Portland Community College | Portland, Oregon

Course Number:
EMS 246
Course Title:
Paramedic Clinical Internship II
Credit Hours:
Lecture Hours:
Lecture/Lab Hours:
Lab Hours:
Special Fee:

Course Description

Complete in-hospital clinical experience to include direct patient care responsibilities necessary for completion of the program's objectives. The patients in the hospital/ clinical setting shall have disease and injury conditions comparable to those the student will experience in the pre-hospital care situation. Department permission required. Prerequisites: EMS 244.

Intended Outcomes for the course

The student will:

1.Meet professional role expectations in appearance and manner while utilizing time effectively.
2.Synthesize knowledge of anatomy and physiology when performing proper body mechanics.
3.Effectively communicate in a self-directed manner with persons of diverse cultural backgrounds and roles in a variety of settings.
4.Demonstrate ethical and legal responsibilities in regard to health care.
5.Demonstrate the ability to adapt care while managing the care of clients with changing health care needs.
6.Demonstrate knowledge of didactic content and lab skills in developing and implementing a treatment plan for a variety of patients in assigned healthcare settings.
7.Develop a plan of care based on the patient€™s history and physical exam, develop a problem list, and identify the appropriate intervention for each problem.
8.Solicit and utilize the preceptor€™s feedback to improve performance
9.Meet potential employer expectations by developing an appropriate resume and demonstrating well- developed interview skills.

Course Activities and Design

Course outcomes and objectives are met in a variety of clinical facilities for this course. Areas not completed in EMT 223-Clinical Internship I will be completed during this course. Departments will include: Emergency; CICU; ICU; Anesthesia ; Labor and Delivery; PANDA/Peds ; Poison Control Center; Burn Center; Psychosocial; Respiratory Therapy; On campus activities will include lectures, lab skills, course review and employment acquisition skills.

Outcome Assessment Strategies

Students will be graded on a Pass/No Pass basis. Clinical preceptors will assess each student on an assessment form designed for the specific clinical area reflecting the skills and abilities required of paramedic interns.

Course Content (Themes, Concepts, Issues and Skills)

During the course the student may be presented with the following:

1.elicit histories and perform physical examinations (including obstetrical history, locate fetal heart sounds, accurately time contractions)
2.perform venipuncture
3.perform endotracheal intubation
4.clear a patient€™s airway
5.maintain and clear the patient€™s airway
6.appropriately use airway adjuncts, oxygen, BVM
7.utilize sterile technique
8.prepare and administer medications (IM, IV, topical, oral, subcutaneous, and nebulized)
9.interpret EKG€™s
10.utilize universal body substance precautions
11.perform cardiopulmonary resuscitation
12.become familiar with laboratory test results and relate them to the patient€™s condition and expected treatment
13.observe various levels of consciousness and the correlation of vital signs and neurological signs with changes in LOC (levels of consciousness)
14.complete a medical record in an accurate, legible, and organized manner
15.insert a urinary catheter using sterile/aseptic technique
16.insert a nasogastric tube
17.accurately obtain, assess and document patient€™s vital signs
18.observe the assessment and follow up of patients during trauma rounds
19.familiarize themselves with the application of mechanical ventilation
20.prepare and administer IV solutions and/or parenteral medications
21.assess orthopedic injuries and select the appropriate method for immobilizing the injured extremity
22.recognize different types of wounds and select the appropriate management (burns, lacerations/abrasion)
23.observe signs and symptoms of the different stages of labor
24.observe the technique of assisting the mother in a normal delivery
25.observe the difficulties encountered in a difficult delivery
26.observe and assess the newborn with regards to vital signs, need for resuscitative efforts, and maintenance of a neutral thermal environment
28.oral report (€œHear Report€)
29.topical lectures, lab skills, and content review
30.resume writing, job interview skills, and interaction with potential employers