Emergency Medical Services Program

Student Handbook

(Updated Dec 2014)

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ContentsProgram Overview ..................................................................................................................................................... 4 

Program Goals ........................................................................................................................................................... 4 

Accreditation Status ................................................................................................................................................... 5 

Certificates and Degrees ............................................................................................................................................ 6 

ParamedicCertificate......................................................................................................................................6 

AssociateofAppliedScienceDegree‐EMS..............................................................................................7 

Course Learning Outcomes and Descriptions for EMSP Courses ............................................................................ 8 

Admissions ............................................................................................................................................................... 13 

AdvancedPlacement.....................................................................................................................................13 

TransferCredits..............................................................................................................................................13 

ExperientialLearning...................................................................................................................................13 

ServiceWorkWhileEnrolledinProgram..............................................................................................14 

EMSPProgramCriminalBackgroundandDrugScreening...............................................................14 

Texas Department of State Health Services (DSHS) Criminal Background Info .................................................... 15 

Estimated Program Costs ......................................................................................................................................... 16 

Program Graduation and Eligibility for Certification Testing.................................................................................. 17 

EligibilityforCertificationTestingattheEMT‐BasicLevel..............................................................17 

EligibilityforCertificationTestingattheIntermediateLevel.........................................................17 

EligibilityforGraduationattheParamedicLevel................................................................................17 

Students Rights and Responsibilities ....................................................................................................................... 18 

Functional Job Descriptions ..................................................................................................................................... 22 

TexasDSHSRequirementsforCertification(alllevels).....................................................................22 

DescriptionofTasks(alllevels):...............................................................................................................22 

Competencies...................................................................................................................................................23 

Policies and Procedures ........................................................................................................................................... 25 

ClassroomConductPolicy............................................................................................................................25 

CollegeStatement‐‐AcademicDishonesty..............................................................................................25 

EMSProgramStatement—AcademicDishonesty................................................................................25 

Plagiarism.........................................................................................................................................................25 

AmericanswithDisabilitiesAct.................................................................................................................25 

AttendancePolicy...........................................................................................................................................26 

StudentGrievancePolicy.............................................................................................................................26 

Non‐DiscriminationPolicy..........................................................................................................................27 

HealthcareandMedicalServices...............................................................................................................27 

InfectionControl.............................................................................................................................................28 

Confidentiality.................................................................................................................................................28 

StudentTravelPolicy....................................................................................................................................28 

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WithdrawalPolicy:.........................................................................................................................................29 

EMT Oath ................................................................................................................................................................ 30 

Code of Ethics .......................................................................................................................................................... 30 

Helpful Websites ...................................................................................................................................................... 32 

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Program Overview College of the Mainland was founded in October of 1966 and enrolled its first class in September 1967. The college’s first offering in the EMS program was an Emergency Care Attendant course held in 1978. The EMS program was expanded to include its first Paramedic course in 1981. The EMS program at COM continued to expand became nationally accredited in 1997. It was one of the first EMS programs in Texas to achieve this accreditation. In 1999, a new 10,800 square foot Public Service Careers (PSC) Building was opened across Amburn from the main campus. This building became the new home for the EMS program, along with other PSC programs. Recently, the EMS program has expanded to offer EMT-Basic classes to local high school students.

Program Goals The Emergency Medical Services program at College of the Mainland is committed to preparing students to become competent entry-level Paramedics that meet state and national expectations within the profession.

Upon graduation, the graduate will demonstrate: 1. the ability to comprehend, apply, analyze, and evaluate information relative to

the role of an entry-level Paramedic. 2. technical proficiency in all of the skills to fulfill the role of an entry-level

Paramedic. 3. personal behaviors consistent with the professional and employer expectations

of an entry-level Paramedic.

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Accreditation Status College of the Mainland is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools (SACS) to award the associate of arts degree, the associate of science degree, and the associate of applied science degree and certificates.

SACS 1866 Southern Lane Decatur, GA 30033

Phone: 404-679-4501 www.sacscoc.org

The EMS program at COM is accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) based on the review and recommendation of the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP).

CAAHEP 1361 Park Street

Clearwater, FL 33756 Phone: 727-210-2350

www.caahep.org

CoAEMSP 4101 W. Green Oaks Blvd., Suite 305-599

Arlington, TX 76016 Phone: 817-330-0080

www.coaemsp.org COM’s EMS program and its course offerings are approved by the Texas Department of State Health Services (DSHS).

Texas DSHS 1100 West 49th Street Austin, Texas 78756 Phone: 888-963-7111 www.dshs.state.tx.us

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Certificates and Degrees

Paramedic Certificate (34 semester credit hours)

EMT-Basic Credit EMSP 1501 EMT-Basic 5 EMSP 1160 EMT-Basic Clinicals 1 TOTAL 6 EMT-Intermediate Credit EMSP 1338 Introduction to Advanced Practice 3 EMSP 1355 Trauma Management 3 EMSP 2168 EMT-Intermediate Clinicals 1 TOTAL 7 Paramedic Credit EMSP 2306 Emergency Pharmacology 3 EMSP 2444 Cardiology 4 EMSP 2330 Special Populations 3 EMSP 2434 Medical Emergencies 4 EMSP 2143 Assessment Based Management 1 EMSP 2135 ACLS 1 EMSP 2461 Clinical-EMT Paramedic 4 EMSP 2169 Practicum/Field Experience – Paramedic 1 TOTAL 21

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Associate of Applied Science Degree - EMS

(60 semester credit hours) First Semester ______________ Credit EMSP 1501 EMT – Basic 5 EMSP 1160 EMT Basic Clinical 1 BIOL 2401 Human Anatomy & Physiology I 4 ENGL 1301 Composition and Rhetoric I 3 SEMESTER TOTAL 13 Second Semester ____________________ Credit EMSP1338 Intro of Advanced Practice 3 EMSP 1355 Trauma Management 3 EMSP 2168 Field Experience-EMT (Paramedic) 1 BIOL 2402 Human Anatomy and Physiology II 4 SOCI 2319 Muliculturalism or PSYC 2314 Lifespan Development 3 SEMESTER TOTAL 14 Third Semester __________________________ Credit EMSP 2444 Cardiology 4 EMSP 2306 Emergency Pharmacology 3 EMSP 2434 Medical Emergencies 4 EMSP 2461 Clinical—Emergency Medical Technology/ Technician 4 SPCH 1315 Public Speaking Or SPCH 1318 Interpersonal Communications 3 SEMESTER TOTAL 18 Fourth Semester _____________________ Credit ENGL 2311 Technical and Business Writing 3 PSYC 2301 Intro to Psychology 3 EMSP 2143 Assessment Based Management 1 EMSP 2330 Special Populations 3 EMSP 2135 Advanced Cardiac Life Support 1 EMSP 2169 Practicum/Field Experience – Paramedic 1 Elective Humanities/Fine Arts 3 SEMESTER TOTAL 15

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Course Learning Outcomes and Descriptions for EMSP Courses

EMSP 1501 (EMT-Basic) is a preparation course for certification as an Emergency Medical Technician (EMT) - Basic. The course includes all the skills necessary to provide emergency medical care at a basic life support level with an emergency service or other specialized services. At the completion of this unit, the student will be able to:

Apply safety and operational principles in out-of-hospital environments. Demonstrate life-saving care to patients at the Emergency Medical Technician

(EMT) level. Display professional and ethical behaviors expected of emergency personnel.

EMSP 1160 (EMT-B Clinical) is a health-related work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional. Through close interaction with an experienced EMS provider, the student will gain a perspective of full-time employment in the EMS profession. Clinical rotations are designed to fine-tune clinical skills and provide the opportunity to observe and work in different areas of patient care. At the completion of this class, the student will be able to:

Apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry.

Demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, communicating in the applicable language of the occupation and the business or industry.

Demonstrate the ability to perform comprehensive assessment on patients including those of different ages, cultures, and presenting problem.

Demonstrate the ability to formulate and implement a treatment plan for pediatric, adult, geriatric, obstetric, psychiatric, and/or trauma patients.

Demonstrate the ability to serve as a member of a team in a variety of prehospital situations.

EMSP 1338 (Introduction to Advanced Practice) is an exploration of the fundamental elements associated with emergency medical services to include preparatory practices, pathophysiology, medication administration, and related topics.

At the completion of this unit, the student will be able to: Describe and list the roles and responsibilities of advanced EMS personnel within

the EMS system. Apply the basic concepts of development, pathophysiology and pharmacology to

assessment and management of emergency patients.

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Administer IV fluids. Interpret the medical/legal issues. Employ effective communication Demonstrate ethical behaviors. Discuss well-being of the paramedic.

EMSP 1355 (Trauma Management) is a detailed study of the knowledge and skills in the assessment and management of patients with traumatic injuries.

At the completion of this unit, the student will be able to: Integrate the pathophysiological principles and assessment findings to formulate a

field impression. Implement the treatment plan for the trauma patient. Integrate multiple determinants of trauma conditions into clinical care Perform a history and comprehensive physical exam on all patient populations. Effectively communicate verbally and in writing. Establish and/or maintain a patent airway (to include placement of endotracheal

tube). Oxygenate and ventilate a patient.

EMSP 2168 (EMT-Intermediate Clinicals) is a practical, general workplace training supported by an individualized learning plan developed by the employer, college, and student. It is designed to ensure the competencies required to successfully function as an EMT-Intermediate in the prehospital environment. Clinical rotations are designed to fine-tune clinical skills and provide the opportunity to observe and work in different areas of patient care. At the completion of this module, the student will be able to:

Apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry.

Demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills

Demonstrate appropriate written and verbal communication skills using the terminology of the occupation and the business/industry.

Demonstrate the ability to safely perform endotracheal intubation. Demonstrate the ability to safely gain venous access in various age group patients. Demonstrate the ability to perform a comprehensive assessment on a variety of

patients. Demonstrate the ability to apply knowledge and skills in the clinical and prehospital

settings. EMSP 2444 (Cardiology) is a detailed study of the assessment and management of patients with cardiac emergencies. Includes single and multi-lead ECG interpretation. At the completion of this module, the student will be able to:

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Integrate pathophysiological principles and assessment findings to formulate a field impression.

Implement a treatment plan for the cardiac patient. EMSP 2306 (Emergency Pharmacology) is a study of drug classifications, actions, therapeutic uses, adverse effects, routes of administration, and calculation of dosages. Course is designed to complement cardiology, special populations, and medical emergency courses.

At the completion of this unit, the student will be able to: Categorize the classification of drugs. Calculate drug dosage. Identify the therapeutic use, routes of administration, indications, contraindications,

and adverse effects. Demonstrate a command of general pharmacological terminology, general drug

mechanisms. Demonstrate understanding of the pharmacodynamics, pharmacokinetics,

indications, contraindications, possible side effects, and common drug interactions of a variety of medications used in out-of-hospital medical care.

EMSP 2461 (Paramedic Clinicals I) is a health-related work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional. It is designed to ensure the competencies required to successfully function in the various healthcare environments. Clinical rotations are designed to fine-tune clinical skills and provide the opportunity to observe and work in different areas of patient care. At the completion of this module, the student will be able to:

Apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry.

Demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, communication in the applicable language of the occupation and the business/industry.

Demonstrate the ability to safely administer medications. Demonstrate the ability to safely gain venous access in all age group patients. Demonstrate the ability to perform a comprehensive assessment on adult, pediatric,

and geriatric patients. Demonstrate the ability to perform a comprehensive assessment on obstetric

patients. Demonstrate the ability to perform a comprehensive assessment on psychiatric

patients. Demonstrate the ability to perform a comprehensive assessment, formulate and

implement a treatment plan of patients with cardiovascular problems/chest pains. Demonstrate the ability to perform a comprehensive assessment, formulate and

implement a treatment plan of patients with dyspnea/respiratory distress.

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Demonstrate the ability to perform a comprehensive assessment, formulate and implement a treatment plan of patients with abdominal complaints.

Demonstrate the ability to perform a comprehensive assessment, formulate and implement a treatment plan of patients with altered mental states.

Demonstrate the ability to effectively ventilate with a bag-valve mask and to safely perform endotracheal intubation.

EMSP 2330 (Special Populations) is a detailed study of the knowledge and skills necessary to assess and manage ill or injured patients in diverse populations to include neonatology, pediatrics, geriatrics, and other related topics. At the completion of this module, the student will be able to:

Integrate pathophysiological principles and assessment findings to formulate a field impression.

Implement a treatment plan for diverse patients including OB, pediatric, geriatric, and psychiatric patients.

Integrate multiple determinants of such conditions into clinical care. EMSP 2434 (Medical Emergencies) is a detailed study of the knowledge and skills in the assessment and management of patients with medical emergencies, including medical overview, neurology, gastroenterology, immunology, pulmonology, urology, hematology, endocrinology, toxicology, and other related topics. At the completion of this module, the student will be able to:

Integrate pathophysiological principles and assessment findings to formulate a field impression.

Implement a treatment plan for the medical patient. Integrate multiple determinants of medical conditions into clinical care.

EMSP 2169 (Paramedic Internship) is an intensive, precepted field internship designed to ensure the competencies required to successfully function in the prehospital environment. In addition, through close interaction with an experienced preceptor, the student will gain a perspective of full-time employment in the EMS profession. At the completion of this module, the student will be able to:

Apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry

Demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry.

Demonstrate the ability to safely administer medications. Demonstrate the ability to effectively ventilate with a bag-valve mask and to safely

perform endotracheal intubation. Demonstrate the ability to safely gain venous access in all age group patients.

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Demonstrate the ability to perform a comprehensive assessment on pediatric patients.

Demonstrate the ability to perform a comprehensive assessment on adult patients. Demonstrate the ability to perform a comprehensive assessment on geriatric

patients. Demonstrate the ability to perform a comprehensive assessment on obstetric

patients. Demonstrate the ability to perform a comprehensive assessment on trauma patients. Demonstrate the ability to perform a comprehensive assessment on psychiatric

patients. Demonstrate the ability to perform a comprehensive assessment, formulate and

implement a treatment plan for patients with chest pain. Demonstrate the ability to perform a comprehensive assessment, formulate and

implement a treatment plan for patients with dyspnea/respiratory distress. Demonstrate the ability to perform a comprehensive assessment, formulate and

implement a treatment plan for patients with abdominal complaints. Demonstrate the ability to perform a comprehensive assessment, formulate and

implement a treatment plan for patients with altered mental states. Demonstrate the ability to serve as team leader in a variety of prehospital

emergency situations. EMSP 2143 (Assessment Based Management) is a summative (capstone) experience covering comprehensive, assessment-based patient care management for the paramedic level. At the completion of this module, the student will be able to:

Integrate pathophysiological principles and assessment findings to formulate a field impression

Implement a treatment plan. Demonstrate minimum cognitive knowledge by passing a comprehensive capstone

exam. Demonstrate minimum cognitive and psychomotor ability by passing a scenario-

based exam with the Medical Director. EMSP 2135 (Advanced Cardiac Life Support) is a course which guides students through theory and skills necessary for the management of cardiovascular emergencies as specified by the American Heart Association (AHA) guidelines. At the completion of this module, the student will be able to:

Demonstrate management of a cardiovascular patient according to the American Heart Association (AHA) guidelines.

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Admissions Students should apply for admission into College of the Mainland and complete any necessary college requirements for admission. Students can complete this application on-line on COM’s web page at www.com.edu. Students should choose “Paramedic Certificate” or “AAS-EMS” as their major code in this on-line application process. There is not an additional program application for the EMSP courses. Students must be in good physical health and submit a signed physical form indicating they are healthy enough for EMS work. Verification of all information required by clinical affiliates is required; students are provided a list of these requirements prior to registration (pg 3 of EMS Info Packet). Immunizations and/or certifications that expire prior to completion of the program must be renewed prior to student progression through remaining clinical rotations. Additional unforeseen requirements may be added if demanded by the college’s affiliate clinical sites. The student must have a current AHA Healthcare Provider CPR card prior to attending the clinical portion of courses. Consult the current CE schedule for upcoming classes. Students must have successfully completed an EMT-B course prior to enrolling in the EMT-Intermediate courses. Students must produce a copy of their NREMT or DSHS EMT-B certificate within six (6) weeks of the start of Intermediate courses; failure to do so will result in dismissal. Students must have successfully completed an EMT-Intermediate program prior to enrolling in the EMT-Paramedic courses. Students must produce a copy of their NREMT or DSHS EMT-I certificate within six (6) weeks of the start of Paramedic courses; failure to do so will result in dismissal. Advanced Placement Students must successfully complete each lower level (Basic and Intermediate) before being allowed to enroll in the next level of courses. Students that have not completed their clinical requirements, but have passed the final exam, for Basic and Intermediate may be allowed to register in the next level only with Program Director Approval. Students with a current DSHS certification may enter the program in the next appropriate level of courses.

Transfer Credits College of the Mainland will accept college credit transferred from any accredited institution of higher education, but they may not be applicable for placement and/or completion within the EMS program. For example, if a student successfully completes EMSP 1501 but not EMSP 1160 at another institution. That student would need to either finish the EMT-Basic program at their previous school or reenroll in both courses at COM. The EMS program at COM will only accept transfer credits from completed programs, such as a completed EMT-Intermediate certificate, as placement into the next level of EMS training Experiential Learning

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Experiential learning or previous work experience will not be substituted for any classroom or clinical requirement in the EMT-Paramedic Certificate or EMS AAS degree. Certified Paramedics without college credits for that education may seek an Associates of Applied Science Degree in EMS; alternatives may be available to assist the student in acquiring these credits. These students should contact the EMS Program Director to discuss this further. Service Work While Enrolled in Program Many students choose to work in EMS while completing advanced coursework. This practice can help the student apply advanced theories learned in class. Students who work or volunteer with a program-affiliate will not be allowed to do more than fifty percent (50%) of clinical or field experience hours with that affiliate. However, students may be able to count advanced skills if allowed by the affiliate. There is an approval process to gain permission from the affiliate and the affiliate medical director. Under no circumstances will a student be allowed to complete field internship with a service for which they work or volunteer.

EMSP Program Criminal Background and Drug Screening Drug testing and criminal background checks will be required of all COM EMS students. Ability to enter the EMS Program is contingent upon successful clearance of background check and drug screening. Successful completion of a school background check and/or drug screening does not guarantee licensure or employment after graduation. If you have any uncertainty, please contact the EMS Program Director or Clinical Manager prior to enrollment.

Timing of Criminal Background Check and Drug Screening: All applicants selected for the program will be required to have a drug screening and criminal background check prior to being fully accepted into the COM EMS Program. COM will designate the agency selected to do the criminal background screening and drug screening. The student will pay the cost of the background check prior to registration. The student will pay the cost of the drug screening at the time of the testing. It will be incumbent upon each student seeking admission to the program to complete the required authorization form and submit it to the designated company in a timely fashion so that results are received by the college PRIOR to the established deadline. Results of the drug screening and background check will be sent directly to the EMS Program Director. Drug testing and criminal background checks will be conducted at the student’s expense. The student will also sign and return to COM, a consent form indicating knowledge of this policy. The results will be accepted for the duration of the student’s enrollment in the EMS Program if the participating student has not had a break in enrollment at the College, and if the student has had no disqualifying allegations or convictions while enrolled. A break in enrollment is defined as nonattendance of one full semester or more and attendance must be verifiable through the college. Unsatisfactory Results:

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A student with a significant criminal background screen will not be eligible to enroll in the EMS Program. A significant criminal background screen means a conviction for any matter which clinical affiliates deem unacceptable. These vary from site to site. Non-negative drug screens will result in dismissal. COM encourages impaired students to seek assistance voluntarily and assume responsibility for their personal conduct. The applicant will be required to provide documentation of successful treatment, after a minimum of one-year ineligibility, prior to being considered for future admission to the EMS Program. Record Keeping: All criminal background information will be kept in confidential electronic files by the investigating agency and archived for seven years. The EMS Program Director and Clinical Manager may have access to these files at any time. Student Responsibility: If the student believes his or her background information is incorrect, he will have an opportunity to demonstrate the inaccuracy of the information to the investigating agency. However, until resolution of the possible discrepancy, the EMS Program must treat the information as valid. Associated clinical exclusions will apply as long as the record contains the disputed item. All researching of court records and documents and any cost associated with this process will be the responsibility of the student. Students will sign a release form that gives the EMS Program Director and Clinical Manager the right to receive their criminal background and drug screening information from the agency. All Students: COM prohibits the unlawful manufacture, distribution, possession or being under the influence of illegal drugs or alcohol by students on campus or while representing COM at off-campus student events. Violations of this policy will result in disciplinary action. Investigative procedures will be used to address allegations of violations of the Drug-Free Campus policy. Allegations should be presented in writing to the Associate Vice President for Student Success and Conduct. The College will protect, to the maximum extent possible, the rights of students. Students who believe their rights have been violated because of the investigative or disciplinary actions may file an appeal according to the student discipline process outlined in the Student Handbook.

Texas Department of State Health Services (DSHS) Criminal Background Info Criminal history may prevent a potential applicant to become certified or licensed with the Texas Department of State Health Services and/or the National Registry of EMTs. COM’s EMS program is not able to, or responsible for, advising a student with criminal history regarding eligibility for certification or licensure. All questions regarding eligibility should be directed to both the Texas Department of State Health Services (DSHS) and the National

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Registry of EMTs. The Texas DSHS will evaluate your criminal history prior to entry into class. Visit http://www.dshs.state.tx.us/emstraumasystems/formsresources.shtm#Instructor and scroll down to “EMS Criminal History Pre-Screening” and fill out the accompanying PDF. Initial applicants (those not holding a Texas EMS certification) are required to submit fingerprints to the Texas Department of State Health Services for a criminal background check. Applicants are first required to complete the "FAST" fingerprint form and then follow the steps on that form to schedule a fingerprinting session through the contracted service, L1 Identity Solutions. The DSHS EMS FAST form MUST be used when submitting fingerprints for EMS certification. Go to http://www.dshs.state.tx.us/emstraumasystems/formsresources.shtm to view or print the FAST form. Texas DSHS charges a fee of $44.20 for the fingerprinting and background check which is paid when fingerprints are collected. (Fee breakdown: $9.95 fee for fingerprinting and $34.25 for the DPS and FBI background check.) If you pay by credit card, there is an extra charge—the total cost would be $45.45.

Estimated Program Costs

EMT-Basic (6 semester credit hours) In-district/Out of District Tuition $270.00/$519.00 Malpractice Insurance Fees $26.00 Lab Fee $75 Student fee $180.00 Includes uniform, stethoscope and clinical document tracking Additional uniform items: Varies boots, black belt, watch Textbooks $200.00 Background Check $45.00 National Registry Testing Fee $65.00 (not included with cost of class) EMS Professions Paramedic Certificate (39 semester credit hours) In-district/Out of District $1728.00/$3280.00 Lab and Malpractice Insurance Fees $441.00 Textbooks $750.00 Uniform $200.00 Scissors, Watch $50.00 National Registry Testing Fee $110.00 National Registry Skills Exam $250.00 Additional Costs: Texas Certification Fees $100 - $250 Physical, TB Test, Hep Vaccine varies Transportation to and from clinical sites varies Adequate child care as needed varies Personal medical insurance varies Drug screenings varies

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Program Graduation and Eligibility for Certification Testing Eligibility for Certification Testing at the EMT-Basic Level

• Successfully complete EMSP 1501 with a grade of 75% or better and complete all mandatory activities (skills examinations, special project, attend Extrication Day).

Successfully pass the EMSP 1501 Final Exam with a 75% or better. One retest of the final exam will be allowed if the student has a 70% or better average on major exams. If the student has less that a 75% average on exams and scores less than 75% on the final exam, they will be required to repeat that course.

• Successfully complete co-requisite EMSP 1160 with a grade of 75% or better. • Must receive the approval of the program director (Texas DSHS EMS Coordinator) and

the medical director. • Once a student is more than 60 days past the didactic class Final Exam—for ANY

REASON—he/she will also be required to take a Competency Exam (essentially, the Final Exam) to prove retention of information prior to being awarded a Course Completion and Authorization to test with National Registry.

Eligibility for Certification Testing at the Intermediate Level

Successfully complete EMSP 1338 and EMSP 1355 with a minimum grade of 75% and complete all mandatory activities.

Successfully pass each of the courses final exams with a 75% or better. One retest of the final exam will be allowed if the student has a 70% or better average on major exams. If the student has less that a 75% average on exams and scores less than 75% on the final exam, they will be required to repeat that course.

Successfully complete the departmental EMT-Intermediate Skills Exam. Successfully completing all the requirements in EMSP 2168 – EMT-Intermediate

Clinical course with a grade of 75% or better. Must receive approval of the program director (Texas DSHS EMS Coordinator) and the

medical director. Once a student is more than 60 days past the last didactic class Final Exam (EMSP

1338)—for ANY REASON—he/she will also be required to take Competency Exams (essentially, the Final Exam) for all associated courses (EMSP 1355, EMSP 1338) to prove retention of information prior to being awarded a Course Completion and Authorization to test with National Registry.

Eligibility for Graduation at the Paramedic Level

Successfully complete all courses in the EMT Paramedic certificate with a grade of 75% or better and complete all mandatory activities.

Successfully pass each of the courses final exams with a 75% or better. One retest of the final exam will be allowed if the student has a 70% or better average on major exams. If the student has less that a 70% average on exams and scores less than 75% on the final exam, they will be required to repeat that course.

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Successfully complete the departmental EMT-Paramedic Skills Exam. Successfully pass the program’s Paramedic Capstone Exam with a 75% or better given

as the final exam in EMSP 2143 (capstone course). Successfully complete all the requirements in EMSP 2461 – Paramedic I Clinical

course. Successfully complete all the requirements in EMSP 2169– Paramedic Internship

course o Students will be assigned a department-approved preceptor for EMSP 2169. o That preceptor must sign the preceptor approval form confirming that the

student is performing as an entry-level paramedic. Must meet or exceed the program’s goals and objectives. Must receive the approval of the program director (Texas DSHS EMS Coordinator) and

the medical director. Once a student is more than 60 days past the last didactic class Final Exam (EMSP

2143)—for ANY REASON—he/she will also be required to take Competency Exams (essentially, the Final Exam) for all associated courses (EMSP 2444, 2306, 2434, 2330, and EMSP 2143) to prove retention of information prior to being awarded a Course Completion and Authorization to test with National Registry.

Students Rights and Responsibilities You have the right to know:

the learning objectives for all courses in which you enroll. how course grades will be determined. the established policies, procedures, and academic and behavioral guidelines on which

you are expected to base your conduct and performance. that you have the right to file an academic appeal or a grievance in accordance with

approved policies and procedures. Just as you have certain rights, you also have certain responsibilities. You are obligated to:

treat all patients, fellow students, faculty and staff, clinical facility staff, and the public in general with dignity and respect.

abide by all departmental, college, and system policies and procedures listed in published handbooks and publications.

complete all required courses in a satisfactory manner as outlined in this handbook and corresponding course syllabi.

conduct yourself at all times in a manner that is conducive to learning. prepare for and actively participate in all class, laboratory, clinical and other approved

functions. exhibit a professional manner in both attire and conduct. hold in confidence information relating to any and all patients or events encountered

during classroom, clinical, or field internship instruction.

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accept responsibility for your actions and academic performance.

Code of Conduct The goals of the EMS program are designed to guide the student in becoming a safe practitioner of prehospital care. These are partially fulfilled by holding the student accountable for safe, mature behaviors and by establishing a code of ethics and conduct along with professional standards of behavior which will help the student in meeting the expectations of our profession. Infraction of the code of conduct, whether it occurs in the classroom at a clinical site, will result in disciplinary action. Discipline can range from a verbal warning to written incident form to removal from the program depending on the seriousness of the incident. Reasons for disciplinary action may include but are NOT LIMITED TO:

1. Use of alcohol or drugs prior to or during class or clinical shift. Examples may include but are not limited to:

Alcohol on a student’s person or detected on her/his breath. Slurred speech, glassy red eyes. Difficulty in maintaining his/her balance. Belligerent, combative, irrational behavior. Illogical or inappropriate decision-making that could endanger clients or others. Possessing articles commonly associated with drug use.

2. Impairment by reason of mental or physical health, alcohol, or other mind-altering

drugs which could expose patients, the public, students, and faculty unnecessarily to risk of harm. Examples may include but are not limited to: Demonstration of hallucination, delusion or combative behavior. Physically or verbally attacking or threatening to attack patients, family, or other

students or faculty. Misleading and deceptive comments including slanderous remarks or actions.

3. Unprofessional or dishonorable conduct which may deceive, defraud, or injure clients,

the public, school personnel, other students, and faculty. Examples may include but are not limited to:

The brandishing of any kind of knife, firearm, or other instrument that could be used as a weapon or that could frighten others.

Failing to follow instructional directives. Falsifying of records.

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Stealing.

4. Aiding another student in deceiving or attempting to deceive the faculty in obtaining exam or other course materials.

Examples may include but are not limited to:

Cheating on an exam or allowing another student to copy answers. Plagiarizing data for any reason. Using codes, gestures, or any other types of conduct designed to share or obtain

answers from another student. Using “crib” notes or writing answers on the walls or desk tops, etc. Utilizing advanced technology for sharing of information via text messaging,

internet, etc.

5. Damaging or destroying school or hospital property or equipment or removing property or equipment from campus or a clinical site.

Examples may include but not limited to:

Removing limbs, eyes or other body parts from the teaching mannequins or torsos. Defacing laboratory or classroom equipment in any way. Destroying computers, printers, library magazine or journal articles. Removal of property of any kind from the lab.

6. Using profane language or gestures.

Examples may include but not limited to:

Using profane or obscene language or obscenities, or words and phrases that are derogatory or demeaning.

Demonstrating obscene gesture. Making derogatory statements regarding a specific cultural, ethnicity or other

protected group.

7. Being disruptive, habitually late, or absent from class or clinical. Examples may include but not limited to:

Habitually arriving to class late and disrupting instruction that is in progress. Failing to call the faculty and clinical coordinator when an absence from clinical

occurs. Having cell phones, computers, or other communication devices which are not on

silent mode during clinical or class time.

8. Physically or verbally assaulting others, demonstrating poor coping mechanisms or becoming confrontational during the instructional process or educational experience.

Examples may include but not limited to:

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Grabbing, hitting or assaulting a student, patient, faculty or other persons affiliated with the college or clinical site.

Using menacing, aggressive verbal or physical behavior. Shouting obscene or abusive words. Being argumentative and menacing. Threatening others with physical or personal injury. Causing of or participation in an incident which attracts attention during clinical

rotations.

9. Violation of Texas Administrative Code 157.36—Criteria for denial and disciplinary actions for EMS personnel and applicants and voluntary surrender of a certificate or license.

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Functional Job Descriptions Texas DSHS Requirements for Certification (all levels) � You must be at least 18 years old � Have a high school diploma or GED certificate � Successfully complete a DSHS approved EMS training course � Submit a completed EMS Personnel Certification application and fee � Pass the National Registry exam � Submit fingerprints for Texas/FBI criminal history check. � Paramedic licensure applicants are required to follow the steps above and submit proof of either a two-year EMS degree or a four-year degree in any field. See equivalency. Qualifications Must be at least 18 years of age. Generally, the knowledge and skills required show the need for a high school education or equivalent. ability to communicate verbally via telephone and radio equipment ability to lift, carry, and balance up to 125 pounds (250 with assistance) ability to interpret written, oral and diagnostic form instructions ability to use good judgment and remain calm in high-stress situations ability to be unaffected by loud noises and flashing lights ability to function efficiently throughout an entire work shift without interruption; ability to

calculate weight and volume ratios and read small print, both under life threatening time constraints

ability to read English language manuals and road maps accurately discern street signs and address numbers; ability to interview patient, family

members, and bystanders ability to document, in writing, all relevant information in prescribed format in light of legal

ramifications of such ability to converse in English with coworkers and hospital staff as to status of patient. good manual dexterity, with ability to perform all tasks related to highest quality patient

care ability to bend, stoop, and crawl on uneven terrain and the ability to withstand varied

environmental conditions such as extreme heat, cold, and moisture ability to work in low-light and confined spaces Description of Tasks (all levels): Receives call from dispatcher, responds verbally to emergency calls, reads maps, may drive ambulance to emergency site, uses most expeditious route, and observes traffic ordinances and regulations. Determines nature and extent of illness or injury, takes pulse, blood pressure, visually observes changes in skin color, makes determination regarding patient status, establishes priority for emergency care, renders appropriate emergency care (based on competency level); may administer intravenous drugs or fluid replacement (based on competency level) as directed by physician. May use equipment (based on competency level) such as but not limited to,

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defibrillator, electrocardiograph, performs endotracheal intubation to open airways and ventilate patient, inflates pneumatic anti-shock garment to improve patient's blood circulation. Assists in lifting, carrying, and transporting patient to ambulance and on to a medical facility. Reassures patients and bystanders, avoids mishandling patient and undue haste, searches for medical identification emblem to aid in care. Extricates patient from entrapment, assesses extent of injury, uses prescribed techniques and appliances, radios dispatcher for additional assistance or services, provides light rescue service if required, provides additional emergency care following established protocols. Complies with regulations in handling deceased, notifies authorities, arranges for protection of property and evidence at scene. Determines appropriate facility to which patient will be transported, reports nature and extent of injuries or illness to that facility, asks for direction from hospital physician or emergency department. Observes patient en route and administers care as directed by physician or emergency department or according to published protocol. Identifies diagnostic signs that require communication with facility. Assists in removing patient from ambulance and into emergency facility. Reports verbally and in writing observations about and care of patient at the scene and in-route to facility, provides assistance to emergency staff as required. Replaces supplies, sends used supplies for sterilization, checks all equipment for future readiness, maintains ambulance in operable condition, ensures ambulances cleanliness and orderliness of equipment and supplies, decontaminates vehicle interior, determines vehicle readiness by checking oil, gas, water in battery and radiator, and tire pressure, maintains familiarity with all specialized equipment. Competencies Emergency Care Attendant Texas Health and Safety Code, Sec. 773.046. EMERGENCY CARE ATTENDANT QUALIFICATIONS. (a) An individual qualifies as an emergency care attendant if the individual is certified by the department as minimally proficient to provide emergency prehospital care by providing initial aid that promotes comfort and avoids aggravation of an injury or illness. Must demonstrate competency handling emergencies utilizing all Basic Life Support equipment and skills in accordance with all behavioral objectives in the DOT/First Responder Training Course and the FEMA document entitled "Recognizing and Identifying Hazardous Materials", and to include curricula on aids to resuscitation, blood pressure by palpation and auscultation, oral suctioning, spinal immobilization, patient assessment, and adult, child, and infant cardiopulmonary resuscitation. The automated external defibrillator curriculum is required. Emergency Medical Technician Texas Health and Safety Code, Sec. 773.047. EMERGENCY MEDICAL TECHNICIAN QUALIFICATIONS. An individual qualifies as an emergency medical technician if the individual is certified by the department as minimally proficient to perform emergency

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prehospital care that is necessary for basic life support and that includes cardiopulmonary resuscitation and the control of hemorrhaging. Must demonstrate competency handling emergencies utilizing all Basic Life Support equipment and skills in accordance with all behavioral objectives in the DOT/EMT Basic curriculum and the FEMA document entitled "Recognizing and Identifying Hazardous Materials". EMT 1994 curriculum includes objectives pertaining to the use of the pneumatic antishock garment, automated external defibrillator, epinephrine auto-injector and inhaler bronchodilators. EMT-I Intermediate Texas Health and Safety Code, Sec. 773.048. EMERGENCY MEDICAL TECHNICIAN--INTERMEDIATE QUALIFICATIONS. An individual qualifies as an emergency medical technician-intermediate if the individual is certified by the department as minimally proficient to provide emergency prehospital care by initiating under medical supervision certain procedures, including intravenous therapy and endotracheal or esophageal intubation. Must demonstrate competency handling emergencies utilizing all Basic and Advanced Life Support equipment and skills in accordance with all behavioral objectives in the DOT/EMT Basic and EMT-I curriculum. The curriculum will include objectives regarding endotracheal intubation, peripheral venipuncture, initiation of intraosseous access, and knowledge of several prehospital medications. EMT-P Paramedic Texas Health and Safety Code, Sec. 773.049. EMERGENCY MEDICAL TECHNICIAN--PARAMEDIC QUALIFICATIONS. An individual qualifies as an emergency medical technician-paramedic if the individual is certified by the department as minimally proficient to provide advanced life support that includes initiation under medical supervision of certain procedures, including intravenous therapy, endotracheal or esophageal intubation, electrical cardiac defibrillation or cardioversion, and drug therapy. Must demonstrate competency handling emergencies utilizing all Basic and Advanced Life Support equipment and skills in accordance with all behavioral objectives in the DOT/EMT Basic, EMT-I curriculum, and the EMT-P curriculum. The curriculum will include objectives regarding cardiac monitoring (single-lead and 12-lead) and knowledge of prehospital medications. The EMT-P is the highest level of pre-hospital certification.

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Policies and Procedures Classroom Conduct Policy College of the Mainland requires that students enrolled at COM be familiar with the Standards of Student Conduct, which can be found in the on-line Student Handbook. http://www.com.edu/student-services/student-handbook.php. Students should act in a professional manner at all times. Disruptive students will be held accountable according to college policy. Any violations of the Code of Conduct will result in a referral to the Office for student Conduct and may result in dismissal from this class. College Statement--Academic Dishonesty Any incident of academic policy will be dealt with in accordance with college policy and the Student Handbook. Academic dishonesty – such as cheating on exams is an extremely serious offense and will result in a grade of zero on that exam and the student will be referred to the Office of Student Conduct for the appropriate disciplinary action, which may include dismissal from the EMS Program. EMS Program Statement—Academic Dishonesty Academic dishonesty will not be tolerated within the College of the Mainland EMS Program. Disciplinary action will include, but is not limited to, recording a “0” for the assignment. Dismissal is likely in incidents of cheating or falsification of clinical documents. NOTICE: Falsification of any program document is grounds for immediate dismissal and may result in a report of all personnel involved under Texas Administrative Code RULE §157.36. Plagiarism Plagiarism is using someone else’s words or ideas and claiming them as your own. Plagiarism is a very serious offense. Plagiarism includes paraphrasing someone else’s words without giving proper citation, copying directly from a website and pasting it into your paper, using someone else’s words without quotation marks. Any assignment containing any plagiarized material will receive a grade of zero and the student will be referred to the Office of Student Conduct for the appropriate discipline action. Americans with Disabilities Act College of the Mainland is dedicated to providing the least restrictive learning environment for all students. The college promotes equity in academic access through the implementation of reasonable accommodations as required by the Vocational Rehabilitation Act of 1973, Title V, Section 504 and the Americans with Disability Act of 1990 which enable students with disabilities to participate in and benefit from all post-secondary educational activities. If you require reasonable accommodations because of a physical, mental, or learning disability, please see your specific class syllabus for the ADA Statement wherein additional instructions and contact information can be found. Certain accommodations that are not allowed in the EMS Program because they are not in compliance with the essential job functions of an EMT or paramedic as outlined in the Functional Job Description. These include, but are not limited to:

1. Students are not allowed additional time for skills with specific time frames. Obviously patients would suffer due to life threatening conditions in emergency situations if treatment were delayed.

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2. Students are not allowed unlimited time to complete a written exam. This request is not considered reasonable because a candidate should be able to complete a test within a finite amount of time. Students will be allowed a maximum of time and one-half to complete written exams.

3. Students are not allowed to have written exams given by an oral reader. The ability to read and understand small English print is an essential function of the profession, and written exams are designed, at least in part, to measure that ability.

4. Students are not provided a written exam with a reading level of less than grade eight. The EMS profession requires a reading level of at least grade eight to work safely efficiently.

5. Students must take all exams during the scheduled time, as a member of the enrolled class. The ability to utilize knowledge on the spur of the moment is an essential task for EMT and paramedics. Exams are given to elicit immediate recall and understanding of emergency situations. Students will be permitted a private space to take the exam. Refer to the written examination policy of missed exams due to excused absences.

6. Students must answer all written test questions as written. No explanation of the question can be provided by the test proctor or any other individual. Additional descriptions of test questions would not be a reasonable accommodation because reading and understanding written English is an essential part of EMS communication. Student must be able to understand and converse in medical terms appropriate to the profession.

Because of the critical nature of the tasks needed in emergency situations, accommodation requests are considered very carefully, on a case by case basis. The safety and welfare of the community must be insured while providing full protection of the certification applicant’s rights. The main question to be considered is: with the accommodation being requested, can this individual perform the essential functions of the job safely and efficiently? Additional information, along with a brochure describing services and sources of campus support and equipment, is available in the Student Success Center in the Enrollment Center Building. Information may also be obtained by contacting 409-933-8379 or 409-933-8524. Attendance Policy Attendance and promptness are expected to all classes. Excessive absences and/or tardiness could subject the student to being dropped from or failure of the course and, therefore, the EMS program. Please refer to your course syllabus for the amount of allowable absences before you will be dismissed from that class. Student Grievance Policy If you have any questions or concerns about any aspect of this course, please contact your instructor using the contact information provided in the syllabus. Students have the right to expect their issues to be addressed. Using the method outlined here will ensure that problems are properly documented and, therefore, properly addressed.

Required Syllabus Reference: The EMSP faculty encourages students to problem-solve, work as a team, and utilize available resources. Additionally, the Course Syllabus is SPECIFICALLY written FOR STUDENT REFERENCE. Do NOT ask a course-related question without first checking the syllabus.

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EMS Chain of Command: In order to develop workforce-related professional skills, we employ Chain of Command policies similar to those seen in the workplace.

1. If you have a problem or question, first consult the syllabus. 2. Verbally discuss the issue with the Lead Instructor.

a. Follow up with an email TO the LEAD INSTRUCTOR summarizing the meeting and your understanding of the outcomes.

b. If you were dissatisfied with the outcome, proceed to Step 3. 3. Forward your summary of initial meeting to the Program Director (Julianne

Duncan, jduncan3@com.edu, 409-933-8198) and Lead Instructor. You should also state your desired outcome and justifications for that outcome.

a. You will likely be asked to meet in person with the Program Director. b. As before, prepare a follow-up email summarizing the outcome of the

meeting. c. If you are dissatisfied with the outcome, you should proceed with Step 4.

4. Forward your summary of initial meeting to the Dean (Carla Anderson, canderson@com.edu, 409-933-8276) the Program Director and the Lead Instructor. You should also state your desired outcome and justifications for that outcome.

a. You will likely be asked to meet in person with the Dean. b. As before, prepare a follow-up email summarizing the outcome of the

meeting. c. If you are dissatisfied with the outcome, you should refer to the Student

Handbook for next steps. http://www.com.edu/student-services/student-handbook.php

**NOTE: This process is not meant to be a barrier to you, but instead to provide the following benefits:

-preparation for the workforce -proper complaint/incident process -practice in professional documentation -ensures that issues are managed as close to the source as possible

Non-Discrimination Policy College of the Mainland is an affirmative action/equal opportunity institution and does not discriminate on the basis of race, color, sex, age, national origin, religion, disability or veteran status. College of the Mainland does not discriminate in its education programs and activities on the basis of sex. Inquiries concerning application of Title IX of the Education Amendments of 1972, as amended, may be referred to the College’s Title IX Coordinator or the U.S. Department of Education’s Office of Civil Rights. The College District designates the following person to coordinate its efforts to comply with Title IX of Education Amendments: Lonica Bush, lbush@com.edu, 1200 Amburn Road, Texas City, TX 77591, 409-933-8413 Healthcare and Medical Services College of the Mainland and its affiliated clinical sites are not responsible for providing health care services in the event of illness, injury, or exposure during or as a result of class, laboratory, or clinical participation. Students are strongly encouraged to carry personal health and medical insurance.

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Infection Control Students are required to comply with the infection control policies at each clinical site. At a minimum, students should:

Wash their hands before and after contact with patients and patient care equipment. Wear gloves when in contact with blood, body fluids, tissue, or contaminated

surfaces is anticipated. Wear gowns, masks, and eye protection when spattering of blood/body fluids or

other potentially infectious material is likely. Clean all blood and body fluid spills promptly with the appropriate disinfectant or

germicidal agent. Consider all specimens of blood or other body fluids as potentially infectious.

Promptly properly dispose of all sharps in sharp containers. A student who has a known or suspected exposure to an infectious disease during the performance of their academic responsibilities will follow the employee exposure policy at the facility at which the exposure occurred. In addition to following the employee exposure procedure, the student should notify the EMS Clinical Manager immediately. The student will also be referred to their private physician or the appropriate public health facility. The care of an infected student is the financial responsibility of that student. Confidentiality Students are expected to hold all patient and institutional information in the strictest confidence at all times. The discussion of any patient information or clinical situation/experience outside of the classroom setting is NOT permissible. Information concerning the clinical or field internship site is not to be discussed with any unauthorized individual under any circumstance. Violation of confidentiality will result in disciplinary action. As a student in the EMS program, you will have access to confidential information during your clinical experiences. Confidential information includes patient information, employee information, financial information, other information relating to your duty as a student and information proprietary to other companies or persons. Confidential information is protected by strict policies of the clinical facilities and by federal and state laws particularly the Health Insurance Portability and Accountability Act. The intent of these laws and policies is to assure that confidential information, that is, Patient’s Protected Health Information or Individually Identifiable Information provided to students orally or contained in patient medical records or maintained on the facility’s electronic information system will remain confidential. As a student, you are required to comply with the applicable policies and laws governing confidential information. Any violation of these laws will subject the student to discipline, which might include, but is not limited to, dismissal as a student and to legal liability. Student Travel Policy To achieve an effective and efficient educational experience, a significant portion of clinical rotations may take place at sites that provide access to larger numbers of patients presenting

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with common problems encountered in the delivery of prehospital care. College of the Mainland and the EMS Program assume no liability or responsibility for expenses incurred as a result of travel or transportation that must be arranged by students to satisfy course requirements. Withdrawal Policy: You may withdraw from any course up to the published “W-Day.” A “W” will be recorded on your transcript and will not affect your GPA; however, each student is allowed only six (6) withdrawals over the course of their college career. Should the student decide to stop attending classes, it is the student’s responsibility to fill out a “drop form” and submit to the registrar’s office. If the student does not complete the proper withdrawal form in the Registrar’s Office, a grade of “F” will be recorded on the transcript. Withdrawals must be completed prior to the semester “W-Day” to avoid an “F.” The date can be found in the College Academic Calendar (http://www.com.edu/admissions/academic-calendar.php ).

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EMT Oath Written by: Charles B. Gillespie, M.D. Adopted by the National Association of Emergency Medical Technicians, 1978

Be it pledged as an Emergency Medical Technician, I will honor the physical and judicial laws of God and man. I will follow that regimen which, according to my ability and judgment, I consider for the benefit of patients and abstain from whatever is deleterious and mischievous, nor shall I suggest any such counsel. Into whatever homes I enter, I will go into them for the benefit of only the sick and injured, never revealing what I see or hear in the lives of men unless required by law. I shall also share my medical knowledge with those who may benefit from what I have learned. I will serve unselfishly and continuously in order to help make a better world for all mankind. While I continue to keep this oath unviolated, may it be granted to me to enjoy life, and the practice of the art, respected by all men, in all times. Should I trespass or violate this oath, may the reverse be my lot. So help me God.

Code of Ethics Written by: Charles Gillespie, M.D. Adopted by: The National Association of Emergency Medical Technicians, 1978.

Professional status as an Emergency Medical Technician and Emergency Medical Technician-Paramedic is maintained and enriched by the willingness of the individual practitioner to accept and fulfill obligations to society, other medical professionals, and the profession of Emergency Medical Technician. As an Emergency Medical Technician-Paramedic, I solemnly pledge myself to the following code of professional ethics: A fundamental responsibility of the Emergency Medical Technician is to conserve life, to alleviate suffering, to promote health, to do no harm, and to encourage the quality and equal availability of emergency medical care. The Emergency Medical Technician provides services based on human need, with respect for human dignity, unrestricted by consideration of nationality, race creed, color, or status. The Emergency Medical Technician does not use professional knowledge and skills in any enterprise detrimental to the public well being. The Emergency Medical Technician respects and holds in confidence all information of a confidential nature obtained in the course of professional work unless required by law to divulge such information. The Emergency Medical Technician, as a citizen, understands and upholds the law and

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performs the duties of citizenship; as a professional, the Emergency Medical Technician has the never-ending responsibility to work with concerned citizens and other health care professionals in promoting a high standard of emergency medical care to all people. The Emergency Medical Technician shall maintain professional competence and demonstrate concern for the competence of other members of the Emergency Medical Services health care team. An Emergency Medical Technician assumes responsibility in defining and upholding standards of professional practice and education. The Emergency Medical Technician assumes responsibility for individual professional actions and judgment, both in dependent and independent emergency functions, and knows and upholds the laws which affect the practice of the Emergency Medical Technician. An Emergency Medical Technician has the responsibility to be aware of and participate in matters of legislation affecting the Emergency Medical Service System. The Emergency Medical Technician, or groups of Emergency Medical Technicians, who advertise professional service, do so in conformity with the dignity of the profession. The Emergency Medical Technician has an obligation to protect the public by not delegating to a person less qualified, any service which requires the professional competence of an Emergency Medical Technician The Emergency Medical Technician will work harmoniously with and sustain confidence in Emergency Medical Technician associates, the nurses, the physicians, and other members of the Emergency Medical Services health care team. The Emergency Medical Technician refuses to participate in unethical procedures, and assumes the responsibility to expose incompetence or unethical conduct of others to the appropriate authority in a proper and professional manner.

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Helpful Websites College of the Mainland EMS Program (www.com.edu/ems ) National Highway Traffic Safety Administration (www.nhtsa.gov) NHTSA maintains the National Standard Curriculum (NSC) for all EMS certification levels in the United States. Texas has adopted the 1998 EMT-Paramedic NSC. National Registry of EMTs (www.nremt.org) The State of Texas utilizes the NREMT for testing purposes only. In order to become certified and approved to work in Texas, you must first successfully become NREMT certified. Certification requirements, application information, and testing processes can be found on this site. Texas Department of State Health Services – EMS/Trauma Systems (www.dshs.state.tx.us/emstraumasystems/default.shtm) Texas DSHS is responsible for all things related to EMS in Texas. Rules, policies, statutes, laws, application and certification procedures are all contained on this site. CertifiedBackground (www.certifiedbackground.com) EMS candidates will request and pay for a background check by this website prior to registering for class. Upon successful registration and payment for EMS Classes, students will again visit this website to upload evidence that pre-clinical requirements (immunizations, physical exam, etc.) have been satisfied. Additional instructions are provided at clinical orientation. When to Work (www.whentowork.com) The EMS Professions program utilizes the scheduling utility for clinical and some practical laboratory sessions. Students will be provided personalized log-in information. Your companion scheduling resource should be checked at least daily and will used for official communication between the clinical coordinator and student. CliniTrack (http://clinitrackems.com/) The EMS Professions program utilizes the scheduling utility for clinical and some practical laboratory sessions. Students will be provided personalized log-in information. Your companion scheduling resource should be checked at least daily and will used for official communication between the clinical coordinator and student.