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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 1 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: Palm Beach State College – Paramedic Program 2 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 Palm Beach State College – Paramedic Program 3 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 4 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 5 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 6 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 7 □ Yes □ No □ Refused Preceptors Book CLINICAL GOALS BY SEMESTER Palm Beach State College – Paramedic Program 8 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 9 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 10 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 11 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 12 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 13 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 14 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 15 Preceptors Book