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.

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:

Clinical Requirments:

Minimum hour requirements are listed below:

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.

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.

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