Sub-Section 3-385-54 - EMT Internship Academy Clinical Requirements

CMH EMS Education Manual

Clinical experience is defined as a planned and scheduled educational student experience with live patient contact activities in settings, such as hospitals, clinics, free-standing emergency centers, and may include field experience.

Field experience is defined as planned and scheduled educational student time spent on an EMS unit, which may include observation and skill development, but which does not include team leading and does not contribute to the CoAEMSP definition of field internship.

Eligibility:

To be eligible to attend clinical rotations, the student must maintain passing status (70% overall grade) in the EMT Academy.

Staff Substitutions:

At no time may an EMT intern or student be substituted for EMT staff. Students in this EMT Internship Academy are also employees and staff, however, they may not fill EMT scheduled shifts or be allowed to perform EMT skills without preceptor oversight. Once graduated from this academy and licensed by the state of Missouri, students will no longer be enrolled in the academy and will no longer be considered students or interns.

• When functioning as an EMT student or intern:
• Must wear student uniform.
• Must wear and have visible above the waist the student ID.
• Must be under the direct supervision of a Field Training Officer or Preceptor.

General Requirements:

Students are required to participate and be eligible to participate at all clinical sites without exception. Students must also comply with the facilities’ policies and procedures. CMH is not obligated to locate an additional clinical site to accommodate a student for any reason.

Courses with a clinical component require mastery of the clinical objectives in order to successfully complete the course. The clinical component of any course is an integral portion of that course. Clinical experiences are graded on a pass/fail basis. If a student fails in clinical, he or she will fail the course. Students will be sent home from the clinical setting for unsafe or unprofessional behavior and may be grounds from dismissal from the course.

Scope:

If, at any time during a clinical rotation, a student is asked to perform outside his/her scope of training, that student shall immediately tell the requestor that they are not trained for that procedure and are not allowed to do it.

Identification:

All students will be required to wear a CMH-issued ID badge during all classroom, skills, and clinical rotations. The name badge shall be returned upon course completion (or having dropped the course). Students will assume replacement cost if their name badge is lost, mutilated, or destroyed. Replacement cost will be $10 each.

Laboratory Requirements:

Required basic laboratory competencies are listed below. These requirements must be completed prior to any live patient encounters. At least one (1) evaluation must be completed on you by an instructor or preceptor while you complete the following skills:

• 12-lead ECG placement (NREMT skill).
• Automated external defibrillator (AHA skill)
• CPR for adults, children, and infants with both one- and two-rescuer (AHA skill)
• Glucometer (NREMT skill)
• Hemorrhage control (NREMT skill)
• Intranasal medication administration (NREMT skill)
• Joint splinting (NREMT skill)
• Long bone splinting (NREMT skill)
• Relief of choking in infants and children (AHA skill)
• Rescue breathing for adults and children with bag-mask (AHA skill)
• Spinal immobilization - Adult seated patient (NREMT skill)
• Spinal immobilization - Adult supine patient (NREMT skill)
• Traction splinting (NREMT skill)

Clinical Requirments:

Minimum hour requirements are listed below:

• Minimum of 24 hours in an Emergency Room AND
• Minimum of 48 hours on an Ambulance.

Specific clinical patient assessment requirements to be completed by the end of all clinical hours are listed below. These requirements can be worked on throughout all clinical sites.

• Document an assessment on six (6) medical patients AND
• Document an assessment on six (6) trauma patients.

All requirements must be completed by the end of your second trimester (usually the end of April or eight months after the start of the Academy).

Clinical Double-Dipping Policy:

In the event, you have a patient that has both medical and trauma complaints, this one patient can be counted as two separate patients if you perform a complete medical assessment and a complete trauma assessment.

However, if you encounter the same patient more than once in the same shift, the only way you can count multiple assessments is if the patient returns for a second visit to the ER or calls 911 a second time while riding on the ambulance.

Laboratory and Clinical Documentation Software:

Platinum Planner will be used to document and track skills, labs, scenarios, simulations, and clinical contacts. It is the student’s responsibility to complete documentation.

When documenting live patient contacts and skills in Platinum Planner, the first line in the narrative must contain a medical record number trackable to the patient. This could be a hospital number off a face sheet or an EMS run number. Spot checks will be done to ensure accurate documentation.

All documentation in Platinum Planner for lab, scenarios, clinicals, field experience, and field internship MUST be submitted within 48 hours of completing the activity. If documentation is submitted late, it will be rejected and will not count.

Platinum Planner Signup Directions:

1. Go to http://platinumed.com and click on “Create student account."
2. Complete the form. A course code will be given to you by your instructor.
3. Check your email and activate your account following the directions in the email.

CMH EMS Education Mission: "Provide state-of-the-art education to develop and support a team of exceptional emergency medical professionals."

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.