Sub-Section 3-490-46 - Paramedic Academy Laboratory, Scenario, and Simulation Requirements

CMH EMS Education Manual


Skill Progression

Skills will be practiced and mastered in a progression format from basic to advanced. Refer to the table below where the first column of requirements for a particular skill must be completed before moving to the next column. All requirements below for a particular skill must be completed in lab, scenario, or simulation before performing the skill in the clinical setting.

Simulation Teams

A schedule will be developed where each student team will be responsible for responding to simulated emergencies. These simulated emergencies may occur at any time during the paramedic classroom time. If your team is “on duty” for the day, you will be expected to have the assigned response equipment checked and available before start of class and left in service and available for the next class and next “on duty” team. Teams not “on duty” will be required to participate as patients or actors, serve as peer evaluators, or observe the simulated emergency.

Simulations are written by instructors and peers based on actual call and real patient information. Simulations are validated by the use of actual patient demographics, complaints, vitals, and response to treatments as documented in the ePCR data.

Instructor Evaluations

Instructor evaluations also count as peer evaluations. For example, if the IV Therapy Skill requires one (1) peer evaluation and one (1) instructor evaluation and the student obtains two (2) instructor evaluations, the requirements have been met. Additionally, Simulation Evaluations also meet the requirements of Scenario Evaluations.

In general, the first and last evaluations are preferred to be instructor evaluations. If the last evaluation is failed, all previous peer evaluations must be completed by the student and the peer(s) that documented the successful evaluations. In addition to not missing any critical fail criteria, a successful evaluation obtains at least 80% of the possible points on the evaluation form.

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 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.

Laboratory Skill Requirements

The table below meets or exceeds CoAEMSP Appendix G requirements.

Skill Minimum Number of Successful Attempts
Individual Lab Skill Individual Lab Scenario Simulation
Peer Evaluator Instructor Evaluator Peer Evaluator Instructor Evaluator Instructor Evaluator
Abnormal Delivery with Newborn Care   1 1 1  
Airway Management 24 1      
Basic - 1 & 2 Rescuer CPR for Adults   1   2  
Basic - 1 & 2 Rescuer CPR for Children   1   2  
Basic - 1 & 2 Rescuer CPR for Infants   1   2  
Basic - 12-Lead ECG Placement 2     2  
Basic - Automated External Defibrillator   1      
Basic - Bag-Mask Technique and Rescue Breathing for Adults   1   1  
Basic - Bag-Mask Technique and Rescue Breathing for Children   1   1  
Basic - Glucometer 2        
Basic - Hemorrhage Control 1     2  
Basic - Inhaled Medication Administration 2     2  
Basic - Intranasal Medication Administration 2     2  
Basic - Joint Splinting 1     2  
Basic - Long Bone Splinting1  2 
Basic - Relief of Choking in Infants 1 1 
Basic - Relief of Choking in Patients 1 Year of Age and Older 1 1 
Basic - Spinal Immobilization Adult (Seated Patient)1  2 
Basic - Spinal Immobilization Adult (Supine Patient)1  2 
Basic - Traction Splinting1  2 
Comprehensive Normal Physical Assessment - Adult11   
Comprehensive Normal Physical Assessment - Pediatric112  
CPAP and PEEP1 2  
Defibrillation 1 1 2 2  
Direct Orotracheal Intubation - Adult   2 2 1  
Direct Orotracheal Intubation - Pediatric 9 1   2  
Intramuscular Medication Administration 11  
Intraosseous Infusion 1 1 2 2  
Intravenous Piggyback Infusion112  
Intravenous Therapy1110  
IV Medication Administration112  
Medical Including Cardiac Physical Assessment112  
Nasotracheal Intubation - Adult2    
Needle Cricothyrotomy 1 1 2 2  
Neonatal Resuscitation Beyond Routine Newborn Care   1 1 1  
Normal Delivery with Newborn Care 1   1 1  
Obtain a Patient History from an Alert and Oriented Patient11   
Pathology - Any - Team Member    10
Pathology - Team Lead - Any - Adult         4
Pathology - Team Lead - Any - Geriatric         3
Pathology - Team Lead - Any - Pediatric         3
Pathology - Team Lead - Cardiac Dysrhythmia - Adult    1
Pathology - Team Lead - Chest Pain - Geriatric    1
Pathology - Team Lead - Delivery with Neonate Resuscitation - Pediatric    1
Pathology - Team Lead - OB/GYN - Adult    1
Pathology - Team Lead - Respiratory Distress - Pediatric    1
Pathology - Team Lead - Sepsis - Geriatric    1
Pathology - Team Lead - Shock - Adult    1
Pathology - Team Lead - Stroke - Geriatric    1
Pathology - Team Lead - Trauma - Adult    1
Pathology - Team Lead - Trauma - Pediatric    1
Pleural Decompression 1 1 1 1  
Port Access 1   
Subcutaneous Medication Administration 11  
Supraglottic Airway Device - Adult   2 4 2  
Synchronized Cardioversion 1 1 2 2  
Transcutaneous Pacing 1 1 4 10  
Trauma Endotracheal Intubation - Adult 1 1 1 1  
Trauma Physical Assessment - Adult112 

Change Log:

DateLink to
Description of change
10/31/20Moved online.
01/04/21pdfMoved lab skills back to clinical requirements as required by CoAEMSP. See 3-490-48.
12/29/21pdfUpdated lab requirements: direct oral intubation adult, pathology team lead any adult, geriatric, pediatric, and pacing.
02/24/22pdfUnderlined, bolded, and emphasized some important information.

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