EMSE 1176 - Advanced Life Support Practicum II

Credits: 3
Hours/Week: Lecture None Lab 9
Course Description: This practicum provides the student with opportunities for entry-level paramedic care with a community-based ambulance provider. Under instructor and preceptor guidance, the student will synthesize and apply theories and skills learned throughout the program. Emphasis will be placed upon team leading, critical thinking, prioritization, assessment, therapeutic communication, and life-saving interventions. Students must be able to perform physical tasks to complete course requirements. This course requires Minnesota Human Services and National background studies with no restrictions; current state EMT certification; current AHA BLS Provider certification; required immunizations; and current healthcare insurance.
MnTC Goals
None

Prerequisite(s): EMSE 1170  with a grade of C or higher.
Corequisite(s): None
Recommendation: Basic word processing skills.

Major Content

1. Patient Assessment & Management
   1. Anatomy and physiology
   2. Pathophysiology
   3. Epidemiology
   4. Health screening
   5. Standing operating procedures
   6. Assess patients of all ages
   7. Manage patient care - both medical and trauma
   8. Participate in care of patient
   9. Participate under supervision of preceptor and/or faculty
2. Skills Development
   1. Perform basic life support skills
   2. Initiate peripheral IVs
   3. Manage ABC’s
   4. Apply EKG leads
   5. Interpret rhythms
   6. Cardiovert/defibrillate
   7. Prepare and administer medications
   8. Follow universal precautions
   9. Function as team leader
   10. Perform at level of entry level paramedic
   11. Therapeutic communication
   12. Scene leadership
   13. Scene safety
3. Psychomotor skillls
   1. Airway and breathing Oral and nasal endotracheal intubation
      1. FBAO - direct laryngoscopy
      2. Percutaneous cricothyrotomy
      3. Pleural decompression
      4. BIPAP, CPAP, PEEP
      5. Chest tube monitoring
      6. ETCO2monitoring
      7. NG/OG tube
   2. Assessment
      1. ECG interpretation
      2. 12-lead interpretation
      3. Blood chemistry analysis
      4. Wave form capnography
   3. Pharmacologic interventions
      1. Intraosseous insertion
      2. Enteral and parenteral administration of approved prescription medications
      3. Access indwelling catheters and implanted central IV ports
      4. Medications by IV infusion
      5. Maintain infusion of blood or blood products
      6. Blood sampling
      7. Thrombolytic initiation
      8. Administer physician-approved medications

   4. Medical/Cardiac care

      1. Cardioversion
      2. Manual defibrillation
      3. Transcutaneous pacing
      4. Vagal maneuvers

   5. Trauma care

      1. Morgan lens

4. Record keeping
   1. Data collection
5. Decision making
   1. Evaluation
   2. Modification
   3. Reassessment
6. Professionalism
   1. Integrity
   2. Empathy
   3. Self-motivation
   4. Appearance/personal hygiene
   5. Self-confidence
   6. Communication
   7. Time-management
   8. Teamwork/diplomacy
   9. Respect
   10. Patient advocacy
   11. Careful delivery of service
7. Affective
   1. Uniform policy
   2. HIPAA compliance
   3. OSHA compliance
   4. Punctuality
   5. Comply with clinical guidelines
8. Practicum Orientation
   1. Daily log of practicum experiences
   2. Weekly review of practicum goals and objectives
   3. Required evaluations and checklists
   4. Student evaluation of the practicum

1. demonstrate an understanding of protocols.
2. perform a comprehensive history and physical examination to identify factors affecting the health and health needs of the patient.
3. perform basic and advanced interventions as part of a treatment plan intended to mitigate the emergency, provide symptom relief, and improve the overall health of the patient.
4. formulate a field impression based on an analysis of comprehensive assessment findings, anatomy, physiology, pathophysiology, and epidemiology.
5. relate assessment findings to underlying pathological and physiological changes in the patients condition.
6. integrate and synthesize the multiple determinants of health and clinical care.
7. anticipate and prospectively intervene to improve patient outcome.
8. effectively communicate in a manner that is culturally sensitive and intended to improve the patient outcome.
9. demonstrate exemplary professional behavior.
10. report and document assessment findings and interventions.
11. observe patient/paramedic relationships in the EMS system.
12. perform basic life support psychomotor skills.
13. perform advanced life support psychomotor skills.
14. observe or perform radio communications.
15. demonstrate universal precautions.
16. participate in transfer of patient care.

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