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SftM./ NU),f: ~o FM: PARAMEDIC PROGRAM STUDENT HANDBOOK 2019-2020

HU Paramedic Program Student Handbook - Hodges University · Hodges University Paramedic Program Student Handbook The Hodges University Paramedic Program reserves the right to make

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Page 1: HU Paramedic Program Student Handbook - Hodges University · Hodges University Paramedic Program Student Handbook The Hodges University Paramedic Program reserves the right to make

SftM./ NU),f: ~o FM:

PARAMEDIC PROGRAM

STUDENT HANDBOOK

2019-2020

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Hodges University

Paramedic Program Student Handbook

The Hodges University Paramedic Program reserves the right to make any revisions, deletions, or additions to the policies or procedures which, in the opinion of the faculty and/or Hodges University, serve in the best interest of the program and its students. If changes from these policies and procedures are necessary, those changes will be noted in class syllabi which supersede this handbook or in notification by email or in writing.

The paramedic student is subject to the regulations in this handbook as well as the regulations and policies in the Student Handbook.

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Table of Contents Program Description..................................................................................................................................... 4 Accreditation ................................................................................................................................................ 4 Paramedic Program Curriculum Plan Philosophy......................................................................................... 4 Paramedic Program Mission Statement....................................................................................................... 5 Program Goal................................................................................................................................................ 5 Advanced Placement/Transfer of Credit/Experiential Learning………………… …………………………………………….5 Informed Consent/Consent to Participate.................................................................................................... 6 Changes in Paramedic Program.................................................................................................................... 7 Certification Exams....................................................................................................................................... 7 Academic Requirements............................................................................................................................... 7 Paramedic Core Performance Standards ..................................................................................................... 8 Qualifications & Competencies ................................................................................................................ 8 Visual .................................................................................................................................................... 8 Oral‐Auditory ........................................................................................................................................ 8 Physical/Motor ..................................................................................................................................... 8 Cognitive ............................................................................................................................................... 8 Social..................................................................................................................................................... 9 Curriculum Requirements ..................................................................................................................... 9 Test and Evaluation .............................................................................................................................. 9 Clinical Assessment ............................................................................................................................... 9 Attendance ........................................................................................................................................... 9

Learning Strategies ....................................................................................................................................... 9 Paramedic Program Requirements ............................................................................................................ 11 Program Advancement............................................................................................................................... 12 Unable to Advance ..................................................................................................................................... 12 Dismissal from the Program ....................................................................................................................... 13 Reinstatement ............................................................................................................................................ 13 Remediation/Retention.............................................................................................................................. 14 Universal Precautions ................................................................................................................................. 14 Infectious Disease Policy ............................................................................................................................ 14 Health Insurance Coverage......................................................................................................................... 15 Pregnancy Policy......................................................................................................................................... 15 Liability Insurance....................................................................................................................................... 15 Student Employment.................................................................................................................................. 15 Assignment of Students to Clinical Sites .................................................................................................... 15 Transportation............................................................................................................................................ 16 Conduct....................................................................................................................................................... 16 Disciplinary Procedures .............................................................................................................................. 16 Grounds for Written Counseling ................................................................................................................ 17 Clinical/Field Rotation Regulations............................................................................................................. 17 Dress Code/Uniforms ................................................................................................................................. 18 Certificates of Completion.......................................................................................................................... 20 Restriction on Students as Staff or Being Subject to Call ........................................................................... 21 Criminal Penalties and Loss of Licensure for Falsification of Documentation ........................................... 21

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Program Description

The information in this handbook applies to Paramedic Program students and is in accordance with the policies and procedures of Hodges University. Other Hodges University student policies and procedures are found in the Hodges University Catalog and the University Student Handbook.

The paramedic program is one of the health career programs offered at Hodges University as part of the School of Health Sciences. Students in the paramedic program participate in all lecture and lab classes together as a cohort. There are several off-site clinical and internships.

The curriculum provides the student the opportunity to develop competency in technical skills through experiences in the classroom, laboratory, and off-site clinical facilities. The paramedic program is dedicated to developing paramedics who are skilled, pro-active and will make valuable contributions to the field of physical therapy.

The paramedic program at Hodges University is designed to provide students with entry-level skills and knowledge to work independently under the direction of a licensed Medical Director in the treatment and transportation of patients with distress, disease, or disorders. Graduates of the paramedic program will be eligible to take the national licensing board exam required to practice in the field of Paramedic.

Accreditation Hodges University is accredited by the Southern Association of Colleges and Schools (sacscoc.org). The Paramedic program is currently seeking accreditation (www.coaemsp.org) and will submit the program’s LSSR. Letter of Self Study Review in June 2019.

Paramedic Program Curriculum Plan Philosophy

The paramedic curriculum is designed with the adult learner in mind. The faculty recognizes the need to connect new learning with real life experiences and clinical simulations. Just as faculty members are responsible for facilitation of learning, the students are encouraged to take responsibility to pursue and master the skills and knowledge needed to enter the field of Paramedic and practice under the supervision of a licensed Medical Director.

Design of the paramedic curriculum is based on the belief that paramedic learning begins with basic sciences and liberal arts education, continues with technical education and skill development, followed by integration and application of the material and skills learned, with the opportunity to practice in real-world clinical settings. The paramedic faculty understands that success not only relates to technical competency, but also professional behaviors, cultural sensitivity and social responsibility. These items are addressed and modeled throughout the curriculum, threaded from the first core session through the final terminal internship.

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A variety of teaching methods are used in the paramedic program to achieve the proper depth and breadth of information and provide activities for visual, auditory and kinesthetic learners. These activities include, but are not limited to, lecture, lab, simulated clinic, group and individual activities and projects, teaching and mentoring, observation and role playing, open lab practice time and clinical experiences. The faculty recognizes the diversity of the student and patient population and provides experiences and opportunities for active student participation and involvement in the classroom, profession and community.

Paramedic Program Mission Statement

The mission of the Hodges University Paramedic Program is to provide pre-hospital professionals with educational opportunities to obtain the skills, knowledge and behaviors needed to provide outstanding patient care in the pre-hospital, emergency setting with compassion, respect, professionalism, and competence.

Program Goal

The goal of the Paramedic program is to prepare competent entry-level Paramedics in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains with or without exit points at the Advanced Emergency Medical Technician and/or Emergency Medical Technician, and/or Emergency Medical Responder levels.

Advanced Placement/Transfer of Credit/Experiential Learning

Hodges University does not offer advanced placement of Paramedic core classes; however, transfer of credits will be awarded for Anatomy & Physiology I w/Lab and Anatomy & Physiology II w/Lab with the permission of the Office of the Registrar. The program does not offer credit for experiential learning. Students with medical training, including nursing, military medical training, etc. are not given advanced placement in the Paramedic Program.

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Paramedic Program Graduate Goals

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

2: To comprehend, apply, and evaluate information relative to the role of an entry-level Paramedic.

3: Exhibit personal behaviors consistent with professional and employer expectations of an entry-level Paramedic.

4: Exhibit preparedness to pass the National Registry Paramedic Level cognitive and psychomotor examinations.

Informed Consent/Consent to Participate

Paramedic students are expected to participate in a clinical rotation and Advanced Life Support Internship as well as other in-class and off- campus activities. Students must participate in mock lab, practice sessions, and practical exams as simulated patient and practitioner. Labs and practical testing maybe photographed or videotaped for instructional, assessment or promotional purposes. Clinical facilities may require further drug testing, proof of immunizations, and background checks. All students must introduce themselves to patients and peers as student paramedics and ask permission to work with the patient as well as inform the patient of their risk free right to refuse treatment by a student. Students enrolled in the HU paramedic program will be required to sign an Informed Consent Form stating that they are aware of their rights, responsibilities, and risks associated with participating in the paramedic program and in a clinical internship.

In addition, clinical affiliates may require copies of the student’s CPR certifications, as well as Medical History and Physical Examination results prior to attending a clinical internship. Consent is required before HU can release this information to the clinical site. Students will sign a Consent to Release Student Information to Clinical Site Form during the Paramedic Program orientation.

Confidentiality of patients while in clinical internships must be in compliance with HIPAA privacy guidelines, which will be covered in the first session of the program. Any breach in confidentiality, especially as it relates to patient/client information, may result in dismissal from the paramedic program and the University.

During lab and clinical internships, students may be involved in developing educational material and completing assignments, which require the participation of actual patients in the clinical setting. This may involve videotaping, audiotaping, and/or photography. Students will sign a Student/Patient Consent to Participate Form which includes videotaping, audiotaping, and/or photography.

Each paramedic student will be required to sign an informed consent form on or before the first day of the initial lab class. Signed informed consent forms will remain active throughout the student’s enrollment in the Paramedic Program or until otherwise revoked.

All other persons volunteering to participate as a patient-simulator in lab will be required to sign the informed consent in advance of the lab session. This consent will be valid throughout the term of the course in which the individual is volunteering.

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Changes in Paramedic Program

Notification of expected or unexpected substantive changes in the paramedic program or change in institutional accreditation status or legal authority to provide postsecondary education will be submitted to the paramedic accreditation body, COAEMSP within 14 days of such an occurrence.

Certification Exams

Students completing the entire Paramedic program will be eligible to take the National Registry of Emergency Medical Technicians’ paramedic certification exam, which serves as the certification exam for the State of Florida. The psychomotor exam serves as the final psychomotor exam of the program. The National Registry of Emergency Medical Technicians’ paramedic certification exam is not part of the program and is taken at the student’s expense.

Academic Requirements

1. All paramedic students must obtain a “C” or better in ALL Paramedic courses. A grade lower than a “C” in any Paramedic course will result in dismissal from the Paramedic program. Courses in the Paramedic program are offered in a programmed and sequential manner. It is essential that students master the knowledge and skills of each Paramedic course (determined by a minimum grade of “C”) prior to progressing. In the event the student obtains a grade lower than a “C, they will be required to withdraw from the program and follow the procedure for readmission in the program.

2. Students must also earn a grade of “C” or better in the anatomy and physiology courses.

3. At the beginning of each course, the student will be given a syllabus listing the specific requirements for the course. All requirements must be met to complete the course.

4. In addition to specific course objectives, students must meet core performance standards and demonstrate professional conduct in accordance with program regulations at all times while enrolled in the Paramedic program. If at any time the faculty’s evaluation of a student’s ability to meet core performance standards on professionalism is identified as below average, the student will be counselled on the first offense and removed from the Paramedic program on the second offence.

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Paramedic Core Performance Standards

Qualifications & Competencies

Visual: Candidates must be able to observe and participate in experiments in the basic sciences (for example, physiologic and pharmacological demonstrations and microscopic studies for micro-organisms and tissues). In order to make proper clinical decisions, candidates must be able to visually assess a patient, other graphic images, and digital or analog representations of physiologic phenomena, such as EKGs with or without the assistive devices. Candidates must be able to read small print. The functional use of vision is necessary.

Oral‐Auditory: Candidates must be able to communicate effectively and sensitively with patients. Candidates must be able to communicate effectively and efficiently with other members of the health care team. In an emergency situation, Candidates must be able to understand and convey information essential for the safe and effective care of patients in a clear, unambiguous, and rapid fashion. Candidates must also be able to relate information to and receive information in a caring and confidential manner. Candidates must be fluent in and able to read, write, converse, and comprehend the English language. Candidates must be able to listen and respond to radio communications. Candidates must be able to effectively hear through a stethoscope.

Physical/Motor: Candidates must possess the motor skills necessary to perform palpation, percussion, auscultation, and other diagnostic maneuvers. Candidates must be able to execute motor movements reasonably required to provide general emergency medical care such as airway management, placement of intravenous catheters, cardiopulmonary resuscitation, and application of pressure to control bleeding. These skills require coordination of both gross and fine muscular movements, equilibrium, and integrated use of the senses of touch and vision. They must be able to walk and work in small spaces, various weather conditions, and various physical environments. Candidates must be able to function effectively during a 24-hour shift without sleep.

Cognitive: Candidates must be able to measure, calculate, reason, analyze, integrate, and synthesize in a timely fashion. They must have a concept of time and be able to record times to the second from a clock or watch. Candidates must be able to follow written and verbal directions. Candidate must have the ability to document, in writing, all relevant information in prescribed format in light of legal ramifications of such.

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Social: Candidates must possess the emotional health required for the utilization of their intellectual abilities for the exercise of good judgment, for the prompt completion of all responsibilities attendant to the diagnosis and care of patients, and for the development of effective relationships with patients. Candidates must tolerate physically taxing workloads and function effectively under stress. They must be able to adapt to changing environments, display flexibility, and learn to function in the face of uncertainties inherent in the clinical problems of patients. Candidates must be able to interact with individuals from varying social, cultural, and economic backgrounds.

Curriculum Requirements: Candidates must be able to successfully complete, with or without reasonable accommodation, all required components of curriculum.

Test and Evaluation: In order to evaluate the competence and quality of candidates, the Hodges University EMS Program employs periodic examinations as an essential component of the EMS curriculum. Successful completion of these examinations is required for all candidates as a condition for continued progress through the curriculum. Reasonable accommodation will be made in the form or manner of administration of these evaluations where necessary.

Clinical Assessment: Demonstration of clinical competence is also of fundamental importance to the career curriculum progression of the candidate. The process of faculty evaluation of clinical performance of candidates is an integral and essential part of the curriculum. Although reasonable accommodation may be made, participation in clinical experiences and the evaluation of participation is required.

Attendance: Attendance during all phases of the Paramedic program is extremely important because of the nature of the material to be presented. Class attendance for each Paramedic course is mandatory. Specific attendance requirements for each course will be provided in the course syllabus. Class attendance is deemed an important component of the educational experience. Reasonable accommodation will be provided; however, attendance requirements must be satisfied for successful completion of these courses.

Learning Strategies

Preparing for a health care career involves a different type of learning than traditional classroom education. The paramedic program involves practice in hands-on techniques, measurement and treatment procedures, problem solving, performance of interventions, and educating patients and/or caregivers.

Students are encouraged to continuously assess their own abilities, developmental needs, goals, and plan learning experiences to meet personal and professional goals. This is accomplished throughout the paramedic program by self-assessment, peer evaluation, and instructor feedback.

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The courses in the paramedic program are designed to allow the student to apply theoretical knowledge to simulated patients in the laboratory setting and finally on actual patients in the clinical setting under the supervision of licensed clinical instructors. Strategies for continued success in the learning process include the following:

Participate in all class, laboratory, and clinical sessions Study/complete all assignments Ask questions and ask for help when needed Take advantage of all optional activities Complete self-assessments of knowledge and skills Acknowledge and value peer evaluation and instructor feedback Practice skills identified as needing improvement Change lab partners regularly Be proactive in learning Always strive to be your personal best

Testing Policy

FISDAP Unit Exams: Students will complete the required FISDAP unit exams on didactic content throughout the course.

Comprehensive Written Final Exam: According to Florida State Law 401.83-88 each approved program must require its students to pass a comprehensive final written and practical examination evaluating the skills described in the current United States Department of Transportation Paramedic National Standard Curriculum. Hodges University currently uses the FISDAP cumulative exam, which has been tested valid and reliable. The pass rate associated with the FISDAP Cumulative exam is aligned with the cut score established by FISDAP. Any changes to the documented FISDAP cut score will be approved by the Medical Director and Program Director.

If a student is unsuccessful on their first attempt, a re-attempt will be offered after the required remedial work is completed. Remedial work consists of Learning Prescription research and documentation along with other review modalities as directed by the Program Director, Lead Instructor and Medical Director. The pass rate associated with the FISDAP Cumulative re-attempt exam is aligned with the cut score established by FISDAP. Any changes to the documented FISDAP cut score will be approved by the Medical Director and Program Director.

Students may be given an opportunity to re-test a third time at the discretion of the Program Director, Lead Instructor and Medical Director. Any and all fess associated with a third and final attempt will be paid for by the student. The pass rate associated with the FISDAP Cumulative re-attempt exam is aligned with the cut score established by FISDAP. Any changes to the documented FISDAP cut score will be approved by the Medical Director and Program Director. If the documented cut score is not achieved by the student after a third attempt, the student will not be eligible for course completion.

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Comprehensive Practical Final Exam: Students must pass the Final Practical Exam(s) for each laboratory course. Students will be given two attempts at each skill and/or scenario. No cell phones will be permitted with the student during their final exam testing. Students are to enter testing rooms with no personal items other than a writing instrument. Students who have completed their testing are not to relay the specifics of the final exam to their peers who have not completed the exam.

The Emergency Services Program Director and Medical Director have ultimate authority in determining whether a student has successfully passed their lab final exam.

Paramedic Program Requirements

The core faculty and administration have identified specific guidelines that should be followed by each student in order to successfully advance through the paramedic program. Student success depends on attention to responsibilities as outlined below:

Be punctual and make every effort to attend all scheduled classes, labs, field trips and other meetings.

All cell phones are to be turned off and out of site during class unless otherwise instructor by professor.

Take responsibility to obtain any materials covered in a missed class or lab. Ensure reliable access to a computer. Be prepared to spend a minimum of nine hours per week preparing for each class (online

assignments, reading assignments, in-service development, etc.). Refer to specific course syllabi.

Review previously completed course content, as it will assist in understanding subsequent content due to the cumulative nature of the paramedic program.

Successfully complete all assignments and requirements on time including any additional verifications of ability to meet requirements.

Actively participate in all classes, simulated laboratories, open lab sessions, online discussion forums, etc. as required.

Actively participate in remediation activities as detailed when necessary. Initiate additional learning experiences including study groups and review sessions with

instructors as necessary. Demonstrate competency in specified areas of practice through successful completion of

practical examinations and skill checks. Adhere to the Program requirements and professionalism guidelines.

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Program Advancement In order to successfully complete all of the requirements for the paramedic program, students must fulfill all of the following:

1. Complete all required paramedic courses in the curriculum and in the sequence required. This includes the completion of the Anatomy and Physiology 1 and II with lab during or prior to the first and second semesters of the paramedic core program.

2. Earn a minimum grade of C in all EMS prefix courses. 3. Demonstrate ongoing development of professional behaviors and competency in skills

performed by an entry-level paramedic. (This includes skills checks and practical exams) 4. Participate in faculty advisement sessions to review advancement towards graduation. 5. Exhibit conduct that exemplifies paramedic program and profession standards, and Hodges

University Student Conduct Policy. 6. Maintain all of the following:

a) Current certifications (CPR, EMT) during the paramedic program. b) Health Insurance throughout the program after the first semester

Unable to Advance

It is the intent of the University and paramedic program that each student succeeds in his/her academic endeavors. Course expectations and requirements are outlined in each syllabus. Core faculty is available to assist students in succeeding in the program. However, a student is unable to advance if the student:

1. Fails to complete all required coursework within the paramedic curriculum in a logical sequence as required by the program.

2. Fails to meet the program’s minimum required numbers in the on-time educational activities of the curriculum (e.g., in the usual scheduled clinical experience and field experience/internship activities). Required within 30 days of semester completion - if non-compliant, dismissed from program.

3. Fails to achieve the required grade point requirements. 4. Fails to demonstrate ongoing development of professional behaviors and competency in skills

performed by a student paramedic. 5. Fails to participate in faculty advisement sessions to review advancement towards graduation. 6. Fails to consistently adhere to safety standards and guidelines in class, lab, or clinical settings. 7. Fails to submit completed required forms indicating satisfactory health status and additional

verifications required. 8. Fails to hold current certifications (CPR, EMT) during the Program. 9. Participates in conduct that violates the policy and procedures and standards of the university,

program, or EMS profession. 10. Fails to successfully complete all clinical and internship rotations with passing grades and

competency. 11. Fails to provide current health insurance.

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Dismissal from the Program

The paramedic program reserves the right to discontinue a student's enrollment in the paramedic program if, in the judgment of the paramedic faculty and/or administrators, the student does not possess the professional behavior necessary for success as a paramedic. If this situation occurs and is contested by the student, a committee will be formed consisting of core faculty, an administrator, and a non-biased third party, such as a faculty member from another school within HU unrelated to the paramedic program. The committee will assess the situation and the student to make a determination accordingly in compliance with HU policy. Additionally, the following are conditions under which dismissal may occur without an advisory hearing:

1. Receiving a final course grade of a D or below. 2. Failure to demonstrate appropriate progression in developing professional behaviors. 3. Breach of academic honesty. 4. Breach of confidentiality. 5. Failure to meet Individualized Retention/Remediation Plan criteria, if developed. 6. Repeated tardiness and/or frequent absences from class, laboratory, or clinic as per syllabi and

institutional guidelines. 7. Failure to make up missed labs or assignments as per course syllabi. 8. Failure to comply with requirements and standards as detailed in the University and Paramedic

Student Handbook. 9. Fails to provide current health insurance 10. Fails to hold current certifications (CPR, EMT) during the Program.

Reinstatement

A student who withdraws or who has been dismissed from the paramedic program (either passing or failing) has no guarantee of reinstatement into the next year’s cohort. Since the paramedic program is limited access, availability of space in the classroom and or clinical site placement it may determine whether reinstatement can occur. In addition, a student may only re-enter the program one time, for a total of two attempts.

To be considered for re-admittance, a student must reapply and pass all of the paramedic program requirements including the interview and essay process. Each situation will be handled on a case-by-case basis. The student will be considered with all other applicants for the new academic year; all admissions requirements apply. If a student fails or withdraws from one or more courses within the semester, the student is deemed to have completed his/her first attempt. If readmitted during the next application process, it will be deemed the second (and final) attempt. If a student is unsuccessful following re-entry (during the second attempt) he/she will be permanently dismissed from the paramedic program.

Any student failing to progress through the entire curriculum despite the two attempts permitted in order to complete the paramedic program successfully, will be referred to an Academic Advisor to assist in exploring other educational and career options.

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Remediation/Retention It is the intent of the University and paramedic program that each student succeeds in his/her academic endeavors. Course expectations and requirements are outlined in each syllabus. Core faculty are available to assist students in succeeding in the program. Courses and labs are designed to provide students the opportunity to master content areas in which they are having difficulty as well as to provide a means by which the overall course grade may be improved. Grading policies and requirements are outlined in each course syllabus.

Any remediation is documented in the student’s file under a Communication or Performance Improvement.

Universal Precautions

Paramedic students receive coursework regarding the use of universal precautions at the beginning of the first session and continuing throughout their paramedic coursework. Students must demonstrate an understanding of these concepts through test questions included on written examinations and utilization of universal precautions in all lab and clinical activities including but not limited to:

Blood and airborne pathogens Hepatitis B Immunization Mechanisms of pathogen transmission Appropriate disposal, labeling and housekeeping measures Prevention of exposure to blood and airborne pathogens Universal Precautions Exposure Control, including determination of exposure and post-exposure reporting

Infectious Disease Policy

Incident/Accident/Exposure Report Facility procedures are to be followed in all cases involving emergency situations including completion of required documentation.

The preceptor is to be notified immediately of any patient or student incident and/or accident. Student injuries should be assessed to determine appropriate measures to be taken. If

warranted, the student will seek medical attention as indicated through his/her private physician.

Payment of medical bills is the responsibility of the student. The preceptor and the student will each complete the Incident/Accident Exposure Report Form

and submit the original copies within two working days to the Program Director. The incident report will be permanently placed in the student's file.

The facility or agency may provide or make available emergency room treatment when such facilities exist for minor injuries incurred by students while in the health care agency for clinical experience. The health care agency is not responsible for charges made to the student as a result of services rendered to the student in said health care agency. It is the responsibility of the student to arrange and finance post-incident medical follow-up and care.

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Health Insurance Coverage

Paramedic students are required to carry health/accident insurance during their time in the clinical internships. In case of accident or illness, students should follow the safety procedures of the clinical facility as well as procedures detailed in the handbook. Emergencies that occur at a clinical site may be treated by the facility in accordance with the affiliation agreement and the policies/procedures of the facility itself. Emergency Procedures are reviewed at the start of each session.

Pregnancy Policy

If a student chooses to declare her pregnancy, it must be done in writing. The declaration may be performed at any time during the pregnancy. If the student decides to declare her pregnancy, then she is required to meet with Program Director. Voluntarily declaring your pregnancy is the most prudent course of action. It provides maximum protection for the developing embryo/fetus.

Any information provided to the Program Director regarding pregnancy will be kept confidential. Consideration must be given to the student’s welfare during pregnancy as well as the policies of clinical sites to which she is assigned. Students returning to their clinical assignments following a leave of absence due to pregnancy or any other health related concern must provide documentation from their physicians stating they are able to resume their clinical duties “without restriction in class, labs and clinical settings.”

Liability Insurance

Hodges University provides paramedic students with professional liability (malpractice) insurance.

Student Employment Classroom, lab, and clinical rotation scheduling will not be arranged around a student’s employment schedule. It is expected that the student’s education comes first. Employment should, in no way interfere with the student’s academic or clinical responsibilities. Students have some flexibility in scheduling field experience, but minimum requirements must still be met. Employment cannot be substituted for clinical education.

Assignment of Students to Clinical Sites

The process of clinical internship placement is thoroughly discussed with all students as part of the Clinical Internship orientation meetings prior to each clinical internship in order to review policies, procedures, process, requirements, and expectations. One-on-one meetings will also be set-up with each student when needed to provide opportunities for individualized guidance related to this process.

Students select their rotation schedule based on available slots within the FISDAP scheduling program.

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Transportation

Students must have reliable transportation to and from Hodges University and to and from assigned clinical, field, and special event sites. No transportation will be provided by the College, faculty, or sites.

Conduct

1. Any Paramedic student caught in an act of academic dishonesty on an exam, quiz, or assignment will receive a grade of "0" for that work and will not be permitted a retake or makeup. Two (2) such occurrences will result in dismissal from Hodges University Paramedic program.

2. Any student willfully creating a hazardous situation for themselves and/or others will be dismissed from that class with an unexcused absence. Continual practice of this nature will result in dismissal from the Paramedic Program.

3. The student must exhibit courtesy and respect for the instructors and fellow students while in class.

4. Any student failing to maintain a professional demeanor/conduct while in the Paramedic Program will be dismissed immediately.

5. Students must demonstrate appropriate etiquette and netiquette at all times including, but not limited to: being respectful at all times; refraining from cursing and rude or inappropriate comments/behavior; using proper English in emails without slang or inappropriate language; not writing in all caps and reading messages before sending them (interpretation is subjective and may not be perceived as intended).

6. Specific conduct expectations for each course will be provided in the course syllabus.

Disciplinary Procedures

Charges of misconduct or breach of the program’s ethical or professional behavior standards against a student at any stage of the program will be investigated. The Program strives to assure due process in the event of any disciplinary action that is taken against a student who violates the standards of conduct and/or fails to meet the academic requirements of the Program as outlined in this manual.

Corrective action is generally progressive. For most minor incidents, personal coaching, documented warnings, and/or a written reprimand may precede dismissal from the Program. The purpose of this disciplinary action is to provide feedback that encourages accountability and behavior that reflects

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Program values. Correction action plans are intended to be positive, non-punitive interventions that allow an individual time to correct an identified deviation from expected behavior. In each instance, the correction action is to be fair, just, and in proportion to the seriousness of the violation.

Feedback is to be communicated privately, out of sight and sound of peers or coworkers, and delivered in a timely manner. For more severe offenses, the disciplinary process may begin with dismissal from the Program.

Grounds for Written Counseling The following are grounds for written counseling:

1. Failure to follow proper notification procedures 2. Missing a field or clinical shift without proper notification 3. Unprofessional conduct 4. Safety concerns 5. Failure to follow established policies 6. Attendance issues 7. Failure to comply with due dates 8. Poor academic performance

Students who have received more than two (2) written counselings or who have received two (2) written counselings for similar issues will be required to meet with the Lead Instructor and Program Director to develop a plan for improved performance. The Medical Director may also be advised and/or participate in the meeting. Continued poor performance may lead to dismissal/withdrawal from the Program.

Clinical/Field Rotation Regulations

1. Any paramedic student who violates college or hospital regulations while in a clinical or field facility will be reported, in writing, by the clinical educator, preceptor, or designee. This is especially important in matters concerning confidential patient information. The report should include the nature of the infraction, the date, the student’s name, and the name of any other staff members involved.

2. The report will be sent to the Paramedic Lead Instructor and the Paramedic Program Director and will be reviewed with the reporting party and the student.

3. Any student whose performance is deemed unsafe or inappropriate will be removed from the site and required to remediate their skills in the lab prior to being permitted to resume their rotation. All clinical objectives must be met prior to the start of final exams. In the event a site refuses admission to any Paramedic student or requests that a student be removed from that site, the Paramedic program will attempt to reassign that student. If the student cannot be reassigned to another site, they will be withdrawn from the program.

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4. If it is agreed by the Paramedic Program Director and Paramedic Lead Instructor that the incident is of a serious nature, the student may be suspended from the Paramedic program for the semester or withdrawn immediately depending on the nature of the incident. If more than two (2) incidents occur, regardless of the nature of the incident, the student will be dismissed from the program.

5. All students have a right to appeal their actions as outlined in the Health Science Student Disciplinary Process.

Dress Code/Uniforms

Students will, in addition, note the following guidelines for their profession appearance while in uniform. Even though the safety concerns listed below apply more to the clinical environment and not the academic, we feel a consistent policy will avoid confusion. In other words, if you are wearing the uniform, you will meet these standards whether in the classroom, clinical or field setting.

You may not wear the student uniform if you are not in an official clinical or field internship status, or attending lecture/lab at Hodges University.

Note: Because some of the clinical sites may have more restrictive grooming standards and appearance guidelines for their employees, EMS students must adhere to the standards of the host organization if they are more stringent. Failure to adhere to these standards may result may result in the student not being allowed to attend clinical/field rotations at our contracted agencies, and therefore will prevent completion of the program. Students not complying with these standards, especially as related to piercings, gauging, and tattoos, may also find it difficult to become employed even if they successfully complete the program, as EMS is a profession that requires the highest standards of grooming and decorum and adherence to rules.

1. Pants must be black or navy blue. No shorts will be worn during lecture, lab, clinical or internship classes

2. Belts must be worn.

3. Hodges University EMS polo shirt will be purchased by the student at the designated store. These shirts will be worn during all classroom, clinical and internship hours.

4. Jackets must be plain black or blue and completely void of logos.

5. No black tennis shoes, sandals, clogs or Crocs will be allowed to be worn at lecture, lab, clinical or internship classes.

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6. Hair:

a. Facial hair, other than a moustache that does not extend beyond the corners of the mouth or below the top of the upper lip, is not permitted. No beards or hair below the upper lip is allowed. In addition, all male students must be freshly shaved, as facial hair can interfere with the fitting of the N-95 mask, and put you at risk for infection. Males will keep their face clean-shaven when in uniform. Mustaches are permitted; if worn, males will keep mustaches neatly trimmed, tapered, and tidy. Mustaches will not present a chopped off or bushy appearance, and no portion of the mustache will cover the upper lip line or extend sideways beyond a vertical line drawn upward from the corners of the mouth. Handlebar mustaches, goatees, beards, soul patches or any other facial hair below the upper lip is not authorized.

b. Hair that is longer than shoulder length will be pulled back into a ponytail or similar style at all times. If it falls in your face when you lean forward, it must be pulled back to avoid contamination. Many agencies prohibit hairstyles, male or female, that touch the collar. Males will keep sideburns neatly trimmed. Sideburns may not be flared; the base of the sideburn will be a clean-shaven, horizontal line. Sideburns will not extend below the lowest part of the earlobe.

c. Hair color must be of a natural shade, one tone, and styled in a professional manner consistent with public safety requirements. Please see the program director with any questions.

8. The clinical/field agency has the right to refuse any student not meeting the same appearance guidelines as their employees. This may result in the student not being able to complete the paramedic program.

9. Earrings must be of the post type and no more than one earring per year in the tragus (earlobe) only. Earrings must be a spherical post type only and no larger than 4mm in diameter. Only one earring per ear is allowed in the earlobe only. Host agency grooming standards will prevail if they are stricter than the department policy. Please note that many departments/clinical sites do not allow any jewelry.

10. Visible jewelry such as bracelets, necklaces, and piercings (including tongue jewelry) are not permitted, with the exception of one ring per hand (an engagement ring and wedding ring are considered one ring) and a watch (second hand or second display required, water resistant recommended). This policy is to reduce the risk of it EMS becoming broken, lost, caught in equipment, or ripped out in the performance of your duties. Gauged ears are not permitted in the EMS program. This is considered to be both an infection control risk and safety hazard by our contracted agencies. Piercings or gauged ears must be covered with an adhesive bandage while in uniform to meet our dress code and contracted agencies’ requirements.

11. Heavy perfumes and colognes will be avoided since many patients are sensitive to and may have medical complications resulting from strong scents.

12. Personal hygiene will be maintained to avoid risks of exposure for both the student and others. Male students must be freshly shaved before reporting for class, clinical or field shifts.

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13. Most hospitals and agencies do not allow acrylic or artificial nails. This is considered to be an infection control hazard, and will result in the student being sent home. Nail polish is to be of a light, neutral and single color, and conservative in nature. Nails are to be clean and short in length (no longer than ¼” from the tip of the finger).

14. Tattoos that are visible while in uniform will be covered during all classroom and labs and clinical and field rotations. Student will have the option of wearing a long sleeved black or white T-shirt with crew neck. Many agencies do not allow visible tattoos of any kind, which will prevent a student from attending clinical at many locations. Tattoos on the neck, face or hands must be covered, either with a bandage or other means at all times while in uniform, on or off campus.

15. No hats of any kind are allowed to be worn while in the classroom. While in uniform a preapproved “ball-cap” type hat may be worn. This can be purchased through the Hodges University EMS preferred vendor.

16. Stethoscopes and Blood pressure cuffs are required and can be purchased at the College Bookstore, medical supply or on-line. Students are encouraged to be conservative on this expenditure since it must be replaced by the student if damaged, lost or stolen.

17. Wristwatches must be worn at all times while in uniform. The wristwatch must have a second hand or a digital display of the seconds.

18. Nametags will be issued by the Hodges University EMS program. Nametags will be worn at all times while in uniform, and must be worn either on the neckline or attached to the collar.

19. CPR/EMT card documentation must be carried on the student at all times while wearing the Hodges University EMS uniform. It is recommended that the student only carry a photocopy of their card so that the original will not be damaged, lost or stolen.

20. Pens or other writing instruments are not to be placed in the hair due to the risk of cross contamination.

Certificates of Completion

Certificates of completion will be issued within fourteen (14) days of course completion as per Florida Statute Title XXIX Chapter 401.2701. Students completing the program late may not have physical certificates issued until a later date.

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Restriction on Students as Staff or Being Subject to Call

Although assisting patients in a “hands-on” capacity is encouraged during the clinical and field phases, at no time shall a student be used to replace, substitute for, or take on the responsibilities of any regular qualified staff member at a clinical or field site. All individuals enrolled in the Program are classified as students until such time that they receive notification of successful completion of their program of study and successfully obtain the certifications and licensure that are required to operate at their new level.

Chapter 64J-1.020(1)(a), Florida Administrative Code prohibits a student being subject to call while participating in class, lab, clinical, or field experiences. This policy is not intended to prohibit a sponsoring agency from paying a student while they are on a scheduled clinical or field shift, if it is the agency’s policy to do so; however, that student may not be considered part of required staffing. For example, if a student is riding with his/her employer and the agency allows minimum staffing on their ambulances of one EMT and one Paramedic, the student may not be counted as the EMT to meet this minimum staffing requirement.

Students should never be in the patient compartment alone during patient transport.

Criminal Penalties and Loss of Licensure for Falsification of Documentation

Every piece of documentation submitted by a student as part of the EMS Program is used to document the student’s having met program requirements with regard to licensure and certification. As such, pursuant to Florida Statutes, Chapters 401.41 and 401.411, any misrepresentation in that documentation is a misdemeanor of the first degree. The State may also deny, suspend, or revoke the license or may reprimand or fine any licensee or other person operating under its authority, including preceptors, for misrepresenting any information related to licensure.

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EMS FORMS

TABLE OF CONTENTS

• Form EMS.1 – Professional Expectations Form

• Form EMS.2 – Confidentiality Statement

• Form EMS.3 – Student/Patient Consent to Participate Form

• Form EMS.4 - Consent to Release Information Form

Form EMS.5 - Consent to Release Student Information to Clinical Sites Form

Form EMS.6 - Infectious Disease Policy Form

• Form EMS.7 - Informed Consent Form

• Form EMS.8 – EMS Program Complaint Form

• Form EMS. 9 – Incident Accident Exposure Form

• Form EMS.10 – Notice of Tardiness Absence Form

• Form EMS.11 – Plan of Action

• Form EMS.12 – Professional Expectations Violation Form

• Form EMS.13 – Review of Handbook Form

• Form EMS.14 - MOI

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FORM EMS.1 PROFESSIONAL EXPECTATIONS FORM

I, ________, a student enrolled in the EMS Program at Hodges University, agree to conduct myself in a manner which displays to those for whose care I will be delegated that I am dedicated to integrity, respect, compassion, and confidentiality.

Individual accountability shall include: Promote a positive learning environment. Inform the instructor whenever an unavoidable absence or lateness may occur. Accept responsibility for obtaining notes, handouts, or other materials introduced during an absence. Refrain from cell phone use while in classes or clinical activities. Assume personal responsibility for appropriate behavior. Maintain high standards of personal hygiene. Arrive organized and equipped for class, lab or clinical, with assigned task completed. Attend as required by the attendance policy of the program. Avoid eating and drinking in the class, labs or in clinical settings except if allowed by the instructor. Arrive on time for all classroom, laboratory, and clinical activities. Dress in the assigned lab or clinical uniform whenever required.

Conduct self as a positive representative of Hodge University. I shall demonstrate lifelong learning and self‐assessment by:

• Being motivated to learn and take appropriate initiative to enhance the learning experiences. • Executing self‐assessment to develop increased performance on a regular basis. • Committing to the knowledge and mastery of skills, attitudes, and principles of the chosen profession. • Recognizing the threshold of own abilities; identifying the necessity for supplementary practice

when insufficiencies are displayed. I shall exemplify professionalism by:

Communicating in an appropriate manner at all times, abstaining from the use of inappropriate language and/or gestures.

Discussing difficult matters with sensitivity and objectivity. Demonstrate good judgment in negotiating differences that may occur. Preserving confidentiality in all interactions. Committing to honesty in all interactions. Exhibiting a respectful attitude towards fellow students and staff. Showing respect for the patient/client’s dignity, privacy, and cultural values. Abiding by HIPAA regulations pertaining to confidentiality in all patient/client interactions. Demonstrating compassion, emotional support, and empathy at all times without projecting one’s own

viewpoints or values. Accepting constructive feedback in a positive manner.

I have reviewed the procedures in the above Code of Professional Behaviors and agree to abide by the Code. I also agree to abide by and uphold regulations and policies set forth by the Students Rights and Responsibilities of Hodges University as well as, the Code of Ethics advocated by the professional organizations, regulating bodies, and credentialing agencies of my chosen profession.

Name Date

Signature

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FORM EMS.2 CONFIDENTIALITY STATEMENT

As a vital element of your EMS Education at Hodges University, confidential information will be revealed during clinical internships as well as during interactions with other students. This includes individually identifiable information of clients, staff, or your assigned facility or organization, and/or personal information about a fellow student. All clinical information that you are disclosed in the course of, data collection, observation or other methods must be kept in strictest confidence except when otherwise directed by the clinic. Confidential information regarding a fellow student or the EMS Program must not be divulged to any individuals in the clinical setting. Disclosing a fellow student’s academic progress or clinical experience while at your clinical affiliation will be considered a breach of confidentiality.

By signing this statement, I acknowledge that and understand that the intentional or unintentional disclosure of the above mentioned confidential information acquired during clinical internship or confidential information regarding a fellow student enrolled in the EMS Program may result in my dismissal from the EMS Program.

Name Date: _________________

Signature

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______________________________________________________________________________________________

FORM EMS.3 – STUDENT/PATIENT CONSENT TO PARTICIPATE FORM

I ____________________________, consent to participate as a patient or simulated patient in order to develop students’ skills and proficiency in the administration of physical therapy treatment procedures.

By signing this form, I give consent to be videotaped, audiotaped, and/or photographed and authorize the use of my medical information and medical record for utilization during student educational experiences. All information will be held in strict confidence and any mention to the subject matter will be referred to with a randomly assigned name.

I confirm my physical capability to take part in the activities noted below. In the event that I become injured during simulated activity, I will hold harmless Hodges University, the EMS Program, and faculty and employees of Hodges University and EMS Program.

Student/Faculty Member: Complete this section: Participate in the EMS Program Curriculum, including Labs, Skills checks, Practicals, coursework and field trips

Activities to be performed: Simulated patient, labs, practicals, coursework, lifting, jumping, ROM, gait and balance activities, endurance training

I hereby grant Hodges University the irrevocable and unrestricted right to use and publish photographs or videotapes of me or in which I may be included for the purpose of promoting Hodges University and EMS Program. I waive any rights, claims, or interest I may have to control the use of my identity or likeness in whatever media used and hereby release Hodges University and all legal representatives and assigns from all claims and liability relating to said media.

Students/Simulated Patient Date

Faculty Member Date

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FORM EMS.4 CONSENT TO RELEASE INFORMATION FORM

I, , a student being 18 years of age or older, in conformance with 20 U.S.C. 123g (Family Education Rights and Privacy Act) and Section 228.093, Florida Statues, do authorized the EMS Program at Hodges University and its agents to release any information regarding my personal academic and/or clinical performance to agencies or authorized individuals who request information such as a letter of recommendation or a reference request from a potential employer. In the event that an authorized individual requests any of the information listed, I am herein giving written permission for the faculty of the EMS Program to provide the requested information.

Furthermore, I grant the EMS Program at Hodges University and its agent’s written permission to release to my personal academic and/or clinical performance information to the following:

Name Relationship

In addition, I consent to the release of any case study report, clinical facility evaluation, or other informative assignment(s) that may be utilized by the core faculty and administrators to promote other students’ learning experience or development. In most cases, my name will be removed from the file; however, instances may occur in which my name may appear on a document.

Signature Date

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FORM EMS.5 - CONSENT TO RELEASE STUDENT INFORMATION TO CLINICAL SITES

I, ________________________, a student being 18 years of age or older, in conformance with 20 U.S.C. 123g (Family Education Rights and Privacy Act) and Section 228.093, Florida Statues, do authorize the EMS Program at Hodges University and its agents to release and disclose the following information from my institutional records:

Required Certifications

HIV/AIDS 4 hours Education Basic Life Support CPR verification card Physical a n d H e a l t h Examination Results (including

vaccination information and updates)

In the event that a clinical site to which the student is assigned requests any of the above mentioned information, I am herein providing written consent to reproduce and release the requested information to the clinical site:

_ Name Date

Signature

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FORM EMS.6 - INFECTIOUS DISEASE POLICY FORM

The threat of being infected with the Hepatitis B virus or other infectious diseases is greater than the threat of being infected with HIV. Consequently, recommendations for the control of Hepatitis B infections will effectively avert the spread of AIDS. Recommendations are listed below.

1. Sharp items, (needles, scalpel blades, and other sharp instruments) shall be regarded as potentially infective and be managed with special precaution to avoid unintentional injuries. OSHA guidelines shall be adhered to with regard to the appropriate disposal of sharp items.

2. Disposable syringes and needles, scalpel blades, and other sharp items should be placed in puncture resistant containers that will be placed as close as possible to the working area. To prevent needle stick injuries, needles shall not be recapped, purposely bent, broken, removed from disposable syringes, or otherwise manipulated by hand.

3. When the possibility of exposure to blood or other body fluid exists, routinely recommended universal precautions should be followed. The anticipated exposure may require gloves as in handling items soiled with blood or other body fluids or may also require gowns, masks, and eye coverings when performing procedures or postmortem examinations. If any unintentional contamination with blood or body fluids should occur, immediate and thorough hand washing should be completed. To minimize need for emergency mouth-to-mouth resuscitation, mouth-pieces, resuscitation bags, or other ventilation devices should be located and available for use in areas where need for resuscitation is predictable.

4. Pregnant health science students or students engaged in health care are not known to be at greater risk of contacting the HIV virus than students who are not pregnant. However, if a student develops infection with the HIV virus during pregnancy, an infant has an increased risk of infection through prenatal or perinatal transmission. Because of this threat, pregnant students should be especially familiar with precautions regarding HIV virus.

5. EMS students participating in health care who are infected with the HIV virus and who are not involved in invasive procedures need not be restricted from work unless they have some other illness for which any health care worker would be restricted.

6. For EMS students participating in health care who have been diagnosed as HIV positive, there is an increased danger from infection due to disease. Students who are HIV infected are at risk or acquiring or experiencing serious complications of such diseases. Of particular concern is the risk of severe infection following exposure to patients with easily transmitted infectious diseases (e.g. tuberculosis or chicken pox). HIV infected students will be counseled about potential risk associated with exposure to or taking care of patient with transmissible infections and should continue to follow universal precautions to minimize their risk of exposure to other infectious agents.

7. The student’s physician in conjunction with the appropriate university official will determine on an individual basis whether the student who is HIV positive, with symptoms, can adequately and safely perform patient care.

8. A student with an infectious disease who cannot control bodily secretions and students who have uncoverable oozing lesions will not be permitted to participate in health care services. The determination of whether an infected student should be excluded from providing health care shall be made on a case-by-case basis by the student’s physician and the appropriate university officials.

9. Students who are exposed to infectious body fluids in the clinical area must report to the clinical instructor immediately. The hospital shall be notified and the hospital protocol for such exposure followed.

I have read and understand this policy:

Signature Date

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FORM EMS.7 - INFORMED CONSENT FORM

Informed consent is basically the practice of informing students of the risks and benefits involved in participating as a student enrolled in the EMS Program. By signing this form, you are willingly agreeing to participate in the programmatic activities have acknowledged awareness of the risks and benefits.

I, , understand that as a clinical student, I may be exposed to environmental hazards and infectious diseases including, but not limited to Tuberculosis, Hepatitis B. and HIV (AIDS) while in a clinical facility and waive liability of Hodges University or any of the clinical facilities used for clinical practice during participation. (Refer to Infectious Disease Policy).

I understand that during the course of the Program, I will be participating in the simulation of a variety of patient conditions and will serve in roles such as a demonstrator, a model, a simulated patient and a student EMS. I consent that EMS students and faculty may contact or touch my body for the purpose of demonstration or training.

In any of the above roles, the risk of injury may occur. In such case, I will not hold Hodges University, the core faculty and administration, or any fellow student(s) liable. I am acknowledging that I am aware of the need to participate in laboratory sessions in which the above roles will likely occur. By signing this form, I confirm my willingness to participate in any of the above mentioned roles as I commence the educational training to become a ems. I release the parties listed above from any liability that might arise out of the injuries that I might incur as a result of participating in a variety of roles while enrolled in the Program.

I acknowledge that I am aware that neither Hodges University nor any of the clinical facilities used for internship accepts liability if a student is injured on the campus or in the clinical facility/internship during training unless the injury is a direct result of negligence by Hodges University or clinical facility. I understand that I am responsible for the cost of health care for any personal injury I may experience during my education. I understand that I should obtain private health insurance.

I further understand that I shall have liability insurance (which covers malpractice) while enrolled in classes involving clinical activities. This annual insurance fee is automatically incorporated when I enroll in a laboratory or clinical course.

I acknowledge that I am aware of the utilization of peer review activities during the curriculum in which I will be asked to evaluate fellow students’ performance and that fellow students will complete peer reviews of my performance.

Overall, I understand and assume responsibility for the policies, objectives, course requirements, and inherent risks involved in the education of Health Science students at Hodges University.

Name Date

Signature

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----- ---- ----

FORM EMS.8 – EMS PROGRAM COMPLAINT

Date complaint filed: / /

Name of person filing complaint:

Address:

Phone: _ E-mail:

This complaint involves the following persons associated with the EMS Program at Hodges University:

Faculty Student Staff Other: Specify

The person(s) filing the complaint is/are:

Patient CCCE/CI Community Member Employer Student Faculty/Staff Other: Specify

Please describe the facts of the complaint from the beginning to the last pertinent detail including dates, times, location, and names of persons involved in complaint: (add additional pages if necessary)

Have you discussed this complaint with the persons involved? Yes No

Name of person(s) you discussed the complaint with:

When and where:

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EMS PROGRAM COMPLAINT FORM (continued)

Are there any witnesses to what occurred? Yes No

Please give names and contact information of any person who has direct knowledge of the circumstances described in your complaint:

Was your complaint resolved? Yes No

What was the resolution/solution to the complaint?

Are you satisfied with the outcome? Yes No - If you answered "No", what would you have preferred as the final solution?

I am the person who prepared this complaint. The information given is true and complete to the best of my knowledge and belief.

Signature: Date: / /

If you wish to submit the form by mail, please submit to:

E M S Program Hodges University, Naples Campus, 2647 Professional Circle, Naples, FL 34119.

If you wish to submit the form via fax, please send to: 239/236-1453

Attention: EMS Program Director.

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FORM EMS.9 - INCIDENT/ACCIDENT EXPOSURE FORM

Student Name Student # / /

Class/Clinic______________________________________________

Location:

Date of Injury/Exposure: Time of injury/exposure:

Date Reported: Time reported:

**If the above dates/times conflict, explain why:

Was there a witness to the incident/accident? YES NO If yes, print name, title/position:

Describe type/location of injury/exposure:

Describe the specifics of the circumstances leading up the incident/accident/exposure (add additional pages if necessary)

If the incident/accident involved exposure to blood or body fluids, describe: (add additional pages if necessary) Procedure being performed:

_ Protective equipment utilized:

Exposure type (sharp device, etc.) and amount of fluid/material involved:

Condition of skin (intact, chapped, abraded) of student

Exposure source information:

Was a hospital incident report filled out? YES NO If yes, report #

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INCIDENT/ACCIDENT EXPOSURE FORM CONTINUED

Describe follow-up treatment rendered: (e.g., examination by physician, post exposure prophylaxis, etc.)

I attest that the above information is correct. Number of additional pages added to this report:

Student Signature Date

Date Received: Program Director:

Follow-up Action:

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FORM EMS.10 NOTICE OF TARDINESS/ABSENCE FORM

Student:

Course: Instructor: _

Date: Absent Tardy

Reason:

Documentation Provided:

Please be aware that this is your _ tardiness/absence to this course.

Additional tardiness/absences during this course may result in failure of the course and thus dismissal from the EMS Program.

Signature of Student Date

Instructor/Course Coordinator Date

Program Chair Date

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FORM EMS.11 - PLAN OF ACTION

STUDENT: Date:

In order to fulfi l l the P lan of Act ion Requirements criteria under Communication Standards, the student is to create a plan of action in the following areas:

Action to be taken by Student:

Expected Time Frame:

Action to be taken by Faculty or Program Director:

Expected Time Frame:

I intend to complete the above detailed plan of action in the timeframe indicated. The consequence of my failure to do so may result in additional assignments in order to attain compliance with the Communication Standards.

Student Signature Program Director Signature

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FORM EMS.12 PROFESSIONAL EXPECTATIONS VIOLATION FORM

Student:

Program:

Individual Completing Form:

Instructions for Completion: Please circle guideline(s) involved in the violation. Provide additional details and comments to further describe the violation.

Individual accountability: The student contributes to a positive learning environment by accepting individual accountability for demonstrating appropriate behavior in the classroom, during laboratory activities, and while attending all clinical rotations. Acknowledging professional responsibilities, the student conducts self as a positive representative of Hodges University.

Promote a positive learning environment. Inform the instructor whenever an unavoidable absence or lateness may occur. Accept responsibility for obtaining notes, handouts, or other materials introduced during an absence. Refrain from beeper or cell phone use while in classes or clinical activities. Assume personal responsibility for appropriate behavior. Maintain high standards of personal hygiene. Arrive organized and equipped for class, lab or clinical, with assigned task completed. Attend as required by the attendance policy of the program. Avoid eating and drinking in the class, labs or in clinical settings except if allowed by the instructor. Arrive on time for all classroom, laboratory, and clinical activities. Dress in the assigned lab or clinical uniform whenever required. Conduct self as a positive representative of Hodges University.

Lifelong Learning and Self-Assessment: The student demonstrates an awareness of the impact of self-directed learning by developing competence in the chosen profession and takes initiative to sell-assess as a means of promoting self-improvement.

Being motivated to learn and take appropriate initiative to enhance the learning experiences. Executing self-assessment to develop increased performance on a regular basis. Committing to the knowledge and mastery of skills, attitudes, and principles of the chosen profession. Recognizing the threshold of own abilities; identifying the necessity for supplementary practice when insufficiencies

are displayed.

Professionalism: The student conducts self during all interactions in a manner that reflects the standards of professionalism in the health professions: respect, confidentiality, honesty, and integrity. Acting from a moral and ethical viewpoint, the student demonstrates high regard for self and others.

Communicating in an appropriate manner at all times, abstaining from the use of inappropriate language and/or gestures. Discussing difficult matters with sensitivity and objectivity. Demonstrate good judgment in negotiating differences that may occur. Preserving confidentiality in all interactions. Committing to honesty in all interactions. Exhibiting a respectful attitude towards fellow students and staff. Showing respect for the patient/client’s dignity, privacy, and cultural values. Abiding by HIPAA regulations pertaining to confidentiality in all patient/client interactions. Demonstrating compassion, emotional support, and empathy at all times without projecting one’s own viewpoints or

values. Accepting constructive feedback in a positive manner.

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PROFESSIONAL EXPECTATIONS VIOLATION FORM (CONTINUED)

Commentary on Violation of Professional Behavior(s):

Plan of Action:

Conference held on to discuss above violation.

Student Comments:

I attended a conference to discuss violation of professional behavior(s) and understand the plan of action as detailed.

Student Signature

Faculty Signature

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_________________________________

_________________________________

FORM EMS.13 - REVIEW OF HANDBOOK FORM

I have received and carefully read the EMS Student Handbook for the EMS Program offered by Hodges University and agree to comply with the policies and procedures therein.

I understand that failure to comply with any of the requirements as detailed in this Student Handbook may result in reprimand and/or withdrawal from the program regardless of my academic standing at the time of dismissal.

I understand I will be asked to read and acknowledge a second handbook prior to the start of clinicals.

Student Name Date

Student Signature Hodges University Witness/ Date

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FORM EMS.14 Hodges University EMS Memorandum of Understanding

The paramedic program is only available to Florida certified emergency medical technicians or an emergency medical technician applicant who will obtain Florida certification prior to completion of phase one of the paramedic program.

Students are required to become familiar with Section 401, Florida Statues, and Chapter 64J-1, Florida Administrative Code. Resources are made available in the classroom and web links found at the end of this document.

• Students are required to pass a comprehensive written exam. • Students are required to pass a comprehensive practical exam. • The curriculum includes two hours of instruction in trauma scorecard methodology. • The curriculum includes Sudden Unexpected Infant Death (SUID)

training. • The training program follows the most current U.S. Department of Transportation National

Standards. • The instructor to student ratio during skills laboratory does not exceed six to one. • The training program issues a certificate of completion. • The student will receive the certificate within14 days of course

completion. • Students are not subject to call or duty during the training program (Class, lab, and clinical). • Students will function under the direct supervision of an EMS preceptor during all patient

contacts. • Students will not be in the patient compartment alone during patient transport and

students will not be used to meet staffing requirements. • A uniform policy will be followed during class, lab, clinical, and field internship that

clearly identifies the student to the public.

PRINT Student Name: ________________________________________________

SIGN Student Name: _________________________________________________

Date: _____________

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EMS Memorandum of Understanding (Continued)

Definition of Course Completion: All EMS core courses must be completed with a letter grade of “C”: or better. Students must pass the Comprehensive EOT exam by meeting or exceeding the assigned cut score. Students must pass a EOT psychomotor exam by meeting or exceeding point totals assigned.

Resource list for the Hodges University EMS Program:

•Information on the EMS department of the State of Floridahttp://www.doh.state.fl.us/demo/ems/index.html •Statutes pertaining to Florida State EMShttp://www.doh.state.fl.us/demo/ems/RulesStatutes/CHAPTER401.pdf •Laws pertaining to Florida State EMS www.doh.state.fl.us/demo/ems/RULEFINAL1232007.pdf •EMS Testing and certification information www.doh.state.fi.us/Mqa/EMT-Paramedic/ •National Registry of Emergency medical technicians www.nremt.org •EMT textbook site www.prenhall.com/limmer •National Guidelines for EMS education www.nhtsa.dot.gov •Journal of Emergency Medical Services www.jems.com