Download PRECEPTORS BOOK 10/24/2013

PRECEPTORS
BOOK
10/24/2013
Palm Beach State College – Paramedic Program
0
Preceptors Book
Table of Contents
CLINICAL DO’S AND DON’TS ..................................................................................................... 1
CODE OF CONDUCT OFFENSE .................................................................................................. 2
PARAMEDIC SKILLS.................................................................................................................. 3
PARAMEDIC REQUIRED CLINICAL GOALS .................................................................................. 4
SIGNIFICANT EXPOSURE OR INJURY IN A CLINICAL/LAB SETTING: ............................................... 5
DECLINATION OF POST-EXPOSURE EVALUATION ....................................................................... 6
PHYSICIAN NOTIFICATION OF SIGNIFICANT EXPOSURE ............................................................... 7
CLINICAL GOALS BY SEMESTER................................................................................................ 8
STUDENT EQUIPMENT COMPETENCY CHECK LIST – MED BAG .................................................... 9
STUDENT EQUIPMENT COMPETENCY CHECK LIST - LP..............................................................10
STUDENT EQUIPMENT COMPETENCY CHECK LIST - STRETCHER ................................................11
FIRE RESCUE INSTRUCTORS ....................................................................................................12
PARAMEDIC STUDENT CLINICAL OBJECTIVE WORKSHEET .........................................................13
PRECEPTOR EVALUATION OF STUDENT CLINICAL EXPERIENCE .................................................14
PRECEPTOR FEEDBACK TOOL .................................................................................................15
Palm Beach State College – Paramedic Program
Preceptors Book
Palm Beach State College EMS
Academy
CLINICAL DO’S AND DON’TS
The following is provided to you with the intent of making your clinical experiences
amiable. Remember: you are a guest at Fire Rescue and the Hospital.
This is your Clinical Code of Conduct
×
×
×
×
×
×
×
×
×
Sit in a recliner
Adjust the AC
Leave work area early
Be unprofessional
Use TV remote control
Use cell phone
Eat what is not yours
Go into bunkroom or offices
Perform medical procedures
without
× Preceptor approval
× Falsify any documents or
evaluations
× Be Late!!
√ Use good hygiene
√ Study textbook during slow time
√ Be part of the team
√ Help with patient lifting
√ Help with truck washing
√ Help with station chores
√ Ask questions
√ Show enthusiasm
√ Be professional
√ Thank the crew
√ Bring food/money with you
√ Offer to cook & clean
√ Ask for help
√ Participate in truck checks
√ Clean up your mess
√ Have safety goggles, HEPA mask, vest
Palm Beach State College – Paramedic Program
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Preceptors Book
PALM BEACH STATE COLLEGE
Paramedic Program – Clinicals
CODE OF CONDUCT OFFENSE
Please refer to PBSC Health Sciences/EMS Disciplinary Procedures for a complete listing of offenses
Date:
Instructor:
Student Print Name:
Class Shift
Signature:
Group 1 Offense**
Inappropriate language
Dress Code Violation
Failure to follow chain of command
Failure to act in a professional manner
Absence Non-Notification
Arrive late without notification
Smoke or chew tobacco at hospital or fire rescue setting
Conduct inconsistent to good order and discipline
Other:
Group 2 Offense**
Commit academic dishonesty.
“Any student who knowingly helps or is present when another student violates
academic behavior standards is also in violation.”
Behave with intent to detract from the education of another student.
Leave assigned area (hospital or fire rescue setting) without notifying instructor.
Perform duties outside the scope of practice.
Perform as a firefighter while participating in a paramedic student capacity.
Respond to a fire/rescue call while in a PBSC lecture/lab/hospital setting.
Examine a patient without an instructor or preceptor present.
Not properly maintaining BSI and/ or properly utilizing PPE.
Show disrespect or be abusive to any instructor, hospital or fire rescue personnel.
Use a cellular telephone without the consent on an instructor.
Other:
Group 3 Offense**
Immediate phone call to Clinical Coordinator required
Possess or be under the influence of controlled substance or alcohol
Perform skills on which s/he has not yet been signed-off in lab
Failure to comply with HIPAA
Conduct perceived to be sexual harassment
Conduct which threatens the health or safety of others
Other:
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Preceptors Book
PARAMEDIC SKILLS
PARAMEDIC STUDENT FIRST SEMESTER SKILLS:
● All EMT-B Skills
● IV Set Up and Insertion
● Ventilation of Unintubated Patients
● Encoding
● Medication Administration, IV, IM, SQ, PO
● Endotracheal Intubation
● Student must demonstrate the ability to serve as the Team Leader in a variety of
prehospital emergency situations. The student should serve as the Team Leader for at
least 35 prehospital emergency responses.
PARAMEDIC STUDENT SECOND SEMESTER SKILLS:
● ACLS, PHTLS
● Comprehensive Assessments on all patient types including: OB, Trauma, Psychiatric,
Cardiac, Geriatric, etc.
● Formulate and Implement Treatment Plans on Chest Pain, Dyspnea, Syncope, Abdominal,
and Altered Mental Status Patients.
● Student must demonstrate the ability to serve as the Team Leader in a variety of
prehospital emergency situations. The student should serve as the Team Leader for at
least 35 prehospital emergency responses.
PARAMEDIC STUDENT THIRD SEMESTER SKILLS:
● Student must demonstrate the ability to serve as the Team Leader in a variety of
prehospital emergency situations. The student should serve as the Team Leader for at
least 35 prehospital emergency responses.
● PALS
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Preceptors Book
PARAMEDIC REQUIRED CLINICAL GOALS
Mandatory LIVE Skills
Minimum
Category
15
5
Assessments by Patient Age
Minimum
Age
*Med Administration
1
*ET
25
*IV Success
3:1 Make-up Ratio (SimMan)
20
1
5
*Bag-Valve-Mask
5:1 Make-up Ratio (SimMan)
5
35
*Team Lead
1:1 Make-up Ratio
2
2
35
35
15 Live MUST be during EMS2659
Assessment and Plan
Minimum
Encounter
15
Newborn
Infant
Toddler
Pre School
School Age
Adolescent
Adult
Geriatric
Assessment by Patient Type
Minimum
Encounter
Cardiac
1
Obstetric
5
Respiratory
10
Trauma
5
Syncope
35
2
Medical
10
5
0-1mo
1m -1yr
1-3yr
4-5yr
6-12yr
13-17yr
18-65yr
>65yr
Abdominal
Psychiatric
AMS / Neuro
Palm Beach State College – Paramedic Program
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Preceptors Book
SIGNIFICANT EXPOSURE OR INJURY IN A CLINICAL/LAB SETTING:
An exposure can be defined as a percutaneous injury (e.g., needlestick or cut with a sharp object)
or contact of mucous membrane or nonintact skin (e.g., exposed skin that is chapped, abraded, or
with dermatitis) with blood, saliva, tissue, or other body fluids that are potentially infectious.
Exposure incidents might place health care personnel at risk for hepatitis B virus (HBV),
hepatitis C virus (HCV), or human immunodeficiency virus (HIV) infection, and therefore
should be evaluated immediately following treatment of the exposure site by a qualified health
care professional.
(Centers for Disease Control and Prevention)
The following is a recommended approach for student reporting and instructor action should
a significant exposure or injury occur during a clinical setting.
1. Student shall notify Clinical/Lab instructor.
2. Clinical instructor to notify Infection Control Nurse (exposures only)
3. Student proceeds to facility’s Emergency Department, signs in as a patient for
treatment. If off site, the student should go to nearest hospital emergency
department.
4. Clinical/Lab instructor to notify the Clinical Coordinator / Program Manager
via Voice Mail. 868-3418.
5. Clinical/Lab instructor to call Palm Beach State College Security for an
incident report to be completed. 561-868-3600, day or night.
6. Clinical Coordinator/Program Manager notifies Safety and Security 868-3487.
7. (Optional) Clinical instructor to call or page Dr. Landman for student
counseling and follow up care for exposures only. 561-969-7900, day or night.
8. Student shall send a detailed e-mail to Clinical Coordinator / Program Manager
regarding incident specifics.
9. Clinical instructor to provide a copy of the insurance form to emergency
registration upon student registration.
Palm Beach State College – Paramedic Program
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Preceptors Book
PALM BEACH STATE COLLEGE
EMS PROGRAM
DECLINATION OF POST-EXPOSURE EVALUATION
On___________________, I experienced an incident while participating in a Palm Beach State
College EMS Program, which may have caused my exposure to bloodborne pathogens. An
Accident-Incident Report was filed at that time.
I have been advised that I may be evaluated by a physician pursuant to this incident, which may
include serologic testing for HIV and HBV, and that there will be no cost to me for this
evaluation. However, I choose to decline having the evaluation performed, with the
understanding that I may have blood drawn at this time but not tested until a later time of my
choosing (up to 90 days following the date of the incident).
_________________________________________
Printed Name
_________________________________________
Signature
__________________________________________
Date
Palm Beach State College – Paramedic Program
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Preceptors Book
Palm Beach State College
PHYSICIAN NOTIFICATION OF SIGNIFICANT EXPOSURE
To:
Emergency Room Physician
From:
Dr. Ken Scheppke, MD
Subject: Significant Exposure to Bloodborne Pathogens
The student before you has sustained a significant exposure to a potentially infectious body fluid
during the course of medical treatment of ________________________________________
(patient name)
Per Florida State Statute 381.004(10), this medical personnel (student) has the right to know the
HIV status of this source patient. Florida law allows you to perform a HIV test on this patient
either with their consent or without their consent if blood specimens have been obtained for other
purposes.
In addition, it is not mandated by the state but if the source patient consents, we are also
requesting a Hepatitis B and C test be performed.
Please have your staff contact the hospitals Infection Control Coordinator and advise them of the
incident. They will forward the results to Palm Beach State College, 4200 Congress Avenue,
Risk Management Department, Lake Worth Florida, 33461. Thank you for your cooperation.
Ken Scheppke, MD
Medical Director
Palm Beach State College EMS Programs
Student Name __________________________________________ Date __________________
Student Signature _______________________________________
Blood specimen obtained from source patient (check one)
Source patient HIV testing (per state statute 381.004)
□ With consent
□ Without consent
Palm Beach State College – Paramedic Program
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□ Yes
□ No
□ Refused
Preceptors Book
CLINICAL GOALS BY SEMESTER
Palm Beach State College – Paramedic Program
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Preceptors Book
STUDENT EQUIPMENT COMPETENCY CHECK LIST – MED BAG
Student Name:
Station/Shift:
School / Institution:
The student will identify the location of items in the Blue Med Bag
Yes No
The student can identify the location of all Medications
The student can identify the location of all IV equipment
The student can identify the location of all Fluids
The student can identify the location of all PPE/BIO bags
Preceptor
Date
Preceptor
Date
Yes No
Preceptor
Date
Yes No
Preceptor
Date
The student will identify the location of items in the Airway Bag
Yes No
The student can identify the Airway Roll and items inside
The student can identify/ knows how to use ALS-BLS Airway equipment
The student can identify the Miscellaneous equipment in Airway bag
The student will identify the location of items in the Trauma Bag
The
The
The
The
student
student
student
student
can
can
can
can
identify
identify
identify
identify
the
the
the
the
location
location
location
location
of
of
of
of
all IV equipment
all Fluids
all PPE
BLS/ALS Trauma equipment
The student will identify the location of items in the Pedi Box
The
The
The
The
The
student
student
student
student
student
can
can
can
can
can
identify
identify
identify
identify
identify
the
the
the
the
the
location
location
location
location
location
of
of
of
of
of
Palm Beach State College – Paramedic Program
all Medications
all IV equipment
all Fluids
all PPE/BIO bags
BLS/ALS equipment
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Preceptors Book
STUDENT EQUIPMENT COMPETENCY CHECK LIST - LP
Student Name:
Station/Shift:
School / Institution:
The student will locate and show knowledge of the CPAP
Yes No
Preceptor
Date
Preceptor
Date
Preceptor
Date
Preceptor
Date
The student can identify the location of the CPAP
The student can identify the location of all accessories for equipment
The student can show and apply the proper procedure for the CPAP
The student will locate and show knowledge of the Carevent
Yes No
The student can identify the location of the CAREVENT
The student can identify the location of all accessories for equipment
The student can show and apply the proper procedure for the C AREVENT
The student will locate and show knowledge of the Suction Unit
Yes No
The student can identify the location of the Suction Unit
The student can identify the location of all accessories for equipment
The student can show and apply the proper procedure for the Suction Unit
The student will identify the location of items in the LifePack 15
Yes No
The student can identify the location of the LifePack 15
The student can identify the location of all accessories for equipment
The student can show and apply the proper procedures for the LifePack 15
Palm Beach State College – Paramedic Program
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Preceptors Book
STUDENT EQUIPMENT COMPETENCY CHECK LIST - STRETCHER
Station/Shift:
Student Name:
School / Institution:
The student will display knowledge & demonstrate how to operate the stair chair
The
The
The
The
The
student
student
student
student
student
can identify the location of all handles
can identify the location of all levers
can identify the location of all straps
can demonstrate how to fold and unfold chair
will demonstrate correct way to move patient
Yes No
Preceptor
Date
The student will display knowledge & demonstrate the operation of the either PBCFR stretchers
The
The
The
The
student
student
student
student
can identify the location of all handles
can identify the location of all levers
can identify the location of all straps
will demonstrate raising and lowering feet/head
Yes No
Preceptor
Date
The student will identify the location and use of the Pedi, Miller, BackBoards & Scoop stretcher
The
The
The
The
The
student
student
student
student
student
can
can
can
can
can
identify the location of all Boards
identify the location of extra straps
identify the location of the decon spray
demonstrate how to correctly use straps
correctly use above equipment
Palm Beach State College – Paramedic Program
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Yes No
Preceptor
Date
Preceptors Book
FIRE RESCUE INSTRUCTORS
A Shift
B Shift
C Shift
Jeff Power
Brian Pollack
Greg Schlottman
436-7696
389-6510
504-5112
Palm Beach State College – Paramedic Program
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Preceptors Book
PARAMEDIC STUDENT CLINICAL OBJECTIVE WORKSHEET
Date:
Shift:
Student Name:
Course:
Fire Department and Station#:
Fire Rescue Instructor Name and Contact Number:
Goals and objectives to be accomplished today (areas of focus):
•
•
•
Preceptor Signature:
Palm Beach State College – Paramedic Program
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Preceptors Book
PRECEPTOR EVALUATION OF STUDENT CLINICAL EXPERIENCE
AFFECTIVE DOMAIN:
●
Preparedness: the student arrived on time with ink pen, stethoscope, eye
protection, pen light, and required paper work and identification.
●
Professional appearance: the student is dressed in proper uniform and is neat
in appearance.
●
Initiative: student demonstrates interest in EMS through actions and
interactions with evaluator
●
Conduct: Student interacts with patients, families & co-workers in a respectful
and empathetic manner. Demonstrates respectability and professional ethics.
●
Careful Delivery of Service: Student follows policies, procedures & protocols.
Uses appropriate safeguards in the performance of duties.
PSYCHOMOTOR DOMAIN:
●
Student demonstrates proficiency in skills performed.
COGNITIVE DOMAIN:
●
Knowledge: The student can recall common terms, facts, principles and basic
concepts in EMS.
●
Problem Solving: the student uses knowledge to solve a previously
unencumbered situation.
●
Evaluation: the student can judge the appropriateness of actions and can
defend his/her decisions.
Palm Beach State College – Paramedic Program
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Preceptors Book
Student Name:
Clinical Shift
Preceptor Name:
Class Shift
Station
Date:
Palm Beach State Paramedic Student
PRECEPTOR FEEDBACK TOOL
Place an X
Checklist:
Yes
No
Comments:
Student arrives on time and stays
entire length of clinical?
Student has clean uniform, PBSC ID,
and uses good hygiene?
Student asks questions and studies
during down time?
Demonstrates professionalism to
patients and crew?
Exercises caution in the performance
of duties and policies?
How much prompting was required
for student to perform required
tasks?
Outstanding recall of principles and
theories?
Identifies problems and
independently devises a plan to solve
problem?
Student can provide a sound
rationale for decisions and actions?
What % of the call does student
manage without direction of
preceptor?
Would you want this student as your
partner someday?
Student should receive an “S” or “U”
grade for this evaluation period?
Palm Beach State College – Paramedic Program
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Preceptors Book