Official Course Description: MCCCD Approval: 04/23/02
EMT275 19986-20025	LAB	2 Credit(s)	6 Period(s)
Advanced Life Support Refresher Course: Lab
Clinical experience designed to meet requirements for EMT- Intermediate and EMT-Paramedic under guidelines of the U.S. Department of Transportation (U.S. DOT), National Registry of EMTs (NREMT) as recognized by the Arizona Department of Health Services (A-DHS) Bureau of Emergency Services (B-EMS). Provides updated knowledge and skills related to hypoperfusion states, respiratory arrest or insufficiency, seizure states, cardiovascular emergencies, unconscious of undetermined etiology, head injury with altered levels of consciousness, and chest trauma. Validates requisite knowledge, validates skills, reviews and informs students of new standards and technologies. Trains and educates out of state applicants in knowledge, procedures, medications, and skills specific to Arizona's system. Remediates students who have been unsuccessful three times on the certification examinations, and refreshes information for those who have expired certifications and desire re-entry into the EMS system. Prerequisites: EMT272, or EMT208, and EMT273, and (current EMT-Advanced Paramedic or Intermediate certification). Prerequisites or Corequisites: Current American Heart Association Basic Life Support Health Care Provider validation, or Advanced Cardiac Life Support validation, or Pediatric Life Support validation.

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MCCCD Official Course Competencies:
EMT275   19986-20025	Advanced Life Support Refresher Course: Lab

1.	Perform and document on a training program skills sheet an adequate physical examination and assessment of patient's condition, obtain an accurate medical history, and perform auscultation of heart and lung sounds on at least ten (10) patients. (I, II)
2.	Obtain and record on a training program skills sheet a complete set of vital signs on at least twenty-five (25) patients. (II)
3.	Describe signs and symptoms of the presenting problem to the preceptor in a comprehensive and orderly fashion on at least ten (10) patients. (II, III, XII)
4.	Prepare and administer any of the drugs carried in the Paramedic or Intermediate (I-EMT) drug box via intr osseous (IO), intravenous (IV), intramuscular (IM), subcutaneous (Sub Q), and oral routes. (IV, V)
5.	Review medications being administered to at least two (2) patients and correctly identify to the preceptor the indications, contraindications, side effects, and dosages. (IV, XII)
6.	Identify and describe to the preceptor one's knowledge of emergency drugs including pharmacological properties, dosage, clinical indications, contra-indications, and possible side effects. (IV, XII)
7.	Establish and record on a training program skill sheet an intravenous (IV) line on at least fifteen (15) patients. (V)
8.	Develop skills in the recognition of infiltration and discontinuing IV lines. (V)
9.	Observe the emergency department physician interview and assess at least ten (10) patients; analyze the systematic approach the physician uses and determine if there are any variations from the approach taught in the training program; and discuss with the physician the rationale for any variations. (VI)
10.	Observe each use of the telemetry unit between Paramedic or I- EMT unit in the field and Emergency Department personnel, and assess the quality and quantity of information given by personnel in the field and response of emergency room personnel on information given. (VI)
11.	Assist in the triage of at least ten (10) patients. (VII)
12.	Place and change monitor leads on at least ten (10) patients. (VIII)
13.	Develop skills in the recognition of cardiac arrhythmias with emphasis on knowledge of standard emergency care and treatment. (Paramedic only) (VIII)
14.	Assess and document three (3) different EKGs using three (3) different calculating methods (Paramedic only). (VIII)
15.	Report any observed changes in an EKG rhythm appropriately (Paramedic only). (VIII)
16.	Assist with defibrillation and/or cardioversion of any patient requiring the treatment in the Emergency Department (Paramedic only). (VIII)
17.	Assist in application of casts and splints on any patient requiring the treatment in the Emergency Department. (IX)
18.	Assist in the care of lacerations, suturing, control of bleeding, and application of dressings of any patient requiring the treatment in the Emergency Department. (X)
19.	Perform insertion and maintenance of nasogastric tubes and catheters and identify complications in their use. (XI)
20.	Obtain blood samples on any patient requiring the procedure in the Emergency Department. (XI)
21.	Perform all airway skills including endotracheal, nasostracheal intubation, and surgical crichothyrotomy. (XI)
22.	Accurately and comprehensively report treatment and response to treatment of Emergency Department patients to the preceptor. (XII)

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MCCCD Official Course Outline:
EMT275   19986-20025	Advanced Life Support Refresher Course: Lab

I. Patient Assessment A. Physical examination B. Medical History C. Auscultation of heart and lung sounds II. Documentation A. Vital signs B. Physical examination findings C. Medical history D. Auscultation of heart and lung sounds III. Problem-Oriented Assessment A. Initial and focused B. History C. Vital signs D. Communication E. Documentation IV. Pharmacology A. Preparation and administration of medications B. Documentation V. IV Therapy A. Insertion and removal B. Assessment C. Documentation VI. Professional Communications and Assessment A. Physician/patient interaction B. Assessment C. Comparison VII. Triage A. Medical B. Trauma VIII. Cardiac Monitoring A. Application B. Calculation C. Interpretation D. Defibrillation/cardioversion E. Communication F. Documentation IX. Musculoskeletal A. Immobilization B. Casts and splints C. Communication D. Documentation X. Wound Care A. Lacerations B. Control of bleeding C. Application of dressings D. Communication E. Documentation XI. Medical Interventions A. Airway skills 1. Endotracheal 2. Nasotracheal intubation 3. Surgical crichothyrotomy B. Foley catheter C. Airway management D. Blood sampling E. Communication F. Documentation XII. Report to preceptor A. Accurate and comprehensive B. Procedures C. Patient reaction to treatment D. Documentation

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