Paramedic Original Course 15 Course Syllabus NYS DOH COURSE #185000
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1 3 St. John s University E M E R G E N C Y MEDICAL SERVICES INSTITUTE A c c r e d i t e d b y t h e C o m m i s s i o n o n A c c r e d i t a t i o n o f A l l i e d H e a l t h E d u c a t i o n P r o g r a m s ( C A A H E P ) H o r a c e H a r d i n g E x p r e s s w a y 2 nd F l o o r F r e s h M e a d o w s, N Y Paramedic Original Course 15 Course Syllabus NYS DOH COURSE # Orientation: Monday, March 31, 2014 Start Date: Monday, April 14, 2014 Class Final: Thursday, July 31, 2014 New York State s Testing: Monday, March 16, 2015 New York State Written Exam: Thursday, March 19, 2015 REMAC Written and Scenario TBA Class days and times Monday & Wednesday, 9am to 5pm John Bray, MS, CCEMTP, CIC Patricia Slavik, EMT-P, CIC, PSC Frank Riboni, BS, NREMT-P, CIC, RF Director, EMS Scott Holliday, BS, EMT-P, CIC, RF Associate Director, EMS Victor F. Politi, MD, FACP, FACEP Program Medical Director, EMS Craig Biscuiti, EMT-P, CIC John Bray, MS, CCEMTP, CIC George Choy, RN, EMT-P Marlena Coffey, RN, EMT-P, CIC Sasha DaSilva, RN, EMT-P, CLI Justin Enzmann, EMT- P, CLI Scott Fischer. EMT- P, CLI John Freudenberg, BS, EMT-P, CIC, RF Maria Frasca, BA, EMT-P, CLI Maria Levoce, EMT-P, CIC Kenneth Karger, BS, EMT-P, CIC Michael Maiale, EMT-P James Mondello, EMT-P, CIC, RF William Radske, MS, EMT-P, CIC Jared Schoenfeld, EMT-P, CLI Barry Shapiro, EMT-P, CIC Patricia Slavik, EMT-P, CIC Konstantinos Skamalos, EMT-P, CLI Shoshana Weiner, MS, FNP-BC, RN, EMT-P, CIC Stephen Whitlock, MS, RPA, EMT-P, CIC
2 These textbooks are required: The publisher, Jones & Bartlett Learning, has put together a special bundle of the textbooks at a St. John s discounted rate. Jones & Bartlett Package BLS: Emergency Care and Transportation of the Sick and Injured 10 th Edition ALS: Emergency Care in the Streets 7 th Edition by Caroline (2 volume set) A&P: Anatomy and Physiology Paramedic by Elling, Elling and Rothenberg PHTLS: Prehospital Trauma Life Support 7 th Edition by NAEMT Not Included in Package but required: CPR: AHA BLS for Healthcare Providers ACLS:AHA Advanced Cardiac Life Support PALS: Pediatric Advanced Life Support Optional Textbook: Highly recommended but not required texts Bates' Pocket Guide to Physical Examination and History Taking 6 th Edition Paperback by Lynn S. Bickley MD Emergency Care in the Streets 7 th Edition Student Workbook Medical Dictionary such as: Taber's Cyclopedic Medical Dictionary 21 st Edition or Mosby's Dictionary of Medicine, Nursing & Health Professions, 8 th Edition NOTE: All quizzes will be made available by 5PM the day of the Division Exam. All AHA exams will be taken in class the last day of the program! PHTLS will have a Pre-Test and a Post Test, refer to syllabus for all quiz and exam dates, DATE SESSION HR. A&P Orientation 4 Course Introduction Day 4 Policies And Procedures, Class Paper Work Mon, Mar 31, 14 Mon, Apr 14, Anatomical Definitions, Cells A&P Skeletal Tissue Chapters 1-3 A&P Quiz 1 Due Muscle Tissue, The Lymphatic System A&P Wed, Apr 16, The Circulatory System Chapters 4-6 Wed, Apr 23, The Respiratory System, The Nervous System The Gastrointestinal System, Urinary System, Metabolism and Body Fluid Balances A&P Chapters 7-10 A&P Quiz 2 Due The Reproductive System, Human Genetics A&P Mon, Apr 28, Endocrine System, Integumentary System, Special Sensory Systems Chapters Wed, Apr 30, Anatomy and Physiology Final Exam Review Note: All Students Must complete the following required FEMA classes by session 20 and have a copy of the certificate or FEMA transcript on file or the student will be dropped from the course! IS-100.b - Introduction to Incident Command System IS-200.B: ICS for Single Resources and Initial Action Incidents IS-5.A: An Introduction to Hazardous Materials IS-700.a NIMS an Introduction 2
3 DATE SESSION HR. Preparatory Division Mon, May 05, 14 Wed, May 07, 14 Mon, May 12, 14 Wed, May 14, 14 Quiz 1 Due Mon, May 19, Introduction to Paramedicine / EMS Systems Research / Work Safety and Wellness Documentation / EMS Systems Communications Therapeutic Communications / Medical/ Legal and Ethical issues Pathophysiology Documentation-Medical Terminology / Life Span Development / Public Health Anatomy and Physiology Anatomy and Physiology : Continued Division Exam # 1 Preparatory AHA BCLS, s Testing / Written Exam V1 Chapter 1, 2r V1 Chapter 4, 5, 6 V1 Chapter 8, 6, 9, 3 V1 Chapter 7 AHA BLS TEXT DATE SESSION HR. Airway and Ventilation Wed, May 21, 14 Wed, May 28, 14 Mon, Jun 02, 14 Wed, Jun 04, 14 Quiz 2 Due Mon, Jun 09, 14 Wed, Jun 11, Airway Management, Respirations, and Artificial Ventilations Demo: E-T Intubation Adult, Dual Lumen, Endotracheal Suctioning, Magill Forceps, Needle Cricothyrotomy, Needle Decompression, OPA, NPA, Supplemental Oxygen Administration, Mouth to Mask with Oxygen BVM Practice: E-T Intubation Adult, Dual Lumen, Endotracheal Suctioning, Magill Forceps, Needle Cricothyrotomy, Needle Decompression, OPA,NPA Supplemental Oxygen Administration, Mouth to Mask with Oxygen, BVM Practice: E-T Intubation Adult, Dual Lumen, Endotracheal Suctioning, Magill Forceps, Needle Cricothyrotomy, Needle Decompression, OPA,NPA Supplemental Oxygen Administration, Mouth to Mask with Oxygen, BVM Practice: E-T Intubation Adult, Dual Lumen, Endotracheal Suctioning, Magill Forceps, Needle Cricothyrotomy, Needle Decompression, OPA,NPA Supplemental Oxygen Administration, Mouth to Mask with Oxygen, BVM Practice: E-T Intubation Adult, Dual Lumen, Endotracheal Suctioning, Magill Forceps, Needle Cricothyrotomy, Needle Decompression, OPA,NPA Supplemental Oxygen Administration, Mouth to Mask with Oxygen, BVM ALS Interim Testing E-T Intubation Adult, Dual Lumen, Endotracheal Suctioning, Magill Forceps, Needle Cricothyrotomy, Needle Decompression, OPA, NPA Supplemental Oxygen Administration, Mouth to Mask with Oxygen, BVM ALS Interim Testing Continued ALS Interim Testing Continued DIVISION EXAM 2 Airway and Ventilation Drug Math Begins V1 Chapter 15 V1 Chapter 11 pp
4 DATE SESSION HR. Pharmacology and Medication Administration Mon, Jun 16, 14 Wed, Jun 18, Principles of Pharmacology, Medication Administration Emergency Medications I.V. Access and Medication Administration I.V. Access and Medication Administration / Medical Mathematics V1 Chapter 10, 12 V1 Chapter 11 Mon, Jun 23, 14 Wed, Jun 25, 14 Mon, Jun 30, 14 Wed, Jul 02, 14 Mon, Jul 07, 14 Wed, Jul 09, Demo & Practice: Phlebotomy Mannequin, I.M. Sub Q, IN Practice: Phlebotomy Mannequin, I.M. Sub Q, IN Phlebotomy Mannequin, I.M. Sub Q, IN Phlebotomy Mannequin, I.M. Sub Q, IN Pharmacology: Paramedic Medications I Pharmacology: Paramedic Medications I, Continue Lecture Pharmacology Handout Demo & Practice: I.V., I.O. Bolus, Piggy Back Practice: I.V., I.O. Bolus, Piggy Back, Practice: I.V., I.O. Bolus, Piggy Back Mon, Jul 14, Quiz 3 Due Wed, Jul 16, I.V., I.O. Bolus, Piggy Back I.V., I.O. Bolus, Piggy Back I.V., I.O. Bolus, Piggy Back Pharmacology: Paramedic Medications II, ACLS & Other Common Medications Pharmacology: Paramedic Medications II, ACLS & Other Common Medications, Continue DIVISION EXAM 3 Pharmacology and Medication Administration Review V1 Chapter 12 Pharmacology Formulary 4 DATE SESSION HR. Patient Assessment Mon, Jul 21, 14 Wed, Jul 23, 14 Mon, Jul 28, 14 Wed, Jul 30, Scene Size-up, Primary Assessment, Therapeutic V1 Chapter 13 pp & History Taking, Monitoring Devices, Reassessments Secondary Assessment V1 Chapter Secondary Assessment: Continued pp Mon, Aug 04, Quiz 4 Due Wed, Aug 06, Demo & Practice: Medical Patient Assessment ALS & BLS, Techniques of Physical Exam Pt Assess Practice: Medical Patient Assessment ALS & BLS, Techniques of Physical Exam Pt Assess, Documentation (ACR) Demo & Practice: Trauma Patient Assessment ALS & BLS, Techniques of Physical Exam Pt Assess Practice: Trauma Patient Assessment ALS & BLS, Techniques of Physical Exam Pt Assess, Documentation (ACR) Medical and Trauma ALS & BLS Assessment Medical and Trauma ALS & BLS Assessment DIVISION EXAM 4 Patient Assessment Review All students need to purchase the ACLS Text book at this point to be prepared for the upcoming class.
5 DATE SESSION HR. Medical Emergencies: Respiratory Mon, Aug 11, 14 Wed, Aug 13, Respiratory V1 Chapter Respiratory: Continued pp Mon, Aug 18, Quiz 5 Due Wed, Aug 20, Restrictive disease / Neuromuscular / Thoracic cage disorders / Atelectasis Parenchyma disorder, Infectious pneumonia ARDS, Cor-pulmonale V1 Chapter 16 Pulmonary disorders, Pulmonary Embolus pp Obstructive disease, Asthma / COPD / Cystic Fibrosis Demo & Practice: CPAP, Nebulized Medications Lab CPAP, Nebulized Medications, Respiratory scenarios DIVISION EXAM 5 Respiratory Review DATE SESSION HR. Medical Emergencies: Cardiology Mon, Aug 25, 14 Wed, Aug 27, 14 Wed, Sep 03, 14 Mon, Sep 08, 14 Wed, Sep 10, Cardiovascular V1 Chapter Cardiovascular: Continued pp EKG Interpretation Atrial Rhythms V1 Chapter EKG Interpretation Ventricular Rhythms pp Practice: EKG Interpretation, Static & Dynamic 3 Lead Practice: EKG Interpretation, Static & Dynamic 3 Lead Hypertension, CAD V1 Chapter APE, MI pp Demo & Practice: D-Fib, Cardioversion, Pacing, BLS AED Practice: EKG Interpretation Static & Dynamic, D-Fib, Cardioversion, Pacing Mon, Sep 15, Practice: EKG Interpretation Static & Dynamic, D-Fib, Cardioversion, Pacing ACLS Pretest Available Practice: EKG Interpretation Static & Dynamic, D-Fib, Cardioversion, Pacing Wed, Sep 17, Static & Dynamic EKGs, D-Fib, Cardioversion, Pacing, BLS AED ALS Interim Re-Testing: Static & Dynamic EKGs, D-Fib, Cardioversion, Pacing, BLS AED Mon, Sep 22, 14 Wed, Sep 24, 14 Mon, Sep 29, Demo & Practice: Mega Codes, Simulation Manikin Practice Practice: Simulation manikin megacodes Cardiology Introductions to 12 Lead EKG s, Axis/Vector V1 Chapter Lead Interpretation Protocol Review pp Wed, Oct 01, Quiz 6 Due Mon, Oct 06, DIVISION EXAM 6 Cardiology Practice: Oral Mega codes / Dynamic Mega codes Scenarios, EKG Interpretation Medication Administration, Protocol Review Practice: Oral Mega codes / Dynamic Mega codes Scenarios, EKG Interpretation Medication Administration, Protocol Review Oral Mega codes / Dynamic Mega codes Scenarios, EKG Interpretation Medication Administration, Protocol Review Oral Mega codes / Dynamic Mega codes Scenarios, EKG Interpretation Medication Administration, ACLS Pretest Due hours AHA Advanced Cardiac Life Support Didactic Class Wed, Oct 08, AHA Advanced Cardiac Life Support AHA Advanced Cardiac Life Support / Written Exam ACLS Text Book 5
6 DATE SESSION HR. Medical Emergencies Wed, Oct 15, 14 Mon, Oct 20, 14 Wed, Oct 22, 14 Mon, Oct 27, 14 Wed, Oct 29, Medical Overview, Neurology V1 Chapter Abdominal and Gastrointestinal Disorders 18, Immunology V1 Chapter Infectious Disease 25, Simulations / Scenarios, Patient Assessment Patient Assessment (Anaphylaxis, GI/GU Exam) Endocrine Disorders A&P Chapter 12 V1 Chapter Psychiatric 3, Toxicology V1 Chapter Hematology 27, 24 Mon, Nov 03, 14 Wed, Nov 05, Genitourinary Renal V1 Chapter Gynecology 21, Disease of the Eyes, Ears, Nose, and Throat Non-Traumatic Muskuloskeletal Disorders Shock and Resuscitation Mon, Nov 10, Simulations / Scenarios Quiz 7 Due Wed, Nov 12, Patient Assessment (Psychiatric) DIVISION EXAM 7 Medical Emergencies Review A&P Chapter 14 V1 Chapter 19, 40 V2 Chapter 39 All students need to purchase the PALS Text book at this point to be prepared for the upcoming class. 6
7 DATE SESSION HR. Special Considerations Mon, Nov 17, 14 Wed, Nov 19, 14 Mon, Nov 24, 14 Wed, Nov 26, Obstetrics V2 Chapter Neo Natal Care 41, Pediatrics V2 Chapter Pediatrics: Continued Demo & Practice: PEDS Intubation, ET Medication Administration, IV Cannulation, I.O, Nasogastric Tube Insertion, Meconium Aspiration, Rectal Drug Administration PEDS Intubation, ET Medication Administration, IV Cannulation, I.O, Nasogastric Tube Insertion, Meconium Aspiration, Rectal Drug Administration Neonate Resuscitation Program Didactic Class, Online Neonate Resuscitation Program exam for certification Mon, Dec 01, Geriatrics V2 Chapter Geriatrics: Continued 44 Wed, Dec 03, Patients with Special Challenges, Abuse, Neglect, and Assault Quiz 8 Due Acute interventions for the Chronic Care Patient V2 Chapter 45 Wed, Dec 10, DIVISION EXAM 8 Special Considerations In School PALS Pretest Due hours Pediatric Advanced Life Support Lecture Mon, Dec 15, Pediatric Advanced Life Support Pediatric Advanced Life Support / Written Exam PALS Text Book DATE SESSION HR. EMS Operations Mon, Jan 05, 15 Wed, Jan 07, Principles of Safely Operating a Ground Ambulance, Air Medical V2 Chapter Incident Management, Multiple Casualty Incidents 46, Vehicle Extrication, Hazardous Materials Awareness Mon, Jan 12, HAZMAT/WMD Quiz 9 Due Wed, Jan 14, 15 Multiple Casualty Incidents Due to Terrorism and Disaster, Crime Scene Awareness, Rural EMS Field Preceptor Training DIVISION EXAM 9 EMS Operations Review All students need to purchase the 7 th Ed: PHTLS Text book at this point to be prepared for the upcoming class. V2 Chapter 48, 52 V2 Chapter 49, 50 7
8 DATE SESSION HR. Trauma Wed, Jan 21, 15 Mon, Jan 26, 15 Wed, Jan 28, Trauma Overview, Bleeding V2 Chapter Chest Trauma, Abdominal and Genitorinary Trauma 29, 30, 35, Orthopedic Trauma V2 Chapter Soft Tissue Trauma 37, Head, Face, Neck, and Spine Trauma V2 Chapter Nervous System Trauma 33, 34 Mon, Feb 02, 15 Wed, Feb 04, PHTLS Pretest Available Mon, Feb 09, Special Considerations in Trauma V2 Chapter Environmental Emergencies, Multi System Trauma 37, 32, Wed, Feb 11, Quiz 10 Due Wed, Feb 18, Demo & Practice: Practice: PRN Demo & Practice: Needle Decompression Needle Decompression DVISION EXAM 10 Trauma PHTLS Prep Lecture Mon, Feb 23, Pre-Hospital Trauma Life Support PHTLS Pretest Due hours Pre-Hospital Trauma Life Support Wed, Feb 25, Pre-Hospital Trauma Life Support PHTLS Post Test Available 1700 hours Pre-Hospital Trauma Life Support PHTLS TEXT BOOK PHTLS TEXT BOOK 8
9 FINAL PREPARATION DATE SESSION HR. TOPIC SUBJECTS Mon, Mar 02, PHTLS Post Test Due hours Wed, Mar 04, 15 Mon, Mar 09, 15 Wed, Mar 11, 15 Mon, Mar 16, 15 Final Preparation Didactic Review Mandatory Class Session CLINICAL ROATIONS DUE TODAY!! Final Exam Paramedic Class Final Exam Attendance is Mandatory! s Review: Trauma Assessment, Airway (ET, Adult & Final s Pediatric, Combi Tube), IV, IVB, IO Preparation s Review: Trauma Assessment, Airway (ET, Adult & Pediatric, Combi Tube), IV, IVB, IO Final s s Review: Static & Dynamic, Oral Scenarios Preparation s Review: Static & Dynamic, Oral Scenarios, BLS Final s Testing NYS s Testing s Testing is done to National Registry Standards Didactic Class Hours Administered in School Wed, Mar 18, 15 Thu, Mar 19, Final s NYS s Testing - PRN Re-Testing s Testing is done to National Registry Standards Final Exam Preparation NYS Final Written Exam Review for NYS Exam NYS Final Written Exam Testing by P.E.S. Didactic Class Hours Notes Regarding End of Course Activities: 1. Only students who successfully complete the program (final average and score on final exam meeting EMS Institute standards, ALL required rotations satisfactorily completed, all skills successfully performed) will receive a Medical Director s Letter of Completion. 2. Students must have received a Medical Director s Letter of Completion in order to be admitted to the State Practical Examinations. 3. Students must pass the State Practical Exams (BLS & ALS) in order to be admitted to the State Written Exam. 4. The New York City Medical Advisory Committee generally offers written and written scenario exams for graduating paramedics shortly after the State Written Exam. This date is not yet known, and is set at the discretion of the Medical Advisory Committee. Students will be advised of a tentative date as soon as it becomes known, but students must bear in mind that adjustments to the schedule, especially as the end of the program draws near, may be necessary. 5. If there is any significant time lapse between the end of the program and either the State Written Exam or the NYC Mac Written and written scenario Exams, appropriate review sessions may be arranged. Note: REMAC Testing TBA: All Review sessions are mandatory attendance sessions; if any student is absent they will not be allowed to sit for the REMAC Exam. 9
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