Curriculum Map - BHS - Wellness - EMR
Stage 1 Desired Results | ||
ESTABLISHED GOALS | ||
Standards | ||
Students will be able to independently use their learning to… Preparatory Uses simple knowledge of the EMS system, safety/well-being of the EMR, medical/legal issues at the scene of an emergency while awaiting a higher level of care. Anatomy and Physiology Uses simple knowledge of the anatomy and function of the upper airway, heart, vessels, blood, lungs, skin, muscles, and bones as the foundation of emergency care. Pharmacology Uses simple knowledge of the medications that the EMR may self-administer or administer to a peer in an emergency. Airway Management, Respiration and Artificial Ventilation Applies knowledge (fundamental depth, foundational breadth) of general anatomy and physiology to assure a patent airway, adequate mechanical ventilation, and respiration while awaiting additional EMS response for patients of all ages. Assessment Use scene information and simple patient assessment findings to identify and manage immediate life threats and injuries within the scope of practice of the EMR. Medicine Recognizes and manages life threats based on assessment findings of a patient with a medical emergency while awaiting additional emergency response. Shock and Resuscitation Uses assessment information to recognize shock, respiratory failure or arrest, and cardiac arrest based on assessment findings and manages the emergency while awaiting additional emergency response Trauma Uses simple knowledge to recognize and manage life threats based on assessment findings for an acutely injured patient while awaiting additional emergency medical response. Special Patient Populations Recognizes and manages life threats based on simple assessment findings for a patient with special needs while awaiting additional emergency response. EMS Operations Knowledge of operational roles and responsibilities to ensure safe patient, public, and personnel safety | ||
Meaning | ||
ESSENTIAL QUESTIONS What are some perspectives of practicing EMS providers on several topics concerning the EMS profession? What are the steps EMS providers should take for personal protection from pathogens? What is an EMS communication system? How do the 12 body systems work together, including structure, functions, diseases, disorders, homeostasis, and immunity? How do you use the language of health care workers including root words, suffixes, prefixes, abbreviations, and body planes, directions, and cavities? How do you assess the airways of patients and demonstrate both manual and mechanical techniques to assure a patent airway? How do you take a patient history and perform a systematic patient examination, while paying close attention to maintain professionalism and show compassion towards the patient? How does shock relate to cardiac arrest, causes of cardiac arrest, DNR orders, the chain of survival, Basic Cardiac Life Support, airway management, chest compressions, and automated external defibrillator use? How do you examine the pathophysiology, assessment, and management of conditions related to: cardiovascular and respiratory issues; acute abdominal pain; genitourinary and gynecological emergencies; altered mental status; behavioral emergencies; allergic reactions; and poisonings? How do you assess a patient for traumatic injury, as well as identify mechanisms of injury? What is the EMR professional's role in pregnancy and labor and delivery, including treatment of predelivery emergencies and caring for the newborn? What is the operational roles and responsibilities within the EMS system, including transportation safety issues, incident management certifications, multiple-casualty incidents, vehicle extrication, hazardous materials, terrorism, and disaster responses? | ||
Acquisition | ||
Students will be skilled at… Psychomotor Skills: Safely and effectively perform all psychomotor skills within the National EMS Scope of Practice Model AND state Scope of Practice at this level. Airway and Breathing • Basic Airway Maneuvers • Head-tilt, chin-lift • Jaw thrust • Modified chin lift • FBAO relief – manual • Oropharyngeal airway • Sellick’s maneuver • Positive pressure ventilation devices such as BVM • Suction of the upper airway • Supplemental oxygen therapy • Nasal cannula • Non-rebreather mask Assessment • Manual B/P Pharmacologic interventions • Unit-dose autoinjectors (lifesaving medications intended for self or peer rescue in hazardous materials situation, nerve agent antidote kit) Medical/Cardiac care • Manual CPR • AED • Assisted normal delivery Trauma care • Manual stabilization • C-spine injuries • Extremity fractures • Bleeding control • Emergency moves • Eye irrigation Scene Safety
Professionalism - Demonstrate professional behavior including but not limited to, integrity, empathy, self-motivation, appearance/personal hygiene, self-confidence, communications, time management, teamwork/ diplomacy, respect, patient advocacy, and careful delivery of service. Decision Making - Initiates simple interventions based on assessment findings. Record Keeping - Record simple assessment findings and interventions Patient Complaints - Perform a patient assessment and provide prehospital emergency care for patient complaints: abdominal pain, abuse/neglect, altered mental status/decreased level of consciousness, apnea, back pain, behavioral emergency, bleeding, cardiac arrest, chest pain, cyanosis, dyspnea, eye pain, GI bleeding, hypotension, multiple trauma, pain, paralysis, poisoning, shock, and stridor/drooling. | ||
Stage 2 - Evidence | ||
Evaluative Criteria | Assessment Evidence | |
Students must be proficient in all units instructed in this course to sit for the National EMR exam. | PERFORMANCE TASK(S): Lab work Worksheets Practical Exam Written Exam BLS exam/practical Scenario for Trauma emergency Proper evaluation and treatment Scenario for Medical Emergency Proper evaluation and treatment Preparation for National Exam | |
Stage 3 – Learning Plan | ||
Summary of Key Learning Events and Instruction Anatomy & Physiology
Airway – EMR
• Anatomy of the respiratory system • Physiology and pathophysiology of respiration o Pulmonary ventilation o Oxygenation o Respiration External Internal Cellular • Assessment and management of adequate and inadequate respiration • Supplemental oxygen therapy
• Artificial ventilation • Minute ventilation • Alveolar ventilation • Effect of artificial ventilation on cardiac output Cultural, Social, and Ethnic Diversity Therapeutic communication and cultural competency
EMS Operations – EMR Principles of Safely Operating a Ground Ambulance Simple depth, simple breadth • Risks and responsibilities of emergency response Incident Management Simple depth, simple breadth • Establish and work within the incident management system Multiple Casualty Incidents Simple depth, simple breadth • Triage principle • Resource management Air Medical Simple depth, simple breadth • Safe air medical operations • Criteria for utilizing air medical response Vehicle Extrication Simple depth, simple breadth • Safe vehicle extrication • Use of simple hand tools Hazardous Materials Awareness Simple depth, simple breadth • Risks and responsibilities of operating in a cold zone at a hazardous material or other special incident Mass Casualty Incidents due to Terrorism and Disaster (this section subject to ongoing collective and cooperative review and input from all stakeholders including the Department of Transportation, Department of Homeland Security and the Department of Health and Human Services) Simple depth, simple breadth • Risks and responsibilities of operating on the scene of a natural or man-made disaster Medical – EMR Medical Overview Simple depth, simple breadth • Assessment and management of a Medical complaint Neurology Simple depth, simple breadth Anatomy, presentations, and management of • Decreased level of responsiveness • Seizure • Stroke Abdominal and Gastrointestinal Disorders Simple depth, simple breadth Anatomy, presentations and management of shock associated with abdominal emergencies • Gastrointestinal bleeding Immunology Simple depth, simple breadth Recognition and management of shock and difficulty breathing related to • Anaphylactic reactions Infectious Diseases Simple depth, simple breadth Awareness of • A patient who may have an infectious disease • How to decontaminate equipment after treating a patient Psychiatric Simple depth, simple breadth Recognition of • Behaviors that pose a risk to the EMR, patient or others Cardiovascular Simple depth, simple breadth • Anatomy, signs, symptoms and management • Chest pain • Cardiac arrest Toxicology Simple depth, simple breadth • Recognition and management of o Carbon monoxide poisoning o Nerve agent poisoning • How and when to contact a poison control center Respiratory Simple depth, simple breadth Anatomy, signs, symptoms and management of respiratory emergencies including those that affect the • Upper airway • Lower airway Hematology No knowledge related to this competency is applicable at this level. Genitourinary/Renal Simple depth, simple breadth • Blood pressure assessment in hemodialysis patients Gynecology Simple depth, simple breadth • Recognition and management of shock associated with vaginal bleeding Diseases of the Eyes, Ears, Nose, and Throat Simple depth, simple breadth Recognition and management of • Nosebleed Patient Assessment – EMR Scene Size-Up Complex depth, comprehensive breadth • Scene safety Fundamental depth, foundational breadth • Scene management o Impact of the environment on patient care o Addressing hazards o Violence o Need for additional or specialized resources o Standard precautions Primary Assessment Simple depth, simple breadth • Primary assessment for all patient situations o Level of consciousness o ABCs o Identifying life threats o Assessment of vital functions •Begin interventions needed to preserve life History Taking Simple depth, simple breadth • Determining the chief complaint • Mechanism of injury/nature of illness • Associated signs and symptoms Secondary Assessment Simple depth, simple breadth • Performing a rapid full body scan • Focused assessment of pain • Assessment of vital signs Reassessment Simple depth, simple breadth • How and when to reassess patients Pharmacology – EMR Medication Administration Simple depth, simple breadth Within the scope of practice of the EMR, how to • Self-administer medication • Peer-administer medication Emergency Medications Simple depth, simple breadth Within the scope of practice of the EMR • Names • Effects • Indications • Routes of administration • Dosages for the medications administered Preparatory – EMR
Shock and Resuscitation Special Populations – EMR Obstetrics Simple depth, simple breadth Recognition and management of • Normal delivery • Vaginal bleeding in the pregnant patient Neonatal Care Simple depth, simple breadth • Newborn care • Neonatal resuscitation Pediatrics Simple depth, simple breadth Age-related assessment findings, and age-related assessment and treatment modifications for pediatric specific major diseases and/or emergencies • Upper airway obstruction • Lower airway reactive disease • Respiratory distress/failure/arrest • Shock • Seizures • Sudden Infant Death Syndrome Geriatrics Simple depth, simple breadth • impact of age-related changes on assessment and care Patients with Special Challenges Simple depth, simple breadth • Recognizing and reporting abuse and neglect Trauma – EMR Bleeding Simple depth, simple breadth Recognition and management of • Bleeding Chest Trauma Simple depth, simple breadth Recognition and management of • Blunt versus penetrating mechanisms • Open chest wound • Impaled object Abdominal and Genitourinary Trauma Simple depth, simple breadth Recognition and management of • Blunt versus penetrating mechanisms • Evisceration • Impaled object Orthopedic Trauma Simple depth, simple breadth • Recognition and management of • Open fractures • Closed fractures • Dislocations Soft Tissue Trauma • Amputations Simple depth, simple breadth Recognition and management of • Wounds • Burns o Electrical o Chemical o Thermal • Chemicals in the eye and on the skin Head, Facial, Neck, and Spine trauma Simple depth, simple breadth Recognition and management of • Life threats • Spine trauma Special Considerations in Trauma Simple depth, simple breadth Recognition and management of trauma in • Pregnant patient • Pediatric patient • Geriatric patient Special Considerations in Trauma Simple depth, simple breadth Recognition and management of trauma in • Pregnant patient • Pediatric patient • Geriatric patient Multi-system Trauma Simple depth, simple breadth Recognition and management of • Multi-system trauma | ||