EMERGENCY MEDICAL SCIENCE PARAMEDIC DIPLOMA (D45340) APPLICATION PACKET

Transcription

1 EMERGENCY MEDICAL SCIENCE PARAMEDIC DIPLOMA (D454) APPLICATION PACKET ONLINE HYBRID PARAMEDIC DIPLOMA PROGRAM EVENING OPTION Thank you for your interest in the Emergency Medical Science Paramedic Diploma Evening Option. This is a new program that will begin Fall 15 and will include online coursework via the Internet, campus classroom work, psychomotor lab sessions, hospital clinical, field internship and evaluation. This program meets the EMS Education Standards, AHA Guidelines, and CDC Trauma Triage Protocol. Upon successful completion of the program the student will qualify to be awarded a Diploma in Emergency Medical Science. After reviewing this packet, if you have any questions, please contact Kent Spitler, Director of the Department for EMS Education, at or spitler.kent@gaston.edu. Program Description The Emergency Medical Science Diploma curriculum provides individuals with the knowledge, skills and attributes to provide advanced emergency medical care as a paramedic for critical and emergent patients who access the emergency medical system and prepares graduates to enter the workforce. Students will gain complex knowledge, competency, and experience while employing evidence based practice under medical oversight, and serve as a link from the scene into the healthcare system. Graduates of this program may be eligible to take state and/or national certification examinations. Employment opportunities include providers of emergency medical services, fire departments, rescue agencies, hospital specialty areas, industry, educational and government agencies. Gaston College Department for EMS Education Paramedic Education programs are accredited by the Commission on Accreditation of Allied Health Education Programs ( upon the recommendation of the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP). To contact CAAHEP: Commission on Accreditation of Allied Health Education Programs 161 Park Street Clearwater, FL To contact CoAEMSP: CoAEMSP 81 Lakeview Parkway, Suite Rowlett TX 7588 (14) FAX (14)

2 Student Information The EMT course (EMS 11) is offered each semester. It is recommended that those who are entering the Paramedic Diploma Program, who are not currently certified as an EMT, to register for EMS 11 in the Summer 15 semester. Students with current EMT certification through continuing education may receive curriculum college credit for Emergency Medical Technician, EMS 11. EMS 11 credit must be achieved by August 6, 15 to continue in the Paramedic Diploma program. There are two ways to receive credit for EMS 11: 1. Complete the NREMT exam and receive national registration as an EMT. Go to for information. The student must show proof of NREMT registration as an EMT to receive credit for EMS 11. Cost is $7 and must have successfully completed an EMT skills evaluation within the last 1 months.. Complete a Credit by Exam for EMS 11 by applying for a request to test. The student must show proof of successful completion and certification as an EMT in North Carolina. Contact the Department for EMS Education for information and testing. The cost to obtain credit by exam is $5. Paramedic Diploma Program Admission Process Step One: Admission to the College Contact the Admissions Department for College admission requirements. The student will complete placement testing, submit high school/ged transcripts, and attend the College orientation. Admission to the Paramedic Diploma Program is a separate process and instructions are listed in Step Two. Step Two: Admission to the Paramedic Program Complete program application (separate from the College admissions application) Provide a copy of valid state driver s license (attach to program application) Application materials should be mailed to: Gaston College Department for EMS Education, Box 1 1 Highway 1 South Dallas, NC 84 Applications are accepted at any time, but are assigned to each program depending on space. The application deadline for the Paramedic Diploma Program is April 1, 15. Step Three: After a Paramedic Diploma Program acceptance letter is received Attend a program orientation session Schedule to meet with a faculty advisor to register for classes Complete a background check, FBI fingerprinting, and urine drug screen. This paperwork will be distributed at the orientation session. Complete a medical form, physical exam, immunizations, and health history.

3 Suggested Course Sequence Course Title Class Lab Clinical Credit Summer Semester 1 EMS 11 EMT Fall Semester I BIO 161 EMS 1 EMS 1 EMS 11 EMS 16 Introduction to Human Biology EMS Clinical Practicum I Pharmacology Advanced Airway Management Cardiology 1 Semester Total: Spring Semester I EMS Cardiology II EMS 1 EMS Clinical Practicum II 6 EMS 4 Patients with Special Challenges 1 EMS 5 Medical Emergencies 4 Semester Total: Summer Semester II EMS 6 Trauma Emergencies 1 EMS 1 EMS Clinical Practicum III 9 EMS 7 Life Span Emergencies Semester Total: Fall Semester II ENG 111 Writing and Inquiry EMS 41 EMS Clinical Practicum IV 1 4 EMS 85 EMS Capstone 1 Semester Total: Total Semester Hour Credits:

4 PARAMEDIC DIPLOMA PROGRAM APPLICATION Disclaimer: Completing this form does not guarantee entry into the Paramedic program. Specific program requirements must be met prior to acceptance. Please print: Name (First) (Middle Initial) (Last) Current Physical Address (do not use P.O. Box numbers) City State Zip County / / Birthdate MM/DD/YY Home Phone Cell Phone Emergency Contact Phone Address: Admissions placement testing requirements: Accuplacer Reading and Writing Meets requirement for DRE 98 Accuplacer Mathematics 55-1 Must meet requirement for DMA Recent high school graduates who have a high school grade point average (unweighted.6 or higher) may receive a waiver from placement testing. SAT Score Place out of: ACT Score Place out of: Writing OR Critical Reading ENG 9 & RED 9 English OR Reading English 18 or higher ENG 9 & RED 9 5 or higher Reading or higher Mathematics 5 or higher DMA 1-8 Mathematics or higher DMA 1-8 The student must meet Gaston College admission requirements. It is the students responsibility to apply to the College, complete placement testing and complete a general college orientation either in person or online. The Admissions department can answer any questions regarding this process by calling Hospital clinical agencies and EMS agencies that have contracts with Gaston College require criminal background checks, a urine drug screen, and FBI fingerprinting prior to entering their facilities. Failure to meet these requirements will subject the student to dismissal from the program. The program will comply with all clinical affiliation agreements. You will receive a packet that includes the information to meet these requirements. I certify that the above information is correct and complete to the best of my knowledge and belief. I understand and agree that misrepresentation, falsification or omission of material fact may be cause for rejection of my application or for termination after acceptance into the EMS program. Applicant Signature X Date of Application (please sign your name above) (mm/dd/yyyy) Orientation and acceptance into the Paramedic Diploma Program Student needs to declare EMS as major, D454, in the Gaston College Admissions office. Any student receiving a program acceptance letter must attend an orientation session on one of the following dates: April 1, 15 5: pm to 8: pm or April 15, 15 from 1: pm to : pm in the Albright Public Safety Building, Room 11. The orientation will include an overview of the program requirements, acceptance and/or change of major to EMS, clinical packets, and program information. Space for the Paramedic Diploma Program is limited. Early submission of this application is encouraged. For Office Use Only: Received by on Reviewed by on Conditional Acceptance Does not currently meet requirements Letter sent

5 Application Acknowledgement I have read and understand the Emergency Medical Science Paramedic Diploma Application Packet for the Paramedic Diploma Program at Gaston College. I understand that I am accountable for the information contained within the packet and agree to contact the Department for EMS Education with questions that I may have regarding any information contained within the packet. I fully understand that if I do not comply with the guidelines within the packet that my application may be incomplete and I will not be considered for admission into the program. I give permission for Gaston College to take steps to verify the information I have given them. I understand that my admission and continuation in the program is contingent on my fulfillment of all program requirements. I will not hold Gaston College or any of its agents responsible for my failure to provide information or fulfill my obligations for acceptance or completion of this program. I understand that completion of this application is a component of the student file and does not in itself grant admission to the EMS program. I further understand that I must submit a new application if I am not selected for the Paramedic Diploma Program. Minimum admission requirements for the Paramedic Diploma Program include: Having unconditional admission to the College Submitting a completed application for the EMS program(s) in the Department for EMS Education Meeting eligibility requirements for ENG 111 and BIO 161. Meeting essential functions or technical standards required for EMS providers Current EMT certification in North Carolina Admission to the EMS program is competitive, and the number of students is limited by the number of faculty, clinical sites, and classroom facilities. Meeting minimum requirements does not guarantee acceptance in to the Paramedic Diploma Program. Applicant s Signature Date Please return this application to: Gaston College Department for EMS Education 1 Highway 1 South Dallas, NC 84

6 Paramedic Essential Functions Area Function Yes No If no, please comment Mobility Flexibility Strength Fine Motor Skills and Hand/Eye Coordination Auditory Ability Communication 1. Have physical stamina to stand and walk for 8+ hours in a clinical or field setting. Can stand on both legs, move about freely, and maneuver in small spaces. Physical disabilities must not pose a threat to safety of the student, faculty, patients, or other healthcare workers. 1. Can bend the body downward and forward by bending at the spine and waist.. Can flex and extend all joints freely 1. Can raise objects from a lower to a higher position or move objects horizontally from position to position. This factor requires the substantial use of the upper extremities and back muscles.. Possess mobility, coordination and strength to push, pull or transfer heavy objects. (Strength to lift 5 lbs. frequently and 75 lbs. or more occasionally). 1. Possess manual dexterity, mobility, and stamina to perform CPR. Can seize, hold, grasp, turn, apply pressure and otherwise work with both hands.. Can pick, pinch, or otherwise work with fingers 1. Possess sufficient hearing to assess patient s needs, make fine discrimination in sound, follow instructions, communicate with other healthcare workers. Please comment if corrective devices are required 1. Possess verbal/nonverbal and written communication skills adequate to exchange ideas, detailed information, and instructions accurately.. Able to read, comprehend, and write legibly in the English language Interpersonal Skills 1. Able to interact purposefully and effectively with others.. Able to convey sensitivity, integrity, respect, compassion, and a mentally healthy attitude. Oriented to reality and not mentally impaired by mind altering substances 4. Able to function safely and effectively during high stress periods If you are unable to fully meet any of the listed criteria, you will need to meet with the Gaston College ADA Coordinator. A student who is seeking accommodations and services on the basis of a disability are required to submit documentation to verify eligibility for services. Receiving academic accommodations at Gaston College takes several steps: 1. Students must complete an accommodation request form from the ADA Coordinator s office each semester.. Students may hand-deliver the letter or have it sent to to each instructor through campus .. Students must arrange a meeting with their instructor(s) to discuss the proposed accommodations listed in the letter. 4. Students with disabilities must maintain the same responsibility for their education as students who do not have disabilities. This includes maintaining the same academic levels, maintaining appropriate behavior and giving timely notification of any special needs. Utilize accommodations available to you; asking for assistance is not a sign of weakness or dependence. It is our goal to help you achieve your educational pursuits. Upon reading and reviewing the Essential Functions, I have selected the appropriate boxes above attesting to my ability to perform the indicated function area. I further understand that I may be required by the EMS faculty to be re-evaluated if deemed necessary based on my ability to perform essential functions during the program, for retention, and progression through the program. Please mark the box that meets your ability to perform the Essential Functions I currently have the ability to perform the Essential Functions I currently am unable to perform the Essential Functions indicated without accommodations. Print Name Student Signature Date

7 Paramedic Diploma Program Application Checklist (This checklist is provided to assist you with the application process, please keep for your records) YOU SHOULD RETAIN COPIES OF ALL DOCUMENTS SUBMITTED. You will be notified in April for Fall semester admission. PRIOR TO PARAMEDIC PROGRAM ORIENTATION, COMPLETE THE FOLLOWING: SUBMIT TO ADMISSIONS OFFICE College application Official Transcripts from high school or GED Official Transcripts from each college previously attended Any other documents required by admissions SUBMIT TO THE DEPARTMENT FOR EMS EDUCATION Paramedic Diploma Program Application Each student must schedule an appointment with the program director Copy of Healthcare Provider CPR Card (if holding current certification) Copy of state driver s license Placement Test Scores Completed Essential Functions Form Application Acknowledgement Form ORIENTATION AND ACCEPTANCE INTO THE PARAMEDIC DIPLOMA PROGRAM Each student needs to declare EMS as major, D454, in the Gaston College Admissions office. Any student receiving a program acceptance letter must attend an orientation session on one of the following dates: April 1, 15 5: pm, to 8: pm or April 15, 15 from 1: pm to : pm in the Albright Public Safety Building, Room 11. The orientation will include an overview of the program requirements, acceptance and/or change of major to EMS, clinical packets, and program information. Space for the Paramedic Diploma Program is limited. Early submission of this application is encouraged. AFTER THE PARAMEDIC PROGRAM ORIENTATION, COMPLETE THE FOLLOWING: (Deadline will be given at orientation) Upon acceptance into the Paramedic Diploma Program each student will be required to submit a background check, FBI fingerprint record, and drug testing. Packets will be distributed during the Paramedic Diploma Program orientation session. Upon acceptance into the Paramedic Diploma Program each student will also be required to submit medical form documents including a physical exam, medical history, and immunization records. The paramedic diploma application must be submitted in person or by mail. When you mail your application and, to ensure receipt, it is suggested that you mail your completed packet by certified mail. Due to the high number of applications we receive it is department policy that the receipt of an application will not be confirmed. Applications will not be accepted by or fax.