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Course: EMS2664 – Paramedic Clinical/Field Experience I Term: Fall 2018 (20191) Credit Hours: 5 Length of Course: 16 weeks Room: Offsite Program Administration EMS Program & Clinical Coordinator/Lead Paramedic Lecturer: Capt. John Bray, MA, NRP, CCEMTP Office: H116A (See Door Schedule for Office Hours) Email: jbray@irsc.edu Office: (772) 462-7533 Faculty Page: www.irscems.org/john-bray.html Office Hours Appointments: http://johnbray.youcanbook.me EMS Department Chair & Program Director: Chief James Dinsch, MS, NRP, CCEMTP Office: H114A (See Door Schedule for Office Hours) Email: jdinsch@irsc.edu Office: (772) 462-7531 Faculty Page: www.irscems.org/james-dinsch.html Office Hours Appointments: http://jdinsch.youcanbook.me EMS Medical Director: Michael L. Ferraro, DO Prerequisites: Admission into the program Maintain all admission requirements throughout the program Corequisite: EMS2601C – Paramedic I

Estimated Time Commitment: The corequisite courses EMS2601C and EMS2664 are estimated to require an average combined minimum commitment of 90 hours per week based on actual scheduled hours, study time, and homework including documentation.

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This course provides introductory-level reinforcement of paramedic theory and skills as students participate as part of the multi-disciplinary healthcare team during rotations through various departments of local hospitals, health departments, clinics, and specialty centers. Students also serve as part of the emergency medical services (EMS) team during rotations onboard advanced life support (ALS) ambulances. The Program provides clinical schedules, and students practice under the direct supervision of licensed clinical facilitators and/or preceptors.

Students will achieve program and course outcomes through a mixture of lecture, reading assignments, demonstrations, class discussions, multimedia, student presentations, writing assignments, community service projects, skills practice, and supervised clinical and field practice.

The Program has as its goal: To prepare competent entry-level paramedics in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains. Upon successful completion of the IRSC Paramedic program, students must be able to:

1. Demonstrate an ability to understand, interpret, and apply EMS and general medical knowledge necessary to function as a paramedic in healthcare and public safety settings.

2. Demonstrate technical proficiency in a broad range of paramedic level EMS skills, both difficult and routine.

3. Demonstrate effective teamwork in managing simulated emergency scenarios.

4. Demonstrate proficiency in advanced patient assessment and formulation and implementation of treatment plans for patients with a variety of medical and traumatic emergencies.

5. Demonstrate leadership in the management of prehospital care. 6. Demonstrate an ability to conduct oneself as a paramedic in an ethical and

professional manner.

Course Description

Course Rationale

Program Learning Outcomes

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Upon successful completion of this course, the Interns must be able to:

1. Demonstrate introductory-level ability in advanced patient assessment and formulation and implementation of treatment plans for patients with a variety of medical and traumatic emergencies.

2. Demonstrate an introductory-level ability to conduct oneself as a paramedic in an ethical and professional manner in the emergency services setting.

Navigate 2 Premier Access for Nancy Caroline’s Emergency Care in the Streets, 8th ed,, Jones & Bartlett, ISBN 9781284137217 Fisdap Paramedic Access Code (Available only from the IRSC bookstore) IRSC EMS Diagnostic Kit

This course consists of a series of activities and assessments to assist you in achieving the outcomes/objectives for the course and instructional modules/units. Each week you will work on various combinations of assignments, activities, discussions, readings, research, etc. Grades and Grading Scale This course uses S/U (successful/unsuccessful) grading. All course requirements must be completed before a grade is assigned. The instructor reserves the right to issue an instructor withdrawal in place of an S/U grade if either the student’s course grade is a “U” or if the student is being withdrawn from the program for failure to successfully complete all required program courses within the semester. Successful Course Completion To successfully complete this course, students must:

1. Completion of all assignments. 2. Achievement of all Semester 1 clinical/field goals identified in Fisdap. 3. Complete all weekly scheduled clinical hours as noted in the table below. 4. Complete at least one (1) 6-hour anesthesia rotation.

Course Learning Outcomes

Course Resources

Course Requirements

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5. Complete one field experience shift (in 12- or 24-hour shifts) at each of the five area fire-rescue agencies.

6. Document at least one (1) clinical patient assessment in Fisdap for each clinical shift hour. (Assessments should show improvement over the course of the semester.)

7. Document a complete field patient care report in Fisdap for each patient contact during field experience. (Reports should show improvement over the course of the semester.)

8. Demonstrate affective competence in all aspects of the course and program.

All clinical and field schedules will be maintained in Fisdap.

Specific Program Guidelines/Policies In addition to the guidelines below, additional guidelines/policies are identified in the Syllabus Supplement that is incorporated into this syllabus by reference. Communicating with the Instructor When questions arise during this course about content or assignments, use the following sequence to find an answer:

1. Check course resources (i.e., syllabi, supplements, texts, Blackboard, Cel.ly, other online resources)

2. Ask a fellow group/squad/class member 3. Contact the instructor

If you have questions of a personal nature such as relating a personal emergency, questioning a grade on an assignment, or something else that needs to be communicated privately, please contact the instructor via email. Please allow 24-48 hours for the instructor to respond. Attendance/Participation Students are expected to have completed all assigned activities prior to class so they are prepared to participate in in-class activities and discussions. Additional information about attendance requirements is included in the Syllabus Supplement, including what absences may be permitted. Absence occurrences over

Schedule of Activities

Course Guidelines

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permitted limits may result in a grade of “U” for this course and withdrawal from the program. All hours are required, and all hours listed are minimums. A student missing more than one (1) shift for any reason may result in a grade of “U” for the course and withdrawal from the program. To ensure on-time completion of the paramedic program, students should not miss any clinical or field shifts and should complete all required documentation of those shifts within the time period specified. Students are also encouraged to obtain and document more than the minimum patient contacts. Some students may be required to complete additional clinical or field experience shifts to complete all required skills. Clinical Assignments Clinical educators may assign work or quizzes to be completed during clinical rotations or by a certain date. Fisdap Scheduling All shift scheduling must be completed in Fisdap (www.fisdap.net) during a specified scheduling window. Students will be advised when the scheduling window(s) for the various shifts will be open by announcement in Blackboard. Failure to schedule within the window will result in either a shift being assigned at the program’s discretion or the missing shift being counted as an absence. Students must be careful in their shift selection. Once a shift is selected in Fisdap and the scheduling window closes, the student is considered scheduled and is responsible for the shift. Failure to attend the shift will be handled as an absence. No schedule changes are permitted after a scheduling window closes. The Program’s clinical and field affiliates coordinate numerous schedules (i.e., other programs that use the same sites, Explorer programs, etc.), and any change from the schedule initially provided to each site is very inconvenient to them. Assignments Assignments may be completed in the Blackboard, Navigate 2, Connect, or LC-Ready systems or on paper. Each assignment will have a designated location for submission. All assignments will have due dates, and unless otherwise announced, will be considered due 1 hour before the start of class on the due date. Students are responsible for all material and assignments. Students missing class must contact a fellow group/squad/class member for any missed information.

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Unless the instructor is notified BEFORE the assignment is due and due to extreme circumstances provides an opportunity for the student to submit his/her assignment late, late assignments will result in a grade of 0. Avoid waiting until the last minute to complete assignments to allow adequate time in case of any issues with technology resources. Grades Official clinical/field goals will be tracked in Fisdap. As this is a pass/fail class requiring completion of all requirements, the grade in Blackboard will not reflect your official status until the end of the course. Students should check their goals status on a regular basis, and any questions should be directed to the clinical coordinator or their lead lecture instructor. It is the student’s responsibility to ensure that all skills are properly recorded in Fisdap and all grades are properly recorded in the Blackboard gradebook. Shift Attendance Verification & Fisdap Documentation Regular weekly clinical shift attendance will be verified by the IRSC EMS instructor onsite directly in Fisdap by signing off on the shift. All other clinical and field shift attendance requires phone verification upon arrival and departure from the station. The student must call in no later than the scheduled start of their shift and no sooner than the scheduled end of their shift. Students may use their personal cell phone to make these calls. On arrival, the student should state their name, facility/agency and unit/station of the shift, and the name of the supervisor/charge nurse/station officer for the shift. On departure, the student should simply state their name. The ONLY phone numbers to use is (do not email) (772) xxx-xxxx. Students required to make other notifications regarding a scheduled shift (i.e., moved to another fire-rescue station due to lack of a preceptor, going home sick, tardiness) must use the same phone number. Email should not be used for any of these notifications. Failure to make proper notifications for a shift will be treated as an absence. All clinical and field shift activity must be logged into Fisdap within 72 hours of the shift completion. Any shift that is not properly documented in Fisdap during the data entry window will be marked as an absence, and skills and patient contacts may not count toward program requirements. In addition to documenting patient contacts, you will be required to complete an evaluation. For clinical shifts, you will need to complete a Site Evaluation. For field shifts, you will need to complete a Preceptor Evaluation form. When completed with all shift entries and evaluations, lock the shift. If the shift is not manually locked, students will receive an automated notification reminding them that the shift documentation is not complete and that the shift will automatically lock at the end

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of the 72-hour period. Auto-locked shifts without complete documentation including evaluations will not be treated as an absence. In the evaluations, the Program will be looking to see a progression in preceptor evaluations from “not competent” to “competent.” It is expected that you will not be very good in your first clinical/field shifts because you won’t know much yet, but as you learn more and gain experience, you should progress to being more competent. The Program expects to see that reflected in your evaluation paperwork/entries. If you are not progressing, you can expect additional remedial training and assignments. However, in contrast, if all your evaluations are excellent from the beginning, the validity of that evaluation will be questioned (i.e., possibly “pencil whipped”) and will likely assign additional shifts with preceptors that are also EMS faculty to verify that skill level. Field Patient Care Reports Students must complete a field patient care report for EVERY patient contact during their field shifts unless there were no patient contacts. The report should document the patient assessment findings and actions taken by you. The reports must be completed in Fisdap and will be evaluated by course lead instructors and/or clinical facilitators. Subject to Change Notice All material, assignments, and deadlines are subject to change with prior notice. It is your responsibility to stay in touch with your instructor, review the course site regularly, and communicate with other students to adjust as needed if there is any change in the course.

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Quick links to the Indian River State College’s resources and policies are listed in the Institutional Resources section of the course, including:

• MyIRSC – Register for classes, view grades and financial aid awards

• Student Handbook & Student Handbook Reference Guide

• Advising • Catalog • Drop/Add • Equity Statement • Financial Aid

• Incomplete Grade • IRSC Mission Statement • Office of Student Disabilities • Student Activities • Student Success Services • Testing Services • Transcripts • Update Personal Information • Withdrawal Policy

Quick links to the Indian River State College’s Academic Resources can be found in the Institutional Resources section in Blackboard. Quick links include:

• Academic Calendar • Academic Support Center • Academic Warning/ • Deficiency/Suspension • Assessment/Examination Policy • Graduation

• How to Succeed in this Course • Incomplete Grade • Netiquette Rules • Smarthinking - Tutoring • Student Responsibility • Studying and Time Management

Quick links to the Indian River State College’s Library and Research Paper Resources can be found in the Institutional Resources section in Blackboard. Quick links include:

• Library Link • Course Specific Custom Library

Guides • Ask the Librarian (24/7) • American Psychological

Association Tutorial • APA Guidelines

• MLA Guidelines • CSE Guidelines • Legal Citation • Plagiarism Policy • Writing a Research Paper

IRSC Resources

Academic Resources

Library & Research Paper Resources

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Writing Expectations All students should write at college level in all course discussions and assignments. Citation and Reference Style Students should use the APA citation style unless otherwise directed by their instructor.

Course Specific Technology Requirements Both academia and the EMS industry have become more reliant on technology, and the EMS Program has been progressively integrating more technology into its courses. The EMS Program requires all students to access online resources including instructor resources on Blackboard; publisher resources on Navigate 2; review and study materials on LC-Ready; classroom testing and lab, clinical, and field scheduling and skills tracking on Fisdap; email on Office 365; and classroom attendance tracking on AccuClass. Additionally, students may use Office 365 for writing assignments and other work within their courses. All students are required to possess an iPad and are required to bring the iPad with them to all lecture, lab, clinical, and field class sessions, including the first day on August 21, 2017. The college does not have any devices available for student use during class sessions, and failure to have a device on a given day may result in consequences such as grades of 0 on work completed in class or the inability to get skills signed off in the lab. The table below lists the minimum and recommended specifications for the device:

Minimum Recommended iOS 9.3^ iOS 10.x^ 7.9” Display 9.7” Display 32 GB Capacity Wi-Fi 802.11g/n Wi-Fi 802.11a/b/g/n/ac Working Camera 8-Hour Battery 9-10 Hour Battery Bluetooth Keyboard (Pro: Smart Keyboard) Stylus (Pro: Pencil) Cellular Service Option Protective Case

(^The minimum operating system listed is based on the minimum iOS requirements as of the revision date of this syllabus for the apps listed below and used by the Program. Updates after the revision date of this

Technical Requirements

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syllabus to any of the apps may require a higher minimum iOS version so students are recommended to use the most current version of iOS available.) Students should download and install the following apps from the Apple App Store in advance of class:

AccuClass (Engineerica Systems) Adobe Acrobat Reader Bb Student by Blackboard Blackboard Collaborate™ Mobile Chrome (Google) Echo360 Epocrates Reference Tools for Healthcare Providers Fisdap (Headwaters Software) LC-Ready (Limmer Creative) McGraw-Hill SmartBook Microsoft Excel# Microsoft OneDrive# Microsoft OneNote# Microsoft Outlook# Microsoft PowerPoint# Microsoft Word# Navigate eReader (Informed Publishing) (NOTE: Not 2.0) Office Lens# (Microsoft)

(#Subscription access to these apps should be available as an included part of the student’s IRSC Microsoft Office 365 account.) Other apps that are not required but that students may find useful include:

Dropbox Evernote Google Docs Google Drive One Drive

Students may choose to also bring a laptop, but a laptop may not take the place of having the iPad available. To ensure the greatest compatibility with Program systems, the recommended minimum notebook (PC or Mac) specifications include: Wi-Fi connectivity, Display of at least 1024x768 or greater, 1 GHz or faster processor, 2 GB RAM (4 GB or greater recommended), 20 GB free hard drive space, Battery life of at least 4 hours (students should ensure batteries are charged prior to coming to class because outlets are limited and/or not easily accessible), Windows 7 or later (occasional issues reported with Windows 8) or Mac OS X Yosemite (10.10) or later, and access to Office 365. Additional information on the browser version requirements for IRSC’s

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Blackboard system can be found at http://virtualcampus.irsc.edu/computer-requirements-for-online-learning.html. Browser compatibility with the above systems is critical. Non-IRSC systems such as Navigate 2 and Fisdap should work on similar browsers/versions as IRSC’s Blackboard system. Free Internet access is available on all IRSC campuses, and student access computers are available in the libraries. The college does not require that students have Internet access outside of the college; however, students are required to utilize all the Program’s online resources, check their Office 365 RiverMail and Blackboard at least once daily, and meet assignment and documentation submission deadlines. Computer or Internet issues at home are not an excuse. IRSC Computer Requirements Students must have a reliable computer and Internet connection throughout the course. Quick links to the Indian River State College’s Blackboard Technical Information can be found in the Institutional Resources section in Blackboard. Quick links include:

• Essential Technical Skills Checklist • Browser Support • Blackboard Learning Center • Blackboard Technical Support for Students • Blackboard Learn Mobile

If you can’t find your answer within the Help section, email virtualclassroom@irsc.edu. Blackboard Learning Management System (LMS) If you need assistance with Blackboard, please look at the tutorials on the log in page of Blackboard. Click on the Blackboard Tutorials link in the course control panel. Blackboard Video Tutorials include:

• Checking Your Grades • Taking a Test Online • Interacting with the Discussion Board • Submitting an Assignment

Note: The preferred browser is Google Chrome. Blackboard LOG IN: USERNAME: Student ID number (no dashes) PASSWORD: IRSC web registration/pay pin

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Technical Support Program faculty/staff cannot provide technical support for online resources. Students who cannot log into Blackboard or do not see their course in Blackboard should email virtualclassroom@irsc.edu. For other Blackboard support, students should use the Student Support Center tab inside Blackboard to contact Blackboard Technical Support. Blackboard Technical Support is available 24 hours a day. Students who have any technical issues with other EMS Program systems should contact the respective vendor technical support teams directly:

Fisdap (651) 690-9241 support@fisdap.net Jones & Bartlett Learning Navigate 2 (800) 832-0034 support@jblearning.com LC-Ready https://lc-ready.com/contact-us

McGraw-Hill Connect (800) 338-3987 HEP_Customer-Service@mheducation.com

Indian River State College provides reasonable accommodations to students with documented disabilities through the Student Accessibility Services (SAS) Office. The rights of students with disabilities which pertain to post-secondary education are provided under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act (ADA) of 1990. Students who wish to request an accommodation for a documented disability may contact Student Accessibility Services at (772) 462-7808, (772) 462-7782 or e-mail accessibilityservices@irsc.edu.

Students will be held accountable to the defined expectations/responsibilities (plagiarism, academic honesty, student grievance) within the IRSC, Health Science, and EMS handbooks as well as this and other EMS course syllabi and supplements.

Student Accessibility Services

Student Responsibilities

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If a student is having difficulty with any portion of the class, Program staff are committed to the student’s success; however, it is the student’s responsibility to ask for additional assistance.

The instructor views the course syllabus as an educational contract between the instructor and students. Every effort will be made to avoid changing the course syllabus but the possibility exists that unforeseen events will make changes necessary. The instructor reserves the right to make changes to the syllabus and syllabus supplement as deemed necessary. Students will be notified in a timely manner of any changes in the course announcements and/or via RiverMail.

Syllabus Disclaimer