New Jersey Administrative Code › Title 8 - HEALTH › Chapter 41A - EMERGENCY MEDICAL TECHNICIANS-PARAMEDIC: TRAINING AND CERTIFICATION › Subchapter 2 - EMT-PARAMEDIC TRAINING PROGRAMS › Section 8:41A-2.6 - Specific clinical objectives: Category II/Specialty Care Division

Current through Register Vol. 56, No. 14, July 15, 2024
(a) Upon successful
				completion of the Intensive Care/Coronary Care Unit and Emergency Department
				training experiences, the student shall be able to:
1. Document the performance of 20 complete patient
				histories/assessments using the appropriate clinical sign off sheet. These
				histories/assessments shall include a minimum of five neurological and five trauma
				assessments;
2. Demonstrate medication
				administration by the intramuscular, subcutaneous, sublingual, topical, intraosseous
				and IV routes. Utilization of appropriate medication administration equipment and
				the correct drug calculations are required. The student shall document all
				medication administrations performed on the patient's chart, as per hospital policy
				and on the appropriate clinical sign off sheet. Only those medications identified at
				8:41-6.1 shall be
				administered;
3. Identify the actions,
				indications, normal dosage range, side effects and contraindications of all
				medications administered;
4. Submit one
				case study from each patient care area. This shall include the chief complaint,
				patient history, past medical history, current medications, clinical presentation,
				treatment modalities, response to care and patient outcome;
5. Prepare a minimum of 10 medication cards on
				medications other than those approved for utilization by EMTs-Paramedic, as set
				forth at 8:41-6.1, and which were identified
				during the student's critical care experience. Each card shall include the generic
				and trade names, actions, indications, contraindications, dosage range, routes of
				administration and adverse reactions;
6.
				Demonstrate the proper application and utilization of an external cardiac
				pacemaker;
7. Demonstrate the proper
				application and utilization of an AED;
8. Document a rhythm strip from every monitored
				patient displaying a dysrhythmia and/or abnormal electrocardiogram in each clinical
				care area. Each strip shall be interpreted and the treatment modalities documented
				on the appropriate clinical sign off sheet;
9. Document the participation and/or observation
				of a minimum of one cardiac arrest on the appropriate clinical sign off sheet. Prior
				to the conclusion of the training experience, the student shall have participated in
				a minimum of five cardiac arrest resuscitations;
10. Demonstrate the appropriate technique and
				situations for the application of defibrillation and cardioversion. By the end of
				the training experience, the student shall have performed a minimum of five
				defibrillations and/or synchronized cardioversions;
11. Demonstrate appropriate treatment modalities
				for the patient in cardiac arrest using the Advanced Cardiac Life Support Guidelines
				2001 edition published by the American Heart Association, incorporated herein by
				reference, as amended and supplemented. Copies may be obtained by writing to the
				American Heart Association National Center, 7272 Greenville Avenue, Dallas, Texas
				75231-4596;
12. Document the insertion,
				or observation of the insertion, of a nasogastric tube on the appropriate clinical
				sign off sheet. If the student has inserted the nasogastric tube, document the
				insertion on the patient's chart, in accordance with hospital policy. If the student
				has performed the insertion, the student shall document the proper utilization of
				equipment and technique during the procedure;
13. Demonstrate the application of and discuss the
				principles of utilization of the pneumatic anti-shock garment (PASG);
14. Identify etiologies, clinical presentation and
				treatment modalities of the following: angina pectoris, acute myocardial infarction,
				congestive heart failure, ventricular and aortic aneurysm, cardiogenic shock,
				myocardial trauma, acute hypertensive crisis, diabetic emergencies, poisonings and
				overdoses, hypovolemic shock, acute respiratory failure, chronic obstructive
				pulmonary diseases (copd), asthma, pneumonia, head injury and coma, cerebral
				vascular accident, seizures, burns, infectious diseases, acute abdomen, renal
				failure, fractures, septic shock, neurogenic shock, pulmonary edema, pulmonary
				embolism and anaphylaxis; and
15. As an
				optional experience, review and demonstrate the utilization of Doppler, infusion
				pumps and the observation of the insertion of internal pacemakers.