Official Course Description: MCCCD Approval: 05/23/95
EMT264 19956-19956	L+L	2 Credit(s)	2 Period(s)
Vascular Access for EMTs
Review of anatomy of circulatory system and skill development. Peripheral intravenous cannulation techniques, fluid resuscitation, obtaining venous blood samples for laboratory analysis, infection control techniques for the safety of self and victim, complications of intravenous cannulation. Content concurrent with American College of Surgeons Division on Trauma Standards of Care. Prerequisites: EMT-Basic or registered nurse with emergency and/or critical care experience.

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MCCCD Official Course Competencies:
EMT264   19956-19956	Vascular Access for EMTs

1.	Identify the need for fluid resuscitation in neonate, infant, pediatric, and adult victims. (I)
2.	Identify and describe the vascular anatomy and venous access for the neonate, infant, pediatric, and adult victims. (II)
3.	Identify and differentiate isotonic, hypotonic, and hypertonic intravenous solutions. (III)
4.	Select fluids; set up and manage equipment. (III, IV)
5.	Identify and demonstrate aseptic and safety techniques. (V)
6.	Identify and describe the indications and contraindications for intravenous and intraosseous site selection. (VI)
7.	Perform all peripheral intravenous cannulation techniques. (VII)
8.	Perform intraosseous techniques. (VIII)
9.	Perform blood-drawing techniques. (IX)
10.	Monitor infusion. (X)
11.	Demonstrate 100 percent accuracy in intravenous techniques in selected scenarios. (XI)
12.	Demonstrate 85 percent proficiency on a written examination. (XI)

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MCCCD Official Course Outline:
EMT264   19956-19956	Vascular Access for EMTs

I. Vascular Access and Fluid Resuscitation Indications A. Restore fluid volume B. Restore and maintain electrolyte balance C. Administer medications D. Obtain blood specimen(s) II. Vascular Anatomy A. Identification of common sites 1. Neonate 2. Infant 3. Pediatric 4. Adult B. Identification of sites for intraosseous infusion III. Intravenous Solutions A. Isotonic B. Hypotonic C. Hypertonic D. Indications for each IV. Needles/Catheters and Intravenous Administration Sets A. Types B. Sizes C. Administration sets 1. Pediatric 2. Blood pump 3. Three-way 4. Pressure infuser D. Setup E. Management V. Asepsis and Safety A. Site preparation B. Universal precautions C. "Sharp" disposal VI. Intravenous/Intraosseous Site Selection A. Identification 1. Neonate 2. Infant 3. Pediatric 4. Adult B. Indications C. Contraindications VII. Peripheral Intravenous Cannulation A. Identifiaction 1. Neonate 2. Infant 3. Pediatric 4. Adult B. Indications C. Contraindications VIII. Intraosseous Techniques A. Identification B. Indications C. Contraindications IX. Blood-Drawing Techniques A. Indication B. Site preparation C. Universal precautions D. Identification of specimen(s) E. "Sharp" disposal F. Documentation X. Intravenous Infusion Monitoring A. Infiltration and extravasation 1. Signs 2. Symptoms B. Removal techniques C. Documentation XI. Evaluations A. Practicals 1. Manikin 2. Chicken bones 3. "Patients" B. Final written exams

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