Official Course Description: MCCCD Approval: 11/28/95
EMT264 19962-19966	L+L	1 Credit(s)	1 Period(s)
Vascular Access for EMTs
Includes review of anatomy of the circulatory system. Skills include 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   19962-19966	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 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 site selection. (VI)
7.	Perform all peripheral intravenous cannulation techniques. (VII)
8.	Perform blood-drawing techniques. (VIII)
9.	Monitor infusion. (IX)
10.	Demonstrate 100 percent accuracy in intravenous techniques in selected scenarios. (X, XI)
11.	Demonstrate 85 percent proficiency on a written examination. (XI)

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MCCCD Official Course Outline:
EMT264   19962-19966	Vascular Access for EMTs

I. Indications for Vascular Access A. Restore fluid volume B. Restore and maintain electrolyte balance C. Administer medications D. Obtain blood specimen II. Vascular Anatomy and Venous Access A. Neonate B. Infant C. Pediatric D. Adult 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 V. Asepsis and Safety A. Site preparation B. Universal precautions C. "Sharp" disposal VI. Intravenous Site Selection A. Neonate B. Infant C. Pediatric D. Adult VII. Peripheral Intravenous Cannulation A. Neonate B. Infant C. Pediatric D. Adult VIII. Drawing Blood A. Indication B. Site preparation C. Universal precautions D. Identification of specimen(s) E. "Sharp" disposal F. Documentation IX. Monitoring the Intravenous Infusion A. Signs and symptoms of infiltration and extravasation B. Techniques for removal C. Documentation X. Practicals A. Manikin B. "Patients" XI. Final Exams A. Practical B. Written C. Ten successful procedures on human subjects

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