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EMS 208 Intermediate Emergency Medical Technician
Credit Hours:  11
Effective Term: Spring 2011
SUN#: None
AGEC: (None)  
Credit Breakdown: 7 Lectures, 12 Labs (285 hours total)
Times for Credit: 1
Grading Option: A/F
Cross-Listed:


Description: Designed to meet the U.S. Department of Transportation AZ Department of Health Services Office of Emergency Medical Services requirements for EMT-Intermediate. Provides advanced knowledge and skills related to hypoperfusion states, respiratory arrest or insufficiency, seizure states, cardiovascular emergencies, unconscious states of undetermined etiology, head injury with altered levels of consciousness and chest trauma. Current EMT certification for one year required. Comprehensive written, oral and practical evaluation on basic EMT skills.

Prerequisites: Valid EMT certification; HCP CPR; DHS Requirements

Corequisites: None

Recommendations: None

Measurable Student Learning Outcomes
1.(Knowledge Level) Describe the scope of the duties of the intermediate emergency medical technician.
2. (Analysis Level) Identify the signs and symptoms of the patient's presenting problem to the physician and/or preceptor in a comprehensive and orderly fashion.
3. (Synthesis Level) Discuss the report regarding treatment and the response of patients to the physician and/or preceptor.
4. (Synthesis Level) Perform biotelemetry and telephone communications with medical direction.
5. (Application Level) Apply core knowledge to processes of critical thinking to provide a differential diagnosis and treatment of illnesses and injuries.
6. (Application Level) Demonstrate knowledge and use of protocol, standards and guidelines related to patient care.
7. (Application Level) Demonstrate effective communications skills with team members, patients, others at a scene and with hospital personnel.
8. (Analysis Level) Recognize and apply the procedures of identifying and treating shock.
9. (Comprehension Level) Identify medications administered and possible side effects or complications.
10. (Analysis Level) Identify, treat, and document infiltration and discontinuing intravenous (IV) lines.
11. (Synthesis Level) Perform the functions of a team leader in a variety of pre-hospital emergency situations.
12. (Analysis level) Obtain and document blood samples taken on patients requiring the procedure.
13. (Analysis Level) Identify specific arrhythmias and relate patient implications and anticipated treatment modalities.
14. (Analysis Level) Identify and treat in any age group the following emergencies:
a. respiratory and cardiovascular
b. central nervous system
c. soft tissue injuries and musculoskeletal injuries
d. medical, obstetric and gynecologic
e. behavioral
15. (Analysis Level) Identify, access, and compile a resource list of community agencies.
Internal/External Standards Accreditation
1. Current American Heart Association (AHA), American Red Cross (ARC), American Safety and Health Institute (ASHI) or other Advanced Cardiac Life Support (ACLS) standards for airway management, patient assessment and treatment modalities.
2. Successfully pass all module exams at 75% or greater (allowances made under Arizona Revised Statutes for Arizona Dept. of Health Services, Bureau of Emergency Medical Services rules).
3. Current National Registry of EMTs (NREMT) Basic and Advanced guidelines for practicals to be administered at the end of the course.
4. Attend and successfully complete all phases of required field and clinical experience.
5. Maintain at least a 75% or greater in the classroom setting as outlined by the Advanced Life Support (ALS) Student Contract for Success.
6. Maintain at least a satisfactory report from peers, instructor, preceptors and clinical advisors.
7. Meet requirements outlined by Arizona Dept. Of Health Services, Bureau of EMS, rule R9-25-307.
8. Meet requirements set forth by US Dept. Of Transportation, National Highway Traffic Safety Administration, EMT-Intermediate: National Standard Curriculum.
9. Meet current requirements for successful completion of National Registry of EMT Intermediate practical and written exams.

Standards URL:
http://www.azsos.gov/public_services/Title_09/9-25.htm#Article_3

Standards under title rulemaking at 12 A.A.R. 4404, effective January 6, 2007 (Supp. 06-4). Amended by final rulemaking at 13 A.A.R. 3014, effective October 6, 2007 (Supp. 07-3).
R9-25-307. Arizona EMT-I Course (Authorized by A.R.S. ยงยง 36-2202(A)(3) and (A)(4) and 36-2204(1) and (3)).

R9-25-307. Arizona EMT-I Course (Authorized by A.R.S. ?? 36-2202(A)(3) and (A)(4) and 36-2204(1) and (3))

A. "Arizona EMT-I course" means the United States Department of Transportation, National Highway Traffic Safety Administration, EMT-Intermediate: National Standard Curriculum (1999):

1. Incorporated by reference and on file with the Department, including no future editions or amendments; and available from the National Highway Traffic Safety Administration, 400 Seventh St., SW, Washington, DC 20590; from the Department's Bureau of Emergency Medical Services and Trauma System; and on http://www.nhtsa.gov by going to the Quick Link for Emergency Medical Services Program;

2. As modified in subsection (B); and

3. Provided by a training program certified under this Article or by an ALS base hospital authorized under R9-25-210(C).

B. The Arizona EMT-I course is modified as follows:

1. No more than 24 students shall be enrolled in each session of the course;

2. Prerequisites identified in the course introductory materials under the headings "The EMT-Intermediate: National Standard Curriculum" and "Prerequisites" are required;

3. The minimum course length is 400 contact hours, including:

a. A minimum of 280 contact hours of didactic instruction and practical laboratory, and

b. A minimum of 120 contact hours of clinical training and field training;

4. Modules 1 through 7 are required;

5. EMS equipment required for the course is listed in Exhibit A of this Article and shall be available before the start of each course session and during the course session as needed to meet the needs of each student enrolled in the course session;

6. Facility recommendations identified in the course introductory materials under the headings "EMT-Intermediate Education," "Program Evaluation," and "Facilities" are requirements;

7. A final closed book written course examination is required and shall:

a. Include 150 multiple-choice questions with one absolutely correct answer, one incorrect answer, and two distractors, neither of which is "all of the above" or "none of the above";

b. Cover the learning objectives of the course with representation from each of the course modules; and

c. Require a passing score of 75% or better in no more than three attempts; and

8. A final comprehensive practical skills examination is required and shall:

a. Evaluate a student's technical proficiency in skills identified as psychomotor objectives in modules 1 through 7; and

b. Enable a student to meet NREMT-Intermediate registration requirements.

C. A training program certified under this Article or an ALS base hospital providing a course as authorized under R9-25-210(C) may combine the students from more than one Arizona EMT-I course session for didactic instruction.

Historical Note
Adopted effective October 15, 1996 (Supp. 96-4). Section repealed; new Section made by final rulemaking at 9 A.A.R. 5372, effective January 3, 2004 (Supp. 03-4). Amended by final rulemaking at 12 A.A.R. 4404, effective January 6, 2007 (Supp. 06-4). Amended by final rulemaking at 13 A.A.R. 3014, effective October 6, 2007 (Supp. 07-3).