Paramedic Clinical & Internship Requirements

1. Paramedic Clinical & Internship Requirements

2. Paramedic Clinical Requirements Program Requirements: • 256 Hours (minimum) hospital – Subspecialty • 264 Hours (minimum) Internship • Clinical agreement to be initialed and signed • Instructor and/or Medical Director permission Remember, it is the total number of successful experiences that count!

3. Paramedic Clinical Requirements Eligibility • 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.

4. Clinical sites available…. • 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

5. Clinical Goals By the END of Module 2 • 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 • 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

6. Clinical Goals By the END of Module 3 All students will be required to PASS their AHA ACLS provider program during this module. • 8 Hours at the CCU (critical care unit) with an emphasis on the pathophysiology of acute/chronic pathology including long term treatment goals. • 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.

7. Clinical Goals By the END of Module 4 • 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. • 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.

8. Clinical Goals By the END of Module 5 • 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. • 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. • 8 Hours at the U OF M Psychiatric unit • Emphasis on the “careful” assessment and questioning techniques utilized with behavioral emergencies.

9. Important Policies…… • 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!

10. Paperwork and skills tracking • 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

11. 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!

12. www.fisdap.net • 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 • 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

13. Things to consider…. • 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!

14. Things to remember….. • 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!

15. Final Points…. • 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 • 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.

16. Problems or Questions…. • Clinical coordinator lanaya@hva.org DO NOT WAIT UNTIL IT IS A CRISIS!

17. Internship….

18. Internship Guidelines…. • Will occur in Module 6no 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.

19. Student Responsibilities.. • 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

20. Mentor Responsibilities… • 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”

21. Internship Goals.. • 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

22. Internship Goals.. • 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

23. Internship Goals.. • 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

24. Paperwork…. • 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) • Student will conduct a complete write-up on all patient encounters.

25. Evaluating the “AFFECTIVE DOMAIN” • 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

26. Evaluating the “AFFECTIVE DOMAIN” • 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.

27. Friendly Reminders • Contact me via EMAIL at lanaya@hva.org • 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!

28. Problems or Questions…. • Clinical coordinator lanaya@hva.org DO NOT WAIT UNTIL IT IS A CRISIS!