CMH EMS Education Manual
Successful completion of ALL classroom, laboratory, and clinical requirements of ALL previous paramedic courses including completion of:
150 contact hours - 9 credit hours
Refer to overall Paramedic Academy description, goals, and objectives in Sub-Section 3-490-02 - Paramedic Academy Goal
This course serves as the capstone course for the paramedic program. It provides an opportunity for paramedic students to apply classroom knowledge to real-life situations and patients. Scene and patient assessment and management are developed and tested in this course as the student operates as the ambulance team leader.
If the minimum number of patient assessments and skills listed here and in Sub-Section 3.490.48 - Paramedic Academy Clinical Requirements are not completed by the end of the minimum hours required, additional hours must be scheduled to meet the contact requirements.
Refer to Sub-Section 1-560-16 - Student Evaluations and Section 2-520 - Academic Criteria: Grading and Examination Policies.
All requirements for this course must be completed by the end of your fourth trimester.
At the completion of all the team leader requirements of this course, the student will be required to successfully pass an individual summative program evaluation once approved by his or her mentor. This summative program evaluation includes three components:
| Location Type (click for details) | Prerequisites | Scope | Minimum Hours and Team Leads |
|---|---|---|---|
| Ambulance (Paramedic Team Lead) | Complete all other classroom, laboratory, and clinical activities. Completed Sub-Section 3-490-72 - Paramedic Field Internship Mentor Approval Form on file, and be approved by your lead instructor to begin team leads. | The purpose of Paramedic student rotation on an ambulance doing team leads is for students to act as team leader (managing all aspects of the scene and directing the actions of responders and their EMT partner). The objective of team leader clinical experience: The student has successfully led the team if he or she has conducted a comprehensive assessment (not necessarily performed the entire interview or physical exam, but rather been in charge of the assessment), as well as formulated and implemented a treatment plan for the patient. This means that most (if not all) of the decisions have been made by the student, especially formulating a field impression, directing the treatment, determining patient acuity, disposition and packaging/moving the patient (if applicable). Minimal to no prompting was needed by the preceptor. No action was initiated or performed that endangered the physical or psychological safety of the patient(s), bystanders, other responders, or crew. | 150 hoursSuccessfully assess and treat at least 30 ALS patients as team leader. The last nine (9) of ten (10) attempted team leads must be successful. The first six (6) and last six (6) patients should be with the assigned mentor. Scheduling conflicts or other exemptions will be taken into account on a case-by-case basis. |
An ALS patient is defined as one that required and was provided at least one medication or at least one ALS intervention. In order for an interfacility transfer to be documented as a patient contact in this course, the patient must be transferred to a higher level of care requiring ALS assessment and treatment(s). Team leads cannot be substituted with high fidelity simulations. Every team lead patient encounter attempt in this phase must include documentation by both the preceptor and student.
In order for an interfacility transfer to be documented as a patient contact in the field experience or field internship courses, the patient must be transferred to a higher level of care requiring assessment and may require emergency care.
The student has successfully led the team if he or she has conducted a comprehensive assessment (not necessarily performed the entire interview or physical exam, but rather been in charge of the assessment), as well as formulated and implemented a treatment plan for the patient. This means that most (if not all) of the decisions have been made by the student, especially formulating a field impression, directing the treatment, determining patient acuity, disposition and packaging/moving the patient (if applicable). Minimal to no prompting was needed by the preceptor. No action was initiated or performed that endangered the physical or psychological safety of the patient(s), bystanders, other responders, or crew.
As part of the ALS team leader patients, it is HIGHLY recommended you successfully assess and treat two (2) critical patients as team leader. Critical patients are defined as requiring at least one of the following interventions and that was performed by the paramedic student:
| Date | Link topreviousversion | Description of change |
|---|---|---|
| 10/31/20 | Moved online | |
| 05/04/21 | Aligned all Platinum adaptive requirements to the same level in all documents across EMT and paramedic curriculum. One exceptional and all good is the indication for success. | |
| 12/23/21 | Removed BIO course requirements. | |
| 11/12/22 | Modifications to include moving generic site info to 2-660. | |
| 12/30/22 | Removed exceptional requirement from adaptive testing. | |
| 12/30/22 | Clinical type data dynamically filled. |
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| CMH EMS Education Mission: "Provide state-of-the-art education to develop and support a team of exceptional emergency medical professionals." |
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CMH EMS Education Manual is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. Based on a work at http://ozarksems.com/edman-4-240.php. |