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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
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 [email protected] 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!
