Description:

MICT III is the third of four courses in advanced out-of-hospital emergency medical care leading to the opportunity to sit for the National Registry Examination for Paramedics. During MICT III, paramedic students have the opportunity to take the knowledge and skills gained in MICT I and II and apply them in actual supervised clinical practice. MICT III represents a brief, intense 14-week course in which knowledge and skills are synthesized and applied to patients under supervision of physicians and nurses in clinical practice in the emergency department, critical care unit, surgery/ recovery room, labor/delivery room, pediatric emergency department and burn center. Field observation lab and classroom and laboratory review are included as well. 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. 4 hrs. lecture avg./wk., 44 hrs. clinical/lab/field avg./wk.

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:

NOTE: The National Standard EMT-P curriculum was developed by the US
DOT's National Highway Traffic Safety Administration. The curriculum,
mandated for use at JCCC by the Kansas Board of Emergency Medical
Services, is a detailed, competency based curriculum containing well over
1,000 cognitive, psychomotor, and affective competencies. This course
outline rather than attempting to recreate the national standard
curriculum will provide a brief executive summary. The full curriculum
will be provided as a reference document.

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

1. (7) At the completion of this unit, the paramedic student will be able to integrate pathophysiological principles and assessment findings to formulate a field impression and implement the treatment plan for patients with common complaints.

*() Indicates module-lesson in national standard curriculum

Content Outline & Competencies:

I. Field Observation Lab
   A. Upon discretion of the preceptor, perform biomedical communication,
patient assessment, ECG monitoring, IV infusion, endotracheal intubation,
medication set-up
   B. Perform basic level EMT functions
   C. Write a patient report on each patient contact

II. Clinical Internship
   A. Emergency Department
      1. Perform patient assessment, including primary assessment,
history, vital signs, physical exam, and documentation
      2. Develop a clinical impression of the patient's diagnosis and
discuss this with the preceptor
      3. Initiate intravenous cannulation and administer parenteral
medications
      4. Perform airway management
      5. Correctly apply ECG leads
   B. Obstetrics
      1. Correctly identify the signs and symptoms of the different stages
of labor
      2. Closely observe and describe the normal delivery and management
of complications during labor, delivery, or postpartum care of mother and
baby
   C. Intensive Care Unit
      1. Perform patient assessment, including primary assessment,
history, vital signs, physical exam, and documentation
      2. Develop a clinical impression of the patient's diagnosis and
discuss this with the preceptor
      3. Initiate intravenous cannulation and administer parenteral
medications
      4. Perform airway management
      5. Correctly apply ECG leads
      6. Closely observe for and identify any complications in patient's
condition that are associated with pre-hospital care
   D. Anesthesiology
      1. Ventilate the patient with a bag mask assessing for adequate face
to mask seal and adequacy of chest rise
      2. Assess the degree of compliance and discuss the causes and
implications of increased or decreased compliance with preceptor
      3. Correctly intubate an unconscious patient with an endotracheal
tube and correctly tape the tube in place
   E. Burn Unit
      1. Observe and describe burn wound healing, debridement, surgical
procedures
      2. Observe and evaluate airway care including endotracheal
intubation, upper airway burns, oxygen saturation and blood gases, and
burns to the chest
   F. Pediatrics
      1. Correctly take and evaluate vital signs in the pediatric patient
      2. Observe and identify closely the treatment and symptomatology of:
asthma, croup, epiglottitis, pediatric trauma, dehydration, and seizures
      3. Assess pediatric patients
   G. Respiratory Therapy
      1. Evaluate patients in respiratory distress paying particular
attention to their lung sounds, respiratory mechanics, PEFR, blood gases,
oxygen saturation, and end tidal CO2
      2. Administer nebulized breathing treatments

III. Cognitive and Motor Skills
   A. Techniques of patient handling
      1. Demonstrate the body mechanics of proper lifting technique
      2. Demonstrate proper technique for side lifts, extremity lifts, and
sheet lift
      3. Demonstrate proper technique with the following adjunctive
equipment: cot, long spine board, portable stretchers, stair chair, scoop
stretcher
   B. Renal and dialysis emergencies
      1. List common emergencies associated with dialysis patients
      2. List the appropriate treatments
   C. The twelve lead ECG
      1. State the criteria for a presumptive diagnosis of AMI from the 12
lead ECG including acute Qwave and non-Qwave AMI, qualify and quantify
diagnostic changes, numbers of contiguous leads in which the change must
be observed, and reciprocal changes
      2. Given a 12 lead ECG, identify ECG changes present, localize the
infarct site, and arrive at a presumptive diagnosis ruling AMI out or in
   D. Clinical case study
      1. Select patient(s) cared for during clinicals and research
      2. Write and present in-depth case studies
   E. EMS call simulation
      1. Demonstrate a satisfactory performance on a randomly selected
simulated emergency call with three attempts

IV. Affective Domain

Attitudinal Competencies - from the MICT Student Manual

Successful completion of the JCCC MICT program shall include demonstration
of the following attitudes/behaviors.

1. INTEGRITY - The student is honest and trustworthy.
   Examples of professional behavior include, but are not limited to,
consistent honesty, being able to be trusted with the property of others,
can be trusted with confidential information, complete and accurate
documentation of patient care and learning activities.

2. EMPATHY - The student is respectful and compassionate.
   Examples of professional behavior include, but are not limited to,
showing compassion for others; responding appropriately to the emotional
response of patients and family members; demonstrating respect for others;
demonstrating a calm, compassionate, and helpful demeanor toward those in
need; being supportive and reassuring to others.

3. SELF-MOTIVATION - The student demonstrates personal responsibility to
initiate, follow through and complete tasks and assignments without
supervision.
   The student receives and acts upon constructive feedback. Examples of
professional behavior include, but are not limited to, taking initiative
to complete assignments, taking initiative to improve and/or correct
behavior, taking on and following through on tasks without constant
supervision, showing enthusiasm for learning and improvement, consistently
striving for excellence in all aspects of patient care and professional
activities, accepting constructive feedback in a positive manner, taking
advantage of learning opportunities

4. APPEARANCE AND PERSONAL HYGIENE - The student exercises good personal
hygiene and professional appearance.
   Examples of professional behavior include, but are not limited to,
clothing and uniform is appropriate, neat, clean and well maintained; good
personal hygiene and grooming.

5. SELF-CONFIDENCE - The student demonstrates composed competent
leadership.
   Examples of professional behavior include, but are not limited to,
demonstrating the ability to trust personal judgment, demonstrating an
awareness of strengths and limitations, exercising good personal
judgment.

6. COMMUNICATION - The student utilizes effective communication
strategies.
   Examples of professional behavior include, but are not limited to,
speaking clearly, writing legibly, listening actively, adjusting
communication strategies to various situations.

7. TIME MANAGEMENT - The student makes effective use of time, thus meeting
deadlines, and is punctual.
   Examples of professional behavior include, but are not limited to,
consistent punctuality, completing tasks and assignments on time.

8. TEAMWORK AND DIPLOMACY - The student values teamwork.
   Examples of professional behavior include, but are not limited to,
placing the success of the team above self-interest; not undermining the
team; helping and supporting other team members; showing respect for all
team members; remaining flexible and open to change; communicating with
others to resolve problems.

9. RESPECT - The student is respectful of others.
   Examples of professional behavior include, but are not limited to,
being polite to others, not using derogatory or demeaning terms, behaving
in a manner that brings credit to the profession.

10. PATIENT ADVOCACY - The student always keeps the patient number one.
   Examples of professional behavior include, but are not limited to, not
allowing personal bias or feelings to interfere with patient care, placing
the needs of patients above self-interest, protecting and respecting
patient confidentiality and dignity.

11. CAREFUL DELIVERY OF SERVICE - The student is thorough and safe.
   Examples of professional behavior include, but are not limited to,
mastering and refreshing skills; performing complete equipment checks;
demonstrating careful and safe ambulance operations; following policies,
procedures, and protocols; following orders.

Taken together, these values constitute professional behavior.

The student's progression in these areas is evidenced by initially
expressing willingness to learn new attitudes and behaviors, which
progresses to active participation in discussing them. Next, the student
demonstrates acceptance and integration of these attitudes and behaviors
in interactions with others. Later, the student demonstrates preference
for these values and ultimately an internal commitment to them.

Methods of Evaluation of Competencies:

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

Cognitive - competency will be verified through 6 homework
assignments, 6 quizzes, and sectionalized course final. Quizzes and module
finals will be blueprinted. Items will represent a variety of question
types and levels of taxonomy, each of which is tied to a course
competency. Students must achieve an overall passing grade in the course
as well as passing grades on each section of the final exam.

Motor Skills - competency will be verified by faculty observation of motor
skills performance utilizing skills task analysis as the standard.

Affective - competency will be evaluated by clinical and field preceptors
utilizing clinical and field evaluation instruments. These instruments
utilize a 1-5 Lickert scale with 3 defined as minimum competence.

Medical Director - synthesizing information about student's progress in
each of the three domains, the course medical director will make a final
decision about terminal competence, and thus course completion.

Grading Scale:
   Cognitive:
      94-100% = A
      86- 93% = B
      80- 85% = C - minimum passing score
      70- 80% = D
        < 70% = F

6 homework assignments @  66 points each
6 quizzes              @ 200 points each
1 course final         @ 500 points
Clinical case study    @ 100 points
Total didactic points = 2200

Motor skills: pass/fail
Affective evaluations: pass/fail

Note: Successful course completion requires passing grade in didactic work
AND successful demonstration of skills competency, AND acceptable
evaluation of ALL affective competencies.

Caveats:

1. Students will have provided proof of health conducive to being in a health care environment. In addition, drug screening and other requirements may be imposed by clinical agencies. Students are responsible for any and all costs related to their health care or other imposed requirements. Students will also need to provide their own transportation to and from scheduled clinical activities. They will also need to be dressed and prepared appropriately as outlined in the MICT Student Manual dress policy.
2. Students entering the health programs should be aware that they will be in contact with other individuals having a variety of health problems in which etiology (cause) may or may not be known. This exposure places health program students in the "high risk" category for health problems. 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 (including blood borne or airborne exposure to disease) must report it immediately to the assigned instructor and seek necessary medical treatment.
3. Transportation to and from clinical/field agencies is the responsibility of the student; thus access to a dependable automobile is a necessity. Communication from and to program faculty and field/clinical preceptors in a timely manner is essential and therefore the student must maintain a working home telephone as well as carry a pager at all times, and maintain an email account which he/she checks regularly.
4. Students are expected to comply with the JCCC Student Code of Conduct as detailed in the JCCC College Catalog. Failure to comply may result in a faculty decision regarding program promotion and constitute a reason to fail the course.
5. Students are expected to comply with the attendance and other program policies described in the MICT Student Manual.
6. A grade of "C" or better is required for the course and promotion to MICT IV.
7. "During the course of the paramedic program (MICT I, II, III, IV) there are various fees required from year to year in addition to tuition. The fees include items such as textbooks, uniforms, specialty classes, pagers, state and national exams, and other miscellaneous costs. These fees average about $1,500 for the entire program. As the actual amounts are subject to change they are listed in the Course Syllabus for each academic year."

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.