PARM 216 - Clinical Application II

Contact Hours:  Lecture: NA  Lab: NA  Clinical: 7.5  Total 120

Provides experiences in a hospital environment or other medical setting under supervision. Provides the opportunity to practice and perform patient assessment, endotracheal intubation, suctioning of upper and lower airway, delivery of aerosolized medications, administration of medications via various enteral and parenteral routes, intravenous access techniques, interpretation of electrocardiogram tracings, and therapeutic communication techniques in the emergency department, critical care units, behavioral units, and other appropriate clinical areas.

MAJOR COURSE LEARNING OBJECTIVES: 2-1.83    Perform peak expiratory flow testing (P-2)

2-1.88    Demonstrate suctioning the upper airway by selecting a suction device, catheter and technique (P-2)

2-1.89    Perform tracheobronchial suctioning in the intubated patient by selecting a section device, catheter and technique (P-2)

2-1.90    Demonstrate insertion of a nasogastric tube. (P-2)

2-1.91    Demonstrate insertion of an orogastric tube. (P-2)

2-1.92    Perform gastric decompression by selecting a suction device, catheter and technique. (P-2)

4-2.45    Demonstrate the assessment of a patient with signs and symptoms of hemorrhagic shock. (P-2)

4-2.46    Demonstrate the management of a patient with signs and symptoms of hemorrhagic shock. (P-2)

4-2.47    Demonstrate the assessment of a patient with signs and symptoms of compensated hemorrhagic shock. (P-2)

4-2.48    Demonstrate the management of a patient with signs and symptoms of compensated hemorrhagic shock. (P-2)

4-2.49  Demonstrate the assessment of a patient with signs and symptoms of decompensated hemorrhagic shock. (P-2)

4-2.50    Demonstrate the management of a patient with signs and symptoms of decompensated hemorrhagic shock. (P-2)

4-2.51    Demonstrate the assessment of a patient with signs and symptoms of external hemorrhage. (P-2)

4-2.52    Demonstrate the management of a patient with signs and symptoms of external hemorrhage. (P-2)

4-2.53    Demonstrate the assessment of a patient with signs and symptoms of internal hemorrhage. (P-2)

4-2.54    Demonstrate the management of a patient with signs and symptoms of internal hemorrhage. (P-2)

4-3.53    Demonstrate the assessment and management of a patient with signs and symptoms of soft tissue injury, including: Contusion, Hematoma, Crushing, Abrasion, Laceration, Avulsion, Amputation, Impaled object, Penetration/puncture, and Blast. (P-2)

4-4.78    Take body substance isolation procedures during assessment and management of patients with a burn injury. (P-2)

4-4.79    Perform assessment of a patient with a burn injury. (P-2)

4-4.80  Perform management of a thermal burn injury, including airway and ventilation, circulation, pharmacological, non-pharmacological, transport considerations, psychological support/ communication strategies, and other management described by local protocol. (P-2)

4-4.81    Perform management of an inhalation burn injury, including airway and ventilation, circulation, pharmacological, non-pharmacological, transport considerations, psychological support/ communication strategies, and other management described by local protocol. (P-2)

4-4.82  Perform management of a chemical burn injury, including airway and ventilation, circulation, pharmacological, non-pharmacological, transport considerations, psychological support/ communication strategies, and other management described by local protocol. (P-2)

4-4.83  Perform management of an electrical burn injury, including airway and ventilation, circulation, pharmacological, non-pharmacological, transport considerations, psychological support/ communication strategies, and other management described by local protocol. (P-2)

4-4.84    Perform management of a radiation exposure, including airway and ventilation, circulation, pharmacological, non-pharmacological, transport considerations, psychological support/ communication strategies, and other management described by local protocol. (P-2)

4-6.29    Demonstrate a clinical assessment to determine the proper management modality for a patient with a suspected traumatic spinal injury. (P-1)

4-6.30  Demonstrate a clinical assessment to determine the proper management modality for a patient with a suspected non-traumatic spinal injury. (P-1)

4-6.31    Demonstrate immobilization of the urgent and non-urgent patient with assessment findings of spinal injury from the following presentations: Supine, Prone, Semi-prone, Sitting, and Standing. (P-1)

4-6.32    Demonstrate documentation of suspected spinal cord injury to include: General area of spinal cord involved, Sensation, Dermatomes, Motor function, and Area(s) of weakness (P-1)

4-6.33    Demonstrate preferred methods for stabilization of a helmet from a potentially spine injured patient. (P-1)

4-6.34  Demonstrate helmet removal techniques. (P-1)

4-6.35  Demonstrate alternative methods for stabilization of a helmet from a potentially spine injured patient. (P-1)

4-6.36    Demonstrate documentation of assessment before spinal immobilization. (P-1)

4-6.37   Demonstrate documentation of assessment during spinal immobilization. (P-1)

4-7.49  Demonstrate a clinical assessment for a patient with suspected thoracic trauma. (P-1)

4-7.50    Demonstrate the following techniques of management for thoracic injuries: Needle decompression, Fracture stabilization, Elective intubation, ECG monitoring, and Oxygenation and ventilation (P-1)

5-1.11    Recognize and value the assessment and treatment of patients with respiratory diseases. (A-2)

5-1.12  Indicate appreciation for the critical nature of accurate field impressions of patients with respiratory diseases and conditions. (A-2)

5-1.13   Demonstrate proper use of airway and ventilation devices. (P-1)

5-1.14     Conduct a history and patient assessment for patients with pulmonary diseases and conditions. (P-1)

5-1.15     Demonstrate the application of a CPAP/ BiPAP unit. (P-1)

5-2.184 Value the sense of urgency for initial assessment and intervention in the patient with cardiac compromise. (A-3)

5-2.185Value and defend the sense of urgency necessary to protect the window of opportunity for reperfusion in the patient with suspected myocardial infarction. (A-3)

5-2.186 Defend patient situations where ECG rhythm analysis is indicated. (A-3)

5-2.187 Value and defend the application of transcutaneous pacing system. (A-3)

5-2.188 Value and defend the urgency in identifying pacemaker malfunction. (A-3)

5-2.189Based on the pathophysiology and clinical evaluation of the patient with acute myocardial infarction, characterize the clinical problems according to their life-threatening potential. (A-3)

5-2.190 Defend the measures that may be taken to prevent or minimize complications in the patient with a suspected myocardial infarction. (A-3)

5-2.191 Defend the urgency based on the severity of the patient’s clinical problems in a hypertensive emergency. (A-3)

5-2.192 From the priority of clinical problems identified, state the management responsibilities for the patient with a hypertensive emergency. (A-3) 

5-2.193 Value and defend the urgency in rapid determination of and rapid intervention of patients in cardiac arrest. (A-3) 

5-2.194 Value and defend the possibility of termination of resuscitative efforts in the out-of-hospital setting. (A-3)

5.2.195 Based on on the pathophysiology and clinical evaluation of the patient with vascular disorders, characterize the clinical problems according to their life-threatening potential. (A-3)

5-2.196 Value and defend the sense of urgency in identifying peripheral vascular occlusion. (A-3)

5-2.197 Value and defend the sense of urgency in recognizing signs of aortic aneurysm. (A-3)

5-2.198 Demonstrate how to set and adjust the ECG monitor settings to varying patient situations. (P-3)

5-2.199 Demonstrate a working knowledge of various ECG lead systems. (P-3)

5-2.200 Demonstrate how to record an ECG. (P-2)

5-2.201 Perform, document and communicate a cardiovascular assessment. (P-1)

5-2.202 Set up and apply a transcutaneous pacing system. (P-3)

5-2.203 Given the model of a patient with signs and symptoms of heart failure, position the patient to afford comfort and relief. (P-2)

5-2.204 Demonstrate how to determine if pulsus paradoxus, pulsus alternans or electrical alternans is present. (P-2) 

5-2.205 Demonstrate satisfactory performance of psychomotor skills of basic and advanced life support techniques according to the current American Heart Association Standards and Guidelines, including: Cardiopulmonary resuscitation, Defibrillation, Synchronized cardioversion, and Transcutaneous pacing (P-3).

5-2.206 Complete a communication patch with medical direction and law enforcement used for termination of resuscitation efforts. (P-1)

5-2.207 Demonstrate how to evaluate major peripheral arterial pulses. (P-1)

5-12.22 Advocate for empathetic and respectful treatment for individuals experiencing behavioral emergencies.  (A-3)  

5-12.23  Demonstrate safe techniques for managing and restraining a violent patient. (P-1)

5-3.75  Characterize the feelings of a patient who regains consciousness among strangers. (A-2)

5-3.76  Formulate means of conveying empathy to patients whose ability to communicate is limited by their condition. (A-3)

5-3.77  Perform an appropriate assessment of a patient with coma or altered mental status. (P-3) 

5-3.78    Perform a complete neurological examination as part of the comprehensive physical examination of a patient with coma or altered mental status. (P-3)

5-3.79  Appropriately manage a patient with coma or altered mental status, including the administration of oxygen, oral glucose, 50% dextrose and narcotic reversal agents. (P-3)

5-3.80  Perform an appropriate assessment of a patient with syncope. (P-3)

5-3.81  Appropriately manage a patient with syncope. (P-3)

5-3.82  Perform an appropriate assessment of a patient with seizures. (P-3)

5-3.83  Appropriately manage a patient with seizures, including the administration of diazepam or lorazepam. (P-3)

5-3.84  Perform an appropriate assessment of a patient with stroke and intracranial hemorrhage or TIA. (P-3)

5-3.85  Appropriately manage a patient with stroke and intracranial hemorrhage or TIA. (P-3)

5-3.86  Demonstrate an appropriate assessment of a patient with a chief complaint of weakness. (P-3)

5-9.24   Value the sense of urgency for initial assessment and interventions for patients with hematologic crises.

5-11.53 Advocate compliance with standards and guidelines by role modeling adherence to universal/ standard precautions and BSI. (A-1)

5-11.54 Value the importance of immunization, especially in children and populations at risk. (A-1)

5-11.55 Value the safe management of a patient with an infectious/ communicable disease. (A-2)

5-11.56 Advocate respect for the feelings of patients, family, and others at the scene of an infectious/ communicable disease. (A-2)

5-11.57 Advocate empathy for a patient with an infectious/ communicable disease. (A-2)

5-11.58 Value the importance of infectious/ communicable disease control. (A-2)

5-11.59  Consistently demonstrate the use of body substance isolation. (A-2)

5-11.60  Perform an assessment of a patient with an infectious/ communicable disease. (P-2)

5-11.61  Effectively and safely manage a patient with an infectious/ communicable disease, including airway and ventilation care, support of circulation, pharmacological intervention, transport considerations, psychological support/ communication strategies, and other considerations as mandated by local protocol. (P-2)

5-13.7  Value the importance of maintaining a patient’s modesty and privacy while still being able to obtain necessary information. (A-2)

 

GRADING POLICY

CERTIFICATION/LICENSURE TRAINING DISCLAIMER:

Ivy Tech Community College cannot guarantee that any student will pass a certification or licensing exam.  Your success will be determined by several factors beyond the instruction you are given in the classroom including your test-taking skills, your willingness to study outside of class, and your satisfactory completion of appropriate practice exams.  Certification and licensure exam questions are drawn from databases of hundreds of possible questions; therefore, a thorough understanding of the subject matter is required.  The goal of Ivy Tech in providing a certification exam studies class is to assist you in understanding material sufficiently to provide a firm foundation for your studies as you prepare for the exam.

Eligibility to sit for the certification or licensure exam will be determined by the region’s program chair based on successful completion of all program requirements, as well as the program’s medical director based on the student’s competency as required by the program’s accrediting body.

 
Course Addendum - Syllabus (Click to expand)