Emergency Medical Technician EMT 2016-2017 Packet.pdf · An emergency medical technician (EMT) ......

Emergency Medical Technician

EMT

2016-2017

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Emergency Medical Technician 16-17

Emergency Medical Technician (EMT) Information Packet

Welcome to Emergency Medical Technician at Washburn Tech! An emergency medical technician (EMT) provides basic emergency medical care and transportation to ill or injured persons. They use basic airway, ventilation and oxygen therapy devices, take patient vital signs, provide stabilization of suspected spine and extremity injuries, control bleeding and assist with emergency childbirth. The goals of the EMT Program at Washburn Tech are to graduate students who are:

*Committed to the ideal of highest quality care in the pre-hospital setting at the Basic Life Support level

*Capable of, and interested in, sustaining their own continuing education to maintain the highest quality patient care

This semester-long program is designed for students preparing to become an Emergency Medical Technician, Paramedic or entry into the health care field in general. The curriculum will introduce you to basic patient assessment skills, medical terminology, basic medical math, and systems of the human body. This nine credit hour program will prepare you to become certified as an EMT in the state of Kansas. It also serves as the foundation for more advanced health care programs at Washburn Tech such as Paramedic. Upon successful completion, you will be eligible to take the National Registry of EMTs examination and certify as an EMT. Please review the content of this packet to get an overview of the program requirements. This is information that is critical to enrollment in the program. Please read the entire packet carefully. If you have any questions regarding the packet, forms or program please feel free to contact the Program Director, Wayne Hollis, at 785-670-2227. If you would like to set up a campus visit, contact the Admissions Office at 785-228-6315. The college website at www.washburntech.edu also provides additional information about program offerings. We look forward to having you in the classroom and introducing you to the health care field. .

I. PROGRAM PURPOSE

http://www.washburntech.edu/

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This program is designed to provide instruction to those individuals desiring to provide

medical care at the Emergency Medical Technician (EMT) level, a vital link in the health care

chain. Participants will have opportunity to gain special skills, knowledge and teamwork

concepts necessary for gaining certification and practicing as an EMT in the State of Kansas.

II. PROGRAM DESCRIPTION

This program is sponsored by Washburn Tech and is approved by the Kansas Board of

Emergency Medical Services. It is based on current information and techniques considered

to be the responsibility of the EMT according to the National Highway Traffic and Safety

Administration, National Standard Curriculum, as enriched by the Kansas Board of EMS. This

course exceeds the state and national requirements.

It consists of more than 140 hours of didactic and psychomotor skills in the classroom. This

program consists of didactic and psychomotor skills instruction; skills demonstrations;

clinical and field experience; orientation to the emergency department and ambulance; and

an extrication class.

The course will also contain simulated experiences in patient care and handling.

This knowledge must be learned and maintained in order to function effectively as an EMT

as it is an applied science.

III. GOALS

The EMT program’s goal is to enhance the Emergency Medical Service’s system to recruit

and retain a high quality workforce through setting and adhering to high educational

standards.

To accomplish this, we seek to meet the following goals:

Goal 1: Demonstrate an understanding of Basic Life Support skills proficiency.

Goal 2: Communicate effectively orally and in writing across a diverse set of situations

and cultures and with individuals, teams and large groups.

Goal 3: Demonstrate effective analytical and critical thinking skills to make appropriate

decisions in critical and non-critical situations.

Goal 4: Distinguish and analyze ethical problems that occur in emergency medical

services, choose and defend resolutions for practical solutions.

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IV. PREREQUISITES

In order for the student to be allowed into clinical rotations, a copy of:

1. Proof of Health Insurance

2. Immunization Records which must include:

a. Current Tdap

b. Hepatitis B

c. 2 MMRs or titer

d. 2 chickenpox or titer

e. Current flu immunization

f. <1 year old TB test

These MUST be presented to the course instructor/coordinator, preferably at

the beginning of class, but no later than clinical and field experience. Failure to

present this documentation may result in being dropped from the course.

3. A criminal background check through PreCheck (www.precheck.com) paid for by the

student should be completed in the first week of class. NO OTHER BACKGROUND

CHECK WILL BE ACCEPTED.

These documents are necessary requirements for clinical and field experience and must

be submitted in time to complete arrangements.

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2015 Emergency Medical Technician (EMT)

The following items need to be completed and brought the first day of class:

Student Information Sheet ()

Liability Release (Page 14)

FERPA form (if applicable) (Page 16)

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Washburn Tech EMT

Student Information

Full Name: ______________________________________________________________________

I like to be called: _________________________________________________________________

Home Phone Number: _____________________________________________________________

Cell Phone Number: _______________________________________________________________

Parent/Guardian Name(s): ___________________________________________________________

Home Address: ____________________________________________________________________

Email Address: ____________________________________________________________________

High School: _________________________________ Grade: ______________________

High School Counselor Name: ________________________________________________________

High School Counselor Phone Number: _________________________________________________

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Washburn Tech

EMT Classroom/Lab Expectations

V. ATTENDANCE POLICIES

Kansas Board of EMS regulations state:

109-11-8 Successful Completion of a course of instruction.

(a) To successfully complete a course of instruction as an attendant or instructor-

coordinator, each student shall:

(1) attend at least 90% of the class sessions described in the course syllabus;

(2) maintain an average grade of at least 70% for all examinations given during

the program; and

(3) demonstrate all practical skills to the satisfaction of the course coordinator.

(b) The course coordinator shall provide written approval, within 15 days of the final class,

that the requirements of subsection (a) of this regulation have been met. Evidence of a

grade of “C” or better on a course of instruction given by an accredited post-secondary

school shall substitute for written approval.

A class session by definition is the full three hours and ten minutes of classroom attendance,

five days a week; arriving and leaving on time for clinical and field internships and attending

the Saturday extrication class.

Proof of attendance is your signature on the proper page of the attendance roster (must be

legible). Students exceeding allowed absences may be dropped from the course.

If a student must be absent, contact the instructor/coordinator PRIOR to class. There is a

MAXIMUM OF THREE (3) ABSENCES ALLOWED. Excused or unexcused absences both count

as absences. Special consideration may be given in case of an emergency. These will be

evaluated on an individual basis. Documentation, such as a note from your physician, may

be requested.

Due to the amount of material covered and the speed of which it is covered, students are

expected to be prompt for all class sessions, complete assignments prior to class and remain

in class until the stated ending time. Habitual tardiness or leaving early will not be tolerated.

Any student more than 10 minutes late or leaving class 10 minutes early will be considered

absent. Special consideration may be given in case of an emergency.

Any student failing to meet the attendance requirements as stated above may receive a

failing grade for the course. The instructor/coordinator reserves the right to administratively

withdraw a student for non-attendance or exceeding allowed absences for the course.

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VI. CLASSROOM DISTRACTIONS

Cell phones, pagers, mobile radios or other electronic communication devices shall be

turned off or switched to silent mode while class is in session. No ring or vibrate modes are

acceptable. This applies to classroom and skills sessions.

VII. STUDENT EVALUATION POLICIES

Written evaluations are the most appropriate and effective process for measurement and

assessment of the student’s success in converting content into knowledge. Psychomotor

evaluations provide feedback to both the instructor(s) and student on the ability of the

student to perform specific skills.

Results of written, psychomotor, affective evaluations along with observational reports

detailing student class participation and interactions will be considered in the final grade. A

passing grade of “C” or better will constitute permission to challenge the certification

examination.

The following is a breakdown of how the final course grade is computed:

Written Examinations 15% (Unit/chapter formative evaluation)

Quizzes 10% (As assigned by instructor)

Affective Domain 15% (Patient/student/preceptor interaction)

Homework/Classwork 25% (As assigned by instructor)

Final Written Exam 35% (Summative course examination)

Psychomotor skills will be evaluated on a PASS/FAIL basis.

The course final grading scale:

A= 92-100% and Pass Psychomotor skills

B= 83-91.99% and Pass Psychomotor Skills

C= 75-82.99% and Pass Psychomotor Skills (MINIMUM PASSING GRADE)

D= 70-74.99% and Pass Psychomotor Skills

F= 69.99 or less or Fail Psychomotor Skills

The instructor/coordinator may consult with the Medical Advisor, utilize preceptor input

on clinical/field evaluation forms, or consult with Board of EMS staff concerning a

student’s readiness to take the certification examination.

The instructor/coordinator and EMT Director have the final decision on all matters

pertaining to this course of instruction.

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VIII. STUDENT PROGRESS CONFERENCES

A minimum of two (2) student progress conferences will be scheduled with each student during each semester. Other progress conferences will be scheduled on an “as-needed” basis as determined by the instructor. Any student may request a conference with the instructor whenever they feel it is necessary.

Students will be asked to evaluate the lab instructors, instructor/coordinator, guest

lecturers and field/clinical sites during this course.

If, at any time, a student desires to know their standing in the class, they may contact the

instructor/coordinator or program director.

IX. CLINICAL/FIELD EXPERIENCE

Through the cooperation of American Medical Response (AMR) and Stormont-Vail

Healthcare, the student will be provided the opportunity to observe and train in patient care

settings. A one-hour orientation to AMR or the hospitals may be required.

At the time of clinical/field experience, the student must have an average grade of “C” or

higher. Students not meeting this criteria will have their experience postponed until such

time as their grades reach the required level.

The lead technician on the EMS call has complete authority over the student during his/her

field internship time. If at any time the student performs actions not approved by the lead

technician or shift supervisor, the student will be subject to disciplinary action up to and

including expulsion from the program. While responding to a call, all students will be seated

in the captain’s chair with seat belt on; if the service’s rider policy states that they are to sit

elsewhere, it must be followed as long as they are able to be belted in. It is up to the discretion

of the lead technician if the student will be belted in while a patient is being treated and

transported.

NO STUDENT IS ALLOWED TO DRIVE EMS OR FIRE VEHICLES AT ANY TIME DURING THEIR

FIELD INTERNSHIP. Failure to comply with this rule will result in the automatic dismissal of

the student from the program.

All students will exercise prudent physical exertion on calls (cot lifting, patient lifting, scene

safety precautions, etc.). Many services prohibit students from cot lifting so it is very

important to check with services that field internships are completed with in regards to this.

Clinical and field rotations are IN ADDITION to normal classroom hours. The student will

have the opportunity to select times and dates best suiting their schedules. All scheduling of

field/clinical hours must be through the instructor/coordinator. Students are not permitted

to contact a field or clinical site to schedule their rotations.

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The hours required are:

a. Field Internship (Ambulance) 12 hours minimum per student

b. Clinical Internship (Hospital) 8 hours minimum per student

Field internship hours must be 12 hour increments.

Clinical internship may be four or eight hour increments.

The student needs to arrive for clinical/field rotations 15 minutes prior to the approved

time for assignment to a preceptor.

All selected dates and times are provisional pending approval by AMR and the hospital.

The student may be required to select another date/time depending on the facility.

Cancellation or missing a clinical/field internship by the student is strongly

discouraged.

X. STUDENT DRESS AND PROFESSIONALISM

Classroom

Casual, comfortable attire may be worn in the classroom. Students are reminded baggy clothing and clothing that is excessively tattered is not appropriate. Uniform days may be assigned.

The Program Director or instructor/coordinator may request any items of apparel worn in the clinical or field internship be replaced if that item is worn, dirty, stained or creates a less than desirable professional image.

The policy for the Kansas BEMS Skills Examination will be followed during this course during

psychomotor evaluations:

A. In order to maintain a professional and non-offensive environment in which to

conduct examinations, the following guidelines for dress at an examination site will

be strictly adhered to:

1. No logos identifying EMS, fire department or training institution affiliation may

be worn on hats, shirts, jackets or other clothing.

2. Shorts must be knee length

3. Shirts and blouses must be sufficient to cover the chest. Tank tops, sleeveless

blouses and spaghetti straps are examples of inappropriate apparel.

4. Waistlines must be covered. Men and women must wear shirts and blouses that

extend down below the beltline of the pants or be long enough so they can be

tucked into the pants. The waist/abdomen must remain covered even when the

candidate is bending and during all parts of the examination.

B. Any candidate arriving for an examination that is not dressed appropriately will not

be allowed to take the examination. Candidates will be given an opportunity to

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change into appropriate attire so long as the examination schedule is not disrupted.

Any candidate unable or unwilling to comply with a request to adhere to the dress

code will forfeit the examination fee. All decisions regarding the appropriateness of

a candidate’s attire will be the responsibility of the Site Coordinator who will have

the final say.

Clinical Rotation Uniform Requirements All students shall present themselves appropriately dressed and exhibit professionalism at all times. During clinical rotations, all students will be required to wear or have on their person:

1. EMS uniform trousers (Purchased by student) 2. Black shoes/boots. 3. Short sleeve t-shirt (Provided by the program). 4. Name tag 5. Black belt 6. Watch 7. Navy blue/dark blue coat 8. Stethoscope 9. Penlight 10. Hair must be worn back from the face in a manner that does not

interfere with vision or providing health care. 11. AT NO TIME will the student wear clothing that identifies their place of

employment or any fire dept. or EMS service. 12. All students are to present themselves appropriately dressed and

exhibit professionalism at all times.

13. Arriving at a clinical/field internship site with dirty nails, dirty hair, dirty

hands, body odor, smelling of alcohol or inappropriate attire shall result

in the student being denied that clinical/field experience at the

discretion of the preceptor.

Field Internship Uniform Requirements All students shall present themselves as appropriately dressed and exhibit professionalism at all times. During field internship, all students are required to wear or have on their person:

1. EMS uniform trousers 2. Black shoes/boots. 3. Short sleeve t-shirt (Provided by the program). 4. Name tag 5. Black belt 6. Watch 7. Navy blue/dark blue coat 8. Stethoscope 9. Penlight 10. Hair must be worn back from the face in a manner that does not

interfere with vision or providing health care.

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11. AT NO TIME will the student wear clothing that identifies their place of employment or any fire dept. or EMS service.

12. All students are to present themselves appropriately dressed and

exhibit professionalism at all times.

13. Arriving at a clinical/field internship site with dirty nails, dirty hair, dirty

hands, body odor, smelling of alcohol or inappropriate attire shall result

in the student being denied that clinical/field experience at the

discretion of the preceptor.

14. An extra change of clothing is recommended by AMR. It may become

necessary for the student to change clothes if their clinical uniform

becomes contaminated.

The Program Director or instructor/coordinator may request any items of apparel worn in the clinical or field internship be replaced if that item is worn, dirty, stained or creates a less than desirable professional image.

The student shall wear their student photo identification at all times during the

clinical/field rotation.

If, at any time, the student performs actions not approved by the preceptor, the student

may be dropped from the EMT course.

XI. STUDENT AND PARTICIPANT SAFETY

All student performance in both the classroom and clinical settings will be overseen by the

Instructor/Coordinator, lab assistant(s), preceptor, and/or program director. Each student will

address any problem or concern that she/he may have regarding his/her safety immediately

to the individual directly involved with the activity at hand. It is the responsibility of the

student to bring matters up at the time they are occurring as it is difficult to deal with

situations effectively after the fact.

All students will perform with high regard for personal safety as well as the safety of patients

and others involved with the patient care. At NO TIME will the student perform any action

that he or the preceptor deems unsafe or that the student/preceptor feels is an inappropriate

action for the student to take. Doing so will result in disciplinary action up to and including

dismissal from the program.

Any student who has an infectious disease (common cold, flu, hepatitis, etc.) will not be

allowed to participate in practical skill stations. These students may attend class and observe

others in the practical stations. The student will make up practical time at the discretion of

the instructor/coordinator. The student will be held responsible for the instruction and will

be expected to practice on his/her own time to maintain skill levels of the class at that time;

a lab instructor will be provided for such practice sessions. ANY STUDENT WHO MISSES TWO OR

MORE CONSECUTIVE CLASSES DUE TO ILLNESS OR INJURY WILL BE REQUIRED TO HAVE A MEDICAL RELEASE BY

A PHYSICIAN BEFORE BEING ALLOWED TO RETURN TO CLASS.

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Any student with a history of chronic health problems, pregnancy, recent surgery, or back

injury will be required to present a medical release from a physician. The

instructor/coordinator has the discretion to request such a release within a reasonable time

period. Restrictions will be verified and a conference will occur between the student,

instructor, and program director as to how the restrictions will affect the student’s active

participation in the class. The program medical director will be involved as needed.

At any time a student suffers an injury while functioning as an EMT student, the student will

immediately report the occurrence to the person responsible for the activity who will in turn

make an immediate report to the program director; the student should also contact the

program director at the earliest possible time. A WRITTEN INCIDENT REPORT WILL BE FILED

WITH THE DEAN WITHIN 48 HOURS OF THE OCCURRENCE.

XII. Parking

Students are not permitted to park in front of the school building. Students may park on the

side of the building in spaces designated for student parking.

XIII. Class/Breaks

Class times will be provided by the instructor. Scheduled breaks will be allowed per

Washburn Institute of Technology policy manual.

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Washburn Tech Liability Release Statement

Read the following statement and if there are any questions contact the Health Occupations

Coordinator before signing the Liability Release Form.

Students entering the health care programs should be aware that they will be in close contact

with other individuals having a variety of health problems in which the cause may or may not

be known.

The health care programs have specific precautionary requirements based on the type of

exposure and/or clinical agency policies. It is the responsibility of each student to know and

follow the program guidelines for necessary precautions against contracting and transmitting

disease.

Students enrolled in health care programs at Washburn Tech who experience any injury or who

have been diagnosed with an infectious disease which could place their patients at risk should

immediately inform their instructor. During an educational assignment, if barrier precautions

are compromised and an exposure occurs, a written Incident Report must be completed by the

student and instructor.

All matters surrounding students, with or exposed to, an infectious disease will be held in strict

confidence. A decision about student participation in program activities will be made on an

individual basis by the coordinator and instructor. Students are responsible for meeting all

course, clinical and program objectives.

All health care costs are to be assumed by the individual student. Washburn Tech and any

affiliating agencies are not responsible for the provision of any healthcare, for any payment, or

costs related to an injury or the exposure to an infections or a disease.

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Washburn Tech Liability Form

TO BE READ AND SIGNED BY THE STUDENT, and/or PARENT OR GUARDIAN IF STUDENT IS A

MINOR:

“I acknowledge that neither the Washburn Tech and/or any of its affiliations are

responsible for health care provisions or costs in the care of any injury

or the exposure to or infection with a disease while I am (or my student) participating

in the program-related activities. I hereby waive and release Washburn Tech and the

affiliating agencies from any and all claims or responsibility for insurance and hospital

or health insurance benefits for health care services.”

Date ______________

Name of Student_______________________________________ Phone__________________

DOB______________ Address________________________________ Zip Code_____________

Emergency Contact___________________________________Relationship________________

Emergency Contact’s Phone:

Home___________________ Work____________________ Cell_________________________

Student Signature_______________________________________________________________

Parent or Guardian Signature_____________________________________________________

(Required if student is a minor)

If a student refuses to adhere to any of the above stated guidelines or fails to notify the

program instructor upon awareness of a condition, he/she may be dismissed from the health

occupations program.

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WASHBURN INSTITUTE OF TECHNOLOGY

5724 SW HUNTOON STREET

TOPEKA, KANSAS 66604

785-273-7140 HIGH SCHOOL TRANSPORTATION NOTICE & PERMISSION FORM

PARENT:

I give my permission for __________________________________________to attend the Washburn Tech field trip:

WASHBURN TECH PROGRAM: _Emergency Medical Technician (EMT)___________________________

BUSINESS NAME: ________________________________________________________________

BUSINESS ADDRESS: ________________________________________________________________

WHAT: ___________________________________________________________________________

DATE: ___________________________________________________________________________ (Start and End)

TIME: ___________________________________________________________________________ (Start and End)

_____ Student has permission to drive himself / herself.

_____ Will be riding with another Emergency Medical Technician (EMT) student.

_____ Student will ride with the instructor.

Please indicate where a parent or guardian can be reached during the day in case of an emergency.

Home Telephone #: ______________________ Cell Phone #__________________________

_____________________________________ ______________________ Parent signature Date

SCHOOL OFFICIAL

Your signature below indicates you are aware of the Field Trip experience and that the student will be attending school at the business instead of the __________________________________ program at Washburn Tech. If there is any reason that this student cannot take part in this experience, please notify the Washburn Tech Student Services office at 785-228-6325.

______________________________________ _____________________________________ High School Counselor or Administrator Date

Washburn University prohibits discrimination on the basis of race, color, sex, religion, age, national origin, ancestry, disability, marital parental status, sexual orientation/gender identity, genetic information, or other non-merit

reasons, in University programs and activities, admissions, educational programs or activities and employment, as required by applicable laws and regulations. The following person has been designated to handle inquiries regarding

the non-discrimination policies: Dr. Pamela Foster, Equal Opportunity Director, Washburn University, 1700 SW College Ave., Topeka, Kansas 66621, 785.670.1509, [email protected]

mailto:[email protected]

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Washburn University

Family Educational Rights and Privacy Act (FERPA)

Student Record Information Release

Student Name: ____________________________________________________

WIN#: ____________________

I, the undersigned, hereby authorize Washburn University to release the following educational records and

information:

□ All Educational Records – Includes, but not is not limited to, grade reports, transcripts, classroom

performance/behavior.

□ Accounting – Includes tuition and fee balances, financial holds, mailing and billing address, payment plans,

accounting statements, collections information and debt information.

□ Admission – Includes date of application, program selected, documents received, documents pending, date of

admission, admission status and conditions of admission.

□ Registration – Includes current enrollment, dates of enrollment activity, enrollment status, residency status,

semesters attended and mailing address information.

□ Academic Records – Includes courses taken, grades received, GPA, academic progress, honors, transfer credit

award and degrees awarded.

□ Financial Aid – Includes all general financial aid information.

□ Other (please be specific) -- _________________________________________________________________

To: ____________________________________

____________________________________

I understand that (1) I have the right not to consent to the release of my education records; (2) I have the right to receive a copy of

such records upon request; (3) and that this consent shall remain in effect until revoked by me, in writing, and delivered to

Washburn University. Any such revocation shall not affect disclosures previously made by Washburn University prior to the

receipt of any such written revocation.

____________________________ ______________________________

Student’s Signature Date

THIS INFORMATION IS RELEASED SUBJECT TO THE CONFIDENTIALITY PROVISIONS OF APPROPRIATE STATE AND FEDERAL LAWS AND REGULATIONS, INCLUDING 20 USC 1232g, WHICH ALSO PROHIBIT ANY FURTHER DISCLOSURE OF

THIS INFORMATION WITHOUT THE SPECIFIC WRITTEN CONSENT OF THE PERSON TO WHOM IT PERTAINS, OR AS

OTHERWISE PERMITTED BY SUCH REGULATIONS.

____ I hereby revoke this authorization for release of information.

_____________________________ ______________________________

Student’s Signature Date Washburn University prohibits discrimination on the basis of race, color, sex, religion, age, national origin, ancestry, disability, marital or parental status, sexual orientation/gender identity, genetic information, or other non-merit

reasons, in University programs and activities, admissions, educational programs or activities and employment, as required by applicable laws and regulations. The following person has been designated to handle inquiries regarding

the non-discrimination policies: Dr. Pamela Foster, Equal Opportunity Director, Washburn University, 1700 SW College Ave., Topeka, Kansas 66621, 785.670.1509, [email protected]


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WASHBURN INSTITUTE OF TECHNOLOGY Testing/ADA Coordinator

5724 SW Huntoon St. Topeka, Kansas 66604

785-228-6356

Statement of Accommodations It is the policy of Washburn Institute of Technology to assure equal educational opportunity without regard to race, color, sex, religion, age, national origin, ancestry, disability, marital or parental status sexual orientation/gender identity, or other factors prohibited by law. The Testing/ADA Coordinator’s Office is responsible for assisting in arranging accommodations and for identifying resources on campus for persons with disabilities. Qualified students with disabilities must register with the office to be eligible for services. The Testing/ADA Coordinator MUST have documentation on file in order to provide services. New requests for accommodations should be submitted two months or more prior to the date services should begin; however, please contact as soon as a need may arise. Contact the Testing/ADA Coordinator for an interview. Each request is evaluated on a case by case basis. The Testing/ADA Coordinator coordinates and provides services which are deemed appropriate for each eligible student. Services for which assistance in securing have been provided are:

Orientation to the campus for new students Classroom interpreting services Assistance with admissions and registration, when needed Liaison to faculty, staff, administration, community agencies Testing services In-class notetakers Reader services Brailled and/or large print materials Scribe services

PROCEDURES TO APPLY FOR ACCOMMODATIONS

1. Voluntary disclosure by the student of the disabling condition(s) is the responsibility of the student. Students with disabilities are responsible for disclosing the disabling condition(s) and registering with the Testing/ADA Coordinator’s office to be considered for accommodations. The student will need to complete, sign and submit a Self-Identification as a Person with Disability(ies) Application for Accommodations Application. This may be initiated by calling the Testing/ADA Coordinator at 785-228-6356.

2. The student must provide documentation from a medical or other appropriate licensed professional to the Testing/ADA Coordinator prior to consideration of requested accommodations. Medical documentation must include: Diagnosis and description of the disability, how disability was diagnosed (testing information and diagnosis within past 3 years in most cases, within the last 6 months for psychiatric disabilities), how the

OFFICE USE ONLY

Date Received

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disability affects the student’s academic performance, and suggested accommodations, if possible. Return appropriate documentation completed by the diagnosing professional.

3. The student will schedule a personal Accommodation Interview with the Testing/ADA Coordinator. This interaction is essential, as the Testing/ADA Coordinator needs to receive background information from the student and discuss potential appropriate accommodations.

4. Following the Accommodation Interview with the student, the Coordinator will evaluate and assign accommodations. The student will be informed in person, writing or by phone as to what determinations were made. The student and instructor will then both sign the Accommodations Confirmation Sheet.

Requests for accommodation should be submitted two months or more prior to the date services begin. Please note that students will need to re-apply for accommodations each semester. Washburn Tech follows the federal regulations that adjustments may be awarded to qualified individuals (a student with a disability who meets the academic and technical standards requisite for admission or participation in the institution’s educational programs or activities) if they are reasonable modifications that do not lower or substantially affect the essential requirements of the program. The burden of costs for the accommodations is not necessarily a student obligation. However, before Washburn Tech will fund accommodations, the student should contact state vocational rehabilitation agencies and other private organizations to explore financial assistance. When alternative funding is not secured, Washburn Tech can generally assist with securing reasonable accommodations. Examples of accommodation arrangements:

Visually Impaired – Reader services, cassette players, test needs, books on tape. NOTE: When possible textbooks should be sent to appropriate agencies (e.g. Recording for the Blind & Dyslexic) for taping PRIOR to the semester.

Hearing impaired – Interpreter services, when available, note taker.

Learning Disabled -- Accommodations based on assessment of each individual’s needs.

Testing Accommodations – Testing accommodations must be scheduled in a timely manner prior to the test date to assure availability of personnel to assist.

Other Conditions – Accommodations will be determined on an individual basis following an interview between the student and the Testing/ADA Coordinator. NOTE: The above list includes examples of accommodations. Washburn Tech reserves the right to provide assistance to meet specific individual needs.

Contact Information Gloria Christian Testing/ADA Coordinator Washburn Institute of Technology 5724 SW Huntoon St Topeka, KS 66604 785-228-6356 [email protected] Appeal Procedure The Testing/ADA Coordinator is authorized by Washburn Institute of Technology to provide reasonable accommodation at his/her discretion. Should the student disagree with the recommendation of accommodations, he/she may appeal in writing to a committee including the Associate Director of Student Services, Washburn Tech and the Equal Opportunity Director, Washburn University. The committee will meet with the student as soon as practicable. Final determination of the accommodation (s) will be implemented by the committee. It is the policy of Washburn Tech to assure equal educational and employment opportunity to qualified individuals without regard to race, color, sex, religion, age, national origin, ancestry, disability, marital or parental status or sexual orientation/gender identity, or other factors prohibited by law. Direct questions or concerns to Pam Foster, Equal Opportunity Director, Bradbury Thompson Alumni Center, (785) 670-1509, [email protected]


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