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**Terminal Objective:
At the completion of Field Internship, the paramedic student will be able to comprehend, apply and evaluate clinical information while demonstrating technical proficiency in all skills and behavior necessary to fulfill the role as an entry level paramedic, and in a simulated patient care scenario.
Course Outline:
I. EMS Internship**
PROGRAM BEHAVIORAL OBJECTIVES**
Behavioral attributes of the MICT student and certified MICT are very important. Because of this, we have developed behavioral objectives for the Cowley MICT student. These objectives are based on what is required of an MICT and employer expectations.
At the conclusion of the program, the MICT student must exhibit appropriate behavior in the following areas:
Other behavioral objectives, found in specific curricular areas, have also been developed as well (these are found in the specific class objectives). We strongly believe that the entry level MICT must have the knowledge, ability to perform and have obtained appropriate professional behaviors.
KEY TO CLASSIFICATION OF OBJECTIVES
(B) - Denotes a behavioral objective
(C) - Denotes a cognitive objective
(M) - Denotes a psychomotor objective
** Denotes objectives added to curriculum by Cowley
I. EMS Internship
**Unit Objective: At the completion of the unit, the paramedic student will have participated as team leader on at least 50 ambulance calls, performing patient assessment, developing and implementing an appropriate treatment plan and transport plan while under the direct supervision of a Kansas certified paramedic.
Phase 1 Introduction & Orientation to the Field Internship Service.
**At the completion of phase 1 of the field internship experience the paramedic student will be able to identify his/her preceptors, understand departmental rules as they apply to the station, the vehicle, safety, documentation, and QA/QI policies, and become familiar with the individual locations of emergency equipment both in the station and the ambulance. This phase of internship will last at least 5 ambulance calls or 36 hours:
a. Describe the 3 basic types of ambulance calls: medical emergencies, trauma emergencies, and transfers.
b. Identify his/her role responsibility during calls.
c. Determine what equipment is to be brought in on each call.
d. Understand how to approach a call in terms of patient care.
e. Understand service policy on infection control, safety, documentation, and QA/QI policies.
f. Understand the documentation expectations of each ambulance call.
g. Accurately perform a complete unit check at the beginning of each shift.
Phase 2: Task Responsibilities/Team Activities
**At the completion of phase 2 of the field internship experience the paramedic student will be able to practice team cooperation in patient care delivery to include communication with co-workers, appropriate equipment operation, obtaining accurate vital signs, successful initiation of IVs on any patient requiring this therapy and reciting the dosages, indications and contraindications for all medications carried by the field internship site. This phase of internship should last at least 10 ambulance calls or 60 hours.
Continue to perform all skills acquired during phase 1 while also:
a. Successful communication between the student and preceptors.
b. Demonstration of appropriate and accurate operation, location, maintenance and various uses of equipment.
c. Obtain a full and accurate set of vital signs to include respirations, heart rate, blood pressure, pupil status and skin condition.
d. Perform a thorough patient assessment appropriate to patients presentation and chief complaint.
e. Formulate an accurate working impression utilizing information gathered to include age, physical exam and patient history, and communicate to the preceptor a triage consistent with the patient's condition.
f. Decide upon a course of action and implement a team approach to carrying out a treatment plan.
g. Given the opportunity, demonstrate knowledge of proper skill techniques and utilize all equipment to include IV initiation, ECG interpretation, ET intubation, medication administration and any other intervention appropriate to the patient's condition and the service protocol.
h. Recite all dosages, indications and contraindications for any of the medications carried by the field internship site.
i. Demonstrate a knowledge base consistent with information presented to the student to this point in the field internship experience.
Phase 3: Team Leader Responsibilities/Team Coordination
**At the conclusion of phase 3 of the students field internship experience, the student will be able to coordinate patient care and assign tasks to be able to comprehend, apply and evaluate clinical information while demonstrating technical proficiency in all skills and behavior necessary to fulfill the role as an entry level paramedic, and in a simulated patient care scenario.
Continue to perform all skills acquired during phases 1 and 2 while also:
a. Demonstrate appropriate scene management of any situation and function competently under stressful situations to include appropriate assessment, treatment and transportation priorities when multiple patients are encountered.
b. Demonstrate the ability to perform a thorough patient interview and physical assessment.
c. Demonstrate the ability to develop a treatment management plan and perform the necessary skills, or delegation of tasks when appropriate, related to emergency management of the patient.
d. Demonstrate effective communication between the student and preceptors, patients, family members, bystanders, public service personnel and other healthcare providers either orally, in writing or by radio.
e. Demonstrate the ability to accurately complete all the necessary reports associated with the patient contact.
f. Demonstrate integrity, self-motivation, self-confidence, appropriate appearance and personal hygiene, teamwork, diplomacy, appropriate communication, time management, respect, empathy, patient advocacy and careful delivery of service consistent with affective objectives outlined in the Cowley affective evaluation.
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