Preceptor Training – Objectives

EMERGENCY ROOM/CLINIC OBJECTIVES (160 hours)

During the student’s time, he/she may not have been instructed in all skills that may be performed in the emergency department. It is the student’s responsibility to inform their supervisor of such skills not obtained in the classroom. Example:  IO placement – they will not perform any skills not obtained in the classroom during their clinical rotation.

1. The student’s primary goal during this section of the clinical rotation will be to gain experience in the following skills:
   1. General patient assessment and initial management including the development of a field impression and a treatment plan.
   2. Airway management and ventilation including endotracheal intubation, tracheal suctioning, and management of respiratory emergencies.
   3. Assessment and treatment of shock including establishing IV’s and administering fluids.
   4. The preparation and administration of medications by IV, ET, IO, IM, SC, PO, SL, rectal and inhalation routes.
   5. EKG rhythm interpretation including the interpretation of 12-lead EKG’s and the use of electrical therapy including defibrillation, synchronous cardioversion, and transcutaneous pacing.
   6. Insertion of NG tubes and Foley catheters.
2. The student will perform the skills that they have learned in the classroom under the supervision and discretion of the preceptor.
3. The student is required to assist the staff as needed, as long as the task assigned is not beyond the paramedic scope of practice.

PEDIATRIC CLINICAL OBJECTIVE (16 hours)

The student is required to complete 30 pediatric assessments over the course of the program

1. The student’s primary goal during this section of the clinical rotation will be to gain experience in the following:
   1. Observe and assist with the assessment and treatment of pediatric patients with a variety of ages and problems.
2. Students will perform the skills they have learned in the classroom under the supervision and discretion of the preceptor.
3. The student is to assist the staff as needed at the discretion of the preceptor or charge person.

OB/NEWBORN NURSERY OBJECTIVES (16 hours)

The student is required observe at least 2 births in the Labor/Deliver/Newborn Nursery Unit.

1. The student’s primary goal during this section of the clinical rotation will be to gain experience in the following:
   1. Observe and assist as allowed with normal vaginal childbirth and birth by C-section.
   2. Observe and assist as allowed with the resuscitation of a neonate.
   3. Observe and assist as allowed with the management of complications of childbirth.
   4. Observe and assist as allowed with the treatment of the mother before, during, and after childbirth.
   5. Observe and assist as allowed with IV’s in the neonate and assessment and APGAR score.
2. Students will perform the skills they have learned in the classroom under the supervision and discretion of the preceptor.
3. The student is to assist the staff as needed at the discretion of the preceptor or charge person.

OPERATING ROOM OBJECTIVES (40 hours)

The student is required to complete a minimum of 40 hours in the Operating Room working under the direct supervision of nurses and physicians.  It is the responsibility of the student to inform his/her preceptor of skills not obtained in the classroom. Those skills not obtained in the classroom will not be performed during the clinical rotation until those skills have been obtained.

1. The student’s primary goal during this section of the clinical rotation will be to gain experience in the following skills:
   1. Administration of RSI protocol medications.
   2. Monitoring patients, including blood pressure, pulse, respirations, level of consciousness, arterial oxygen saturation, and end-tidal carbon dioxide detection.
   3. Operating oxygen administration equipment and giving oxygen.
   4. Assisting in the operation of mechanical ventilator support.
   5. Preparing and giving medications as directed by the assigned preceptor.
   6. Observing effects of medications given.
2. Students will perform the skills that they have learned in the classroom under the supervision and discretion of the preceptor.
3. The student is required to assist the staff as needed as long as the task assigned is not beyond the paramedic scope of practice.

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