10543129Paramedic to ADN Skills
Course Information
Description
This course focuses on development of basic skills, clinical skills, and physical assessment across the lifespan. Content includes basic supportive and hygienic cares, mathematic calculations and conversions related to clinical skills, aseptic technique, wound care, tracheostomy care and suctioning, the management of enteral tubes, medication administration, enemas, ostomy care, and physical assessment skills using a body systems approach.
Total Credits
2
Course Competencies
  1. Use aseptic techniques
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Wash your hands at appropriate times
    Use standard precautions
    Use category specific precautions
    Maintain a sterile field and equipment
    Apply sterile gloves
    Dispose of contaminated wastes appropriately

  2. Perform mathematic calculations related to clinical practice
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Calculations include the use of decimals, fractions, percentages, ratios and/or proportions
    Solutions convert between the metric, household and apothecary systems
    Calculation is accurate
    Solutions include appropriate units
    Solutions satisfy all essential conditions of the problem
    Calculations are completed efficiently

  3. Provide wound care
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Adapt procedure to reflect variations across the lifespan
    Use aseptic technique
    Verify medical order
    Assemble necessary supplies
    Explain procedure to patient
    Obtain culture specimen according to designated procedure/checklist
    Cleanse or irrigate wound according to designated procedure/checklist
    Assess tissue condition and drainage
    Apply a variety of dressings according to designated procedure/checklist
    Recognize and report significant deviations in wounds
    Document actions and observations

  4. Perform tracheostomy care and suctioning procedures (oral, nasal, pharyngeal, and tracheostomy)
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Adapt procedure to reflect variations across the lifespan
    Maintain adequate oxygenation
    Verify that there is a backup tracheostomy kit available
    Maintain aseptic technique
    Explain procedure to patient
    Follow designated procedure/checklist
    Document actions and observations
    Recognize and report significant deviations from norms

  5. Maintain enteral tubes
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Modify procedure to reflect variations across the lifespan
    Maintain aseptic technique
    Select appropriate equipment
    Explain procedure to patient
    Determine appropriate placement
    Implement measure to prevent displacement of tube
    Follow health care provider orders and designated procedures/checklists: feedings/irrigation/suction
    Document actions and observations
    Recognize and report significant deviations from norms

  6. Administer medications via the enteral route
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Modify procedure to reflect variations across the lifespan
    Follow aseptic technique
    Verify health care provider orders
    Check for patient allergies
    Verify the correct drug including expiration date
    Follow the medication administration rights
    Verify all information three times
    Explain medication information to patient
    Follow designated procedures/checklists:  oral/tube/rectal
    Calculate correct amount to administer
    Collect assessment data prior to and after medication administration
    Document actions and observations

  7. Administer medications via the topical, transdermal, eye, ear, inhalation, and vaginal routes
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Modify procedure to reflect variations across the lifespan
    Maintain aseptic technique
    Verify health care provider orders
    Follow the medication administration rights
    Select appropriate equipment
    Calculate correct amount to administer
    Select appropriate site
    Administer medication and irrigations according to designated procedure/checklist
    Document actions and observations
    Recognize and report significant deviations from norms

  8. Assist patient with bladder and bowel elimination
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    You to maintain aseptic technique
    Modify assessments/techniques to reflect variations across the lifespan
    Verify health care provider orders
    Select appropriate equipment for enema, ostomy care, specimen collection, and catheterization
    Explain procedure to patient
    Perform intervention according to designated procedure/checklist
    Document actions and observations
    Recognize and report significant deviations from norms

  9. Obtain a health history
    Assessment Strategies
    Oral, written and performance assessment
    Criteria
    Modify assessment technique to reflect variations across the lifespan
    Establish nurse-patient relationship
    Use effective verbal and non-verbal communication techniques
    Provide privacy
    Collect data using a designated format
    Modify assessment techniques to reflect ethic and cultural variations
    Document actions and observations
    Recognize and report significant deviations from norms

  10. Perform a general survey assessment
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Modify assessment techniques to reflect variations across the lifespan
    Maintain asepsis
    Maintain privacy
    Measure height and weight
    Assess vital signs
    Assess general mobility
    Assess appropriateness of behavior/responses
    Assess ability to communicate
    Assess basic nutritional status
    Assess basic fluid status
    Modify assessment techniques to reflect ethic and cultural variations
    Document actions and observations
    Recognize and report significant deviations from norms

  11. Perform an integumentary assessment
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Modify assessment techniques to reflect variations across the lifespan
    Maintain aseptic technique
    Provide privacy
    Assess the skin, hair and nails using a designated format
    Modify assessment techniques to reflect ethnic and cultural variations
    Document actions and observations
    Recognize and report significant deviations from norms

  12. Perform a musculoskeletal assessment
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Modify assessment techniques to reflect variations across the lifespan
    Maintain privacy
    Assess body alignment according to a designated format
    Assess contour, size and strength of muscles according to a designated format
    Assess range of motion according to a designated format
    Palpate joints for change in temperature, pain and swelling
    Recognize and report significant deviations from norms Document actions and observations

  13. Perform a head/neck assessment
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Modify assessment techniques to reflect variations across the lifespan
    Assess the skull, face and neck using designated format
    Assess nose and oral cavity using a designated format
    Palpate lymph nodes of head and neck
    Recognize and report significant deviations from norms
    Document actions and observations

  14. Perform a basic eye/ear assessment
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Modify assessment techniques to reflect variations across the lifespan
    Inspect the eyes using a designated format
    Measure visual activity using a Snellen chart
    Evaluate extraocular motion
    Inspect the external ear and canal using a designated format
    Evaluate hearing acuity
    Document actions and observation
    Recognize and report significant deviations from norms

  15. Perform an Abdominal Assessment
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Modify assessment techniques to reflect variations across the lifespan
    Provide privacy
    Assess the abdomen using designated format
    Differentiate normal and abnormal bowel sounds
    Document actions and observations
    Recognize and report significant deviations from norms

  16. Apply skills in safety, positioning, lifting, and transferring
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Summarize the guidelines for protecting yourself from physical injury while you are working
    Modify assessment techniques to reflect variations across the lifespan
    Document actions and observations
    Recognize and report significant deviations from norms

  17. Apply skills in patient safety and restraints
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Summarize the guidelines for protecting your patient from physical injury while you are working
    Modify techniques to reflect variations across the lifespan and physical capabilities
    Document actions and observations

  18. Implement cleanliness and hygiene practices
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Correctly demonstrate Performing Oral Hygiene and Cleaning Dentures in the lab and clinical setting
    Correctly demonstrate Performing Female Perineal Care and Performing Male Perineal Care in the lab and clinical setting
    Correctly demonstrate Assisting with Tub Bath or Shower, Performing Complete or Partial Bed Bath, and Performing a Back Rub in the lab and clinical setting

  19. Assist patient with basic urinary and bowel elimination
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Correctly demonstrate the following in the lab and clinical setting:  Assist Patient with Commode; Assist with Bedpan; Assist with Urinal
    Correctly demonstrate Providing Indwelling Catheter Care in the lab and clinical setting
    Correctly demonstrate Emptying Urinary Drainage Bag in the lab and clinical setting
    Correctly demonstrate Changing a Urinary Drainage Bag in the lab and clinical setting
    Correctly demonstrate Applying a Condom Catheter in the lab and clinical setting

  20. Implement basic nutrition practices
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Correctly demonstrate the following skills in the lab and clinical settings:  Assisting with Eating; Serving Meal Trays; Measure Intake and Output

  21. Assist patient with environment and grooming
    Assessment Strategies
    Oral, written or performance assessment
    Criteria
    Correctly demonstrate the following skills:  performing nail and foot care; assisting with undressing and dressing; changing a hospital gown; perform hair care and shampoo in bed; shaving a male patient