STUDENTS CLINICAL ORIENTATION DOCUMENTS · Palm Beach State College – Paramedic Program 4...
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Palm Beach State College – Paramedic Program 0 Students Clinical Orientation Documents
STUDENTS CLINICAL ORIENTATION DOCUMENTS
2012-2013
Palm Beach State College – Paramedic Program Students Clinical Orientation Documents
Table of Contents
MISSION STATEMENT ............................................................................................................... 1
REQUIRED EQUIPMENT FOR CLINICALS ..................................................................................... 2
STATEMENT OF RESPONSIBILITY .............................................................................................. 3
PROTECTED HEALTH INFORMATION, CONFIDENTIALITY, AND SECURITY AGREEMENT .................. 4
REQUIRED SKILLS / CLINICALS - 2ND SEMESTER ......................................................................... 5
REQUIRED SKILLS / CLINICALS - GRADUATION .......................................................................... 6
PARAMEDIC REQUIRED CLINICAL GOALS .................................................................................. 7
PARAMEDIC CLINICAL GOALS CHECKLIST ................................................................................. 8
PARAMEDIC STUDENT CLINICAL OBJECTIVE WORKSHEET .......................................................... 9
CLINICAL DO’S AND DON’TS ....................................................................................................10
REPORT WRITING NARRATIVE REQUIREMENTS .........................................................................11
STUDENT CLINICAL PROCEDURES............................................................................................12
RECOMMENDED CLEANING AND DISPOSAL OF CONTAMINATED CLOTHING ................................13
EMERGENCY NEEDLESTICK INFORMATION ................................................................................14
SKILLS PERFORMED WORKSHEET ...........................................................................................15
SIGNIFICANT EXPOSURE OR INJURY IN A CLINICAL/LAB SETTING: ..............................................16
DECLINATION OF POST-EXPOSURE EVALUATION ......................................................................17
PHYSICIAN NOTIFICATION OF SIGNIFICANT EXPOSURE ..............................................................18
DOCUMENTATION OF COMMENDATION......................................................................................19
CODE OF CONDUCT OFFENSE – REFERRAL FORM ....................................................................20
CLINICAL INFORMATION ...........................................................................................................21
STUDENT EQUIPMENT COMPETENCY CHECK LIST - LP ..............................................................22
STUDENT EQUIPMENT COMPETENCY CHECK LIST – MED BAG ...................................................23
STUDENT EQUIPMENT COMPETENCY CHECK LIST - STRETCHER ................................................24
Palm Beach State College – Paramedic Program 1 Students Clinical Orientation Documents
PALM BEACH STATE COLLEGE
EMS Academy
MISSION STATEMENT EMS Academy: The mission of the Palm Beach State College EMS Academy is to provide the State with Paramedic and EMT training of the highest standard. We accomplish this with a completely certified, passionate faculty and staff with expertise in advanced pre-hospital care and emergency medical services. Through our alliance with the PBSC Fire/EMS Partnership Council and the State of Florida EMS Advisory Council, we are on the leading edge of educational and emergency medical developments. Our goal is to have our graduates fully prepared to enter the professional world of EMS. PBSC: The mission of Palm Beach State College is to provide an accessible and affordable education through a dedicated and knowledgeable faculty and staff, a responsive curriculum and strong State partnership, which together will enable students to think critically, demonstrate leadership, develop ethical standards and compete effectively in the global workplace.
Palm Beach State College – Paramedic Program 2 Students Clinical Orientation Documents
PALM BEACH STATE COLLEGE
Paramedic Program
REQUIRED EQUIPMENT FOR CLINICALS
Stethoscope
Penlight
Trauma Scissors
Watch w/second hand
College Photo ID & ID Holder w/CPR Card on right shirt collar
Typhon Work Sheets & Black-ink Pen
HEPA Mask (supplied by program)
Safety Goggles (supplied x1 by program)
Traffic Vest (supplied x1 by program)
Palm Beach State College – Paramedic Program 3 Students Clinical Orientation Documents
EXHIBIT A
STATEMENT OF RESPONSIBILITY
For and in consideration of the benefit provided the undersigned in the form of
experience in a clinical setting at Columbia, JFK, Palm Beach Gardens, Palms West, Bethesda,
St. Mary’s, Delray, West Boca, Jupiter, Wellington, V.A., Lakeside, Boca Raton Community
hospitals, the undersigned and his/her heirs, successors and/or assigns do herby covenant and
agree to assume all risks and be solely responsible for any injury or loss sustained by the
undersigned while participating in the Program operated by Palm Beach State College at
Hospital except to the extent that such injury or loss arises out of Hospital’s gross negligence or
willful misconduct.
__________________________________________ _______________ Signature of Program Participant/Print Name Date
__________________________________________ _______________ Parent or Legal Guardian if Program Participant is under 18 Print Name Date
Palm Beach State College – Paramedic Program 4 Students Clinical Orientation Documents
EXHIBIT B
PROTECTED HEALTH INFORMATION, CONFIDENTIALITY, AND
SECURITY AGREEMENT
Protected Health Information (PHI) includes patient information based on examination, test results, diagnoses, response to treatment, observation, or conversation with the patient. This information is protected and the patient has a right to the confidentiality of his or her patient care information whether this information is in written, electronic, or verbal format. PHI is individually-identifiable information that includes, but is not limited to, patient’s name, account number, birthdates, admission and discharge dates, photographs, and health plan beneficiary number.
Medical records, case histories, medical reports, images, raw test results, and medical dictations from healthcare facilities are used for student learning activities. Although patient identification is removed, all healthcare information must be protected and treated as confidential.
Students enrolled in school programs or courses and responsible faculty are given access to patient information. Students are exposed to PHI during their clinical rotations in healthcare facilities.
Students and responsible faculty may be issued computer identifications (IDs) and passwords to access PHI.
Initial each to accept the Policy Initial Policy
1. It is the policy of the school/institution to keep PHI confidential and secure.
2. Any or all PHI, regardless of medium (paper, verbal, electronic, image or any other), is not to be disclosed or discussed with anyone outside those supervising, sponsoring or directly related to the learning activity.
3. Whether at the school or at a clinical site, students are not to discuss PHI, in general or in detail, in public areas under any circumstances, including hallways, cafeterias, elevators, or any other area where unauthorized people or those who do not have a need-to-know may overhear.
4. Unauthorized removal of any part of original medical records is prohibited. Students and faculty may not release or display copies of PHI. Case presentation material will be used in accordance with healthcare facility policies.
5. Students and faculty shall not access data on patients for whom they have no responsibilities or a “need-to-know” the content of PHI concerning those patients.
6. A computer ID and password are assigned to individual students and faculty. Students and faculty are responsible and accountable for all work done under the associated access.
7. Computer IDs or passwords may not be disclosed to anyone. Students and faculty are prohibited from attempting to learn or use another person’s computer ID or password.
8. Students and faculty agree to follow Hospital’s privacy policies.
9. Breach of patient confidentiality by disregarding the policies governing PHI is grounds for dismissal from the Hospital.
I agree to abide by the above policies and other policies at the clinical site. I further agree to keep PHI confidential.
I understand that failure to comply with these policies will result in disciplinary actions.
I understand that Federal and State laws govern the confidentiality and security of PHI and that unauthorized disclosure of PHI is a violation of law and may result in civil and criminal penalties.
Signature of Program Participant/Print Name Date Parent or Legal Guardian if Program Participant is under 18/Print Name Date
Palm Beach State College – Paramedic Program 5 Students Clinical Orientation Documents
PALM BEACH STATE COLLEGE
Paramedic Program
DATE: August 2011
PATH:
REQUIRED SKILLS / CLINICALS - 2ND SEMESTER
Evidence of progression of clinical skills is required for success in the paramedic program. In order to receive a Satisfactory grade in EMS2665 Paramedic Clinical II, the student must have the following minimum skills accurately reflected in Typhon:
Skill Minimum # LIVE Skills Required
Med Administration 10
ET Intubation 2
IV Success 15
Bag-Valve-Mask 4
Team Lead 10
The numbers utilized for this benchmark will be the accumulation of Typhon numbers from EMS2664 and EMS2665, Paramedic Clinicals I & II. Regardless of any other evaluations in clinicals, the student will not be allowed to progress to EMS2658 Paramedic Clinical III without the accomplishment of the above live skills. These minimum goals are not meant as your target goals; they are at the lowest end of the acceptable spectrum. We recommend that the students get as much possible experience while in the program to be best prepared to enter their chosen field of EMS.
Palm Beach State College – Paramedic Program 6 Students Clinical Orientation Documents
PALM BEACH STATE COLLEGE
Paramedic Program
DATE: August 2011
PATH:
REQUIRED SKILLS / CLINICALS - GRADUATION
Evidence of progression of clinical skills is required for success in the paramedic program. In order to receive a satisfactory grade in EMS2659 Paramedic Internship, and therefore graduate, the student must have met all of the required minimum clinical goals in each category:
Mandatory Skills
Assessments by Patient Age
Assessments and Plans
Assessments by Patient Type The numbers utilized for this benchmark will be the accumulation of Typhon numbers from EMS2664, EMS2665, EMS2658 (Paramedic Clinicals I, II, & III) and EMS2659 Paramedic Internship.
Students MUST obtain, and accurately document, 15 Team Leads solely within EMS2659
Paramedic Field Internship, with a total of 35 to graduate. These minimum goals are not meant as your target goals; they are at the lowest end of the acceptable spectrum. We recommend that the students get as much possible experience while in the program to be best prepared to enter their chosen field of EMS.
Students will utilize the current paramedic Required Clinical Goals (see policies).
Palm Beach State College – Paramedic Program 7 Students Clinical Orientation Documents
PARAMEDIC REQUIRED CLINICAL GOALS
Palm Beach State College - Paramedic Required Clinical Goals
Mandatory LIVE Skills
Assessments by Patient Age
Minimum Category
Minimum Age 15
*Med
Administration
2
Newborn 0-1mo 5
*ET
2
Infant 1m -1yr 25
*IV Success
3:1 Make-up
Ratio (SimMan)
2
Toddler 1-3yr 20
*Bag-Valve-
Mask
5:1 Make-up
Ratio (SimMan)
2
Pre School 4-5yr 35
*Team Lead
1:1 Make-up Ratio
2
School Age 6-12yr
15 Live MUST be
during EMS2659
2
Adolescent 13-17yr
35
Adult 18-65yr
35
Geriatric >65yr
Assessment and Plan
Assessment by Patient Type
Minimum Encounter
Minimum Encounter
15
Cardiac
2
Obstetric
5
Respiratory
10
Trauma
5
Syncope
35
Medical 10
Abdominal
2
Psychiatric
5
AMS / Neuro
Palm Beach State College – Paramedic Program 8 Students Clinical Orientation Documents
PARAMEDIC CLINICAL GOALS CHECKLIST
Required Current
Medication Administration 15
Live Intubations 5
Successful IV's 25
Ventillate a Patient Using BVM 20
Assessment of Newborn (0-1mo) 2
Assessment of Infant (1mo-1yr) 2
Assessment of Toddler (1-3yr) 2
Assessment of Preschooler (4-5yr) 2
Assessment of School Age (6-12yr) 2
Assessment of Adolescents (13-17yr) 2
Assessment of Adults (18-65yr) 35
Assessment of Geriatrics (>65yr) 35
Assessment of Obstetric Patients 2
Assessment of Trauma Patients 10
Assessment of Medical Patients 35
Assessment of Psychiatric Patients 2
Assessment and Plan of Cardiac Patients 15
Assessment and Plan of Respiratory Patients 5
Assessment and Plan of Syncope Patients 5
Assessment and Plan of Abdominal Patients 10
Assessment and Plan of AMS/Neuro Patients 5
Total Field Team Leads 35
Field Internship Team Leads in EMS 2659 15
Track Yourself!!
Palm Beach State College – Paramedic Program 9 Students Clinical Orientation Documents
PARAMEDIC STUDENT CLINICAL OBJECTIVE WORKSHEET
Date: Shift:
Student Name: Course: Fire Department and Station#: Fire Rescue Instructor Name and Contact Number:
Goals and objectives to be accomplished today (areas of focus):
Palm Beach State College – Paramedic Program 10 Students Clinical Orientation Documents
Palm Beach State College EMS Academy
CLINICAL DO’S AND DON’TS
Use good hygiene
Study textbook during slow time
Be part of the team
Help with patient lifting
Help with truck washing
Help with station chores
Ask questions
Show enthusiasm
Be professional
Thank the crew
Contribute $$ for food
Offer to cook & clean
Ask for help
Participate in truck checks
Clean up your mess
Have safety goggles, HEPA mask, vest
Sit in a recliner Adjust the AC Leave work area early Be unprofessional Use TV remote control Use cell phone Eat what is not yours Go into bunkroom or offices Perform medical procedures
without Preceptor approval Falsify any documents or
evaluations Be Late!!
The following is provided to you with the intent of making your
clinical experiences amiable. Remember: you are a guest at Fire
Rescue and the Hospital.
This is your Clinical Code of Conduct
Palm Beach State College – Paramedic Program 11 Students Clinical Orientation Documents
PALM BEACH STATE COLLEGE
EMS Academy - Paramedic Program
DATE: August 2010
PATH:
REPORT WRITING NARRATIVE REQUIREMENTS
Excellent report writing and documentation skills are paramount for paramedic students to master. These skills require much diligence and patience in order to achieve excellence. Therefore, all paramedic students are required to use the following narrative styles in each subsequent semester. Templates and examples for each can be found on Typhon. Semester 1: Students will write narratives in the CHARTE format. Semester 2: Students will write narratives in the SOAP format. Semester 3 and Internship: Students will write narratives in the Descriptive Narrative format
Palm Beach State College – Paramedic Program 12 Students Clinical Orientation Documents
PALM BEACH STATE COLLEGE
EMS Academy
Paramedic Program
STUDENT CLINICAL PROCEDURES
■ Student Clinical Books will have individual tabs with the following categories: PCR’s, Evaluations, Medical Director, Pedi Partners, Healey, Medics, etc.
■ The Student Clinical Book and the Student Lab Skills Book will be
rubber banded together, taken to all clinical rotations, and be available during all classroom sessions as well.
■ While at Fire Rescue, one PCR will be written for every patient
encounter. ■ During hospital rotations a minimum of four (4) full assessments along
with four (4) full PCR reports shall be written each day. ■ Hand written drug cards will be turned in to clinical instructor for
approval by the end of EMS 2664. Instructor will complete check sheet. ■ Skills and assessments performed at Healey, Dr. Scheppke, AMR,
BVM, and Pedi Partners, etc. will be entered into Typhon ■ A total of 15 Team Leads must be accomplished during EMS 2659
regardless of the number of Team Leads the student had prior to this course.
■ Be mindful of the clinical “Do’s and Don’ts.”
Palm Beach State College – Paramedic Program 13 Students Clinical Orientation Documents
Palm Beach State College EMS Academy
RECOMMENDED CLEANING AND DISPOSAL OF CONTAMINATED CLOTHING
LAUNDRY: The appropriate personal protective equipment should be utilized when handling possibly contaminated laundry. Students are encouraged to wash uniforms at the station in order to minimize the potential of spreading infection to their families. Use the following method if the uniform is contaminated with body fluids. While the washing machine is filling with hot water (120- 130 degrees) add 2 cup (4 oz) of color safe bleach and 1 cup of detergent. The washing machine should be set at its highest water level and after it is full add the garments to be washed. Run items through the rinse cycle twice. Dry items in the dryer on the highest heat setting, do not line dry.
CLEANING AND DISINFECTING AREAS: Used equipment from an emergency incident should be bagged and transported to the designated cleaning area. Red bags designated for contaminated equipment are stored on all emergency medical response vehicles and may be identified by the biohazard symbol. When used, these biohazard bags must be disposed of in an approved biohazard container. Contaminated medical equipment should never be cleaned, disinfected, or stored in the stations living quarters or outside hospital biohazard cleaning room. MSDS sheets for each disinfectant will be posted at a prominent place in the designated cleaning area.
Palm Beach State College – Paramedic Program 14 Students Clinical Orientation Documents
EMERGENCY NEEDLESTICK INFORMATION
Emergency Needlestick Information
Workers Please Note
If you experienced a needlestick or sharps injury or were exposed to the blood or other body fluid of a patient during the course of your work, immediately follow these steps:
Wash needlesticks and cuts with soap and water.
Flush splashes to the nose, mouth, or skin with water.
Irrigate eyes with clean water, saline, or sterile irrigants.
Report the incident to your supervisor.
Immediately seek medical treatment.
Medical Providers Please Note
Recommendations for the management of occupational exposures to blood:
MMWR Recommendations and Reports, Volume 54, Number RR-9, Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Postexposure Prophylaxis www.cdc.gov/mmwr/PDF/rr/rr5409.pdf
MMWR Recommendations and Reports, Volume 50, Number RR-11, Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis
(PDF format, 329 KB) http://www.cdc.gov/mmwr/PDF/rr/rr5011.pdf
If you have questions about appropriate medical treatment for occupational exposures, 24 hour assistance is available from the Clinicians' Post Exposure Prophylaxis Hotline (PEPline) at 1-888-448-4911. http://www.ucsf.edu/hivcntr
Palm Beach State College – Paramedic Program 15 Students Clinical Orientation Documents
SKILLS PERFORMED WORKSHEET
Palm Beach State College – Paramedic Program 16 Students Clinical Orientation Documents
SIGNIFICANT EXPOSURE OR INJURY IN A CLINICAL/LAB SETTING:
An exposure can be defined as a percutaneous injury (e.g., needlestick or cut with a sharp object) or contact of mucous membrane or nonintact skin (e.g., exposed skin that is chapped, abraded, or with dermatitis) with blood, saliva, tissue, or other body fluids that are potentially infectious. Exposure incidents might place health care personnel at risk for hepatitis B virus (HBV), hepatitis C virus (HCV), or human immunodeficiency virus (HIV) infection, and therefore should be evaluated immediately following treatment of the exposure site by a qualified health care professional. (Centers for Disease Control and Prevention) The following is a recommended approach for student reporting and instructor action should a significant exposure or injury occur during a clinical /lab setting. ** Unless student has a major medical policy, this college policy only covers injuries and exposure issues**
1. Student shall notify Clinical/Lab instructor. 2. Clinical instructor to notify Hospital Infection Control Nurse (exposures
only) 3. Student proceeds to facility’s Emergency Department, signs in as a
patient for treatment. If off site, the student should go to nearest hospital emergency department.
4. Clinical/Lab instructor to notify the Clinical Coordinator / Program
Manager via Voice Mail. 868-3418. 5. Clinical/Lab instructor to call Palm Beach State College Security
for an incident report to be completed. 561-868-3600, day or night. 6. Clinical Coordinator/Program Manager notifies Safety and Security 868-
3487. 7. (Optional) Clinical instructor to call or page Dr. Landman for student
counseling and follow up care for exposures only. 561-969-7900, day or night.
8. Student shall send a detailed e-mail to Clinical Coordinator / Program
Manager regarding incident specifics. 9. Clinical instructor to provide a copy of the insurance form to emergency
registration upon student registration, and file claim with insurance company.
Palm Beach State College – Paramedic Program 17 Students Clinical Orientation Documents
PALM BEACH STATE COLLEGE EMS PROGRAMS
DECLINATION OF POST-EXPOSURE EVALUATION
On___________________, I experienced an incident while participating in a Palm Beach State College EMS Program, which may have caused my exposure to bloodborne pathogens. An Accident-Incident Report was filed at that time.
I have been advised that I may be evaluated by a physician pursuant to this incident, which may include serologic testing for HIV and HBV, and that there will be no cost to me for this evaluation. However, I choose to decline having the evaluation performed, with the understanding that I may have blood drawn at this time but not tested until a later time of my choosing (up to 90 days following the date of the incident).
_________________________________________ Printed Name _________________________________________ Signature __________________________________________ Date
Palm Beach State College – Paramedic Program 18 Students Clinical Orientation Documents
Palm Beach State College
PHYSICIAN NOTIFICATION OF SIGNIFICANT EXPOSURE To: Emergency Room Physician From: Dr. Ken Scheppke, MD Subject: Significant Exposure to Bloodborne Pathogens The student before you has sustained a significant exposure to a potentially infectious body fluid during the course of medical treatment of ________________________________________ (patient name) Per Florida State Statute 381.004(10), this medical personnel (student) has the right to know the HIV status of this source patient. Florida law allows you to perform a HIV test on this patient either with their consent or without their consent if blood specimens have been obtained for other purposes. In addition, it is not mandated by the state but if the source patient consents, we are also requesting a Hepatitis B and C test be performed. Please have your staff contact the hospitals Infection Control Coordinator and advise them of the incident. They will forward the results to Palm Beach State College, 4200 Congress Avenue, Risk Management Department, Lake Worth Florida, 33461. Thank you for your cooperation. Ken Scheppke, MD Medical Director Palm Beach State College EMS Programs Student Name _____________________________________________ Date ____________ Student Signature ___________________________________________________ Blood specimen obtained from source patient (check one) □Yes □No Source patient HIV testing (per state statute 381.004) □ With consent □ Without consent □ Refused
Palm Beach State College – Paramedic Program 19 Students Clinical Orientation Documents
PALM BEACH STATE COLLEGE
EMS Academy
Paramedic Program
DOCUMENTATION OF COMMENDATION Date: Instructor: Student Print Name:
Signature: Student went “Above & Beyond” (Check all applicable):
Professionalism EMS Knowledge
Participation Creativity
Leadership Initiative
Teamwork Other (Describe):
COMMENTS:
Palm Beach State College – Paramedic Program 20 Students Clinical Orientation Documents
PALM BEACH STATE COLLEGE
Paramedic Program - Clinicals CODE OF CONDUCT OFFENSE – REFERRAL FORM
Please refer to PBSC Health Sciences/EMS Disciplinary Procedures for a complete listing of offenses
Date: Instructor: Student Print Name: Class Shift ______
Signature
Group 1 Offense** Inappropriate language
Dress Code Violation
Failure to follow chain of command
Failure to act in a professional manner
Absence Non-Notification
Arrive late without notification
Smoke or chew tobacco at hospital or fire rescue setting
Conduct inconsistent to good order and discipline
Other:
Group 2 Offense**
Commit academic dishonesty.
“Any student who knowingly helps or is present when another student violates academic behavior standards is also in violation.”
Behave with intent to detract from the education of another student.
Leave assigned area (hospital or fire rescue setting) without notifying instructor.
Perform duties outside the scope of practice.
Perform as a firefighter while participating in a paramedic student capacity.
Respond to a fire/rescue call while in a PBSC lecture/lab/hospital setting.
Examine a patient without an instructor or preceptor present.
Not properly maintaining BSI and/ or properly utilizing PPE.
Show disrespect or be abusive to any instructor, hospital or fire rescue personnel.
Use a cellular telephone without the consent on an instructor.
Other:
Group 3 Offense** Immediate phone call to Clinical Coordinator required
Possess or be under the influence of controlled substance or alcohol
Perform skills on which s/he has not yet been signed-off in lab
Failure to comply with HIPAA
Conduct perceived to be sexual harassment
Conduct which threatens the health or safety of others
Other:
Palm Beach State College – Paramedic Program 21 Students Clinical Orientation Documents
CLINICAL INFORMATION Q: What is Scope of Practice? A: Defined parameters of various duties or services that may be provided by an individual with specific credentials. Whether regulated by rule, statute, or court decision, it represents the limits of the services an individual may legally perform. Q: What is The Paramedic Students Scope of Practice? A: Only the Skill Sheets you have signed off on in class Q: What is Medical Direction? A: Medical policies, procedures, and practices that are available to providers either on-line or off-line. Q: What is a Medical Director? A: The physician who is legally responsible for all of the clinical and patient-care aspects of an EMS system. Q: Can the Medical Director Be Sued because of a paramedic’s mistake in the field? A: Yes Q: What is Negligence? A: Deviation from accepted standards of care recognized by the law for the protection of others against the unreasonable risk of harm Q: What is Standard of care? A: The degree of care, skill, and judgment that would be expected under like or similar circumstances by a similarly trained Paramedic in the same State. Any deviation from this standard might open you to allegations of negligence and liability for any resulting damages. Q: What should I do if a doctor or nurse tells me to do something I haven’t learned yet? A: Nicely let them know that the task isn’t in your scope of practice and thank them for trying to give you the opportunity to try and learn. Q: What should I do if I’m not sure if the task is in my scope of practice? A: Go ask your clinical instructor and if they are unavailable do not perform the task. * Always exercise the degree of care, skill, and judgment expected under the circumstances by a similarly trained, good paramedic in the same State.
Palm Beach State College – Paramedic Program 22 Students Clinical Orientation Documents
STUDENT EQUIPMENT COMPETENCY CHECK LIST - LP
Student Name: Station/Shift:
School / Institution:
The student will locate and show knowledge of the CPAP
Yes No Preceptor Date
The student can identify the location of the CPAP
The student can identify the location of all accessories for equipment
The student can show and apply the proper procedure for the CPAP
The student will locate and show knowledge of the Carevent
Yes No Preceptor Date
The student can identify the location of the CAREVENT
The student can identify the location of all accessories for equipment
The student can show and apply the proper procedure for the CAREVENT
The student will locate and show knowledge of the Suction Unit
Yes No Preceptor Date
The student can identify the location of the Suction Unit
The student can identify the location of all accessories for equipment
The student can show and apply the proper procedure for the Suction Unit
The student will identify the location of items in the LifePack 15
Yes No Preceptor Date
The student can identify the location of the LifePack 15
The student can identify the location of all accessories for equipment
The student can show and apply the proper procedures for the LifePack 15
Palm Beach State College – Paramedic Program 23 Students Clinical Orientation Documents
STUDENT EQUIPMENT COMPETENCY CHECK LIST – MED BAG
Student Name: Station/Shift:
School / Institution:
The student will identify the location of items in the Blue Med Bag
Yes No Preceptor Date
The student can identify the location of all Medications
The student can identify the location of all IV equipment
The student can identify the location of all Fluids
The student can identify the location of all PPE/BIO bags
The student will identify the location of items in the Airway Bag
Yes No Preceptor Date
The student can identify the Airway Roll and items inside
The student can identify/ knows how to use ALS-BLS Airway equipment
The student can identify the Miscellaneous equipment in Airway bag
The student will identify the location of items in the Trauma Bag
Yes No Preceptor Date
The student can identify the location of all IV equipment
The student can identify the location of all Fluids
The student can identify the location of all PPE
The student can identify the location of BLS/ALS Trauma equipment
The student will identify the location of items in the Pedi Box
Yes No Preceptor Date
The student can identify the location of all Medications
The student can identify the location of all IV equipment
The student can identify the location of all Fluids
The student can identify the location of all PPE/BIO bags
The student can identify the location of BLS/ALS equipment
Palm Beach State College – Paramedic Program 24 Students Clinical Orientation Documents
STUDENT EQUIPMENT COMPETENCY CHECK LIST - STRETCHER
Student Name: Station/Shift:
School / Institution:
The student will display knowledge & demonstrate how to operate the stair chair
Yes No Preceptor Date
The student can identify the location of all handles
The student can identify the location of all levers
The student can identify the location of all straps
The student can demonstrate how to fold and unfold chair
The student will demonstrate correct way to move patient
The student will display knowledge & demonstrate the operation of the either PBCFR stretchers
Yes No Preceptor Date
The student can identify the location of all handles
The student can identify the location of all levers
The student can identify the location of all straps
The student will demonstrate raising and lowering feet/head
The student will identify the location and use of the Pedi, Miller, BackBoards & Scoop stretcher
Yes No Preceptor Date
The student can identify the location of all Boards
The student can identify the location of extra straps
The student can identify the location of the decon spray
The student can demonstrate how to correctly use straps
The student can correctly use above equipment