|
|
Home EMS Training Admissions Info National Registry Info Clinical Schedules EMS C/E's Contacts
CREST
Oakland
Community College |
Common ED and Ambulance Objectives
| 1. |
Given actual patients, the Basic EMT student will correctly conduct initial patient |
|
| assessments according to hospital and National Registry standards. | ||
| 2. | Given actual patients, the Basic EMT student will accurately and correctly record and/or report all | |
| significant findings and vital signs following the S.O.A.P. format and hospital assessment sheets. | ||
|
Findings may include, but not be limited to the following: |
||
| Pulse, blood pressure, body temperature, skin condition, status of pupils, level of consciousness, ability to move, reaction to pain, crepitus, deformity, fluid drainage, guarding, illness, injury, odor, pain or discomfort, rigidity, swelling, symmetry and wounds. | ||
| 3. | Given actual patients, the Basic EMT student will: | |
| Palpate brachial, carotid, femoral, pedal, popliteal, radial, and temporal pulse, noting (recording and /or reporting) the rate, (within 5% accuracy), rhythm and strength. | ||
| Use a sphygmomanometer and stethoscope to determine blood pressure accurately within 5mm of mercury (systolic and diastolic.) | ||
| Assess and note rate and quality of respirations, including breath sounds. | ||
| Assess and note level of consciousness based upon response to verbal and/or physical stimuli. | ||
| Assess and note the reactivity of pupillary response, and if indicated, perform a visual acuity exam using hospital eye charts. | ||
| Assess and note oral and/or axillary temperature accurately (within 2 degrees of the scale in which the thermometer is calibrated). | ||
| Obtain and note a patient history based upon information available from the patient, personal papers and other possessions, bystanders, family members and the scene of accident. | ||
| 4. | Given real patients the Basic EMT student will demonstrate his/her ability to triage the situation with multiple patients, assessing the condition of each patient, correctly prioritizing them for subsequent treatment according to hospital and National Registry standards. | |
| 5. |
Given a real patient, the Basic EMT student will demonstrate his/her ability to control bleeding by |
|
| means of direct pressure, elevation of the affected extremely, pressure points, dressing and bandaging the wound and/or a tourniquet according to hospital and National Registry standards. | ||
| 6. | Given a real patient with a known or suspected communicable disease, chemical or radiation | |
| contamination, the Basic EMT student will demonstrate appropriate procedures to prevent infection of contamination and/or decontaminate emergency equipment, or personnel according to hospital procedures. | ||
| 7. | Given a real patient, the Basic EMT student will correctly identify a wound as being an abrasion, | |
| amputation, avulsion, contusion, laceration, or puncture according to hospital or National Registry guidelines. | ||
| 8. | Given a real patient with signs and symptoms of any of the following conditions or combination of the following conditions, the Basic EMT student will correctly identify the conditions and demonstrate the appropriate emergency care according to hospital and National Registry standards: | |
| Abdominal Evisceration | ||
| Abdominal Injury (open or closed) | ||
| Acute Abdominal Disorder | ||
| Angina Pectoris | ||
| Asthma | ||
| Avulsion | ||
| Burns (all types) | ||
| Cardiac Arrest Congestive Heart Failure | ||
| Convulsion | ||
| Diabetic Emergency | ||
| Emphysema | ||
| Eye injury | ||
| Flail chest | ||
| Fracture or Dislocation | ||
| Frostbite | ||
| Head Injury (open or closed) | ||
| Heart Cramps | ||
| Heat Exhaustion | ||
| Heat Stroke | ||
| Hyperthermia (fever) | ||
| Hyperventilation | ||
| Hypothermia | ||
| Impaled Object | ||
| Insulin Shock | ||
| Internal Bleeding | ||
| 9. | Given a real patient the Basic EMT student will correctly place the patient into any of the | |
| following positions: | ||
| Supine, prone, Fowler’s, semi-Fowler’s, recovery position, Supine with lower extremities elevated, Trendelenburg, reverse Trendelenberg according to hospital and National Registry standards. | ||
| 10. |
Given a real patient who must be moved, the Basic EMT student will demonstrate correct procedures based upon the patient’s injuries and the presence of additional assistance, both trained and untrained for moving the patient, according to hospital and National Registry standards. |
|
| 11. | Given a real patient the Basic EMT student will determine the need for and then provide the appropriate oxygen therapy according to hospital and National Registry standards. | |
| 12. | Given a real patient the Basic EMT student will be able to determine and maintain IV potency and rate as well as using sterile techniques while assembling an IV infusion according to hospital and National Registry standards. REMEMBER! BASIC EMT’S DO NOT ACTUALLY START IV’S!! | |
| 13. | Given a real patient the Basic EMT student will be able to demonstrate the proper application of sterile technique while assisting a physician, nurse or paramedic with patient care according to hospital and National Registry standards. | |
| 14. | Given a real patient the Basic EMT student will assist a physician, nurse or technician with monitoring of a patient via the ECG machine or Life Pak according to hospital and National Registry standards. | |
| 15. | Given a patient exhibiting abnormal or unruly behavior, who may be a threat to him or herself or others, the Basic EMT student will demonstrate how to restrain the person in a manner acceptable to the hospital or carrier’s standards. | |
| 16. |
Given a real or simulated patient the Basic EMT student will explain the need for, demonstrate |
|
| the application of, and state the problems and/or complications of anti-shock garment | ||
| according to hospital and National Registry standards. | ||
| 17. |
Given a real or simulated pediatric patient with signs and/or symptoms of the following |
|
| complications and problems the Basic EMT student will correctly identify the conditions and demonstrate the appropriate emergency care according to hospital and National Registry standards: | ||
|
airway, fever, abdominal pain, sexual assault, child abuse, SIDS, contagious disease, trauma, convulsions |
||
| 18. | Given a patient, real or simulated, the Basic EMT student will recognize and properly treat the | |
| following injuries according to hospital and National Registry standards: | ||
| Specific Injuries: | ||
| Brain, Eye, Neck, Throat, Chest, Abdominal, Back | ||
| Fractures, Dislocations, or Sprains: | ||
| Open, Closed, Skull, Facial, Clavicle, Scapula, Humerus | ||
| Forearm (Radius and Ulna), Wrist, Hand and Fingers, | ||
| Pelvis, Hip, Femur, Knee, Lower Leg (Tibia and Fibula), | ||
| Ankle, Foot and Toe | ||
| Soft Tissue Injuries: | ||
| Closed (contusion), Open, Abrasion, | ||
| Amputation, Avulsion, Laceration, Puncture and Impaled Object | ||
| Treatment may include, but is not limited to, IPS, vitals, | ||
| splinting, backboarding, extrication, bandaging, | ||
| bleeding control, airway care, resuscitation, positioning, | ||
| moving and transport of patient, hospital communications. | ||
| 19. | Given a real patient the Basic EMT student will demonstrate his/her ability to properly cleanse a wound according to hospital standards. | |
| 20. |
Given a real patient the Basic EMT student will demonstrate his/her ability to properly change |
|
| dressings and bandages while using sterile and aseptic techniques according to hospital standards. | ||
| 21. |
Given a real patient the Basic EMT student will demonstrate safe and effective handling of a patient utilizing a wheelchair according to hospital standards. |
|