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HomeMy WebLinkAboutR-86-0607J-86-542 Ok RESOLUTION NO. 8G-60 9`1 A RESOLUTION AUTHORIZING THE CITY MANAGER TO EXECUTE THE ATTACHED AGREEMENT, IN SUBSTANTIALLY THE FORM ATTACHED HERETO, WITH THE BOARD OF DIRECTORS OF MEDICAL ARTS TRAINING CENTER, INC. (M.A.T.C.), FOR COORDINATION OF SERVICES IN CONNECTION WITH AN EMERGENCY MEDICAL TECHNICIAN - PARAMEDIC TRAINING PROGRAM TO BE CONDUCTED SUBSTANTIALLY IN ACCORDANCE WITH THE TERMS AND CONDITIONS SET FORTH IN SAID AGREEMENT, ALSO AUTHORIZING THE CITY MANAGER TO EXECUTE SUBSEQUENT AGREEMENTS FOR RENEWABLE TWO (2) YEAR TERMS AS SPECIFIED IN SAID AGREEMENT. WHEREAS, the City of Miami and the Board of Directors of Medical Arts Training Center, Inc. (M.A.T.C.), desire that the public interest be served by ensuring a continuing source of competent health care professionals; and WHEREAS, in exchange for allowing students enrolled in M.A.T.C.'s Emergency Medical Technician -Paramedic Training Program to ride the City's Rescue vehicles, as observers, in order to obtain clinical experience of actual delivery of pre -hospital emergency care, M.A.T.C. has agreed to train Fire Department personnel at no additional cost to the City in its EMT/Paramedic Training Program, on an hour for hour exchange basis; and WHEREAS, Dade County is experiencing a high level of trauma due to auto accidents and criminal violence making such a Paramedic Training Program in the best public interest in having an increased number of skilled individuals available; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: XMI0o or JUL, 94 190 NO. t 4 SECTION 1. The City Manager is hereby authorized to execute the attached agreement with the Board of Directors of Medical Arts Training Center, Incorporated (M.A.T.C.), for the coordination of services in connection with a Paramedic Training Program. SECTION 2. The City Manager is hereby authorized to execute subsequent agreements for renewable two (2) year terms, with the terms and conditions as set forth in the attached agreement, with the Board of Directors of Medical Arts Training Center, Incorporated (M.A.T.C.), for the coordination of services in connection with a Paramedic Training Program PASSED AND ADOPTED this 24th day of JULY , 86. XAVIER L. SU Z. MAYOR ATTEST: MAT7 HIRA , CITY GMT PREPARED AND APPROVED BY: ROBERT F. CLA K CHIEF DEPUTY CITY ATTORNEY APPROVED A TO FORM AND CORRECTNESS: LUC H7 CI ATTORNEY 86- 00'7. cr" OF MIAMI. FLORIOA 0 INTER-OirRICE MEMOlIANbUM To: The Honorable Mayor and CAM JUL Members of the City Commission SUBJECT: Resolution Authorizing Renewal of Agreement for EMT/Paramedic Training FRoM: Cesar H. Odio REFERENC[f: For City Commission City Manager ENcLosuREs: Meeting Of July 10, 1986 It is recommended that an agreement be made with the Board of Directors of Medical Arts -Training Center Inc. M.A.T.C. , for continuation and coordination of services in connection with an Emergency Medical Technician - Paramedic Training Program to be conducted by M.A.T.C. and further providing that the City Manager be authorized to execute _ subsequent aareements for renewable two 2 year terms. The Medical Arts Training Center (M.A.T.C.) has designed and currently oporates an Emergency Medical Technician -Paramedic Training Program. As part of the Program of over 800 hours of intense didactic academic and clinical instruction, it is necessary that M.A.T.C. students experience actual delivery of pre -hospital emergency medical care. M.A.T.C. and the City have been under agreement since January 6, 1982, that in exchange for students being allowed to ride, as observers, in the City's Rescue vehicles, they will train Fire Department personnel at no additional cost to the City, on an hour - for -hour exchange basis. Inasmuch as the public interest is being served through this program, increasing the number of skilled EMT/Paramedics, the Department of Fire recommends continuation in the M.A.T.C. Program. The new agreement is substantially the same as last year's and it is recommended that the City Manager be authorized to execute subsequent agreements with M.A.T.C. for renewable two (2) year terms. The agreement also provides for appropriate indemnification and insurance protection for the City. KEM 86--607 AGREEMENT THIS AGREEMENT entered into this day of �, by and between MEDICAL ARTS TRAINING CENTER, INCORPORATED, a Florida for profit corporation, hereinafter referred to as M.A.T.C. and THE CITY OF MIAMI, a Florida municipal corporation, hereinafter referred to as the AGENCY. RECITAL WHEREAS the AGENCY and M.A.T.C. desires that student enrollment in -the programs, as noted on the list attached hereto and incorporated by reference as ATTACHMENT A, obtain clinical experience at the AGENCY; and WHEREAS, the AGENCY is offering to provide the necessary facilities for said clinical experience in recognition of the need to train allied health personnel; and WHEREAS, the objective of the Paramedic Training Program is to develop skills in individuals who are seeking careers in emergency prehospital emergency medical care in the field, at the scene, or during transit to an emergency care center; and WHEREAS, M.A.T.C. has agreed to train Fire Department personnel at no additional cost to the CITY, as part of the Paramedic Training Program; and WHEREAS, Dade County is experiencing a high level of trauma due to auto accidents and criminal violence; so that such a Paramedic Training Program; is in the best public interest in having an increased number of skilled individuals; and WHEREAS, based on the above facts the City of Miami has determined performs as public purpose; the Office of the Fire Chief of that such a program primarily NOW, THEREFORE, for and in consideration of the premises and the mutual covenants and agreements herein contained, the parties hereto agree as follows: 1. FACILITIES The AGENCY agrees to make available as practical certain facilities to the M.A.T.C. in order to provide clinical experience for the programs indicated on ATTACHMENT A. The facilities to be made available consist of: a. Space for group assembly as available. b. Cafeteria facilities, if available, for the students and the M.A.T.C. faculty only on days while on assignment at the AGENCY. The cost of meals at same is to be paid by said faculty members and students. c. Access to AGENCY library facilities, if available, as consistent with needs of the AGENCY staff members. d. Allowing M.A.T.C. students to observe field operations by riding Rescue Trucks. 2. PROVISIONS FOR INSTRUCTION AND SUPERVISION OF STUDENTS a. The M.A.T.C. shall acquaint the students with the rules and regulations of the AGENCY and shall hold said students responsible for complying with all rules and regulations applicable to nonresident students. This does not preclude the AGENCY from providing further orientation. The AGENCY shall provide a current set of 'rules and regulations for the M.A.T.C. at least sixty (60) days prior to the date of this AGREEMENT. b. The AGENCY reserves the right to refuse its facilities and services to any student or faculty member who does not meet the professional or other requirements of the AGENCY or any appropriate authority controlling and directing said AGENCY. c. M.A.T.C. agrees there shall be no discrimination as to sex, color, creed, national origin or handicap in connection with any operations under this agreement. d. The instructional schedule for the clinical experience of the student shall be planned jointly by the supervisor of the particular program of the M.A.T.Co and the designated representatives) of the AGENCY. The instructional schedule as mutually agreed upon by both parties to this AGREEMENT shall, whenever possible, be submitted to the respective AGENCY and M.A.T.C. authorities at least sixty (60) days prior to the beginning of such schedule. e. The M.A.T.C. may appoint a clinical instructor from the M.A.T.C. for any given program who shall assist the program supervisor of the M.A.T.C. in overseeing the clinical instruction of the students at the AGENCY. Clinical instruction may also be provided for by the AGENCY from its staff and assigned according to Paragraph "c" and "d" above. The M.A.T.C. reserves the right to review the qualifications of such persons assigned to assist in the clinical instruction of the students. f. The responsibility of the staff of the AGENCY with regard to the clinical experiences of the students may include as appropriate to the specific program: (1) Direct instruction and supervision of the students according to the respective course description and/or syllabus, cooperating therein with the faculty member assigned by the M.A.T.C. to supervise said course; (2) Periodic evaluation of the progress of the students as required by the M.A.T.C.; (3) Providing to the above mentioned program supervisor, on an appropriately periodic basis, the proposed schedule for clinical instructional period; and (4) Being available for scheduled and unscheduled conferences at reasonable times with the students and/or faculty supervisor. g. The M.A.T.C. program supervisor shall make regular visits to the AGENCY in order to coordinate the progress of the course of instruction and to determine its effectiveness. h. The M.A.T.C. on its part agrees further: (1) To go through the proper channels at the AGENCY in planning clinical experience; (2) To arrange meetings with the appropriate clinical staff of the AGENCY . to whom the students are directly responsible in order to review and evaluate the progress of the clinical instruction as needed; (3) To provide methods for student evaluation and to be responsible for the final grades of the students; (4) To inform the clinical instruction staff of the AGENCY as to the extent of the academic preparation of the students for the purpose of assignment of the students to the appropriate entry level of clinical experience; and - 2 - 86-607 (5) To ensure that all students are provided liability insurance. j 3. INDEMNIFICATION 1 The M.A.T.C. shall indemnify and hold harmless the AGENCY and their respective officers, commissioners, instructors, agents, employees and servants from any and all liabilities, claims, suits, causes of action, losses, expenses, costs and damages resulting from or arising out of any act or omission to act including but not limited to negligence and/or medical malpractice arising out of or in connection with the performance of this AGREEMENT, on the part of the M.A.T.C. and its respective clinical instructors, officers, directors, students, agents, employees and servants. The M.A.T.C. furthermore agrees that it shall assume full responsibility at its own cost and expense to resist and defend any such claim, suit, action or proceeding, whether meritorious or not, which may be brought against the AGENCY and their respective officers, commissioners, instructors, agents employees and servants, whether in an individual or representative capacity, and to pay any and all judgements, awards and settlements, which may issue thereon or which may be received therein, and to pay any and all costs and expenses, including but not limited to attorney's fees for the defense and/or appeal which may be incurred therein. 4. INSURANCE The M.A.T.C. shall maintain professional liability insurance with a combined single limit of at least one million dollars throughout the term of this AGREEMENT. A Certificate of Insurance shall be filed wi*h the City of Miami Risk Management Division prior to execution of AGREEMENT as evidence of compliance with this agreement. 5. TRAINING OF FIRE DEPARTMENT PERSONNEL a. M.A.T.C. shall offer the AGENCY one hour of instruction in any course M.A.T.C. offers for each hour of documented riding time used by one of M.A.T.C.'s students in accordance with M.A.T.C.'s clinical laboratory schedule. b. M.A.T.C.'s EMS Coordinator and/or Clinical Coordinator shall keep in touch with the Chief of Rescue and the AGENCY's instructual staff in an effort to promote candidates from the AGENCY to attend M.A.T.C.'s offerings in the effort to better fulfill M.A.T.C.'s obligation of providing instructional hours for the AGENCY's accumulated riding hour credits. The present number of accumulated credit hours due the AGENCY is 3900 hours. 6. TERN OF AGREEMENT a. The initial term of this agreement shall be from the date of execution through July 31,.1988. This agreement, shall have a renewable two (2) year term as specified below. If M.A.T.C. is in good standing and not in default under the terms of the AGREEMENT, the agreement shall be renewable every two years thereafter except that either party hereto may terminate this AGREEMENT effective on the next expiration date thereof by giving written notice to the other party to that effect not later than sixty (60) days prior to said expiration date. b. The AGENCY reserves the right to cancel, terminate and declare this AGREEMENT to be null and void at its sole option upon 72 hour notice (unless otherwise impossible to so notice) in the event M.A.T.C. fails to comply with any of the terms and conditions of this AGREEMENT, the Fire Department resources are needed by the City for other municipal purposes, or for purposes deemed by the Fire Chief to be in the City's best interest and convenience. eat: r 7• NEWS HELSASS News releases or commercial advertisements for publication or media, pertaining to the AGENCY's participation in this program shall not be made by M.A.T.C. without prior written approval of the Department of Fire. Such approval shall be obtained from the office of the Fire Chief. 8. COMPLIANCE WITH FEDERAL, STATE AND _LOCAL LAYS Both parties shall comply with all applicable laws, ordinances and codes of federal, state and local governments. 9. GENERAL CONDITIONS a. All notices or other communications which shall or may be given pursuant to this AGREEMENT shall be in writing and shall be delivered by personal service, or by registered mail addressed to the other party at the address indicated herein or as the same may be changed from time to time. Such notice shall be deemed given on the day on which personally served; or, if by mail, on the fifth day after being posted or the date of actual receipt, whichever is earlier. CITY OF MIAMI MEDICAL ARTS TRAINING CENTER 275 NW 2 Street 1801 S. State Road 7 Miami, Florida 33128 Hollywood, Florida 33023 b. Title and paragraph headings are for convenient reference and are not a part of this AGREEMENT. c. In the event of conflict between the terms of this AGREEMENT and any terms or conditions contained in any attached documents, the.terms in this AGREEMENT shall rule. d. No waiver or breach of any provision of this AGREEMENT shall constitute a waiver of any subsequent breach of the same or any other provision hereof, and no waiver shall be effective unless made in writing. e. Should any provisions, paragraphs, sentences, words or phrases contained in this AGREEMENT be determined by a court of competent jurisdiction to be invalid, illegal or otherwise unenforceable under the laws of the State of Florida or the City of Miami, such provisions, paragraphs, sentences, words or phrases shall be deemed modified to the extent necessary in order to conform with such laws, or if not modifiable to conform with such laws, then same shall be deemed severable, and in either event, the remaining terms and provisions of this AGREEMENT shall remain unmodified and in full force and effect. 10. NONDELEGAHILITY That the obligation undertaken by M.A.T.C. AGREEMENT shall not be delegated or assigned to or firm unless AGENCY shall first consent in performance or assignment of such service or any another - person or firm. 11. AWARD OF AGREEMENT pursuant to this any other person writing to the part thereof by M.A.T.C. warrants that it has not employed or retained any person employed by the AGENCY to solicit or secure this AGREEMENT and that it has not offered to pay, paid, or agreed to pay any person employed by the AGENCY any fee, commission percentage, brokerage fee, or gift of any kind contingent upon or resulting from the award of this AGREEMENT. - 4 - 86-60 7 12. CONSTRUCTION OF AGREEMENT This AGREEMENT shall be construed and enforced according to the laws of the State of Florida. 13. SUCCESSORS AND ASSIGNS This AGREEMENT shall be binding upon the parties herein, their heirs, executors, legal representatives, successors, and assigns. 14. CONFLICT OF INTEREST a. M.A.T.C. covenants that no person under its employ who presently exercises any functions or responsibilities in connection with the AGREEMENT has any personal financial interests, direct or indirect, with AGENCY. M.A.T.C. further covenants that, in the performance of this AGREEMENT, no person having such conflicting interest shall be employed. Any such interests on the part of M.A.T.C. or its employees, must be disclosed in writing to the AGENCY. b. M.A.T.C. is aware of the conflict of interest laws of the City of Miami (City of Miami Code Chapter 2, Article Y), Dade County Florida (Dade County Code Section 2-11.1) and the State of Florida, and agrees that it shall fully comply in all respects with the terms of said laws. 15. INDEPENDENT CONTRACTOR M.A.T.C. and its employees and agents shall be deemed to be independent contractors, and not agents or employees of AGENCY and shall not attain any rights or benefits under the Civil Service or Pension Ordinances of AGENCY or any rights generally afforded classified or unclassified employees; further they shall not be deemed entitled to the Florida Workers' Compensation benefits as employees of AGENCY. 16. ENTIRE AGREEMENT This instrument and its attachments constitute the sole and only agreement of the parties hereto relating to said grant and correctly sets forth the rights, duties, and obligations of each to the other as of its date. Any prior agreements, promises, negotiations, or representations not expressly set forth in this AGREEMENT are of no force or effect. 17. AMENDMENTS No amendments to this AGREEMENT shall be binding on either party unless in writing and signed by both parties. IN WITNESS WHEREOF the parties have caused this AGREEMENT to be executed in their respective corporate names and their corporate seals to be affixed by duly authorized officers, all on the day and year first set forth above. Attest: Corporate Secretary Attest: City Clerk Signature Page Continued ... MEDICAL ARTS TRAINING CENTER INCORPORATED, a Florida for Profit Corporation CITY OF MIAMI: City Manager - 5 - 86-607 APPROVED AS TO FORM CORRECTNESS: By: City Attorney APPROVED AS TO INSURANCE REQUIREMENTS: By: Department of Risk Management APPROVED AS TO CONTENT! By City of Miami Department of Fire, Rescue and Inspection Services . 6 -W60 , CORPORATE RESOLUTION WHEREAS, the Board of Directors of Medical Arts Training Center has examined terms, conditions, and obligations of the proposed contract with the City of Miami for Rescue Riding; WHEREAS, the Board of Directors at a duly held corporate meeting have considered the matter in accordance with the by- laws of the corporation; NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF DIRECTOR of Medical Arts Training Center, that the President and Secretary as hereby authorized and instructed to enter into a contract in the name of, an on behalf of this corporation, with the City of Miami for Rescue Riding, in accordance with the contract documents furnished by the City of Miami, and for the price and upon the terms and payments contained in the proposed con- tract submitted by the City of Miami. CHAIRMAN, Board of Directors ( SEAL) WITNESS CONTRACTUAL AGREEMENT ATTACHMENT- A June 6, 1986 (amended) MEDICAL ARTS TRAINING CENTER INCORPORATED HOLLYWOOD, FLORIDA 33023 8F07 �'i 0 L-1 MEDICAL ARTS TRAINING CENTER Hollywood, Florida INSTITUTIONAL INFORMATION (cont'd) LICENSURE: The Medical Arts Training Center is a private independent post -secondary vocational school licensed by the Florida Board of Independent Post -Secondary Vocational, Technical, Trade and Business Schools, Department of Education, Tallahassee, License number is 510. FOREIGN STUDENTS: The Medical Arts Training Center is authorized under Federal Law to enroll non-immigrant alien students. MEMBERSHIP: The Medical Arts Training Center is a member of the Florida Association of Private Schools (FAAPS). The Medical Arts Training Center is a member of the Florida Emergency Medical Services Educators of Florida (EMSEF) The Medical Arts Training Center is a member of the Chamber of Commerce of the United States of America. The Medical Arts Training Center is a member of the Chamber of Commerce in Hollywood, Florida. Sf -�0`7' MEDICAL ARTS TRAINING CENTER PARAMEDIC TRAINING PROGRAM ACCREDITATIONS AND LICENSURES American Medical Association (under review) Committee on Allied Health Education and Accreditation, Joint Review Committee on Educational Programs for the EMT - Paramedic Chicago, Illinois. National Registry of Emergency Medical Technicians Columbus, Ohio State of Florida nd Rehabilative Services, Department of Health a Division of Emergency Medical Services, Tallahassee, Florida State of Florida State Board oflndependent Postsecondary Vocational, Technical, Trade and Business Schools, Tallahassee, Florida f W At MEDICAL ARTS TRAINING CENTER EMT -PARAMEDIC TRAINING CENTER MEDICAL DIRECTOR Barry Feingold, D.O. Medical Director, Emergency Department Community Hosptial of South Broward Hollywood, Florida Clinical Assistant professor and Chairman Department of Emergency Medicine Southeastern College of Osteopathic Medicine Regional Co -Director, American College of Osteopathic Emergency Physicians for Florida, Georgia, Tennessee Member, American College of Emergency Physicians Member, Florida Chapter, American College of Emergency Physicians Charter Member,American College of Osteopathic Emergency Physicians Member, Florida Osteopathic Medical Association Member, Broward County Osteopathic Medical Association Member, American Osteopathic Association Charter, Member, Florida Association of Medical Directors of EMS Systems Member, Broward County Emergency Medical Services Advisory Council Member, Emergency Medical Technology Advisory Committe of Broward Community College Member, Broward County Association of Medical Directors of EMS Systems Medical Director, City of Miramar Fire Rescue Member, American Heart Association, Broward County Chapter Instructor, Advanced Cardiac Life Support, American Heart Association Instructor, Basic Cardiac Life Support, American Heart Association 86-607 A MEDICAL ARTS TRAINING CENTER EMT -PARAMEDIC TRAINING CENTER EMS PROGRAM DIRECTOR Oscar wiltse Paramedic -State of Florida State of Georgia State of South Carolina State of New York Paramedic -National Registry Federal D.O.T. EMS Instructor BCLS Instructor -American Heart Association ACLS Instructor -American Heart Association Certified Fire Fighter -New York State 676vj$,,� MEDICAL ARTS TRAINING CENTER HOLLYWOOD, FLORIDA PARAMEDIC TRAINING PROGRAM INTRODUCTION The PARAMEDIC TRAINING PROGRAM -PHASE ONE and PHASE TWO - is based on the recommemdations of the Task Force on Emergency Medical Technicians of the National Academy of Sciences / National Research Council (NAS/NRC). The programs is designed to be presented in its entirety or in segments, depending upon local needs and resources. If the student successfully completes the entire program, he will have met the criteria established by the NAS/NRC Task Force on Emergency Medical Technicians as an EMT -Paramedic. It should be noted that while 1,020 hours of instruction will be required to bring the student the full level of Paramedic competency► the depth of his competency will in large part depend upon the student's exposure to emergency situations during the clinical and field internship phases of instruction. PROGRAM OBJECTIVE The objective of the PARAMEDIC TRAINING PROGRAM is to develop skills in individuals who are seeking careers in emergency prehospital medical care, in order that they may work under the direction of a physician, (including standing orders) in providing emergency medical care in the field, at the scene, or during transit to an emergency care center. s . 9 AO PROGRAM DESCRIPTION This training program is designed to provide the student with knowledge about the acute, critical differences in physiology, path- ophysiology, or clinical symptoos, as they pertain to the prehospital emergency medical care of the infant, child, adolescent, adult and geriatric patient. The student will have the opportunity to acquire clinical experience and practice skills related to the emergency medical care of these patients. The program consists of three components: classroom, clinical; (in hospital), and.field internship. The time required to complete each component will depend on the ability of each student to successfully demonstrate that he has acquired the. necessary knowledge and skills. The program is'stuctured as follows: -Classroom: Lectures, discussions, and demonstrations.presented by paramedic instructors, physicians, and others that are competent in the field. -Clinical: Instruction and supervised practice of emergency medical skills in critical care units, emergency departments, obstetric units and operating rooms (including anesthesia), and psychological crisis intervention centers. -Field-Internship - Critical Evaluation of On-the-Dob Performance: Experience as an extra person on an intensive care vehicle (ambulance) which is equipped.with biomedical telecommunications and drugs necessary for advanced life support. The student is to be super- vised by a physician or-nruse qualified in emergency medicine or by a State licensed EMT -Paramedic. The program and topics of study are achievement oriented and provide the student with: , -The necessary knowledge and competency to accurately and.reliably perform the functions and tasks stated and implied in the "Description of Occupation.' and "Competency of the Paramedic." 86""6d.4 N Iwo j PROGRAM DESCRIPTION (continued) -Instruction that encompasses (1) an indroduction to the responsibilities, career pathways in emergency medical services, and an introduction to patient history taking and physical examination skills; (2) biomedical communi- cations to include telemetry, use and maintenance of equipment, legal responsibilities, record keeping, emer- gency and defensive driving, and principles and techniques of light extrication; (3) pertinent anatomy, pathophysiology, history taking, physical examination, assessment and emergency treatment relating (a) to the cardiovascular system, including recognition of selected arrhythmias associated with potential, acute cardiac compromises; (b) to the respiratory system, including pneumothorax, chronic obstructive pulmonary disease, acute asthma, trauma to' the chest and airway, respiratory distress syndrome, and. acute airway obstruction; (c) to chest and abdominal trauma; (d) to medical emergencyes including acute abdomens, infec- tions, endocrine disorders (diabetes mellitus), and rapes; (d) to the central nervous system.(medical) in regard to hemorrhagic stroke, vascular seizures, drug overdose, drug incompatibilities, and alterations in levels of consciousness; (f) to the central nervous system (trauma) in regard to closed and open head injuries; cervical, thoracic, lumbar, and pelvic injuries; and alterations. in levels of consciousness; (g) to musculoskeletal trauma, Including massive external hemorrhage fractures and. dislocations of the extrwities and also, all fractures and dislocations of the extremities and also, all fractures and dislocations of the cervical,.thoracic, lumbar, and pelvic regions, emphasizing those fractures and.. dislocations associated with the peripheral neurovascular system, but excluding those with nerve compromise; (h) to obstetrical and gynecologic emergencies includingcomplications of the 1st, 2nd; and 3rd trimesters, bleeding, a'-typleal presentaion, and exlampsia of primiparous and multiparous females; vaginal.bleeding; and rape; (i) to pediatric emergencies including respiratory conditions such as.croup and epiglottitis, infections seizures, child abuse, T aspirations, poisonings, and neonatal transfers; (j) to psychiatric emergencies including negotiations, diagnosis of, and intervention techniques with suicidal,.assaultive, destructive, resistant, anxious, bizarre, confused, alcoholic, drug -addicted, toxic, amnesic, paranoid, drugged, raped, and assulted patients; (k) special situations including carbon monoxide and other noxious inhalations and poisonings, and, as needed, in regard to near -drowning, submersion, overexposure to hot --or cold -weather extremes, electrocution, high altitude incidents, burns environmental/industrial exposures; and (4) other knowledge and competencies as appropriate. 6 86- 60`k I PROGRAM DESIGN i The program is divided into two phases. PHASE ONE containing 15 modules and PHASE TWO containing 19 modules. Each module is a complete, selfcontained package directed toward the attainment of skills and knowledge in a subject area. The emphasis of each module is on: 1) the identification of the skills and knowledge required of the student, 2) methods to assist the student in the accomplishment of these objectives, and 3) a procedure for the evaluation of student competency. Each module can be presented individually or combined with modules to construct a course for a selected group of students. Also in- cluded in each module are optional skills that have been demonstrated in prehospital care systems to be effective in the field when performed by paramedic personnel. The training program is presented using a variety of teaching strategies - lectures, group discussions, demonstrations, laboratory demonstrations, simulated practice sessions, clinical experience, and an internship on the vehicle. The thrust of this training is to •develop specific skills and to develop general principles of diagnosis and treatment based on fundamentals of normal anatomy, and physiology and of pathophysiological processes. Students are encouraged to apply the general knowledge and principles presented in the course to a broad spectrum of specific patient conditions. A student will have successfully completed the program when he has demonstrated mastery of the skills and knowledge expected of him irrespective of the hours involved. The successful completion of PROGRAM DESIGN (cont'd) PHASE ONE- Emergency Medical Technician -Ambulance Training Program- of the PARAMEDIC TRAINING PROGRAM will provide the student with 317 hours of instruction in prehospital emerg- ency basic life support and emergency response vehicle oper- ation, utilizing the United States Department of Transportation National Highway Traffic sit forety theAStatesofaFloridaeEMTllnandhe student to apply and the National EMT -A registry examinations. The successful completion of PHASE TWO- Paramedic Train- ing Course- of the PARAMEDIC TRAINING PROGRAM, in conjunction with the successful completion of PHASE ONE, will provide the student with 1,020 hours of instruction being in prehospital emergency medical care, with 703 hours of instruction being in emergency advanced life support, following the recommend- ations of the United States Department of Transportation / National Highway Safety Administration's National Emergency Medical Technician- Paramedic Training Course Guide, enabling the student to apply and sit for the State of Florida Paramedic licensure and National EMT -Paramedic Registry examinations. 6'. 60171 PHASE ONE Emergency Medical Technician -A Training Program $6 07 E a I PARAMEDIC TRAINING PROGRAM PHASE ONE Emergency Medical Technician -A Training Program Course Description Standard First Aid and Personal Safety The purpose of this course is to provide the student with the knowledge and skills called for.in most situations in which emergency first aid care is required and medical assistance is not excessively delayed. The course also incorporates information on personal safety and accident prevention, in order that the student can learn the causes of accidents and act to eliminate or minimize such causes. Cardiopulmonary Resuscitation This course is designed to teach the student the basic life support skills ot.cardiopulmonary resuscitation (CPR) and introduce him to•*the basic principles of emergency care for the choking, unconscious and heart attack victim. Emergency Vehicle Operations Course This course is designed to instruct the student in the basic physics of driving as applied specifically to emergency response vehicles. The student will learn the proper techniques of emergency vehicle maintenance.and operation in order to avoid vehicle abuse, traffic law violation,.vehicular accidents,*property damage, human injury and loss of life. Through actual and simulated driving excercises the student will develop psychomotor skills enabling him to: (1) identify potential hazardous conditions that may exist on the emergency vehicle and initiate the proper action, (2) recognize driving. hazards and potential hazards and take the correct action, (3) drive in a manner so as not to jepordize life or property during adverse conditions, and (4) identify.and initiate the.correct maneuver in order to avoid'or lessen the severity of a vehicular accident. Emergency Medical Technician -A Training Course. This course is designed to introduce the student to the.broad specturm of emergency prehospital basic life support; while developing in him the skills necessary to function competently 9 0 At T as an allied health professional in the prehospital phase of emer- gency medical care. The student will learn skills which will enable him to function with other health care professionals, and perform basic life support techniques in the field, during transport and in the emergency:room setting under the supervision of -a physician and according to standard protocal. The student will learn basic anatomy and physiology as related to emergency prehospital medical care, be able to make a diagnosis and implement the correct basic emergency treatment. The student will further be familiarized with light rescue equipment and -learn the proper techniques of vehicle extrication. At PHASE TWO Paramedic Training Course r.3 . AIr PARAMEDIC TRAINING PROGRAM PHASE TWO Course Description Paramedic Training Course t This course is designed to provide the student, who has successfully completed the requirements of the Emergency Medical Technician - Ambulance Training Program, with the knowledge and skills necessary for him to competently function with other health care professionals as a paramedic. This course differs in scope from the EMT -A training course in that emphasis is on the diagnosis and treatment of acute life threatening pathophysiological conditions through the performance of advanced life support techniques. Upon successful completion, the student will.be able to administer advanced life support techniques under the supervision of a. physician or independantly in the absence of physician contact according to standard protocal.-.The student will -learn such techniques as:. cardiac arrythmia recognition; drug -administration, ie. intranvenous, intramuscular, intracardiac injections;. endotracheal intubation; cardiac defibrillation and the surgical relief of tension pneumothorax through chest tube insertion. 11 . 84# 011 EMT - PARAMEDIC TRAINING PROGRAM Clock Hour Schedule IV II I IIWi�i i�le�? ao 0 ,i PARAMEDIC TRAINING PROGRAM COURSE OUTLINE i Paramedic Training Coarse CLOCK MODULE L.C. L.W. CURRICULUM HOURS PART 1 1 4 Orientation: Duties of a Paramedic 4 2 20 Human Systems and Patient Assessment 20 3 24 8 Shock and Fluid Therapy 32 4 40 8 Respiratory System 48 5 60 20 Cardiovascular System 80 I 6 40 12 Pharmacology 52 PART 11 i 7 18 Central Nervous System 18 8 12 Soh Tissue Injuries 12 9 12 Musculoskeletal System 12 10 24 Medical Emergencies 24 11 20 8 Obstetrics/Gynecologic Emergencies 28 12 16 Pediatric & Neonatal Emergencies 16 13 8 Emergency Care of The Emotionally . Disturbed 8 14 8 Telemetry and Communications 8 15 22 Career Opportunities 22 16 10 15 Resume and Interviews 25 17 25 Test Taking 25 18 10 Paramedic Certification Review/Final 10 Total Didactic Clock Hrs. 445 CLINICALS 100 Rescue Riding 100 60 Emergency Room (Hospital) 60 18 Operating Room (Hospital) 18 12 Obstetrics (Delivery Room) 12 8 Pediatric Care 8 24 Intensive Care 24 12 Cardiac Care 12 16 Psychiatric 16 8 Medical Examiner 8 Total Clinical Hours 258 Total Paramedic Hours 703 Key: L.C. - Lecture Clock Hours L.W. - Lah & Practical NOTE: Although the didactic portion of the course is divided into two parts. the student must complete the entire course as a unit in corder to graduate. -29- EMT TRAINING PROGRAM COURSE OUTLINE CLOCK MODULE L.C. L.W. CURRICULUM HOURS 1 4 Orientation: What is an EMT -A (Certified) 4 2 24 Medical Terminology 24 3 10 I 1 Standard First Aid & Personal Safety 21 4 4 5 Cardiopulmonary Resuscitation 9 5 11 10 Emergency Response Vehicle Operation 21 6 12 4 Respiratory System and Resuscitation 16 7 12 8 Circulatory System & Cardiopulmonary Resuscitation 20 8 12 Medical Emergencies 12 9 4 Soft Tissue Injuries 4 10 4 Shock 4 11 4 Burns 4 12 4 Wound Care 4 13 4. Fractures 4 14 4 Poisoning 4 15 8 Emergency Child Birth 8 16 4 4 Patient Assessment 8 17 4 4 Patient Handling 8 18 8 8 Extrication and Rescue Techniques 16 19 10 EMT Certification Review/Final 10 Total Didactic Clock Hrs. 201 CLINICALS 40 32 4 8 8 4 20 Ambulance Riding 40 Emergency Room (Hospital) 32 Psychiatric Room 4 e Operating Room (Hospital) 8 ` Delivery Room (Hospital) 8 Medical Examiner 4 EVOC (Emergency Vehicle Operations Course) 20 Total Clinical Hours 116 Total EMT Course Hours ii 317 Key: L.C. -Lecture Clock Hours L.W. - Lab & Practical 26 -