Transcript Paramedic Clinical & Internship Requirements PowerPoint

Paramedic
Clinical & Internship
Requirements
Program Requirements:
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256 Hours (minimum) hospital – Subspecialty
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264 Hours (minimum) Internship
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Clinical agreement to be initialed and signed
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Instructor and/or Medical Director permission
Remember, it is the total number of
successful experiences that count!
Eligibility
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EMT-B Licensure and/or NREMT Certification
Must have an 80% in class
IV skills signed-off by Instructor
Intubation skills signed-off by Medical Director
Immunizations completed
Reminder: all immunizations must be current…Tb within
1 year, if it expires during your program you must get
another or you will not be allowed to go to clinicals and
this will not be a reason for clinical extension.
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University of Michigan
- ER, OR, Trauma burn, Peds ER, Psych, L&D, CCU
St. Joseph Mercy
- ER, Peds ER, Psych
Chelsea Hospital
- ER, OR
Henry Ford Wyandotte Hospital
- ER (will be available 2012)
Heartland Skilled Nursing Center
By the END of Module 2
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16 Hours in the U of M or Chelsea Hospital OR
with 5 successful intubations.
16 Hours at Heartland Skilled Nursing Center
with a minimum 6 of the total 25 required
“complete” geriatric assessments.
Must complete a head to toe assessment including medications
and patient history
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48 Hours required in the Emergency Room
Emphasis will be on airway, IV and assessment skills complete
assessment minimum of 2 patients PER SHIFT/written.
Skills tracker for each clinical
Fisdap: 2 patients assessments/and skills
By the END of Module 3
All students will be required to PASS their AHA ACLS
provider program during this module.
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8 Hours at the CCU (critical care unit)
with an emphasis on the pathophysiology of acute/chronic
pathology including long term treatment goals.
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72 Hours required in the Emergency Room
Emphasis will be on a wide range of emergent etiology with
emphasis on Cardio-pulmonary assessment and management.
By the END of Module 4
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16 Hours at the U of M Trauma Burn Center
with an emphasis on the effects of trauma and burns with
regards to acute/chronic pathology including long term
treatment goals and outcomes.
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48 Hours required in the Emergency Room
Emphasis will be on a wide range of emergent etiology with a
focus on a greater understanding of the emergent patient
assessment process and intervention.
By the END of Module 5
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16 Hours at the U of M Pediatric ER
with an emphasis on the assessment and treatment challenges
that pediatric patients pose in addition to IV and airway skills.
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8 Hours at St. Joseph Labor & Delivery or U of M
L&D
Emphasis will be on witnessing and/or participating in the
assessment of newborn. You will also consider all the physiological
changes that occur with expecting mothers.
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8 Hours at the U OF M Psychiatric unit
Emphasis on the “careful” assessment and questioning techniques
utilized with behavioral emergencies.
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Professionalism
- Attendance mandatory
- Never being late (BE 15 MINUTES EARLY)
- Taking the initiate to participate
- Asking valuable questions
- Never leaving early
- Patient confidentiality HIPAA
- Attitude regarding the clinical experience
- Looking professional (uniform & hygiene)
- Never using profanity
Respecting & learning from other medical
professions!
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HVAEDU.ORG (website for all clinical forms)
All student clinical forms, directions including FISDAP
scheduler and skills tracker is under the student zone
Paramedic tab.
Let’s take a look at the
clinical forms!
www.hvaedu.org
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A Clinical and
Internship scheduler
A skills tracker
A clinical quality
marker
Provides program with
benchmark goals
reports required for
graduation and
accreditation!
Quality assurance starts
with you!
www.fisdap.net
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You will be issued a
FISDAP serial number
Must sign up or cancel
a minimum of 7 days
prior to clinical or
internship experience
Print your schedule
Do not sign up for
shifts unless you can
for sure
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Be sure to enter “ALL”
data and skills
performed within 72
hours
No back-to back shifts
Trading shifts with
classmates is
permitted
You are required to
keep up with your data
entry for Graduation.
Let’s take a look at FISDAP
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Transitioning from classroom cognitive knowledge
to clinical hands-on skills increase NR pass rates
Networking with different clinical healthcare
professionals
More in depth understanding of the patient care
continuum
Training provided by 2 of the top world renown
healthcare and research facilities
Training with the largest accredited ALS Paramedic
fleets in Michigan
Limited opportunity to learn skills that will last a
lifetime
Attitude makes up approximately
99% of the outcome!
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DO NOT get behind
with your clinical
rotations
DO NOT get behind
with your clinical
paperwork and data
entry within 72 hours
DO NOT forget to
make copies of all of
your clinical work
DO NOT miss a clinical
DO NOT turn in
paperwork that is
“substandard”
 DO NOT falsify any
documents and/or
signatures
 DO NOT show up
without the proper
paperwork, uniform/ID
 DO NOT take these
clinical experiences for
granted
Please remember, this is
your education!
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ER rotations: Require 2
complete assessments
and documentation per
shift
OR Chelsea primarily
utilizes LMA and not ET
induction
CCU Requires drug
sheets and some
pathology research
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Geriatric Assessment:
Requires a full head to
toe assessment
including drug sheets
and pathology research
L&D may require you
to return to
observe/participate in
a delivery and
assessment
When arriving, always report to the
nurses desk and introduce
yourself.
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Clinical coordinator
[email protected]
DO NOT WAIT UNTIL IT IS
A CRISIS!
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Will occur in Module 6 no earlier than SCHEDULE or
INSTRUCTOR PERMIT
Must have an 80% in class
All Hospital including subspecialty rotations must be complete
All internship rotations will be conducted with HVA
All students will be required to meet all benchmark skills as
mandated by HVA clinical and internship guidelines
Any student who fails to meet the minimum requirements
will be subject to being assigned additional internship hours
as applicable.
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Appropriate uniform and ID badge
Bring bagged lunch
Always demonstrate professional & ethical behavior
Take initiative
Be honest and sincere
Understand your limitations
Know when and how to “stand down”
Respect the crew’s space
Sign up for 1, but no more than 2 cars (maintain same mentors)
Riding on cars that provide good experience
Student assessments including narrative on all patient encounters including
being entered into FISDAP
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Orientation of rig, drug box and basic operation of
equipment as required
Review performance
Be fair and non judgmental
Complete student evaluation forms including signature
Review student PCR for accuracy and completeness
Dismiss students who fail to participate or
demonstrate unprofessional behavior
Discuss issues as appropriate
Act as a responsible “role model”
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Rides 1 - 5
- All v/s taken manually
- Familiarize yourself with all ambulance
compartments and equipment including drug box
- Gain more confidence by interacting with patients
- Set up and attempt to start all IV’s
- Set up and conduct all 12 lead ECG as
appropriate
- Learn how the senior and junior Paramedic prefer
to interact with patients
- Work on good patient moving and packaging skills
- Focus on proper documentation
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Rides 6 - 11
- Continue to improve patient interaction and
questioning
- Complete the RN/LPN hospital reports
- If comfortable, consider giving radio in-bound
report
- IV skills should start to show marked improvement
- If permissible, consider ATTEMPTING advanced
airway skills (ET)
- Interact during any mega code or critical patient as
permissible an/or appropriate
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Rides 12 – 22 or completion
- Continue to improve patient interaction including
confidence with decision making
- Complete full patient assessments
- Continue to build mentor trust with your
assessment questions including treatment options
and patient care decisions
- Manage all aspects of a “stable” ALS call
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All internship patient care PCR paperwork
including mentor signatures should be copied
A mid-point and a final evaluation will be
conducted by the senior medic/mentor
All paperwork will be audited for accuracy
and completeness
All ‘benchmark’ goals must be achieved prior
to the conclusion of the internship rotations
All paperwork must be signed-off by
instructor and/or clinical coordinator
(original signatures must be retained for file)
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Student will conduct a complete write-up on
all patient encounters.
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Recognize the need to treat the patient, family FD, PD and
co-workers with respect
Able to discuss difference of opinion &/or patient care in a
respectful manner
Refrains from using derogatory or demeaning language
Able to relate why protecting & respecting patient
confidentially & dignity is necessary
Able to manage patient care while accommodating patient's
limitations
Critically evaluate mistakes made in patient care & works to
improve performance
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Has the student been punctual, dressed appropriately and
had the proper paperwork?
Does this student take initiative to complete assignments?
Does this student follow through on task without constant
supervision?
Does this student speak clearly, write legibly and
communicate well with the staff?
Do you feel this student has the skills necessary to be an
effective entry level paramedic?
Would you recommend that this student pass or fail the
internship program?
Failure means remediation is necessary along with additional
third-rides with another F.I.
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Contact me via EMAIL at [email protected]
Come prepared for weather, with your paperwork
and uniform (jackets) and ID
Please read directions to each specific area as well as
parking and how to get in...
Contact me ASAP with ANY problems
Remember…be on time…they will not wait for you!
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Clinical coordinator
[email protected]
DO NOT WAIT UNTIL IT IS
A CRISIS!