EMT CLINICAL INFORMATION WHERE TO GO You will be able to choose time slots and hospital locations that are reasonable for you. Sign-up sheets will be provided prior to the start of clinical. We will make every effort to assign you to the hospital of your choice, but a second choice may be necessary in order to accommodate everyone. Please remember, we have several course sponsors in this region and there is a limited number of hospitals. When you arrive for your assigned shift, report to the charge nurse or the head nurse in the Emergency Department. WHAT TO DO You need to complete the tasks outlined in your clinical paperwork. There may be times you are asked to assist hospital staff with some tasks not listed in the clinical manual such as assisting in making up stretchers, bandaging, etc. Please make every effort to be accommodating. If you are uncomfortable about a request, discuss this with the clinical adjunct assigned to you. Do not allow yourself to become involved in any conflict with staff. If necessary contact your course instructor. A minimum of two (2) PCRs should be completed per shift – preferably one medical and one trauma. WHAT TO WEAR Slacks, skirts or dresses of reasonable length, button down blouses or shirts, pullover sweaters, dress shoes or loafers are the preferred attire. An inexpensive WHITE lab coat must be worn and your student ID must be visible. A stethoscope, pad and pen are recommended. DO NOT WEAR T-shirts of any type, jeans, sneakers, work boots, dangling jewelry or scrubs. ABSENCE You are expected to show up at the scheduled time on your scheduled day. If an emergency arises and you cannot keep your commitment, contact REMO and the hospital to let them know you will be absent. The only acceptable excuse for absence is illness, death in the family, or extremely inclement weather. Any time missed MUST be made up. No more than two (2) absences will be allowed. More than two (2) missed clinical shifts will be reviewed in conjunction with your class attendance and may preclude you from taking the NYS certifying examinations. Any student violating the policies and/or procedures described here and/or in your copy of the REMO Policies & Procedures will be sent home by hospital staff and/or adjunct and will need to re-schedule clinical time. EMERGENCY DEPARTMENT ROTATION You are expected to do the following under medical nursing supervision. PRACTICE: With an ED physician or nurse, perform patient assessment to include: Chief Complaint Current History Past History Vital Signs Vectored Physical Exam Discuss with the ED staff their diagnosis and management of each assessed patient. PRACTICE / ASSIST ED staff with the following under supervision: CPR Airway management / Ventilation Vital signs and patient handling / movement Interpretation of lab results and radiologic findings as they relate to patient care OBSERVE: Under medical / nursing supervision, observe and discuss the following: Charting of assessment, treatment (patient documentation) Signal 600s Use of EMS radio including information to be transmitted Observe and assist in trauma management to include: Wound care and aseptic technique Hemorrhage control and bandaging Immobilization techniques REQUIREMENTS: Write PCRs on one trauma and one medical patient per eight hour shift. A SOAP or CHART format is suggested. Complete skill forms and have them signed by supervising staff Receive favorable evaluation from staff
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