Download EMERGENCY MEDICAL TECHNICIAN Education Program Program

EMERGENCY MEDICAL
TECHNICIAN
Education Program
Missouri Bureau of EMS Accreditation #: 09529T6
Program Syllabus
University of Missouri-Kansas City School of Medicine
Department of Emergency Medicine
Emergency Medical Services Education Program
2429 Charlotte Street
Kansas City, Missouri 64108
Erica Carney, MD
EMS Education Program Medical Director
Paul Ganss, M.S., NRP, NCEE, CHSE
EMS Education Program Director
Clinical Assistant Professor – Emergency Medicine
Tuition and Financial Information
Tuition for the program is $900.00. The non-refundable registration fee of $100.00 is deducted from the
total payment. If the class is canceled prior to the first meeting, or the student is not offered a seat in
the class, the registration fee will be refunded. The registration fee is otherwise non-refundable.
Payment of the full amount is due no later than the first night of class. Tuition will be refunded less
$100.00 if the student withdraws from the class prior to the fifth class meeting. Otherwise, tuition is not
refundable. All program fees MUST be paid before the student will be permitted to take the final written
exam.
An alternative payment plan is available. Students may pay one half of the remaining tuition ($400) on
the first night of class, with the remaining balance due in 30 days.
The National Institute for Emergency Medical Training (NIEMT) provides practical examination services
for the State of Missouri and the National Registry. Practical exam and National Registry written exam
fees are not included in the tuition. Please allow an additional $200.00 for these tests, plus additional
fees if multiple testing attempts are required.
Students are also responsible for purchasing professional liability insurance and background checks.
Students are responsible for any healthcare costs related to eligibility for participation in clinical
activities. These items will be discussed in detail during the program.
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Program Syllabus
Emergency Medical Technician Program
Chair, Department of Emergency Medicine:
Matthew Gratton, M.D., FACEP
Truman Medical Center Hospital Hill
2301 Holmes Street
Kansas City, Missouri 64108
Chief, Emergency Medicine EMS Section:
Jay Reich, M.D., FACEP
Truman Medical Center Hospital Hill
2301 Holmes Street
Kansas City, Missouri 64108
[email protected]
EMS Education Medical Director:
Erica Carney, M.D.
Truman Medical Center Hospital Hill
2301 Holmes Street
Kansas City, Missouri 64108
[email protected]
Program Director, EMS Education
Paul Ganss, M.S., NRP, NCEE, CHSE
UMKC School of Medicine
Clinical Training Facility
2429 Charlotte Street
Kansas City, Missouri 64108
816-235-5355
[email protected]
Lead Instructor:
William Gulick II, B.S., NRP
UMKC School of Medicine
Clinical Training Facility
2429 Charlotte Street
Kansas City, Missouri 64108
[email protected]
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Program Introduction, Purpose and Goals
Purpose
This program is designed for individuals interested in providing care to patients in the pre-hospital
setting. It will provide the participant with opportunities to gain the knowledge, skills, and attitudes
necessary for national certification as an Emergency Medical Technician and licensure in the State of
Missouri.
Program Description
This program is approved by the Missouri Department of Health and Senior Services, Bureau of
Emergency Medical Services, accreditation #09529T6. It addresses information and techniques
currently considered to be the responsibilities of the EMT, according to the current United States
Department of Transportation Emergency Medical Technician EMS Education Standards. The program
consists of classroom instruction, practical skill training, clinical observation, and training in an
ambulance setting.
Goals
The UMKC EMT program will contain information and skill practice opportunities which will enable a
properly motivated and capable participant to:
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Apply fundamental knowledge of the EMS system, safety/well-being of the EMT, and
medical/legal and ethical issues to the provision of emergency care.
Apply fundamental knowledge of the anatomy and function of all human systems to the practice
of EMS.
Use foundational anatomical and medical terms and abbreviations in written and oral
communication with colleagues and other health care professionals.
Apply fundamental knowledge of the pathophysiology of respiration and perfusion to patient
assessment and management.
Apply fundamental knowledge of life span development to patient assessment and
management.
Use simple knowledge of the principles of illness and injury prevention in emergency care.
Apply fundamental knowledge of the medications that the EMT may assist/administer to a
patient during an emergency.
Apply knowledge of anatomy and physiology to patient assessment and management in order
to assure a patent airway, adequate mechanical ventilation, and respiration for patients of all
ages.
Apply scene information and patient assessment findings (scene size-up, primary and secondary
assessment, patient history, reassessment) to guide emergency management.
Apply fundamental knowledge to provide basic emergency care and transportation based on
assessment findings for an acutely ill patient.
Apply a fundamental knowledge of the causes, pathophysiology, and management of shock,
respiratory failure or arrest, cardiac failure or arrest, and post-resuscitation management.
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Apply fundamental knowledge to provide basic emergency care and transportation based on
assessment findings for an acutely injured patient.
Apply a fundamental knowledge of growth, development, aging and assessment findings to
provide basic emergency care and transportation for a patient with special needs.
Demonstrate knowledge of operational roles and responsibilities to ensure patient, public, and
personnel safety.
Admission Criteria
Admission requirements for this program include:
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Completion of high school diploma or GED
At least 18 years of age
Must pass a criminal background check to complete clinical experiences.
Technical Standards
The following standards are to provide the Emergency Medical Technician (EMT) student with a clear
understanding of the physical demands required of the EMT, based on the requirements contained
within the U.S. Department of Transportation (DOT) EMT EMS Education Standards.
CRITICAL THINKING
The student must have critical thinking abilities sufficient for clinical judgment such that the individual
can make independent judgments in the absence of other medical team members and/or medical
control; and determine methods and treatments to use when caring for patients with varying illnesses
or injuries.
Examples:
• Assess scene safety in uncontrolled environments.
• Assess patient’s physical condition and determine the severity of illness or injury.
• Assess patient’s current and past medical histories by asking questions appropriate to the illness
or injury.
• Prioritize patient’s severity.
• Prioritize specific care modalities.
• Determine correct treatment modalities or algorithms.
• Determine appropriate exceptions to approved treatment modalities.
• Determine limits of acceptable span of control in ordinary and extraordinary circumstances.
PROBLEM-SOLVING
The student must have the problem solving abilities to make a correct tentative diagnosis and
assessment conclusions that allow selection and pursuit of accepted treatment protocols, and
integrations of multiple protocols and modalities in single and multiple patient situations.
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Examples:
• Formulate correct decisions based on classic atypical clinical presentation\histories.
• Integrate correct treatment protocol and\or multiple protocols based upon variable clinical
presentation.
• Formulate an acceptable plan to provide patient care in typical and atypical case presentations
utilizing basic life support skills and training to implement solutions to problems.
• Utilize standard accepted equipment in typical and atypical but effective clinical applications for
safe patient care and movement.
INTERPERSONAL
The student must have interpersonal abilities sufficient to interact with individuals, families, groups,
public safety personnel and other health care providers from a variety of social, emotional, cultural, and
intellectual backgrounds.
Example:
• Establish and maintain supportive relationships with patients, family members, bystanders,
public safety, media, political officials and other health care providers under stressful and nonstressful situations.
COMMUNICATION
The student must have communication abilities sufficient for interaction with others in verbal and
written form. This includes the ability to read, write, and understand the English language.
Communication via face-to-face interaction and/or standard radio and telephone links as an integral
requirement.
Examples:
• Ask questions of current and past medical history of the patient or bystanders that are able to
provide patient information.
• Receive and interpret information from patient(s) or bystanders regarding history, complaints,
and response to treatments.
• Receive and interpret verbal orders from physicians via face-to-face interaction, standard radio
or telephone links.
• Clarifies order(s) from a physician via standard radio and telephone links.
• Give verbal report to physicians and/or other health care personnel regarding patient(s)
condition under varying circumstances (environmental and patient severity).
• Request orders via standard radio or telephone links.
• Provide accurate and legible written report of patient(s) in timely fashion.
• Provide accurate records of daily activities, runs, and skills.
• Provide accurate written incident documentation.
• Provide written or verbal deposition as required by law enforcement for crime scene
investigation.
• The ability to read and understand written orders, advanced directives, instructions, protocols,
prescriptions, and other pertinent patient information or data.
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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MOBILITY
The student must have physical abilities sufficient to lift, balance, and carry, patients in excess of 125 lbs
(250 lbs with the assistance of another person) from initial location to ambulance including negotiating
stairs, hazardous terrain, and/or uneven terrain. Safely operate heavy manual/power equipment and
drive large vehicles, under extreme environmental conditions.
Examples:
• Enter/exit ambulance without assistance.
• Perform physical activities involved with EMS delivery for up to 24 continuous hours without a
break.
• Negotiate hazardous scenes in all environmental extremes including but not limited to
light/dark, heat/cold, wet/dry /frozen scenes.
• Must be able to don appropriate personal protective devices (PPDs) without assistance.
Examples include but are not limited to gloves, masks, respirators, eyewear, and gowns.
MOTOR SKILLS
The student must have the physical ability to perform gross and fine motor skills required in the normal
duties of EMS. This includes but is not limited to CPR, bandaging, splinting, childbirth, extrication,
oxygen and pharmacological administration, defibrillation, equipment relocation, and patient handling.
Examples:
• Perform physical tasks requiring prolonged physical exertion including but not limited to CPR,
walking for long periods of time while carrying equipment and/or patients, vehicle extrication,
extrication of a victim from the confines of a structure (residence, business, industry, or mobile
dwelling).
• Perform physical tasks requiring detailed activity.
• Perform physical tasks requiring walking, crawling, stooping, bending, kneeling, or working
prone or supine including but not limited to patient transfer, movement, and extrication.
SELF-CARE
The student must have the ability to present professional appearance and implement measures to
maintain their own health.
Examples:
• Implement universal precaution and other appropriate means of body substance isolation.
• Wear and function in personal protective clothing.
• Participate in stress management activities.
HEARING
The student must have the auditory ability sufficient to assess and monitor patient’s health needs, to
determine personal danger at emergency scenes, hear requests for aid, and hear verbal orders and
instructions from members of the medical care team.
Examples:
• Assess breath sounds (qualitative and quantitative)
• Assess blood pressure by auscultation
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Assess sounds associated with upper airway obstruction
Hear physician orders via standard radio or telephone links
Hear dangers/warnings associated with hazardous scenes
Hear audible signals during rescue operation
Hear voices under protective equipment
Hear Dispatchers communication via standard radio and telephone links
Hear preceptors’ instructions and directions
Hear warning devices on other vehicles that may be encountered during the operation of an
emergency vehicle. Examples include but are not limited to approaching sirens, backup alarms,
and horns.
VISUAL
The student must have visual ability sufficient for assessment, observation, and implementation of
patient care, for determination of scene hazards that potentially affect the well-being of self, patient,
coworkers, and for driving an emergency vehicle.
Examples:
• Read and understand orders and/or instructions
• Observe and identify patient signs including but not limiting to paleness (white), cyanosis (blue),
erythema (redness), jaundice (yellow), ecchymosis (bruising), swelling, burns, blisters,
deformity, hemorrhage, fluid and blood loss, pupillary response, reflexes, hives, and pitting
edema.
• Observe patient responses to treatment.
• Read labels on medication
• Investigate scenes to determine cause and severity of injury/illness
• Prepare documentation
• Perform patient care techniques that require fine visual skills including but not limited to
suctioning, pharmacological administration of patient’s medications, bandaging, and splinting.
• Perform patient care techniques that require visual skills necessary to prevent injury to other
parties including but not limited to; defibrillation, patient handling, extrication, and rescue
coordination.
• Perceive depth such as hives and pitting edema.
SMELL
The student must have olfactory senses sufficient for maintaining environmental, patient, and
personal/coworker safety.
Examples:
• Determine smells contributory to patient assessment such as fruity odors, alcohol smell, and
acetone.
• Determine smells contributory to self-preservation and safety of patients and coworkers
including but not limited to smoke, burning materials, gasoline and noxious fumes.
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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TACTILE
The student must have tactile ability sufficient to assess physical health and perform activities requiring
dexterity combined with tactile ability.
Examples:
• Palpate pulses (quantitative and qualitative)
• Palpate blood pressure
• Palpate crepitus
• Palpate subcutaneous emphysema
• Palpate rigidity/guarding of abdomen
• Palpate edema
• Palpate anatomical structures to determine normalcy/abnormality
• Palpate masses
• Assess skin temperature and diaphoresis (presence/absence)
• Determine presence of fluid on patients in dark environments
• Safely handle sharps such as needles and lancets.
• Open medication containers such as prescription bottles and ampules.
TEMPERAMENT
The student must be able to deal effectively with stress produced by work and interaction situations.
(“Deals with” or “Deals effectively with” is defined as maintaining ability to perform basic requirements
of the job in an effective and professional manner at the time of the incident with the realization that
counseling or debriefing may be required as soon as possible for the EMT).
Examples:
• Deals with emotional situation that affect EMT directly.
• Deals with emotional situation that affect patients, their families, their friends, their coworker,
bystanders, public, public safety personnel, other health care workers.
Participants with disabilities, which are diagnosed by appropriate professional evaluation, can request
reasonable accommodations. Such accommodation must be requested in advance, in writing, with
necessary supporting documentation detailing what accommodation is requested. The request will be
considered by the Program Director. Generally, accommodations which do not compromise the
essential job functions of an EMT will be granted. Students that have questions or concerns are
encouraged to contact the Program Director.
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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General Class Information
Class Location and Times
All classes will be held at:
UMKC School of Medicine
Clinical Training Laboratory
2429 Charlotte Street
Kansas City, Missouri 64108
Classroom locations will be announced in the class and are subject to change. Regularly scheduled
classes will be held from 6:00 p.m. to 10:00 p.m. on Tuesdays and Thursdays.
Program Texts
The following program text is provided by the program as a part of the program tuition. The student is
responsible for bringing the text to each class meeting. Emergency Care and Transportation of the Sick
and Injured, 10th Edition Textbook. In addition, the program will provide an EMT Skills workbook that
must be brought to each class and lab meeting.
Learning Management System
The EMT program will utilize a learning management system (LMS). Homework will be assigned through
the LMS, as well as mandatory discussion topics. All program handouts will be posted to the LMS, and
students will be given the opportunity to post class notes if they desire to share. All students will be
required to access the LMS on a regular basis. To log on to the LMS, go to www.emsedresource.com.
Your user name is your last name and first initial (i.e. Jim Smith is smithj), and your initial password is
Password$1. Remember to change your password during your first log-on.
Communication within this program is primarily by email. All students must have internet access and an
email address that they provide to the program for the purpose of communicating outside of the
classroom.
Dress Code
There are many factors which enter into the professional development of the EMT. Among those factors
are appearance and demeanor. In order to prepare the EMT student for working within the pre-hospital
environment, the professional appearance of the EMT student is of utmost importance throughout the
program. The following dress code will be strictly enforced. The participant is expected to wear the
program uniform in the classroom setting. All attire must be clean, neat, and modest, and good personal
hygiene is expected at all times. Other items may be purchased at most department stores or a shop
that specializes in public safety apparel.
Students are expected to be in class uniform before entering the school. Departmental uniforms or
clothing items which indicate affiliation and/or rank with a particular agency may NOT be worn in the
classroom, clinical, or field environment.
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Navy blue uniform pant (EMS style or “Dickies” style workpants are appropriate). No jeans or
denim are permitted at any time.
EMT student uniform shirt.
Black shoes or boots (appropriately polished with black shoestrings if applicable); black socks (If
visible; plain black-colored belt. No tennis shoes.
UMKC EMT student name tag (will be issued by the program).
Watch with a second hand or equivalent.
Navy blue jacket or coat with no writing or insignias.
Excellent personal hygiene
o Hair styled as to not interfere with patient care or present a potential safety hazard.
o No false finger nails – these are banned by most healthcare institutions as they are in
conflict with JCAHO standards.
o Earrings of the stud type allowed in the ear only, NO other facial jewelry allowed
o Conservative rings, (example- wedding/engagement ring) may be worn. Other jewelry
including bracelets, necklaces, or excessive rings may not be worn for safety and
infection control reasons.
o In the clinical and field setting, tattoos must be covered by clothing or band aids. A long
sleeve navy blue t-shirt worn under the uniform polo is acceptable.
o Otherwise in compliance with the hygiene standards of the program’s clinical affiliates.
Stethoscope (purchased by the student).
During inclement weather a plain navy blue hat, with no insignia or patches, may be worn during
ambulance field internship. Hats may not be worn indoors.
o Other than the hair cover required in rotations such as OR nothing else will be worn on
the head.
Writing implement.
Attendance Policies
Due to the volume of the material to be covered and the pace at which it will be presented, attendance
will be expected at all classes. Participants can miss no more than sixteen (16) hours of class time
without the approval of the Program Director. Missing more than sixteen (16) hours of class without
approval may result in expulsion from the course. Participants are expected to take responsibility for
getting class notes, handouts, and make-up assignments when necessary.
Participants are expected to be on-time, in their seat, and ready to participate in class activities at the
designated starting time and at the time designated for return from breaks or meal periods. Excessive
tardiness will be grounds for professional behavior counseling and disciplinary action. Students are
required to submit a written explanation, on a program-supplied form, to the Lead Instructor for any
absence or tardy.
In the event of poor weather, the EMT class will use the closing of classes at University of Missouri
Kansas City (UMKC) as a guide. If UMKC announces the cancellation of classes due to inclement
weather, the program will not hold class. Cancellation is posted at www.umkc.edu or by contacting 816235-2222, and classes are cancelled for the day sessions, night sessions, or both. Classes and labs will
not be held on UMKC-designated holidays, although students may schedule clinical shifts for those
holidays if they so desire.
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Evaluations, Grading and Pass/Fail Criteria
Quizzes and Exams
Written evaluations are the most appropriate and effective method for assessing the participants’
progress in converting course content into personal knowledge. Practical evaluations provide feedback
to both the instructor and participant on the ability of the participant to perform specific tasks.
There will be frequent quizzes throughout the program, and these quizzes will be provided online. The
quizzes typically open after the last class of the week, and close just prior to the first class of the
following week. Retakes of quizzes are not allowed and cannot be made up if missed.
There will be an exam after each module and a Final Exam. Participants must obtain at least an 80%
average to successfully complete the program. One retake per exam is allowed, and a maximum of two
exams may be retaken. Module exams may be made up if missed. Exams will be provided online, and
may be assigned for completion outside the classroom, or given in the classroom using computers.
The final written exam may be retaken once. If a score of 80% is not attained on the second attempt, the
student will be required to retake the course.
Students are encouraged to start quizzes and tests as soon as possible in the open window in case
technology issues arise. Technology issues will only be an acceptable excuse for missed testing in very
limited circumstances, and at the instructor’s discretion.
Skills Documentation
Each student will receive a skills book with a collection of practical skills sheets. After demonstration of
the skill by an instructor, students are responsible for repetitive practice of the skills. Each skill has a
minimum number of successful repetitions that must be completed. Practice of skills will be performed,
with the evaluation being performed by a peer. Once the student has completed the designated number
of successful repetitions, they will request an instructor evaluation. The skills requirement is considered
to be complete once the instructor has signed off on the skill. The skill book must be turned in at the end
of class in order to complete the program.
Evaluation and Grading
Program completion will be determined by:
• Payment of all program fees.
• Minimum average of 70% on quizzes.
• Minimum average score of 80% on the module exams.
• Minimum score of 80% on the final written exam
• Affective domain (professional behavior) score of 80% or higher.
• Passing score on the final practical exam.
• Completion of the EMT Skills book.
• Successful completion of clinical shifts in the ambulance and hospital setting with a minimum of
five patient contacts.
• Successful demonstration of psychomotor skills and passing the state-administered EMT
practical exam.
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Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Final Practical Exam – Rules of Engagement
There are six stations in the practical exam:
• Patient Assessment Skills (Medical or Trauma)
• Bleeding Control and Shock Management
• Cardiac Arrest/AED
• Airway Management
• Orthopedic Skills (Long Bone or Joint Injury)
• Spinal Motion Restriction (Seated or Supine SMR)
• The National Registry testing sheets will be used for the exam, and the sheets are available at
https://www.nremt.org/nremt/about/psychomotor_exam_emt.asp
• The evaluators will not provide any coaching or prompting. They will only observe your
performance and give you patient information when indicated.
• The evaluator may serve as your EMT, or may indicate that personnel are performing a
requested task for you.
• Successful demonstration of psychomotor skills is determined by a score of 80% or more of the
available points for each individual skill and no critical fail criteria being checked. You must pass
each skill to pass the station, and pass each station to pass the exam.
• The evaluators will not tell you in the station if you passed or failed the station.
• You will be told if you passed or failed the exam after you have completed all of the stations.
• If you fail two or less stations, you may retest the missed stations on the same day if time
permits.
• If you fail three or more stations, or if you fail any re-tested stations, you will be required to
arrange a meeting with the Lead Instructor and the Medical Director prior to retaking the entire
practical exam on another day.
• If you fail three or more stations, or if you fail any re-tested stations, any scheduled field shifts
will be cancelled until the meeting with the Lead instructor and Medical Director has taken
place.
• Failure of the second full attempt of the practical exam constitutes failure of the course.
Affective (Professional Behavior) Evaluations
The student will receive affective student evaluations throughout the program. These will be in the form
of Professional Behavior Evaluation and if needed the Professional Behavior Counseling Record. These
will be filled out by instructors having frequent contact with the students and reviewed with the
students. The purpose of the affective student evaluation is to verify competence in the affective
domain and to serve as a method to modify undesirable or unprofessional behavior.
The affective domain score will be calculated for the program. The student must have an overall
affective domain average score of 80% or higher for the course.
The affective domain score will be calculated as follows: Each student will receive 100 professional
behavior points for the course. Professional behavior infractions will result in points being deducted
from the affective domain score. Students will be given the opportunity to regain points by performing
community service or service within the program for infractions that fall into a minor nature, generally
those infractions listed under cause for administrative probation. While points may be recovered
towards the affective domain score, such service will not erase absences or clinical cancellations.
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Professional Behavior Evaluation Guidelines
Integrity
Examples of professional behavior include, but are not limited to: consistently honest; can be trusted
with the property of others; can be trusted with confidential information; completely and accurately
documents patient care and learning activities.
Empathy
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.
Self-Motivation
Examples of professional behavior include, but are not limited to: taking initiative to complete
assignments; takes initiative to improve and/or correct behavior; takes on and follows through on tasks
without constant supervision; showing enthusiasm for learning and improvement; consistently strives
for excellence in all aspects of patient care and professional activities; accepting constructive feedback
in a positive manner; taking advantage of learning opportunities.
Appearance and Personal Hygiene
Examples of professional behavior include, but are not limited to: having appropriate clothing and
uniforms that are neat, clean and well maintained; maintaining good personal hygiene and grooming.
Self-Confidence
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.
Communications
Examples of professional behavior include, but are not limited to: speaking clearly; writing legibly;
listening actively; adjusting communication strategies to various situations.
Time Management
Examples of professional behavior include, but are not limited to: being consistently punctual;
completing tasks and assignments on time.
Teamwork and Diplomacy
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.
Respect
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.
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Patient Advocacy
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.
Careful Delivery of Service
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.
Infraction Penalties and Penalty Reduction Activities
Infraction Penalty
Each absence (with email or call to instructor)
Each absence (no show, no call)
Each tardy – includes from lunch and breaks
Each occurrence of being out of uniform
Each call-off from a clinical or field shift
Each occurrence coming to class unprepared
Use of an “off-limits” area or resource
Disrespect towards student/instructor/staff
Penalty Reduction Activities
Community service
Program service
Wrapped, new toy (value $10-15)
Non-perishable food donation (value $10-15)
- 2 points
- 5 points
- 1 point
- 5 points
- 3 points
- 2 point
- 5 points
-10 points
+1 point/4 hours
+1 point/4 hours
+1 point
+1 point
Students who receive counseling for repetitive unacceptable behavior will be required to meet with the
EMS Program Director and/or the Medical Director to determine their continuation in the course. In
cases of severely unacceptable behavior the student may be immediately terminated from the program.
Course Audit Option
Once a student’s quiz average or module exam average is below 70% with no possibility of being able to
meet or exceed the minimum passing scores for course completion, the student will be terminated from
the program. A student is allowed to audit the current course once they have been terminated, but
must sign an acknowledgement that they will not be eligible to participate in clinical experience or the
EMT licensing examinations. Students who elect to audit the course are required to continue to comply
with course rules and regulations, including dress code, participation, and attendance.
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Decorum
Classroom
Personal Communications
Pagers must be turned to silent alert mode or turned off during class. Cellular phones and wireless
devices must be turned off and stowed away during class and skills labs. Calls and text messages are not
to be answered and students are not to leave the classroom during lecture or skills to receive or return
calls. In the event that a student is expecting a call of a critical nature, the student shall discuss the
situation with the instructor, who has the authority to make case-specific exceptions.
Recording
Audio, but not video, recording devices are permitted during lectures at the discretion of the instructor.
No recording devices (cell phones, PDA, personal recording devices, etc.) are allowed out or on your
person during quiz reviews or testing. Any phone call to be made during an exam will be done from the
front courtesy phone.
Visitors
Visitors are not permitted in the classroom without the prior permission of the instructor, and then will
not be a regular occurrence. This includes children, family members, and friends of students. In no case
will visitors utilize classroom seats that displace other students, and visitors cannot disrupt the class or
members of the Skills Lab staff in any manner.
Preparation
Students must be prepared for class each day. Students should have appropriate learning tools and
implements such as: texts, pen, pencil, paper, notebooks, policy manuals, skills manuals, etc. On lab
days, students should always wear a watch with second hand, have a stethoscope, and have their skills
manuals with them.
Breaks
Regularly scheduled breaks will be given throughout the class period. These breaks should be used for
returning pages or phone calls, using the restrooms, obtaining snacks or beverages, or smoking.
Disrupting the class for any reason other than an emergency will not be tolerated. Special circumstances
must be prearranged with the instructor.
Smoking
The UMKC campus is smoke-free, and smoking is prohibited anywhere on University property. See
http://info.umkc.edu/smokefree/policy/ for more information.
Food and Drink
Food and drink are not allowed anywhere in the skills lab facility with the exception of staff members
who may have food and drink in their private offices. Students may bring packaged food and beverage
to class; however, this must be stored in the student lockers at the rear of the classroom. A break area
with a sink and microwave oven is provided in the School of Medicine building (first floor, west side) for
students. Students are to use this area for meals and study.
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Facility
Students are not permitted to use facility equipment, including phones, fax machines, staff or faculty
computers, or copiers. Students may not enter any faculty office or area without faculty permission.
Designated areas of the facility as defined by the faculty are off limits. The refrigerator and microwave
oven in the faculty work area are provided for staff use only, and are off limits to students. The
designated computer lab must only be used for academic work.
While on breaks, students must respect other students, faculty, and staff with their activities. The facility
is used for many other classes and activities. Please be respectful.
Students must respect the physical property of the facility and its cleanliness. All student areas should
be neat and clean prior to leaving the facility at the end of class. Students must wipe down their work
surface and straighten chairs and tables at the end of class each day.
Faculty or staff should be notified of any facility issues so that timely maintenance or repair can occur.
Housecleaning responsibilities will be shared by the students and explained further during the first day
of class.
After all breaks, students must return to the classroom or skills group on time, or are subject to the
tardiness policy. Students may not sleep in class. Students may stand (not sit) in the back of the
classroom if needed to remain attentive.
The Clinical Skills Laboratory and the School of Medicine facility should be cared for with respect and
dignity. If you are responsible for, or you see a mess, clean it up. Expectations include but are not limited
to:
• Keeping the classroom free of trash and debris.
• Wiping work surfaces at the end of each day.
• Pushing chairs in and returning all classrooms to an equal or better condition than found.
• Keeping break areas clean and in order.
The class will be assigned a regimen of house chores in which all students are required to participate.
Clean-up and set-up of skills equipment is the students’ responsibility under the direction of the faculty.
These housecleaning responsibilities will be explained in detail the first week of class.
There is a set of EMS equipment assigned to each squad. This includes an adult airway bag and AED.
Each squad is responsible for assuring that this equipment is checked before each class session and
ready for a response. Other equipment and response-readiness tasks may be assigned as needed.
Computer Usage
Each student is required to provide an email address for use by the program and fellow students. The
usage of the student’s provided email address is solely for use as an educational resource and course
communication. At no time shall fellow students or program staff use this access for personal benefit.
Computer and email usage should be consistent with common sense, common decency, and civility.
The program has the right to monitor the use of all program computing resources to ensure that
applicable policies are being followed. Use of the program computer resources is subject to University
rules and regulations, and all federal, state, and local laws.
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Participant Health and Safety
Good mental and physical health is necessary for an individual to maintain the pace and physical
demands of this field. Universal infection control precautions will be observed and practiced at all times
with all patients (for the patient’s and participant’s safety).
Course participants will be required to provide documentation that they are current on all
immunizations, and failure to do so could impact the student’s ability to complete clinical rotations.
Course participants may occasionally be exposed to communicable and other diseases. It is their
responsibility to take all necessary precautions against contracting and transmitting such diseases. If a
course participant does come in contact with a known case, he/she must report this immediately to
his/her preceptor and seek necessary medical treatment, he/she should also contact the Lead Instructor
immediately. Course participants will be responsible for all diagnostic and treatment costs. The same
holds true for any illness/injury sustained as a student in this program.
Any participant who has a communicable infectious disease should not participate in practical skill
stations or direct patient care in the clinical setting. These individuals will be expected to attend class (if
their condition permits) and observe others in the practical stations. Real patients in the hospital or
ambulance, classmates, or fellow health care providers should never be put at risk from course
participants with an infectious disease. The participant will be expected to practice on his/her own time
to maintain skill levels in keeping with class progress at the time.
All student performance in both the classroom and clinical settings will be overseen by the instructor,
lab instructors, and preceptors. Each participant will address any problem or concern that he/she may
have regarding his/her safety immediately to the individual directly involved with the training in
progress, or the preceptor at the clinical site. If any problems should occur at a clinical site you should
contact your Lead Instructor. Directions given by training personnel should be followed accurately and,
if not understood, should be clarified to prevent problems.
All participants will perform with due regard for personal safety as well as the safety of patients and
others involved with patient care. At no time will the participant perform any act, which he/she or the
preceptor deems unsafe, or that the participant/preceptor feels is an inappropriate action for the
participant to take.
All manikins, airway adjuncts, etc. will be properly cleaned with disinfectant between participant’s uses
(each participant will be provided clean equipment). Due to the nature of the training, it is imperative
that all participants maintain good personal hygiene habits at all times. A sink and disinfecting soap is
available adjacent to the classroom and will routinely be used by participants when working with
patients and equipment.
Any participant with a history of health issues that may impact the student’s performance, or present a
risk of further injury to the student, should notify the instructor and present a medical release from a
physician. The instructor and the program have the option at all times to request such a release at their
discretion, and at no cost to the program.
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Each participant should be able to lift and carry 100 to 125 pounds; however, all participants will
exercise prudent physical exertion in labs. Student participation in lifting activities during clinical and
field experience is strongly discouraged.
Any time a participant suffers an injury while functioning as an EMT student, he/she will immediately
report the occurrence to the preceptor and will notify the Lead Instructor as soon as practical. They will
in turn investigate the situation immediately.
The clinical preceptor has final authority over the participant during clinical and field rotations. While
responding to ambulance calls, participants will be seated in the jump seat, with seat belt on.
Participants are expected to be restrained as much as possible while in the moving ambulance. It is at
the discretion of the preceptor whether the participant will be belted in while the patient is being
treated and transported.
If at any time the participant performs actions not approved by the preceptor, the participant may be
sent home and possibly terminated from the course.
No participant is allowed to drive EMS vehicles at any time, or function as a paid or volunteer member
of the ambulance crew while functioning within the scope of this training program. Failure to comply
with this rule will result in automatic dismissal from the class.
Participants should make a habit of reporting and/or correcting any dangerous environmental situations
(e.g., spills on the floor, loose wires, and unsafe equipment).
Licensure and Registration, Testing
After the student has completed and passed the classroom and lab portion of the program, including the
final written and practical exams, a practical evaluation will be administered by a contractor to the
Missouri Department of Health and Senior Services, Bureau of Emergency Medical Services for the
purposes of National Registry certification and licensure by the State of Missouri. The contractor
currently offering state practical exams is NIEMT (www.niemt.com). The EMT program may arrange for
an onsite practical exam, and student participation in this exam is strongly encouraged; however, it is
within the student’s sole discretion which exam and site in which they choose to participate.
The State of Missouri requires EMT students to take their EMT practical exam within the State of
Missouri. If the student participates in an EMT practical exam in another state, they are ineligible to
participate in an EMT practical exam in Missouri and must complete the entire National Registry process
in the outside state.
Upon successful completion of the course requirements and the state practical examination, the
participant will be eligible to apply for and take the National Registry cognitive examination. The
National Registry examination is administered by Pearson VUE testing centers around the country, and is
a computer adaptive test. Once the practical and written examinations have been successfully
completed, the participant may apply to the State of Missouri for licensure as an EMT. Application and
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scheduling of the practical, National Registry cognitive exam, and application for state licensure is solely
the responsibility of the participant.
There are separate fees for these licensure examinations that are not included in the course fees. These
examinations are held on different dates and times than those of class meetings. The examinations are
held off site. You will be provided specific information on the dates, location, and costs associated with
this testing.
Professional Conduct, Probation, Termination, and
Grievance Process
Appropriate conduct is the hallmark of a professional. Course participants are expected to consistently
exhibit courteous and professional behavior with patients and their families, other health care
providers, classmates and instructors.
Confidentiality
Confidentiality is a critical element of professional patient care. Participants should only discuss
patients, their symptoms, diagnosis, behavior, etc. with the personnel assigned to that particular case.
Questions regarding the patient and his/her care should be directed to the doctor, nurse, EMT, or
paramedic directly involved with the call, and only in a private setting.
The federal privacy regulations, commonly known as HIPAA, protect Private Health Information (PHI) of
patients that you may come in contact with. Violation of this law can result in the student being charged
criminally, as well as personal responsibility for civil damages, and inability to become certified and
licensed.
Corrective Action Process
Whenever the performance or conduct of a student falls below a desirable level, the lead instructor will
inform the student promptly. The action to be taken depends on the seriousness of the incident and the
student’s past record. Typically, the first step will be an oral warning. The oral warning will be
documented on a “Program Communication” form and will be placed in the student’s permanent file.
An Oral Warning is not subject to appeal by the student.
Written Notice
When appropriate (as deemed by program staff), a written notice of corrective action plan may be
issued to a student. The written notice of corrective action plan shall be documented on a “Professional
Behavior Counseling Record” form and will be placed in the student’s permanent file. A written notice
of corrective action plan is not subject to appeal by the student. The Program and Medical Directors will
be kept apprised of all disciplinary action taken. Any time a student receives two or more disciplinary
actions he/she is required to meet with the Program Director and/or Medical Director to discuss actions
or omissions which resulted in the disciplinary actions, and to discuss an action plan to prevent the
necessity of any further disciplinary actions being taken.
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Probation
Students placed on probation will be notified in writing. A student who fails to comply with the terms of
probation will be terminated from the program.
Academic Probation
Students may be placed on probation on academic grounds at the discretion of the program. A
student on academic probation may be required to attend weekly tutoring sessions as a
condition of his/her probation status. Grounds for academic probation include, but are not
limited to:
• Failure of five or more quizzes
• Failure of a unit examination
• Failure to advance academically in the clinical or field setting, requiring the
development of a plan for improvement
Administrative Probation
Students may be placed on administrative probation at the discretion of the program. Grounds
for administrative probation include, but are not limited to:
• Failure to comply with the standards of ethics, professional behavior and conduct
• Failure to comply with a request or order from a faculty member
• Failure to comply with the attendance policy
• Failure to comply with the dress codes
• Failure to complete or tardiness in submitting required documentation
• Failure to comply with the rules of classroom, clinical site or field station decorum
• Tardiness in turning in clinical or field internship documentation or assignments
• Failure to comply with the exposure control policy
• Failure to comply with reporting procedures for Incidents and Unusual Occurrences
Suspension from the Program
When appropriate (as deemed by the Program Director or the Program Medical Director), a student may
be suspended from any/all portions of the program. The student may be contacted by the program staff
by any means necessary to be apprised of the suspension. The student shall receive, at the earliest
convenience, written documentation on a “Notice of Suspension from the Program” form. This form will
be placed in the student’s permanent file. The student may request, in writing within ten (10) days of
written notice of suspension from the program, a meeting with program staff to discuss the suspension.
In extreme circumstances any instructor involved with the EMT training program may suspend a
student, pending review, for a serious violation. In these cases the student will immediately refrain from
any activity relating to the EMT training program and if directed to do so by the instructor will
immediately leave the training or clinical site. The Lead Instructor will notify the Program Director and
schedule a meeting with the student, at the Lead Instructor’s earliest convenience, to review the merit
of the suspension and to consider disciplinary action.
Termination
A student may be terminated from the program for not satisfying the academic or disciplinary policies
and rules outlined in the Course Policy Manual, with or without being placed on probation, as follows:
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Academic Grounds
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Failure to meet academic standards as outlined in the grading policy
Continued sub-standard academic performance after being placed on academic probation
Failure to meet the conditions of a plan for improvement during the program
Failure to meet course requirements during any phase of the program
Disciplinary Grounds
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Substantial or repeated violation(s) of the standards of ethics, professional behavior and
conduct set forth in this Manual
Repeated absences, tardiness or early departure as outlined in the attendance policy
Repeated failure to comply with applicable dress codes
Failure to complete submission of required documentation after notice by program
administration.
Repeated or substantial failure to comply with the rules of classroom, clinical site or field
station decorum
Repeated tardiness in turning in clinical or field internship documentation or assignments
Continued administrative violations after being placed on administrative probation
Repeated or substantial failure to comply with the exposure control policy
Repeated for substantial failure to comply with the reporting procedures for incidents and
unusual occurrences
Failure or refusal to participate in necessary investigatory proceedings for an incident or
unusual occurrence
Drinking, selling, or possessing intoxicating liquor while in the classroom or clinical rotation
settings; reporting to class or clinical rotation drunk or impaired by intoxicating liquor.
Unauthorized use, possession, or sale of a controlled substance at any time throughout the
program; reporting to class or clinical rotation impaired by an unauthorized controlled
substance.
Insubordinate defiance of authority, refusal to comply with proper orders, wanton disregard
of directives, or insolence.
Theft of property, actual or attempted.
Dishonesty, deliberate misrepresentation, or falsification of facts; exaggeration or
concealment of a material fact in connection with any official document; or withholding of
material facts in connection with matters under official investigation.
Loss of, intentional damage to, unauthorized use of, or destruction of program or clinical
site property, records, or information.
Fighting, threatening, inflicting harm on another, physical resistance to lawful authority,
indecent or immoral conduct, while in class or at a clinical site.
Unauthorized possession or use of firearms, dangerous weapons, or explosives while in class
or at a clinical site.
Serious inefficiency, improper judgment, or incompetence that severely hampers productive
operations, safety, or the health of others.
Falsification of records
Compromising an examination or quiz through unauthorized possession, use, or furnishing
to others examination or quiz information or materials.
Discrimination or harassment of others. Creating an intimidating, hostile, or offensive
environment.
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Breach of confidentiality of non-public information.
Performance of a technical skill or procedure that is beyond the student’s scope of practice.
Upon termination, the student will be notified in writing of the reasons for the termination. This
documentation will also be placed in the student’s file. The Program Director may request an exit
interview at the time of termination. Students who are terminated for disciplinary reasons are not
eligible for re-enrollment.
Appeal of Termination
If a student is terminated on disciplinary grounds, he or she may file a written appeal with the EMS
Education Program Director. The appeal must be filed within ten business days of the effective date of
the termination. It must include an explanation of the circumstances of the termination, and specific
and detailed reasons why the student believes the termination was unjustified. The student may also
submit any relevant witness statements. An appeal lacking this information will be summarily denied
without further action.
The Program Director (or his or her designee) will review the appeal and take any action reasonably
necessary to reach a decision, including interviewing the student and any relevant witnesses. The
Program Director will issue a decision on the appeal within 10 days of the date it is filed.
If the student does not agree with the findings of the EMS Education Program Director, he/she may file a
written appeal with the Medical Director, if the Medical Director was not actively engaged in the
termination of the student. The appeal must be filed within three business days of the date of the
Program Director’s decision. It must include an explanation of the circumstances of the termination, and
specific and detailed reasons why the student believes the termination was unjustified. The student may
also submit any relevant witness statements. An appeal lacking this information will be summarily
denied without further action. The Medical Director (or his or her designee) will review the appeal and
take any action reasonably necessary to reach a decision, including interviewing the student and any
relevant witnesses. The Medical Director will issue a decision on the appeal within three business days
of the date it is filed.
If the student does not agree with the findings of the Medical Director, or the Medical Director was
involved in the initial termination process, the student may file an appeal with the Chair of Emergency
Medicine. The appeal must be filed within three business days of the date of the last determination
(Medical Director or Program Director). It must include an explanation of the circumstances of the
termination, and specific and detailed reasons why the student believes the termination was unjustified.
The student may also submit any relevant witness statements. An appeal lacking this information will be
summarily denied without further action. The Chair (or his or her designee) will review the appeal and
take any action reasonably necessary to reach a decision, including interviewing the student and any
relevant witnesses. The Chair will issue a decision on the appeal within three business days of the date it
is filed. The decision of the Chair of Emergency Medicine will be final and binding.
Problem Solving Process
The UMKC EMS Education program recognizes that occasionally a student may feel he/she has just
reason for a complaint about the class. The program wishes to identify causes of dissatisfaction and to
ensure fair and equitable treatment for its students while not allowing the complaint to monopolize
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classroom or lab time. The easiest and quickest way to resolve a complaint is through informal verbal
discussion with the instructor. Participants are encouraged to use this method whenever possible.
If an informal discussion fails to bring about resolution of a problem, a more formal system for resolving
complaints is available.
Step One:
Notify the instructor in writing of the complaint. The written complaint should be dated, signed, and
presented to the instructor. The complaint MUST contain the following elements:
 The nature of the complaint or concern
 The impact that the issue has upon the student and his/her ability to be successful in the
program
 At least one appropriate and reasonable suggestion for resolution of the complaint
Step Two:
The instructor will conduct the necessary investigations to obtain all the facts relating to the complaint
and set a date and time for a conference between the student, the instructor, the EMS Program
Director, and potentially the Medical Director. The intent of the conference is to discuss the problem,
explore possible solutions, and decide on a course of action.
Step Three:
A written response summarizing the agreed upon course of action will be made available to the
participant within ten (10) business days after the conference. The decision of the conference is final.
Statement of Human Rights
The Board of Curators and UMKC are committed to the policy of equal opportunity, regardless of race,
color, religion, sex, sexual orientation, national origin, age, disability and status as a Vietnam era
veteran. The Equal Opportunity and Affirmative Action Office, 223 Administrative Center, 5115 Oak St.,
is responsible for all relevant programs. Call 816-235-1323 for information or go to
www.umkc.edu/adminfinance/eoaa. People with speech or hearing impairments may contact the
University by using Relay Missouri, 1-800-735-2966 (TT).
Statement on Discrimination, Intimidation, and Sexual Harassment
The faculty, administration, staff, and students of the University of Missouri-Kansas City are dedicated to
the pursuit of knowledge and the acquisition of skills that will enable us to lead rich and full lives. We
can pursue these ends only in a culture of mutual respect and civility. It is thus incumbent upon all of us
to create a culture of respect everywhere on campus and at all times through our actions and speech.
As a community of learners, we are committed to creating and maintaining an environment on campus
that is free of all forms of harassment, intimidation, and discrimination. Any form of discrimination or
coercion based on race, ethnicity, gender, class, religion, sexual orientation, age, rank, or any other
characteristic will not be tolerated. Should you, a friend, or a colleague ever experience any action or
speech that feels coercive or discriminatory, you should report this immediately to the course/clerkship
department chair, and to the Affirmative Action Office. The Affirmative Action Office, which is
ultimately responsible for investigating all complaints of discrimination or sexual harassment, is located
at 218A Administrative Center, 5115 Oak Street; the office may be contacted at 816-235-1323. All
formal complaints will be investigated and appropriate action taken.
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Academic Dishonesty
Students are subject to removal from the program for all forms of academic misconduct, including but
not limited to cheating, fabrication, plagiarism, multiple submissions, or facilitating academic
dishonesty. For the purposes of this policy, the following definitions apply:
• Cheating. Cheating includes, but is not limited to, the use of unauthorized materials,
information, or study aids in any academic exercise; or helping another student commit an
act of academic fraud; or the failure to observe the expressed procedures or instructions of
an academic exercise (e.g., examination instructions regarding alternate seating or
conversation during an examination).
• Fabrication. Fabrication includes, but is not limited to, falsification or invention of any
information or citation in an academic exercise.
• Plagiarism. Plagiarism includes, but is not limited to, the use of another's words or ideas as if
they were one's own; including but not limited to representing, either with the intent to
deceive or by the omission of the true source, part of or an entire work produced by
someone other than the student, obtained by purchase or otherwise, as the student's
original work; or representing the identifiable but altered ideas, data, or writing of another
person as if those ideas, data, or writing were the student's original work.
• Multiple Submissions. Multiple submissions includes, but is not limited to, the resubmission
by a student of any work which has been previously submitted for credit in identical or
similar form in one course to fulfill the requirements of a second course, without the
informed permission/consent of the instructor of the second course; or the submission by a
student of any work submitted for credit in identical or similar form in one course to fulfill
the requirements of a concurrent course, without the permission/consent of the instructors
of both courses.
• Other Forms of Dishonesty. Other forms of dishonesty, including but not limited to
fabricating information or knowingly furnishing false information or reporting a false
emergency to the program or to program officials acting in the performance of their duties.
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Clinical Experience
The EMT program will provide the opportunity for participants to observe in the field setting.
(Additional information as to appropriate attire and behavior will be provided in this syllabus and
reviewed prior to field rotations.) To attend hospital or EMS clinicals you must provide documentation
of the following:
Health Insurance
Students must maintain private health insurance or worker’s compensation insurance throughout the
Program, and furnish proof thereof. Students are responsible for all payment for medical care related to
exposure/injuries/illnesses.
Student Professional Liability Insurance
Students must obtain student professional liability insurance in the minimum amounts of $1M per
occurrence and $3M aggregate or have comparable employer-supplied insurance throughout the
program, and furnish proof thereof. This insurance is required before the student can participate in any
clinical or field activity.
Background Check
Provide a background check that will include the following items:
• Name, Social Security Number, and Address Verification
• Missouri Highway Patrol Background Check
• Missouri Sex Offender Registry
• Kansas Criminal Background Check
• Kansas Sex Offender Registry
• Criminal and Sex Offender background checks for any other state the student has resided in
within the last ten years
• Missouri DHSS Excluded Individuals
• GSA List of Excluded Parties
• US Treasury, Office of Foreign Assets Control, List of Specially Designated Nationals and Blocked
Persons List
High School Diploma or GED
Provide copies of all applicable documents.
Valid Driver’s License or State Issued Identification Card
Provide copy. If you do not have either of these, other government issued photo IDs will be accepted.
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Student Health Documentation
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Hepatitis B vaccine/immunity. Proof that you have at least started the series must be provided
when your application is approved. The series must be completed before the start of the clinical
phase. Students electing not to receive the vaccination must sign a waiver or provide
documentation of immunity (titer).
MMR: A positive titer or two doses of MMR vaccine
Tuberculosis: A negative TB test or documentation of a positive reactor and chest x-ray within
six months prior to the beginning of the course.
Tetanus vaccine within ten years or titer.
Varicella vaccine or immunity following disease with titer
Diphtheria vaccine or titer
Flu immunization when in season (Oct – Mar)
Online Compliance Modules
For students completing clinical experience at Truman Medical Center, provide documentation of
completion of TMC online Corporate Compliance modules. Access to HIPAA/Corporate Compliance
modules is www.webinservice.com/truman. Create a new account, and follow the directions for non –
employee. Complete requested information and select: Other/Nursing student as relationship with
Truman.
Clinical Experience Requirements and Expectations
Clinical requirements are subject to change at any time without prior notice. Specific clinical and field
objectives for EMT program participants include:
Twelve hours of clinical experience in the Emergency Department setting, and 24 hours of field
experience with an EMS organization. The clinical requirements may change at the discretion of the
Program Director and/or Medical Director. Students will be notified of any changes prior to starting their
clinical experience.
Performance of skills from the EMT program in a controlled environment on actual patients as allowed
by the clinical and field sites. Each student must have at least five patient contacts during their clinical
experience.
• Assist with obtaining vital signs; pulse, respirations, blood pressure, and temperature.
• Assist with administering oxygen.
• Assist with the physical assessment of patients.
• Assist with airway maintenance.
• Observe the history-taking techniques of EMS and hospital personnel.
• Students are to avoid the lifting of patients in the clinical setting.
• Interact with hospital and EMS staff so as to better understand that particular component of the
emergency health care system.
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Absence or tardiness from field sites must be made up before the end of the course. Failure to achieve
the required number of field or classroom hours will result in failure to complete the program. If the
participant is ill during a scheduled clinical shift he/she should call the appropriate field site and notify
them of the impending absence. The student shall provide written notification of the absence to the
instructor/clinical coordinator at the next classroom session.
Scheduling of Clinical Rotations
Clinical shifts will be available upon completion of the trauma section of the program (upon completion
of the section exam). The Lead Instructor or Clinical Coordinator will post the available clinical rotation
sites and shifts during class for a specified period of time. The schedule will CLOSE on the 15th of the
month preceding the actual month scheduled (i.e., the December schedule will close on the 15th of
November). Once the month’s schedule has closed, the student may not sign up for further rotations for
that month. The transferring of rotations from student to student is not allowed without the expressed
consent of the Clinical Coordinator.
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Student Agreement
UMKC Department of Emergency Medicine – EMS Education
EMT Education Program
I, _______________________________________________ agree at all times to follow the policies,
guidelines, rules and regulations of the UMKC EMT program, a copy of which I have received and has
been explained to me.
I further understand that:
• Health insurance and costs for healthcare related to this course will be my responsibility.
• Professional liability insurance as a student in clinicals is a requirement and my responsibility. I
understand that the Program will provide information regarding this insurance, but the final
decision of where I obtain this insurance is my own.
• Obtaining a background check and documenting health status is a requirement of the program
which must be completed at my expense.
• All testing related to certification and licensure is at my expense.
• Failure of the EMT Program may result from:
o Failure to pay program fees.
o Any deviation from the policies and guidelines outlined in the UMKC EMT Training
Program Policy Manual
o Any behavior less than polite or failure to maintain professional behaviors at the
discretion of the Lead Instructor, Program Director, and/or Medical Director.
o Failure to maintain a grade average of 70% after the fourth module exam, or complete
the program with an 80% grade average or higher.
o Failure to complete clinical rotations.
I have reviewed and understand the Technical Standards for the EMT (Section 10-1). I hereby:
(Check only one)
[ ] State that I am capable of meeting the standards without accommodation.
[ ] State that I am not capable of meeting the standards with or without accommodation.
[ ] State that I am capable of meeting the standards, but will require accommodations. I will submit
documentation of my need for, and requested accommodations in accordance with the program policy.
I have read and agree to the above conditions as a student in the UMKC EMT Program.
Student Signature _________________________________ Date __________________
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Communicable Disease and Program Related Injury Policies
UMKC Department of Emergency Medicine – EMS Education
EMT Education Program
I understand that as a student in the EMT program, I may occasionally be exposed to
communicable and other medical diseases, be exposed to the potential for personal injury, or
suffer loss to my personal property. I further understand it is my responsibility to take all
necessary precautions against contracting and transmitting such diseases, follow appropriate
safety procedures, and take the necessary steps to safeguard my property. If I do come into
contact with a known disease, or suffer injury or loss of personal property, I will immediately
report such exposure, injury, or loss to my Lead Instructor.
I understand I will be responsible for all health care or any other associated costs from my
exposure to communicable or other disease, injury, and loss of property.
I understand that UMKC and the EMT program will not be held responsible for any costs of any
type resulting from disease exposure, physical injury, or property loss suffered by myself as a
participant in the EMT training program.
I have read and understand the above.
_______________________________________________
Student Signature
______________
Date
________________________________________________
______________
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Waiver and Authorization to Release Information
Photo and Recording Release
UMKC Department of Emergency Medicine – EMS Education
EMT Education Program
By signing this wavier I authorize the UMKC EMS Education Program (Program) and its representatives
to obtain information regarding my background, and any pertinent information the Program may need
to determine my acceptance into the EMT Program, and to determine my suitability for clinical
experience.
I understand that the Program will maintain my personal information, including background and health
information that I may provide to the Program as confidential.
I further authorize the Program to release background and health information that it has on file to a
clinical or field site upon the site’s request in accordance with the executed Clinical Affiliation
Agreement between the Program and the site for the purpose of determining or documenting suitability
for placement in the clinical setting.
The Program uses various forms of technology in the educational programs offered, such as, but not
limited to photographs and/or recordings. These may be used in the interest of education, research,
demonstration of program activities, teaching, or other education or health science use. I give
permission to use my likeness in photograph(s)/video in any and all of its publications and in any and all
other media, whether now known or hereafter existing, controlled by the Program, in perpetuity, and
for other use by UMKC. Students will make no monetary or other claim against UMKC and the EMS
Education Program for the use of the photograph(s)/video.
A photocopy reproduction of this release shall be, for all intents and purposes, as valid as the original.
The Program may retain this form in any file it deems appropriate.
Printed Name________________________________ Date ________________________
Signature ___________________________________ Date ________________________
Program Representative _______________________ Date ________________________
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Student Confidentiality and Responsibility Statement
Department of Emergency Medicine – EMS Education
EMT Education Program
The undersigned hereby acknowledges his/her responsibility under applicable Federal law and the
Agreement between Curators of the University of Missouri (“University”) and the below named clinical sites
(Clinical Site) to keep confidential any information regarding Hospital patients, as well as all confidential
information of Clinical Site. The undersigned agrees, under penalty of law, not to reveal to any person or
persons except authorized clinical staff and associated personnel any specific information regarding any
patient and further agrees not to reveal to any third party any confidential information of Clinical Site, except
as required by law or as authorized by Clinical Site.
The undersigned further agrees that for and in consideration of the benefit provided the
undersigned in the form of experience in evaluation and treatment of patients of Clinical Site, the
undersigned and his/her heirs, successors and/or assigns do hereby covenant and agree to assume all risks
and be solely responsible for any injury or loss sustained by the undersigned while participating in the
Program operated by University at Clinical Site unless such injury or loss arises solely out of Clinical Site’s
negligence or willful misconduct.
Program Participant:
______________________________________________________
Date: ________________________
Signature
______________________________________________________
Printed Name
This statement applies to the following sites:
Andrew County Ambulance District
Excelsior Springs Fire Department
Grandview Fire Department
Golden Valley Medical Center and EMS
Heartland Healthcare
Harrisonville Emergency Services
Higginsville EMS
Liberty Hospital
Regional Emergency Medical Services Authority (St. Joseph, MO)
Riverside Fire Department
St. Luke’s Health System
Taney County Ambulance District (Branson, MO)
Truman Medical Centers (Hospital Hill and Lakewood)
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
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CLASS:
UMKC SCHOOL OF MEDICINE ++ EMS EDUCATION PROGRAM
STUDENT DATA AND TRACKING FORM
SHIRT SIZE: _________
Last Name
First Name
Int.
Address
Middle
Apt.
City
State
Home Phone
Cell Phone
Zip
Date of Birth
Email
Social Security #
Emergency Contact
Relation
Emergency Contact Phone 1
Emergency Contact Phone 2
Driver License or Government ID
#:
Required Documents
High School Diploma/GED
Issuing State/Agency:
[ ] COPY ON FILE
School:
[ ] COPY ON FILE
Health status Documentation
[ ] TMC MC Strategies Print-out
[ ] Health Documentation Form
Professional Liability Insurance
Background Check
[ ]Validity Screen
Completed Didactic:
Date:
[ ]YES
BEMS Skills Verification: Cleared for Practical Exam:
[ ]YES
[ ]YES
Course Certificate Issued:
[ ] YES
Date:
Notes:
[ ] COPY ON FILE
[ ] COPY ON FILE
[ ] COPY ON FILE
Completed Clinical:
[ ] YES
NREMT Psychomotor:
[ ]COMPLETE
Emergency Medical Technician Education Program
UMKC School of Medicine – Department of Emergency Medicine
Missouri Bureau of EMS #09529T6
[ ] COPY ON FILE
Date:
NREMT Course Complete:
[ ]YES
By:
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