EMT- Paramedic

Please go to the website for NYS EXAM information. 

https://www.health.ny.gov/professionals/ems/certification/exam_registration.htm

These documents must be furnished within one week of online registration.

1. Paramedic on-line course application.
2. Payment of $200 NON-REFUNDABLE application fee. Payable via money order or bank check only made out to St. John’s University.
3. EMT Certification: Provide a copy of your current New York State EMT certification. NYS EMT certification must be maintained throughout Paramedic education program or the student will be dismissed.
4. High school diploma, certifications of completion, GED, or transcripts, and college transcripts: provide copies of all applicable documents
5. Valid Driver’s License, State Issued Identification Card or Valid Passport: Provide copy. If you do not have either of these, other government issued photo IDs will be accepted.

When applications for a course exceed the number of available seats, each applicant will be ranked in numerical order base of the following criteria:

EMT Certification is determined by the date of original EMT certification until the start date of the course without gaps.  Any lapses in certification will be deducted for the total experience time.

911 Ambulance Experience is determined by a combination of volunteer or career EMS positions actively responding to 911 calls.  Transfer and ambulette time as well as time in any other emergency services (police or fire) do not count towards active 911 ambulance experience.

Educational Experience is determined by the highest level of educational experience completed by the applicant.

In the event of a tie the higher ranking will be determined first by 911 ambulance experience, then by EMT certification and then by educational experience.  If there is still a tie after this the ranking will be placed in numerical order based on their New York State EMT certification number in ascending order.

Students will not be officially offered a seat in the program until registration is closed.  Students will be contacted and offered either a seat in the program, a position on a waiting list, if one is applicable, or will not be offered a seat in the program based on the a review by the EMS Institute administration and the program medical director.  Admissions decisions are final and not reviewable.

Once an applicant has been offered, and accepted, a seat in the class they must complete a basic physical exam by their personal healthcare provider within three (3) months the start date of the course.  The student must also complete a University meningitis form, obtain specific blood tests, and furnish those results, provide vaccination records and show proof of receiving the most current seasonal influenza vaccine and any other vaccinations required by the University or our clinical/field partners.  The St. John’s University forms must be downloaded by the student from the University website and your healthcare provider will be asked to verify that you have no physical or mental limitations that would impede your participation in a paramedic program.

Students will upload all their medical documentation to the University’s medical compliance service (MEDICAT) for evaluation and verification.  The student will also arranged with MEDICAT for a required background check and drug screening at the student’s expense.  Any positive results on the drug screening will be reviewed by the Program Medical Director and may be grounds for denial of admission. Any positive results on the background investigation will be reviewed by the Program Director and may be grounds for denial of admission.

Health Insurance: Students should maintain private health insurance or worker’s compensation insurance throughout the Program.  Students are responsible for all payment for medical care related to exposure/ injuries/illnesses while in the program.

Professional Liability Insurance: Students must maintain professional liability insurance for paramedic students throughout the Program, and furnish proof thereof to the clinical rotation sites through the clinical coordinator.

Students may also be required to submit to clinical rotation site specific requirements for medical clearance or background checks depending on where the student elects to complete clinical rotations.  Specific requirements will be discussed with the students based on their clinical site choices.

This is a self-paced online course that introduces learners with little or no prior biology knowledge of anatomy & physiology. Course content is presented according to body systems and focuses on the body working together to promote homeostasis. The course contains chapter exams to reinforce learning and test knowledge of anatomy & physiology. Everything you need to complete the A&P class is contained online and with your associated textbook. The course is perfect for the individual who needs to learn anatomy and physiology to pursue a field in the healthcare. All students will be required to read the learning objectives, read the textbook chapter. Then complete the online chapter exams for each chapter as located in the placards.

Course Curriculum Requirements

This course is broken down into 4 sections, the student must pass each section to move on to the next section.

Section 1

Sessions 1 - 65

Passing for all classroom quizzes, homework assignments, in class exams, the formative exam and the summative final exam is 70%  

25 classroom quizzes, questions to be determined, no retests, any grade less than 70% you will be given a written warning notice.

25 homework assignments handed in on time, 0900 the morning of the session due, no retests. Homework is to be completed on the J&B website.  Any grade less than 70% you will be given a written warning notice.

Unit Exams: Unit exams are topic specific and do not include previously covered material except past material appropriate to that chapter (A&P, pharmacology, patient assessment, etc.)

There are eight (8) online unit exams:

A&P

Preparatory & Airway

Pharmacology & Patient Assessment

Cardiology

OB/GYN and Pediatrics

Medical Emergencies

Trauma

EMS Operations

Homework 25%, quizzes 25%, unit exams 25%, Formative final exam 25%

A = 90-100

B = 80-89

C = 70-79

D = below 69

ALS Formative Scenario Testing

Formative Course Final Exam

Students must have a grade of C or better to pass this section of the paramedic course curriculum and move on to Section 2.

Section 2 

Internship including sessions 66-69, must be successfully passed to move on to Section 3.

Section 3

ALS Psychomotor Scenario & Affective Oral Scenario Testing and the Summative Final Exam, you must successfully pass Section 3 to move on to NREMT testing.

Section 4

NREMT-P Skills exam / NREMT-P or NYS DOH written certification exam

Please note there will be a price increase with POC 36 and the non-refundable deposit required. 

 In order to reserve your seat in the program, we ask that you send a non-refundable deposit of $1,000.00 via bank check, money order payable to St. John’s University by or on the first day of Orientation Day. This is a nonrefundable deposit which will be applied towards your tuition.

A payment plan is available. Details are provided at the first orientation, as well as the refund policy. If you withdraw after the refund policy has ended, you will be responsible for the full tuition.

We do reserve the right to revise tuition and fees without prior notice if it becomes necessary. Additional information will be outlined in the St. John’s University EMS Institute Paramedic Program Student Academic and Clinical Guidelines which is covered at the paramedic course orientation.

Tuition payment:

Arrangements for payment of tuition must be completed by 1:00pm on, to be determined. Payments must be made by Bank Check or Money Order or Credit Card, payable to St. John’s University.  Payment plan enrollment starts after payment of non-refundable tuition deposit.  All student must either be paid in full or be in the University payment plan by 1:00pm on to be determined

Financial Obligations

Application Fee                   $   200.00

Tuition                                  $9,200.00 ($1000 Non-Refundable deposit + Balance $8200)

General University Fee       $   400.00

TOTAL                                 $9,800.00

***DEPOSITS, All FEES AND UNIFORM PURCHASES ARE NON-REFUNDABLE***

Payment Option 1: Pay in full

$1000 NON-REFUNDABLE deposit by to be determined.  Remaining balance $8600.

Full payment of remaining $8600 by to be determined

Payment Option 2: Credit Card

$1000 NON-REFUNDABLE deposit by to be determined Remaining balance $8600.

Set up reoccurring credit card payments approximately every other month starting with initial deposit/payment due by to be determined.  A credit card fee of 2.85% will be added to each transaction.

Payment of remaining $8600 balance plus credit card fee in four additional installments.

Payment Option 3: Automatic Withdrawal

$1000 NON-REFUNDABLE deposit by to be determined.  Remaining balance $8600.

Set up a reoccurring direct withdrawal from a bank account approximately every other month starting with initial deposit/payment due by to be determined.

Payment of remaining $8600 balance in four additional installments

For Option 2 and 3 if the University is unable to receive payment because of insufficient funds or credit limits you will be charged a late fee and/or a bounced check fee and will be unable to continue using that credit card/account.  You must pay the remaining balance of your account using another payment method.

Additional Purchases:

EMS Institute Paramedic students are required to dress in a professional manner at all times while in class and at their clinical and field rotations. The required uniform is described in more detail within these guidelines. Purchase of a stethoscope, watch with a second hand, tablet or iPad is required. Costs of uniforms and equipment is not provided in any fees. There are additional fees paid directly to the AHA and NREMT for required certifications courses (ACLS, PALS, PHTLS and NRP). This is an additional cost to the student.

NOTE:

All tuition must be paid in full or the student must be enrolled in the payment plan by to be determined Failure to pay tuition in full or be enrolled in the payment plan by the specified dates will preclude the student from continuing in the program.

ALL DATES MAY BE SUBJECT TO CHANGE DUE TO FINANCIAL INSTITUTION REQUIREMENTS.  STUDENTS WILL BE NOTIFIED, IN WRITING, OF ALL DATE CHANGES AS SOON AS THEY ARE RECEIVED BY THE EMS INSTITUTE.

Tuition Credit: Payment option 1 - FULL PAYMENT

1. Student in good academic standing who wishes to withdraw from the program must submit a written letter to the Program Director.  Good academic standing is defined as having no failing grades, no academic, attendance or clinical warnings and no behavioral issues.

2. Student will be eligible for a partial tuition reimbursement, less the $1000 non-refundable deposit, $200 registration fee, $400 University General Fee and any uniform payment; according to the schedule below if they paid the full amount of their tuition on or before the first day of class.

3. The $1000 initial deposit is non-refundable for any reason and must be paid by the first orientation session.  The $200 registration fee, $400 University General Fee and uniform payments are also non-refundable for any reason.

4. Payment Option 1 Registration Fee $200, University General Fee $400, Tuition $9200.

Note: All students are responsible for the full applicable paramedic original course tuition and registration fee. Any student who fails, leaves in poor standing or is expelled from the course for any reason at any time in the program is responsible for any outstanding tuition bills including any applicable University fees or penalties. The student will be billed by St. John’s University or its designated agency for the amount owed.

Poor standing is considered having any academic, skills, attendance or disciplinary reason for being released from the program.

Tuition Credit: Payment option 2 & 3 - SJU PAYMENT PLAN

1. Student in good academic standing who wishes to withdraw from the program must submit a written letter to the Program Director.  Good academic standing is defined as having no failing grades, no academic, attendance or clinical warnings and no behavioral issues.

2. Student will be eligible for a tuition reimbursement, less the $1000 non-refundable deposit, $200 application fee, $400 University General Fee, 2.85% credit card fee (if applicable) and any uniform payment; according to the schedule below if they withdraw from class.

3. The $1000 initial deposit is non-refundable for any reason and must be paid by the first orientation session.

4. All fees ($200 application, $400 University General, 2.85% credit card usage) are NON-REFUNDABLE.

Down Payment is due: by 1:00pm, Friday, to be determined

Note: All students are responsible for the full applicable paramedic original course tuition and fees. Any student who fails, leaves in poor standing or is expelled from the course for any reason at any time in the program is responsible for any outstanding tuition bills including any applicable University fees or penalties. The student will be billed by St. John’s University or its designated agency for the amount owed.

Poor standing is considered having any academic, skills, attendance or disciplinary reason for being released from the program.

All amounts listed are subject to verification by financial institution and are subject to change.

Please note: there will be a price increase with POC 36 and the non-refundable deposit required. 

If the class fills before the registration end date, we close the course.

Paramedic Original Course 36

Registration End Date: Tuesday, May 14, 2024

Orientation Day 1: Tuesday, June 18, 2024

Orientation Day 2: Tuesday, July 9, 2024

Orientation Day 3: Tuesday, August 6, 2024

First Day of class:  Thursday, August 22, 2024

Summative Class Final: Tuesday, August 12, 2025

Official last day of class:  Thursday, August 21, 2025 

Course Days: Tuesday & Thursday, 9am to 5pm

For course registration on TCM please click→ How to register in Training Center Manager

Note: NYS Voucher does not apply to this course

The St. John’s University EMS Institute is proud to offer clinical and ambulance experience sites in The Bronx, Queens, Manhattan, Westchester, Nassau, and Suffolk Counties.

The University’s Nationally Accredited Program includes the following curriculum:

• BCLS: Basic Cardiac Life Support
• NRP: Neonate Resuscitation Program
• ACLS: HeartCode® ACLS (Online Student Product for Blended Learning)
• PALS: HeartCode® PALS (Online Student Product for Blended Learning)

Textbooks for the Paramedic Program:

The bundle package will be covered the first day of orientation. Students are given a bundle price for all the textbooks and course access codes.

Jones & Bartlett:

• A&P: Anatomy & Physiology for the Prehospital Provider Second Edition
• Navigate 2 Essentials Access for Saunders’ Paramedic Textbook Fifth Edition
• FISDAP: Online scheduling

Platinum Planner:

• Skills Tracker

Not Included in Package but required:

• CPR: AHA BLS for Healthcare Providers
• NRP: Neonate Resuscitation Program
• PALS: HeartCode® PALS (Online Student Product for Blended Learning)
• ACLS: HeartCode® ACLS (Online Student Product for Blended Learning)

Academic Paradigm

The St. John’s University paramedic original course is structured to provide the student with a solid foundation of learning.  The program follows the paradigm of lecture, lab, rotation for each topic area in the National EMS Education Standards.  Students are given assignments on the course syllabus to be completed prior to attending class.  Each topic is then covered by an instructor using a variety of techniques including lecture, discussion and small group activities.  The student then progresses to practical skills labs where any new skill is demonstrated, practiced and tested to standards set by NYS DOH EMS or the NREMT.  Once a student has demonstrated skills competency and has participated in skills-based scenarios they are allowed to schedule themselves for clinical and/or field rotations that will allow them to practice and master the newly learned skill and apply the didactic knowledge they gained in the classroom in actual patient care situations under the supervisor of clinical and field preceptors.  The student also takes written quizzes and exams in each subject area to demonstrate their competency in the didactic knowledge required of an entry level paramedic.  This program utilizes on-line Learning Management System (LMS).  All students are required to have a valid e-mail for the duration of the program and computer access, either at home, a public library or here at the EMS Institute. There is a fee for this LMS and it is included in the textbook bundle you purchase from the publisher.  If the student is dropped or resigns from the paramedic program, they will no longer have access to the online course resources. More about our academics will be specifically covered during the first orientation.

Competency Areas:

The EMT-B

Must demonstrate competency is assessment of a patient, handling emergencies using Basic Life Support equipment and techniques. Must be able to perform CPR, control bleeding, provide non- invasive treatment of hypo-perfusion, stabilize / immobilize injured bones and the spine, manage environmental emergencies and emergency childbirth. Must be able to use a semi-automatic defibrillator. Must be able to assist patients with self-administration or administer emergency medications as described in state and local protocol.

The AEMT-Intermediate

Must demonstrate competency in all EMT-B skills and equipment usage. Must be able to provide Advanced Life Support using intravenous therapy, defibrillator and advanced airway adjuncts to control the airway in cases of respiratory and cardiac arrest.

The AEMT-Critical Care

Must demonstrate competency in all EMT-B skills and equipment usage. Must be able to provide Advanced Life Support using the AEMT-Intermediate skills and equipment. Must be able to administer appropriate medications.

The EMT-Paramedic

Must be capable of utilizing all EMT-B and AEMT-intermediate skills and equipment. Must be able to perform under Advanced cardiac Life Support (ACLS) and Basic Trauma Life Support (BTLS) standards. Must be knowledgeable and competent in the use of a cardiac monitor/defibrillator and intravenous drugs and fluids. The EMT-Paramedic has reached the highest level of pre-hospital care certification.

The Emergency Medical Service Institute Paramedic Program does not discriminate on the basis of sex, race, national origin, religion, age, political beliefs, handicap, or any other factor, in its employment practices or in its policies relating to recruitment of students. We do reserve the right to revise tuition and fees without prior notice if it becomes necessary.

Please review the Preceptor Package as outlined below.

2023 Platinum Planner Preceptor Package

Paramedic–Clinical and Field Education

For St. John’s University Emergency Medical Service Institute paramedic students, clinical education represents the most important component of their paramedic education since this is where the student learns to synthesize, cognitive (knowledge), psychomotor (skills), and affective (behavior). To be effective, their clinical education will integrate and reinforce the didactic and skills laboratory components of the program. Clinical instruction will follow sound educational principles, be logically sequenced to proceed from simple to complex tasks, have specific objectives, and be closely supervised and evaluated.

The ability to serve in the capacity of an entry-level paramedic requires experience with actual patients. The clinical education process enables the St. John’s student to build a database of patient experiences that serves to help in clinical decision making and pattern recognition. A skilled clinical educator will assist the student by pointing out pertinent findings and discussing and focusing the student’s learning.  Clinical education preceptors’ responsibilities include:

• Close supervision of the students during rotation
• Explanation and use of equipment in the units or on the vehicles
• Review of patient progress charts or PCR's with students
• Documentation to the training institute of any student who exhibits questionable performance

Clinical Affiliates–Field Education in a Hospital Setting

Because of the unpredictable nature of emergency medicine, the hospital environment offers two advantages in paramedic education: volume and specificity. In the hospital setting, the paramedic student can see many more patients than is possible in the field. This is a very important component in building up a "library" of patient care experiences to draw upon in clinical decision making.

The use of multiple departments within the hospital enables the St. John’s paramedic student to see an adequate distribution of patient situations. In addition to emergency departments, which most closely approximate the types of patients that paramedics will see, clinical education should take advantage of critical care units, OB/GYN, operating rooms/anesthesia, pediatrics, psychiatric and phlebotomy. This will help assure a variety of patient presentations and complaints.

St. John’s University has established agreements with institutions and agencies that provide clinical experience under appropriate medical direction and clinical supervision. Students will have access to patients who present common problems encountered in the delivery of advanced pre-hospital emergency care. The clinical site will be periodically evaluated with respect to its continued appropriateness and efficacy in meeting the expectations of the programs. Clinical affiliates should be accredited by the Joint Commission on Accreditation of Healthcare Organizations.

Clinical experiences will occur after the student has successfully demonstrated competence in skills, knowledge, didactic, laboratory and scenario evaluations.

Preceptor Information 

This section will serve as our paramedic preceptor information area. We have uploaded the Preceptor Package for your review. The package contains information on:

• Preceptor Roles and Responsibilities
• General Guidelines and Instruction
• Teaching Suggestions for Preceptors
• How to evaluate Field Internship Students
• Program Goals and Objectives
• ALS Ambulance (Field) Rotation Objectives
• How to Use the Clinical Evaluation Instruments
• Clinical Rotation Evaluation / Capstone Field Internship Rotation Forms
• Contact Information
• Preceptor Acknowledgment Form

On the last page it has an acknowledgement sheet to be filled out by the paramedic preceptor and returned to our program clinical coordinator.

Our goal at St. Johns is to educate new paramedic students with your guidance and experiences through preparing competent entry-level Paramedics in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains.

Student Team Leadership Objective

TEAM LEADS

Advanced Life Support Ambulance Field Internship

Advanced Life Support field internship rotations require the student to participate in patient care on one of two chosen 911 ALS ambulances. There is a minimum of 240 hours required for capstone field internship.  To complete the ALS field experience ambulance requirements students must complete 60 team leads with a paramedic preceptor, 40 being ALS team leads along with 2 unconscious and 2 pediatric team leads. Team leads can only be documented during field internship using human patients.  Students not completing all the requirements by this deadline will be dismissed from the program.  Once a student completes the minimum competency requirements for the field internship phase, they must still participate in a minimum of one (1) ALS field rotation per week to maintain clinical practice/competency.

CRITERIA

FOR SUCCESSFUL TEAM LEADS

Team Leadership Objective: The student has successfully led the team if he or she has conducted a patient interview and physical assessment, as well as formulated, implemented and directed a comprehensive treatment plan for the patient.  This means that most (if not all) of the decisions have been made by the student, especially formulating a field impression, directing the treatment, determining patient acuity, disposition and packaging and moving the patient (if applicable).  Minimal to no prompting was needed by the preceptor.  It is not necessary for the student to perform any individual skills outside of the patient history and physical exam.  When a student is acting as the team leader no action shall be initiated/performed that endangered the physical or psychological safety of the patient, bystanders, first responders or crew.  Team leads must be monitored and approved by a crew member on one of the student’s approved field internship units.

Team leads will be tracked in FISDAP. 

As approved by the St. John’s University Paramedic Advisory Committee on 10/13/2021 the requirements to get credit for a PERFORMED ALS team lead are as follows:

ALS Team Lead

1. Check the Team Lead box in FISDAP
2. Student must perform the patient interview AND physical exam
3. A medication other than oxygen is administered (by anyone on the team)

      OR

4. An ECG monitor and an IV (attempt) are performed together (by anyone on the team).

5. An ALS PCR is submitted for each ALS team lead

BLS Team Lead

1. Check Team Lead Box
2. Performed patient interview AND patient exam

Patient did not receive a medication or an EKG and IV (attempt)

Successful Completion of the field internship

There is a minimum of 240 hours required for capstone field internship. There is no specific number of calls required.  You must, however be team leader of a minimum of at least 60 emergency responses and 40 of those must be ALS.  Of those 40 ALS team leads 2 must be pediatric patients and 2 must be on unconscious patients.  An ALS PCR must be submitted for each ALS team lead patient.

All field internship requirements (240 hours, 60 total teams leads, 40 ALS team leads, 2 ALS pediatric, 2 ALS unconscious and an ALS PCR for each ALS team lead patient) must be completed by and locked in Platinum Planner by the mandatory field internship completion date.  Failure to complete field internship requirements on time will result in a course failure and dismissal from the program.

Adult Emergency Department Rotation: (Minimum of 120 hours)

The purpose of this rotation is to allow the paramedic students the opportunity to work side-by-side with other medical personnel in the emergency room setting.  Students will be given the opportunity to follow up on the care and treatment of a patient from the time of arrival in the emergency department, until final disposition of the patient.  Students should be able to strengthen their skills of patient assessment through discussions with emergency staff, as well as hands-on experience with patients.  Students will be able to perfect those practical skills that apply to their profession. Under supervision, the skills shall include but not be limited to the following: within the scope of the paramedic practice as established by the New York State Protocol.

• Patient assessment
• Blood drawing
• Intravenous therapy
• Medication administration
• Endotracheal intubation
• 12 Lead EKG, use and interpretation.

Students are encouraged to experience triage and fast track areas if applicable to that facility.

Student Objectives Adult Emergency Department (These experiences must be completed)

At a minimum, paramedic students performing clinical rotations in the adult emergency department will be expected to accomplish the following objectives during each rotation:

1. Perform and document at least 5 patient assessments, including recent and past medical history and physical exams. The assessment should include taking and recording vital signs and a review of all systems (neurological, cardiovascular, pulmonary, gastrointestinal, genitourinary).  Enter these assessments into FISDAP.
2. Interact with patients and their families. Observe behavioral reactions to injury/illness.
3. Operate oxygen administration equipment and give oxygen as many times as possible.
4. Administer medications as many times as possible.
5. Record the mechanism of action, dosage, route of administration and indications for any medications given.
6. Establish IV access as many times as possible.
7. Draw and prepare blood samples for laboratory studies as many times as possible.

Goals Adult Emergency Department (The student should complete as many of these experiences as possible)

It is the goal of adult emergency department rotations to expose paramedic students to as many experiences as possible. There are skills outside the scope of paramedic practice that you may observe or assist with.  These are only done as observations or assisting the licensed professional.  You are not to perform these skills yourself.  These skills may include but is not limited to:

1. Observation of or assisting a licensed professional with procedures not commonly performed in the pre-hospital environment such as:
   1. Placement of central venous lines
   2. Arterial puncture for placement of arterial lines and blood gases
   3. Endoscopic procedures
   4. Neurological assessments
   5. Hemodynamic monitoring
   6. Urinary catheterization
2. Assisting in cases of cardiac arrest as directed
3. Review treatment modalities not normally utilized in pre-hospital medicine.

Pediatric Emergency Department Rotation: (Minimum of 60 hours)

The purpose of this rotation is to expose the paramedic students to the specialized care given to pediatric patients in the emergency department and to provide an opportunity for the student to develop an effective approach to pediatric patients.  This rotation will also allow the paramedic student to appreciate how the developmental differences of children influence assessment considerations and techniques and develop an appreciation for the child's physiologic response to illness and injury as it differs from the adult.  Applying these principles, the student should recognize the progression of respiratory distress, respiratory failure and shock and their correct treatment.

Student Objectives Pediatric Emergency Department (These experiences must be completed)

At a minimum, paramedic students performing clinical rotations in the pediatric emergency department will be expected to accomplish the following objectives during each rotation:

1. Observe and assist assessment and management of 5 pediatric patients.
2. Discuss each patient’s condition with the preceptor and document the following:
   1. Pathophysiology
   2. Common signs and symptoms
   3. Common treatment plans
   4. Prognosis

Goals Pediatric Emergency Department (The student should complete as many of these experiences as possible)

The goal of the pediatric emergency department clinical rotations is to expose students to as many experiences as possible involving assessment of common injuries and illnesses in children.

Anesthesia / Operating Room Rotation: (Minimum of 60 hours)

Once students have been successfully tested in the technique of endotracheal intubation in class on simulation manikins, they are required to perform a minimum of five (5) successful intubations in the operating room or on field rotations.  Students should be closely monitored by the preceptor in the operating room.  Preceptor and/or physician responsibilities should include:

1. Close supervision of students during actual attempts
2. Explanation of the actual anatomy witnessed during the intubation attempt.
3. Airway assessment and evaluation and verification of tube placement

Students are to be present, dressed, and ready to begin at the scheduled time.  Students must leave sufficient time to arrive and park at the facility, arrive on the proper surgical floor, introduce themselves to the charge nurse and/or anesthesiologist, determine possible candidates for endotracheal intubation, change into proper surgical attire and be ready for the first case.

Patient contact and interaction is important and is expected with each case the student follows.

1. The student shall accompany the anesthesiologist to see the patient prior to the procedure.
2. They shall introduce themselves as a St. John’s University paramedic student and ask the patient permission to observe their procedure as part of their clinical learning experience and education.
3. They shall follow a case until completion of the procedure or until released by the anesthesiologist.
4. When entering and exiting an OR suite they shall check in and out with the circulating nurse in charge of that suite.

Student Objectives Operating Room / Anesthesia

At a minimum, paramedic students performing clinical rotations in the operating room / anesthesia department will be expected to accomplish the following objectives during each rotation:

1. Appropriately manage the patient’s airway before, during and after anesthesia to include:
   1. Proper positioning of the head and shoulders
   2. Formation of an effective seal with a bag valve mask
   3. Effective ventilation with a manual ventilation device and mask
   4. Successful placement of an endotracheal tube or LMA in all ages and conditions of patients
   5. Appropriate assessment of tube placement and continued airway management

Goals Operating Room / Anesthesia (The student should complete as many of these experiences as possible)

It is the goal of operating room / anesthesia department rotations to expose paramedic students to as many experiences as possible. This may include but is not limited to:

1. Administration of medications to facilitate placement of endotracheal tube or LMA.
2. Monitoring patients, including blood pressure, pulse, respirations, level of consciousness, arterial oxygen saturation, and end-tidal carbon dioxide detection
3. Assisting in operation of manual ventilation equipment (BVM)

Note: The primary purpose of this rotation is airway management, not just endotracheal intubation.

Labor & Delivery Rotation: (Minimum of 24 hours)

The purpose of this rotation is to allow the paramedic student to observe and assist, if requested, in the care of patients in this unit.  In a controlled environment the student will learn to recognize signs and symptoms of normal and abnormal labor and birth and learn to effectively communicate with and develop sensitivity to the woman in labor.  The student will gain experience in conducting patient gynecological histories, observe patients through the labor process to birth and observe surgical and abnormal deliveries.  The student will learn to better understand the principles of newborn management techniques and post-partum care.

Student Objectives L&D (These experiences must be completed)

At a minimum, paramedic students performing clinical rotations in L&D will be expected to accomplish the following objectives by the end of rotation hours:

1. Perform at least 5 patient assessments and accurate physical assessments of the pregnant patient to include the following: interpretation of vital signs; head to toe assessment and fetal heart tones.
2. Assess a minimum of two (2) newly born including APGAR score.
3. Observe effects of pharmacological agents administered.

Goals L&D (The student should complete as many of these experiences as possible)

It is the goal of L&D rotations to expose paramedic students to as many experiences as possible. This may include but is not limited to:

1. Verbalizing the essential interview questions a paramedic must ask a pre-hospital obstetric patient.
2. Demonstrate the ability to obtain an appropriate history when evaluating the obstetric patient.
3. Correctly identifies given obstetrical emergencies and verbalizes the appropriate treatment required for each:
   1. 3^rd Trimester Bleeding.
   2. Breech Delivery.
   3. Prolapsed Umbilical Cord.
   4. Limb Presentation
   5. Multiple Births
   6. Abruptio Placenta
   7. Placenta Previa
   8. Uterine Rupture
   1. Post partum Hemmorrhage
   10. Toxemia of Pregancy
4. Verbalize the name, mechanism of action, and indication for use of medications used in the L&D setting.
5. Explain verbally and demonstrate the elements of assessment used to determine the APGAR Score of a delivered neonate.  Student correctly determines APGAR Score at 1 minute and 5 minutes after birth.
6. Attend newborn to the nursery (with permission) and observe the physical exam of the newborn.

Intensive Care Units Rotation: (Minimum of 8 hours)

The Intensive Care /Critical Care Unit clinical experience rotations are designed to provide the paramedic student with a sound understanding of acute care and management of patients suffering from serious disease and trauma entities and to provide an opportunity to learn at a level beyond the parameters of pre-hospital intervention. The purpose of this rotation is to allow the paramedic students to observe and participate, as much as possible, in the care of patients in these highly specialized areas.  Students will have the opportunity to familiarize themselves with the various pieces of specialized equipment used in these units and to further their knowledge through discussions with the staff.

Student Objectives ICU (These experiences must be completed)

At a minimum, paramedic students performing clinical rotations in the ICU will be expected to accomplish the following objectives during each rotation:

1. Perform at least 3 patient assessments including recent and past medical history and physical examination.
2. Observe effects of pharmacological agents administered.

Goals ICU (The student should complete as many of these experiences as possible)

It is the goal of CCU rotations to expose paramedic students to as many experiences as possible. This may include but is not limited to:

1. Reviewing all charts, including patient's chart, diagnosis, treatment, progress notes, and nurse's notes keeping those records confidential as required by HIPAA.
2. Prepare and administer medications as directed by preceptor.
3. Performing peripheral IV insertion as directed by preceptor.
4. Assisting in ambulating patients from bed to chair, lifting and turning patients, and with activities of daily living.
5. Assisting in cases of cardiac arrest as directed, including performing CPR, managing the airway, assisting with endotracheal intubation, and electrical arrhythmia therapy as directed by preceptor.
6. Evaluating results of laboratory tests, and correlating results with patient management.
7. Review the operation of mechanical ventilator equipment.
8. Observing and assisting in setting up and maintaining IV infusion pumps.
9. Exposure to critical care diagnostic procedures.
10. Review treatment modalities not normally utilized in pre-hospital medicine.

Cardiac Catheterization Lab: (Minimum of 8 hours)

This is an observation rotation in a controlled environment where the student will observe cardiac catheterizations.

The student will observe this minimally invasive procedure to access the coronary circulation for both diagnostic and interventional (treatment) purposes.

Goals Cath Lab Rotation (The student should complete as many of these experiences as possible)

The goal of the cardiac catheterization rotation is to expose paramedic students to as many experiences as possible. This may include but is not limited to:

1. Observe test performed to recognize occlusion, stenosis, restenosis, thrombosis, or aneurysmal enlargement of the coronary artery lumens.
2. Observe heart muscle contraction and coronary circulation via x-ray fluoroscopy image.
3. Observe re-perfusion of coronary arteries through the different techniques of angioplasty.
4. Identify structures involved while observing coronary blockages.
5. Observe the placement of stents.

Clinical Rotation Contacts

Clinical Coordinator / Associate Director EMS Institute: Scott Holliday [email protected]

Clinical Site Preceptor: Scott Chiang [email protected]

Clinical / Field Rotation Administrative Office Voice Mail (718) 990-8418

All student injuries that occur during clinical\field rotations are to be reported to the preceptor and medical attention sought immediately if needed. After stabilization of the incident, the EMS Institute administration shall be notified as soon as possible. After hours, the clinical coordinator shall be notified electronically by email and/or text message. Contact information shall be provided to each student during review before class rotations. Additionally, the student is to submit a written report of the incident on the day of the next class.

Should a student be involved in an unusual or notable incident (anything inconsistent with routine paramedic operations or the routine operations of the clinical or field site) or an incident that may or did course harm to themselves, a patient or any other person, it must be reported immediately the program director and clinical coordinator.

Can I get college credit for this class?

The St. John’s University EMS Institute Paramedic Original Course is a non-matriculated certificate program. There are no transferrable college credits associated with this program however St. John’s University College of Professional Studies will credit a student that successfully completes the paramedic program with 24 undergraduate credits towards a Bachelor of Arts degree in liberal studies from St. John’s University.

Will I be able to use any transfer credits?

No, the student will not be able to use any transfer credits towards this class. This is a certificate class only and there are no required credits to complete the program.

Experiential Learning: How does this benefit me?

We do not offer Experiential Learning.

Can The students be substituted for staff?

All activities in this paramedic original program are educational activities. NO student is to be substituted for staff at any time during this course while engaged as a student in any clinical, hospital, field experience or internship component.

Do you offer Advanced Standing?

No, we do not offer this.

Is the paramedic program covered by Veterans Benefits?

Yes, if the veteran is approved by the VA. This is also true for the EMT-original class.

Is there a work service program while I am enrolled in the paramedic program?

We do not offer a work service program to our students.

What else do I get after completion of the St. John's University paramedic program?

All students will be given the opportunity to obtain the following certifications:

• American Heart Association Basic Cardiac Life Support
• American Heart Association Advanced Cardiac Life Support
• American Heart Association Pediatric Advanced Life Support
• American Heart Association Neonatal Resuscitation Program
• PHTLS: Prehospital Trauma Life Support
• National Registry Eligible

CRITERIA FOR COURSE COMPLETION

The paramedic program involves three phases that must be completed. They are, didactic, ambulance/clinical experience, and capstone field internships. All students must abide by the rules and regulations set forth in the course policy and procedures manuals (academic, clinical/field, practical skills). Violations of the rules and regulations will lead to dismissal from the program. For successful course completion students must meet the following requirements:

• Meet all attendance and minimum hour requirements.
• Have a minimum academic grade of C or greater.
• Complete and pass all required simulation labs/mega codes.
• Complete and pass all psychomotor skill labs.
• Have a satisfactory affective review.
• Complete and pass all AHA / NAEMT courses.
• Complete all clinical/field experience and capstone internship phase competencies.

Failure to meet the minimum standards on any of the requirements is a course failure and will lead to dismissal from the program.

The hours for course completion include:

DIDACTIC (including online A&P course) / PSYCHOMOTOR / EXAMINATION 535

AMBULANCE/CLINICAL/FIELD INTERNSHIP 664

POC TOTAL COURSE HOURS 1199 plus any BLS hours required based on prior experience, maximum 48 hours

Once all competencies and minimum hours are met students will still be required to complete one (1) field rotation per week in order to maintain clinical practice/competency. The St. John’s University EMS Institute Medical Director and the Paramedic Advisory Committee have reviewed and approved these criteria on November 16, 2022.