04_NOV_2011-Curriculum_Plan-BMTCP.pdf
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Medical Education and Training Campus
BASIC MEDICAL TECHNICIAN CORPSMAN PROGRAM
Navy B-300-0010 Hospital Corpsman (HM-0000)
Air Force Phase I L8AQJ4N031 01AA Aerospace Medical Service Apprentice Course (4N031)
Curriculum Plan
Medical Education and Training Campus Fort Sam Houston, Texas 78234 Effective Date: 31 October 2011
Supersedes:
Curriculum Plan Basic Medical Technician Corpsman Program, Navy B-300-0010 Hospital Corpsman (HM-0000); Air Force Phase I J8AQP4N031 01AA Aerospace Medical Service Apprentice Course (4N031)
METC Basic Medical Technician Corpsman Program 3 1 October 2011
Program Approval Authority:
NAVY:
As authorized by Commanding Officer, Navy Medicine Training Center, Fort Sam Houston, TX 78234
Curriculum Change/Preceding Curriculum Date: 27 April 2011 Implementation Date: Class start 3 November 2011 Approval Date:
M. JILL HANSEN
CAPT, NC, USN
Director, Academics & Governance, Navy Medicine Manpower, Personnel Training and Education Command, Navy Medicine Training Center
AIR FORCE:
As authorized by 37 TRW, 937 TRG, Fort Sam Houston, TX 78234
Curriculum Change/Preceding Curriculum Date: 27 April 2011 Implementation Date: Class start 31 October 2011 Approval Date:
ANNATA R. SULLIVAN
Colonel, USAF, NC Commander, 937 Training Group (AETC)
METC:
As authorized by Dean, Medical Education and Training Campus, Fort Sam Houston, TX 78234
Approval Date: 31 October 2011
LARRY HANSON
COL, USA, DC
Dean, Medical Education and Training Campus, Fort Sam Houston, TX 78234
Change Record
Item to Change Description Date Approved
Cover Page New Air Force course numbers 23 October 2011
Page 7 BMTC 103 Course Description 23 October 2011
Page 9 Change to the totals in the Program Length Consolidated Courses chart
23 October 2011
Page 10 Change to the totals in the Program Length Air Force Specific Courses charts. Hours redistributed to allow for additional consolidation as well as allowance for new EMT standards. No change to content
23 October 2011
Page 11 Change to the totals in the Program Length Peacetime chart
23 October 2011
Page 12 New program structure description 23 October 2011
Change to the totals in the BMTC 101 Introduction to Basic Medical Technician Corpsman Program, Distribution of Contact Hours chart.
23 October 2011
Page 13 Inserted BMTC 101 objectives from the lesson plan in place of previous terminal objectives
23 October 2011
Change to the totals in the BMTC 103 Emergency Medical Technician Basic (EMT- B), Distribution of Contact Hours chart
23 October 2011
Inserted BMTC 103 EMT-B objectives from the approved COTS product
23 October 2011
Moved objective 1.5.8 from NURS 101 into
BMTC 103
Added “Special Senses” and “Lymphatic” to objective 1.5.9 and 1.5.10 from NURS 101
Change BMTC 105 to BMTC 105F and objective numbering
23 October 2011
Change BMTC 101 to BMTC 101N and objective numbering
23 October 2011
Change to the totals in the NURS 101 Basic Nursing Fundamentals, Distribution of Contact Hours chart, course description, and objective numbering
23 October 2011
Page 55 Removed Anatomy, Physiology, Endocrine, 23 October 2011
Lymphatic, and Special Senses objectives from the BMTC 101 Basic Nursing Fundamentals that is taught in EMT-B
Page 63 Changed totals in the NURS 201 Intermediate Nursing, Distribution of Contact Hours chart, and objective numbering
23 October 2011
Page 63 Change Medication Administration I to Introduction to Medication Administration and Medication Administration II to Medication Administration
23 October 2011
Page 63 Moved Intake and Output up to the second lesson in unit 1 from fourth
23 October 2011
Page 64 Moved objective 1.3.2 into NURS 201 from
NURS 101
Page 64 Moved objective 1.4.2 and 1.4.3 into NURS 201 from NURS 101
Page 67 Change Medication Administration I to Introduction to Medication Administration
23 October 2011
Page 68 Change Medical Mathematics and Dosage Calculations to Medical Calculations
23 October 2011
Page 69 Change Medication Administration II to Medication Administration
23 October 2011
Page 69 Removed objective “Describe procedures for administering inhalation medications” that is previously taught in EMT-B
23 October 2011
Page 72 Moved objective 5.6.2 and 5.6.3 into NURS 201 from NURS 101
Page 73 Change to the totals in the BMTC 101 AF to
BMTC 101F
23 October 2011
Page 73 Change to the totals in the BMTC 101 AF Aerospace Medical Service Apprentice (AMSA) Introduction, Distribution of Contact Hours chart and objective numbering
23 October 2011
Page 75 Change BMTC 103 AF to BMTC 103F 23 October 2011
Page 75 Change to the totals in the BMTC 103F Aerospace Medical Service Apprentice Fundamentals, Distribution of Contact Hours chart and objective numbering
23 October 2011
Page 83 Change BMTC 104 Navy to BMTC 104N and objective numbering
Page 83 Re-ordered lessons and objectives 23 October 2011
Page 83 Change Assessment and Treatment to Assessment and Treatment Protocols and move it up from lesson 5 to lesson 3
23 October 2011
Page 83 Move Clinic Flow down from lesson 3 to lesson 5 and Practical Lab – Clinic up from lesson 8 to lesson 5
23 October 2011
Page 83 Change Clinic Flow and Practical Lab – Clinic to Clinic Lab.
Page 83 Move Practical Lab – Shipboard up from lesson 9 to lesson 6
23 October 2011
Page 83 Change Shipboard screening and treatment and Practical Lab – Shipboard to Shipboard Lab.
23 October 2011
Page 83 Move Practical Lab – Field up from lesson 10 to lesson 7
23 October 2011
Page 83 Change Operating in Field Environment and Practical Lab – Field to Field Lab.
Page 85 Change BMTC 106 to BMTC 106F 23 October 2011
Section 1: General Program Information
Program Description:
The Basic Medical Technician Corpsman Program (BMTCP) provides requisite knowledge, as well as simulated and clinical training in various aspects of emergency, nursing, and primary care.
Subjects include medical terminology, anatomy & physiology, Basic Life Support (BLS), Emergency Medical Technician-Basic curricula, as well as various aspects of nursing and primary patient care. Outcome-based practice and safety techniques are emphasized throughout the program.
1. Phase1 - This phase consists of knowledge and skills training conducted at METC, Fort Sam Houston, Texas. Lecture, guided discussion, demonstration, e-learning materials, simulations, and skills laboratory practice are blended during this phase of training.
2. Phase 2 (Air Force only) – This phase consists of six weeks of clinical practicum in an Military Treatment Facility (MTF).
The Basic Medical Technician Corpsman Program provides enlisted basic knowledge of emergency medicine and nursing care. The program consists of lectures, group activities, demonstrations, hands-on instruction and clinical practice; instruction may include computer-based or blended learning options. Practical exercises, computerized and written examinations are used to assess knowledge and skills. Graduates are awarded the following skills/job identifier based on Service component (HM-0000) NAVY and (4N031) Air Force.
Program Goal(s):
The Basic Medical Technician Corpsman Program will prepare Service Members to function as entry-level medical technicians in fixed and non-fixed medical facilities, performing duties to provide quality emergency, nursing and primary care procedures. Graduates will demonstrate:
the ability to comprehend, evaluate and apply information relevant to the role of the basic medical technician; technical proficiency in entry-level skills required to fulfill the role of a basic medical technician; and personal and professional behavior consistent with the expectations of the basic medical technician.
Security Classification:
Unclassified
Accreditation Statement(s):
This program will be submitted to the American Council on Education for evaluation of credit hours. This is a Community College of the Air Force credit awarding program. Additional accreditation information can be located by accessing the following internet sites:
Council on Occupational Education (COE) www.council.org
National Registry of Emergency Medical Technicians (NREMT) www.nremt.org
Commission on Accreditation of Allied Health Education Programs (CAAHEP) www.caahep.org
../../../../AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/AppData/Local/Microsoft/Windows/Temporary%20Internet%20Files/Content.Outlook/3OW3C3I3/www.caahep.org
Student Prerequisites:
Navy-Specific:
ASVAB VE+MK+GS=156 (PAY97)
ASVAB VE+MK+GS=153 (PAY80)
Active duty Navy, Navy Reserve, and Coast Guard in paygrades E1-E7 with high school diploma or GED equivalent.
Air Force-Specific: See Airman Enlisted Classification Directory.
Active duty Air Force, Guard, and Reserve may attend in pay grades from E1-E7. High School diploma or equivalent, driver's license and no prior conviction of a felony.
https://gum.afpc.randolph.af.mil/cgi-bin/askafpc.cfg/php/enduser/ps_std_adp.php?p_faqid=7504
Program Synopsis by Course:
This program consists of multiple courses. All courses must be completed successfully to pass this program.
BMTC 101 Introduction to Basic Medical Technician Corpsman Program This course provides an introduction to the Basic Medical Technician/Corpsman Program (BMTCP). An overview of Academic Policies and Procedures, Course and Group Policies, Student Evaluation Plan (SEP), Student Administration Guide (SAG), Instructional Resources and Materials, College Credit, Student Feedback, Textbooks and Supplies will be conducted. This culminates with Basic Life Support (BLS). Successful completion of this course prepares the student for the Emergency Medical Technician-Basic (EMT-B) course.
Prerequisite(s): None
BMTC 103 Emergency Medical Technician Basic (EMT-B) The EMT course provides basic understanding of the knowledge and skills necessary to function as a first responder Basic Medical Technician/Corpsman. The successful student will master theories in pre-hospital care, transporting patients, and anatomy and physiology, with a focus on patient assessment and appropriate interventions in various rescue scenarios, including trauma, extrication, medical emergencies, behavioral and environmental emergencies and special populations such as children and the elderly. The course will also equip students with the knowledge and skill required to successfully complete the National Registry of Emergency Medical Technicians (NREMT) written exam and practical skills lab.
Prerequisite(s): Completion of BMTC 101
BMTC 105F National Registry Emergency Medical Technician – Basic (NREMT-B) Certification This course assesses the basic medical technician's ability to apply Emergency Medical Technician-Basic (EMT-B) principles in didactic and practical environments IAW DOT NHTSA standards. Successfully complete the National Registry of Emergency Medical Technician-Basic (NREMT-B) practical skills lab and cognitive exam.
Prerequisite(s): Completion of BMTC 103
BMTC 101 N HM Fundamentals This course provides instruction on medical information and operational guidance specific to the duties of an apprentice level Hospital Corpsman. Career assignment briefs, operational screenings and transfer requirements are provided. Students will acquire a sense of heritage and https://gum.afpc.randolph.af.mil/cgi-bin/askafpc.cfg/php/enduser/ps_std_adp.php?p_faqid=7504 1387325650C Highlight
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1387325650C Highlight esprit de corps unique to the HM Rating, obtain an understanding of the rating detailing process/limitations, and screen for worldwide duty assignments and "C" schools.
NURS 101 Basic Nursing Fundamentals This course provides the student with basic knowledge and skills needed to perform patient care within the parameters of the nursing specialty. Subjects presented in the curriculum include infection control, nursing technologies, interpersonal relationships and customer service, primary care optimization, focused basic inpatient and outpatient care. Course content complies with The Joint Commission (TJC), American Heart Association (AHA), Centers for Disease Control and Prevention (CDC) guidelines, American Nurses Association (ANA) standards and applicable service instructions. This course is a prerequisite for the Intermediate Nursing Fundamentals course.
Prerequisite(s): Successful completion of BMTC 105, BMTC 101 (Navy) or approved equivalents.
NURS 201 Intermediate Nursing Training provides enlisted personnel entering the Basic Medical Technician Corpsman (BMTC) career field with the apprentice level knowledge and skills needed to perform at this level.
Subjects in this curriculum include nutrition/elimination, specimen collection, medication administration, and intravenous therapy. Course content complies with Joint Commission, American Heart Association (AHA), Centers for Disease Control and Prevention (CDC) guidelines, American Nurses Association (ANA) standards, and Air Force, Navy and METC instructions. The course will equip graduates with the skill and knowledge required to perform intermediate nursing skills during normal duty and contingency operations.
Prerequisite(s): NURS 101 Basic Nursing Course or its approved equivalents.
BMTC 101 F Aerospace Medical Service Apprentice Introduction The instructional design for this course is group-paced. Training provides enlisted personnel entering the Aerospace Medical Service Apprentice (AMSA) career field with the apprentice level knowledge and skills needed to perform at this level. Subjects in this curriculum include an overview of Air Force Medical Doctrine, AEF Aspects, Career Field Education and Training Plan, AFSC Duties, Special Duties, AFSC Shred outs, and the AMSA scope of practice. Course content complies with the Aerospace Medical Service Career Field Education and Training Plan (CFETP) and Air Force instructions. Upon completion of this course the AMSA will be able to identify basic facts and principles related to the Aerospace Medical Service mission.
Prerequisite(s): Intermediate Nursing Course or its approved equivalents.
BMTC 103 F Aerospace Medical Service Apprentice Fundamentals The instructional design for this course is group-paced. Training provides enlisted personnel entering the Aerospace Medical Service Apprentice (AMSA) career field with the apprentice level knowledge and skills needed to perform at this level. Subjects in this curriculum include patient care environment, physical exams, visual screening, records review, and aerospace medicine.
Course content complies with Joint Commission, American Heart Association (AHA), Centers for Disease Control and Prevention (CDC) guidelines, American Nurses Association (ANA) standards and Air Force and METC instructions. Upon completion of this course, the (AMSA) will be able to perform entry level medical and administrative tasks.
Prerequisite(s): Intermediate Nursing Course or its approved equivalents and the BMTC 101 AF Aerospace Medical Specialist Apprentice Introduction.
BMTC 104N Enhanced Assessment Program The course is a capstone of all the knowledge and skills learned in each clinical setting. The course will provide realistic multiple incidents that require the students to perform check-in, triage
1387325650C Highlight
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1387325650C Highlight patients, assess the waiting areas, perform patient care, identify / utilize ancillary services and discharge patients. To provide Corpsman with an understanding of how sick call works, how to write a SOAP note, how to communicate the pertinent information verbally and in writing , and how to perform a basic examination of a patient to arrive at a diagnosis and develop a treatment plan.
Prerequisite(s): Completion of the didactic and laboratory portions of BMTC program.
BMTC 106F Emergency Medical Readiness Course (EMRC) This course provides practical and didactic training, with an orientation to all continuing Medical Readiness Training (MRT) core topics to: active duty, AFRC and ANG personnel attending 3-level medical/dental AFSC awarding courses. Student will gain emergency medical readiness and deployment skills in a field hospital’s surgical suite and sterile processing and supply areas.
Program Length Consolidated Courses
Course Course Title Did Lab/ Prac Clin WTest PTest Other Req’d Act.
Total
BMTC 101
Introduction to Basic Medical
Technician Corpsman Program
6.0 2.0 0 1.0 1.0 0 0 10
BMTC 103 EMT-B 135.0 57.0 0 21.0 0 0 0 213
NURS 101 Basic Nursing Fundamentals 37.0 31.0 0 12.0 0 0 0 80
NURS 201 Intermediate Nursing 40.0 60.0 0 12.0 0 0 0 112
TOTAL 218 150 0 46 1 0 0 415
Program Length Navy-Specific Courses
Course Course Title Did Lab/ Prac
Clin WTest PTest Other Req’d Act.
Total
BMTC 101N HM Fundamentals 21.0 8.0 0 3.0 0 8.0 0 40.0
BMTC 104N
Enhanced Assessment
Program/Clinical
12.0 28.0 0 0 0 0 0 40.0
Clinical Clinical 0 0 40.0 0 0 0 0 40.0
TOTAL 33.0 36.0 40.0 3.0 0 8.0 0 120.0
Program Length Air Force-Specific Courses
Course Course Title Did Lab/ Prac
Clin WTest PTest Other Req’d Act.
Total
BMTC 105F NREMT-B 0 16.0 0 12.0 12.0 0 0 40.0
BMTC 101F AMSA Introduction 5.0 0 0 2.0 0 0 0 7.0
BMTC 103F AMSA Fundamentals 45.0 23.0 0 12.0 0 0 0 80.0
BMTC 106F
EMRC – Emergency Medical Readiness
Training
7.5 8.0 0 0 0 .5 0 16.0
TOTAL 56.5 48.0 0 26.0 12.0 .5 0 143.0
Program Length Peacetime:
METC Army Navy Air Force Coast Guard
Phase I Hours1
Didactic 230.0 (1:25)
0 33.0 (1:25)
56.5 (1:25)
Lab/Practical 138.0 (1:06)
0 36.0 (1:06)
48.0 (1:06)
Written Test2 46.0 (1:25)
0 3.0 (1:25)
26.0 (1:25)
Practical Test 1.0 (1:06)
0 0 (1:06)
12.0 (1:06)
Other (FTX/SP) 0 0 8.0 (1:06)
0.5 (1:06)
Required Activities
0 0 0 0 0
415.0 0 80.0 143 0
Clinical/ Phase II Hours
Didactic 0 0 0 0 0
Lab/Practical 0 0 0 0 0
Clinical 0 0 40.0 0 0
Written Test 0 0 0 0 0
Practical Test 0 0 0 0 0
Other (admin) 0 0 0 0 0
Required Activities
0 0 0 0 0
0 0 40.0 0 0
Total Hours 415.0 0 535.0 558.0 0
Program Length Mobilization/Wartime:
METC Army Navy Air Force Coast Guard
Phase I Hours Didactic 0 0 0 0 0
Lab/Practical 0 0 0 0 0
Written Test 0 0 0 0 0
Practical Test 0 0 0 0 0
Other 0 0 0 0 0
Required Activities
0 0 0 0 0
0 0 0 0 0
Clinical/ Phase II Hours
Didactic 0 0 0 0 0
Lab/Practical 0 0 0 0 0
Clinical 0 0 0 0 0
Written Test 0 0 0 0 0
Practical Test 0 0 0 0 0
Other 0 0 0 0 0
Required Activities
0 0 0 0 0
Total Hours 0 0 0 0 0
Key
Didactic Did Instructor/self-paced formats for dissemination of information
Lab/Practical Lab/ Prac Demonstration/hands-on practice
Clinical Clin Patient care or other supervised work experience
Written or Practical Test
WTest PTest
Formal written/hands-on student assessments include time for pre-test review & post-test critique
Other Other All other formats for instruction
Required Activities
Reqd All other non-instruction activities
Faculty Qualifications:
Navy:
Department Head: O-5; must be BSN (MSN preferred) registered nurse with current license.
Must have completed Journeyman Instructor Training (JIT) program.
Clinical Coordinator (O-3 or higher) or civilian equivalent. BSN registered nurse with current license.
Air Force:
Department Head: O-4 or higher; must be BSN registered nurse with current license. Must have completed Basic Instructor Course (BIC).
Clinical Coordinator: E-6 equivalent or higher; 4N071 qualified.
Consolidated:
Program Director: O-5 Navy or Air Force; must be BSN (or MSN) registered nurse with current license and completed the Journeyman Instructor Training (JIT) or Basic Instructor Course (BIC), METC faculty orientation. Hold current BLS certification.
Faculty and Staff: Must have general faculty qualifications. Complete basic instructor training course and METC faculty orientation. Current BLS Instructor certification. Current NREMT-B or higher level certification. Associates degree or within 12 credit hours to be completed within 12 months.
Section 2:
BMTC 101 Introduction to Basic Medical Technician Corpsman Program Course Description:
This course provides an introduction to the Basic Medical Technician/Corpsman Program (BMTCP). An overview of Academic Policies and Procedures, Course and Group Policies, Student Evaluation Plan (SEP), Student Administration Guide (SAG), Instructional Resources and Materials, College Credit, Student Feedback, Textbooks and Supplies will be conducted. This culminates with Basic Life Support (BLS). Successful completion of this course prepares the student for the Emergency Medical Technician-Basic (EMT-B) course.
Prerequisite(s): None
Course Goal(s):
Students will acquire a comprehensive understanding of the Armed Forces Medical Technician Program and Basic Life Support (BLS).
Distribution of Contact Hours:
Unit # Unit Title Did Lab/ Prac
Clin WTest PTest Other Req’d Act.
Total
1 Program Overview 2.0 2.0
2 Medical Terminology 0 0
BLS for Health Care Providers
4.0 2.0 6.0
Tests 1.0 1.0 2.0
Total 6.0 2.0 1.0 1.0 10.0
Course Objectives and Levels of Learning:
Learning Objective #
Lesson Name
Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective
Unit 1 Program Overview
BMTC 101
1.1.1
Program Overview
Define METC specific policies and procedures
C1
1.1.2 Identify instructional resources and materials
C1
1.1.3 Demonstrate accessibility procedures
C1
1.1.4
Students will sign where applicable, stating that they have received, read, and understand the SEP and
SAG
C1
Unit 2 Basic Life Support for Healthcare Providers
BMTC 101
1.2.1
BLS for Healthcare Providers
Explain the procedure for CPR on adults
C2
1.2.2 Demonstrate CPR on adults P2
1.2.3
Explain the difference between adult and child CPR
C2
1.2.4 Demonstrate child CPR P2
1.2.5 Explain rescue breathing with a bag- C2
mask for adult and child
1.2.6
Demonstrate rescue breathing with a bag-mask
P2
1.2.7
Explain the sequence for 2-rescuer
CPR
C2
1.2.8 Demonstrate the 2-rescuer CPR P2
1.2.9
Explain the procedure for applying and using the AED
C2
1.2.10
Explain the procedure for CPR on infants
C2
1.2.11 Perform CPR on infants P2
1.2.12
Explain the procedure for relieving choking in responsive and unresponsive victims
1.2.13
Demonstrate the procedure to relieve choking in responsive and unresponsive victims
1.2.14
Explain special considerations when performing CPR
1.2.15
State the Chains of Survival and major life threatening emergencies
BMTC 103 Emergency Medical Technician Basic (EMT-B)
Course Description:
The EMT course provides basic understanding of the knowledge and skills necessary to function as a first responder Basic Medical Technician/Corpsman. The successful student will master theories in pre-hospital care, transporting patients, and anatomy and physiology, with a focus on patient assessment and appropriate interventions in various rescue scenarios, including trauma, extrication, medical emergencies, behavioral and environmental emergencies and special populations such as children and the elderly. The course will also equip students with the knowledge and skill required to successfully complete the National Registry of Emergency Medical Technicians (NREMT) written exam and practical skills lab.
Prerequisite(s): Completion of BMTC 101
Course Goal(s):
The course will equip students with the knowledge and skill required to successfully complete the National Registry of Emergency Medical Technicians (NREMT) written exam and practical skills lab.
Distribution of Contact Hours:
Unit # Unit Title Did Lab/ Prac
Clin WTest PTest Other Req’d Act.
Total
1 Foundations 25.0 1.0 3.0 29.0
2 Airway Management, Respiration, and Artificial Ventilation
11.0 14.0 3.0 28.0
3 Patient Assessment 18.0 11.0 3.0 32.0
4 Medical Emergencies 29.0 16.0 3.0 48.0
5 Trauma Emergencies 25.0 15.0 3.0 43.0
6 Special Populations 17.0 1.0 3.0 21.0
7 Operations 9.0 0 3.0 12.0
Total 134.0 58.0 21.0 213.0
Course Objectives and Levels of Learning:
Learning Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective
Unit 1 Foundations
BMTC 103
1.1.1
Introduction to Emergency
Medical Care (Chapter 1)
Define key terms introduced in chapter 1.
C1
1.1.2
Give an overview of the historical events leading to the development of modern emergency medical services (EMS).
C1
1.1.3
Describe the importance of each of the National Highway Traffic Safety Administration standards for assessing EMS systems.
C2
1.1.4 Describe the components of an EMS system that must be in place
C1
Learning Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective for a patient to receive emergency medical care.
1.1.5 Compare and contrast the training and responsibilities of EMRs, EMTs, AEMTs, and Paramedics.
C2
1.1.6 Explain each of the specific areas of responsibility for the EMT.
C1
1.1.7 Give examples of the physical and personality traits that are desirable for EMTs.
C1
1.1.8 Describe various job settings that may be available to EMTs.
C1
1.1.9 Describe the purpose of the National Registry of Emergency Medical Technicians.
C1
BMTC 103
1.2.1
The Well- Being of the
EMT
(Chapter 2)
Define key terms introduced in chapter 2.
C1
1.2.2 Describe health habits that promote physical and mental well-being.
C1
1.2.3
Given an example of a patient-care situation, determine the appropriate personal protective equipment to prevent exposure to infectious disease.
C2
1.2.4 Describe proper procedures for hand washing and using alcohol-based hand cleaners.
C1
1.2.5 Discuss the health concerns related to exposure to hepatitis B, hepatitis C, tuberculosis, and AIDS.
C2
1.2.6
Identify how to access the Centers for Disease Control web site to obtain the latest information on diseases of concern to EMS providers.
C1
1.2.7
Explain the essential provisions of OSHA, the CDC, and the Ryan White CARE Act as they relate to infection control in EMS.
C1
1.2.8 Describe the indications for use of an N-95 or HEPA respirator.
C1
1.2.9 Describe the purpose of the tuberculin skin test (TST).
C1
1.2.10 Give examples of common stressors in EMS work.
C1
1.2.11 Describe the stages of the stress C2
Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective response, including the effects of each stage on the body.
1.2.12 Differentiate between acute, delayed, and cumulative stress reactions.
C2
1.2.13 List lifestyle changes that can be used to manage stress.
C1
1.2.14 Explain the purpose of critical incident stress management
(CISM).
C2
1.2.15 Given a scenario, recognize a patient’s or family member’s reaction to death and dying.
C2
1.2.16
Given a scenario involving death or dying, use effective techniques for interacting with the patient and family members.
A1
1.2.17 List indications of the potential for danger to yourself or others at the scene of an EMS call.
C1
1.2.18
Outline proper responses to incidents including: Hazardous material incidents, Terrorist incidents, Rescue operations, and Violence.
C1
1.2.19
Given a scenario of an emergency response involving a safety threat, describe actions you should take to protect yourself and other EMS providers.
C2
1.2.20 Given a scenario identify how to respond to the feelings of a patient who has a communicable disease.
A2
1.2.21 Given a scenario promote the importance of safety on EMS calls
A1
BMTC 103
1.3.1
Lifting and Moving Patients
(Chapter 3)
Define key terms introduced in chapter 3
C1
1.3.2 Describe the factors that you must consider before lifting any patient.
C1
1.3.3 Identify the principles of proper body mechanics when lifting and moving patients and other heavy objects.
C1
1.3.4 Identify how to power lift and power grip when lifting a patient-carrying device.
1.3.5 Identify the principles of good body C1
Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective mechanics when reaching, pushing, and pulling.
1.3.6 Give examples of situations that require emergency, urgent, and non-urgent patient moves.
C2
1.3.7 Describe emergency, urgent, and non-urgent moves.
C1
1.3.8 Given several scenarios, select the best patient-lifting and moving devices for each situation.
C2
1.3.9 Describe proper use of patient-lifting and carrying devices.
C1
1.3.10
Differentiate between devices to be used to lift and carry patients with and without suspected spinal injuries.
C1
1.3.11
Given a scenario identify how to respond to the feelings of a patient EMS personnel are lifting or carrying.
A2
BMTC 103
1.4.1
Medical, Legal, and Ethical
Issues (Chapter 4)
Define key terms introduced in chapter 4.
C1
1.4.2 Describe your scope of practice as an EMT.
C1
1.4.3 Differentiate between scope of practice and standard of care.
C2
1.4.4 Given a variety of scenarios, determine which type of patient consent applies.
C2
1.4.5 Given a variety of ethical dilemmas, discuss the issues that must be considered in each situation.
C2
1.4.6 Explain legal and ethical considerations in situations where patients refuse care.
C2
1.4.7 Discuss the EMT’s obligations with respect to advance directives, including do not resuscitate orders.
C1
1.4.8
Given a variety of scenarios, identify circumstances that may allow a claim of negligence to be established.
C2
1.4.9 Explain the purpose of Good Samaritan laws.
C2
1.4.10 Identify situations that would constitute a breach of patient
Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective confidentiality.
1.4.11 Identify situations that would constitute libel or slander.
C2
1.4.12 Recognize medical identification devices and organ donor status.
C1
1.4.13 List items that may be considered evidence at a crime scene.
C1
1.4.14
Describe ways in which you can minimize your impact on evidence while meeting your obligations to care for your patient.
C1
1.4.15 Recognize situations that may legally require reporting to authorities.
C2
1.4.16 Given a scenario involving an ethical challenge, decide the most appropriate response for an EMT.
C2
BMTC 103
1.5.1
Medical Terminology and Anatomy and Physiology (Chapter 5)
Define key terms introduced in chapter 5.
C1
1.5.2 Describe the importance of the proper use of medical terminology.
C1
1.5.3
Apply definitions of common prefixes, suffixes, and roots to determine the meaning of medical terms.
C1
1.5.4 Recognize the meaning of acronyms and abbreviations commonly used in EMS.
C1
1.5.5
Give examples of when it is better to use a common or lay term to describe something than it is to use a medical term.
C1
1.5.6
Use anatomical terms of position and direction to describe the location of body structures and position of the body.
C1
1.5.7 Utilize topographical anatomical landmarks as points of reference.
C1
1.5.8 List the four basic tissue types and functions.
C1
1.5.9
Describe the structures and functions of each of the following body systems – Special Senses, Musculoskeletal, Respiratory, Cardiovascular, Nervous, Digestive, Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective
Integumentary, Endocrine, Lymphatic, Renal, Male and female reproductive.
1.5.10
Given a series of models or diagrams, label the anatomical structures of each of the following body systems – Special Senses, Skeletal, Respiratory, Cardiovascular, Nervous, Skin, Endocrine, Lymphatic, Renal/urinary, Male and female reproductive.
C1
1.5.11 Describe the differences in the respiratory anatomy of children as compared to adults
C1
1.5.12 Apply understanding of anatomy and physiology to explain the function of the life support chain.
C2
BMTC 103
1.6.1
Principles of Pathophy-siology (Chapter 6)
Define key terms introduced in chapter 6.
C1
1.6.2 Describe the basic roles and structures of body cells.
C2
1.6.3 Describe the roles of water, glucose, and oxygen in the cell.
C1
1.6.4 Describe conditions that can threaten cardiopulmonary function.
C1
1.6.5 Explain how impaired cardiopulmonary function affects the body.
C2
1.6.6 Discuss the mechanisms the body uses to compensate for impaired cardiopulmonary function.
C2
1.6.7 Explain the pathophysiology of shock.
C2
1.6.8
Identify signs and symptoms that indicate the body is attempting to compensate for impaired cardiopulmonary function.
C1
1.6.9 Describe ways in which the body’s fluid balance can become disrupted.
C1
1.6.10 Recognize indications that the body’s fluid balance has been disrupted.
C1
1.6.11 Describe ways in which the nervous system may be impaired.
1.6.12 Recognize indications that the C1
Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective nervous system may be impaired.
1.6.13
Describe the effects on the body of:
Endocrine dysfunction, Digestive system dysfunction, and Immune system dysfunction.
C2
BMTC 103
1.7.1
Life Span Development (Chapter 7)
Define key terms introduced in chapter 7.
C1
1.7.2
Describe the physical and physiological characteristics, including normal vital signs, for individuals in each of the following age groups: Infant, Toddler, Preschool age, School age, Adolescent, Early adult, Middle adult, and Late adult
C2
1.7.3
Describe the typical psychosocial characteristics and concerns of individuals at each stage during the life span.
C2
1.7.4
Use knowledge of physical, physiological, and psychosocial development to anticipate the needs and concerns of patients of all ages.
C2
UNIT 2 Airway Management, Respiration, and Artificial Ventilation
BMTC103
2.1.1
Airway Management (Chapter 8)
Define key terms introduced in chapter 8.
C1
2.1.2 Describe the anatomy and physiology of the upper and lower airways.
C1
2.1.3 Given a diagram or model, identify the structures of the upper and lower airways.
C1
2.1.4 Describe common pathophysiology problems leading to airway obstruction.
C1
2.1.5 Demonstrate assessment of the airway in a variety of patient scenarios.
P1
2.1.6 Associate abnormal airway sounds with likely pathophysiology causes.
C1
2.1.7 Identify patients who have an open airway but who are at risk for airway compromise.
C1
2.1.8 Recognize patients who have an inadequate airway.
2.1.9 Demonstrate manually opening the P1
Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective airway in pediatric and adult medical and trauma patients: Head-tilt, chin-lift maneuver and Jaw-thrust maneuver
2.1.10
Describe the indications, contraindications, use, and potential complications of airway adjuncts, including: Oropharyngeal airway and Nasopharyngeal airway
C1
2.1.11 Recognize the indications for suctioning of the mouth and oropharynx.
C1
2.1.12 Describe risks and limitations associated with suctioning the mouth and oropharynx.
C1
2.1.13
Demonstrate the following airway management skills: Inserting an oropharyngeal airway, Inserting a nasopharyngeal airway, and Suctioning the mouth and oropharynx
P1
2.1.14
Describe modifications in airway management for pediatric patients, patients with facial trauma, and patients with airway obstruction.
C1
BMTC 103
2.2.1
Respiration and Artificial Ventilation (Chapter 9)
Define key terms introduced in chapter 9.
C1
2.2.2
Explain the physiological relationship between assessing and maintaining an open airway, assessing and ensuring adequate ventilation, and assessing and maintaining adequate circulation.
C2
2.2.3 Describe the mechanics of ventilation.
C1
2.2.4 Explain mechanisms that control the depth and rate of ventilation.
C2
2.2.5
Explain the relationships between tidal volume, respiratory rate, minute volume, dead air space, and alveolar ventilation.
C2
2.2.6 Describe the physiology of external and internal respiration.
C1
2.2.7 Recognize patients at risk for failure of the cardiopulmonary system.
2.2.8 Differentiate between adequate C2
Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective breathing, inadequate breathing (respiratory failure), and respiratory arrest.
2.2.9 Use information from the scene size-up and patient assessment to anticipate hypoxia.
C2
2.2.10
Given a variety of scenarios, differentiate between patients who require artificial ventilation and those who do not.
C2
2.2.11 Identify patients who require administration of supplemental oxygen.
C1
2.2.12
Discuss the potential negative effects of positive pressure ventilation, and how to minimize complications from positive pressure ventilation.
C2
2.2.13
Demonstrate the following techniques of artificial respiration for pediatric (as applicable) and adult medical and trauma patients:
Mouth-to-mask, Two-rescuer bag-valve mask (BVM), One-rescuer BVM, Flow-restricted, oxygen-powered ventilation device, and Automatic transport ventilator (as permitted by local protocol)
P1
2.2.14 Assess the adequacy of artificial ventilations.
P2
2.2.15 Demonstrate the application of cricoid pressure.
P1
2.2.16 Identify the various artificial ventilation and oxygen techniques for patients with stomas.
C2
2.2.17
Discuss considerations for selecting the best device for delivering oxygen for a variety of patient scenarios.
C2
2.2.18 Demonstrate administration of oxygen by: Nonrebreather mask, and Nasal cannula
P1
2.2.19 Describe the purpose and use of partial rebreather masks, Venturi masks, and tracheostomy masks.
C1
2.2.20 Identify techniques of the safe transportation, storage, and use of oxygen.
Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective
2.2.21 Describe the purpose of each part of an oxygen delivery system.
C1
2.2.22 Describe the use of humidified oxygen.
C1
UNIT 3 Patient Assessment
BMTC 103
3.1.1
Scene Size-Up (Chapter 10)
Define key terms introduced in chapter 10.
C1
3.1.2 Explain the ongoing nature of scene size-up beyond the initial moments at the scene.
C1
3.1.3
Given a scene-arrival scenario, list several examples of potential hazards for which the EMT should actively search.
C1
3.1.4 Describe considerations in establishing a danger zone at the scene of a vehicle collision.
C1
3.1.5 Recognize indications of possible crime scenes and the potential for violence.
C1
3.1.6
Use information from the scene size-up to make decisions about the use of Standard Precautions to protect against disease exposure.
C2
3.1.7 Use information from the scene size-up to determine the mechanism of injury or nature of the illness.
C2
3.1.8
Explain the importance of determining the number of patients and the need for additional resources in the scene size-up.
C1
3.1.9
Given a number of scenarios, perform a scene size-up, including Recognizing potential dangers, Making decisions about body substance isolation, Determining the nature of the illness or mechanism of injury, Determining the number of patients, and Determining the need for additional resources
C2
BMTC 103
3.2.1
The Primary Assessment (Chapter 11)
Define key terms introduced in chapter 11.
C1
3.2.2 Explain the purpose of the primary assessment.
C1
3.2.3 Discuss the difference in first steps to assessment if the patient is apparently lifeless (C-A-B approach)
Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective or if the patient has signs of life, including a pulse (A-B-C approach).
3.2.4
Given several scenarios, do the following: Form a general impression, Determine the chief complaint, Determine the patient’s mental status, Assess the airway, Assess breathing, Assess circulation, and Determine the patient’s priority for transport
C2
3.2.5 Recognize findings in the primary assessment that require immediate intervention.
C2
3.2.6
Differentiate the approach to the primary assessment based on the following: Mechanism of injury/nature of the illness and level of responsiveness, and Patient’s age (adult, child, or infant)
C2
BMTC 103
3.3.1
Vital Signs and Monitoring Devices
(Chapter 12)
Define key terms introduced in chapter 12.
C1
3.3.2 Identify the vital signs used in pre-hospital patient assessment.
C1
3.3.3 Explain the use of vital signs in patient care decision making.
C2
3.3.4
Describe how to integrate assessment of vital signs into the patient assessment process, according to the patient’s condition and the situation.
C1
3.3.5
Discuss the importance of documenting vital signs and the times they were obtained in the patient care record.
C2
3.3.6
Demonstrate assessment of: Pulse, Respirations, Skin, Pupils, Blood pressure, Oxygen saturation, and Blood glucose
P1
3.3.7
Describe how to integrate assessment of mental status and ongoing attention to the primary assessment while obtaining vital signs.
C2
3.3.8 Differentiate between vital signs that are within expected ranges for a given patient, and those that are
Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective not.
3.3.9
Compare and contrast the techniques of assessment and expected vital sign values for pediatric and adult patients.
C2
BMTC 103
3.4.1
Assessment of the Trauma
Patient (Chapter 13)
Define key terms introduced in chapter 13.
C1
3.4.2
Differentiate between trauma patients with a significant mechanism or injury and those without a significant mechanism or injury.
C1
3.4.3
Conduct a systematic secondary assessment of the trauma patient with no significant mechanism or injury.
P2
3.4.4 Select the appropriate physical examination for a patient with no significant mechanism or injury.
C2
3.4.5
Recognize patients for whom manual stabilization of the cervical spine and application of a cervical collar are indicated.
C2
3.4.6
Conduct a systematic secondary assessment of an unstable or potentially unstable trauma patient, or patient with a significant mechanism or injury.
P2
3.4.7 Explain the purpose of the rapid trauma assessment.
C2
3.4.8 Recognize significant findings in the rapid trauma assessment.
C2
3.4.9
Recognize situations in which you should consider requesting advanced life support personnel to assist with the management of a trauma patient.
C2
3.4.10
Incorporate a detailed physical examination of the unstable or potentially unstable trauma patient at the appropriate time for a given scenario.
P2
BMTC 103
3.5.1
Assessment of the Medical
Patient (Chapter 14)
Define key terms introduced in chapter 14.
Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective
3.5.2 Adapt the secondary assessment process to both responsive and unresponsive medical patients.
P2
3.5.3 Collect a systematic history of the present illness.
P1
3.5.4 Collect a relevant past medical history.
P1
3.5.5 Adapt the secondary assessment process to specific patient complaints.
P1
3.5.6
Adapt your approach to secondary assessment of the medical patient to overcome challenges, according to the circumstances.
P1
3.5.7 Conduct a rapid physical examination for the unresponsive medical patient.
P2
3.5.8 Explain the importance of checking baseline vital signs in the unresponsive medical patient.
C1
3.5.9
Recognize situations in which you should consider requesting the assistance of advance life support personnel for a medical patient.
C2
3.5.10 Identify other sources of patient information for the unresponsive or uncooperative medical patient.
C1
BMTC 103
3.6.1
Reassessment (Chapter 15)
Define key terms introduced in chapter 15.
C1
3.6.2 Explain the importance of reassessment.
C2
3.6.3 Identify the proper points in the patient care process at which reassessment should be performed.
C1
3.6.4 Discuss the purpose of each of the components of reassessment.
C1
3.6.5 Adapt the reassessment process and frequency of reassessment based on patients’ conditions.
C2
3.6.6 Recognize both obvious and subtle changes in the patient’s condition.
C2
3.6.7 Assign meaning to trends in the patient’s condition over time.
C2
BMTC 103
3.7.1
Critical Thinking and
Decision Making
(Chapter 16)
Define key terms introduced in chapter 16.
Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective
3.7.2 Compare and contrast EMTs’ and physicians’ diagnoses.
C1
3.7.3 Explain the relationship between critical thinking and diagnosis.
C1
3.7.4 Explain typical steps used in the basic approach to reaching diagnoses.
C1
3.7.5 Explain how diagnosis in emergency situations may differ from traditional approaches to diagnosis.
C1
3.7.6 Identify some of the special challenges to EMS providers in the diagnostic process.
C1
3.7.7 Discuss the relationship between diagnosis and treatment in emergency situations.
C1
3.7.8 Discuss the benefits and pitfalls of diagnostic shortcuts (heuristics).
C1
3.7.9 Identify heuristics commonly used by highly experienced physicians.
C1
3.7.10 Describe ways in which EMTs can improve their critical thinking processes.
C2
BMTC 103
3.8.1
Communica-tions and
Documentation (Chapter 17)
Define key terms introduced in chapter 17.
C1
3.8.2 Describe the role of communication technology in EMS systems.
C1
3.8.3
Describe various types of communication devices and equipment used in EMS system communication.
C1
3.8.4
Explain the role of the Federal Communications Commission as it relates to EMS system communication.
C1
3.8.5 Discuss how to communicate effectively by radio with dispatch and hospital personnel.
C1
3.8.6
Identify a thorough, organized, concise report of pertinent patient information when giving a radio report or requesting orders.
C2
3.8.7 Explain the importance of asking for information to be repeated for confirmation and clarification.
3.8.8 Discuss delivering an organized, C1
Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective complete, concise report of pertinent patient information when giving a verbal report to receiving hospital personnel.
3.8.9
Describe the principles and techniques of effective verbal and nonverbal interpersonal communication.
C1
3.8.10
Given a scenario adapt communication principles for effective interaction with patients of various ages and cultures.
A1
3.8.11 Given a scenario complete a pre-hospital care report in the format or formats required by your service.
P1
3.8.12 Understand legal issues and special situations associated with documentation.
C1
UNIT 4 Medical Emergencies
BMTC 103
4.1.1
Pharmacology (Chapter 18)
Define key terms introduced in this chapter.
C1
4.1.2 List the drugs in your scope of practice.
C1
4.1.3
For each medication you may administer or assist a patient in self-administering, describe the following: Generic and common trade names, Indication(s), Contraindications, Side effects and untoward effects, Form(s), Route(s) of administration
C1
4.1.4
Follow principles of medication administration safety, including the five rights of medication administration.
C1
4.1.5
Discuss the importance of looking up medications and requesting information from medical direction when needed.
C1
4.1.6
Identify the type of medical direction (on-line or off-line) required to administer each medication in the scope of practice.
C1
4.1.7
Describe the characteristics of the oral, sublingual, inhaled, intravenous, intramuscular, subcutaneous, and endotracheal routes of administration.
Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective
4.1.8 Identify special considerations in medication administration related to patients’ ages and weights.
C1
4.1.9
Explain the importance of accurate documentation of drug administration and patient reassessment following drug administration.
C1
4.1.10
Discuss the importance of having readily available references to identify drugs commonly taken by patients.
C1
4.1.11 Discuss the steps an EMT may take in assisting with IV therapy.
C1
BMTC 103
4.2.1
Difficulty Breathing
(Chapter 19)
Define key terms introduced in chapter 19.
C1
4.2.2 Describe the anatomy and physiology of respiration.
C1
4.2.3
Differentiate between adequate and inadequate breathing based on the rate, rhythm, and quality of breathing.
C1
4.2.4 Discuss differences between the adult and pediatric airways and respiratory systems.
C1
4.2.5 Recognize signs of inadequate breathing in pediatric patients.
C1
4.2.6
Discuss providing supplemental oxygen and assisted ventilation as needed for patients with inadequate breathing.
C2
4.2.7 Describe how to assess the effectiveness of artificial ventilation.
C2
4.2.8 Discuss how to recognize and assess the patient with difficulty breathing.
C1
4.2.9 Discuss the care to provide for the patient with difficulty breathing.
C1
4.2.10 Recognize the indications, contraindications, risks, and side effects of CPAP.
C1
4.2.11 Discuss the use of CPAP to assist the patient with difficulty breathing, as permitted by medical direction.
C2
4.2.12 Identify how to assist a patient with administration of a prescribed bronchodilator by inhaler or small
Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective volume nebulizer, as permitted by medical direction.
4.2.13
Describe the pathophysiology, signs, and symptoms of: COPD, Asthma, Pulmonary edema, Spontaneous pneumothorax, Pulmonary embolism, Epiglottitis, Cystic fibrosis, Viral respiratory infections.
C1
BMTC 103
4.3.1
Cardiac Emergencies (Chapter 20)
Define key terms introduced in chapter 20.
C1
4.3.2 Describe the anatomy and physiology of the cardiovascular system.
C1
4.3.3 Define acute coronary syndrome and discuss its most common signs and symptoms.
C1
4.3.4 Discuss the management of a patient with acute coronary syndrome.
C2
4.3.5
Discuss the indications, contraindications, dosage, and administration of nitroglycerin to a patient with chest pain.
C1
4.3.6
Discuss the indications (including conditions that must be met), contraindications, and administration of aspirin to a patient with chest pain.
C1
4.3.7
Discuss the following conditions and how each may lead to a cardiac emergency: Coronary artery disease (CAD), Aneurysm, Electrical malfunctions of the heart, Mechanical malfunctions of the heart, Angina pectoris, Acute myocardial infarction (AMI), Congestive heart failure (CHF).
C1
4.3.8
Discuss the following factors in the chain of survival and how each may contribute to patient survival of cardiac arrest: Immediate recognition and activation, Early cardiopulmonary resuscitation (CPR), Rapid defibrillation, Effective advanced life support, Integrated post-cardiac arrest care.
Objective #
Lesson Name Lesson Objective Level of Learning
Cognitive Psycho -motor
Affective
4.3.9 List the skills necessary for the EMT to manage a patient in cardiac arrest.
C1
4.3.10 Discuss types of automated external defibrillators (AEDs) and how AEDs work.
C1
4.3.11 Discuss the effective coordination of CPR and AED for a patient in cardiac arrest.
C2
4.3.12
Discuss special considerations for AED use, including general principles, coordination with others, and post-resuscitation care.
C1
4.3.13 Discuss the purpose and use of mechanical CPR devices.
C1
BMTC 103
4.4.1
Diabetic Emergencies/ Altered Mental
Status (Chapter 21)
Define key terms introduced in chapter 21.
C1
4.4.2
Consider several possible causes of altered mental status when given scenarios involving patients with alterations in mental status.
C2
4.4.3 Describe the basic physiological requirements for maintaining consciousness.
C1
4.4.4 Perform primary and secondary assessments on patients with altered mental status.
P2
4.4.5 Describe the…
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