The West Point Fire Department EMS
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WP Fire Department EMS Training Program “The West Point Fire Department EMS Training Program has been issued a Letter of Review by the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP). This letter is NOT a CAAHEP accreditation status; it is a status signifying that a program seeking initial accreditation has demonstrated sufficient compliance with the accreditation Standards through the Letter of Review Self Study Report (LSSR) and other documentation. Letter of Review is recognized by the National Registry of Emergency Medical Technicians (NREMT) for eligibility to take the NREMT's Paramedic credentialing examination(s). However, it is NOT a guarantee of eventual accreditation. “To contact CoAEMSP: 8301 Lakeview Parkway Suite 111-312 Rowlett, TX 75088 214-703-8445 FAX 214-703-8992 www.coaemsp.org” 1 WP Fire Department EMS Training Program WEST POINT FIRE DEPARTMENT EMS TRAINING PROGRAM SKILLS NOTEBOOK 2017-2018 Student Name _________________________ Course Completion Date _____________ 2 WP Fire Department EMS Training Program Table of Contents: Skill Page Abdominal Injuries - Child, Infant 6 Assess and Mgmt - Abdominal Pain 7 Assess and Mgmt - Altered Mental Status 8 Assess and Mgmt - Anaphylaxis 9 Assess and Mgmt - Chemical Burn Injury - Adult, Child, Infant 10 Assess and Mgmt - Communicable Disease 11 Assess and Mgmt - Diabetic Emergencies 12 Assess and Mgmt - Electrical Burn Injury - Adult, Child, Infant 13 Assess and Mgmt - GI Bleed 14 Assess and Mgmt - Heat Emergencies 15 Assess and Mgmt - Hematologic Disorders (Sickle Cell) 16 Assess and Mgmt - HHNK 17 Assess and Mgmt - Inhalation Burn Injury - Adult, Child, Infant 18 Assess and Mgmt - Neurological Status 19 Assess and Mgmt - Radiation Burns - Adult, Child and Infant 20 Assess and Mgmt - Seizures 21 Assess and Mgmt - Snakebite (Envenomation) 22 Assess and Mgmt - Spinal Injury - Adult, Child, Infant 23 Assess & Manage - Spinal Immob: Prone - Adult, Child, Infant 24 Assess & Manage - Spinal Immob: Semi-Prone - Adult, Child, Infant 25 Assess & Manage - Spinal Immob: Sitting (KED) 26 Assess & Manage - Spinal Immob: Standing - Adult, Pediatric 27 Assess & Manage - Spinal Immob: Supine - Adult, Pediatric 28 3 WP Fire Department EMS Training Program Assess and Mgmt - Suspected Stroke 29 Assess and Mgmt - Syncope / Weakness 30 Assessment of Obstetric Patient 31 Assess and Mgmt - Thermal Burn - Adult, Child, Infant 32 Assess and Mgmt - Thoracic Trauma - Adult, Child, Infant 33 Assess & Manage - Traction Splint - Adult, Pediatric 34 Asystole 35 Autovent Usage 36 Bradycardia 38 Capnography (EtCO2) Application and Interpretation 39 Chest Injuries - Child, Infant 41 Chest Pain 42 Clinical Decision Making - Cardiology 43 Defibrillation: Adult, Child, Infant 44 Donning and Properly Adjusting a Personal Flotation Device (PFD) 45 Dosage Calculations 46 Endotracheal Medication Administration - Adult, Pediatric 47 Endotracheal Tube Suction 48 Excessive Post Delivery / Vaginal Bleeding 49 Extremitiy Injuries - Child, Infant 50 Foreign Body Airway Obstruction (FBAO) Retrieval with Direct Laryngoscopy: 52 Infant, Child Gynecological Emergencies 53 Head Injuries - Child, Infant 54 Helmet Removal Techniques 56 Hypertensive Disorders of Pregnancy: Eclampsia / Pre-eclampsia 57 Intramuscular Injection: Adult, Child, Infant 58 Intraosseous Insertion 59 Intubation: Digital 60 4 WP Fire Department EMS Training Program Intubation: Extubation 61 Intubation: Nasotracheal 62 Intubation: Oral 63 Intubation: Child, Infant, Neonate 64 Intubation: Trauma 66 Intravenous Insertion 67 Intravenous Insertion: External Jugular 68 Intravenous Meds: Bolus 69 Intravenous Meds: Drip 70 In-Water Spinal Immobilization Technique - Adult, Child, Infant 71 Malignant PVC’s 72 Metered Dose Inhaler Administration - Adult, Child Infant 73 Monitor/Defibrillator Operation 74 Nasogastric Tube Insertion: Adult, Child Infant 75 Nasogastric Tube Medication Administration 76 Nebulizer Medication Administration: Adult, Child Infant 77 Needle Cricothyrotomy: Child, Infant 78 Normal Cephalic Delivery 79 Oral Medication Administration: Adult, Child Infant 80 Orogastric Tube Insertion: Adult, Child Infant 81 Orogastric Tube Medication Administration: Adult, Child Infant 82 Oxygen Administration Blow-By: Child, Infants 83 Oxygen Administration: Pediatric Non-Rebreather Mask 84 Patient Assessment Medical: Adult 85 Patient Assessment Medical: Child, Infant 87 Patient Assessment Trauma: Adult 89 Patient Assessment Trauma: Child, Infant 91 Post Delivery Care of Mother 93 Pneumocentesis 94 Pulseless Electrical Activity (PEA) 95 Rapid Sequence Intubation (RSI) 96 Rectal Medication Administration: Adult, Child, Infant 97 DATE 5 WP Fire Department EMS Training Program Respiratory Arrest: Adult, Child, Infant 98 SaO2 Monitor 99 Stable Atrial Fibrillation / Atrial Flutter 100 Stable Tachycardia: Narrow Complex 101 Stable Tachycardia: Wide, Unknown Complex 102 Sublingual Medication Administration 103 Subcutaneous Injection: Adult, Child, Infant 104 Suctioning - Nasal: Child, Infant 105 Suctioning - Oral: Child, Infant 106 Suctioning - Bulb Syringe: Child, Infant 107 Surgical Cricothyroidotomy 108 Supraglotic Airway (KING Tube) Insertion 109 Synchronized Cardioversion: Adult, Child, Infant 110 Transcutaneous Pacing 111 Transdermal Medication Administration 112 Unstable Tachycardia 113 Venipuncture: Adult, Child, Infant 114 Ventricular Fibrillation 115 Ventricular Tachycardia: Pulseless 116 12 - Lead Placement 117 6 WP Fire Department EMS Training Program Procedure: Abdominal Injuries - Child, Infant Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly Steps in the Procedure or Task: Rating Equipment and Patient Preparation: Student washes hands Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the caregiver and confirms their understanding Implementation and Assessment: Student assures the scene is safe, applies the appropriate BSI (infection control precautions) Ensure patient is receiving adequate oxygenation, respiratory volume, and rate Significant blunt trauma can result in splenic or hepatic injuries Spleen is the most commonly injured organ in children Palpate all four quadrants, one at a time, for DCAP-BTLS-IC Left upper quadrant pain suggestive of splenic injury Right upper quadrant and/or right lower thoracic pain suggestive of hepatic injury Control external hemorrhage with direct pressure Evisceration: Exposed abdominal organs 1. Remove clothing from around wound 2. Cover wound with sterile dressing soaked with sterile normal saline 3. Cover moistened dressing with sterile occlusive dressing to prevent evaporative drying Impaled Object: Do not remove from patient 1. Prevent from moving by padding around object with bulky trauma dressings 2. Apply direct pressure if moderate to severe hemorrhage is present Treat for shock with positioning, fluids, and maintenance of body temperature Rapid transport to pediatric trauma facility Follow-up: Continually monitors patient for improvement Disposes of contaminated items properly Documents the procedure appropriately Final Grade First Second Third Evaluator Initials Attempt Attempt Attempt Student demonstrates competency. Student does not demonstrate competency Student: Evaluator Signature: Date: 7 WP Fire Department EMS Training Program Procedure: Assessment and Management of Abdominal Pain The assessment of a patient who complains of abdominal discomfort or whom you suspect of having abdominal pathology is similar to trauma assessment with an expanded history. Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly Steps in the Procedure or Task: Rating Equipment and Patient Preparation: Student insures scene safety and BSI Student gathers appropriate equipment Student identifies the patient, his or her self, and his or her student status Student explains the procedure to the patient and confirms the patient’s understanding Implementation and Assessment: Performs initial assessment: General appearance - Survey for potential evidence of problem, positioning, level of discomfort ABCs Level of consciousness Finds and treats immediate threats to life SAMPLE history Focused OPQRST-ASPN history Any abdominal pain greater than 6 hrs duration may be a surgical emergency Performs Physical Examination Again note positioning Vitals, repeat as necessary Perform visual inspection of abdomen, notes any findings Perform palpation to all four quadrants, notes any tenderness, rigidity, guarding, rebound Collects any necessary specimens; bowel, urine, emesis Provides oxygenation appropriate to patient status Starts large bore IV Initiates fluid replacement for blood/fluid loss Monitor cardiac rhythms Position of comfort and transport to hospital If GI bleed; start 2 large bore IVs NS; considers bolus at 20mL/kg Final Grade First Second Third Evaluator Initials Attempt Attempt Attempt Student demonstrates competency. Student does not demonstrate competency Student: Evaluator Signature: Date: 8 WP Fire Department EMS Training Program Procedure: Assessment and Management Altered Mental Status Rating Scale: √: Step performed appropriately and following accepted technique X: This step was omitted or not performed correctly Steps in the Procedure or Task: Rating Equipment and Patient Preparation: Student