ML2 Lewis Clark State College Lewiston Fire Moscow Volunteer Fire

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1 Paramedic Classroom-Lab Syllabus September 2012-February 2014 Modules 1-8 All classes will be held in room 130 of the Meriwether Lewis Hall on the Lewis-Clark State College Campus unless otherwise noted. All reading assignments are expected to be completed prior to class date listed. This syllabus may be altered during the program to accommodate changes required by students or program. NOTE: Due to Availability issues your book bundle will contain the 6 th Edition of Pre-hospital Emergency Pharmacology. The 7 th Edition is slated to be released on 09/21/2012. Your 6 th Edition book will be replaced with the 7 th Edition at no charge when the new edition is released if you have purchased the bundle as arranged by ML2 through Pearson. NOTE: During Clinical/Field internship times students are limited to performing skills on which they have been found competent by a Paramedic instructor through the check off sheets. Module 1 Introduction to Paramedic 09/12/12 Welcome/Introduction Bobeck 09/17/2012 Introduction to Paramedicine & EMS Systems Parker Paramedic Care- Principles & Practice (PCPP) Volume 1- Chapters 1 & 2 1. Bag-Valve-Mask, 2. Cricoid Pressure (Sellick), 3. Head-tilt/chin-lift, 4.Jaw- Thrust, 5. Jaw Thrust Modified (trauma), 6. Modified Chin Lift, 7. Mouth to Barrier, 8. Mouth to Mask, 9. Mouth to Mouth, 10. Mouth to Nose, 11. Mouth to Stoma, 11. Obstruction-Manual, 12. CPR, 13. Defibrillation- Automated/Semi-automated, 14. Airway Oral. 09/19/2012 Roles & Responsibility- Safety and Wellness Bobeck PCPP Volume 1- Chapters 3 & 4 1. O2 Humidifiers, 2. Nasal Cannula, 3. Non-Rebreather Mask, 4. Partial Rebreather Mask, 5. Simple Face Mask, 6. Venturi Mask, 7. Finger Sweep, 8. Oxygen delivery. 1. Pulse Oximetry

2 09/24/2012 EMS Research-Public Reynolds Health 09/26/2012 Medical/Legal Aspects of Paramedicine & Ethics 10/01/2012 EMS Communications, Documentation; UNIT 1 EXAM 10/03/ /08/2012 Finish up Module 1 and review EXAM Finish Competency Skill Check Off Sheets for Skill Set 1. IV Access and Medication Administration Stradley Bobeck Anderson Arnold PCPP Volume 1 Chapters 5 & 6 PCPP Volume 1 Chapters 7 & 8 PCPP Volume 1 Chapters 9 & Blood pressure Monitoring, Automated, 2. BP manual, 3. Mechanical Patient Restraints. 4. Body Mechanics. 5. Pulse. 6. RR, 7. Tympanic Temperature 1. Cervical Stabilization- Cervical Collar, 2. Spinal Immobilization-Long Board, 3. Cervical Stabilization- Manual, 4. Spinal Immobilization-Seated Patient (KED, Etc.). 5. Extremity Stabilization- Manual, 6. Extremity Splinting, 7. Extremity Splinting-Traction, 8. MAST/PASG for Pelvic Immobilization Only). 9 Emergency Moves for Endangered Patients. 10. Rapid Extrication. 1. Documentation, 2. Standard Precautions, 3. PPE- Gowns/gloves/masks/eye protection 4. Blood Glucose Monitoring Automated. 1. Eye Irrigation Module 2 Pathophysiology & Pharmacology PCPP Volume 2 Chapter 4: Prehospital Emergency Pharmacology (PEP) Chapter Auto-Injector Medication administration, 2. Activated Charcoal administration, 3. Buccal Medication Administration. 4. Oral medication administration. 5. Assist with prescribed medications. D5W; 0.9% Normal Saline; Lactated Ringers.

3 Arnold PCPP Volume 2 Chapter 4; Pre-hospital 10/10/2012 IV Access-IV/IO 6th or 7th Ed Chapter 5. Emergency 1. Central Line-Monitor & Pharmacology (PEP) Maintain Only no skill sheet. 10/15/ /17/ /22/2012 IV Access-Medication Mathematics Peripheral IV Insertion adult/ped; fluid administration Finish Competency Skill Check Off Sheets for Skill Set #2. Reynolds PCPP Volume 2 Chapter 4; Pharmacology (PEP) Chapter 4. Arnold/J Bobeck Bobeck 10/24/2012 Pathophysiology Parker 10/29/2012 Pathophysiology Rudolph 10/31/2012 Pathophysiology- Rudolph 11/05/2012 Pathophysiology Rudolph 11/07/2012 Pathophysiology- Rudolph 11/12/2012 Pathophysiology Rudolph LAB SKILLS LAB SKILLS PCPP Volume 2 Chapter 1 11/14/2012 Review Night Rudolph Review Night 11/19/2012 Fall Break No Class 11/21/ /26/ /28/2012 Pathophysiology Review and Quiz. Finish Competency Skill Check Off Sheets for Skill Set #3. Review Quiz & Life Span Development Rudolph PCPP Volume 2 Chapter 2 1. Peripheral IV Initiation, 2. IV Piggyback, 3. IV Push, 4. IV Push D-50/Concentrated dextrose solutions only, 5. IV Fluid Infusion-Non Medicated. 6. Obtaining venous blood sample. 1. Intraosseous-Pediatric Fluids. 2. Intraosseous Adult Fluids, Administration. 3. Intraosseous Pediatric Medication administration, 4. Intraosseous medication administration, Adult.

4 1. Intranasal medication PCPP Volume 2 Chapter Pharmacology (ICE)- administration, 2. Nebulized 1. Inhaled Patient 3; Pre-hospital Specific medications medication administration (SVN), Administered Emergency will come at a later date Pharmacology 6 th or 7 th 3. Aerosolized (MDI) (Nitrous Oxide) with specific conditions. Administration, 3. Rectal (Nitronox), Edition (PEP) Chapter 1 medication administration. 12/03/ /05/2012 Pharmacology (ICE) 12/10/ /12/2012 Pharmacology-Quiz over Life Span and Pharmacology Review Quiz; Pharmacology (ICE) 12/17/2012 Pharmacology (ICE) 12/19/2012 Pharmacology (ICE) PCPP Volume 2 Chapter 3; Pre-hospital Emergency Pharmacology 6 th or 7 th Edition (PEP) Chapter 2 PEP 6 th or 7 th Ed. Chapters 6 &7 PEP 7 th Edition Chapters 8-9 & 10 PEP 7 th Edition Chapters 11 &12 PEP 7 th Edition Chapters 13 & Aspirin administration (assistance) for suspected cardiac chest pain. 2. Nitroglycerine assistance (sublingual). 1. Atropine Sulfate& 2- Pralidoximen Chloride Auto Injector (E.G. MARK-I, Duo Dote) self & Peer, 2. Atropine Sulfate & 2-Pralidoxime Chloride Auto-Injector (Chempack patient useemergency stockpile release only), 3. Inhaled Beta Agonist. 1. Glucose (oral) 1. Sub-lingual Medication administration, 2. Topical Medication administration 3. Assist with Over the Counter Medications. 4. Medical Director approved Medications (included with other medications). 1. Administration of antihistamines. 1. Eye Irrigation-Morgan Lens. 2. Intramuscular Injections. 3. Subcutaneous Medication injections. 4. IV Fluid Infusion-Maintenance of Medicated Fluids (combination of medication and maintenance of IV fluid already assessed). 1. Glucagon 2. Epinephrine (Adrenalin), 3. Epinephrine Auto Injector,

5 12/24/2012 Christmas/New Year s Break No Class 12/26/ /31/ /02/2013 Pharmacology (ICE) PEP 7 th Edition Chapters 15 & 16 01/07/2013 QUIZ Chapters 4-16; Finish Competency Skill Check Off Sheets for Skill Set #4. 01/09/ /14/ /16/2013 Airway Management & Ventilation (ICE) Airway Management & Ventilation (ICE) Airway Management & Ventilation (ICE) REVIEW/EXAM PCPP Volume 2 Chapter 5 Part 1 PCPP Volume 2 Chapter 5 Part 2 PCPP Volume 2 Chapter 5 Part 3; Review PEP Chapter 8. 01/21/2013 Civil Rights Day (MLK) No Class 01/23/ /28/ /30/2013 Airway Management & Ventilation putting all together Airway Management & Ventilation (ICE) Airway Management & Ventilation SIM Lab Practice and competency assessment PCPP Volume 2 Chapter 5 Part 4 REVIEW SIM LAB/Quiz on Airway 1. NG tube placement. 2. Nasogastric medications administration. 1. BiPAP, 2. Chest Decompression-Needle. 3. Airway Obstruction Removal of Foreign Body by Direct Laryngoscopy. 4. Obstruction, Direct Laryngoscopy. 5. PEEP- Therapeutic. 1. Airway Insertion-Nasal 2. Cricothyrotomy- Needle/Percutaneous 3. Chest Tube Monitoring and Management (no Skill check off sheet). 1. Intubation-digital, 2. Intubation-Medication Assisted (Non-paralytic), 3. Intubation- Nasotracheal, 4. Intubation Orotracheal. 1. Gastric Decompression NG Tube (already completed NG tube insertion check sheet), 2. Gastric Decompression-OG Tube 1. ET Tube Medications Administration SIM LAB-Airway 1. Naloxone (Narcan). Albuterol; Atrovent; Diazepam; Epi 1:1,000; Etomidate; Flumazenil; Midazolam; Heparin; Oxygen; Pancurionium; Succinylcholine; Vecuronium; Aminophylline; Xoponex; Rocuronium; Solumedrol.

6 02/04/2013 Review Quiz on Airway SIM LAB/ UNIT 2 SIM Lab Practice and EXAM competency assessment Student Conferences with Dave Bobeck SIM LAB-Airway Module 3 Assessment Techniques 02/06/2013 Scene size up (ICE); PCPP Volume 3 02/11/ /13/2013 Review Unit 2 Exam Primary Assessment (ICE) REVIEW Primary Assessment and Therapeutic Communications Chapter 1 PCPP Volume 3 Chapter 2 PCPP Volume 3 Chapter 3 02/18/2013 President s Day No Class 02/20/2013 Therapeutic PCPP Volume 3 Communications (ICE) Chapter 3 02/25/2013 History Taking ICE: Quiz Chapters 1-3 PCPP Volume 3 02/27/2013 History Taking (ICE) Chapter 4 REVIEW QUIZ 03/04/2013 Secondary Assessment (ICE) PCPP Volume 3 03/06/2013 Secondary Assessment Chapter 5 (ICE) 03/11/2013 Patient Monitoring Technology (ICE) 03/13/ /18/ /20/ /25/2013 Patient Monitoring Technology (ICE) Patient Assessment in the Field (ICE) QUIZ chapters 4-7 REVIEW QUIZ; Patient Assessment in the Field (ICE); Finish Competency Skill Check Off Sheets for Skill Set #5. REMEDIATION NIGHT PCPP Volume 3 Chapter 6 PCPP Volume 3 Chapter 7; QUIZ National Registry Medical Skill Check sheets SPECIAL Student Conferences with Dave Bobeck Module 4 Medical Emergencies I 1. CPAP, 2. End Tidal Co2 Monitoring/Capnometry

7 1. Suctioning-upper airway, 2. Ventilators- 03/27/2013 Pulmonology Automated Transport (ATV) for nonintubated patients, 3. Ventilates- Suctioning- Chapter 1; Review Tracheobronchial via Automated Transport (ATV). 4. Demand PEP Chapter 8 advanced airway Valve-Manually triggered, flow restricted ventilation. 04/01/2013 Spring Break-No Class (Suggested Read Ahead in Cardiac Arrhythmias as there is a great deal of reading) 04/03/ /08/2013 Pulmonology 04/10/2013 Pulmonology (ICE) Pulmonology (ICE); Finish Competency 04/15/2013 Skill Check Off Sheets for Skill Set #6. Pulmonology (ICE) 04/17/2013 QUIZ Pulmonology; Chapter 1; Review PEP Chapter Blood Chemistry Analysis-No Skill Sheet 1. Pacing transcutaneous 04/22/2013 Cardiology Chapter 2; Understanding 12 Lead Chapters 1 & 2 & Cardioversion- Electrical, 2. Carotid Massage, 3. Defibrillation- Manual Adenosine; Amiodarone; Aspirin, Atropine, Calcium Chloride, 04/24/2013 Cardiology 04/29/2013 Cardiology 05/01/2013 Cardiology (ICE) QUIZ Understanding 12 Lead EKG Chapter 3; Basic Arrhythmias Chapter 1 Understanding 12 Lead EKG Chapters 5 & 6; Basic Arrhythmias Chapters 2 & 3. Digoxin, Diltiazem, Dobutamine, Dopamine, Epi 1:10,000; Furosemide; Isoproterenol, Lidocaine, Mag. Sulfate, Metroprolol, Metaproterenol, Morphine Sulfate,

8 Nitroglycerin tabs, Review PEP Chapter Nitroglycerin paste, REVIEW QUIZ; 7 plus medications Nitroprusside, Cardiology listed: Understanding Norepinephrine, Pharmacology (ICE) 12 Lead EKG s Procainamide, Chapter 16. Propranolol, 05/06/ /08/ Lead 05/13/ Lead (ICE) 05/15/ Lead (ICE); QUIZ Understanding 12 Lead EKG s Chapters 8-9 & 10; Basic Arrhythmias (7 th Edition) Chapters 4 & 5. Understanding 12 Lead EKG s Chapters 11 & 12; Basic Arrhythmias (7 th Edition) Chapters 6 & 7. Understanding 12 Lead EKG s Chapters 13, 14, 15; Basic Arrhythmias (7 th Edition) Chapters 8 1. EKG-12 Lead Data Acquisition, 2. EKG 12 Lead Interpretations (no skill sheet), 3. EKG 3 Lead rhythm Interpretation (no skill sheet) 05/20/2013 ACLS SPECIAL ACLS 05/22/2013 ACLS SPECIAL ACLS 05/27/2013 Memorial Day-No Class 05/29/2013 ACLS SPECIAL ACLS 06/03/2013 Cardiology SIM LAB SIM Lab 06/05/2013 Cardiology; Finish Competency Skill Check Off Sheets for Skill Set #7. 06/10/2013 Neurology 06/12/2013 Neurology 06/17/ /19/2013 Washington State Objectives Ear, Eyes, Nose and Throat and Endocrinology SIM LAB SIM Lab Chapter 3 and 11; Review PEP Chapter 11. SPECIAL Chapters 4 and 12; Review PEP Chapter 10 Sodium Bicarb, Thrombolytics, Vasopressin, Esmolol Ziprasidone, Thiamine, Haloperidol, Lorazepam, Diazepam, Mannitol

9 06/24/2013 Endocrinology; UNIT 4 EXAM Module 5 Medical Emergencies II 06/26/2013 Student Conferences with Dave Bobeck Dexamethasone, Fentanyl, Flumazenil, Allergies and Midazolam, Anaphylaxis; Unit 4 Meperidine, Nitrous Exam Review Oxide, Chapter 5; Review Promethazine, PEP Chapter 9 Hydroxyzine, Ketorolac. 07/01/2013 Allergies and Anaphylaxis; Pharmacology ICE 07/03/2013 Gastroenterology; ICE 07/08/ /10/ /15/2013 Urology and Nephrology; QUIZ Volume 4 Chapters Environmental Emergencies; Review Quiz Environmental Emergencies; ICE 07/17/2013 Hematology 07/22/ /24/ /29/ /31/2013 Hematology; Blood borne Diseases; ICE Toxicology and Substance Abuse Toxicology and Substance Abuse Infectious Disease: QUIZ Volume 4 Chapters /05/2013 Medical Lab; SIM LAB Chapter 6; Review PEP Chapter 15. Chapter 7 Chapter 12 Chapter 9 Chapter 8; Review PEP Chapter 13 Chapter 10 Chapter 13 LAB 1. Thrombolytic therapy Administration (no skill check listdidactic only) Glucagon, Insulin, Zofran, Thiamine

10 08/07/2013 Medical Lab; SIM LAB LAB 08/12/2013 OB/GYN PCPP Volume 6 Chapter 1; Review PEP Chapter 12 08/14/ /19/ /21/ /26/ /28/2013 OB/GYN; Quiz OB/GYN Remediation Night- Module 5 EXAM; Review OB/GYN Quiz; Finish Competency Skill Check Off Sheets for Skill Set #8. Remediation Night- Review Module 5 Exam Trauma Systems; Blunt and Penetrating Hemorrhage and Shock; ICE PCPP Volume 6 Chapter 2 SPECIAL 1. Assist Childbirth Delivery-Normal, 2. Assisted Childbirth Delivery- Complicated. Module 6 Trauma Emergencies SPECIAL Student Conferences with Dave Bobeck Chapters 1, 2 and 3. Chapter 4 1. Hemorrhage Control-Direct Pressure, 2. Hemorrhage Control-Dressing, 3. Hemorrhage Control Tourniquet 09/02/2013 Labor Day No Class 09/04/2013 Soft Tissue Trauma Chapter 5 09/09/2013 Burns; QUIZ Trauma Systems through Burns Chapter 6 09/11/2013 Musculoskeletal Trauma; ICE; Review QUIZ Chapter 7 Trauma. 09/16/ /18/ /23/ /25/ /30/2013 Head, Face, and Neck & Spinal Trauma Nervous System Trauma; ICE Thoracic and Abdominal Trauma Shock Trauma Resuscitation; ICE; QUIZ Musculoskeletal through Shock ICE; Trauma Lab- Classroom not SIM Chapter 10 Chapter 11 Chapters 8 & 9 LAB Chapter 13 Review Shock Trauma Resuscitation LAB Trauma Lab 1. Hemorrhage Control Pressure Point. Terbutaline, Oxytocin

11 10/02/2013 Trauma Lab-Classroom. Finish Skill Competency Check Off LAB Sheets Skill Set #9. 10/07/2013 Unit Six Review and Unit EXAM Review/Exam Module 7 Special Populations 10/09/2013 Neonates PCPP Volume 6 Student Conferences with Dave Bobeck 10/14/2013 Neonates Chapter 3; Review meds for Neonates 10/16/2013 Pediatrics PCPP Volume 6 Acetaminophen,, 10/21/2013 Chapter 4; Review Ibuprofen, Ipecac Pediatrics; ICE; QUIZ medication protocols Syrup, Racemic Epi, NEONATES AND PEDs for Pediatrics Activated Charcoal. 10/23/2013 Review Neonate and Ped PCPP Volume 6 Assessment and Care Special 10/28/ /30/2013 Quiz; Geriatrics In Class Lab-Pediatrics; Quiz over Geriatrics Abuse and Assault: Review Geriatric Quiz 11/04/2013 The Challenged Patient Chapter 5; LAB Review PCPP Volume 6 Chapter 4 PCPP Volume 6 Chapter 6 PCPP Volume 6 Chapter 7 PCPP Volume 6 Chapter 8 PCPP Volume 7 Chapter 3 Populations-No skill sheets Assessment and Care Special Populations-No Skill sheets 11/06/2013 Acute Intervention of the Chronic Care Patient 11/11/2013 Assessment Based Management 11/13/2013 Assessment Based PCPP Volume 7 Management; EXAM Chapter 3 MODULE 7 Module 8 Special Operations 11/18/2013 Crime Scene Awareness; PCPP Volume 7 Unit 7 Exam Review Chapter 6 Student Conferences with Dave Bobeck 11/20/2013 Ambulance Operations; PCPP Volume 7 ICE Chapters 1 & 2 11/25/2013 Fall Break No Classes 11/27/ /02/2013 Rescue Awareness; Extrication Awareness PCPP Volume 7 Chapter 4 12/04/2013 Hazardous Materials PCPP Volume 7 Chapters 5 12/09/2013 Rural EMS PCPP Volume 7 Chapters 7 12/11/2013 Responding to Terrorist Attacks PCPP Volume 7 Chapters 8 12/16/2013 Unit Eight Review /EXAM REVIEW/EXAM

12 Date Classroom Topic Activity 12/18/2013 REVIEW for FINAL EXAM REVIEW 12/23/2013 Christmas Break No Classes 12/25/ /30/2013 FINAL WRITTEN EXAM 01/01/2014 New Year s Day No Class 01/06/2014 Summative Final Practice Group 1 01/08/2014 Summative Final Practice Group 2 01/13/2014 Summative Final Practice Group 1 01/15/2014 Summative Final Practice Group 2 01/20/2014 MLK/Civil Right Day No Class 01/22/2014 Summative Final Practice Group 1 01/27/2014 Summative Final Practice Group 2 01/29/2014 Summative Final Exam- SIM LAB Group 1 02/03/2014 Summative Final Exam- SIM LAB Group 2 02/05/2014 Remediation Summative Exam 02/10/2014 Remediation Summative Exam 02/12/2014 Course Review-Evaluation Forms-Guided Discussions

Idaho EMSPC Scope of Practice OLD (ISC) Curriculum License Levels NEW 2011 IEC Curriculum License Levels

AIRWAY / VENTILATION / OXYGENATION Idaho EMSPC Scope of Practice - OLD (ISC) Curriculum License Levels NEW IEC Curriculum License Levels Effective July 1, 2016 1 View of All Levels Across EMR- 1-1-2012)