EMSC 2930 - Community Paramedic Patient Care Experience

1. Cardiology
   1. Progress of treatment
   2. Cardiac pharmacology
   3. Assessment
   4. Counseling
2. Behavioral/Psych
   1. Intake process
   2. Assessment of risk
   3. Inpatient v. outpatient
   4. Psychotic and other behavioral disorders
   5. Mental status exam
   6. Screening for suicide
3. Wound/Ostomy Care
   1. Primary wound closure
   2. Conventional wound dressings
   3. VAC dressings
   4. Surgical site drains
   5. Dressing changes
4. Home Health/Palliative Care
   1. Patient qualifications
   2. Hospice and Home Health relationships
   3. Pain management
   4. Nutrition
   5. Medication management
   6. Assess needs in daily activities
5. Pediatrics
   1. Medical assessment
   2. Stages of physical and mental development
   3. Chronic asthma
   4. G-tube us and maintenance
6. Emergency Department
   1. Mentoring with higher skill level
   2. Suturing
   3. blood draws
7. Primary Care
   1. One-on-one with primary care
   2. Clinic presentations
   3. Treatment plans
   4. Integrate with community health

1. combine assessment and history findings with prior findings to recommend changes to the patient care plan.
2. conduct comprehensive physical assessments and medical histories under the direction of the clinical preceptor.
3. demonstrate proficiency in simple primary wound closure using acceptable suturing technique.
4. formulate and implement plans for mitigating negative social, environmental, and cultural factors related to the well-being of patients who are within the targeted population of the local Community Paramedic program.
5. determine cardiac risk factors,
6. determine psychological patient risk.
7. track progress of cardiac treatments.
8. describe use of anti-hypertensives and statin medications.
9. perform assessment of the cardiac patient.
10. interpret cardiac tests, including stress echo’s and blood values.
11. understand cardiac risk factor modification via lifestyle and pharmacologic interventions.
12. understand psychological patient intake process.
13. determine need for either inpatient or outpatient services.
14. explain inpatient treatment.
15. differentiate between patients with psychotic and behavioral disorders.
16. explain how patients are transitioned to outpatient services.
17. perform interviews and diffusing techniques for patients with psychological issues.
18. apply VAC’s for proper functioning.
19. assemble and apply ostomy supplies.
20. pack and dress wounds. Practice packing and dressing wounds commonly treated through outpatient wound clinics.
21. perform mental health status exam.
22. screen patients for suicide risk.
23. coach patients on proper nutrition, activity levels, and medication monitoring.
24. coordinate with other health care providers in providing services.
25. empty surgical site drains (Jackson Pratt, pleural drains etc).
26. pack and dress wounds commonly treated through outpatient wound clinics.
27. perform packing changes for wounds that have undergone I&D.
28. understand how pain management is monitored and adjusted based on patient assessment and history.
29. understand the qualification process for home health or hospice services.
30. assess for normal stages of mental, physical, and emotional growth.
31. manage a patient in need of assistance in daily activities.
32. manage chronic asthma including peak flow measurements.
33. administer medications via a G-tube.
34. determine needs for chronically ill children.
35. manage malfunctioning G-tubes.
36. assess patients with poorly managed health care problems.
37. assist in the development of treatment plans.
38. integrate with existing resources to better serve the needs of their community.

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