Description:

This program is designed for individuals interested in providing medical care to patients in the pre-hospital setting. It will provide the participants with opportunities to gain information, skills and attitudes necessary for certification and practice as an emergency medical technician (EMT) in the state of Kansas. This program has been approved by the Kansas Board of Emergency Medical Services (BEMS). It addresses information and techniques currently considered the responsibility of the EMT according to the United States Department of Transportation, National Standard Curriculum. The program consists of didactic instruction, practical skill training and clinical experience. Students are also required to attend Saturday session(s) as necessary. Saturday dates and times will be announced during the first class session. Classroom instruction includes anatomy, physiology, recognition and care of medical emergencies, and trauma-related injuries. CPR, bandaging, splinting, childbirth techniques and airway management are among the skills taught. An extrication session will give students hands-on experience with automobile accident situations. Upon instructor recommendation, students will participate in clinical and field observation. All transportation to and from off-campus sites is the responsibility of the student. Students completing this course with a minimum grade of "C" will be allowed to sit for the Kansas EMT State Certification Examination and receive JCCC certificate of completion. Enrollment in certain courses may require a professional liability fee of $16.00. Students will be notified via their JCCC student e-mail account if the fee is due and instructions on how to pay the fee. 7 hrs. lecture, 5 hrs. lab/wk. (average)

Supplies: Refer to the instructor's course syllabus for details about any supplies that may be required.

Textbook(s): For information see - http://bookstore.jccc.net

Course Fees: NONE

Course Objectives:

Upon successful completion of this course the student should be able to:

1. Recognize the nature and seriousness of the patient's condition or extent of injuries to assess requirements for emergency medical care.
2. Administer appropriate emergency medical care based on assessment findings of the patient's condition.
3. Lift, move, position and otherwise handle the patient to minimize discomfort and prevent further injury.
4. Perform safely and effectively the expectations of the EMT-B job description.

Content Outline & Competencies:

I. Developing Background Knowledge of Emergency Medical Care
   A. Knowledge of the EMS system and responsibilities
      1. Define Emergency Medical Services (EMS) systems.
      2. Differentiate the roles and responsibilities of the EMT-Basic
from other pre-hospital care providers.
      3. Describe the roles and responsibilities related to personal
safety.
      4. Discuss the roles and responsibilities of the EMT-Basic towards
the safety of the crew, the patient and bystanders.
      5. Define quality improvement and discuss the EMT-Basic's role in
the process.
      6. Define medical direction and discuss the EMT-Basic's role in the
process.
      7. State the specific statutes and regulations in your state
regarding the EMS system.
      8. Characterize the various methods used to access the EMS system in
your community.
   B. Personal attitudes and conduct of the EMS provider
      1. Assess areas of personal attitude and conduct of the EMT-Basic.
      2. List possible emotional reactions that the EMT-Basic may
experience when faced with trauma, illness, death and dying.
      3. Discuss the possible reactions that a family member may exhibit
when confronted with death and dying.
      4. State the steps in the EMT-Basic's approach to the family
confronted with death and dying.
      5. State the possible reactions that the family of the EMT-Basic may
exhibit due to their outside involvement in EMS.
      6. State possible steps that the EMT-Basic may take to help reduce
critical incident stress.
   C. Well being of the EMT
      1. Explain the need to determine scene safety.
      2. Discuss the importance of body substance isolation.
      3. Describe the steps the EMT-Basic should take for personal
protection from airborne and bloodborne pathogens.
      4. List the personal protective equipment necessary for each of the
following situations.
         a. Hazardous materials
         b. Rescue operations
         c. Violent scenes
         d. Crime scenes
         e. Exposure to bloodborne pathogens
         f. Exposure to airborne pathogens
      5. Explain the rationale for serving as an advocate for the use of
appropriate protective equipment.
      6. Use and dispose of personal protective equipment and garments.
      7. Disinfect all equipment.
      8. Complete reporting documentation.
   D. Medical and legal issues confronting the EMT
      1. Define the EMT-Basic scope of practice.
      2. Discuss Do Not Resuscitate [DNR] (advance directives).
         a. Local or state provisions regarding EMS application
         b. Rationale for the needs, benefits and usage of advance
directives
         c. Rationale for the concept of varying degrees of DNR
         d. Role of EMS and the EMT-Basic regarding patients with orders
      3. Discuss the methods of obtaining consent.
         a. Expressed
         b. Implied consent
         c. Consent of minors
      4. Discuss the implications for the EMT-Basic in patient refusal of
transport.
      5. Discuss the issues around performance of duty.
         a. Abandonment
         b. Negligence
         c. Battery 
         d. Conditions necessary for a duty to act
      6. Discuss patient confidentiality.
         a. Importance
         b. Necessity
         c. Legality
      7. Discuss the considerations of the EMT-Basic in issues of organ
retrieval.
      8. Differentiate the actions that an EMT-Basic should take to assist
in the preservation of a crime scene.
      9. State the conditions that require an EMT-Basic to notify local
law enforcement officials.

II. Understanding the Human Body
   A. Identify topographic terms: medial, lateral, proximal, distal,
superior, inferior, anterior, posterior, midline, mid-clavicular,
bilateral, mid-axillary.
   B. Describe the anatomy and function of the following major body
systems.
      a. Respiratory
      b. Circulatory
      c. Musculoskeletal
      d. Nervous
      e. Endocrine

III. Developing Prerequisite Skills for Assessing Patients
   A. Extended vital signs
      1. Differentiate between a sign and a symptom.
      2. Defend the need for obtaining and recording an accurate set of
vital signs.
      3. Explain the rationale of recording additional sets of vital
signs.
      4. Identify the components of the extended vital signs.
      5. Explain the value of performing the baseline vital signs.
      6. Demonstrate the skills involved in assessment of breathing.
         a. Methods to obtain a breathing rate
         b. Attributes that should be obtained when assessing breathing
         c. Differentiate between shallow, labored and noisy breathing.
         d. Describe the methods to obtain a pulse rate.
      7. Demonstrate the skills associated with obtaining a pulse.
         a. Identify the information obtained when assessing a patient's
pulse.
         b. Differentiate between a strong, weak, regular and irregular
pulse.
      8. Demonstrate the skills associated with assessing the skin.
         a. Color: differentiate between pale, blue, red and yellow skin
color
         b. Temperature: differentiate between hot, cool and cold skin
temperature
         c. Condition: identify normal and abnormal skin conditions
         d. Capillary refill in infants and children: identify normal and
abnormal
      9. Demonstrate the skills associated with assessing the pupils.
         a. Identify normal and abnormal pupil size.
         b. Differentiate between dilated (big) and constricted (small)
pupil size.
         c. Differentiate between reactive and non-reactive pupils.
         d. Differentiate between equal and unequal pupils.
     10. Demonstrate the skills associated with obtaining blood pressure.
         a. Define systolic pressure.
         b. Define diastolic pressure.
         c. Explain the difference between auscultation and palpation for
obtaining a blood pressure.
   B. Sample history
      1. Demonstrate the skills that should be used to obtain information
from the patient, family, or bystanders at the scene
      2. Identify the components of the SAMPLE history
      3. Explain the importance of obtaining a SAMPLE history
   C. Respond to the feelings patients experience during assessment.
   D. Discuss the need to search for additional medical identification.

IV. Lifting and Moving Patients
   A. Guidelines for packaging and moving patients
      1. State three situations that may require the use of an emergency
move.
      2. Describe the guidelines and safety precautions for moving,
carrying patients and/or equipment.
         a. One-handed carrying techniques
         b. Reaching
         c. Log rolls
         d. Pushing and pulling
         e. Carrying procedures on stairs
      3. Explain the rationale for properly lifting and moving patients.
   B. Selection and use of devices
      1. Demonstrate selection and safe use of each of the following
devices.
         a. Wheeled ambulance stretcher
         b. Portable ambulance stretcher
         c. Stair chair
         d. Scoop stretcher
         e. Long spine board
         f. Basket stretcher
         g. Flexible stretcher
      2. Demonstrate techniques for the transfer of a patient from an
ambulance stretcher to a hospital stretcher.

V. Managing the Airway
   A. Establishing the need for respiratory support 
      1. Explain the rationale for basic life support artificial
ventilation and airway protective skills taking priority over most other
basic life support skills.
      2. Recognize the signs and symptoms of respiratory distress.
      3. Explain the rationale for providing adequate oxygenation through
high inspired oxygen concentrations to patients who, in the past, may have
received low concentrations.
   B. Using manual maneuvers
      1. Demonstrate the steps in performing the head-tilt chin-lift.
         a. Rationale for use
         b. Techniques
         c. Evaluating effectiveness
      2. Demonstrate the steps in performing the jaw thrust.
         a. Rationale for use
         b. Techniques
         c. Evaluating effectiveness
      3. Demonstrate artificial ventilation.
         a. Mouth to mouth
         b. Mouth to stoma
         c. Infants
         d. Children
         e. Barrier shields
   C. Using adjunctive equipment.
      1. Demonstrate the selection and placement of airways.
         a. Oropharyngeal
         b. Nasopharyngeal
      2. Demonstrate the selection and use of masks.
         a. Pocket mask
         b. Bag valve mask
      3. Demonstrate the use of suction.
      4. Demonstrate the use of supplemental oxygen devices including
selecting airflow.
         a. Bag valve mask
         b. Oxygen powered ventilation
         c. Nasal cannula
         d. Nonrebreather mask   

VI. Assessing the Patient
   A. Scene size-up
      1. Observe various scenarios and identify potential hazards.
      2. Identify need for additional help.
   B. Initial assessment
      1. Summarize the reasons for forming a general impression of the
patient.
      2. Demonstrate the techniques for assessing mental status.
      3. Demonstrate the techniques for assessing the airway.
      4. Demonstrate the techniques for assessing if the patient is
breathing.
      5. Demonstrate the techniques for assessing if the patient has a
pulse.
      6. Demonstrate the techniques for assessing the patient for external
bleeding.
      7. Demonstrate the techniques for assessing the patient's skin
color, temperature, condition and capillary refill (infants and children
only).
      8. Demonstrate the ability to prioritize patients.
      9. State reasons for management of the cervical spine once the
patient has been determined to be a trauma patient.
     10. Explain the reason for prioritizing a patient for care and
transport.
   C. Focused history and physical exam: trauma patient
      1. Describe the areas included in the rapid trauma assessment and
discuss what should be evaluated.
      2. Demonstrate the rapid trauma assessment that should be used to
assess a patient based on mechanism of injury.
      3. Recognize and respect the feelings that patients might experience
during assessment.
      4. Discuss the reason for performing a focused history and physical
exam.
   D. Focused history and physical exam: medical patient
      1. Describe the unique needs for assessing an individual with a
specific chief complaint with no known prior history.
      2. Differentiate between the history and physical exam that is
performed for responsive patients with no known prior history and patients
responsive with a known prior history.
      3. Demonstrate the patient care skills that should be used to assist
with a patient who is responsive with no known history.
      4. Demonstrate the patient care skills that should be used to assist
with a patient who is unresponsive or has an altered metal status.
   E. Detailed physical exam
      1. Demonstrate the skills involved in performing the detailed
physical exam.
      2. Explain what additional care should be provided while performing
the detailed physical exam.
      3. Distinguish between the detailed physical exam that is performed
on a trauma patient and that of the medical patient.
   F. Ongoing assessment
      1. Discuss the reasons for repeating the initial assessment as part
of the on-going assessment.
      2. Demonstrate the skills involved in performing the on-going
assessment.
      3. Explain the value of trending assessment components to other
health professionals who assume care of the patient.

VII. Communicating
   A. Radio communications
      1. Explain the importance of effective communication of patient
information in the verbal report.
      2. List the proper methods of initiating and terminating a radio
call.
      3. Perform a simulated, organized, concise radio transmission.
         a. To the scene
         b. At the scene
         c. To the facility
         d. At the facility
         e. To the station
         f. At the station
   B. Patient, family, and bystander communications
      1. Describe the attributes for increasing effectiveness and
efficiency of verbal communications
      2. Model the communication skills that should be used to interact
with the family, bystanders, individuals from other agencies while
providing patient care and the difference between skills used to interact
with the patient and those used to interact with others
   C. ALS providers
      1. Perform a brief, organized report that would be given to an ALS
provider arriving at an incident scene at which the EMT-Basic was already
providing care.
      2. Perform an organized, concise patient report that would be given
to the staff at a receiving facility.

VIII. Documenting 
   A. Contents of the written report
      1. Describe what information is required in each section of the
pre-hospital care report and how it should be entered
      2. Define the special considerations concerning patient refusal
      3. Explain the rationale for using an accurate and synchronous clock
so that information can be used in trending
   B. Professional presentation
      1. Discuss all state and/or local record and reporting requirements
      2. Explain the rationale for using medical terminology correctly
      3. Complete a pre-hospital care report

IX. Understanding General Pharmacology 
   A. Unit medications
      1. State the medications carried on the unit by the generic name
      2. Discuss the forms in which the medications may be found
   B. Patient medications
      1. State the medications the EMT-B can assist the patient with by
the generic name
      2. Discuss the forms in which the medications may be found
      3. Read the labels and inspect each type of medication
      4. Demonstrate general steps for assisting patient with self
administration of medications

X. Providing Care for Respiratory Emergencies 
   A. Adult patients
      1. Recognize the need for medical direction to assist in the
emergency medical care of the patient with breathing difficulty
      2. Defend EMT-Basic treatment regimens for various respiratory
emergencies
      3. Demonstrate the emergency medical care for breathing difficulty
      4. State the generic name, medication forms, dose, administration,
action, indications and contraindications for the prescribed inhaler
      5. Perform the steps in facilitating the use of an inhaler
   B. Pediatric patients
      1. Distinguish between the emergency medical care of the infant,
child and adult patient with breathing difficulty
      2. Differentiate between upper airway obstruction and lower airway
disease in the infant and child patient

XI. Providing Care for Cardiovascular Emergencies 
   A. Recognition of cardiovascular emergencies
      1. Demonstrate the assessment and emergency medical care of a
patient experiencing chest pain/discomfort
      2. Discuss the position of comfort for patients with various cardiac
emergencies
      3. Predict the relationship between the patient experiencing
cardiovascular compromise and basic life support
      4. Explain the importance of urgent transport to a facility with
Advanced Cardiac Life Support if it is not available in the pre-hospital
setting
   B. Use of automated external defibrillation
      1. Demonstrate the application and operation of the automated
external defibrillator
      2. Differentiate between the fully automated and the semi-automated
defibrillator
      3. Demonstrate the assessment and documentation of patient response
to the automated external defibrillator
      4. Explain the role medical direction plays in the use of automated
external defibrillation
      5. Demonstrate the maintenance of an automated external
defibrillator
      6. Demonstrate the skills necessary to complete the Automated
Defibrillator Operator's Shift Checklist
   C. Use of nitroglycerin
      1. Perform the steps in facilitating the use of nitroglycerin for
chest pain or discomfort
      2. Demonstrate the assessment and documentation of patient response
to nitroglycerin
   D. Reporting care and response
      1. Practice completing a pre-hospital care report for patients with
cardiac emergencies
      2. Discuss the components that should be included in a case review

XII.  Providing Care for Diabetes and Altered Mental States  
   A. Identification and care for diabetic emergencies
      1. Identify the patient taking diabetic medications with altered
mental status and the implications of a diabetes history
      2. State the generic and trade names, medication forms, dose,
administration, action, and contraindications for oral glucose
      3. Demonstrate the steps in the emergency medical care for the
patient taking diabetic medicine with an altered mental status and a
history of diabetes
      4. Evaluate the need for medical direction in the emergency medical
care of the diabetic patient
      5. Establish the relationship between airway management and the
patient with altered mental status
   B. Reporting care and response
      1. Demonstrate the assessment and documentation of patient response
to oral glucose
      2. Demonstrate how to complete a pre-hospital care report for
patients with diabetic emergencies

XIII. Providing Care for Allergic Reactions 
   A. Identification and care for allergic reactions
      1. Differentiate between the general category of those patients
having an allergic reaction and those patients having an allergic reaction
and requiring immediate medical care, including immediate use of
epinephrine auto-injector
      2. Describe the mechanisms of allergic response and the implications
for airway management
      3. State the generic and trade names, medication forms, dose,
administration, action, and contraindications for the epinephrine
auto-injector
      4. Evaluate the need for medical direction in the emergency medical
care of the patient with an allergic reaction
      5. Demonstrate the emergency medical care of the patient
experiencing an allergic reaction
   B. Reporting care and response
      1. Demonstrate the assessment and documentation of patient response
to an epinephrine injection
      2. Demonstrate completing a pre-hospital care report for patients
with allergic emergencies

XIV. Providing Care for Poisoning or Overdose 
   A. Identification and care for poisoning or overdose
      1. List various ways that poisons enter the body 
      2. List signs/symptoms associated with poisoning and overdose
      3. Establish the relationship between the patient suffering from
poisoning or overdose and airway management 
      4. Demonstrate the steps in the emergency medical care for the
patient with suspected poisoning or overdose
      5. State the generic and trade names, indications,
contraindications, medication form, dose, administration, actions, side
effects and re-assessment strategies for activated charcoal
      6. Perform the necessary steps required to provide a patient with
activated charcoal
      7. Discuss the emergency medical care of bites and stings
   B. Reporting care and response
      1. Explain the rationale for contacting medical direction early in
the pre-hospital management of the poisoning or overdose patient 
      2. Demonstrate the assessment and documentation of patient response
      3. Demonstrate completing a pre-hospital care report for patients
with a poisoning/overdose emergency

XV. Providing Care for Environmental Emergencies 
   A. Exposure to cold
      1. List the signs and symptoms of exposure to cold
      2. Demonstrate the assessment and emergency medical care of a
patient with exposure to cold
   B. Water related injuries
      1. Recognize the signs and symptoms of water-related emergencies
      2. Describe the complications of near drowning
      3. Demonstrate the assessment and emergency medical care of a near
drowning patient
   C. Exposure to heat
      1. List the signs and symptoms of exposure to heat
      2. Demonstrate the assessment and emergency medical care of a
patient with exposure to heat
   D. Reporting care and response
      1. Demonstrate completing a pre-hospital care report for patients
with environmental emergencies
      2. Demonstrate the assessment and documentation of patient response

XVI. Providing Care for Behavioral Emergencies 
   A. Background information
      1. Define behavioral emergencies
      2. Discuss the general factors that may cause an alteration in a
patient's behavior
      3. State the various reasons for psychological crises
      4. Explain the rationale for learning how to modify your behavior
toward the patient with a behavioral emergency
   B. Identification and care
      1. Discuss the special considerations for assessing a patient with
behavioral problems
      2. Discuss the characteristics of an individual's behavior which
suggests that the patient is at risk for suicide
      3. Discuss the general principles of an individual's behavior which
suggest that he is at risk for violence
      4. Discuss special medical/legal considerations for managing
behavioral emergencies
      5. Discuss methods to calm behavioral emergency patients
      6. Demonstrate various techniques to safely restrain a patient with
a behavioral problem

XVII. Providing Care for Obstetric or Gynecological Emergencies 
   A. Background information
      1. Identify the following structures: uterus, vagina, fetus,
placenta, umbilical cord, amniotic sac, perineum
      2. Identify pre-delivery emergencies
      3. Explain the rationale for understanding the implications of
treating two patients (mother and baby)
      4. Establish the relationship between body substance isolation and
childbirth
   B. Identification and care for obstetric and gynecological emergencies
      1. State indications of an imminent delivery
      2. Differentiate the emergency medical care provided to a patient
with pre-delivery emergencies from a normal delivery
      3. Identify and explain the use of the contents of an obstetrics
kit
      4. Demonstrate the steps to assist in the normal cephalic delivery
      5. Demonstrate the procedures for the following abnormal deliveries:
 vaginal bleeding, breech birth, prolapsed cord, limb presentation
      6. Demonstrate post-delivery care of infant
      7. Summarize neonatal resuscitation procedures
      8. Demonstrate the post-delivery care of the mother
      9. Demonstrate the steps in the emergency medical care of the mother
with excessive bleeding
     10. Discuss the emergency medical care of a patient with a
gynecological emergency
     11. Demonstrate completing a pre-hospital care report for patients
with obstetrical/gynecological emergencies

XVIII. Providing Care for Traumatic Injuries
   A. Background information
      1. Establish the relationship between body substance isolation and
bleeding
      2. Establish the relationship between airway management and the
patient with chest injury, burns, blunt and penetrating injuries
      3. Establish the relationship between mechanism of injury and
internal bleeding
      4. Establish the relationship between airway management and the
trauma patient
      5. Explain the sense of urgency to transport patients that are
bleeding and show signs of shock (hypoperfusion)
      6. State the types of open soft tissue injuries
      7. List the types of closed soft tissue injuries
      8. List the functions of dressing and bandaging
      9. Describe the steps in applying a pressure dressing
     10. Describe the classifications of burns
   B. Bleeding and shock
      1. List the signs of internal bleeding
      2. Demonstrate direct pressure as a method of emergency medical care
of external bleeding
      3. Demonstrate the use of diffuse pressure as a method of emergency
medical care of external bleeding
      4. Demonstrate the use of tourniquets as a method of emergency
medical care of external bleeding
      5. Demonstrate the care of the patient exhibiting signs and symptoms
of internal bleeding
      6. Demonstrate the care of the patient exhibiting signs and symptoms
of shock (hypoperfusion)
   C. Soft tissue injuries
      1. Demonstrate the steps in the emergency medical care of closed
soft tissue injuries
      2. Demonstrate the steps in the emergency medical care of open soft
tissue injuries
      3. Demonstrate the steps in the emergency medical care of a patient
with an open chest wound
      4. Demonstrate the steps in the emergency medical care of a patient
with open abdominal wounds
      5. Differentiate the care of an open wound to the chest from an open
wound to the abdomen
      6. Demonstrate the steps in the emergency medical care of a patient
with an impaled object
      7. Demonstrate the steps in the emergency medical care of a patient
with an amputation
      8. Demonstrate the steps in the emergency medical care of an
amputated part
      9. Demonstrate the steps in the emergency medical care of a patient
with superficial burns
     10. Demonstrate the steps in the emergency medical care of a patient
with partial thickness burns
     11. Demonstrate the steps in the emergency medical care of a patient
with full thickness burns
     12. Demonstrate the steps in the emergency medical care of a chemical
burn
     13. Demonstrate completing a pre-hospital care report for patients
with soft tissue injuries
   D. Musculoskeletal care
      1. State the reasons for splinting
      2. List the general rules of splinting
      3. List the complications of splinting
      4. Differentiate between an open and a closed painful, swollen,
deformed extremity
      5. Explain the rationale for splinting at the scene versus load and
go
      6. Demonstrate the emergency medical care of a patient with a
painful, swollen, deformed extremity  
      7. Demonstrate completing a pre-hospital care report for patients
with musculoskeletal injuries
   E. Injuries to the head and spine
      1. Relate mechanism of injury to potential injuries of the head and
spine
      2. Describe the method of determining if a responsive patient may
have a spine injury
      3. Establish the relationship between airway management and the
patient with head and spine injuries
      4. Relate the airway emergency medical care techniques to the
patient with a suspected spine injury 
      5. Describe the implications of not properly caring for potential
spine injuries
      6. Demonstrate log roll for a patient with a suspected spinal cord
injury
         a. Four person
         b. Two person
      7. Demonstrate securing a patient to a long spine board
      8. Demonstrate using the short board immobilization technique
      9. Demonstrate procedure for rapid extrication
     10. Demonstrate knowledge of helmet management
         a. When and how to remove
         b. Types of helmets
     11. Differentiate how the head is stabilized with a helmet compared
to without a helmet
     12. Demonstrate completing a pre-hospital care report for patients
with head and spinal injuries

XIX. Providing Care to Infants and Children
   A. Background information 
      1. Identify the developmental considerations for the following age
groups
         a. Infants
         b. Toddlers
         c. Pre-school
         d. School age
         e. Adolescent
      2. Describe differences in anatomy and physiology of the infant,
child and adult patient
      3. Differentiate the response of the ill or injured infant or child
(age specific) from that of an adult
      4. Differentiate between respiratory distress and respiratory
failure
      5. Indicate various causes of respiratory emergencies
      6. State the usual cause of cardiac arrest in infants and children
versus adults
      7. Describe the methods of determining end organ perfusion in the
infant and child patient
      8. Summarize the indicators of possible child abuse and neglect
      9. Describe the medical/legal responsibilities in suspected child
abuse
   B. Special emergency care situations
      1. Demonstrate the assessment of the infant and child
      2. Discuss the field management of the infant and child trauma
patient
      3. List the common causes of seizures in the infant and child
patient
      4. Describe the management of seizures in the infant and child
patient
      5. Demonstrate the techniques of foreign body airway obstruction
removal in the infant
      6. Demonstrate the techniques of foreign body airway obstruction
removal in the child
      7. Demonstrate oxygen delivery for the infant and child
      8. Demonstrate bag-valve-mask ventilation for the infant
      9. Demonstrate bag-valve-mask ventilation for the child
     10. Identify the signs and symptoms of shock (hypoperfusion) in the
infant and child patient
     11. Attend to the feelings of the family when dealing with an ill or
injured infant or child
     12. Understand the provider's own response (emotional) to caring for
infants or children
     13. Recognize need for EMT-Basic debriefing following a difficult
infant or child transport

XX. Understanding and Performing Basic Operations
   A. Ambulance operations
      1. Discuss the medical and non-medical equipment needed to respond
to a call
      2. List the phases of an ambulance call
      3. Describe the general provisions of state laws relating to the
operation of the ambulance and privileges in any or all of the following
categories
         a. Speed
         b. Warning lights
         c. Sirens
         d. Right-of-way
         e. Parking
         f. Turning
      4. List contributing factors to unsafe driving conditions
      5. Describe the considerations that should by given to escorts,
intersections
      6. Discuss "Due Regard for Safety of All Others" while operating an
emergency vehicle
      7. Summarize the importance of preparing the unit for the next
response
      8. Distinguish among the terms cleaning, disinfection, high-level
disinfection, and sterilization
      9. Identify what is essential for completion of a call
   B. Extrication of patients
      1. Describe the purpose of extrication
      2. Discuss the role of the EMT-Basic in extrication
      3. Identify what equipment for personal safety is required for the
EMT-Basic
      4. Define the fundamental components of extrication
      5. State the steps that should be taken to protect the patient
during extrication
      6. Evaluate various methods of gaining access to the patient
      7. Distinguish between simple and complex access

XXI. Understanding Overview Information
   A. Scene hazards
      1. Discuss the various environmental hazards that affect EMS
      2. Describe what the EMT-Basic should do if there is reason to
believe that there is a hazard at the scene
      3. Explain the EMT-Basic's role during a call involving hazardous
materials
      4. Describe the actions that an EMT-Basic should take to ensure
bystander safety
      5. State the role the EMT-Basic should perform until appropriately
trained personnel arrive at the scene of a hazardous materials situation
      6. Break down the steps to approaching a hazardous situation
      7. Explain the methods for preventing contamination of self,
equipment and facilities
   B. Triage and disaster management
      1. Summarize the components of basic triage
      2. Describe the criteria for a multiple-casualty situation
      3. Evaluate the role of the EMT-Basic in the multiple-casualty
situation
      4. Define the role of the EMT-Basic in a disaster operation
      5. Describe basic concepts of incident management
      6. Review the local mass casualty incident plan
      7. Given a scenario of a mass casualty incident, perform triage

XXII. Performing Advanced Airway Procedures
   A. Manual maneuvers
      1. Describe when to perform the Sellick maneuver (cricoid pressure)
      2. Demonstrate how to perform the Sellick maneuver (cricoid
pressure)
   B. Intubation
      1. Describe the indications for advanced airway management
      2. List complications associated with advanced airway  management
      3. Describe the indications, contraindications, and technique for
insertion of nasal gastric tubes
      4. List the equipment required for orotracheal intubation
      5. Describe the proper use of the curved blade for orotracheal
intubation
      6. Describe the proper use of the straight blade for orotracheal
intubation
      7. State the reasons for and proper use of the stylet in orotracheal
intubation
      8. Demonstrate orotracheal intubation in the adult patient
         a. Selection
         b. Insertion
         c. Confirmation
         d. Securing
      9. Demonstrate orotracheal intubation in the infant and child
patient
         a. Selection
         b. Insertion
         c. Confirmation
         d. Securing
     10. State the consequence of and the need to recognize unintentional
esophageal intubation
     11. Explain the rationale for having a suction unit immediately
available during intubation attempts

Methods of Evaluation of Competencies:

Evaluation of student mastery of course competencies will be accomplished using the following methods:

Unit Final/Module Exams              500 points
Homework/Quizzes/Experience papers   150-300 points
Final Exam                           100-200 points


Motor Skills Competency:
By the final week of class, the student must have demonstrated competency
three times on each of the motor skills in the EMT lab manual. A student
who has not demonstrated competency three times in any given skill by the
final week will receive a failing grade (F) for the course.

Criteria for Grade:
      90 -100%  A
      80 - 89%  B
      70 - 79%  C
      60 - 69%  D
       0 - 59%  F

Reminder: To be eligible to take state certifying exams and to receive the
JCCC certificate, a minimum grade of  'C' is required.  

Caveats:

1. Students entering the healthcare programs should be aware that they will be in contact with other individuals having a variety of health problems in which etiology may or may not be known. This exposure places health program students in the "high risk" category for health problems.
2. Programs have specific precautionary requirements based on the type of exposure and/or clinical agency policies. It is the responsibility of each student to follow the program guidelines for necessary precautions against contracting and transmitting disease. Students experiencing any injury or health risk must report it immediately to the assigned instructor and seek necessary medical treatment. Health care costs are to be assumed by the individual student. In addition to managing all their own health needs and expenses, students are also responsible for meeting all course and clinical objectives.
3. BEMS Exam / National Registry fees (current rate)

Disabilities:

If you are a student with a disability, and if you will be requesting accommodations, it is your responsibility to contact Access Services. Access Services will recommend any appropriate accommodations to your professor and his/her director. The professor and director will identify for you which accommodations will be arranged.

JCCC provides a range of services to allow persons with disabilities to participate in educational programs and activities. If you desire support services, contact the office of Access Services for Students With Disabilities (913) 469-8500, ext. 3521 or TDD (913) 469-3885. The Access Services office is located in the Success Center on the second floor of the Student Center.