program information booklet...program is demanding, the benefits of a career in ems, and the...

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Program Information

Booklet

12/2010 (revised 7/2014) of 15

Table of Contents Mission & Vision Statements …………………………………………………. 3 Introduction …………………………………………………………………….. 3 Program Overview …………………………………………………………….. 3 Program Accreditation ………………………………………………………… 4 Admission ……………………………………………………………………… 5 Required Documentation …………………………………………………….. 6 Criminal Background Check, Drug Screen, Fingerprinting ……………….. 6 High School Graduation Documentation ……………………………………. 6 Application Process ……………………………………………………………. 7 Admissions Priorities …………………………………………………………... 7 Financial Aid ……………………………………………………………………. 8 Non-Discrimination ……………………………………..…………..………….. 8 Disability Accommodation Policy ……………………………………………… 8 Program Requirements ………………………………………………………... 8 Program Outline ………………………………………………………………... 9 ALS Internship ………………………………………………………………….. 11 Competency Summary …………………………………………………… 13 Associates in Applied Sciences EMS degree ……………………………….. 14 Fee Schedule …………………………………………………………………… 15

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Mission Statement The mission of the LFCC EMS Program is to develop professionally minded, entry-level competent Advanced Life Support pre-hospital providers. Vision Statement By working with regional EMS agencies, the Healthcare community and the community at-large the LFCC EMS Program will identify strategies and secure resources to:

o Provide an environment that is conducive to the educational process o Provide opportunities in the lab, clinical and field settings sufficient for students to

demonstrate mastery of the knowledge and skills required for the provider level they are seeking

o Develop a pool of providers sufficient to meet the personnel needs of local EMS agencies

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Introduction The EMS Program at Lord Fairfax is a challenging series of courses designed to prepare the student to perform as an entry-level Advanced Life Support (ALS) pre-hospital provider. Topics covered include; Medical/Legal issues, Anatomy and Physiology, Pharmacology, Patient Assessment and treatment strategies for medical and trauma patients. Upon successful completion of applicable course work the student will be eligible to take the appropriate certification exam for that provider level (i.e. Advanced EMT, EMT-Intermediate, Paramedic). The classroom, lab, clinical and field rotations require a serious commitment of time and effort on the part of the student. Although the program is demanding, the benefits of a career in EMS, and the opportunity to serve the community, are extremely rewarding. Program Overview The LFCC EMS Program is supported by the Lord Fairfax EMS Council, Inc., Valley Health Systems and other community donors. The purpose of the program is to prepare current Emergency Medical Technicians (EMT) to become ALS providers and current ALS providers to advance to the next level of certification. Course work is based on a four-semester schedule. All certification courses begin during the fall semester. At the completion of the first fall semester the successful student will qualify to sit for the National Registry Advanced EMT examination. Attainment of this certification is not required for the student to continue with the program. The combined fall and spring semester’s prepares the student for the Virginia EMT-Intermediate exam. Students seeking National Registry Paramedic certification must complete course work over the next two (fall & spring) semesters. The program provides classroom instruction consistent with National and Virginia EMS Education Standards in combination with hands-on patient care with the region’s EMS systems and Medical facilities. In this way, the advanced provider may competently serve the community upon graduation. Students who complete the corresponding course work for each provider level are eligible for a corresponding Career Studies Certificate. Completion through to Paramedic along with additional courses enables the student to apply for an Associate’s in Applied Sciences Emergency Medical Services degree. The program also offers the opportunity for a certified Registered Nurse (RN) to acquire Paramedic certification. Program Accreditation The LFCC EMS Program is accredited with the Virginia Department of Health, Office of Emergency Medical Services to offer courses through to the Paramedic level.

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Admission The EMS Program is open to men and women who provide evidence of interest, motivation and aptitude in the area of pre-hospital health care. Students are selected on the basis of established criteria and without regard to age, race, creed, sex, or national origin. All students must satisfy the requirements listed below;

• Age 18 on the first day of class. • Meet the requirements listed in the Virginia Office of Emergency Medical

Services document Prerequisites for EMS training Programs, Criminal History and Standards of Conduct.

• High school graduate or GED. • Satisfy admission requirements for LFCC. • Current Virginia or National Registry EMT certification or higher (must remain

current for duration of program). • Current Healthcare Provider CPR Certification approved by the Commonwealth

of Virginia Office of EMS (must remain current for duration of program). • No physical limitations rendering the student unfit to perform all required duties. • To complete the Clinical and Field Internship portions of the program, submit

results of a physical exam completed within the last 12 months with proof of immunizations or resistance to measles, mumps, rubella, Tdap, polio, Hepatitis B Vaccination, and TB Skin test within the last 12 months. If PPD is positive, submit results of chest x-ray showing negative for active TB.

• LFCC placement tests (if required*) and completion of any developmental work that may be identified by the placement test. Must be successful in MTE 01-06 and be eligible for ENG 111 to satisfy requirements without taking remediation. Results must be within the last 2 years.

• Residents from outside the Lord Fairfax Community College Service Area are admitted only after all applicants who reside in the College Service Area have been considered.

• College level Human Anatomy & Physiology course with a lab (4 credits, e.g. BIO 145) prior to enrolling in 200 level EMS courses.

*Applicants that have completed equivalent college level math or English courses, or have SAT scores of 500 or greater, or ACT scores of 22 or greater have met the requirements as long as the courses and/or scores are no more than 6 years old. Lord Fairfax Community College does not discriminate on the basis of race, sex, color, national origin, religion, age, veteran status, political affiliation or disability in its programs or activities.

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Required Documentation

• Birth Certificate. If birth certificate is not available, valid passport or other government ID (e.g. driver’s license) with Date of Birth.

• Background check, drug screen and fingerprinting verifying the student meets the requirements, completed by designated LFCC agency*. Student is responsible for cost, payable directly to the designated agency. This must be completed through the College vendor and cannot be substituted with employer or other processes.

• High School Transcript/GED. • Copy of valid EMS Provider (e.g. EMT) certification card that must remain current

throughout the program. • Copy of current Healthcare Provider CPR Card issued through a course

approved by Virginia Office of EMS. • Physical exam completed within the last 12 months signed by a primary care

physician and documentation of required vaccinations (must use LFCC form). * Students who are absent from the program for one semester or more must repeat the background check & drug screen Criminal Background Check, Drug Screen, Fingerprinting Based on the requirements of the various facilities and agencies used for clinical instruction, and the Virginia Office of EMS for its approved instructional programs, students must provide information and payment for a Criminal Background Search, Drug Screen and Fingerprinting to be conducted. No other process may be substituted for this requirement. Students found to have documented issues that may impact patient care situations (e.g. felonies) may be denied access to the clinical facilities and therefore be required to withdraw from the program or be denied admission to the program. The vendor will conduct the required searches and compare findings against the following criteria:

• Adult or child sexual offenses • Adult, child, or elder abuse or neglect • Assault or battery • Fraud • Narcotics or other drugs, including prescription drugs • Felonies of any type

High School Graduation Documentation An official copy of high school transcript or GED certificate must be sent to the Office of Admissions in order to complete the EMS program application. Transcripts can be hand-delivered if they have been sealed by the high school in a tamper-evident envelope that remains intact. Applicants who are pending high school graduation should have an official transcript sent along with an official document indicating current courses. This is important in order

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to document that pre-requisites have been completed. An official final transcript will be required following high school graduation. Applicants who were home schooled must provide a transcript documenting completion of required pre-requisites. Graduates from international high schools must provide a transcript in English. Translation when needed must be provided by a recognized organization subject to approval by LFCC. Application Process The application process for the following academic year begins January 1 and ends on April 30. There are two phases to the application process. All components of the process must be completed before an applicant will be authorized to enroll in any courses with an EMS prefix. The process is outlined below: Phase 1

• Apply for admission to LFCC • Complete and submit an EMS Program application • Submit copies of provider and CPR certification cards • Submit proof of age • Submit documentation showing that math and English requirements have been

met (EMT-Intermediates entering the Intermediate to Paramedic bridge program must also have completed a Human Anatomy & Physiology course, with a lab, prior to entering the program)

Phase 2

• Submit fee and documents for background check and drug screen • Complete fingerprinting through LFCC Police • Document physical exam and vaccinations • Attend EMS Student Orientation (held the evening of the second Monday in July)

Admission Priorities When enrollments must be limited because the number of applicants exceeds available space, priority will be given to qualified applicants in the following order;

1. Students who are currently enrolled in the program and are continuing to the next level, and who are not on academic probation (i.e. grade average <80%)

2. Students who have successfully completed a certification level through the LFCC program and are returning with less than 2 years absence

3. New students residing within the LFCC service region 4. New students residing outside the LFCC service region

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Financial Aid Prospective students are encouraged to meet with a financial aid counselor to submit an application for financial aid. These counselors will help determine qualification for federal or state financial aid opportunities. Also, each fall LFCC awards a number of scholarships from the LFCC Educational Foundation Endowment. Financial aid counselors will also provide information on how to apply for these scholarships. It is important to submit needed financial aid applications as early as possible. You can find more information about financial aid at: http://www.lfcc.edu/future-students/financial-aid-57/index.html Non-Discrimination Policy Lord Fairfax Community College does not discriminate on the basis of race, sex, color, national origin, religion, age, veteran status, political affiliation or disability in its programs or activities. For more information, please contact: Karen Foreman, Human Resource Manager, 173 Skirmisher Lane, Middletown, VA 22645, [email protected].

Disability Accommodation Policy "Lord Fairfax Community College is committed to insuring that students with documented disabilities have the opportunity to take part in educational programs and services in accordance with the requirements of the Americans with Disabilities Act (ADA) of 1990 and Section 504 of the Rehabilitation Act of 1973. Students seeking accommodations must make application with the Disability Coordinator in the Office of Student Success. Accommodations will be made in this class in accordance with the Accommodation Letter from the Disability Coordinator." Decisions on accommodations will be made in accordance with the Atlantic EMS Council Accommodation Policy Program Performance Requirements To sit for any ALS certification exam, the student must satisfy all admission requirements, meet mandatory attendance requirements (85% minimum attendance), pass all EMS courses with a grade of “C” or better, maintain an 80% grade average, and receive positive recommendations from the Physician Course Director and Program Director. The student’s instructor will evaluate each student for attendance and performance on a weekly basis. Students that are identified as being near or below minimum performance will be counseled by their instructor and an action plan for improvement will be developed. The action plan will include a time-line to ensure improvement in the identified areas (i.e. Cognitive, Psychomotor and/or Affective domains). Students whose grade average falls below 80% at any time will be counseled by their instructor and an action plan will be developed to include a time-line for improvement. If the student is unsuccessful in meeting the action plan time-line, both the Program Director and Physician Course Director will review the student’s file to determine if an extension or dismissal from the program is warranted.

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All courses must be passed with a grade of “C” or better. Students that fail to meet this standard for any course will be required to repeat that course in order to be considered eligible for any certification exams. Program Outline Course of Study from EMT through Advanced EMT First Semester (Fall)

EMS 151 Intro to Advanced Life Support (4 credits) EMS 152 Advanced Medical Care (2 credits)

EMS 170 ALS Internship I (1 credits) Total Credits—7 Upon successful completion of the program and approvals of the Physician Course Director and the Program Director, the student is eligible to sit for National Registry Advanced EMT exam. Completion of the program entitles the student to receive the Career Studies Certificate for Advanced EMT. Course of Study from EMT-Enhanced through EMT-Intermediate (AEMT providers can substitute EMS 154 (2 credits) in place of EMS 155 to meet the educational standards) First Semester (Fall) EMS 153 Basic ECG Recognition (2 credits) EMS 157 ALS Trauma Care (3 credits) Second Semester (Spring) EMS 155 ALS Medical Care (4 credits) EMS 159 ALS Special Populations (3 credits) EMS 172 ALS Clinical Internship II (1 credits) EMS 173 ALS Field Internship II (1 credits) Total Credits - 14 As part of the program, the student will successfully complete the AHA ACLS course. Completion of the program entitles the student to receive the Career Studies Certificate for EMT-Intermediate.

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Upon successful completion of the program and approvals of the Physician Course Director and the Program Director, student is eligible to sit for the Virginia EMT-Intermediate Exam. Course of Study from EMT-Intermediate through Paramedic Prior to enrolling in the 200 EMS courses all students must complete a Human Anatomy & Physiology for the Health Sciences (4 credits), or equivalent. Fourth Semester (Fall) EMS 201 EMS Professional Development (3 credits) EMS 209 Advanced Pharmacology (4 credits) EMS 211 Operations (2 credits)

EMS 242 ALS Clinical Internship III (1 credit) EMS 243 ALS Field Internship III (1 credit) Fifth Semester (Spring) EMS 205 Advanced Pathophysiology (4 credits) EMS 207 Advanced Patient Assessment (3 credits) EMS 244 ALS Clinical Internship IV (1 credits) EMS 245 ALS Field Internship IV (1 credits) Total Credits - 20 Upon successful completion of the program and approvals of the Physician Course Director and the Program Director, student is eligible to sit for National Registry Paramedic Exam. Completion of the program entitles the student to receive the Career Studies Certificate for Paramedic. Upon completion of all EMS courses and required courses (see below) the student will be eligible to apply for the AAS degree in EMS.

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Course of Study from RN through Paramedic Fourth Semester (Fall) EMS 201 EMS Professional Development (3 credits) EMS 211 Operations (2 credits)

EMS 242 ALS Clinical Internship III (1 credit) EMS 243 ALS Field Internship III (1 credit) Fifth Semester (Spring) EMS 207 Advanced Patient Assessment (3 credits) EMS 244 ALS Clinical Internship IV (1 credits) EMS 245 ALS Field Internship IV (1 credits) Total Credits - 12 RN’s seeking this option must contact the Virginia Office of EMS to “challenge” the EMT exam unless they are currently certified as an EMT. Upon successful completion of the program and approvals of the Physician Course Director and the Program Director, student is eligible to sit for National Registry Paramedic Exam. Completion of the program entitles the student to receive the Career Studies Certificate for Paramedic. Upon completion of required electives (see below) the student will be eligible to apply for the AAS degree in EMS. ALS Internship Clinical and Field Rotations are completed to successfully meet the competency and hourly requirements established by the Virginia Office of EMS and the National EMS Education Standards. To be eligible to sit for the certification exam, a student must have completed the minimum competencies and hours with satisfactory performance. The clinical and field hours identified in the program literature are program minimums. Students should anticipate that completion of the required competencies will require more hours than the minimum due to the need for specific types of patient contacts. On average, students can expect to log 180 hours of clinical and 190 hours of field time to obtain the required competencies. LFCC uses an on-line site for managing the ALS Internship. The fee for this service is not covered by tuition. Students must establish their own account prior to beginning the Internship portion of the program.

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LFCC currently has affiliation agreements to conduct clinical and field rotations with the following agencies and facilities: Field

§ Clarke County Emergency Services § Frederick County Fire and Rescue Department § Manassas Park Fire & Rescue § Rockingham County Fire & Rescue § Shenandoah County Fire and Rescue Department § Warren County Fire and Rescue Department § Winchester Fire & Rescue Department

Clinical

§ Page Memorial Hospital § Shenandoah Memorial Hospital § Warren Memorial Hospital § Winchester Medical Center

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Page 1 Virginia�Office�of�Emergency�Medical�Serviceswww.vdh.virginia.gov/oems��EMS.TR.17A�Revised:�July�2013� �

ALS Certification Program Clinical Hour and Competency Summary

Virginia Office of EMS Division of Educational Development

1041 Technology Park Drive Glen Allen, VA 23059

804-888-9120

1�May�be�freeͲstanding�ED.�However,�clinics,�urgent�care�centers,�physician�offices,�etc.�may�not�be�substituted.�2�CCU,�ICU,�CC�xport�team,�Cath�Lab,�etc.�3�PICU,�PEDs�ED,�Pediatrician�Office,�Peds�Urgent�Care,�Ped�clinic.�4�Prefer�L&D�unit,�but�can�be�satisfied�with�OB�Physician�Office�or�OB�clinic.�5�Use�of�nonͲtraditional�clinical�sites�is�encouraged�to�allow�the�student�to�meet�the�minimum�clinical�hour�requirements�and�allow�them�to�see�a�variety�of�patients�6�The�minimum�hours/patients/complaints�is�not�meant�to�equal�the�total.�The�minimums�must�be�met�in�each�area,�but�the�student�has�flexibility�to�meet�the�total.�7�The�student�should�attempt�to�complete�one�in�each�age�group:�Neonate,�Infant,�Child,�and�Adolescent.�8�Cardiac�Arrest,�Chest�pain/pressure,�STEMI,�dysrythmia,�etc.�9�Although�students�in�bridge�programs�do�not�have�minimums,�the�program�must�ensure�continued�skill�competency.�

10�Refer�to�CoAEMSP�interpretation�of�what�constitutes�Airway�Management�“Airway�Management�Recommendation”�http://coaemsp.org/Documents/Intubation%20Subcommittee%20FINAL%20revised%202013Ͳ02Ͳ1.pdf�In�order�to�demonstrate�airway�competency,�the�student�should�be�100%�successful�in�their�last�attempts�at�airway�management.�The�number�required�is�listed�inside�the�brackets.�11�Ventilation�may�be�accomplished�utilizing�any�combination�of�live�patients,�high�fidelity�simulations,�low�fidelity�simulations,�or�cadaver�labs.�12�AEMT�–I:�older�than�12�years;�Intermediate:�older�than�12�years;�IͲP:�any�age�group,�P:�any�age�group.�13�The�number�in�parentheses�is�the�maximum�number�of�Team�Leader�calls�that�can�be�BLS.�The�program�must�establish,�in�writing,�what�constitutes�an�ALS�call.�NOTE:��The�above�listed�clinical�hours/competencies�are�minimum�mandatory�for�courses�beginning�Fall�2013.�Accredited�Programs�may�set�higher�minimums�or�add�to�this�list.��

AREAS� EMT�to�AEMT�

AEMT�to�I�Bridge�

EMT�to�INTERMEDIATE�

I�to�P�Bridge� EMT�to�PARAMEDIC�

CLINICAL�REQUIREMENTS:� � �Emergency�Department

1� 12 hrs 6 hrs 12 hrs 12�hrs� 24 hrs

Critical�Care�Area2� Ͳ 4 hrs 4 hrs 4�hrs� 8 hrs

Pediatrics3� Ͳ 4 hrs 4 hrs 4�hrs� 8 hrs

Labor�&�Delivery4� Ͳ 4 hrs 4 hrs 4�hrs� 8 hrs

OR/Recovery� Ͳ 4 hrs 4 hrs 4�hrs� 8 hrs

��Other�Clinical�Settings5� prn prn prn prn� prn

TOTAL�MINIMUM�CLINICAL�HOURS6� 36 hrs 36 hrs 72 hrs 72�hrs� 144 hrs��ALS�Medic�Unit�(Field�Internship)� 12 hrs 12 hrs 24 hrs 24�hrs� 48 hrs

TOTAL�MINIMUM�FIELD/CLINICAL� 48�Hours 48�Hours 96�Hours 96�Hours� 192�HoursTOTAL�PATIENT�CONTACTS6� 30 30 60 60� 120COMPETENCIES:� �Trauma�Assessment,�pediatric7� 2 3 5 5� 10Trauma�Assessment,�adult� 2 3 5 5� 10Trauma�Assessment,�geriatric� 2 3 5 5� 10Medical�Assessment,�pediatric7� 2 3 5 5� 10Medical�Assessment,�adult� 2 3 5 5� 10Medical�Assessment,�geriatric� 2 3 5 5� 10Cardiovascular�distress8� 5 5 10 10� 20Respiratory�distress� 5 5 10 10� 20Altered�Mental�Status� 5 5 10 10� 20Obstetrics;�delivery� Ͳ Ͳ Ͳ 2� 2Neonatal�Assessment/care� Ͳ Ͳ Ͳ 2� 2Obstetrics�Assessment� Ͳ 5 5 5� 10Med�Administration� 15 15 30 30� 60IV�Access9� 25 Ͳ 25 Ͳ� 25Airway�Management10� 20[8] 15[6] 25[10] 25[10]� 50[20]Ventilate�NonͲIntubated�Patient�9,�11� 20 Ͳ 20 Ͳ� 20Endotracheal�Intubation12� Ͳ 1�real�Patient� 1�real�Patient� 1�real�Patient� 1�real�Patient�Team�Leader�on�EMS�Unit13� 10�(6) 15�(8) 25�(15) 25�(15)� 50�(30)

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Associates in Applied Sciences EMS Degree In order to complete the course work for the AAS degree students must complete the core EMS course through the Paramedic level and required electives with a grade of C or better. The expected course load for a full-time student would be; First Semester (summer) EMS 111 Emergency Medical Technician-Basic (not offered

at LFCC) 7

EMS 120 EMT- Basic Clinical (not offered at LFCC) 1 BIO 145 Human Anatomy & Physiology for the Health

Sciences1 4

SDV 101/100

Orientation to Health Professions 1

Total 13 Second semester (fall) EMS 151 Introduction to Advanced Life Support 4 EMS 153 Basic ECG Recognition 2 EMS 157 ALS – Trauma Care 3 EMS 170 ALS Internship 1 ENG 111 English Composition I 3 Total 13 Third Semester (spring) EMS 155 ALS Medical Care 4 EMS 159 EMS Special Populations 3 EMS 172 ALS Clinical Internship II 1 EMS 173 ALS Field Internship II 1 ITE 115 Intro to Computer Applications & Concepts2 3 Total 12 Fourth Semester (fall) EMS 201 EMS Professional Development 3 EMS 211 EMS Operations 2 EMS 209 Advanced Pharmacology 4 EMS 242 ALS Clinical Internship III 1 EMS 243 ALS Field Internship III 1 Social Science elective3 3 Total 14 Fifth Semester (spring) EMS 205 Advanced Pathophysiology 4 EMS 207 Advanced Patient Assessment 3 EMS 244 ALS Clinical Internship IV 1 EMS 245 ALS Field Internship IV 1 HUM Humanities Elective4 3 Health elective5 1 Total 13

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Program Total 65

1. Student must complete BIO 145 or an equivalent (e.g. college level Human Anatomy & Physiology with a lab) prior to enrolling in the 200 level EMS courses (i.e. Paramedic)

2. Students can also meet this requirement by passing the College’s computer competency exam that is administered through the testing center.

3. Students may select social science elective from approved list in the College catalog. 4. Students may select social science elective from approved list in the College catalog. 5. Can be met with any course with a HLT or PED prefix.

Fee Schedule* Tuition (per credit) $140 Background check $84 Textbooks $250 Clinical scheduler $80 Uniform shirt (LFCC) $20 (1 issued, suggest additional shirt) Uniform pants (dark blue) $30 (x2) Uniform belt (black) $5 Program patch $3 (x2) Uniform shoes (black) $100 (OSHA approved not required) Skills testing $75-200 (depending on certification level) Registry exam $100 *The fees listed are estimates and are subject to change without notice