Emergency Medical Technician Program Handbook A Health Science Program

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1 Emergency Medical Technician Program Handbook A Health Science Program 1

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3 Table of Contents Emergency Medical Technician... 1 Program Handbook... 1 Welcome to the Emergency Medical Technician Program... 4 Program Approvals/Certifications... 4 Program Requirements... 4 Required Text... 4 Bookstore... 4 Criminal Background Check... 5 Program Structure... 6 Program Content... 6 Laboratory Activities... 9 Grading Policy Student Progress Cards and Reports: Grading and Work Ethic Scale Work Ethic Scale Examples General Policies Attendance, Tardies, and Absences - Unexcused Absence Policy and Make-up Requirements: Fire Drills/Disaster Drills: Smoking: Telephone Usage - Cell Phone Use Equipment, Supplies, Furniture - Computer use Instructor Access: Confidentiality: Grievance Procedure (OCPS CTE Student Handbook): Uniform/Dress Code Student ID s: Responsible Conduct: Cheating/Plagiarism: Student Insurance: Alcohol/Drugs: Forms Requiring Student Signatures

4 Welcome to the Emergency Medical Technician Program Welcome to the Emergency Medical Technician Program. We are proud to know that you have chosen Orange County Public Schools as a stepping-stone to your career. This is an important phase in your life and we hope to make it meaningful and productive for your future. This handbook has been designed to guide you throughout your chosen program. During the general campus orientation, you were provided a District Student Handbook and a District Code of Conduct as well. You will find requirements, policies, and expectations for successful completion of your chosen program. We advise you to become familiar with the guidelines, requirements, and policies. It is your responsibility to understand these if you are to optimize your educational experience. If you have questions about the handbook, or if you feel a particular concern is not addressed, do visit with your instructor. We all wish you a very successful academic experience. Program Approvals/Certifications Mid Florida Tech Council on Occupational Education Florida Department of Health Program Requirements TABE scores: Mathematics 10; Language 10; Reading 10. Meet with Guidance Counselor and financial aid advisor (if applicable) Complete application process Required Text Your instructor will provide you with a Syllabus that will include the textbook requirements. Bookstore The bookstore at each tech center stocks textbooks required by the programs, plus a limited selection of school supplies. T-shirts, hats, mugs and other items with the school logo may also be available. Books are only sold to campus students unless otherwise authorized by the school Director or designee. The campus maintains a schedule of both day and evening hours of operation. Financial aid students on a book deferment must bring back ALL books unopened and materials unused to cancel their deferment within the first five days of school. Any books or materials used will be the responsibility of the student and will have an outstanding fee until paid in full. Refunds or exchanges for books may be processed under the following specific circumstances: A receipt must be provided by the customer. The book must be new (no markings, no broken binding, no imprints on the cover). All requests for book refunds must occur within 30 days of purchase. 4

5 Criminal Background Check A criminal background check is required. The form for the Florida Department of Law Enforcement (FDLE) background check can be found in the Admissions Office. Please read the following important notice from the Department of Health concerning prior criminal history and ability to be licensed. Section , Florida Statutes Important Notice for Initial Licensure Applicants and Renewals: Effective July 1, 2012, Section , Florida Statutes, provides that health care boards or the department shall refuse to issue a license, certificate or registration and shall refuse to admit a candidate for examination if the applicant: 1. Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under Chapter 409, F.S., (relating to social and economic assistance), Chapter 817, F.S., (relating to fraudulent practices), Chapter 893, F.S., (relating to drug abuse prevention and control) or a similar felony offense(s) in another state or jurisdiction unless the candidate or applicant has successfully completed a drug court program for that felony and provides proof that the plea has been withdrawn or the charges have been dismissed. Any such conviction or plea shall exclude the applicant or candidate from licensure, examination, certification, or registration, unless the sentence and any subsequent period of probation for such conviction or plea ended: a. For the felonies of the first or second degree, more than 15 years from the date of the plea, sentence and completion of any subsequent probation; b. For the felonies of the third degree, more than 10 years from the date of the plea, sentence and completion of any subsequent probation; c. For the felonies of the third degree under Section (6)(a), F.S., more than 5 years from the date of the plea, sentence and completion of any subsequent probation; 2. Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under 21 U.S.C. ss (relating to controlled substances) or 42 U.S.C. ss (relating to public health, welfare, Medicare and Medicaid issues), unless the sentence and any subsequent period of probation for such conviction or pleas ended more than 15 years prior to the date of the application; 3. Has been terminated for cause from the Florida Medicaid program pursuant to s , F.S., unless the candidate or applicant has been in good standing with the Florida Medicaid program for the most recent 5 years; 4. Has been terminated for cause, pursuant to the appeals procedures established by the state or from any other state Medicaid program, unless the candidate or applicant has been in good standing with a state Medicaid program for the most recent 5 years and the termination occurred at least 20 years before the date of the application; 5. Is currently listed on the United States Department of Health and Human Services Office of Inspector General's List of Excluded Individuals and Entities 5 5

6 Program Structure This program is an Applied Technology Diploma (ATD) program that is part of a technical degree program, is less than 60 credit hours, and leads to employment in a specific occupation. An ATD program may consist of either technical credit or college credit. A public school district may offer an applied technology diploma program only as technical credit, with college credit awarded to a student upon articulation to a community college. OCP Course Number Course Title Length SOC Code A HSC0003 Basic Healthcare Worker 90 hours B EMS0159 Emergency Medical Technician 160 hours Program Content This program offers a sequence of courses that provides coherent and rigorous content aligned with challenging academic standards and relevant technical knowledge and skills needed to prepare for further education and careers in the Health Science career cluster; provides technical skill proficiency, and includes competency-based applied learning that contributes to the academic knowledge, higher-order reasoning and problem-solving skills, work attitudes, general employability skills, technical skills, and occupation-specific skills, and knowledge of all aspects of the Health Science career cluster. This is an instructional program that prepares students for employment as emergency medical technicians SOC Code (Emergency Medical Technicians and Paramedics) to function at the basic pre-hospital emergency medical technician (basic) level and treat various medical/trauma conditions using appropriate equipment and materials. The program prepares students for certification as EMT's in accordance with Chapter 64J of the Florida Administrative Code. The program must be approved by the Department of Health, Bureau of Emergency Medical Services. This is the initial level for a career in emergency medical services and the primary prerequisite for paramedic training and certification. The content includes but is not limited to all those objectives identified in the current U S Department of Transportation, National Standards for the EMT. The content includes but is not limited to : patient assessment, airway management, cardiac arrest, external and internal bleeding and shock, traumatic injuries, fractures, dislocations, sprains, poisoning, heart attack, stroke, diabetes, acute abdomen, communicable diseases, patients with abnormal behavior, alcohol and drug abuse, the unconscious state, emergency childbirth, burns, environmental hazards, communications, reporting, extrication and transportation of patient. The student must be proficient in patient assessment and evaluation, the use of suctioning devices, oral and nasal airways, resuscitation devices, oxygen equipment, sphygmomanometer and stethoscope, splints of all types, pneumatic anti-shock garments, extrication tools, dressings and bandages, stretchers and patient carrying devices. 6

7 After successfully completing this program the student will be able to perform the following: 01. Demonstrate knowledge of the health care delivery system and health occupations. 02. Use oral and written communication skills in creating, expressing and interpreting information and ideas. 03. Describe the importance of professional ethics and legal responsibilities. 04. Demonstrate an understanding of and apply wellness and disease concepts. 05. Demonstrate the importance of health, safety, and environmental management systems in organizations and their importance to organizational performance and regulatory compliance. 06. Recognize and respond to emergency situations. 07. Recognize and practice infection control procedures. 08. Use information technology tools. 09. Explain the importance of employability skill and entrepreneurship skills. 10. Demonstrate knowledge of blood borne diseases, including HIV/AIDS. 11. Demonstrate mathematics and science knowledge and skills. 12. Demonstrate language arts knowledge and skills. 13. Demonstrate personal money-management concepts, procedures, and strategies. 14. Solve problems using critical thinking skills, creativity and innovation. 15. Describe the roles within teams, work units, departments, organizations, interorganizational systems, and the larger environment. 16. Demonstrate leadership and teamwork skills needed to accomplish team goals and objectives. 17. Apply fundamental knowledge of the anatomy and physiology of all human body systems to the practice of EMS. 18. Apply fundamental knowledge of life span development to patient assessment and management. 19. Describe the history and evolution of the EMS system. 20. Discuss and explain the roles, responsibilities & professionalism of EMS Personnel. 21. Discuss the significance of using the correct safety precautions to ensure the safety of the patient, the EMT and the EMS team. 22. Discuss stress management techniques useful for both the EMT and the patient. 23. Discuss the procedures to safely lift and move patients of various age groups and situations (emergency, Urgent and non-urgent moves). 24. Discuss and apply knowledge of disease transmission to the overall safety and wellness of the EMS team(taught to the level described in FS ). 25. Describe the principles of medical documentation and report writing. 26. Describe the components of the EMS Communication system. 27. Describe the significance of communication techniques for the EMT. 28. Discuss the medical, legal and ethical issues to the provision of emergency care. 29. Discuss the principles of pharmacology as they are related to emergency care. 30. Discuss and demonstrate scene size up and management in an emergency situation. 31. Discuss and demonstrate primary patient assessment procedures for all patient age levels. 32. Discuss and demonstrate the procedures for taking the history of a patient. 7 7

8 33. Discuss and demonstrate secondary patient assessment procedures for all patient age levels. 34. Describe the significance of monitoring devices in patient assessment. 35. Discuss the components and factors of reassessment and its significance in patient assessment. 36. Demonstrate an understanding and proficiency in Airway Management techniques. 37. Demonstrate an understanding and proficiency in Respiration techniques. 38. Demonstrate an understanding and proficiency in Artificial Ventilation techniques. 39. Apply a fundamental knowledge of the causes, pathophysiology and management of shock and the components of resuscitation. 40. Apply knowledge to provide care for patients with a neurological emergency. 41. Apply knowledge to provide care for patients with an Abdominal/Gastrointestinal emergency. 42. Apply knowledge to provide care for patients with an Immunologic emergency. 43. Apply knowledge to provide care for a patient experiencing an infectious disease. 44. Apply knowledge to provide care for a patient with an endocrine disorder. 45. Apply knowledge to provide care for a patient with a psychiatric emergency. 46. Apply knowledge to provide care for patients with a cardiovascular emergency. 47. Apply Knowledge of toxicology to provide care for a patient with a poisoning or overdose emergency. 48. Apply knowledge to provide care for a patient with a respiratory emergency. 49. Apply knowledge of Hematology to provide care for patients with a clotting disorder or are experiencing a sickle cell disease crisis. 50. Apply knowledge to provide care for a patient with a genitourinary/renal emergency. 51. Apply knowledge to provide care for a patient with a gynecologic emergency. 52. Apply knowledge to provide care for a patient with a Non-Traumatic Musculoskeletal emergency. 53. Describe an overview of the identification, categorization, pathophysiology and assessment of a trauma patient. 54. Demonstrate an understanding and the skills required for the management of a patient with traumatic bleeding. 55. Demonstrate an understanding and the skills required for the management of a patient with a chest trauma. 56. Demonstrate an understanding and the skills required for the management of a patient with an abdominal/genitourinary trauma. 57. Demonstrate an understanding and the skills required for the management of a patient with an orthopedic trauma. 58. Demonstrate an understanding and the skills required for the management of a patient with a soft tissue trauma. 59. Demonstrate an understanding and the skills required for the management of a patient with a head, facial, or neck (non-spinal) trauma. 60. Demonstrate an understanding and the skills required for the management of a patient with a nervous system trauma. 61. Demonstrate an understanding of the special considerations for the management of a patient experiencing a trauma during pregnancy. 8

9 62. Demonstrate an understanding of the special considerations for the management of the pediatric patient experiencing a trauma. 63. Demonstrate an understanding of the special considerations for the management of the geriatric patient experiencing a trauma. 64. Demonstrate an understanding of the special considerations for the management of the cognitively impaired patient experiencing a trauma. 65. Discuss and demonstrate how to assess and manage environmental trauma emergencies. 66. Define and articulate the kinematics of trauma. 67. Describe the components and procedures of a multi-system trauma. 68. Apply knowledge of growth development, aging and assessment to the obstetric and neonatal populations. 69. Apply knowledge of growth development, aging and assessment to the pediatric population. 70. Apply knowledge of growth development, aging and assessment to the geriatric population. 71. Apply knowledge of growth development, aging and assessment to patients with special challenges. 72. Discuss and demonstrate the principles of safely operating a ground ambulance. 73. Discuss an overview of EMS operations during a multiples casualty incident. 74. Demonstrate knowledge and procedures involved in safely operating in and around an air medical operations landing zone. 75. Discuss correct procedures of extrication to ensure EMS personnel and patient safety during extrication operations. 76. Discuss the risks and responsibilities of operating during a terrorism event or during a natural or man-made disaster. Laboratory Activities Laboratory activities are an integral part of this program. These activities include instruction in the use of safety procedures, tools, equipment, materials, and processes related to these occupations. Equipment and supplies should be provided to enhance hands-on experiences for students. Florida Statute requires that the instructor-student ratio should not exceed 1:6. Hospital activity shall include a minimum of 20 hours of supervised clinical supervision, including 10 hrs in a hospital emergency department. Clinical activity shall include appropriate patient assessment skills, intervention and documentation relevant to each clinical rotation. Field internship shall include a competency based program to assure appropriate pre-hospital assessment and management of medical and trauma patients, as well as associated manual skills. The field internship activity shall include a minimum of 5 emergency runs resulting in patient care and transport appropriate for the EMT. In addition, the patient care component should include minimum competencies in patient assessment, airway management and ventilation, trauma and medical emergencies. Special Notes 9 9

10 This program meets the Department of Health HIV/AIDS, trauma score card methodologies and SIDS training education requirements. Upon completion of this program, the instructor will provide a certificate to the student verifying that these requirements have been met. Programs may also teach domestic violence and prevention of medical errors education and may choose to provide a certificate to the student verifying that this education has been completed. Please refer to chapter 401 F.S. for more information on disqualification for the EMT license through the Bureau of Emergency Medical Services (EMS), Department of Health. An EMT-B program must be taught by an instructor meeting the qualifications as set forth in 64J FAC. Grading Policy Student Progress Cards and Reports: At the end of each marking period (9 weeks), the instructor will complete a report card. This represents an overview of the student s growth. It emphasizes course/program achievements as well as student attendance, work ethic and skills. Intervention for a student making unsatisfactory progress will be initiated at the midpoint of each nine weeks by the instructor to ensure appropriate student progress and achievement. Students study under a competency-based system and are graded as competency requirements are satisfactorily completed. The following Orange County Public Schools approved grading scale is used to report student achievement. The formula to determine each student s grade is calculated each grading period using this calculation 65% of the grade is coursework in the career certificate program and 35% of the grade is based on the professional work ethic. The grading policy will be covered in more detail during the campus orientation. Grading and Work Ethic Scale Grade Percentage Work Ethic Definition A Outstanding progress B Above Average Progress C Average Progress D Lowest Acceptable Progress F Below 60 0 Failure IP NA NA Course in progress, not yet complete 10

11 Work Ethic Scale Examples Trait Attendance Personal Characteristics Teamwork Appearance Attitude Productivity Organization Communication Cooperation Respect Sample of Appropriate Behavior Attends class, arrives/leaves on time; notifies instructor in advance of a planned absence. Displays loyalty, honesty, trustworthiness, dependability, reliability, initiative, self-discipline, and self-responsibility. Respects the rights of others, respects confidentiality; is a team worker; is cooperative; is assertive; displays a customer service attitude; seeks opportunities for continuous learning; demonstrates mannerly behavior. Displays appropriate dress, grooming, hygiene, and etiquette. Demonstrates a positive attitude; appears self-confident; has realistic expectations of self. Follow safety practices; conserves materials; keeps work area neat and clean; follows directions and procedures; completes assignments on time, makes up assignments punctually; participates. Displays skills in prioritizing and management of time and stress; demonstrates flexibility in handling change. Displays appropriate nonverbal (eye contact, body language) and oral (listening, telephone etiquette, grammar) skills. Displays leadership skills; appropriately handles criticism, conflicts, and complaints; demonstrates problem-solving capability; maintains appropriate relationships with supervisors and peers; follows chain of command. Deals appropriately with cultural/racial diversity; does not engage in harassment of any kind

12 General Policies Attendance, Tardies, and Absences - Unexcused Absence Policy and Make-up Requirements: The OCPS Career & Technical Education Student Handbook policy will be upheld in the EMT program. (See OCPS CTE Student Handbook.) Fire Drills/Disaster Drills: Regulations require that fire drills, bad weather drills, and lockdown procedures be held periodically throughout the school year. Each drill has specific procedures and warnings that will be taught to your class by the instructor. Please take note of the following guidelines: Every drill is to be taken seriously. A drill can take place at any time. All students should follow the exact procedures for each drill. Students should follow the lead of their teacher so that they will be in compliance with the drill and know the routine in case of an actual event. To turn in a false alarm is a criminal offense. Smoking: Smoking is not allowed on any campus per regulations of Orange County Public Schools. Telephone Usage - Cell Phone Use: Cell phones need to be in the silent mode. Emergency calls can be sent to the Campus Main number. Students may only use the cell phones during designated breaks or at lunch. Students are required to ask any clients receiving treatments to turn off their cell phones. Equipment, Supplies, Furniture - Computer use: Computers are the property of OCPS and students must respect the district s policies outlined in the student handbook. They are not for personal use. No s, blogging, or personal surfing. Printers are for school work only. Be frugal when using paper and ink. Remove personal items from computer desks when not in use. No food or drink around the computer desks. Headsets are permitted. Digital music devices are encouraged during independent study periods only. Instructor Access: Monday through Friday 7:30-2:30 Confidentiality: Federal legislation (HIPAA) protects the confidentiality of medical information and patient rights. EMT students must follow the HIPAA requirements. Students should not discuss patient information with family members or others. Gossip about patients, facilities, and co-students is considered a breach of confidentiality and the student can be withdrawn from the program. Grievance Procedure (OCPS CTE Student Handbook): A student is encouraged to resolve an issue at the classroom level. If there is no resolution at the classroom level, the student may present the concern to the counselor. If a satisfactory solution is not reached, then the issue is regarded as a grievance. Steps to be followed regarding a student grievance are the following: 1. The student must state the grievance in written form to the appropriate school administrator. 2. Within five school days, the appropriate administrator will meet with the student. The student will be afforded the opportunity to state his/her view and to present evidence of witnesses. A decision will be made. 12

13 3. Within five school days of the initial meeting a student may appeal the outcome of that meeting to the technical center senior director who will schedule a meeting with the student within two weeks. A decision will be made. 4. If the student is not satisfied with the decision, he/she may further appeal to the associate superintendent or designee who will convene an impartial board to review the grievance and render a final decision. 5. If the grievance is not settled to the student s satisfaction at the local level the student may contact: The Council on Occupational Education, 7840 Roswell Road, Suite 325, Atlanta, GA Telephone number: Uniform/Dress Code Uniforms Students are required to be in full EMT uniform when attending classes. Uniform will be clean in any setting or other designated functions. Full uniform includes: Issued name badge will be worn on the right collar EMT program shirt purchased Dark blue or black khaki/cargo uniform type pants Black belt Black leather type work shoes or boot with black laces or zipper (Not tennis shoes) Dark blue or black socks (not footie s) EMT issued stethoscope EMT issued holster which includes: scissor, pen light, goggles, and N95 mask One watch with second hand (not issued) Pocket sized note pad and black or blue pen (not issued). Grooming Standards for EMT Students These grooming standards are developed for a number of reasons and are not meant to be punitive in nature or written with the intention of infringing on anyone s freedom of expression. Instead these standards are provided for the following reasons: Long hair can present a hazard on emergency scenes. Some facial hair can prevent the seal of N95 infection control masks. It is MFT s goal to provide training that is safe and does not place any student in an unacceptable risk. The fire departments and hospitals of Central Florida all have grooming standards that are consistent with the one utilized by the EMT program. Since we are training EMS personnel for future employment within these agencies it is reasonable to expect the same type of grooming standard that will be expected during classroom training, clinical times, as well as when these students become employed

14 Jewelry: For their own personal safety, all students are encouraged to refrain from wearing jewelry while attending EMS class. Any jewelry normally worn above the neck; other than small clip earrings are prohibited, i.e.; large earrings, ear bands, large hair clips, hairpins, etc. Body piercings are to be removed from the face or any other part of the body in view when the uniform is worn. Hair Guidelines for male students: Hair shall be worn to the general shape of the head and may be worn on the top of the head, but not to extend beyond the top of the collar. Sideburns shall be closely trimmed and not extend below the bottom of the ear lobe. Any other facial hair besides mustaches will not be permitted. Natural hair coloring is acceptable but colors such as blue, pink or green and others are prohibited. Hair Guidelines for female students: Hair shall be worn to a maximum length that does not extend below the collar under any condition. The style of grooming will present a neat appearance and will not interfere with nor impede the donning/utilization of N95 respirator. Ornaments such as ribbons or bows shall not be worn. Women s hair will be worn back and may be held in place with scrunches or similar items. Natural hair coloring is acceptable but colors such as blue, pink, or green and others are prohibited. Tattoos: EMS Students having any visible tattoos will be required to cover them. Clinical agencies may have different requirements for personal appearances. The EMS Program will conform to those policies while students are at their facilities. Students will be advised of the appropriate requirements for each agency prior to them working at that facility. Failure to follow the agency s personal appearance guidelines may result in the student being sent home and not being allowed to complete that clinical time. General Hygiene: Students shall be free from offensive body odor and should have a clean and neat overall appearance daily. Clean shaven, clean nails, and no perfume or colognes so as not to interfere with patients sensitivity to smells.. Student ID s: Students must wear ID s at all times. Consequences for not following Dress Code: Students not adhering to the dress code will be asked to leave the facility and only return when dressed appropriately. Absences will have to be made up. Responsible Conduct: Students are expected to conduct themselves in an acceptable manner and reflect the individual goals and the purpose of Orange County Public Schools. The Center Director has the responsibility to immediately notify the appropriate law enforcement agency when any student under his or her jurisdiction violates the law. The Orange County School Board Code of Student Conduct will be enforced. All EMT students will receive a copy during orientation. 14

15 Cheating/Plagiarism: Cheating or plagiarism on any classroom or clinical work assigned is considered a serious offense. Plagiarism is the act of copying someone else s work and presenting it as your own. This would include copying directly from textbooks, other references, an Internet Site, or other students work. It is a form of cheating and will result in the same consequences as cheating. All incidents of cheating and/or plagiarism will result in a zero for that assignment and a written anecdotal in the student s record. A second offense results in automatic dismissal from the program. Student Insurance: All technical students must purchase school accident insurance or provide proof of insurance that covers them while in school-related activities. For a nominal fee a student may purchase 24-hour coverage. Insurance requirements must be taken care of upon registering for the program. Alcohol/Drugs: The Orange County Public School Drug-Free School Act is covered in the OCPS CTE Student Handbook. (See OCPS CTE Student Handbook)

16 16 Emergency Medical Technician Program Handbook

17 Forms Requiring Student Signatures Print Student Name Student Number I, the undersigned, have read and understand the following sections as written in the Emergency Medical Technician Student Handbook and do agree to abide by the policies as written: (initial each section below) Policies/Requirements Attendance Policy Agreement Dress Code Requirement Grading Policy Student Signature Date Witness Signature (if required) Date

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