Paramedic Clinical & Internship

Requirements

Remember, it is the total number of successful experiences that count!

Program Requirements:

256 Hours (minimum) hospital – Subspecialty 264 Hours (minimum) Internship

Clinical agreement to be initialed and signed Instructor and/or Medical Director permission

Eligibility

EMT-B Licensure and/or NREMT Certification Must have an 80% in class IV skills signed-off by Instructor Intubation skills signed-off by Medical Director Immunizations completed

Reminder: all immunizations must be current…Tb within 1 year, if it expires during your program you must get another or you will not be allowed to go to clinicals and this will not be a reason for clinical extension.

University of Michigan - ER, OR, Trauma burn, Peds ER, Psych, L&D,

CCU St. Joseph Mercy - ER, Peds ER, Psych Chelsea Hospital - ER, OR Henry Ford Wyandotte Hospital - ER (will be available 2012) Heartland Skilled Nursing Center

By the END of Module 2

16 Hours in the U of M or Chelsea Hospital OR with 5 successful intubations.

16 Hours at Heartland Skilled Nursing Center with a minimum 6 of the total 25 required “complete”

geriatric assessments. Must complete a head to toe assessment including medications and patient

history 48 Hours required in the Emergency Room Emphasis will be on airway, IV and assessment skills complete assessment

minimum of 2 patients PER SHIFT/written. Skills tracker for each clinical

Fisdap: 2 patients assessments/and skills

By the END of Module 3

All students will be required to PASS their AHA ACLSprovider program during this module.

8 Hours at the CCU (critical care unit) with an emphasis on the pathophysiology of acute/chronic pathology

including long term treatment goals.

72 Hours required in the Emergency Room Emphasis will be on a wide range of emergent etiology with

emphasis on Cardio-pulmonary assessment and management.

By the END of Module 4

16 Hours at the U of M Trauma Burn Center with an emphasis on the effects of trauma and burns with

regards to acute/chronic pathology including long term treatment goals and outcomes.

48 Hours required in the Emergency Room Emphasis will be on a wide range of emergent etiology with a

focus on a greater understanding of the emergent patient assessment process and intervention.

By the END of Module 5

16 Hours at the U of M Pediatric ER with an emphasis on the assessment and treatment challenges that pediatric

patients pose in addition to IV and airway skills. 8 Hours at St. Joseph Labor & Delivery or U of M L & D Emphasis will be on witnessing and/or participating in the assessment of

newborn. You will also consider all the physiological changes that occur with expecting mothers.

8 Hours at the U OF M Psychiatric unit Emphasis on the “careful” assessment and questioning techniques utilized with

behavioral emergencies.

Professionalism - Attendance mandatory - Never being late (BE 15 MINUTES EARLY) - Taking the initiate to participate - Asking valuable questions - Never leaving early - Patient confidentiality HIPAA - Attitude regarding the clinical experience - Looking professional (uniform & hygiene)

- Never using profanity Respecting & learning from other medical

professions!

Let’s take a look at the clinical forms!

HVAEDU.ORG (website for all clinical forms) All student clinical forms, directions including FISDAP

scheduler and skills tracker is under the student zone Paramedic tab.

www.hvaedu.org

Quality assurance starts with you!

A Clinical and Internship scheduler

A skills tracker A clinical quality marker Provides program

with benchmark goals reports required for graduation and accreditation!

Let’s take a look at FISDAP

You will be issued a FISDAP serial number

Must sign up or cancel a minimum of 7 days prior to clinical or internship experience

Print your schedule Do not sign up for

shifts unless you can for sure

Be sure to enter “ALL” data and skills performed within 72 hours

No back-to back shifts Trading shifts with

classmates is permitted You are required to

keep up with your data entry for Graduation.

www.fisdap.net

Attitude makes up approximately 99% of the outcome!

Transitioning from classroom cognitive knowledge to clinical hands-on skills increase NR pass rates

Networking with different clinical healthcare professionals More in depth understanding of the patient care

continuum Training provided by 2 of the top world renown healthcare

and research facilities Training with the largest accredited ALS Paramedic fleets

in Michigan Limited opportunity to learn skills that will last a lifetime

Please remember, this is your education!

DO NOT get behind with your clinical rotations

DO NOT get behind with your clinical paperwork and data entry within 72 hours

DO NOT forget to make copies of all of your clinical work

DO NOT miss a clinical

DO NOT turn in paperwork that is “substandard”

DO NOT falsify any documents and/or signatures

DO NOT show up without the proper paperwork, uniform/ID

DO NOT take these clinical experiences for granted

When arriving, always report to the nurses desk and introduce yourself.

ER rotations: Require 2 complete assessments and documentation per shift

OR Chelsea primarily utilizes LMA and not ET induction

CCU Requires drug sheets and some pathology research

Geriatric Assessment: Requires a full head to toe assessment including drug sheets and pathology research

L&D may require you to return to observe/participate in a delivery and assessment

DO NOT WAIT UNTIL IT IS A CRISIS!

Clinical coordinator lanaya@hva.org

Will occur in Module 6 no earlier than SCHEDULE or INSTRUCTOR PERMIT

Must have an 80% in class All Hospital including subspecialty rotations must be complete All internship rotations will be conducted with HVA All students will be required to meet all benchmark skills as mandated by HVA clinical and internship guidelines

Any student who fails to meet the minimum requirements will be subject to being assigned additional internship hours

as applicable.

Appropriate uniform and ID badge Bring bagged lunch Always demonstrate professional & ethical behavior Take initiative Be honest and sincere Understand your limitations Know when and how to “stand down” Respect the crew’s space Sign up for 1, but no more than 2 cars (maintain same mentors) Riding on cars that provide good experience Student assessments including narrative on all patient encounters including

being entered into FISDAP

Orientation of rig, drug box and basic operation of equipment as required

Review performance Be fair and non judgmental Complete student evaluation forms including signature Review student PCR for accuracy and completeness Dismiss students who fail to participate or

demonstrate unprofessional behavior Discuss issues as appropriate Act as a responsible “role model”

Rides 1 - 5 - All v/s taken manually - Familiarize yourself with all ambulance compartments and equipment including drug box - Gain more confidence by interacting with patients - Set up and attempt to start all IV’s - Set up and conduct all 12 lead ECG as appropriate - Learn how the senior and junior Paramedic prefer to interact with patients - Work on good patient moving and packaging skills - Focus on proper documentation

Rides 6 - 11 - Continue to improve patient interaction and questioning - Complete the RN/LPN hospital reports - If comfortable, consider giving radio in-bound report - IV skills should start to show marked improvement - If permissible, consider ATTEMPTING advanced airway skills (ET) - Interact during any mega code or critical patient as permissible an/or appropriate

Rides 12 – 22 or completion - Continue to improve patient interaction including confidence with decision making - Complete full patient assessments - Continue to build mentor trust with your assessment questions including treatment options and patient care decisions - Manage all aspects of a “stable” ALS call

All internship patient care PCR paperwork including mentor signatures should be copied

A mid-point and a final evaluation will be conducted by the senior medic/mentor

All paperwork will be audited for accuracy and completeness

All ‘benchmark’ goals must be achieved prior to the conclusion of the internship rotations

All paperwork must be signed-off by instructor and/or clinical coordinator

(original signatures must be retained for file) Student will conduct a complete write-up on all

patient encounters.

Recognize the need to treat the patient, family FD, PD and co-workers with respect

Able to discuss difference of opinion &/or patient care in a respectful manner

Refrains from using derogatory or demeaning language Able to relate why protecting & respecting patient

confidentially & dignity is necessary Able to manage patient care while accommodating patient's

limitations Critically evaluate mistakes made in patient care & works to

improve performance

Has the student been punctual, dressed appropriately and had the proper paperwork?

Does this student take initiative to complete assignments? Does this student follow through on task without constant

supervision? Does this student speak clearly, write legibly and

communicate well with the staff? Do you feel this student has the skills necessary to be an

effective entry level paramedic? Would you recommend that this student pass or fail the

internship program? Failure means remediation is necessary along with additional

third-rides with another F.I.

Contact me via EMAIL at lanaya@hva.org Come prepared for weather, with your paperwork

and uniform (jackets) and ID Please read directions to each specific area as well as

parking and how to get in... Contact me ASAP with ANY problems Remember…be on time…they will not wait for you!

DO NOT WAIT UNTIL IT IS A CRISIS!

Clinical coordinator lanaya@hva.org