdominal Trauma 4 Wed 12 Thoracic and Abdominal Trauma 2 Extremity Trauma 2 Mon 13 Burns 4 Tue 14 Trends in Trauma Care 3 TRAUMA oral scenarios 1 Wed 15 Division 4 Trauma Exam 4

51 New-Curriculum Proposal Form, Pg. 52 PAR102 Lab Schedule All labs meet from 1:30PM-4:30PM Date Lab Topic Hours Homework Session Assignment Number MON 1 DOCUMENTATION/PCR SKILLS 3

TUE 2 PATIENT ASSESSMENT & PHYSICAL EXAM 3 TECHNIQUES WED 3 PATIENT ASSESSMENT & PHYSICAL EXAM 3 TECHNIQUES MON 4 PATIENT ASSESSMENT & PHYSICAL EXAM 3 TECHNIQUES TUE 5 PATIENT ASSESSMENT & PHYSICAL EXAM 3 TECHNIQUES WED 6 TRAUMA SKILLS 3 (BLS, ALS, AIRWAY MGMT.) MON 7 TRAUMA SKILLS 3 (BLS, ALS, NEEDLE DECOMPRESSION) TUE 8 TRAUMA SKILLS 3 (IV,IO,SURGICAL AIRWAY) WED 9 TRAUMA SKILLS 3 (ALL) MON 10 MEDICAL ASSESSMENT AND 3 MANAGEMENT SCENARIOS TUE 11 MEDICAL ASSESSMENT AND 3 MANAGEMENT SCENARIOS WED 12 TRAUMA ASSESSMENT AND 3 MANAGEMENT SCENARIOS MON 13 TRAUMA ASSESSMENT AND 3 MANAGEMENT SCENARIOS TUE 14 CLINCAL DECISION MAKING SCENARIOS 3 WED 15 CLINCAL DECISION MAKING SCENARIOS 3 Suffolk County Community College

I. PAR103 Medical Emergencies 1 6 3 7 Course Number Course Title Lec. Lab. Cr. Hours

IV. Course Description

52 New-Curriculum Proposal Form, Pg. 53 This course enhances the understanding of operational parameters that a paramedic will perform within the pre- hospital setting. Basic anatomy, physiology, pathophysiology of the heart, and identification of arrhythmias are presented along with the appropriate pre-hospital management modalities. Twelve lead ECG interpretations, pharmacotherapy, defibrillation, cardioversion, and pathophysiology of more common cardiovascular diseases are included in topics. Also, the student will be prepared for certification by the American Heart Association in Advanced Cardiac Life Support. . Additionally, students will cover topics including abdominal, genitourinary, neurological, behavioral, and respiratory emergencies and the treatment thereof.

List of prerequisites and/or corequisites

1. PAR102 with a Grade of “C” or better

2. PAR201 Clinical Rotation Course 2 (corequisite)

V. Course Objectives and General Education Objectives

Course Objectives: (A complete list of module objectives will be provided from your instructor)

1. At the completion of this course, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the medical patient.

2. Successfully complete the Advanced Cardiac Life Support Course as set forth by the AHA or Equivalent.

Paramedic Program Academic General Education Objectives

11. Develop essential skills in reading and writing: Students must read and understand instructions for laboratory procedures. Students will be expected to read and understand a patient’s clinical information, including medical history, exam findings and lab values. Students will be asked to utilize their writing skills regularly on case studies and periodically to answer essay questions on quizzes and exams.

12. Develop essential skills in listening and speaking: Lab instructions will be given orally by the instructor. Students will have to display interpersonal skills while interacting with patients, cohorts, other allied healthcare personnel and the general public. Students will be asked to provide verbal reports in lab concerning treatment modalities and physical exam findings.

13. Develop essential skills in mathematics: Basic mathematics will be utilized in calculating weight conversions, Vital sign assessment, fluid administration, height and speed assessment relating to the kinematics of trauma. 53 New-Curriculum Proposal Form, Pg. 54

IV. Student Learning Outcomes (A complete set of learning outcomes are available from the instructor & NYS DOH EMS) 1 At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with respiratory problems.

2 At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with cardiovascular disease.

3 At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with a neurological problem.

4 At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the patient with an endocrine problem.

5 At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the patient with an allergic or anaphylactic reaction.

6 At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with a gastroenterologic problem.

7 At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and the assessment findings to formulate a field impression and implement a treatment plan for the patient with a renal or urologic problem.

8 At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement a treatment plan for the patient with a toxic exposure.

9 At the completion of this unit, the paramedic student will be able to integrate the pathophysiological principles of the hematopoietic system to formulate a field impression and implement a treatment plan.

10 At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the patient with an environmentally induced or exacerbated medical or traumatic condition.

11. At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement a management plan for the patient with infectious and communicable diseases

VI. Course Outline indicating Topics covered: 11. Anatomy and Phyisiology of the Cardiovascular System 12. Cardiovascular Emergencies 13. Advanced Cardiac Life Support 54 New-Curriculum Proposal Form, Pg. 55 14. Respiratory Emergencies 15. Allergies and Anaphylaxis 16. Neurological Emergencies 17. Endocrine Emergencies 18. Gastrointestinal/Genitourinary Emergencies 19. Behavioral Emergencies

Instructional methods

Instruction in the lab will allow students to practice and demonstrate a mastery level of performance in the skills medical emergency patient management as directed by local protocol and medical direction including medication administration, electrical therapy, and assessment. Labs will include the use of simulation equipment (SimMan), specialized medical equipment and technologically advanced diagnostic tools for applied activities in which students must show a mastery level of skills performance. Students will use the lab time to learn and master skills through practice and remediation. Students identified as needing more practice will use the lab at their convenience and the labs availability to reach mastery level performance before the final skills evaluation. Students must achieve a final grade of C or better to progress to any course requiring this course as prerequisite. Course requirements

EXAMINATION AND GRADING POLICIES

Grading practices Quizzes 40% Case Studies 10% Skills evaluations PASS% Midterm and final written examination 25% 55 New-Curriculum Proposal Form, Pg. 56 Midterm and final practical examination* 25%

*A satisfactory score on the critical skills proficiency final examination, based on the National Registry skill performance guidelines, must be achieved to receive a passing grade in this course.

The student is to maintain professional appearance and behavior throughout didactic and clinical training. Lack of appropriate conduct may result in the student being unable to sit for the NYS Certification Examinations and or failure of the course. This inappropriate conduct includes, but is not limited to, unprofessional behavior, stealing, cheating, and breech of patient confidentiality and as described on pages 114-116 in the college student handbook.

Every effort will be made to maintain an environment conducive to learning in this course. Therefore, disrupting the class, or showing lack of respect for faculty, staff, fellow students or guests will not be permitted. Throughout the course students will be expected to conduct themselves in a responsible and mature manner. All pagers, beepers and cell phones must be turned off at the start of class and remain off until the end of class.

1. WALK 1370 AM or 97.5 FM or www.WALKRADIO.com 2. WBAB 102.3 FM & East 95.3 FM 3. WBLI 106.1 FM 4. WLNG 92.1 FM 5. WRCN 103.9 FM

56 New-Curriculum Proposal Form, Pg. 57 6. WMJC 94.3 FM 7. WBZO(B103) 103.1 FM 8. WRIV 1390 AM 9. WLVG(LOVE) 96.1 FM 10. News 12 LI

ATTIRE AND HYGIENE

Remember that at practical skill sessions you will be working on the floor of the classroom and expensive clothing should not be worn. Ladies should wear slacks to these sessions. Uniforms are not appropriate. Remember, students and faculty often need to work in close proximity during skill sessions. Therefore, personal hygiene (body and breath) and general cleanliness will be appreciated by all.

CPR CERTIFICATION

The New York State Department of Health Bureau of Emergency Medical Services mandates that all students must pass the skills performance and written CPR examinations to the standard of the American Heart Association, the American Red Cross or the National Safety Council as part of this EMT course. Students will recertify in the first practical lab of PAR101. Certification must remain current throughout the course

Training equipment used in the program is costly and replacement is difficult. Any student seen damaging property or equipment will be subject to disciplinary action including, but not limited to, receiving an F grade, which will render the student ineligible participate in the NYS Certification Examination.

STUDENT CODE OF CONDUCT & STUDENT JUDICIAL PROCESS

Please refer to pages 114-116 the Suffolk County Community College Student Handbook.

57 New-Curriculum Proposal Form, Pg. 58 The New York State conviction review process may be lengthy and the outcome will determine whether the student sits for the New York State Certification Examinations. LEARNING CONTRACTS

When necessary, a written learning contract will be developed to ensure that student, faculty and the Program Coordinator all agree to the student’s requirements for successful completion of the course.

COURSE EVALUATIONS

Several times during the course students will be expected to complete a course evaluation. Students will be asked to rate and comment on subjects such as: time allocations within the course, level of instruction, instructor presentations, training aids and equipment, etc. These evaluations will be used to improve the quality of the course.

For the New York State Final Practical Skills Examination, the Department is not permitting testing accommodations, but will consider the use of certain aids by candidates. Candidates with an identified disability may be permitted to use certain aids, which they would be responsible to provide and reasonably be able to bring to the patient’s side in actual practice. The only types of aids which are permitted are those which do not alter the essential functions of a Certified First Responder, Emergency Medical Technician or Advanced Emergency Medical Technician. For example the use of prescription or reading glasses, hearing aids, and personal stethoscopes has been permitted since they serve as an aid to a provider. In contrast, a Braille sphygmometer would not be permitted since sight is considered an essential function of the certified EMS provider.

58 New-Curriculum Proposal Form, Pg. 59 If you have any questions or need further assistance with ADA issues, please contact the NYS EMS Bureau Central Office at 518-402-0996.

1. AHA Advanced Cardiac Life Support Current Edition

59 New-Curriculum Proposal Form, Pg. 60 (Proposer completes form to this line before sending entire proposal packet to the appropriate Curriculum Committee Chair) ------

Date______

Comments:

61 New-Curriculum Proposal Form, Pg. 62 NAME OF PROPOSAL: _____PAR103__Paramedic Medical Emergencies

This course enhances the understanding of operational parameters that a paramedic will perform within the pre- hospital setting. Basic anatomy, physiology, pathophysiology of the heart, and identification of arrhythmias are presented along with the appropriate pre-hospital management modalities. Twelve lead ECG interpretations, pharmacotherapy, defibrillation, cardioversion, and pathophysiology of more common cardiovascular diseases are included in topics. Also, the student will be prepared for certification by the American Heart Association in Advanced Cardiac Life Support. . Additionally, students will cover topics including abdominal, genitourinary, neurological, behavioral, and respiratory emergencies and the treatment thereof.

1. At the completion of this course, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for the medical patient.

2. Successfully complete the Advanced Cardiac Life Support Course as set forth by the AHA or Equivalent.

III. RELATIONSHIP TO STUDENTS D. Credits and Contact Hours (Provide a rationale for proposed credits and contact hours. See the formula for credit hours and contact hours on the Curriculum Website.)

This is the second of 4 required lecture/lab courses for the Paramedic AAS/Certificate curriculum.

D. Prerequisites/Co-requisites 62 New-Curriculum Proposal Form, Pg. 63 (What prerequisites or co-requisites will be required for this course? Provide a rationale for these requirements.)

2. PAR201 Clinical Rotation Course 2 (corequisite)

F. Master Schedule (How would this course fit into the Master Schedule? How often would it be offered? Would it be offered in the Fall? Spring? Summer? Winter?) This course would run the Fall Semester of ever other year.

Masters or higher in an education or health related field. NYS EMT-Paramedic Certification NYS Instructor Coordinator Certification AHA BLS, ACLS, PALS Instructor Certification PHTLS Instructor PEPP Instructor 63 New-Curriculum Proposal Form, Pg. 64

VII. COURSE SYLLABUS (See Appendices below.) PAR103Lecture Schedule Monday Lectures meet from 10AM-1PM Wednesday Lectures meet from 10AM-11AM (11-12:15COMMON HOUR) 12:15PM-2:15PM Date Lecture Topic Hours Reading Session Assignment Number 1 Circulatory System, Blood, Vascular Anatomy 3

Mon 2 Circulatory System, Blood, Vascular Anatomy 1 Cardiovascular System Anatomy and Physiology 2 Wed 3 Cardiovascular System Anatomy and Physiology 3

Mon 4 Cardiovascular System Anatomy and Physiology 3

Wed 5 Introduction to Electrophysiology 3

Mon 6 EKG Interpretation: Sinus Arrhythmias 3

Wed 7 EKG Interpretation: Atrial Arrhythmias 3

Mon 8 EKG Interpretation: Junctional Arrhythmias 3

Wed 9 EKG Interpretation: Ventricular Arrhythmias 3

Mon 10 Cardiac Assessment and Management 1 3

Wed 11 Cardiac Assessment and Management 2 3

Mon 12 Introduction to 12 Lead EKG 3

Wed 13 Cardiology Division Exam 3

Mon 14 ACLS Day 1 Didactic 3

Wed 15 ACLS Day 2 Didactic 3

Mon 16 Respiratory Anatomy and Physiology 3

Wed 17 Respiratory Pathophysiology 3

Mon 18 Respiratory Assessment and Management 1 3

65 New-Curriculum Proposal Form, Pg. 66 Wed 19 Respiratory Assessment and Management 2 3

Mon 20 Allergies, Anaphylaxis and Toxicology 1 3

Wed 21 Allergies, Anaphylaxis and Toxicology 2 3

Mon 22 Neurological Emergencies 1 3

Mon 23 Neurological Emergencies 2 1 Hematology 2 Wed 24 Medical Division Exam 1 3

Mon 25 Endocrine A&P 3

Wed 26 Endocrine Pathophysiology 3

Mon 27 Psychiatric/ Behavioral Emergencies 3

Wed 28 Environmental Emergencies 3

Mon 29 GI/GU Pathophysiology 3

Wed 30 Medical Division Exam 2 3

66 New-Curriculum Proposal Form, Pg. 67 PAR103 Lab Schedule All labs meet from 2:30PM-5:30PM Date Lab Topic Hours Homework Session Assignment Number WED 1 Skills Review 3

WED 2 EKG Interpretation Lab 3 (Static and Dynamic) WED 3 EKG Interpretation Lab 3 (Static and Dynamic) WED 4 Cardiovascular Emergencies Assessment & 3 Management Lab WED 5 Cardiovascular Emergencies Assessment & 3 Management Lab WED 6 Cardiovascular Emergencies Assessment & 3 Management Lab WED 7 ACLS Skills 3

WED 8 ACLS Skills 3

WED 9 12 Lead EKG Application and Usage 3

WED 10 Respiratory/Pulmonary Emergencies Mgmt 3

WED 11 Respiratory/Pulmonary Emergencies Mgmt 3

WED 12 CPAP, BIPAP, Ventilator Lab 3

WED 12 Medical Emergencies Assessment & Mgmt 3

WED 13 Medical Emergencies Assessment & Mgmt 3

WED 14 Medical Emergencies Assessment &Mgmt 3

WED 15 Medical Emergencies Assessment &Mgmt 3

To meet the ideals of Suffolk County Community College, new courses should, if appropriate, consider issues arising from elements of cultural diversity in areas of textbook choice, selection of library and audio-visual materials, and teaching methodology. 67 New-Curriculum Proposal Form, Pg. 68

( ) Vote of Curriculum Committee Name of Committee:______For: _____ Against: _____ Abstentions: _____ 68 New-Curriculum Proposal Form, Pg. 69 Date of Vote: ______Select One: Approved_____ Not approved_____

Date______

Comments:

69 New-Curriculum Proposal Form, Pg. 70 NAME OF PROPOSAL: _____PAR104_Special Topics For Paramedics

This is the final course in the paramedic preparatory program. Specific topics covered are obstetrical and gynecological emergency management. Care and assessment of the pediatric patient will be mastered in this course. Additionally, topics include providing care to geriatric patients with emotional and psychological emergencies and addressing emergency care to patients involved in abuse, assault and domestic violence. Students will also be credential in Pediatric Education for the Prehospital Provider (AAPA), Geriatric Education for the EMS Provider (AGS), and Pre-Hospital Trauma Life Support Credentialing Course. Extensive time will be spent of a comprehensive review of material covered in both didactic and laboratory sessions to prepare the student for the NYS, National, and regional credentialing examinations.

1. At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for neonatal, pediatric, and geriatric patients, diverse patients, and chronically ill patients

2. Successfully complete the PEPP, GEMS, & PHTLS Course as set forth by the appropriate governing bodies. (American Academy of Pediatrics, American Geriatric Society, National Association of EMT’s)

3. At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for patients with common complaints

III. RELATIONSHIP TO STUDENTS E. Credits and Contact Hours (Provide a rationale for proposed credits and contact hours. See the formula for credit hours and contact hours on the Curriculum Website.)

C. Required/Elective/Restricted Elective

70 New-Curriculum Proposal Form, Pg. 71 (Will this be a required course? If so, for which curriculum(s)? Provide a rationale as to why this course should be required. If this is proposed as an elective or restricted elective course, state what elective category it will fulfill and why it is appropriate for that elective category.)

2. PAR203 Clinical Rotation Course 3 (co-requisite)

C. Discipline(s) required and/or minimum preparation in order to teach the course. 71 New-Curriculum Proposal Form, Pg. 72

VII. COURSE SYLLABUS (See Appendices below.)

cc: Dr. Allen Jacobs, College Associate Dean for Curriculum and Assessment 73 New-Curriculum Proposal Form, Pg. 74 Dr. Tina Good, Chair of College Curriculum Committee Academic Chairs of affected departments

Date______

Comments:

74 New-Curriculum Proposal Form, Pg. 75 NAME OF PROPOSAL: _____PAR104_Special Topics For Paramedics

This is the final course in the paramedic preparatory program. Specific topics covered are obstetrical and gynecological emergency management. Care and assessment of the pediatric patient will be mastered in this course. Additionally, topics include providing care to geriatric patients with emotional and psychological emergencies and addressing emergency care to patients involved in abuse, assault and domestic violence. Students will also be credential in Pediatric Education for the Prehospital Provider (AAPA), Geriatric Education for the EMS Provider (AGS), and Pre-Hospital Trauma Life Support Credentialing Course. Extensive time will be spent of a comprehensive review of material covered in both didactic and laboratory sessions to prepare the student for the NYS, National, and regional credentialing examinations.

1. At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for neonatal, pediatric, and geriatric patients, diverse patients, and chronically ill patients

3. Successfully complete the PEPP, GEMS, & PHTLS Course as set forth by the appropriate governing bodies. (American Academy of Pediatrics, American Geriatric Society, National Association of EMT’s)

3. At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for patients with common complaints

III. RELATIONSHIP TO STUDENTS F. Credits and Contact Hours (Provide a rationale for proposed credits and contact hours. See the formula for credit hours and contact hours on the Curriculum Website.)

C. Required/Elective/Restricted Elective

75 New-Curriculum Proposal Form, Pg. 76 (Will this be a required course? If so, for which curriculum(s)? Provide a rationale as to why this course should be required. If this is proposed as an elective or restricted elective course, state what elective category it will fulfill and why it is appropriate for that elective category.)

2. PAR203 Clinical Rotation Course 3 (co-requisite)

C. Discipline(s) required and/or minimum preparation in order to teach the course. 76 New-Curriculum Proposal Form, Pg. 77

VII. COURSE SYLLABUS PAR 104 Lecture Schedule Monday Lectures meet from 10AM-1PM Wednesday Lectures meet from 10AM-11AM (11-12:15COMMON HOUR) 12:15PM-2:15PM Date Session Topic Hours Reading Number Assignment Mon 1 Obstetrical and Gynecological Emergencies 1 3

Wed 2 Obstetrical and Gynecological Emergencies 2 3

Mon 3 Labor and Childbirth 3

Wed 4 Neonatology 3

Mon 5 Pediatrics 1 3

Wed 6 Pediatrics 2 3

Mon 7 Geriatrics 1 3

Wed 8 Geriatrics 2 1 Abuse, Neglect, Domestic Violence 2 Mon 9 Chronically Ill, Special Needs Patient Mgmt. 3

Wed 10 Division Special Considerations Exam 3

Wed 11 GEMS COURSE 3

Mon 12 GEMS COURSE 3

Wed 13 PEPP or PALS Course 3

Mon 14 PEPP or PALS Course 3

Wed 15 PEPP or PALS Course 3

Mon 16 PHTLS Course 3

Wed 17 PHTLS Course 3

Mon 18 PHTLS Course 3

Wed 19 Comprehensive Review 3

Mon 20 Comprehensive Review 3 78 New-Curriculum Proposal Form, Pg. 79

Wed 21 Comprehensive Review 3

Mon 22 Course Comprehensive Final Examination 3 Day One Mon 23 Course Comprehensive Final Examination 3 Day Two (Oral Exams) Wed 24 Course Comprehensive Final Examination 3 (Retests as needed) Mon 25 Skills Review 3

Wed 26 Skills Review 3

Mon 27 Course Review for NYS Written Examination 3

Wed 28 Course Review for NYS Written Examination 3

Mon 29 NY State Written Examination 4

Wed 30 Suffolk REMAC Protocol Review and EXAM 3

National Registry Written to Be scheduled by student at a Computer Based Testing Facility

79 New-Curriculum Proposal Form, Pg. 80 PAR104 Lab Schedule All labs meet from 2:30PM-5:30PM Date Lab Topic Hours Homework Session Assignment Number WED 1 Childbirth Simulation Lab 3

WED 2 Neonatal Resuscitation Lab 3

WED 3 Pediatric Skills 3 (IO, IV, Airway, Length Base Tapes) WED 4 GEMS Course Skills 3

WED 5 PEPP/PALS Course Skills 3

WED 6 PEPP/PALS Course Skills 3

WED 7 PHTLS Course Skills 3

WED 10 BLS Skills Practice 3

WED 11 ALS Skills Practice 3

WED 12 Oral Examination Practice 3

WED 12 All Skills Practice 3

WED 13 Mock Practical Examination 3

SAT 14 National Registry Practical Examination

WED 15 Practical Examination Retests 3

(See Appendices below.)

Suffolk County

80 New-Curriculum Proposal Form, Pg. 81 Community College Paramedi

c Clinical & Field Guide

Clinical Course Syllabus for PAR 201, PAR202, PAR203

81 New-Curriculum Proposal Form, Pg. 82 Table of Contents

Welcome

Clinical Rotation Requirements

Health Report and Physician’s Certificate Immunizations College Health Nurse Compliance Form Incident Guidelines Protocol at a Clinical Site during Affiliation Academic Honesty Clinical Internship Sites and Contacts Clinical Guidelines and Policies Clinical Absence Policy Contacting the Clinical Coordinator Incident Reporting Guidelines

Dress Code Policy

Summary of Overall Clinical Objectives and Goals

Clinical Course Requirements PAR201 Clinical 1 Course Objectives Rotation Objectives PAR202 Clinical 2 Course Objectives Rotation Objectives PAR203 Clinical 3 Course Objectives Rotation Objectives

82 New-Curriculum Proposal Form, Pg. 83 Welcome to the Suffolk Community College Paramedic Program Clinical Internship Experience

The clinical internship experience provides an exciting and beneficial opportunity for learning in the interest of excellence in patient care. This experience will allow you to gain additional knowledge from specialists in various fields, apply skills in a controlled environment with constructive review, and observe and participate in the delivering of definitive care.

Your clinical experience will be as successful as you make it. The following pages provide information concerning your clinical rotations and how to get the most out of them.

Preparation is the key to having a successful clinical rotation. The more you know about the area and the types of patients you will be interacting with, the more you will learn from the experience. Arriving at a clinical site well prepared, with a working knowledge of the vocabulary, skills, and patient issues involved at that site, will give you a more productive interaction with the hospital staff, the patients, and the families of the patients you will be working with.

Clinical areas are precepted by the on-duty staff of that area. Some clinical areas are more "self- directed" than others. This is especially true of areas that have a high volume of private patients such as Labor and Delivery. Preparing for clinical rotation, being friendly and helpful, and not being shy about introducing yourself and asking what you can do to help will go a long way in "breaking the ice" in these busy areas.

The opportunity to learn in these healthcare settings is a privilege afforded to us by our clinical affiliates. We are fortunate to have a number of excellent sites for our clinical rotations. We encourage you to take advantage of this tremendous opportunity to learn.

Clinical rotations should be educational, fulfilling, and rewarding. Enjoy the time you are given to learn about the practice of medicine.

Prior to signing up for clinical rotations, the following must be completed and be on file with the program director: . Attend clinical meeting . Submit a copy of updated/valid EMT card . Submit a copy of updated/valid CPR card . Submit personal data form completed . Submit college health compliance form on file (updated forms required) . Obtain clinical binder . Personal planner in hand

Clinical Rotation Requirements Clinical rotations are required for course completion. Rotations include departments within Brookhaven Hospital, Southside Hospital, Peconic Bay Medical Center, St. Charles Hospital, Southampton Hospital and a 83 New-Curriculum Proposal Form, Pg. 84 variety ambulance agencies. All rotations are ‘competency’ based. This means that, while there are a minimum number of hours and procedures required, additional hours may be required to achieve competency. All clinical rotations must be completed before a semester grade will be assigned. Clinical course completion is required before applying for state certification testing.

STUDENT HEALTH POLICIES AND REQUIREMENTS Students are required to comply with the health requirements of the College in order to practice in the clinical area. Submit copies of your original health records as directed by faculty at orientation. Students who do not comply with this policy will not be permitted in the clinical area and will be assigned an F grade for the course.

Students must come to the first day of class with a COMPLETE copy of their health records to submit to the clinical instructor. Students must come to the clinical agency on the first clinical day with a complete copy of their health records to bring to the clinical instructor. The student is strongly urged to retain the original forms of these records in his/her personal file and to submit copies of the original records only.

As per the College Health Forms Records must include:

1. College form from campus nurse stating that the student's health records at the college are complete.

2. History and Physical Examination form completed annually within time period indicated above.

3. Mantoux skin test (PPD) results

a. Negative PPD results must be obtained annually. b. Positive PPD results must be accompanied by a subsequent chest x-ray report that demonstrates no active disease.

4. Proof of Hepatitis B Vaccination or a signed waiver of declination.

5. Varicella (IGG) titer.

Note: titer may be negative or positive but, students with negative titers are cautioned not to care for patients with Varicella or Herpes Zoster. A vaccine for varicella is now available. Check with health care provider regarding advisability if you have a negative titer.

6. Measles, Mumps, Rubella (IGG) titers indicating immunity.

7. Proof of Tetanus immunization within the past ten years.

The clinical instructor is responsible to verify that the student's health records are complete.

Student Health Policies and Requirements continued

Following an alteration in a student’s health status, the student may be required to submit health clearance before further participation in clinical activities. Students who are injured or become ill in the clinical area should immediately report the injury or illness to their clinical instructor. In the event of an injury, a college report must be filed with the campus nurse and an institutional incident/occurrence report must be completed. Consult with the clinical instructor regarding any additional facility policies or procedures.

ACCIDENT INSURANCE

Coverage for students is arranged through the college; the $12.00 fee for this insurance required is included in the college fees for each clinical course. If a student has an accident during clinical, he/she must report it to the College Health Office and pick up a claim form. This coverage covers the student for up to 100 percent of injuries both on and off campus.

Incident Guidelines Protocol at a Clinical Site during Affiliation Should an incident occur (i.e. needle stick, exposure to contagious disease) to the student: . The student will report the incident to the clinical coordinator or program director. . The student will report the incident to the head nurse/ unit coordinator and/or supervisor. . The student will complete incident report forms or any other documentation necessary per agency policy and submit a copy for the paramedic program director. . Should a student personal incident require medical treatment, the student immediately report to the Emergency Room. Academic Honesty All members of the College community are assured the right to work in an environment of academic honesty. This is especially crucial in an academic community that seeks to judge students fairly, on their own merits.

Students are expected to maintain high ethical standards in their academic and clinical work. This means they shall at no time misrepresent themselves, attempt to mislead preceptors or program personnel, or provide false documentation. Academic dishonesty includes but is not limited to cheating, plagiarism, falsifying records, and unauthorized duplication.

Academic dishonesty charges will be investigated. If based on substantial evidence an instructor deems that a student is guilty of academic dishonesty, the instructor may initiate disciplinary action as follows:

a. The instructor may require the student to repeat the assignment or work. b. The instructor may give the student a failing grade for the assignment or work. c. The instructor may give the student a failing grade for the course. d. The student may be ineligible to participate in the NYS Certification Exam process.

The student may appeal the decision to the College of Associate Dean of Students as set forth in the SCCC student handbook.

Hospital Field Internship Sites:

Insert Excel List Here

87 New-Curriculum Proposal Form, Pg. 88 Brookhaven Hospital,

Southside Hospital,

Peconic Bay Medical Center,

St. Charles Hospital, &

Southampton Hospital

89 New-Curriculum Proposal Form, Pg. 90 Ambulance Service Field Internship Sites:

Insert Excel List Here

Clinical Guidelines and Policies

1. All clinical and field rotations along with all required skills testing and competency check off forms must be completed prior to taking the next clinical course in the paramedic program. All rotations must be completed prior to being allowed to take the State EMT-P certification testing process. 2. Students must wear the appropriate uniform (see page 11) to each clinical rotation. The uniform must be clean and neat and meet the criteria expressed in the dress code. The clinical uniform will be worn to all rotations with the exception of operating room and labor and delivery where students will be issued scrubs. 3. Students should come to each clinical rotation ready to participate. This means they should have the appropriate equipment and relevant clinical documentation forms. They should also be rested and ready to learn. 4. All original student clinical participation forms are due in the EMS Program’s office (R39) within 7 calendar days of the rotation. Paperwork turned in after the deadline will not count towards meeting the required hours and will need to be rescheduled. Failure to turn paperwork in on time constitutes a clinical absence. 5. Clinical paperwork will be reviewed and returned if incomplete or corrections are needed. The EMS Programs office (R39) must receive all corrected paperwork within 7 days of its return. Failure to turn in corrected paperwork will also count as a clinical absence. 6. Suffolk Community College ID badges must be worn to all clinical and field rotations without exception. 7. Lab coats must be worn over scrubs when leaving a clinical site (i.e., during lunch breaks, transfer of patients, etc.). 8. Appropriate attire will be worn to and from the hospital. Jeans and T-shirts are NOT appropriate attire. If you are attending a rotation in which you are expected to wear scrubs, wear appropriate street attire to the rotation where you will be issued scrubs. You must change back into street attire prior to leaving. The scrubs you will be issued are property of the hospital and must be returned. Taking these scrubs from the hospital may be considered theft and may be grounds for termination from the program. 9. There is no smoking allowed at clinical sites. Smoking will only be permitted in designated smoking areas around the outside of the hospitals. 10. Parking during at clinical rotations is strictly regulated by each facility. Security from each facility sets the rules and parking regulations for students. Illegally parked cars will be ticketed. 11. You will be allowed to work out lunch and/or dinner schedules for each day with the preceptor on duty or with the staff of the area in which you are working. Students must remain at the clinical rotation facility during meal breaks unless there are no dining facilities available. 12. Tardiness to clinicals is NOT tolerated. Hospitals and ambulance services work on a tight schedule, and each department expects you to be in the right place at the right time. Tardiness is reported to the Clinical Coordinator. If you arrive too late, you may be sent home. If you are sent home, you will need to reschedule the rotation. This will count as a clinical absence.

91 New-Curriculum Proposal Form, Pg. 92 13. After every clinical experience, you must complete the necessary paperwork and have the preceptor sign it. Please make copies of all your clinical forms before turning them into the program. 14. If you experience any problems or conflicts at any clinical site in the hospital, contact the in-hospital preceptor immediately. Contact the Clinical Coordinator and Program Director as soon as possible. If he or she is unavailable, you may contact your course instructor.

15. Please remember that what you see, hear and do during your clinical times is strictly confidential! Discussion of confidential information is grounds for immediate dismissal from the program. 16. If a preceptor is particularly helpful, please personally let them know that you appreciate his/her time and efforts. If you feel someone needs special recognition, please forward his/her name and the details of the rotation to the Clinical Coordinator so a note of appreciation can be forwarded to them.

17. Students are not permitted to label any containers containing blood or body fluids. Hospital policy dictates that these samples shall be labeled by hospital staff, and it is not acceptable for anyone other than staff to label these samples.

Clinical Absence Clinical attendance is critical to the success of the paramedic intern. Not only is this a tremendous opportunity for students to learn, it is also a direct reflection of the student’s professionalism and attitude. Absences and tardiness reflect poorly on the student as well as the EMS Programs department and, most importantly, the EMS profession. Unexcused clinical absences will result in a deduction of five points off your final course grade per absence and the hours must be made up to complete the clinical requirements. Additionally, it is important that you complete all of your clinical paperwork in a timely manner. Clinical paperwork must be submitted within 7 days of the activity. Late clinical paperwork will not be counted. Clinical Scheduling: You will be responsible for scheduling all of your clinical experiences through the Clinical Coordinator and the use of the FISDAP Clinical Tracking System. Required clinical rotations are listed in this syllabus. Unscheduled clinical rotations may NOT be counted toward satisfying course requirements. Repeated failure to follow paramedic program policies regarding scheduling of clinical rotations may result in dismissal from the program.

Contacting the Clinical Coordinator The Program Director and Clinical Coordinator can be reached by telephone at 631-451-4678. If there is no answer the student is to contact the Education, Health and Human Services Office at 631-451-4299 and ask that the appropriate person be contacted. Cell phone numbers and email addresses will be provided as needed at the discretion of the individual staff member.

Incident Reporting Guidelines Should any incident occur with a student including but not limited to an blood borne pathogen exposure: 1. The student must immediately notify a preceptor at the site where the incident occurred. 2. The student must also immediately notify the clinical coordinator. 3. The student must complete an incident report detailing the event and submit it to the clinical coordinator for further action. 4. The student must also comply with all reporting requirements specific to the clinical site where the incident occurred.

The appropriate procedure to follow when relating a concern, problem, appeal or praise is to notify the first -listed faculty representative and then successive representatives as appropriate.

Suffolk Community College Course Instructor Program Coordinator Department Head Assistant Dean of Academic Affairs

93 New-Curriculum Proposal Form, Pg. 94 Dress Code Policy Students should remember that they are representing not just themselves and the Suffolk Community College EMS Program, but the entire EMS profession. An integral part of how others perceive us is through our appearance. Therefore, while at clinical or field rotations, students must adhere to the following dress code.

1. HOSPITAL CLINICAL SITE: Men: Collared Dress Shirt Women: Dress Blouse with Tie Dress Pants or Skirt Dress Pants Dresses are permitted *Note: Skirts and dresses should be discretionary length, no more than 1” above the knee or safely above the ankle. Shoes must be rubber soled, no heels, and no sneakers.

2. EMS FIELD SITE:  Dark blue or black EMS style uniform pants that have no side pockets. The pant leg shall be hemmed and may not have drawstring style closures. The pants shall be kept neat and clean.  White or blue pleated uniform style shirt (agency specific) that shall be kept clean, neat and ironed. A clean pure white or blue short- sleeve undershirt will also be worn.  Shoes or boots must be rubber soled, low-heeled, closed toed, black and in a neat and clean condition.

3. Students should wear a watch with a second hand and bring a stethoscope, penlight, small notepad, pe and clinical binder to all clinical rotations.

4. Name tags shall be worn at all times. The name tag shall be the student ID issued by Suffolk Community College. If the student wishes to wear another type of name tag in addition to the picture ID, this must be approved by the Clinical Coordinator.

5. Navy blue jackets or coats can be worn in inclement weather.

6. Hands, including fingernails, must be clean and neat. Nails should be kept short.

7. Hair must be clean, neatly combed, and of a natural color. Long hair must be pulled back and, if necessary, tucked into the shirt.

8. Excessive perfumes or colognes should not be worn.

9. No excessive jewelry should be worn. Facial jewelry may not be worn. While earrings are not considered facial jewelry, only one small stud may be worn on each earlobe. Students should understand that jewelry can be a significant safety and infection hazard in the clinical setting and should plan accordingly.

Please note that any violations in the dress code policy may result in the student being sent home. This would constitute a clinical absence that would need to be rescheduled according to the clinical absence policy. Violations of the Clinical Dress Code Policy may result in disciplinary action up to and including dismissal from the program.

94 New-Curriculum Proposal Form, Pg. 95 Summary of Clinical Objectives & Goals There are specific objectives and goals for each clinical course in the paramedic program. There is also a core set of knowledge and skills common to all of the courses. These are described in the Collective Clinical Objectives. Additionally, students in each clinical course are responsible for demonstrating competence in Affective Objectives.

Collective Clinical Objectives The faculty and medical director of the Emergency Medical Care Program believe that to practice safely and effectively as an entry-level paramedic, students must demonstrate competence in the following areas:

1. Occupational Health and Safety: Display safety consciousness with patients, self, other personnel, equipment; compliance with infection control principles, including appropriate use of standard precautions and aseptic technique; use proper body mechanics when handling patients and equipment; demonstrate understanding of psychological hazards of emergency/critical care environments and of techniques for stress recognition and management. 2. Psychomotor Skills: Endotracheal / Nasotracheal Intubation Defibrillation / Cardioversion Intravenous fluid administration ECG Interpretation Intravenous medication administration Application of MAST pants Subcutaneous and Intramuscular injections Auscultation of heart and lung sounds Venipuncture Basic and Advanced Airway management Patient Assessment Oxygen administration Suctioning Techniques Radio / Medical communication

3. Patient Assessment and Management: Demonstrate ability to perform a comprehensive assessment (including initial assessment, history, and physical exam), develop a differential diagnosis, formulate, and implement a treatment plan demonstrating a knowledge base and professional judgment required to care for patients from all age groups. 4. Record Keeping / Communications: a. Written--Document patient information, observations, and occurrences accurately, completely, concisely, and legibly. b. Oral--Communicate pertinent patient information understandably, completely, concisely, and accurately. 5. Call Management: Demonstrate ability to serve as team leader and safely and effectively direct the prehospital response to a variety of calls. 6. Resources: Identify, organize, plan, and allocate resources including time, materials and facilities, as well as human resources.

7. Technology: Be able to work with a variety of technologies (computer aided patient simulation, diagnostic equipment) to accomplish a task. 8. Basic Skills: Read, write, perform arithmetic and mathematical operations, listen and speak. 9. Thinking Skills: Think creatively, make decisions, solve problems, visualize, know how to learn, and reason.

95 New-Curriculum Proposal Form, Pg. 96 Affective Objectives The faculty and medical director of the Emergency Medical Care Program feel strongly that a student’s attitude and appearance reflect not just upon that student, but also upon the faculty, medical director, other students, and the entire EMS profession. As EMS professionals, we also feel that these attributes can be defined and evaluated. Therefore, students must demonstrate competence in each of the following categories of professional behavior at each of their clinical rotations:

1. Integrity--Examples of professional behavior include, but are not limited to consistent honesty, being able to be trusted with the property of others, being able to be trusted with confidential information, complete and accurate documentation of patient care and learning activities. 2. Empathy--Examples of professional behavior include, but are not limited to showing compassion for others, responding appropriately to the emotional response of patients and family members, demonstrating respect for others, demonstrating a calm, compassionate, and helpful demeanor toward those in need, being supportive and reassuring to others. 3. Self Motivation--Examples of professional behavior include, but are not limited to: Taking initiative to complete assignments; taking initiative to correct and/or improve behavior; taking on and following through on tasks without constant supervision; showing enthusiasm for learning and improvement; consistently striving for excellence in all aspects of patient care and professional activities; accepting constructive feedback in a positive manner; taking advantage of learning opportunities. 4. Appearance / Personal Hygiene--Examples of professional behavior include, but are not limited to: Complying with clinical dress code requirements, including wearing a uniform that is neat, clean, and well-maintained; practicing good personal hygiene and grooming. 5. Self Confidence--Examples of professional behavior include, but are not limited to: Demonstrating the ability to trust personal judgment; demonstrating awareness of strengths and limitations; exercising good judgment. 6. Communications--Examples of professional behavior include, but are not limited to: Speaking clearly; writing legibly; listening actively; adjusting communications strategies to various situations. 7. Time Management--Examples of professional behavior include, but are not limited to: Being consistently punctual; Completing tasks and assignments on time. 8. Teamwork and Diplomacy--Examples of professional behavior include, but are not limited to: Placing the success of the team above self-interest; not undermining the team; helping and supporting other team members; showing respect for all team members; remaining flexible and open to change; communicating with others to resolve problems. 9. Respect--Examples of professional behavior include, but are not limited to: Being polite to others; not using derogatory or demeaning terms; behaving in a manner that brings credit to the profession. 10. Patient Advocacy--Examples of professional behavior include, but are not limited to: Not allowing personal bias or feelings to interfere with patient care; placing the needs of patients above self-interest; protecting and respecting patient confidentiality and dignity. 11. Careful Delivery of Service--Examples of professional behavior include, but are not limited to: Developing and maintaining mastery of professional knowledge and skills; performing complete equipment checks; demonstrating careful and safe vehicle operations; Following policies, procedures, and protocols; following orders and instructions.

97 New-Curriculum Proposal Form, Pg. 98 Clinical Course Requirements

The following sections outline the requirements for each clinical course, including objectives and rotations. Required documentation is outlined in each course handbook, which is available at the SCCC Bookstore.

These hours and requirements are subject to change. Students will be notified at the beginning of the semester if any changes occur. These hours are minimums only. Students who have not yet met the objectives may be required to complete additional rotations in order to do so.

The General Education Objectives met by the following courses include: a. Achieve a functional understanding of the natural sciences and technology. b. Develop essential skills in problem solving and critical thinking. c. Develop essential skills in reading and writing. d. Develop essential skills in listening and speaking. e. Develop essential skills in mathematics.

Physician and staff responsibilities in the following courses include the following: a. Close supervision of the student during rotation. b. Explanation and use of equipment in unit. c. Review of patient progress charts with students. d. Appropriate documentation forwarded to the course instructor on student performance.

Each student will be responsible for entering the clinical data into the internet clinical tracking system, FISDAP, within 72 hours of completion of the shift.

NOTE: Students are not to attempt any skill or procedure without first receiving permission from their preceptor.

98 New-Curriculum Proposal Form, Pg. 99 PAR201 Clinical I Course Objectives

This clinical course is designed to accompany the Introduction to Paramedicine course. Rotations focus on the development of triage skills, recognition of disease pathology and progression, intravenous therapy, blood sampling, medication administration skills, airway management, and communication skills. Clinical rotations include Emergency Department, Phlebotomy, Fire Rescue Communications, Medical Examiner, Medical Control, Airway Simulation Lab, and Ambulance Field time. Co-Requisites: PAR101

I. Overall Course Purposes and Objectives a. Identify the need for a skill to be performed b. Accomplish skills with a high degree of proficiency c. Display an exceptional working knowledge of the skill d. Function as a part of a team and take charge of that team when applicable e. Anticipate problems and independently act when appropriate f. Be extremely effective when dealing with patients and others g. Display a compassionate attitude with the patient and family h. Show keen interest and initiative i. Show high motivation

II. Outline and Concepts of the Course a. Triage of patients with medical and traumatic complaints b. Patient assessment including developing relevant medical history and conducting a physical examination in adult and pediatric patients to include: Vital Signs, Primary Survey, and Secondary Survey including but not limited to Neurological Exam Heart and Lung Sounds Glasgow Coma Scale c. Patient Assessment will be performed on but not limited to patient complaints including but not limited to: Major traumatic injuries to the head, chest, abdomen, spine, pelvis, extremities Respiratory distress Chest pain and/or life threatening dysrhythmias Other cardiovascular emergencies CNS depression emergencies Acute abdominal pain Obstetrical emergencies Gynecological emergencies Communicable diseases

Diabetic emergencies Other life-threatening emergencies d. Perform peripheral, central, and intraosseous IV insertions in adult and pediatric patients respectively, including the selection of proper equipment, solutions, dosages and anatomical sites. e. Given a medication order, prepare and administer IV bolus, IV infusion, SQ, ET, SL, and IM medications from ampules, vials, and tubexes in the correct dose. 99 New-Curriculum Proposal Form, Pg. 100 f. Infant, child, and adult CPR by current AHA standards. g. Properly complete written PCR and appropriate EMS forms.

III. Instructional Methods and Evaluation Techniques The primary instructional method used during this course is one-on-one interaction with a clinical or field preceptor. Students will become proficient in skill’s knowledge, procedural and performance objectives. Additional methods may be used for reinforcement as needed, including lectures, films, slide presentations, videos, and demonstrations. Students will have handbooks to guide them through this course.

Students will be graded on a scale ranging from one (1) to five (5) in the following performance areas: Professionalism/Attitude, Work Organizational Skills, Integrity, Psychomotor Skills, Overall Rating. A one (1) corresponds to unsatisfactory performance, indicating the need for additional training/practice. A five (5) corresponds to excellent performance, indicating the student is performing at a level expected of an experienced clinician. For successful completion of this course, the student must show a high competency level in each performance area as indicated by an average score of three (3) to four (4) on their Daily Rotation Evaluation form.

The Clinical Coordinator, Instructor Coordinator, or Program Director will visit with each student throughout the course to monitor and evaluate student performance, identify areas requiring remediation, and . The student’s preceptor will complete evaluation sheets by the end of the shift.

100 New-Curriculum Proposal Form, Pg. 101 PAR201 Clinical Course 1 Rotation Objectives

EMERGENCY DEPARTMENT: (48 hours) The purpose of this rotation is to allow the paramedic student the opportunity to strengthen his/her abilities in the following skills: performing a history and physical examination on a patient, including vital signs and physical assessment in order to make a triage decision.

Clinical Objectives:  Triage of patients with medical and traumatic complaints  Patient assessment, including developing relevant medical history and conducting a physical examination in adult and pediatric patients, to include: Vital signs Primary survey Secondary survey including: Neurological assessment Heart & lung sounds Glasgow Coma Scale Properly complete written PCR and appropriate EMS forms

Completion Criteria Minimum of forty hours of documented ED time Average/Above Average evaluations by preceptors (RN, MD, PA) Approval and endorsement for advancement from CIC & Medical Director Minimum successful skill completions during rotation Patient Assessment - 40 Total: (20 trauma, 20 medical)

Phlebotomy and IV Therapy: (16 hours) The purpose of this rotation is to allow the paramedic student the opportunity to perfect his or her skills in venipuncture while in a controlled setting, working with a qualified nurse or technician. The student should be able to perform a variety of venipuncture techniques, as well as broaden his or her knowledge of various types of tests that are performed with blood tubes. At the conclusion of the rotation the paramedic intern should be able to explain the various problems involved in venipuncture, show proficiency in the use of butterfly catheters, various types of IV catheters, vacutainers, various syringes, and blood tubes.

Clinical Objectives:  Demonstrate aseptic technique  Perform peripheral IV insertions with both straight-needle and over-the-needle catheters in adult and pediatric patients including, selection of the proper equipment, solutions, dosages, and anatomical sites  Draw blood samples using both IV sites and Vacutainers  Observe and assist with the operation of an IV medication pump  Properly complete written PCR and appropriate EMS forms

FIELD TIME: (120 hours including 20 hours of BLS Time) The purpose of this rotation is to introduce the student to the rigors of performing skills and assessments in the work environment typically experienced by paramedics. This time is considered introductory; it is understood that the intern will not be functioning at the level of a team leader. The student should take an active role in all assessments and treatment plans, but ultimate responsibility should remain with the preceptor. Skills the student will perform include, but are not limited to, the following: patient assessments (including the auscultation of lung sounds and collection of vital signs), insertion of peripheral IV, and administration of enteral and parenteral medications.

Clinical Objectives:  Establish familiarity with general EMS operations  Establish familiarity with role and responsibility of paramedic  Perform assessments of patients in settings typically encountered by paramedics including but not limited to private residences, nursing facilities, hospitals, roadways, and ambulances.  Perform peripheral IV insertions with both straight-needle and over-the-needle catheters in adult and pediatric patients including selection of the proper equipment, solutions, dosages, and anatomical sites.  Draw blood samples and prepare them for CBC, SMAC, and type and cross match using both IV sites and vacutainers.  Properly complete written PCR and appropriate EMS forms

Completion Criteria  Minimum of one hundred twenty (120) hours of documented Field Time  Average/Above-average evaluations by preceptors (EMT-Ps)  Approval and endorsement for advancement from CIC & Medical Director  Minimum successful skill completions during rotation time period

Patient Assessments 50 (each) Intravenous Therapy 20 (each) Airway Management 10 (each) Pharmacological Intervention 10 (each)

Fire Rescue Communications (8 Hours)

Clinical Objectives:  Establish familiarity with general EMS Communications in Suffolk County  Establish familiarity with role and responsibility of paramedics communicating within the system  Identify resources available to Paramedics functioning within the Suffolk EMS system

Completion Criteria  Minimum 8 hours documented rotation time  Average/Above Average evaluations by preceptors  Approval and endorsement for advancement from CIC & Medical Director

Suffolk County Medical Examiner (8 hours)

Clinical Objectives:  Establish familiarity with general the function of the ME in Suffolk County  Establish familiarity with role and responsibility of paramedics with regard to patient disposition  Observe Post Mortem Procedures for Anatomy and Pathophysiology overview

Completion Criteria  Minimum 8 hours documented rotation time  Average/Above-Average evaluations by preceptors  Approval and endorsement for advancement from CIC & Medical Director

Difficult Airway Simulation Lab (8 hours)

The purpose of this rotation is to allow the paramedic intern to perform direct laryngoscopy, endotracheal intubation, and difficult airway management in a controlled setting under controlled conditions.

Clinical Objectives:  Perform direct laryngoscopy and endotracheal intubation in simulated adult and pediatric patients including correct equipment selection and preparation, pre-oxygenation, insertion, assessment of tube placement, maintenance of tube placement, and removal with re-ventilation and repeat attempt as needed.  Management of simulated adult and pediatric airway in unconscious patients by manual techniques and oropharyngeal airways.  Practice Aseptic oral and endotracheal suctioning techniques.  Ventilate adult and pediatric patients with B.V.M. and BV with ET tube, assist with O2 delivery systems and mechanical respirators.

Completion Criteria  Minimum of 8 hours of documented Sim Lab time  Average/Above Average evaluations by preceptors (EMT-P)  Approval and endorsement for advancement from CIC & Medical Director  Minimum successful skill completions during rotation o Effective ventilation of the manikins for the given scenarios o Direct Laryngoscopy of the manikins for the given scenarios o Successful Intubation of the manikins for the given scenarios

Suffolk County Medical Control (8 hours)

Clinical Objectives:  Establish familiarity with general the function of Medical Direction within Suffolk County  Establish familiarity with role and responsibility of paramedics with regard to patient disposition  Observe medical control procedures and interactions with providers  Identify the Suffolk County Regional Advanced Life Support Protocols for Paramedics

Completion Criteria  Minimum 8 hours documented rotation time  Average/Above Average evaluations by preceptors  Submission of an acceptable call encounter log

104 Suffolk Community College Paramedic Program PAR201 Clinical I Intern Summary

Date TimeSite/Tour Preceptor Shift Total Hour Hours s

Suffolk Community College Paramedic Program Clinical Rotation Record PAR201 Clinical I

STUDENT NAME DATE PT CONTACTS

FACILITY SHIFT UNIT

Procedure Attempts Comments 1 2 3 4 5 6 7 8 9 10 IV Attempts Gauge Successful Y/N Blood Draw Y/N Patient Age Time Location of IV (RH, AC etc.)

Assessments Performed Level of Responsiveness (AVPU) Focused Assessment Y/N Lung Sounds Y/N Vital Signs Y/N Detailed Assessment Y/N Disposition Y/N

Medications Administered MDI Nebulized Other

1 Unsatisfactory 2 Tentative 3 Competent 4 Good 5 Excellent Requires assistance Needs Guidance Minimal Prompting No Prompting Experienced level Needs more training Area of Performance Rating Professionalism/Attitude: The student’s behavior demonstrated integrity, empathy, self-motivation, self-confidence, teamwork, diplomacy, respect, patient advocacy, careful delivery of service, appropriate appearance and personal hygiene. Work Organizational Skills: Punctual, uses effective time management. Performs tasks in a logical, orderly manner, recognizes tasks that need to be done and takes initiative to do them. Demonstrates sufficient forethought into actions. Integrity: Examples of professional behavioral include, but are not limited to: Consistent honesty; being able to be trusted with the property of others; can be trusted with confidential information; complete and accurate documentation of patient care and learning activities. Psychomotor Skills: The student accomplishes psychomotor skills and patient assessments completely and proficiently.

Overall Rating: Please rate the student’s overall performance for today’s clinical rotation.

COMMENTS: ______

106 New-Curriculum Proposal Form, Pg. 107 ______

______

PRECEPTOR NAME ______SIGNATURE ______Date ______

107 Suffolk Community College Paramedic Training Program Clinical I - Field Internship INT STUDENT NAME DATE SITE TOUR PT CONTACTS

OBSERVED ASSISTED PERFORMED M-MEDICAL TOTALS OBSERVED ASSISTED PERFORMED M-MEDICAL TOTALS SKILLS T-TRAUMA SKILLS T-TRAUMA P-PEDIATRIC P-PEDIATRIC ET HISTORY INTUBATION VITAL SIGNS ET SUCTION PHYSICAL EXAM MAGIL FORCEPS LUNG SOUNDS CRICOTHYROTOMY HEART SOUNDS THORACENTESIS HYPEREXTENSION LARYNGOSCOPY MOD. JAW THRUST EGTA/EOA/COMBITUBE ORAL AIRWAY IV INSERTION NASAL AIRWAY BLOOD DRAW SUCTION IV BOLUS MEDS OXYGEN IV INFUSION MEDS BAG VALVE MASK NEBULIZED MEDS CPR SUBLINGUAL MEDS C – COLLAR SUBCUT MEDS KED/SHORT BOARD IM MEDS LONG SPINE BOARD ET MEDS HELMET REMOVAL ECG MONITORING STANDING TAKEDOWN ECG INTERPRETATION RAPID EXTRICATION 12 LEAD ECG BLEEDING CONTROL DEFIBRILLATION MAST CARDIOVERSION FIXATION SPLINT EXTERNAL PACING OBS / DELIVERY 1 Unsatisfactory 2 Tentative 3 Competent 4 Good 5 Excellent Requires assistance Needs Guidance Minimal Prompting No Prompting Experienced Rating

ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 New-Curriculum Proposal Form, Pg. 109 Examples of professional behavior include, but are not limited to: Consistent honesty; being able to be trusted with the INTEGRITY property of others; can be trusted with confidential information; complete and accurate documentation of patient care and learning activities. Examples of professional behavior include, but are not limited to: Showing compassion for others; responding appropriately EMPATHY to the emotional response of patients and family members; demonstrating respect for others; demonstrating a calm, compassionate, and helpful demeanor toward those in need; being supportive and reassuring to others. Examples of professional behavior include, but are not limited to: Taking initiative to complete assignments; taking SELF - MOTIVATION initiative to improve and/or correct behavior; taking on and following through on tasks without constant supervision; showing enthusiasm for learning and improvement; consistently striving for excellence in all aspects of patient care and professional activities; accepting constructive feedback in a positive manner; taking advantage of learning opportunities Examples of professional behavior include, but are not limited to: Clothing and uniform is appropriate, neat, clean and well APPEARANCE AND maintained; good personal hygiene and grooming. PERSONAL HYGIENE Examples of professional behavior include, but are not limited to: Demonstrating the ability to trust personal judgment; SELF - CONFIDENCE demonstrating an awareness of strengths and limitations; exercises good personal judgment Examples of professional behavior include, but are not limited to: Speaking clearly; writing legibly; listening actively; COMMUNICATIONS adjusting communication strategies to various situations Examples of professional behavior include, but are not limited to: Consistent punctuality; completing tasks and assignments TIME MANAGEMENT on time. Examples of professional behavior include, but are not limited to: Placing the success of the team above self interest; not TEAMWORK AND undermining the team; helping and supporting other team members; showing respect for all team members; remaining DIPLOMAC flexible and open to change; communicating with others to resolve problems. Y Examples of professional behavior include, but are not limited to: Being polite to others; not using derogatory or demeaning RESPECT terms; behaving in a manner that brings credit to the profession. Examples of professional behavior include, but are not limited to: Not allowing personal bias to or feelings to interfere with PATIENT ADVOCACY patient care; placing the needs of patients above self interest; protecting and respecting patient confidentiality and dignity. Examples of professional behavior include, but are not limited to: Mastering and refreshing skills; performing complete CAREFUL DELIVERY equipment checks; demonstrating careful and safe ambulance operations; following policies, procedures, and protocols; OF following orders SERVICE COMMENTS ______

______

PRECEPTOR NAME ______SIGNATURE ______

Suffolk Community College Paramedic Program Shift Evaluation

PAR201 Clinical I

Tour: ______Shift: ______109 New-Curriculum Proposal Form, Pg. 110

Preceptor: ______Date: ______

Skills:______

Comments:______

Preceptor Signature ______Date ______

Maintain in clinical journal. Complete one evaluation for each shift.

110 Suffolk Community College Paramedic Training Program Emergency Department Rotation Record PAR201 Clinical I

ED Shift Report Date ______

Patien Patien Chief Complaint Vital Signs Disposition t Age t B/P Pulse Resp Gende r

Suffolk Community College Paramedic Education Program Case Study PAR201Clinical 1

PATIENT INFORMATION: AGE ______SEX ______

CHIEF COMPLAINT

PAST MEDICAL HISTORY

SUBJECTIVE ASSESSMENT

OBJECTIVE PHYSICAL EXAM

COMMENTS 112 New-Curriculum Proposal Form, Pg. 113

113 New-Curriculum Proposal Form, Pg. 114 Suffolk Community College Paramedic Program Case Study Objective Physical Examination Time Resp Pulse B/P LOC GCS Pupils Skin

HEENT: ______

Neck: ______

Chest: ______

Abdomen: ______

Posterior Body: ______

Extremities: ______Neurological Exam: ______

115 New-Curriculum Proposal Form, Pg. 116 Suffolk Community College Paramedic Program Case Study

Patient Home Medications Medication Classification Dose How Often

Facility Administered Medications

Suffolk Community College Paramedic Program Case Study

Attach and Number Electrocardiograms and Denote Interpretations

PAR202 Clinical II Course Objectives

This clinical course is designed to follow the Advanced Airway Management course and accompany the Cardiology and Respiratory, Trauma, and Medical Emergencies I Courses. Clinical rotations focus on the development of psychomotor skills and integrative skills. Clinical rotations include: Operating Room, Emergency Department, Respiratory Care, ICU, CCU.

Prerequisites: PAR101, PAR201 with a grade of C or better in each

Corequisite: PAR102

I. Overall Course Purposes and Objectives Upon completion of this course the student will be able to: a. Accomplish skills with a high degree of proficiency. b. Identify the need for a skill to be performed. c. Display an exceptional “working” knowledge of the skill. d. Function as part of a team and take charge of that team when applicable. e. Anticipates problems and independently takes action where appropriate. f. Be extremely effective in dealing with patients and others. g. Display a compassionate attitude with the patient and family. h. Show keen interest and initiative. i. Show high motivation. j. Display mastery level performance in endotracheal and nasotracheal intubation. k. Display a mastery level performance of needle cricothyrotomy and pleural decompression. l. Show proficiency in “reading” EKG’s. Rhythm interpretation, conduction defects, axis, and site of AMI.

II. Outline and Concepts of the Course a. Perform endotracheal intubation in pediatric and adult patients including correct equipment selection and preparation, pre-oxygenation, insertion, assessment of tube placement, maintenance of tube placement, and removal with re-ventilation and repeat attempts as needed. b. Management of adult and pediatric airway in unconscious patients by manual techniques and insertion and placement of oropharyngeal and nasopharyngeal airways. c. Oral and endotracheal suctioning techniques. d. Ventilate adult and pediatric patients with BVM and attached BVM to ETT, assists with oxygen delivery systems and mechanical respirators. e. Management of the adult and pediatric obstructed airway and utilization of the adult and pediatric Magill Forceps. f. Perform insertion of OPA, NPA, and LMA as indicated. g. Assist in management of burn, trauma, medical emergencies and cardiac patients. h. Patient assessment including developing relevant medical history and conducting a physical examination in adult and pediatric patients, to include: vital signs 118 New-Curriculum Proposal Form, Pg. 119 initial assessment detailed and focused assessment including: neurological assessment Glasgow Coma Scale heart and lung sounds/cardiopulmonary exam EKG recognition i. Perform peripheral IV insertions in adult and pediatric patients including selection of proper equipment, solutions, dosages, and anatomical sites. j. Given a medication order, prepare and administer IV push, IV drip, SQ, ET, SL, IM medications from ampules, vials, or tubexes in the correct dose. k. Assist in cases of cardiac arrest including CPR, airway management, ET intubation, and defibrillation. l. Assist with the care of endotracheal and tracheostomy tubes, ventilators, and suction techniques. m. Draw blood samples from IV catheters or with Vacutainer tubes. n. Monitor and interpret EKG's and change monitor leads. o. Obtaining a patient history and performing an appropriate assessment. p. Management of Airway, Aseptic suctioning. q. Assessment of lung sounds. r. Assessment of the patient with a communicable disease. s. Oropharyngeal and tracheal suctioning techniques. t. Administration of inhalation treatments. u. Ventilation with Bag Valve Mask and ETT v. Perform and interpret 12 lead EKG. w. Interpret Static and Dynamic EKG rhythm strips.

III. Instructional Methods, Course Requirements and Evaluation Techniques

The primary instructional method used during this course is one on one interaction with a clinical or field preceptor. Students will become proficient in skill’s knowledge, procedural and performance objectives. Other methods may be used for remediation, lectures, films, slide presentations, videos, and demonstrations. Students will have handbooks to guide them through this course.

The students will be graded on a scale ranging from one (1) to five (5) in the following performance areas: Professionalism/Attitude, Work Organizational Skills, Integrity, Psychomotor Skills, Overall Rating. A one (1) corresponds to unsatisfactory performance, indicating the need for additional training/practice. A five (5) corresponds to excellent performance, indicating the student is performing at a level expected of an experienced clinician. For successful completion of this course, the student must show a mastery level in each performance area as indicated by an average score of three (3) to four (4) on their Daily Rotation Evaluation form.

The Clinical Coordinator, Instructor Coordinator or Program Director will visit each student throughout the course to monitor and evaluate student performance. The student’s preceptor will complete evaluation sheets by the end of the shift.

119 New-Curriculum Proposal Form, Pg. 120 PAR201 Rotation Objectives

OPERATING ROOM: (24 hours) The purpose of this rotation is to allow the paramedic intern to perform direct laryngoscopy and endotracheal intubation in a controlled setting under the guidance of an anesthesiologist.

Declarative Clinical Objectives:  Perform direct laryngoscopy and endotracheal intubation in adult and pediatric patients including correct equipment selection and preparation, pre-oxygenation, insertion, assessment of tube placement, maintenance of tube placement, and removal with re-ventilation and repeat attempt as needed.  Management of adult and pediatric airway in unconscious patients by manual techniques and oropharyngeal airways.  Aseptic oral and endotracheal suctioning techniques.  Ventilate adult and pediatric patients with B.V.M. and BV with ET tube, assist with O2 delivery systems and mechanical respirators.

Completion Criteria  Minimum of forty hours of documented OR time  Average/Above Average evaluations by preceptors (ER RN's, MD's, PA's)  Approval and endorsement for advancement from CIC & Medical Director  Minimum successful skill completions during rotation o Effective ventilation of at least 20 patients o Direct Laryngoscopy on at least 20 patients o Successful Intubation of at least 5 patients

INTENSIVE CARE (ICU): (8 hours) This rotation will permit the paramedic student to broaden his/her knowledge on the special care required for Intensive Care patients. Each student will be under the direct supervision of the Nursing staff in the ICU. Students will be encouraged to discuss specific cases with the doctors and staff of the unit and will need to demonstrate proficiency for each of the following:

Clinical Objectives:  Observe and assist with the interview and history taking process and physical exam.  Document findings including subtle changes in patient assessments.  Observe, understand and assist in patient care including: . Mechanical Ventilator usage . PEEP . Spirometry . CPAP . Arterial Blood Gas Sampling and interpretation . Chest Tube Placement, assessment and maintenance . Tracheostomy care . Burn Patient management . Detailed Assessments including GCS and Neurologic exams . Assessment and management of the patient with communicable diseases or has a depressed immune function 120 New-Curriculum Proposal Form, Pg. 121 . Intravenous Pump Infusions . Central Venous Access  Become proficient in and demonstrate knowledge in: . History Taking and the Interview process . Performing an accurate and thorough Physical Exam . Determining an appropriate differential diagnosis to appropriate treatment . Use of Pulse Oximetry and End Tidal CO2 Monitors . Endotracheal Suctioning . Cardiac Rhythm Strip Interpretation including 12 Lead ECG’s . Intravenous Medication Administration (Bolus and Infusion) . Appropriateness of Medication Administration relative to patient condition . Lung and Cardiac Sounds . Defibrillation and Pacing

Completion Criteria: . Minimum of sixteen (8) hours . An ‘Average’ or ‘Above Average’ clinical evaluation from the nurse preceptor . The student must demonstrate the ability to perform a comprehensive assessment on at least 5 patients. Of the 5 patients, the student must demonstrate the ability to perform a comprehensive assessment, and formulate and implement a treatment plan. . 5 case studies

EMERGENCY DEPARTMENT - Medical Concentration Rotation: (16 hours) This rotation will permit the paramedic student to broaden his/her knowledge on the special care required for Medical patients. Each student will be under the direct supervision of the Nursing staff in the Emergency Department. Students will be encouraged to discuss specific cases with the doctors and staff of the unit and will need to demonstrate proficiency for each of the following:

Clinical Objectives:  Document findings including subtle changes in patient assessments.  Observe, understand and assist in patient care including: . History Taking and performing a physical exam for adult and pediatric patients including:  Vital Signs, GCS and Neurologic Exams, Heart and Lung Sounds . Management and Support for patients with:  Respiratory Distress (Obstructed Airway, COPD, Asthma, Etc.)  Chest Pain and Cardiovascular Emergencies (MI, CHF, Dysrhythmias, Etc.)  Altered Mental Status / Acute intoxication / Overdoses / Poisonings  Abdominal Pain  Obstetrical / Gynecological Emergencies  Communicable Diseases  Environmental Emergencies  Diabetic Emergencies  Other life threatening emergencies . Skills of:  Use of basic, advanced and surgical airway adjuncts and suctioning o (NPA, OPA, ETT, NTT, Cricothyrotomy)

121 New-Curriculum Proposal Form, Pg. 122 o Rapid Sequence Intubation Procedures  IV insertion, blood sample draw, fluid replacement and IV maintenance  Differential diagnosis assessment and understanding  Medication administration appropriate to the patient’s condition  Arterial Blood Gas interpretation  ECG interpretation and appropriate treatment including 12 leads o Defibrillation, Carotid Sinus Massage, Pacing, Cardioversion  Needle Chest Decompression  Equipment troubleshooting

Completion Criteria  Minimum of sixteen (16) hours  An ‘Average’ or ‘Above Average’ clinical evaluation from the nurse preceptor  The student must demonstrate the ability to perform a comprehensive assessment, and formulate and implement a treatment plan on the following patients: . Cardiac (10 patients) . Respiratory (10 adult, 8 pediatric) . Syncope (10 Patients) . Abdominal Complaints (20 patients) . Altered Mental Status (20 patients) . 5 written case presentations

EMERGENCY DEPARTMENT - Trauma Concentration Rotation: (24 hours) This rotation will permit the paramedic student to broaden his/her knowledge on the special care required for Trauma patients. Each student will be under the direct supervision of the Nursing staff in the Emergency Department. Students will be encouraged to discuss specific cases with the doctors and staff of the unit and will need to demonstrate proficiency for each of the following:

Clinical Objectives:  Observe and assist with the interview and history taking process and physical exam.  Document findings including subtle changes in patient assessments.  Observe, understand and assist in patient care including: . History Taking and performing a physical exam including GCS and Neurologic Exams . Determining Mechanism of Injury and the relevance of Kinematics to injury . Airway Management and Ventilatory Support including:  C-Spine precautions and Jaw Thrust Maneuvers  Oxygen Delivery via mask or BVM  Use of basic, advanced and surgical airway adjuncts  Rapid Sequence Intubation Procedures  Mechanical Ventilator usage including PEEP  Chest Tube Placement, assessment and maintenance  Arterial Blood Gas Sampling and interpretation . Circulatory Management and Hemorrhage Control including:  Basic Hemorrhage Control Measures  IV insertion and maintenance including Central Venous Access  Fluid replacement  Medication administration and Intravenous Pump Infusions 122 New-Curriculum Proposal Form, Pg. 123 . Burn Patient management . Fracture reduction and post-care . Pain management . Urinary Catheterization . Assessment and management of the patient with communicable diseases or that has a depressed immune function  Become proficient in and demonstrate knowledge in: . History Taking and the Interview process . Performing an accurate and thorough Physical Exam . Determining an appropriate differential diagnosis to appropriate treatment . Use of Pulse Oximetry and End Tidal CO2 Monitors . Advanced Airway Management Procedures relative to Trauma Patients . Cardiac Rhythm Strip Interpretation including 12 Lead ECG’s . Intravenous Medication and Fluid Administration (Bolus and Infusion) . Appropriateness of Medication Administration relative to patient condition . Lung, Cardiac and Bowel Sounds . Defibrillation and Pacing . Burn Patient Management

Completion Criteria  Minimum of twenty-four (24) hours  An ‘Average’ or ‘Above Average’ clinical evaluation from the nurse preceptor  The student must demonstrate the ability to perform a comprehensive assessment, and formulate and implement a treatment plan on at least 20 trauma patients.  5 written case studies

The Emergency Department Rotations Total 40 Hours and are just suggested hours with regard to completion criteria. If students encounter Trauma Patients during their Medical Concentrations it is acceptable to use that time to gather the appropriate assessments and vice-versa.

RESPIRATORY CARE: (16 hours) The purpose of this rotation is to familiarize the students with the assessment and treatment of patients with respiratory difficulties. Particular attention should be paid to the various disease pathologies resulting in respiratory problems. The student will perform complete assessments on respiratory patients taking time to auscultate lung sounds to help them differentiate the particular sounds and associate them with their causative pathology. Skills the student will perform include, but are not limited to, the following: assessment, history taking, sterile suctioning, suctioning via an ETT, administration of MDI, administration of nebulized medications.

Declarative Clinical Objectives:  Patient assessment of individuals with respiratory complaints, specific attention paid to auscultation of lung sounds  Perform sterile suctioning on adult patients  Administer Metered Dose Inhaler medications to adult and/or pediatric patients  Administer nebulized medications to adult and pediatric patients  Develop an understanding the various medications used treat respiratory/pulmonary issues  Develop an appreciation for the potential side effects and physiological changes inherent to the treatments provided

123 New-Curriculum Proposal Form, Pg. 124  Properly complete written PCR and appropriate EMS forms

Completion Criteria  Minimum of sixteen hours of documented Respiratory Time  Average/Above Average evaluations by preceptors (ER RN's, MD's, PA's)  Approval and endorsement for advancement from CIC & Medical Director  Minimum successful skill completions during rotation . Patient contacts 20 . Patient Assessments 20 . Respiratory Case Studies 10

CARDIAC CARE UNIT (CCU): (16 hours) This rotation will permit the paramedic student to broaden his/her knowledge on the special care required for Critical Care patients. Each student will be under the direct supervision of the Nursing staff in the CCU. At least four (4) hours must be spent in the Cardiac Catheterization Lab observing both diagnostic and interventional catheterizations. Students will be encouraged to discuss specific cases with the doctors and staff of the unit and will need to demonstrate proficiency for each of the following:

Clinical Objectives:  Observe and assist with the interview and history taking process and physical exam.  Document findings including subtle changes in patient assessments.  Observe, understand and assist ventilatory management including: . Mechanical Ventilators . PEEP . Spirometry . CPAP . Arterial Blood Gas Sampling and interpretation . Chest Tube Placement, assessment and maintenance . Tracheostomy care  Observe, understand and assist cardiac management including: . Cardiac Output studies . External and Internal Pacemaker placement, assessment and management . Intravenous Pump Infusions . Central Venous Access . Cardiac Catheterization (if available at site)

 Become proficient in and demonstrate knowledge in: . History Taking . Performing an accurate and complete Physical Exam . Use of Pulse Oximetry . Use of End Tidal CO2 Monitors . Endotracheal Suctioning . Cardiac Rhythm Strip Interpretation . 12 Lead ECG Interpretation . Intravenous Medication Administration (Bolus and Infusion) . Appropriateness of Cardiac Medication Administration . Lung and Cardiac Sounds . Cardiopulmonary Exam and differential diagnosis assessment . Defibrillation and Pacing 124 New-Curriculum Proposal Form, Pg. 125

Completion Criteria:  Minimum of twenty four (16) hours  An ‘Average’ or ‘Above Average’ clinical evaluation from the nurse preceptor  The student must demonstrate the ability to perform a comprehensive assessment on at least 10 cardiac patients and prepare 5 written case presentations

FIELD TIME: (80- 180 hours) The purpose of this rotation is to allow students the ability to perform skills and assessments in the work environment typically experienced by paramedics. This time is considered learning hours; it is understood that the intern will not be functioning at the level of a team leader. The student should take an active role in all assessments and treatment plans, but ultimate responsibility should remain with the preceptor. Skills the student will perform include, but are not limited to, the following: patient assessments (including the auscultation of lung sounds and collection of vital signs), insertion of peripheral IV, and administration of enteral and parenteral medications.

I. Overall Course Purposes and Objectives Upon completion of this course the student will be able to: a. Accomplish skills with a high degree of proficiency. b. Identify the need for a skill to be performed. c. Display an exceptional “working” knowledge of the skill. d. Function as part of a team. e. Anticipates problems and independently takes action where appropriate. f. Be effective in dealing with patients and others. g. Display a compassionate attitude with the patient and family. h. Show keen interest and initiative. i. Show high motivation. j. Display the ability to function as an independent Paramedic.

II. Outline and Concepts of the Course: a. Triage of patients with medical and traumatic complaints. b. Patient assessment including developing relevant medical history and conducting a physical examination in adult and pediatric patients to include: Vital Signs, Primary Survey, Secondary Survey, Neurological Assessment, Heart and Lung Sounds, Glasgow Coma Scale. c. Assist in and review the assessment and management of patients with: i. Major traumatic injuries to the head, chest, abdomen, spine, pelvis, extremities ii. Burns iii. Respiratory Distress iv. Chest Pain and/or life sustaining dysrhythmias v. Other Cardiovascular Emergencies vi. CNS Depression Emergencies vii. Acute Abdominal Pain viii. Drug Overdose, Intoxication, Poisoning ix. Environmental Emergencies x. Communicable Diseases xi. Diabetic Emergencies xii. Other Life Threatening Emergencies

125 New-Curriculum Proposal Form, Pg. 126 d. Perform peripheral, central and intraosseous IV insertion in adult and pediatric patients respectively, including the proper selection of equipment, solutions, dosages, and anatomical sites. e. Given a medication order, prepare and administer IV push, IV infusion, SQ, ET, SL, and IM medications from ampules, vials or tubexes in the correct dose. f. Perform endotracheal intubation in pediatric and adult patients including correct equipment selection and preparation, pre-oxygenation, insertion, assessment of tube placement, maintenance of tube placement, and removal with re-ventilation and repeat attempt as needed. g. Management of adult and pediatric airway in unconscious patients by manual techniques and insertion and placement of oropharyngeal and nasopharyngeal airways. h. Oral and endotracheal suctioning techniques. i. Ventilate adult and pediatric patients with BVM and attach BVM to ETT, assists with oxygen delivery systems and mechanical respirators. j. Management of the adult and pediatric obstructed airway, and utilization of the adult and pediatric Magill Forceps. k. Infant, Child, and Adult CPR by current AHA standards. l. Perform insertion of OPA, NPA, Combitube, LMA, Quicktrach as indicated. m. Use monitor/defibrillator unit correctly to include testing, calibration, application of electrodes, “quick look” lead II assessment, MCL1, recording and interpreting rhythms, defibrillation, synchronized cardioversion, and troubleshooting poor tracings. n. Carotid sinus massage, precordial thump techniques as indicated. o. Decompression of tension pneumothorax. p. Appropriate application of MAST, extremity and spinal immobilization devices. q. Proper use of portable and mobile transmitter/receiver to transfer verbal orders and information and to monitor and transmit data. r. Organize and transmit patient assessment and EKG. s. Monitor patient status during transport. t. Properly complete written PCR and appropriate EMS forms.

Completion Criteria

 Complete a minimum of 80-180 hours riding along with an approved ALS Field Internship Agency and Preceptor.  Complete at least 50 ALS calls with an ALS Field Internship Agency with a corresponding PCR for each response.  Average/Above Average evaluations by preceptors (ER RN's, MD's, PA's)  Approval and endorsement for advancement from CIC & Medical Director

Suffolk Community College Paramedic Training Program PAR201 Clinical II Intern Summary

128 Suffolk Community College Paramedic Program Clinical Rotation Record OR PAR201 Clinical II

STUDENT NAME DATE PT CONTACTS

FACILITY SHIFT 7:00am-3:00pm

Procedure Attempts Comments 1 2 3 4 5 6 7 8 9 10 ETT (or LMA) Attempts Direct Laryngoscopy Tube Size Successful Y/N BVM Ventilations Y/N Patient Age Time

COMMENTS: ______

______

PRECEPTOR NAME ______SIGNATURE ______Date ______

Suffolk Community College Paramedic Training Program CPEP Psychiatry Clinical Rotation Record PAR201

STUDENT NAME DATE/ TOUR SITE PT CONTACTS

BEHAVIORS OBSERVED # OBSERVED COMMENTS - OBSERVATIONS ACUTE DEPRESSION

HOSTILITY GRIEF BIPOLAR DISEASE PARANOIA SCHIZOPHRENIA SUICIDAL IDEATION SUBSTANCE ABUSE

PROCEDUERES OBSERVED PATIENT INTERVIEW PATIENT RESTRAINT PHARMACOLOGIC TREATMENT PATIENT PROGRESS

COMMENTS

ME/FRES/MC/SIM

Suffolk Community College Paramedic Training Program Miscellaneous Clinical Rotation Record PAR201

BEHAVIORS OBSERVED # OBSERVED COMMENTS - OBSERVATIONS

PROCEDUERES OBSERVED PATIENT INTERVIEW

COMMENTS

Suffolk Community College Paramedic Training Program Intensive Care Clinical Rotation Record PAR202 ICU

STUDENT NAME DATE  Intensive Care Unit SITE TOUR  Coronary Care

PROCEDURE # OBSERVED #ASSISTED #PERFORMED COMMENTS HISTORY TAKING / PHYSICAL EXAM ENDOTRACHEAL INTUBATION PULSE OXIMETRY

END TIDAL CO2 MONITORING ENDOTRACHEAL SUCTIONING CARDIAC MONITORING 12 LEAD ECG IV MEDICATION NEBULIZED MEDICATION VENTILATOR SETTINGS PEEP SPIROMETRY CPAP CARDIAC OUTPUT STUDIES ARTERIAL BLOOD GAS SAMPLING CENTRAL VENOUS ACCESS INTRAVENOUS PUMP INFUSION CHEST TUBE PLACEMENT TRACHEOSTOMY CARE

132 New-Curriculum Proposal Form, Pg. 133 COMMENTS:

Suffolk Community College Paramedic Training Program ED Emergency Department Rotation Record ALL CLINICAL COURSES PAR 201,202,203 Medica l STUDENT NAME DATE SITE TOUR PT CONTACTS

SKILLS OBSERVED ASSISTED PERFORMED TOTAL Assessment/Management OBSERVED ASSISTED PERFORMED TOTAL HISTORY RESPIRATORY DISTRESS VITAL SIGNS CHEST PAIN PHYSICAL EXAM ALTERED MENTAL STATUS LUNG SOUNDS ABDOINAL PAIN HEART SOUNDS OBSTRETIC EMERGENCIES HYPEREXTENSION GYNECOLOGICAL EMERGENCIES JAW THRUST COMMUNICABLE DISEASES ORAL AIRWAY ENVIRONMENTAL EMERGENCIES NASAL AIRWAY DIABETIC EMERGENCIES SUCTION LIST OTHERS: OXYGEN BAG-VALVE-MASK CPR MAST OTHER OBSERVED ED PROCEDURES BLEEDING CONTROL OBSERVED ASSISTED COMMENTS ET INTUBATION SUTURING CRICOTHYROTOMY FRACTURE REDUCTION MAGILL FORCEPS ARTERIAL BLOOD GAS ET SUCTION MECH. VENTILATOR IV INSERTION CENTVENOUS CCESS BLOOD DRAW CHEST TUBE IV BOLUS MEDS URINARY CATHETER IV INFUSION MEDS NEBULIZED MEDS LIST OTHERS: SUBLINGUAL MEDS SUBCUT MEDS IM MEDS ET MEDS ECG MONITORING 12 LEAD ECG DEFIBRILLATION CARDIOVERSION EXTERNAL PACING

1 Unsatisfactory 2 Tentative 3 Competent 4 Good 5 Excellent Requires assistance Needs Guidance Minimal Prompting No Prompting Experienced level Needs more training Area of Performance Rating Professionalism/Attitude: The student’s behavior demonstrated integrity, empathy, self-motivation, self-confidence, teamwork, diplomacy, respect, patient advocacy, careful delivery of service, appropriate appearance and personal hygiene. 133 New-Curriculum Proposal Form, Pg. 134 Work Organizational Skills: Punctual, uses effective time management. Performs tasks in a logical, orderly manner, recognizes tasks that need to be done and takes initiative to do them. Demonstrates sufficient forethought into actions. Integrity: Examples of professional behavioral include, but are not limited to: Consistent honesty; being able to be trusted with the property of others; can be trusted with confidential information; complete and accurate documentation of patient care and learning activities. Psychomotor Skills: The student accomplishes psychomotor skills and patient assessments completely and proficiently.

COMMENTS ______

______

Suffolk Community College Paramedic Training Program ED Emergency Department Rotation Record ALL CLINICAL COURSES PAR 201,202,203 Trauma

STUDENT NAME DATE SITE TOUR PT CONTACTS

OBSERVED ASSISTED PERFORMED TOTAL OBSERVED ASSISTED PERFORME TOTAL SKILLS Assessment/Management D HISTORY MULTISYSTEM TRAUMA VITAL SIGNS BLUNT TRAUMA PHYSICAL EXAM PENETRATING TRAUMA LUNG SOUNDS HEMORRHAGE & SHOCK HEART SOUNDS BURNS HYPEREXTENSION MUSCULOSKELETAL TRAUMA JAW THRUST HEAD, FACIAL, & NECK TRAUMA ORAL AIRWAY SPINAL TRAUMA NASAL AIRWAY THORACIC TRAUMA SUCTION ABDOMINAL TRAUMA OXYGEN OTHERS: BAG-VALVE-MASK CPR MAST OTHER OBSERVED ED PROCEDURES BLEEDING CONTROL OBSERVED ASSISTED COMMENTS ET INTUBATION SUTURING CRICOTHYROTOMY FRACTURE REDUCTION MAGILL FORCEPS ARTERIAL BLOOD GAS ET SUCTION MECH. VENTILATOR IV INSERTION CENTVENOUS CCESS BLOOD DRAW CHEST TUBE IV BOLUS MEDS URINARY CATHETER IV INFUSION MEDS NEBULIZED MEDS LIST OTHERS: SUBLINGUAL MEDS SUBCUT MEDS IM MEDS ET MEDS ECG MONITORING 12 LEAD ECG 134 New-Curriculum Proposal Form, Pg. 135 DEFIBRILLATION CARDIOVERSION EXTERNAL PACING

COMMENTS ______

______

Suffolk Community College Paramedic Education Program Case Study PAR202

CHIEF COMPLAINT

135 New-Curriculum Proposal Form, Pg. 136 SUBJECTIVE ASSESSMENT

COMMENTS

HEENT: ______

Neck: ______

Chest: ______

Abdomen: ______

Facility Administered Medications Medication Classification Dose How Often

PAR203 Clinical III Course Objectives

This course is designed to follow the Medical II course. Clinical rotations focus on treatment of special patient populations and special clinical situations. Clinical areas include: Emergency Departments, Geriatric Care Facilities, gynecology and obstetrical areas, neonatal and pediatric units, and mental health facilities.

Prerequisites: PAR101, 102, 103, 201, 202 with a C grade or Better Co-requisites: PAR 104

I. Overall Course Purposes and Objectives Upon completion of this course the student will be able to: a. Accomplish skills with a high degree of proficiency. b. Identify the need for a skill to be performed. c. Display an exceptional “working” knowledge of the skill. d. Function as part of a team and take charge of that team when applicable. e. Anticipates problems and independently takes action where appropriate. f. Be extremely effective in dealing with patients and others. g. Display a compassionate attitude with the patient and family. h. Show keen interest and initiative. i. Show high motivation. j. Assist in the delivery of a child. k. Assist in the care and treatment of the neonate and pediatric patient. l. Deliver care and treatment for the obstetrical patient. m. Deliver care and treatment for the geriatric patient.

II. Outline and Concepts of the Course: a. Patient assessment including relevant medical history and conducting a physical examination in pregnant patients, to include: Chart Review, Vital Signs, Staging of Labor b. Assist in normal cephalic deliveries to include suctioning, clamping, and cutting the cord. c. Observe and assist if possible in abnormal deliveries. d. Assist in the management of the newborn, including APGAR scoring, suctioning, heat retention, oxygen administration, and resuscitation. e. Perform infant and child CPR by AHA standards. f. Control Post-Partum hemorrhage with fundal massage and oxytocin. g. Patient assessment including developing relevant medical history, and conducting a physical examination in and for the pediatric patient to include: Vital Signs, Primary Survey, Secondary Survey, Neurological Assessment, Pediatric Glasgow Coma Scale, Heart and Lung Sounds. h. Assist in the review and assessment and management of patients with seizures, febrile illnesses, and other life threatening pediatric emergencies. i. Perform peripheral IV insertions in pediatric patients including selection of proper equipment, solutions, dosages, and anatomical sites. j. Given a medication order, prepare and administer IV push, IV infusion, SQ, ET, SL, and IM medications from ampules, vials or tubexes in the correct dose.

141 New-Curriculum Proposal Form, Pg. 142 k. Perform endotracheal intubation in pediatric patients including correct equipment selection and preparation, pre-oxygenation, insertion, assessment of tube placement, maintenance of tube placement, and removal with re-ventialtion and repeat attempt as needed. l. Management of the pediatric airway.

III. Instructional Methods and Evaluation Techniques The primary instructional method used during this course is one on one interaction with a clinical or field preceptor. Students will become proficient in skill’s knowledge, procedural and performance objectives. Other methods may be used for remediation, lectures, films, slide presentations, videos, and demonstrations. Students will have handbooks to guide them through this course.

The students will be graded on a scale ranging from one (1) to five (5) in the following performance areas: Professionalism/Attitude, Work Organizational Skills, Integrity, Psychomotor Skills, Overall Rating. A one (1) corresponds to unsatisfactory performance, indicating the need for additional training/practice. A five (5) corresponds to excellent performance, indicating the student is performing at a level expected of an experienced clinician. For successful completion of this course, the student must show a mastery level in each performance area as indicated by an average score of three (3) to four (4) on their Daily Rotation Evaluation form.

The Clinical Coordinator, Instructor Coordinator or Program Director will visit each student throughout the course to monitor and evaluate student performance. The student’s preceptor will complete evaluation sheets by the end of the shift.

PAR203 Rotation Objectives

PEDIATRIC ROTATION : (24 hours) The purpose of this rotation is to expose the paramedic student to the specialized care given to pediatric patients in the intensive care environment. With the introduction of new pediatric protocols, and PALS it becomes necessary for the paramedic to be completely familiar with all aspects of the emergency care of children. The paramedic student shall be able to broaden his/her skills and knowledge by working along with the staff in this area. These skills include but are not limited to:

a. Patient Assessment. b. Interpretation of Lab Exams. c. Interaction with Physicians, Nurses, and Technicians. d. Working as a Team Member with staff. e. Documentation on Patient Charts.

Clinical Objectives:  Patient assessment including developing relevant medical history and conducting a physical examination in and for the pediatric patient to include: o vital signs o primary survey o secondary survey including: o neurological assessment o Pediatric Glasgow Coma Scale o Heart and lung sounds  Assist in and review the assessment and management of patients with seizures, febrile illnesses, and other life threatening pediatric emergencies.  Perform peripheral IV insertions in pediatric patients including selection of proper equipment, solutions, dosages, and anatomical sites.  Given a medication order, prepare and administer IV push, IV drip, SQ, ET, SL, and IM medications from ampules, vials, or tubexes in the correct dose.  Perform endotracheal intubation in pediatric patients including correct equipment selection and preparation, pre-oxygenation, insertion, assessment of the tube placement, maintenance of tube placement, and removal with re-ventilation and repeat attempt as needed.  Management of the pediatric airway  Infant and child CPR by AHA standards.

Completion Criteria:  Minimum of sixteen (24) hours  Average/Above Average clinical evaluations from the nurse preceptor  The student must demonstrate the ability to perform a comprehensive assessment on at least 10 pediatric patients including infant, toddler, and school age.  10 Written case presentations  Assist and manage pediatric patient care  Assist and administer pediatric medications

OB/GYN and NICU: (24 hours OB/GYN) The purpose of this rotation is to allow the paramedic student to observe and assist if requested in the care of patients in this unit. Students shall have the opportunity to further their medical knowledge by discussing cases with the unit staff.

Clinical Objectives:  Patient assessment including developing relevant medical history and conducting a physical examination in pregnant patients, to include:  Chart review  Vital signs  Staging of labor  Assist in normal cephalic deliveries to include suctioning, clamping and cutting of the cord.  Observe and assist if possible in abnormal deliveries.  Assist in the management of the newborn including APGAR scoring, suctioning, heat retention, oxygen administration, and resuscitation.  Perform infant CPR by AHA standards.  Control post-partum hemorrhage with fundal massage and oxytocin.

Completion Criteria  Minimum of twenty-four (24) hours Labor & Delivery and sixteen (16) hours NICU  Average/Above Average clinical evaluation from nurse preceptor  Observe and/or assist in one (1) Normal Single Vaginal Delivery  The student must demonstrate the ability to perform a comprehensive assessment on at least 10 obstetric patients.  The student must demonstrate the ability to perform a comprehensive assessment on at least 10 newborn patients.  5 Case Studies L & D

EMERGENCY DEPARTMENT - Medical Concentration Rotation: (24 hours) This rotation will permit the paramedic student to broaden his/her knowledge on the special care required for Medical patients. Each student will be under the direct supervision of the Nursing staff in the Emergency Department. Students will be encouraged to discuss specific cases with the doctors and staff of the unit and will need to demonstrate proficiency for each of the following:

Clinical Objectives:  Document findings including subtle changes in patient assessments.  Observe, understand and assist in patient care including: . History Taking and performing a physical exam for adult and pediatric patients including:  Vital Signs, GCS and Neurologic Exams, Heart and Lung Sounds . Management and Support for patients with:  Respiratory Distress (Obstructed Airway, COPD, Asthma, Etc.)  Chest Pain and Cardiovascular Emergencies (MI, CHF, Dysrhythmias, Etc.)  Altered Mental Status / Acute intoxication / Overdoses / Poisonings  Abdominal Pain 146 New-Curriculum Proposal Form, Pg. 147  Obstetrical / Gynecological Emergencies  Communicable Diseases  Environmental Emergencies  Diabetic Emergencies  Other life threatening emergencies . Skills of:  Use of basic, advanced and surgical airway adjuncts and suctioning o (NPA, OPA, ETT, NTT, Cricothyrotomy) o Rapid Sequence Intubation Procedures  IV insertion, blood sample draw, fluid replacement and IV maintenance  Differential diagnosis assessment and understanding  Medication administration appropriate to the patient’s condition  Arterial Blood Gas interpretation  ECG interpretation and appropriate treatment including 12 leads o Defibrillation, Carotid Sinus Massage, Pacing, Cardioversion  Needle Chest Decompression  Equipment troubleshooting

Completion Criteria  Minimum of sixteen (24) hours  An ‘Average’ or ‘Above Average’ clinical evaluation from the nurse preceptor  The student must demonstrate the ability to perform a comprehensive assessment, and formulate and implement a treatment plan on the following patients: . Cardiac (10 patients) . Respiratory (10 adult, 8 pediatric) . Syncope (10 Patients) . Abdominal Complaints (20 patients) . Altered Mental Status (20 patients) . 10 written case presentations

EMERGENCY DEPARTMENT - Trauma Concentration Rotation: (16 hours) This rotation will permit the paramedic student to broaden his/her knowledge on the special care required for Trauma patients. Each student will be under the direct supervision of the Nursing staff in the Emergency Department. Students will be encouraged to discuss specific cases with the doctors and staff of the unit and will need to demonstrate proficiency for each of the following:

Clinical Objectives:  Observe and assist with the interview and history taking process and physical exam.  Document findings including subtle changes in patient assessments.  Observe, understand and assist in patient care including: . History Taking and performing a physical exam including GCS and Neurologic Exams . Determining Mechanism of Injury and the relevance of Kinematics to injury . Airway Management and Ventilatory Support including:  C-Spine precautions and Jaw Thrust Maneuvers  Oxygen Delivery via mask or BVM  Use of basic, advanced and surgical airway adjuncts 147 New-Curriculum Proposal Form, Pg. 148  Rapid Sequence Intubation Procedures  Mechanical Ventilator usage including PEEP  Chest Tube Placement, assessment and maintenance  Arterial Blood Gas Sampling and interpretation . Circulatory Management and Hemorrhage Control including:  Basic Hemorrhage Control Measures  IV insertion and maintenance including Central Venous Access  Fluid replacement  Medication administration and Intravenous Pump Infusions . Burn Patient management . Fracture reduction and post-care . Pain management . Urinary Catheterization . Assessment and management of the patient with communicable diseases or that has a depressed immune function  Become proficient in and demonstrate knowledge in: . History Taking and the Interview process . Performing an accurate and thorough Physical Exam . Determining an appropriate differential diagnosis to appropriate treatment . Use of Pulse Oximetry and End Tidal CO2 Monitors . Advanced Airway Management Procedures relative to Trauma Patients . Cardiac Rhythm Strip Interpretation including 12 Lead ECG’s . Intravenous Medication and Fluid Administration (Bolus and Infusion) . Appropriateness of Medication Administration relative to patient condition . Lung, Cardiac and Bowel Sounds . Defibrillation and Pacing . Burn Patient Management

Completion Criteria  Minimum of sixteen (16) hours  An ‘Average’ or ‘Above Average’ clinical evaluation from the nurse preceptor  The student must demonstrate the ability to perform a comprehensive assessment, and formulate and implement a treatment plan on at least 20 trauma patients.  10 written case studies.

MENTAL HEALTH: (8 hours) This rotation will permit the paramedic student to broaden his/her knowledge on the special care required in treating mental health patients. Each student will be under the direct supervision of the Psychiatrist and Psychiatric Nurse. Students shall be encouraged to discuss specific cases with the doctors and staff of the unit and will need to demonstrate proficiency for each of the following:

Clinical Objectives:  Observe the management and assist in the interview of patients with the following disturbances: Suicidal Feelings Hostility and violent behavior Acute grief and depression Paranoia

148 New-Curriculum Proposal Form, Pg. 149 Hysterical conversion Alcohol and drug addiction  Assist in the restraint of combative patients.  Record the use of drugs for the above mentioned problems

Field Summative Evaluation (100 hours) This summative field evaluation determines if the student is competent to serve as an entry-level clinician. Field rotations place the student in the role of team leader for all calls and expect them to integrate history taking, physical exam, and cognitive knowledge into the total management of the patient. Comprehensive examinations evaluate the candidate’s knowledge base and psychomotor skills.

I. Overall Course Purposes and Objectives Upon completion of this course the student will be able to: k. Accomplish skills with a high degree of proficiency. l. Identify the need for a skill to be performed. m. Display an exceptional “working” knowledge of the skill. n. Function as part of a team and take charge of that team when applicable. o. Anticipates problems and independently takes action where appropriate. p. Be extremely effective in dealing with patients and others. q. Display a compassionate attitude with the patient and family. r. Show keen interest and initiative. s. Show high motivation. t. Display the ability to function as an independent Paramedic.

II. Outline and Concepts of the Course: u. Triage of patients with medical and traumatic complaints. v. Patient assessment including developing relevant medical history and conducting a physical examination in adult and pediatric patients to include: Vital Signs, Primary Survey, Secondary Survey, Neurological Assessment, Heart and Lung Sounds, Glasgow Coma Scale. w. Assist in and review the assessment and management of patients with: i. Major traumatic injuries to the head, chest, abdomen, spine, pelvis, extremities ii. Burns iii. Respiratory Distress iv. Chest Pain and/or life sustaining dysrhythmias v. Other Cardiovascular Emergencies vi. CNS Depression Emergencies vii. Acute Abdominal Pain viii. Drug Overdose, Intoxication, Poisoning ix. Environmental Emergencies x. Obstetrical Emergencies xi. Gynecological Emergencies xii. Communicable Diseases xiii. Diabetic Emergencies xiv. Other Life Threatening Emergencies x. Perform peripheral, central and intraosseous IV insertion in adult and pediatric patients respectively, including the proper selection of equipment, solutions, dosages, and anatomical sites. 149 New-Curriculum Proposal Form, Pg. 150 y. Given a medication order, prepare and administer IV push, IV infusion, SQ, ET, SL, and IM medications from ampules, vials or tubexes in the correct dose. z. Perform endotracheal intubation in pediatric and adult patients including correct equipment selection and preparation, pre-oxygenation, insertion, assessment of tube placement, maintenance of tube placement, and removal with re-ventilation and repeat attempt as needed. aa. Management of adult and pediatric airway in unconscious patients by manual techniques and insertion and placement of oropharyngeal and nasopharyngeal airways. bb. Oral and endotracheal suctioning techniques. cc. Ventilate adult and pediatric patients with BVM and attach BVM to ETT, assists with oxygen delivery systems and mechanical respirators. dd. Management of the adult and pediatric obstructed airway, and utilization of the adult and pediatric Magill Forceps. ee. Infant, Child, and Adult CPR by current AHA standards. ff. Perform insertion of OPA, NPA, Combitube, LMA, Quicktrach as indicated. gg. Use monitor/defibrillator unit correctly to include testing, calibration, application of electrodes, “quick look” lead II assessment, MCL1, recording and interpreting rhythms, defibrillation, synchronized cardioversion, and troubleshooting poor tracings. hh. Carotid sinus massage, precordial thump techniques as indicated. ii. Decompression of tension pneumothorax. jj. Appropriate application of MAST, extremity and spinal immobilization devices. kk. Proper use of portable and mobile transmitter/receiver to transfer verbal orders and information and to monitor and transmit data. ll. Organize and transmit patient assessment and EKG. mm. Monitor patient status during transport. nn. Properly complete written PCR and appropriate EMS forms.

Completion Criteria  Accomplish skills with a high degree of proficiency.  Identify the need for a skill to be performed.  Display an exceptional “working” knowledge of the skill.  Function as a part of a team and take charge of that team when applicable.  Anticipates problems and independently takes action where appropriate.  Be extremely effective when dealing with patients and others.  Display a compassionate attitude with the patient and family.  Show keen interest and initiative.  Show high motivation.  Complete at least 50 ALS calls with an ALS Field Internship Agency with a corresponding PCR for each response.  Display the ability to function as an independent Paramedic in a team leader position on at least 25 of the 50 ALS emergency responses with a corresponding PCR for each response.

Suffolk Community College Paramedic Training Program PAR203 Clinical III Intern Summary

152 Suffolk Community College Paramedic Training Program Intensive Care Clinical Rotation Record PAR203 CCU

STUDENT NAME DATE  Intensive Care Unit SITE TOUR  Coronary Care

PROCEDURE # OBSERVED #ASSISTED #PERFORMED COMMENTS HISTORY TAKING / PHYSICAL EXAM ENDOTRACHEAL INTUBATION PULSE OXIMETRY

END TIDAL CO2 MONITORING ENDOTRACHEAL SUCTIONING CARDIAC MONITORING 12 LEAD ECG IV MEDICATION NEBULIZED MEDICATION VENTILATOR SETTINGS PEEP SPIROMETRY CPAP CARDIAC OUTPUT STUDIES ARTERIAL BLOOD GAS SAMPLING CENTRAL VENOUS ACCESS INTRAVENOUS PUMP INFUSION CHEST TUBE PLACEMENT TRACHEOSTOMY CARE

COMMENTS:

154 Suffolk Community College Paramedic Training Program MHU Psychiatry Clinical Rotation Record PAR203

BEHAVIORS OBSERVED # OBSERVED COMMENTS - OBSERVATIONS ACUTE DEPRESSION

HOSTILITY GRIEF BIPOLAR DISEASE PARANOIA SCHIZOPHRENIA SUICIDAL IDEATION SUBSTANCE ABUSE

PROCEDUERES OBSERVED PATIENT INTERVIEW PATIENT RESTRAINT PHARMACOLOGIC TREATMENT PATIENT PROGRESS

COMMENTS

ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 New-Curriculum Proposal Form, Pg. 156 PRECEPTOR NAME ______SIGNATURE ______

Suffolk Community College Paramedic Training Program PED PAR203

STUDENT NAME DATE SITE TOUR D # OBSERVED #PERFORMED PROCEDURE # OBSERVED #PERFORMED

HISTORY TAKING CARDIAC MONITORING PHYSICAL EXAM IV INSERTION MANUAL AIRWAY CONTROL IO INSERTION OROPHARYNGEAL AIRWAY IV/IO BOLUS MEDICATION ENDOTRACHEAL INTUBATION IV/IO INFUSION MEDICATION BVM VENTILATION NEBULIZED MEDICATION OBSERVED PATHOLOGICAL CONDITIONS RESPIRATORY DISTRESS PNEUMONIA ASTHMA FEVER BRONCHIOLITIS SEPSIS CROUP DEHYDRATION/HYPOVOLEMIA EPIGLOTTITIS SEIZURES TRAUMA 1 Unsatisfactory 2 Tentative 3 Competent 4 Good 5 Excellent Requires assistance Needs Guidance Minimal Prompting No Prompting Experienced level Needs more training Area of Performance Rating INTEGRITY Examples of professional behavior include, but are not limited to: Consistent honesty; being able to be trusted with the property of others; can be trusted with confidential information; complete and accurate documentation of patient care and learning activities. EMPATHY Examples of professional behavior include, but are not limited to: Showing compassion for others; responding appropriately to the emotional response of patients and family members; demonstrating respect for others; demonstrating a calm, compassionate, and helpful demeanor toward those in need; being supportive and reassuring to others. SELF - Examples of professional behavior include, but are not limited to: Taking initiative to complete assignments; taking MOTIVATION initiative to improve and/or correct behavior; taking on and following through on tasks without constant supervision; showing enthusiasm for learning and improvement; consistently striving for excellence in all aspects of patient care and professional activities; accepting constructive feedback in a positive manner; taking advantage of learning opportunities APPEARANCE AND Examples of professional behavior include, but are not limited to: Clothing and uniform is appropriate, neat, clean and PERSONAL well maintained; good personal hygiene and grooming. HYGIENE SELF - Examples of professional behavior include, but are not limited to: Demonstrating the ability to trust personal judgement; CONFIDENCE demonstrating an awareness of strengths and limitations; exercises good personal judgement COMMUNICATIONS Examples of professional behavior include, but are not limited to: Speaking clearly; writing legibly; listening actively; adjusting communication strategies to various situations TIME Examples of professional behavior include, but are not limited to: Consistent punctuality; completing tasks and MANAGEMENT assignments on time. TEAMWORK AND Examples of professional behavior include, but are not limited to: Placing the success of the team above self interest; not DIPLOMACY undermining the team; helping and supporting other team members; showing respect for all team members; remaining flexible and open to change; communicating with others to resolve problems. RESPECT Examples of professional behavior include, but are not limited to: Being polite to others; not using derogatory or demeaning terms; behaving in a manner that brings credit to the profession.

156 New-Curriculum Proposal Form, Pg. 157 PATIENT Examples of professional behavior include, but are not limited to: Not allowing personal bias to or feelings to interfere ADVOCACY with patient care; placing the needs of patients above self interest; protecting and respecting patient confidentiality and dignity. CAREFUL Examples of professional behavior include, but are not limited to: Mastering and refreshing skills; performing complete DELIVERY OF equipment checks; demonstrating careful and safe ambulance operations; following policies, procedures, and protocols; SERVICE following orders COMMENTS

PRECEPTOR NAME SIGNATURE Suffolk Community College Paramedic Training Program OB/NICU Obstetrics / Neonatology

PAR203

PROCEDURE # OBSERVED PROCEDURE # OBSERVED

HISTORY TAKING NEONATAL ASSESSMENT (APGAR) PHYSICAL EXAM NEONATAL AIRWAY MANAGEMENT

ACTIVE LABOR MECONIUM ASPIRATION

FETAL MONITORING NEONATAL RESUSCITATION

NORMAL VAGINAL DELIVERY DELIVERY & ASSESSMENT OF PLACENTA

SURGICAL EPISIOTOMY POST PARTUM CARE

ABNORMAL PRESENTATION POST PARTUM HEMORRHAGE

CESAREAN DELIVERY OTHER OBSTETRIC CARE PROCEDURES

PITOCIN INFUSION 1 Unsatisfactory 2 Tentative 3 Competent 4 Good 5 Excellent Requires assistance Needs Guidance Minimal Prompting No Prompting Experienced level Needs more training Area of Performance Rating INTEGRITY Examples of professional behavior include, but are not limited to: Consistent honesty; being able to be trusted with the property of others; can be trusted with confidential information; complete and accurate documentation of patient care and learning activities. EMPATHY Examples of professional behavior include, but are not limited to: Showing compassion for others; responding appropriately to the emotional response of patients and family members; demonstrating respect for others; demonstrating a calm, compassionate, and helpful demeanor toward those in need; being supportive and reassuring to others. SELF - Examples of professional behavior include, but are not limited to: Taking initiative to complete assignments; taking MOTIVATION initiative to improve and/or correct behavior; taking on and following through on tasks without constant supervision; showing enthusiasm for learning and improvement; consistently striving for excellence in all aspects of patient care and professional activities; accepting constructive feedback in a positive manner; taking advantage of learning opportunities APPEARANCE Examples of professional behavior include, but are not limited to: Clothing and uniform is appropriate, neat, clean and AND PERSONAL well maintained; good personal hygiene and grooming. HYGIENE SELF - Examples of professional behavior include, but are not limited to: Demonstrating the ability to trust personal judgement; CONFIDENCE demonstrating an awareness of strengths and limitations; exercises good personal judgement COMMUNICATION Examples of professional behavior include, but are not limited to: Speaking clearly; writing legibly; listening actively; S adjusting communication strategies to various situations TIME Examples of professional behavior include, but are not limited to: Consistent punctuality; completing tasks and MANAGEMENT assignments on time. 157 New-Curriculum Proposal Form, Pg. 158 TEAMWORK AND Examples of professional behavior include, but are not limited to: Placing the success of the team above self interest; not DIPLOMACY undermining the team; helping and supporting other team members; showing respect for all team members; remaining flexible and open to change; communicating with others to resolve problems. RESPECT Examples of professional behavior include, but are not limited to: Being polite to others; not using derogatory or demeaning terms; behaving in a manner that brings credit to the profession. PATIENT Examples of professional behavior include, but are not limited to: Not allowing personal bias to or feelings to interfere ADVOCACY with patient care; placing the needs of patients above self interest; protecting and respecting patient confidentiality and dignity. CAREFUL Examples of professional behavior include, but are not limited to: Mastering and refreshing skills; performing complete DELIVERY OF equipment checks; demonstrating careful and safe ambulance operations; following policies, procedures, and protocols; SERVICE following orders COMMENTS

PRECEPTOR NAME SIGNATURE

Suffolk Community College Paramedic Training Program Emergency Department Rotation Record ED PAR203 Medica

STUDENT NAME DATE SITE TOUR lPT CONTACTS

SKILLS OBSERVED ASSISTED PERFORMED TOTAL Assessment/Management OBSERVED ASSISTED PERFORMED TOTAL HISTORY RESPIRATORY DISTRESS VITAL SIGNS CHEST PAIN PHYSICAL EXAM ALTERED MENTAL STATUS LUNG SOUNDS ABDOINAL PAIN HEART SOUNDS OBSTRETIC EMERGENCIES HYPEREXTENSION GYNECOLOGICAL EMERGENCIES JAW THRUST COMMUNICABLE DISEASES ORAL AIRWAY ENVIRONMENTAL EMERGENCIES NASAL AIRWAY DIABETIC EMERGENCIES SUCTION LIST OTHERS: OXYGEN BAG-VALVE-MASK CPR MAST OTHER OBSERVED ED PROCEDURES BLEEDING CONTROL OBSERVED ASSISTED COMMENTS ET INTUBATION SUTURING CRICOTHYROTOMY FRACTURE REDUCTION MAGILL FORCEPS ARTERIAL BLOOD GAS ET SUCTION MECH. VENTILATOR IV INSERTION CENTVENOUS CCESS BLOOD DRAW CHEST TUBE IV BOLUS MEDS URINARY CATHETER IV INFUSION MEDS NEBULIZED MEDS LIST OTHERS: SUBLINGUAL MEDS SUBCUT MEDS IM MEDS ET MEDS ECG MONITORING 12 LEAD ECG DEFIBRILLATION CARDIOVERSION EXTERNAL PACING

1 Unsatisfactory 2 Tentative 3 Competent 4 Good 5 Excellent Requires assistance Needs Guidance Minimal Prompting No Prompting Experienced level Needs more training Area of Performance Rating Professionalism/Attitude: The student’s behavior demonstrated integrity, empathy, self-motivation, self-confidence, teamwork, diplomacy, respect, patient advocacy, careful delivery of service, appropriate appearance and personal hygiene. 158 New-Curriculum Proposal Form, Pg. 159 Work Organizational Skills: Punctual, uses effective time management. Performs tasks in a logical, orderly manner, recognizes tasks that need to be done and takes initiative to do them. Demonstrates sufficient forethought into actions. Integrity: Examples of professional behavioral include, but are not limited to: Consistent honesty; being able to be trusted with the property of others; can be trusted with confidential information; complete and accurate documentation of patient care and learning activities. Psychomotor Skills: The student accomplishes psychomotor skills and patient assessments completely and proficiently.

COMMENTS ______

______

Suffolk Community College Paramedic Training Program ED Emergency Department Rotation Record PAR203 Trauma

OBSERVED ASSISTED PERFORMED TOTAL OBSERVED ASSISTED PERFORME TOTAL SKILLS Assessment/Management D HISTORY MULTISYSTEM TRAUMA VITAL SIGNS BLUNT TRAUMA PHYSICAL EXAM PENETRATING TRAUMA LUNG SOUNDS HEMORRHAGE & SHOCK HEART SOUNDS BURNS HYPEREXTENSION MUSCULOSKELETAL TRAUMA JAW THRUST HEAD, FACIAL, & NECK TRAUMA ORAL AIRWAY SPINAL TRAUMA NASAL AIRWAY THORACIC TRAUMA SUCTION ABDOMINAL TRAUMA OXYGEN OTHERS: BAG-VALVE-MASK CPR MAST OTHER OBSERVED ED PROCEDURES BLEEDING CONTROL OBSERVED ASSISTED COMMENTS ET INTUBATION SUTURING CRICOTHYROTOMY FRACTURE REDUCTION MAGILL FORCEPS ARTERIAL BLOOD GAS ET SUCTION MECH. VENTILATOR IV INSERTION CENTVENOUS CCESS BLOOD DRAW CHEST TUBE IV BOLUS MEDS URINARY CATHETER IV INFUSION MEDS NEBULIZED MEDS LIST OTHERS: SUBLINGUAL MEDS SUBCUT MEDS IM MEDS ET MEDS ECG MONITORING 159 New-Curriculum Proposal Form, Pg. 160 12 LEAD ECG DEFIBRILLATION CARDIOVERSION EXTERNAL PACING

COMMENTS ______

______

Suffolk Community College Paramedic Education Program Case Study PAR203

CHIEF COMPLAINT

160 New-Curriculum Proposal Form, Pg. 161 SUBJECTIVE ASSESSMENT

COMMENTS

HEENT: ______

Neck: ______

Chest: ______

Abdomen: ______

Facility Administered Medications

165 Suffolk Community College Paramedic Training Program PAR203 Summative Evaluation Intern Summary

Date TimeAgency Preceptor Shift Total Hour Hours s

Suffolk Community College Paramedic Training Program Field Internship / Summative Evaluation INT STUDENT NAME DATE SITE TOUR PT CONTACTS

OBSERVED ASSISTED PERFORMED M-MEDICAL TOTALS OBSERVED ASSISTED PERFORMED M-MEDICAL TOTALS SKILLS T-TRAUMA SKILLS T-TRAUMA P-PEDIATRIC P-PEDIATRIC ET HISTORY INTUBATION VITAL SIGNS ET SUCTION PHYSICAL EXAM MAGIL FORCEPS LUNG SOUNDS CRICOTHYROTOMY HEART SOUNDS THORACENTESIS HYPEREXTENSION LARYNGOSCOPY MOD. JAW THRUST EGTA/EOA/COMBITUBE ORAL AIRWAY IV INSERTION NASAL AIRWAY BLOOD DRAW SUCTION IV BOLUS MEDS OXYGEN IV INFUSION MEDS BAG VALVE MASK NEBULIZED MEDS CPR SUBLINGUAL MEDS C – COLLAR SUBCUT MEDS KED/SHORT BOARD IM MEDS LONG SPINE BOARD ET MEDS HELMET REMOVAL ECG MONITORING STANDING TAKEDOWN ECG INTERPRETATION RAPID EXTRICATION 12 LEAD ECG BLEEDING CONTROL DEFIBRILLATION MAST CARDIOVERSION FIXATION SPLINT EXTERNAL PACING OBS / DELIVERY 1 Unsatisfactory 2 Tentative 3 Competent 4 Good 5 Excellent Requires assistance Needs Guidance Minimal Prompting No Prompting Experienced Rating

167 New-Curriculum Proposal Form, Pg. 168 Examples of professional behavior include, but are not limited to: Consistent honesty; being able to be trusted with the INTEGRITY property of others; can be trusted with confidential information; complete and accurate documentation of patient care and learning activities. Examples of professional behavior include, but are not limited to: Showing compassion for others; responding appropriately EMPATHY to the emotional response of patients and family members; demonstrating respect for others; demonstrating a calm, compassionate, and helpful demeanor toward those in need; being supportive and reassuring to others. Examples of professional behavior include, but are not limited to: Taking initiative to complete assignments; taking SELF - MOTIVATION initiative to improve and/or correct behavior; taking on and following through on tasks without constant supervision; showing enthusiasm for learning and improvement; consistently striving for excellence in all aspects of patient care and professional activities; accepting constructive feedback in a positive manner; taking advantage of learning opportunities Examples of professional behavior include, but are not limited to: Clothing and uniform is appropriate, neat, clean and well APPEARANCE AND maintained; good personal hygiene and grooming. PERSONAL HYGIENE Examples of professional behavior include, but are not limited to: Demonstrating the ability to trust personal judgement; SELF - CONFIDENCE demonstrating an awareness of strengths and limitations; exercises good personal judgement Examples of professional behavior include, but are not limited to: Speaking clearly; writing legibly; listening actively; COMMUNICATIONS adjusting communication strategies to various situations Examples of professional behavior include, but are not limited to: Consistent punctuality; completing tasks and assignments TIME MANAGEMENT on time. Examples of professional behavior include, but are not limited to: Placing the success of the team above self interest; not TEAMWORK AND undermining the team; helping and supporting other team members; showing respect for all team members; remaining DIPLOMAC flexible and open to change; communicating with others to resolve problems. Y Examples of professional behavior include, but are not limited to: Being polite to others; not using derogatory or demeaning RESPECT terms; behaving in a manner that brings credit to the profession. Examples of professional behavior include, but are not limited to: Not allowing personal bias to or feelings to interfere with PATIENT ADVOCACY patient care; placing the needs of patients above self interest; protecting and respecting patient confidentiality and dignity. Examples of professional behavior include, but are not limited to: Mastering and refreshing skills; performing complete CAREFUL DELIVERY equipment checks; demonstrating careful and safe ambulance operations; following policies, procedures, and protocols; OF following orders SERVICE COMMENTS ______

______

Suffolk Community College Paramedic Training Program Shift Evaluation

Agency: ______Shift: ______

Preceptor: ______Date: ______

Skills:

Comments:

Preceptor Signature: ______Date: ______

169 Letter-of-Intent/Support Form, Pg. 1 Suffolk Community College Paramedic Program Case Study

Attach and Number Electrocardiograms and Denote Interpretations SUFFOLK COUNTY COMMUNITY COLLEGE NEW-COURSE PROPOSAL FORM

ORIGINATING CAMPUS: ( x ) Ammerman ( ) Eastern ( ) Grant Date Submitted to Curriculum Committee: _____ 03/08

( x ) Electronic Letter-of-Intent

( x) Vote(s) of Department:

Name of Department: Education Health and Human Services For: _10____ Against: __0___ Abstentions: _____ Date of Vote: ______Proposer's Initials: _____ Select One: Approved_____ Not approved_____

ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 Letter-of-Intent/Support Form, Pg. 2

Date______

Comments:

NAME OF PROPOSAL: _____PAR201

DEPARTMENT/DISCIPLINE:__EDUCATION HEALTH AND HUMAN SERVICES___

This clinical course is designed to accompany the Introduction to Paramedicine course. Rotations focus on the development of triage skills, recognition of disease pathology and progression, intravenous therapy, blood sampling, medication administration skills, airway management, and communication skills. Clinical rotations include Emergency Department, Phlebotomy, Fire Rescue Communications, Medical Examiner, Medical Control, Airway Simulation Lab, and Ambulance Field time. Co-Requisites: PAR101

h. Triage of patients with medical and traumatic complaints i. Patient assessment including developing relevant medical history and conducting a physical examination in adult and pediatric patients to include: Vital Signs, Primary Survey, and Secondary Survey including but not limited to Neurological Exam Heart and Lung Sounds Glasgow Coma Scale j. Patient Assessment will be performed on but not limited to patient complaints including but not limited to: Major traumatic injuries to the head, chest, abdomen, spine, pelvis, extremities Respiratory distress Chest pain and/or life threatening dysrhythmias Other cardiovascular emergencies CNS depression emergencies Acute abdominal pain Obstetrical emergencies Gynecological emergencies Communicable diseases

Diabetic emergencies Other life-threatening emergencies k. Perform peripheral, central, and intraosseous IV insertions in adult and pediatric patients respectively, including the selection of proper equipment, solutions, dosages and anatomical sites. l. Given a medication order, prepare and administer IV bolus, IV infusion, SQ, ET, SL, and IM medications from ampules, vials, and tubexes in the correct dose. m. Infant, child, and adult CPR by current AHA standards. Properly complete written PCR and appropriate EMS forms.

III. RELATIONSHIP TO STUDENTS G. Credits and Contact Hours (Provide a rationale for proposed credits and contact hours. See the formula for credit hours and contact hours on the Curriculum Website.)

Credit Hours__4___ Contact Hours___4__

Lecture_____ Lab_____ Studio_____ Internship__X___

Lab Fees______Course Fees___55.00 ______

Please explain as necessary:_

__FISDAP Clinical tracking system. One time fee to the student for the duration of the program.______

The clinical component of the course is where students apply cognitive, psychomotor, and affective knowledge learned throughout the lecture and laboratory portions of the paramedic program. Exposure to real life medical scenarios under the supervision of a preceptor will aid in the preparation of the student to function as a member of the healthcare team.

Co-requisite- PAR 101

E. Transferability (Would this course transfer to any other institutions? If so, give examples of transfer institutions/departments who would accept this course. Give the name(s) of the courses it would transfer as.)

This is a programmatic course unlikely to be accepted at another institution.

F. Master Schedule (How would this course fit into the Master Schedule? How often would it be offered? Would it be offered in the Fall? Spring? Summer? Winter?)

This course will run the spring and summer 1 semester ever other year.

G. Estimate of student enrollment (How many students are anticipated to initially enroll in this course per semester? Per year? How were these enrollment figures determined?) 24 students maximum due to clinical site space.

H. Class Size (What is the maximum number of students that should be allowed to enroll in one section of this course? Provide a rationale for this class size. Should the class size be forcible?)

A maximum of 24 students will be allowed. NYS DOH sets student to faculty ratios at 6 students to 1 instructor for lab settings. This cannot be changed and students may not be forced into the course.

1 New FT hire for Paramedic and EMT Program

V. RELATIONSHIP TO SUNY GENERAL EDUCATION REQUIREMENTS* NA Is this course being proposed as a SUNY General Education Course. If so,

B. Demonstrate how the course objectives map to the SUNY Learning Outcomes for the knowledge and skills areas you have identified. (See the Curriculum Website for further details about the required outcomes.) ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 Letter-of-Intent/Support Form, Pg. 7

Clinical Sites are offered to our students through the existing affiliation agreements with SCCC and area hospitals and healthcare facilities. There is no space requirement of the college. There are no additional cost for the college. There will be a one time 55.00 dollar fee to the student for FISDAP a clinical skill tracking computer system for use during the duration of the program.

Name of Department: Education Health and Human Services ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 Letter-of-Intent/Support Form, Pg. 8

For: _10____ Against: __0___ Abstentions: _____ Date of Vote: ______Proposer's Initials: _____ Select One: Approved_____ Not approved_____

( ) Vote of East Congress (if appropriate) For: _____ Against: _____ Abstentions: _____ Date of Vote: ______ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 Letter-of-Intent/Support Form, Pg. 9

Select One: Approved_____ Not approved_____ Abstention_____

Date______

Comments:

This clinical course is designed to follow the Advanced Airway Management course and accompany the Cardiology and Respiratory, Trauma, and Medical Emergencies I Courses. Clinical rotations focus on the development of psychomotor skills and integrative skills. Clinical rotations include: Operating Room, Emergency Department, Respiratory Care, ICU, CCU.

Corequisite: PAR102

x. Perform endotracheal intubation in pediatric and adult patients including correct equipment selection and preparation, pre-oxygenation, insertion, assessment of tube placement, maintenance of tube placement, and removal with re-ventilation and repeat attempts as needed. y. Management of adult and pediatric airway in unconscious patients by manual techniques and insertion and placement of oropharyngeal and nasopharyngeal airways. z. Oral and endotracheal suctioning techniques. aa. Ventilate adult and pediatric patients with BVM and attached BVM to ETT, assists with oxygen delivery systems and mechanical respirators. bb. Management of the adult and pediatric obstructed airway and utilization of the adult and pediatric Magill Forceps. cc. Perform insertion of OPA, NPA, and LMA as indicated. dd. Assist in management of burn, trauma, medical emergencies and cardiac patients. ee. Patient assessment including developing relevant medical history and conducting a physical examination in adult and pediatric patients, to include: vital signs initial assessment detailed and focused assessment including: neurological assessment Glasgow Coma Scale heart and lung sounds/cardiopulmonary exam EKG recognition ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 Letter-of-Intent/Support Form, Pg. 11

ff. Perform peripheral IV insertions in adult and pediatric patients including selection of proper equipment, solutions, dosages, and anatomical sites. gg. Given a medication order, prepare and administer IV push, IV drip, SQ, ET, SL, IM medications from ampules, vials, or tubexes in the correct dose. hh. Assist in cases of cardiac arrest including CPR, airway management, ET intubation, and defibrillation. ii. Assist with the care of endotracheal and tracheostomy tubes, ventilators, and suction techniques. jj. Draw blood samples from IV catheters or with Vacutainer tubes. kk. Monitor and interpret EKG's and change monitor leads. ll. Obtaining a patient history and performing an appropriate assessment. mm. Management of Airway, Aseptic suctioning. nn. Assessment of lung sounds. oo. Assessment of the patient with a communicable disease. pp. Oropharyngeal and tracheal suctioning techniques. qq. Administration of inhalation treatments. rr. Ventilation with Bag Valve Mask and ETT ss. Perform and interpret 12 lead EKG. Interpret Static and Dynamic EKG rhythm strips.

III. RELATIONSHIP TO STUDENTS H. Credits and Contact Hours (Provide a rationale for proposed credits and contact hours. See the formula for credit hours and contact hours on the Curriculum Website.)

The clinical component of the course is where students apply cognitive, psychomotor, and affective knowledge learned throughout the lecture and laboratory portions of the paramedic program. Exposure to real life medical scenarios under the supervision of a preceptor will aid in

the preparation of the student to function as a member of the healthcare team.

Corequisite: PAR102

This course will run the fall semester and winter intersession ever other year.

Clinical Sites are offered to our students through the existing affiliation agreements with SCCC and area hospitals and healthcare facilities. There is no space requirement of the college.

Name of Department: Education Health and Human Services For: _10____ Against: __0___ Abstentions: _____ Date of Vote: ______Proposer's Initials: _____ Select One: Approved_____ Not approved_____

Date______

Comments:

This course is designed to follow the PAR103 and run concurrently with PAR104 special topics for paramedics course. Clinical rotations focus on treatment of special patient populations and special clinical situations. Clinical areas include: Emergency Departments, Geriatric Care Facilities, gynecology and obstetrical areas, neonatal and pediatric units, and mental health facilities.

Prerequisites: PAR101, 102, 103, 201, 202 with a C grade or Better Co-requisites: PAR 104

m. Patient assessment including relevant medical history and conducting a physical examination in pregnant patients, to include: Chart Review, Vital Signs, Staging of Labor n. Assist in normal cephalic deliveries to include suctioning, clamping, and cutting the cord. o. Observe and assist if possible in abnormal deliveries. p. Assist in the management of the newborn, including APGAR scoring, suctioning, heat retention, oxygen administration, and resuscitation. q. Perform infant and child CPR by AHA standards. r. Control Post-Partum hemorrhage with fundal massage and oxytocin. s. Patient assessment including developing relevant medical history, and conducting a physical examination in and for the pediatric patient to include: Vital Signs, Primary Survey, Secondary Survey, Neurological Assessment, Pediatric Glasgow Coma Scale, Heart and Lung Sounds. t. Assist in the review and assessment and management of patients with seizures, febrile illnesses, and other life threatening pediatric emergencies. u. Perform peripheral IV insertions in pediatric patients including selection of proper equipment, solutions, dosages, and anatomical sites. v. Given a medication order, prepare and administer IV push, IV infusion, SQ, ET, SL, and IM medications from ampules, vials or tubexes in the correct dose. w. Perform endotracheal intubation in pediatric patients including correct equipment selection and preparation, pre-oxygenation, insertion, assessment of tube placement, maintenance of tube placement, and removal with re-ventialtion and repeat attempt as needed. x. Management of the pediatric airway.

III. RELATIONSHIP TO STUDENTS I. Credits and Contact Hours ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 Letter-of-Intent/Support Form, Pg. 17

(Provide a rationale for proposed credits and contact hours. See the formula for credit hours and contact hours on the Curriculum Website.)

The clinical component of the course is where students apply cognitive, psychomotor, and affective knowledge learned throughout the lecture and laboratory portions of the paramedic program. Exposure to real life medical scenarios under the supervision of a preceptor will aid in the preparation of the student to function as a member of the healthcare team.

Corequisite: PAR102

This course will run the spring and semester ever other year.

B. Demonstrate how the course objectives map to the SUNY Learning Outcomes for the knowledge and skills areas you have

ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006 Letter-of-Intent/Support Form, Pg. 19 identified. (See the Curriculum Website for further details about the required outcomes.)

Clinical Sites are offered to our students through the existing affiliation agreements with SCCC and area hospitals and healthcare facilities. There is no space requirement of the college.

ALL FORMS MUST BE SUBMITTED ELECTRONICALLY Revised 9/2006