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2022-2023 Catalog 
    
2022-2023 Catalog [ARCHIVED CATALOG]

PARM 116 - Clinical Application I


PREREQUISITES/COREQUISITE: PARM 112 - Prehospital Pharmacology  

PROGRAM: Paramedic Science
CREDIT HOURS MIN: 1.5
CLINICAL APPLICATION HOURS MIN: 120
DATE OF LAST REVISION: Summer, 2020

Provides experiences in a hospital environment or other medical setting under supervision. Provides the opportunity to practice and perform patient assessment, endotracheal intubation, intravenous access techniques, and therapeutic communication techniques in the emergency department, surgery, and other appropriate clinical areas.

MAJOR COURSE LEARNING OBJECTIVES: Upon successful completion of this course the student will be expected to:

1-8.33 Use universal precautions and body substance isolation (BSI) procedures during medication administration. (P-2)

1-8.34 Demonstrate cannulation of peripheral or external jugular veins. (P-2)

1-8.36 Demonstrate clean technique during medication administration. (P-3)

1-8.37 Demonstrate administration of oral medications. (P-2)

1-8.40 Demonstrate rectal administration of medications. (P-2)

1-8.41 Demonstrate preparation and administration of parenteral medications. (P-2)

1-8.42 Demonstrate preparation and techniques for obtaining a blood sample. (P-2)

1-8.43 Perfect disposal of contaminated items and sharps. (P-3)

2-1.80 Perform body substance isolation (BSI) procedures during basic airway management, advanced airway management, and ventilation. (P-2)

2-1.81 Perform pulse oximetry. (P-2)

2-1.82 Perform end-tidal CO2 detection. (P-2)

2-1.84 Perform manual airway maneuvers, including: (P-2)

  1. Opening the mouth
  2. Head-tilt/ chin-lift maneuver
  3. Jaw-thrust without head-tilt maneuver
  4. Modified jaw-thrust maneuver

2-1.85 Perform manual airway maneuvers for pediatric patients, including: (P-2)

  1. Opening the mouth
  2. Head-tilt/ chin-lift maneuver
  3. Jaw-thrust without head-tilt maneuver
  4. Modified jaw-thrust maneuver

2-1.86 Perform the Sellick maneuver (cricoid pressure). (P-2)

2-1.87 Perform complete airway obstruction maneuvers, including: (P-2)

  1. Heimlich maneuver
  2. Finger sweep
  3. Chest thrusts
  4. Removal with Magill forceps

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 suction 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)

2-1.93 Demonstrate insertion of an oropharyngeal airway. (P-2)

2-1.94 Demonstrate insertion of a nasopharyngeal airway. (P-2)

2-1.95 Demonstrate ventilating a patient by the following techniques: (P-2)

  1. Mouth-to-mask ventilation
  2. One person bag-valve-mask
  3. Two person bag-valve-mask
  4. Three person bag-valve-mask
  5. Flow-restricted, oxygen-powered ventilation device
  6. Automatic transport ventilator
  7. Mouth-to-stoma
  8. Bag-valve-mask-to-stoma ventilation

3-1.8 Demonstrate the importance of empathy when obtaining a health history. (A-1)

3-1.9 Demonstrate the importance of confidentiality when obtaining a health history. (A-1)

3-2 Explain the pathophysiological significance of physical exam findings.

3-2.61 Demonstrate a caring attitude when performing physical examination skills. (A-3)

3-2.62 Discuss the importance of a professional appearance and demeanor when performing physical examination skills. (A-1)

3-2.63 Appreciate the limitations of conducting a physical exam in the out-of-hospital environment. (A-2)

3-2.64 Demonstrate the examination of skin, hair and nails. (P-2)

3-2.65 Demonstrate the examination of the head and neck. (P-2)

3-2.66 Demonstrate the examination of the eyes. (P-2)

3-2.67 Demonstrate the examination of the ears. (P-2)

3-2.68 Demonstrate the assessment of visual acuity. (P-2)

3-2.69 Demonstrate the examination of the nose. (P-2)

3-2.70 Demonstrate the examination of the mouth and pharynx. (P-2)

3-2.71 Demonstrate the examination of the neck. (P-2)

3-2.72 Demonstrate the examination of the thorax and ventilation. (P-2)

3-2.73 Demonstrate the examination of the posterior chest. (P-2)

3-2.74 Demonstrate auscultation of the chest. (P-2)

3-2.75 Demonstrate percussion of the chest. (P-2)

3-2.76 Demonstrate the examination of the anterior chest. (P-2)

3-2.77 Demonstrate special examination techniques related to the assessment of the chest. (P-2)

3-2.78 Demonstrate the examination of the arterial pulse including location, rate, rhythm, and amplitude. (P-2)

3-2.79 Demonstrate the assessment of jugular venous pressure and pulsations. (P-2)

3-2.80 Demonstrate the examination of the heart and blood vessels. (P-2)

3-2.81 Demonstrate special examination techniques of the cardiovascular examination. (P-2)

3-2.82 Demonstrate the examination of the abdomen. (P-2)

3-2.83 Demonstrate auscultation of the abdomen. (P-2)

3-2.84 Demonstrate the external visual examination of the female genitalia. (P-2)

3-2.85 Demonstrate the examination of the male genitalia. (P-2)

3-2.86 Demonstrate the examination of the peripheral vascular system. (P-2)

3-2.87 Demonstrate the examination of the musculoskeletal system. (P-2)

3-2.88 Demonstrate the examination of the nervous system. (P-2)

3-3.65 Demonstrate the techniques for assessing mental status. (P-2)

3-3.66 Demonstrate the techniques for assessing the airway. (P-2)

3-3.67 Demonstrate the techniques for assessing if the patient is breathing. (P-2)

3-3.68 Demonstrate the techniques for assessing if the patient has a pulse. (P2)

3-3.69 Demonstrate the techniques for assessing the patient for external bleeding. (P-2)

3-3.70 Demonstrate the techniques for assessing the patient’s skin color, temperature, and condition. (P-2)

3-3.71 Demonstrate the ability to prioritize patients. (P-2)

3-3.72 Using the techniques of examination, demonstrate the assessment of a medical patient. (P-2)

3-3.73 Demonstrate the patient care skills that should be used to assist with a patient who is responsive with no known history. (P-2)

3-3.74 Demonstrate the patient care skills that should be used to assist with a patient who is unresponsive or has an altered mental status. (P-2)

3-3.75 Perform a rapid medical assessment. (P-2)

3-3.76 Perform a focused history and physical exam of the medical patient. (P-2)

3-3.77 Using the techniques of physical examination, demonstrate the assessment of a trauma patient. (P-2)

3-3.78 Demonstrate the rapid trauma assessment used to assess a patient based on mechanism of injury. (P-2)

3-3.79 Perform a focused history and physical exam on a non-critically injured patient. (P-2)

3-3.80 Perform a focused history and physical exam on a patient with life-threatening injuries. (P-2)

3-3.81 Perform a detailed physical examination. (P-2)

3-3.82 Demonstrate the skills involved in performing the on-going assessment. (P-2)

3-4 Apply a process of clinical decision making to use the assessment findings to help form a field impression.

3-4.8 Defend the position that clinical decision-making is the cornerstone of effective paramedic practice. (A-3)

3-4.9 Practice facilitating behaviors when thinking under pressure. (A-1)

3-5.27 Show appreciation for proper terminology when describing a patient or patient condition. (A-2)

GRADING POLICY

A 100 - 94
B 93 - 86
C 85 - 80
D 79 -75
F  74 - Below

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)