Hybrid programs blend both competency- and time-based strategies,
using a minimum and maximum range of hours for each major job
function and the successful demonstration of identified competencies.
using a minimum and maximum range of hours for each major job
function and the successful demonstration of identified competencies.
Emergency Medical Technician
Anonymous
North Carolina (SAA)
Documents
View Redacted Document
Personal and employer info redacted
Individual state requirements may vary. Please contact your local apprenticeship office to ensure this version is suitable to your state’s requirements.
Work Process Content
On the Job Training
Anonymous
657
Skills
Bloodborne Pathogens
11
Bloodborne Pathogens
11
- Explain the purpose of the Bloodborne Pathogen Standard in 29 CFR 1910.1030
- Describe the general symptoms and epidemiology of bloodborne diseases.
- Identify the modes of transmission for bloodborne pathogens.
- Identify tasks and other activities that may involve the exposure to blood or other potentially infectious materials.
- Describe methods that prevent or reduce exposure to blood or other potentially infectious diseases.
- Describe the appropriate selection, storage, use and disposal of personal protective equipment
- Explain Special Infectious Disease Response Plan
- Define what determines appropriate level of PPE
- Complete all components of the New Employee Bloodborne Pathogens checklist
- Demonstrate correct disposal and replacement of sharp containers
- Bloodborne Pathogens prerequisite for a patient contact
Controlled Substances
12
Controlled Substances
12
- Describe the chain of custody for controlled medications.
- Know the consequences for missing controlled substances regarding the DEA and policy
- Describe the process of inventory, logs, and restocking controlled substances
- Explain the narcotic shift change procedure
- Describe procedure if you suspect missing or tampered controlled substances
- Discuss medication ambient temperature requirement
- Brief History of the Drug Enforcement Agency Article Assignment
- Locate stored narcotics
- Demonstrate documentation of shift change narcotic transfer
- Demonstrate documentation of use for a controlled substance
- Demonstrate documentation of restocking a used controlled substance
- Explain the narcotic shift change procedure
Emergency Medical Dispatch
12
Emergency Medical Dispatch
12
- Have a basic understanding of how the 911 center operates
- Explain the EMD process
- Described B8 and B9 determinants
- Know which calls receive a first responder on the initial dispatch
- Describe the dispatch process for out of county calls
- Define ESTAT
- Understand how to utilize the language line
- Recall EMD codes
- Understand the challenges dispatchers have when communicating with the public
- Discuss various dispatcher tasks
- Com are essential and nonessential radio traffic
- Appreciate the importance of using the radio to return to service versus using the MDT
Emergency Vehicle Operations
46
Emergency Vehicle Operations
46
- Describe the importance of an emergency vehicle operator program
- Describe the high incidence of collisions involving emergency vehicles
- Identity and explain the factors that contribute to emergency vehicle collisions.
- Explain the legal climate that exists and its impact on emergency vehicle drivers
- Describe the unit, fleet and agency numbering system in the system
- Describe appropriate steps if a unit is involved in an MVC while responding to call
- Identify specific state and local safe driving laws
- Understand the physical forces that affect vehicle handling
- Recognize the physical forces that influence the operation of emergency vehicles
- Outline the actions that must be completed prior to operating an emergency vehicle
- Explain how to conduct the ambulance inspection
- Identify major components stems of emergency vehicles
- Demonstrate how to check tire tread for safe
- Recall the frequency that tire tread should be assessed for safe
- Explain how to differentiate diesel ambulances from gasoline ambulances
- Describe the appropriate steps to take when fueling an ambulance
- Describe the appropriate steps to take if the incorrect fuel is put into an ambulance
- Describe safe driving practice
- Describe a safe approach to an intersection
- Explain the term "Cushion of Safety"
- Discuss "Scanning for Hazards"
- Explain "Covering the Brake"
- Describe safe lane change procedure
- Describe proper vehicle placement while on various scenes
- Demonstrate safe parking of vehicle and proper positioning for a Residential area
- Demonstrate safe parking of vehicle and proper positioning for a Multi-lane road
- Demonstrate safe parking of vehicle and proper positioning for a Highway
- Demonstrate safe operation of vehicle in both emergent and non-emergent traffic
- Demonstrate safe navigation of controlled intersections white responding emergent
- Demonstrate correct backing procedure
- Demonstrate the functions of switches on center control panel
- Demonstrate the use of the environmental controls
- Demonstrate the use of the auto kill switch
- Demonstrate how to perform a safety inspection of tires and tire tread
- Explain when to use high idle and demonstrate its use
- Demonstrate proper vehicle safety inspection
- Demonstrate ability to obtain fuel per policy
- Describe distribution of population in Robeson County
- Locate municipalities located within Robeson County
- Locate adjoining counties
- Discuss tornados/hurricanes/winter weather and their impact on Robeson County
- Discuss various major public transportation assets in Robeson County and their impact on the EMS System
- Locate major roads
- Locate other areas of interest
- Locate calls using current map book/grid system and give verbal direction to the location
- Complete district familiarization
Safety and Hazardous Materials Operations (HAZMAT)
27
Safety and Hazardous Materials Operations (HAZMAT)
27
- Describe EMS involvement at hazardous materials incidents.
- Identify possible hazards that maybe encountered at hazardous materials incidents.
- Discuss OSHA regulations regarding emergency response to hazardous materials incidents.
- Appropriately recall Powered Air-purifying in Respirator {PAPR) donning & doffing procedure
- Discuss NFPA standards regarding emergency response to hazardous materials incidents especially NFPA 473.
- Identify Training regulations regarding EMS and hazardous materials response and contact agencies that may provide additional information.
- Identify the locations of shipping papers and the information that may be found on hazmat shipping papers.
- Discuss how storage containers can be used to identify the type of hazardous materials they contain.
- Identify various marking/labeling systems and discuss their limitations.
- Identify five types of chemical hazard potential.
- Explain the difference between organic and inorganic chemicals.
- Discuss protection measures to guard against various hazard exposures.
- Describe 4 ways a poison may enter the bad .
- Describe a poison's toxicity in terms of its route and duration of exposure.
- Identify the information that can be found in the North American Emergency Response Guidebook
- Identify three types of respiratory protective equipment and discuss their limitations.
- Discuss the difference between vapor- and splash- protective clothing
- Describe the three ways that chemical- protective clothing may fail.
- Identify safe locations when responding to a hazardous materials emergency.
- Identify the exclusion (hot), contamination reduction (warm), and support (cold) zones at the hazardous materials incident and describe the EMS actions performed in each zone.
- Identify the need for EMS involvement at a hazardous material incident.
- Explain in detail how patient decontamination is carried out.
- Describe the differences between ambulatory and non-ambulatory patient decontamination procedures.
- Discuss how different methods of decontamination (dilution, absorption, physical removal, solidification, isolation/disposal, and chemical neutralization/degradation) are used and their limitations.
- Describe the general medical approach to a hazardous materials exposure victim.
- Identify conditions under which field decontamination may be less than complete.
- Discuss the need for early hospital notification during hazardous materials incidents.
Lifting & Moving Devices
19
Lifting & Moving Devices
19
- Review the various types of stretchers used in the System
- Locate and operate controls of the assigned stretcher
- Review child restrain devices
- Review policy regarding mandatory use of shoulder straps on all patients
- Demonstrate safe lifting techniques
- Demonstrate safe techniques of movement and loading stretcher into ambulance using each of the stretcher types provided
- Demonstrate safety and operations of various stair chairs
- Demonstrate the use of the scoop stretcher
- Review usage of Reeves sleeve and Mega Mover and Titan Tarp
- Demonstrate the use of the Pedi Immobilizer
- Demonstrate the use of the KED
- Demonstrate changing of battery on powered stretchers to include indicator light
- Demonstrate raising and lowering position
- Demonstrate how to change patient positioning
- Pediatric Restraint Device
- Reeves Sleeve
- Scoop Stretcher
- Stair Chair Operations
- Stretcher Operations
Radio System
18
Radio System
18
- Describe the 800 MHz Radio System
- Describe the operation of the mobile and portable radio
- Describe the operation of the Minitor and alpha/numeric pager
- Understand the emergency button use and procedure
- ExpIain the communication limitations during failsoft
- Explain the communication limitations during site-trunking
- Understand rationale for utilization of plain language on the radio
- Recall two "signal codes" used
- Operate the power and volume control function on the portable radio
- Demonstrate how to change talk groups and zones on the portable radio
- Demonstrate how to enable/disable the scan function on the portable radio
- Demonstrate how to change the battery on the portable radio
- Demonstrate how to locate mutual aid talk groups on the portable radio
- Demonstrate how to locate various admin and direct channels on the portable radio
- Demonstrate how to locate public safety and state event talk groups on the portable radio
- Demonstrate how to locate fire department ops channels on the portable radio
- Demonstrate how to locate mass casualty groups on the portable radio
- Demonstrate how to locate various hospital channels on the portable radio
Respiratory Protection
13
Respiratory Protection
13
- Describe the Lumberton Rescue & EMS Respiratory Protection Program
- Describe OSHA's Respiratory Standard
- Describe why the respirator is necessary and how to properly fit, use, and maintain the respirator
- Describe the limitations and capabilities of the selected respirators
- Demonstrate how to inspect, don, check the seals and remove the respirator
- Demonstrate how to use the respirator effectively in emergency situations, including situations in which the respirator malfunctions
- Describe the respirator maintenance and storage procedures
- Describe how to recognize medical signs and Symptoms that may limit or prevent effective use of the respirator
- Describe the potential hazards & health effects EMS encounters
- Describe annual fit test policy
- Complete month check list of respirators
- Complete monthly check list of respirators
- Demonstrate proper storage of respirator
Shift-Change & Station Duties
19
Shift-Change & Station Duties
19
- Review Readiness to Respond protocol
- Explain correct procedure for swapping in vehicles
- ExpIain how tore ort station issues
- ExpIain shift change procedure
- Recall the storage location of controlled substances
- Recall the storage location of keys
- Recall the storage location of radios
- Recall the storage location of a pagers
- Recall the storage location of vehicle fuel cards
- Recall the storage location of PCR laptop
- Recall the storage location of PPE
- Explain the guidelines for parking at EMS Stations
- Recall the code to unlock station doors
- Recall the storage location of garage door opener
- Perform a thorough ambulance inspection check-off
- Perform station duties
- Correctly perform daily shift change
- Demonstrate daily patient module decontamination procedures
- Demonstrate daily ambulance cab and exterior cleaning procedure
Incident Command System (ICS)
13
Incident Command System (ICS)
13
- Understand the importance of command and describe the roles/responsibilities
- List the divisions of the ICS
- Describe the importance of ICS on an large-scale event
- Describe the roles and responsibilities of the first arriving unit on a scene
- Describe the roles of the second arriving unit on an scene
- Demonstrate knowledge of the difference between strategic and tactical role
- List the functions of the Medical Branch Director
- List the functions of Triage
- List the functions of Staging
- List the functions of Transport
- Recall when the various ICS roles should be filled
- National Disaster Medical System Article Assignment
- Demonstrate how to choreograph a multiple response scene
Situational Awareness
8
Situational Awareness
8
- Understand the importance of maintaining increased level of awareness
- Understand and use the term location assessment
- Explain how to detect concealed weapons
- Explain behaviors to improve the identification and response to threats
- Explain the cover and concealment concept
- Demonstrate rudimentary self-defense skills
- Describe scene hazards and safe concerns of a mass gathering
- Recall the system weapons policy
START Triage
7
START Triage
7
- Understand the START triage algorithm
- Describe what to do when first arriving at a Multi-Casualty Incident
- Describe how to use patients with minor injuries to assist with basic first-aid
- List the resources available for use during a mass casualty
- Demonstrate how to use a Triage Tag
- List the radio channels to use during a mass casualty incident
- Demonstrate appropriate radio communications during a mass casualty incident
Assessment & Differential Diagnosis
20
Assessment & Differential Diagnosis
20
- Review the inverted pyramid of reasoning
- Describe how to form a primary survey to classify critical or non-critical patients
- Understand the importance of obtaining an accurate history for an effective assessment
- Understand the importance of a physical exam for an effective assessment
- Explain how to overcome factors that influence decision making
- Demonstrate how to use subjective and exam information: scene survey, chief complaint, history of present illness/injury, meds, history, etc. to create a differential diagnosis and treatment plan
- Have basic knowledge of how a patient encounter should progress
- Describe the importance of a systematic approach to deduce a possible diagnosis based on their assessment findings
- List assessment questions based on a given patient's chief complaint
- Explain how to eliminate certain disease processes based on their assessment findings and assessment questions
- Explain the importance of bringing the patient's medications with them to the hospital
- List the life saving interventions that should be performed during a primary assessment
- Auscultation of Lung Sounds
- Blood Glucose
- Blood Pressure - Ausculated
- Blood Pressure - Orthostatic
- Blood Pressure - Palpated
- Tympanic Temperature Measurement
- Pulse Oximetry
- LifePak 15 Functions
Consent & Refusal
20
Consent & Refusal
20
- Describe how the EMS System is funded
- Describe the field provider's role in the EMS Billing process
- Describe the impact the billing process has on a patient and the patient's family as it relates to the Core Lumberton Rescue & EMS values
- Explain the Significance of acquiring signatures at the time of transport
- Describe how to properly complete the billing portion of an EHR
- False Claims Policy Assignment
- Correctly obtain billing signature from patient
- Compare autonomy vs. duty
- Explain the difference between competence and capacity
- Define informed consent
- List definitions of emancipated minors
- Understand the pediatric rules for refusal/transportation
- Describe the steps to determine capacity
- Understand the risk of refusal of treatment/transport
- List all the options to use when a patient refuses care/transport
- Understand when to contact medical control during the high-risk refusal
- Understand the difference between patient refusal and provider refusal
- Demonstrate skillful refusal explanation to a patient
- Demonstrate ability to properly document a refusal
- Paramedics, Consent & Refusal Article
Documentation Standards
13
Documentation Standards
13
- ExpIain the importance of good documentation
- Explain the False Claims Act
- List the required items for each EHR
- Explain the ECR upload processes for EKG data, CAD data and how-to troubleshooting transmission errors
- Define when and which vital signs must be documented in the HER
- Explain why all ECRs should be reviewed each crew member
- Explain when signatures are required and how to obtain them
- Understand the difference in documentation for a special event
- Describe how to document a special event standby and request for OTC items
- Describe the use of the airway audit form
- Routinely completes PCR documentation within 30 minutes of arriving at the hospital for routine calls
- Demonstrate accurate and thorough documentation
- Develop a narrative style that meets current documentation standards
EMS Charts
10
EMS Charts
10
- Gain access to ESO web and laptop versions
- Accurately navigate ESO
- Understand how to find draft reports and proper procedure for eliminating drafts
- Demonstrate an ability to troubleshoot common ESO problems
- Obtain ESO username access
- Successfully upload data from a LP15 to an ESO report
- Understand how to Validate ESO reports
- Understand how to Sync ESO reports
- Retrieve vital sign data from LifePak15
- Demonstrate proper documentation of patient belongings
HIPAA
11
HIPAA
11
- Identify the origin of the HIPAA rule
- Explain the intent of the HIPAA privacy and security rules
- Understand employer and legal sanctions for inadvertent and purposeful disclosure of confidential information including protected health information
- Identify the actions to take when a disclosure is known, or suspected, to have occurred
- Define general security principles regarding HIPAA for Handlin of paper records
- Define general security principles regarding Station security
- Define general security principles regarding Transmission of patient care data
- Define general security principles regarding Oral communications regarding HIPAA
- Describe employer and legal sanctions relating to HIPAA for the inadvertent and purposeful disclosure of confidential information/PHI
- Describe the actions to take when a disclosure is known or suspected
- HIPAA (prerequest for ESO access)
Patient Safety
5
Patient Safety
5
- Recognize the impact of medication errors in healthcare
- Recite the rights of medication administration
- Understand safety mechanisms for medication delivery including blunt tip needles, buretrols, drip labels and the Handtevy App and length-based tape
- Become comfortable with Lumberton Rescue & EMS medication delivery equipment including blunt tip needles, buretrols, drip labels, 3 way stop cocks and IM needles.
- Length Based Tape
Pediatric Assessment Technique
9
Pediatric Assessment Technique
9
- Identify the anatomical differences between adult and pediatric patients
- Describe the components of the Pediatric Assessment Triangle
- Describe assessment findings in a critically ill pediatric patient
- List vital sign parameters for various age groups
- List the components of the APGAR Score
- Differentiate between adult and pediatric assessment techniques
- Describe the importance of communication with the parent to obtain information and identify key questions that should be asked
- Describe how to obtain history for a child with special health care needs
- Pediatric Simulation
Abdominal Pain
4
Abdominal Pain
4
- Recognize location of major abdominal organs
- Know the etiology of visceral and somatic pain
- Know the origin and signs/symptoms of common abdominal related disorders
- Know the appropriate treatment of abdominal pain
Allergic Reactions
13
Allergic Reactions
13
- Define antigen
- Know the routes of exposure to an antigen
- Understand the immune system process when exposed to an antigen
- Understand the effects of histamine and leukotrienes on the body
- Identify signs/symptoms of an allergic reaction
- Differentiate between mild, moderate and severe allergic reactions
- Recognize common symptoms/signs of anaphylaxis
- Know the treatment for both allergic reaction and anaphylaxis
- Know the class, MOA, indication, contraindication, side effects, dose and route of epinephrine
- Know the class, MOA, indication, contraindication, side effects, dose and route of diphenydramine
- Know the class, MOA, indication, contraindication, side effects, dose and route of albuterol
- Allergic Reaction Simulation
- IM Epinephrine
Animal Bites
16
Animal Bites
16
- Know the signs/symptoms and treatment for spider and insect bites
- Know the signs/symptoms and treatment for snake bites
- Know the signs/symptoms and treatment for domestic animal bites
- Know the requirement for reporting certain animal bites
- Service Animals
- Special Patient Populations
- Understand how poverty affects overall health
- Define domestic violence
- Identify signs of domestic violence
- Understand the procedure for reporting suspected domestic violence
- Recall resources for victims of domestic violence
- Define human trafficking
- Identify populations at-risk for human trafficking
- Understand the role of EMS providers when interacting with victims of human trafficking
- Understand the procedure for reporting suspected victims of human trafficking
- Recall the resources for victims of human trafficking
Back Pain
3
Back Pain
3
- Understand common causes of back pain and origin of referred pain in the back
- Understand patient satisfaction component of treatment of back pain
- Define high-risk back pain patient population
Common Pediatric Emergencies
17
Common Pediatric Emergencies
17
- Define croup
- List signs/symptoms of croup and the associated treatment
- Define bronchiolitis
- List signs/symptoms of bronchiolitis and the associated treatment
- Define Respiratory Syncytial Virus RSV
- List signs/symptoms of RSV and the associated treatment
- Define epiglottitis
- List signs/symptoms of epiglottitis
- Define Apparent Life-Threatening Event (ALTE)
- List common causes of ALTE
- Define febrile seizure
- List signs symptoms and associated treatment of a febrile seizure
- Define Sudden Infant Death syndrome (SIDS)
- Describe common injury patterns seen in pediatrics
- List common causes of hypo/hyperglycemia in pediatric patients
- List common causes of shock in pediatric patients
- Describe the components of neonatal resuscitation
Diabetic Emergencies
21
Diabetic Emergencies
21
- Understand the role of glucose in the body
- Understand the function of the pancreas
- Understand the causes of hypoglycemia
- Recognize the signs/symptoms of hypoglycemia
- Describe the management of hypoglycemia
- Understand the causes of hyperglycemia/DKA
- Recognize the symptoms/signs of hyperglycemia
- Describe the management of hyperglycemia
- List examples of short-acting insulin
- List examples of Iong-acting insulin
- List examples of oral antihyperglycemia medications
- List the criteria to treat/release the hypoglycemia patient
- Diabetes Article Assignment
- List signs and symptoms of exposure to cold
- Describe the management of a hypothermia
- Differentiate between heat emergencies (heat exhaustion, heat cramps, heat stroke)
- List signs and symptoms of exposure to heat
- Describe the management of hyperthermia
- Describe the protective mechanism cold water exposure provides during cardiac arrest
- Describe the "Throw, Row, Before You Go" concept for rescuing persons from the water
- Describe the management of lightning strikes
Epistaxis
4
Epistaxis
4
- Know the treatment for broken/dislodged/avulsed/abcessed tooth
- Understand common causes of epistaxis
- Know the treatment for epistaxis
- Know the class, mechanism of action, indication, contraindication, side effects, dose and route of afrin
Fever
9
Fever
9
- Understand how the bod regulates temperature
- Define fever
- Differentiate pathophysiology between fever and environmental hyperthermia
- Know the causes of a fever
- Understand how the body responds to a fever
- Know various treatments for a fever
- Understand the importance of PPE for patients with Fever
- Know the Class, MOA, indication, contraindication, side effects, dose and route of acetaminophen
- Know the class, MOA, indication contraindication, side effects, dose and route of ketorolac
Headache
4
Headache
4
- Understand common causes of headache
- Recognize common symptoms/signs of simple headaches
- Understand life threatening headaches presentations
- Know the treatment for the patient with a headache
Hypertension
3
Hypertension
3
- Describe the physiology of blood pressure regulation
- List the common causes of hypertension
- Describe the protocol for isolated hypertension
Obstetrical Emergencies
23
Obstetrical Emergencies
23
- Recall the Triage & Destination Plan considerations for Obstetrical Patients
- Recognize the physiologic changes in the gravid patient
- Describe how to estimate gestational age
- Recognize signs/symptoms of as spontaneous abortion
- Recognize signs/symptoms of an ectopic pregnancy
- Define preeclampsia
- Identify signs/symptoms of preeclampsia
- Define eclampsia
- Identify signs/symptoms of eclampsia
- Know the treatment for eclampsia
- Recognize signs/symptoms of abruptio placenta
- Define placenta previa
- Recognize signs/symptoms of placenta previa
- Define uterine rupture
- Recognize signs/symptoms of uterine rupture
- List the stages of a normal delivery
- Describe the management of a breech presentation
- List delivery techniques for suspected shoulder dystocia
- Know how to recognize prolapsed cord
- Describe the management of prolapsed cord
- Understand the severity of post-partum hemorrhage
- Describe the management of post-partum hemorrhage
- Obstetrical Emergencies Article Assignment
Pain Management
5
Pain Management
5
- Recall the differences in dosages for pain management of burn patients
- Recall the maximum total dosage of fentanyl for a burn patient
- Recognize how to evaluate pain
- Know various techniques to manage pain
- Know the class, MOA, indications, contraindications, side effects, onset of action, dose and route of Tylenol
Seizures
10
Seizures
10
- Define seizure
- Understand the cause of a seizure
- Know signs/symptoms of various types of seizures
- Define status-epilepticus
- Describe assessment techniques for seizure patients
- Know the QA markers for seizure patients
- Describe the management of seizure patients
- Explain the difference in dosing and medication packaging for midazolam in the seizure patient
- Seizures Article Assignment
- Know the class, MOA, indication, contraindication, side effects, dose and route of acetaminophen
Sepsis
11
Sepsis
11
- Define Sepsis
- Identify common sources of infections
- List the SIRS criteria
- Define severe Sepsis
- Define Septic Shock
- Understand the importance of sepsis recognition
- Understand the role of end tidal capnography in recognition of sepsis
- Know the criteria for a Sepsis Alert
- Describe the treatment for sepsis
- Describe Early Goal Directed Therapy
- Sepsis Article Assignment
Shock/Hypotension
7
Shock/Hypotension
7
- Define Shock
- Identify the four main types of shock
- Understand the treatment for shock/hypotension
- Define and recognize altered mental status
- Describe common causes and the associated differential diagnosis
- Understand how alcohol affects the clinical picture and physical exam
- Shock Article Assignment
Stroke
18
Stroke
18
- Define Stroke
- Known risk factors for stroke and how those risk factors can increase the risk of srtoke
- Define ischemic stroke
- Define hemorrhagic stroke
- Understand the prevalence of each type of stroke
- Know the QA criteria for the code stroke patients
- Demonstrate how to correctly perform a blood draw
- Demonstrate how to correctly perform a stroke screen
- Demonstrate how to correctly perform a VAN exam
- Stroke Screen - Modified LA Prehospital
- Know the signs and symptoms of vasovagal syncope
- Know the signs and symptoms of orthostatic syncope
- Know the signs and symptoms of cardiac syncope
- Demonstrate assessment techniques and tools to help determine the cause of syncope
- Testing
- General Medical Module Exam
- Stroke Screen - VAN Exam
- IM Epinephrine
Arrhythmia Management
20
Arrhythmia Management
20
- Describe cardiac action potential
- Differentiate stable vs unstable patient presentation
- List the criteria to discontinue resuscitation
- Describe the research behind the use of targeted temperature management
- List the indications for both standard and double sequential defibrillations
- Describe the management of PEA
- Explain the adjustments for resuscitation of a neonatal patient
- Explain the adjustments for resuscitation of a pediatric patient
- Defend field termination of resuscitation and describe indications
- Explain the morgue process for field-pronounced deaths
- Differentiate between the management of medical cardiac arrest and traumatic cardiac arrest
- Cardiac Arrest Simulation (Position 2)
- Defibrillation - A.E.D
- Lead Placement (12 lead and 4 lead)
- LVAD
- Understand LVAD indications
- Describe basic operations of the LVADs in use today
- Discuss troubleshooting guidelines
- List treatment options and contraindications
- Understand the importance of contact with the LVAD coordinator
ROSC Management
9
ROSC Management
9
- Describe how to identify ROSC in the field
- Describe appropriate steps for managing the airway
- Describe the appropriate management for bradycardia and hypotension
- Understand the importance of 12-lead acquisition
- Describe when to discontinue hypothermia
- Review checklist components
- Know and recite the destination guide for adult and pediatric post ROSC patients
- Recall the Triage & Destination Plan for Adult ROSC
- Recall the Triage & Destination Plan for Pediatric ROSC
STEMI & STEMI Imposter
12
STEMI & STEMI Imposter
12
- Describe the process for STEMI activation
- List the criteria for Code STEMI activation
- Describe the management of a patient with STEMI imposter versus STEMI
- Differentiate "STEMI Alert" from "Consult" in regard to hospital notification
- Recall the Triage & Destination Plan for STEMI
- Know the class, mechanism of action, indication, contraindication, side effects, dose and route of aspirin
- Know the class, mechanism of action, indication, contraindication, side effects, dose and route of nitroglycerin
- List the QA criteria for STEMI
- Testing
- Cardiology Module Exam
- Defibrillation - A.E.D
- Lead Placement (12 lead and 4 lead)
Acute Respiratory Distress Syndrome
3
Acute Respiratory Distress Syndrome
3
- Know the pathophysiology of acute respiratory distress syndrome (ARDS)
- Describe the signs and symptoms of ARDS
- Know and understand the treatment for ARDS
Airway Management
6
Airway Management
6
- Understand the airway anatomy for adult and pediatric patients
- Know devices used to manage a patient's airway
- Know the protocols and procedures for airway management
- Understand the applications and importance of ETCO2 for airway management
- Understand the goals of airway management
- Compare BLS techniques and ALS techniques for airway management using up-to-date evidence-based medicine
Airway Skills
8
Airway Skills
8
- Capnography & ETCO2
- BLS assist for ALS Airway Skills
- King & Blind Insertion Airway Device
- BVM Ventilation
- Foreign Body Airway Obstruction - BLS
- Nasopharyngeal Airway
- Oropharyngeal Airway
- Suctioning - Basic
Asthma
7
Asthma
7
- Define asthma
- Know the causes of an asthma attack
- Understand the clasic triad response for an asthma attack
- Recognize signs and symptoms of asthma
- Understand the treatments for asthma
- Understand the key differences managing the asthmatic's airway
- Know the class, MOA, onset of duration, contraindication, side effects, does and route of albuterol
Capnography
8
Capnography
8
- Describe the indications for capnography
- Demonstrate the use of capnography
- Identify various capnography waveforms
- Indicate ETCO2 values that may be used in various situation
- List the benefits of ETCO2
- Recall the limitations ETCO2 has in cardiac arrest
- Describe the physiology behind capnography
- Capnography Article Assignment
Chronic Obstructive Pulmonary Disease
8
Chronic Obstructive Pulmonary Disease
8
- Define Chronic Bronchitis
- Define emphysema
- Know the physiology of emphysema
- Know the physiology of chronic bronchitis
- Recognize signs and symptoms of COPD exacerbation
- Understand the treatments for COPD
- Understand the key differences managing the COPS patient's airway
- Know the class, MOA, onset of duration, contraindication, side effects, does and route of albuterol
Congestive Heart Failure & Cardiogenic Shock
14
Congestive Heart Failure & Cardiogenic Shock
14
- Define congestive heart failure
- Know the pathophysiology of congestive heart failure
- Recognize signs and symptoms of congestive heart failure
- Understand the cause of pulmonary edema
- Understand the treatment for pulmonary edema
- Understand how CPAP improves ventilations
- Know contraindications of CPAP
- Understand the importance of CPAP device and the secondary CPAP device carreid by Lumberton Rescue & EMS
- Define cardiogenic shock
- Recognize signs and symptoms of cardiogenic shock
- Understand the treatment for cardiogenic shock
- Congestive Heart Failure Article Assignment
- Effetiveness of Prehospital CPAP Article Assignment
- Know the class, MOA, onset of duration, contraindication, side effects, does and route of nitroglycerine
Pneumonia
3
Pneumonia
3
- Define pneumonia
- Describe common causes of pneumonia
- Describe the management of pneumonia
Pulmonary Embolism
4
Pulmonary Embolism
4
- Define Pulmonary Embolism
- List the components of Virchow's Triad as they relate to pulmonary embolism
- Describe the signs and symptoms of pulmonary embolism
- Describe the management of pulmonary embolism
Respiratory Distress
18
Respiratory Distress
18
- Describe the normal function of the respiratory system
- Differentiate between oxygenation, ventilation and perfusion
- Describe the physiology of CPAP therapy
- Describe the role of supplemental oxygen and the harm of free radicals
- Respiratory Distress Article Assignment
- CPAP
- In-line Nebulizer
- Nebulizer Therapy
- Oxygen Administration
- Testing
- Respiratory Module Exam
- King & Blind Insertion Airway Device
- BVM Ventilation
- Foreign Body Airway Obstruction - BLS
- Gastric Tube Insertion
- Nasopharyngeal Airway
- Oropharyngeal Airway
- Suctioning - Basic
CDC Trauma Triage
3
CDC Trauma Triage
3
- List the CDC Trauma Triage Criteria
- Understand the protocol adaptation of the CDC Trauma Triage Criteria
- Identify the capabilities and limitations of local hospitals regarding pediatric and OB trauma patients
Spinal Motion Restriction Skills
4
Spinal Motion Restriction Skills
4
- Football Helmet Kits
- K.E.D
- Spinal Motion Restriction
- Spinal Clearance (NSAIDS)
Trauma Assessment
9
Trauma Assessment
9
- Explain how to assess a scene for potential injuries and hazards upon the initial size up when arriving on scene
- Describe importance of personal safety and required PPE for trauma calls
- Describe the equipment that should be brought to the patient's side for blunt vs penetrating trauma
- Explain assessment components of the primary assessment for a trauma patient
- List the life threats that should be corrected during the primary assessment
- List the five areas from which you can exsanguinate
- Describe importance of a secondary assessment enroute to the hospital
- Describe criteria to withhold resusciatation for the traumatic arrest patient
- Recite the Glasgow Coma Scale and explain why it is used
Trauma Treatment
16
Trauma Treatment
16
- Identify the signs and symptoms of hemorrahagic shock
- Describe the appropriate treatment for Hemorrhagic Shock
- Describe the appropriate treatment for a Burn
- Describe the appropriate treatment for a Blast Injury
- Describe the appropriate treatment for an Acute Respiratory Distress Syndrome
- Describe the appropriate treatment for a Rhabdomyolisis
- Describe the appropriate treatment for an Extremity Trauma
- Describe the appropriate treatment for an Eye Injury
- Describe the clinical concerns associated with increased intracranial pressure
- List signs/symptoms of increased intracranial pressure
- Describe the appropriate treatment for a spinal injury
- Describe the appropriate treatment for a Traumatic Cardiac Arrest
- Trauma Damage Control Resuscitation Article Assignment
- Spinal Precuations Article Assignment
- Lightening Strike Emergencies Article Assignment
- Hemorrhage/Trauma Simulation
Wound Care Skills
11
Wound Care Skills
11
- Dressing & Bandaging
- Extremity Splinting
- Hemostatic Dressing & Woud Bandaging
- Morgan Lense
- Sling & Swathe
- Traction Splint
- Spinal Motion Restriction
- Spinal Clearance (NSAIDS)
- Extremity Splinting
- Hemostatic Dressing & Woud Bandaging
- Tourniquet
Overdose
18
Overdose
18
- Describe common toxidromes
- Explain the importance of symptom-based management for undifferentiated overdose
- Describe the treatment for symptomatic narcotic overdose
- Describe the signs and symptoms of narcotic overdose
- Explain the isolated heroin overdose protocol
- Describe the signs and symptoms of beta blocler overdose
- Describe the signs and symptoms of calcium channel overdose
- Describe the signs and symptoms of tricyclic overdoses
- Describe the management of symptomatic tricyclic overdose
- Understand the signs and symptoms of organophosphate poisoning
- Describe the signs and symptoms of Carbon Monoxide poisoning
- Describe the signs and symptoms of Cyanide poisoning
- Describe the signs and symptoms of acetaminophen overdose
- Describe the signs and symptoms of salicylate overdose
- Describe the treatment for the intoxicated patient
- Understand the physiology of withdrawal and associated symptoms
- Explain the capabilities of Carolina Poison Center
- Know the class, mechanism of action, onset of duration, contraindication, side effects, dose and route of naloxone
Psychiatric/Behavioral Emergencies
15
Psychiatric/Behavioral Emergencies
15
- Describe common psychiatric disorders
- Describe the signs and symptoms of common psychiatric disorders
- Explain the physiology of excited delirium
- Explain the physiology of stimulant drugs
- Explain the treatment specific to excited delirium
- Explain the importance of provider safety when interacting with emotionally disturbed persons
- Articulate de-escalation techniques for dealing wtih emotionally disturbed persons
- Describe the role of the APP on behavioral calls
- Excited Delirium Article Assignment
- Overdose
- Mental Health & Overdose Module Exam
- Physical Restraints
- Drug Cards
- Final Exam
- Competency Simulation
Related Instruction Content
Training Provider(s):
Robeson CC
1.2K
RI hours
College Student Success
1.2K
College Student Success
1.2K
Basic Anat & Physiology
Basic Anat & Physiology
Basic PC Literacy
Basic PC Literacy
EMT
EMT
Survey of Med Terminology
Survey of Med Terminology
EMS Clinical Practicum I
EMS Clinical Practicum I
Pharmacology
Pharmacology
Advanced Airway Management
Advanced Airway Management
Writing and Inquiry
Writing and Inquiry
MAT-110, MAT 143, or MAT 171
MAT-110, MAT 143, or MAT 171
General Psychology
General Psychology
Cardiology I
Cardiology I
EMS Clinical Practicum II
EMS Clinical Practicum II
Cardiology II
Cardiology II
EMS Clinical Pract III
EMS Clinical Pract III
Medical Emergencies
Medical Emergencies
Trauma Emergencies
Trauma Emergencies
Patients W/ Special Challenges
Patients W/ Special Challenges
Life Span Emergencies
Life Span Emergencies
EMS Capstone
EMS Capstone
Humanities/Fine Arts Elective
Humanities/Fine Arts Elective
ENG 112 or ENG 115
ENG 112 or ENG 115