INTRODUCTION TO CLINICAL PRACTICE FOR PARAMEDICS: ASSESSMENT AND MANAGEMENT

SHE Level 1
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M1B726428
Module Leader Samantha Paterson
School School of Health and Life Sciences
Subject Paramedic Science
Trimesters
  • B (January start)
  • A (September start)-B (January start)

Pre-Requisite Knowledge

none

Summary of Content

-46-2 Introduction to Assessment and Management develops the learning from Trimester A in the Clinical Skills module. The skills and knowledge from the clinical skills module are applied into a structured assessment of a range of patients across the lifespan. Students will take a person centred approach to develop obtaining an assessment appropriate to the situation and patient presented through case studies and scenarios. The module will build on learning in the clinical skills module through a more in depth consideration of underlying pathophysiology and understanding of pharmaceutical interventions. Safe administration of medications and identification of potential problems will be the focus with further learning in level 2 on this area to support the spiral curriculum of learning. Students are encouraged to begin application of knowledge and understanding to clinical reasoning and decision making in acute and urgent care across the lifespan including traumatic and obstetric cases as well as adult and paediatric presentations. Students will apply their knowledge to the treatment of these patients and ensure safe, legal and appropriate management of medications in the acute environment. Students will also be introduced to the concept of clinical handover and the contemporary models used in healthcare settings. To assist in contextualising learning students undertake placement in either the paediatric or mental health environment (Learning on mental health is covered in the Level 1 Core Principles in Paramedic Science module) as part of the hub & spoke model of non-ambulance practice based learning. Students are encouraged to learn from and with professionals and students in these environments and consider how their learning can influence their care of patients in the out-of-hospital environment.

Syllabus

Introduction to models of assessment and consultation and obtaining a comprehensive history Pharmacological interventions in paramedic practice. Focus on those used by the Associate Ambulance Practitioner. Further paramedic interventions are encountered in level 2 - Focus on safe medicines management and skills for delivering pharmacological interventions (up to IM injection) Scenario based learning for common medical conditions across the lifespan - Use of patient cases to contextualise learning and apply knowledge - Peer facilitated simulation and debrief supported by lecturers and clinical experts - Reflection on case study/scenario learning to develop personal learning plans. Introduction to trauma Pathologies Introduction to assessment and management of trauma - Use of knowledge from clinical skills to learn adaptions required for effective trauma care and life threatening injury identification - Introduction to and consideration of the multi-casualty situation and use of triage for assessment. Introduction to maternity and obstetrics.: Including management of normal birth - Introduction to maternal emergencies including post-partum Haemorrhage (PPH), shoulder dystocia and newborn resuscitation Introduction to 12 lead ECG - Electrode placement - Recognition of ST Elevation/depression Intermediate Life support and manual defibrillation Practice Based Education: Spoke Placement - Paediatrics or Mental Health (1 week, 38 hours). Supernumerary supervised by person in area appropriate to the setting with experience of practice education and student support.

Learning Outcomes

On successful completion of the module the student should be able to:- 1. Demonstrate basis history taking and patient consultation skills to obtain information about a service users physical, mental and social health EXIN012. Demonstrate adaptation to communication for consultation required across the lifespan EXIN01 3. Demonstrate safe preparation and management of medications permitted for admission by Associate Ambulance Practitioners EXIN01 4. Demonstrate selectionsof the appropriate assessment and management pathway for a variety of emergencies seen in the paramedic practice enviroment EXIN01

Teaching / Learning Strategy

-1 Students will develop learning from the clinical skills modules to apply patient assessment, treatment and management through a blended learning approach via face to face lectures, practical's, directed and independent study. The module will also use several methodologies with an ethos of experiential learning to encourage engagement and application of knowledge. This is underpinned with the flipped classroom approach where students are tasked with knowledge acquisition based learning prior to entering simulated practice, problem based learning, group discussion and peer facilitated debriefing and feedback as well as tutor led discussions and feedback on clinical skills demonstrated will be used throughout. Clinical experts in the field of out-of-hospital care will assist in the delivery of this module. Additionally, clinicians from other disciplines within healthcare will support learning in specialist areas such as obstetrics and paediatrics. Students will be able to consolidate learning in the practice environment. Practice Based Education will begin with non-ambulance placement in either paediatrics or mental health settings where students will learn from and with experts and students from other health disciplines to support their development of knowledge and understanding in these fields. Whichever setting is not undertaken in level 1 will be attended in level 2. Consolidation of skills in the ambulance environment will occur on the placement in trimester C

Indicative Reading

BICKLEY, L. 2017 Bates' Guide to Physical Examination & History Taking. 12th Ed. Philadelphia: Williams and Wilkins BLABER, A., AND HARRIS, G. 2016 Assessment Skills for Paramedics. 2nd Ed. Maidenhead, England: Open Univ Press DOUGLAS, G., 2013 Macleod's Clinical Examination. Elsevier: Churchill Livingstone GREAVES, I., & PORTER, K., 2007 Oxford Handbook of Pre-Hospital Care. Oxford: Oxford University Press. GREGORY, P & MURSELL, I., 2010 Manual of clinical Paramedic Procedures. Oxford: Wiley-Blackwell GREGORY, P., AND WARD A., 2018 Sanders Paramedic Text Book. London: Mosby Elsevier JOINT ROYAL COLLEGES AMBULANCE LIAISON COMMITTEE, ASSOCIATION OF AMBULANCE CHIEF EXECUTIVES 2019 JRCALC Clinical Practice Guidelines 2019. Bridgewater: Class Professional Publishing PILBERY, R., AND LETHBRIDGE, K. 2016 Ambulance Care Practice. Class Professional Publishing RESUSCITATION COUNCIL (UK) 2015 Resuscitation Council Guidelines. 7th ed. Resuscitation Council: London ROPER, T. 2014 Clinical Skills: Oxford Core Text. Oxford: Oxford University Press WILLIS, S. & DALRYMPLE, R. 2015 Fundamentals of Paramedic Practice: A systems approach. Oxford. WileyBlackwell -360

Transferrable Skills

-1 Generic Skills: Problem solving Clinical reasoning Decision making Team working Communication and interpersonal skills Employability Skills: Using evidence base to inform practice Reflection on practice Interprofessional working Risk assessment Digital Capabilities: Data protection/literacy Media literacy Common Good Attributes: b7 Active and global citizenship: acting honestly, fairly and ethically b7 Entrepreneurial Mindset: Create solutions to real world problems and deal with complexity and uncertainity b7 Responsible Leadership: Empathy, resilience and professionalism b7 Confidence: acting assertively and reasonably, continually learning from experience

Module Structure

Activity Total Hours
Assessment 20.00
Practicals 24.00
Lectures 12.00
Independent Learning (FT) 106.00
Placement 38.00

Assessment Methods

Component Duration Weighting Threshold Description
Clinical Scenario OSCE 1.00 100.00 40% Clinical Scenario OSCEPass mark 75% which is normalised.Exception Case No: 209