Download Training Plan

Intern Training Plan
This guide provides a detailed plan for the Field Training Officer and the ALS Intern to follow
as the Intern learns the ______________ Department’s protocols and policies. Each time the
Intern works on the Medic Unit, he/she is given a list of topics to review. Each topic includes a
recommended amount of study time. However, some topics may require less time to study and
some will require many more hours. The Intern must take a written quiz on all the material
presented in each session prior to continuing their study in subsequent sessions. The Intern will
use the Intern Training Sheets, the __________ Department Protocol Manual, and the
__________ Department Policy and Procedure Manual as a study reference.
In addition, Interns and FTOs should utilize resources such as EMS textbooks and SOPs
available in station libraries. If the Intern’s FTO and supervisor do not feel the Intern has
adequately mastered the tasks by the suggested hours, the Intern will continue practicing those
tasks prior to learning new tasks. It is the Intern’s responsibility to get extra help from the FTO if
he/she hasn’t mastered the material. The Interns are expected to retain knowledge from previous
days as well as the current material. Each session quiz will be cumulative, covering all topics
outlined in the manual up to that point.
Session 1
Introduction (focusing on patient assessment and documentation) (36 hours)
Intern Skill Sheet:
 Attendant-in-Charge Responsibilities (AIC)
 Patient Documentation
_________ Department’s EMS Procedure:
 #1 Oxygen Administration
 #19 SMR
 #22 Specialty Care Transport
 #23 On Scene Physician
 #24 Refusal of Care
 #25 Consent and Refusal of Care for a Minor
 #28 Hospital Communications
__________ Department’s Protocol:
 General Orders for All Patients-Patient Assessment
___________ Department’s Medications:
 Oxygen
Vascular Access (12 hours)
Intern Skill Sheet:
 Subcutaneous Injection
 Intramuscular Injection
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
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IV Medications
External Jugular Vein Cannulation
IV Infusions
IV Piggyback
______________ Department’s EMS Procedure:
 # 12 Intravenous Access
 # 13 Intraosseous Infusion (review medications with procedure)
 # 14 Intranasal (IN) Medication Administration
Airway Management (60 hours)
Intern Skill Sheet:
 Airway Clearance with Magill Forceps (Peds/Adult)
 Transtracheal Medication Instillation
 Tracheal Suctioning
______________ Department’s EMS Procedure:
 #5 Endotracheal Intubation (King Vision included)
 #6 Eschmann Tracheal Tube Introducer/Gum Elastic Bougie
 #7 King LT-D Airway
 #8 Laryngeal Mask Airway (LMA) (Pediatric)
 #9 Cricothyrotomy
 #10 Needle Thoracostomy
 Appendix #1: Failed Airway Algorithm
Airway Management- RSI (36 hours)
______________ Department’s EMS Protocol:
 #6 Rapid Sequence Induction
______________ Department’s Medications:
 Midazolam
 Vecuronium
 Succinylcholine
 Etomidate
 Fentanyl
 Lorazepam
 Lidocaine
 Atropine
QUIZ #1
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Session 2
Dyspnea (72 hours)
Intern Skill Sheet:
 Nebulized Medication Administration
 Transcutaneous Pulse Oximetry
______________ Department’s EMS Procedure:
 #2 Capnography
 #3 Metered Dose Inhaler
 #4 Continuous Positive Airway Pressure (CPAP)
 #5 Allergic Reaction
______________ Department’s EMS Protocol:
 #2 General Guidelines for Dyspnea Patients
 #3 Dyspnea
______________ Department’s Medications:
 Albuterol
 Ipratropium Bromide
 Epinephrine (1:1000)
 Solu-Medrol
 Albuterol/Atrovent Combo (duoneb)
 Benadryl
 Magnesium Sulfate
Cardiac Part I (72 hours)
Intern Skill Sheet:
 Cardiac Monitoring and ECG recognition
 Sublingual Medications
 Oral Medications
______________ Department’s EMS Protocol:
 #4 Pulmonary Edema
 #19 General Guidelines for Cardiac Patients
 #20 Acute Coronary Syndrome
______________ Department’s Medications:
 Aspirin
 Morphine Sulfate
 Nitroglycerin
QUIZ #2
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Session 3
Cardiac Part II (12 hours)
Review:
 Protocols and Medications from Cardiac Part I
______________ Department’s EMS Procedure:
 #16 12- and 15- Lead EKG
Bradycardia/PEA/Asystole (48 hours)
______________ Department’s EMS Procedure:
 #18 Transcutaneous Pacing
 #27 DOA
 #26 Termination of Care
______________ Department’s EMS Protocol:
 #21 Bradycardia
 #28 Asystole and Pulseless Electrical Activity (PEA) in Cardiopulmonary Arrest
______________ Department’s Medications:
 Atropine
 Calcium Chloride
 Sodium Bicarbonate
 Dopamine
 Epinephrine (1:10,000)
Narrow Complex Tachycardia (48 hours)
Intern Skill Sheet:
 Valsalva Maneuver
______________ Department’s EMS Procedure:
 #17 Synchronized Cardioversion
______________ Department’s EMS Protocol:
 #22 Atrial Fibrillation/Atrial Flutter
 #23 Narrow Complex Tachycardia- Stable
 #24 Narrow Complex Tachycardia- Unstable
______________ Department’s Medications:
 Cardizem
 Adenosine
Wide Complex Tachycardia (36 hours)
______________ Department’s EMS Protocol:
 #25 Wide Complex Tachycardia-Stable
 #26 Wide Complex Tachycardia-Unstable w/ a pulse
______________ Department’s EMS Medications:
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 Amiodarone
 Lidocaine (Drips and Bolus)
 Procainamide
NOTE: Must have completed at least 4 Endotracheal Intubations by this point.
QUIZ # 3
Session 4
Cardiac Arrest (72 hours)
______________ Department’s EMS Procedure:
 #11 ResQPOD
 #15 Automated External Defibrillator
 #32 Autopulse
______________ Department’s EMS Protocol:
 # 27 General Guidelines for Cardiac Arrest Patients
 # 29 Ventricular Fibrillation/Pulseless Ventricular Tachycardia
 # 36 ROSC Hypothermia
______________ Department’s EMS Medications:
 Epinephrine (1:10,000)
 Magnesium Sulfate
 Vasopressin
Trauma (72 hours)
Intern Skill Sheets:
 MCI Management and Start Triage
 Appendix #2: START/JUMPSTART
______________ Department’s EMS Procedure:
 #10 Needle Thoracostomy
 #20 Hemostatic Gauze
 #21 Tourniquet
______________ Department’s EMS Protocol:
 #16 General Guidelines for Trauma Patients
 #17 Pain Management
 # 9 Nausea/Vomiting
______________ Department’s EMS Medications:
 Morphine Sulfate
 Fentanyl
 Zofran
QUIZ #4
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Session 5
Medical Emergencies I (72 hours)
Intern Skill Sheets:
 Glucometer
______________ Department’s EMS Protocol:
 #7 Altered Level of Consciousness
 #8 Diabetic States
 #13 Seizure
 #18 Stroke
 #34 Cyanokit
______________ Department’s EMS Medications:
 Dextrose
 Glucagon
 Naloxone
 Thiamine Hydrochloride
Medical Emergencies II (72 hours)
______________ Department’s EMS Protocol:
 #10 Sepsis
 #11 Medical Hypotension
 #12 Overdose-Poisoning (1-800-222-1222)
 #15 Pre-Hospital Childbirth and Obstetrical Complications
Subjects to study:
 Medication Administration
 Toxicology
 Medication Math
QUIZ #5
Session 6
Misc. Protocols (24 hours)
Intern Skill Sheet:
 Patient Restraints (Chemical and Physical)
______________ Department’s EMS Procedures:
 #29 Laptop and LifePak Communications
 #30 DuoDote Auto Injector
 #31 Police Electronic Control Device (ECD)
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______________ Department’s EMS Protocol:
 #14 Chemical Sedation for the Agitated Patient
 #35 Ophthalmic Injury
______________ Department’s EMS Medication:
 Haldol
 Ativan
Environmental Emergencies (12 hours)
Subjects to study:
 Heat
 Cold
 Diving/Swimming
 High Altitude
Pediatric Emergencies (48 hours)
Subjects to study:
 Medical Conditions
 Trauma Consideration
______________ Department’s EMS Protocol:
 #30 Pediatric Bradycardia
 #31 Pediatric Tachycardia
 #32 Pediatric Asystole & Pulseless Electrical Activity
 #33 Pediatric Ventricular Fibrillation/Pulseless Ventricular Tachycardia
 Pediatric sections of the Protocols and Policies and Procedures
Geriatric Emergencies (24 hours)
Subjects to study:
 Medical Considerations
 Trauma Considerations
QUIZ #6
– Review (12-24 hours)
Review as needed for final exam and complete KSA sheet
Daily reviews will continue until the Intern finishes the skills and contacts needed to take the
final exam. Session Reviews will be continued after session 6, every 30 days or until the Intern
completes the final written and practical exams.
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