Paramedic Internship Student Handbook 2013 by SAAS Clinical Education

Student Information Handbook

Paramedic Internship Program 2013

PI Student Information Handbook

Vision, Mission and Values Vision The community of South Australia is secure in the quality of service provided by its ambulance service.

Mission To save lives, reduce suffering, and enhance quality of life, through the provision of accessible and responsive quality patient care and transport.

We value  Our reputation and professional profile  The passion, effectiveness and potential of our people, and their well being  Accountability  Integrity  Innovation.

SA Ambulance Service 216 Greenhill Road Eastwood SA 5063 GPO Box 3 Adelaide SA 5001 T: 1300 1362 72 F: 8272 9232 Registered Training Organisation No: 0264 Website: www.saambulance.com.au ABN: 42 875 540 856 © SA Ambulance Service

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PI Student Information Handbook

Contents Vision, Mission and Values.....................................................................................2 Welcome ...............................................................................................................4 Contact Details ......................................................................................................5 Clinical Education team Information ......................................................................6 The Paramedic Internship Education Program.......................................................7 Course Information.................................................................................................8 Assessment Information .......................................................................................10 Expectations, Support Services, and Resources..................................................12 Clinical Education Information and Processes .....................................................16 Learning Outcomes - Induction Workshop ...........................................................20 Learning Outcomes - eLearning ...........................................................................40 Learning Outcomes - CPG Workshop ..................................................................42 Learning Outcomes - Review and Assessment Workshop...................................51

ÂŠ SA Ambulance Service

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PI Student Information Handbook

Welcome On behalf of SA Ambulance Service (SAAS), welcome to the Paramedic Internship Program and congratulations on your employment as a member of the latest intake. We wish you well with the program and trust you will find the experience both enjoyable and rewarding. Please be assured, the organisation is committed to helping you achieve a successful completion of the Paramedic Internship.

SAAS aims to support you as much as possible throughout all phases of the program and one way of doing this is to provide you with the Student Information Handbook. This Handbook is designed to give you information about your study program and to explain your rights and responsibilities. Please familiarise yourself with this information and contact Clinical Eduation if you require any assistance.

Your learning materials have been developed by operational, clinical specialists and Clinical Education staff who are committed to continuously developing and assessing these to ensure learners develop the skills, knowledge and attitudes required for them to carry out their duties.

The delivery of this program is the responsibility of Clinical Education with support form the Paramedic Intern Development teams.

SAAS acknowledges the valuable contribution of all staff (clinical and non-clinical) who have not only provided input into the development of the program but are committed to an ongoing continuous improvement review process.

Your feedback is paramount to the continuous improvement process.

We trust you will find your studies a challenging and rewarding experience.

Best wishes.

Aaron Chia Deputy Chief Executive Officer SA Ambulance Service

ÂŠ SA Ambulance Service

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PI Student Information Handbook

Special Note - New Name & Location: Clinical Education had a name change in June 2012 (Previously Educational Services and Ambulance Education Unit), whilst at the same time moving from the Flinders University to the Mark Oliphant Building in Bedford Park. We are currently in the process of updating our training materials, all documentation, email addresses, SAASnet links etc. Please be patient whilst we initiate this re-branding process.

Contact Details Level 3, Building A Mark Oliphant Building Laffer Drive Bedford Park SA 5042 Clinical Education SA Ambulance Service GPO Box 3 Adelaide SA 5001 DX 718 Adelaide Phone 8201 5500 Fax

8357 6803

Email HealthSAASEducationalServicesEnquiries@saambulance.com.au

SAAS Marion Ambulance Station

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Enter & Exit only available

FMC car parking (passes required)

Flinders

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ÂŠ SA Ambulance Service

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PI Student Information Handbook

Parking Information Free street parking is available along Laffer Drive and the best parking option is the railway station car park next to the Marion Ambulance Station on Sturt Road (see map page 5), around a 2-3 minute walk from the building. Once you have acess to a SAAS Bi-Lock key you may also use the old PTS staff secure car park at Marion Ambulance Station. There are some limited parking facilities available around the Mark Oliphant Building although if you use these car parks you will need to obtain a car park pass from the Clinical Education Reception Staff. There are a limited number of these passes available for use (preference given to Clinical Educators and other SAAS Staff) and they will need to be returned on completion of your course/meeting. Note that SAAS are not liable for any parking fines.

Building Facilities Angela’s Café (ground floor) 

Open until 2pm

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Fresh cut sandwiches

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Cold drinks / refreshments

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Pies / pasties / hot food

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Cakes and desserts

Ground Floor Foyer 

Vending machines

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Drink machine

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Tables and chairs

Tea Room 

Tea / coffee

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Filtered water

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Microwave

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Fridge

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PI Student Information Handbook

The Paramedic Internship (PI) Program The PI Program is designed to ensure that operational clinical skills, knowledge and attitudes required for this role, as outlined in the Paramedic Intern Job Description, are evidenced in the course outcomes. There will be a requirement for the student to undertake study and research outside of the classroom in preparation for exams and ultimately your new role as a Paramedic. Therefore it is strongly recommended that each student develops their own study plan at the beginning of the program.

Operational Deployment and Guide to Clinical Practice Following the completion of the Induction Workshop the Paramedic Intern will be operationally deployed as an observer 3rd to Patient Transfer Services (PTS), Emergency Support Services (ESS) and Lateral Emergency Teams (1 week respectively). During this time, the Paramedic Intern will be operating under the supervision of qualified Ambulance Officers, Paramedics or Intensive Care Paramedics. Following completion of the Clinical Practice Guidelines (CPG) Workshop, the Paramedic Intern will be operationally deployed initially to a Paramedic Intern Development Team (PIDT) and then a Lateral Emergency Team until the completion of their internship. During this time, the Paramedic Intern will be operating under the direct supervision of a qualified Paramedic/Intensive Care Paramedic utilising the SAAS Paramedic CPGâ&#x20AC;&#x2122;s.

Clinical Educators Two Clinical Educators are assigned to the Induction and Clinical Practice Guideline Workshops. One Clinical Educator is assigned to the Review & Assessment Workshop. The Clinical Educator is your first point of contact for any queries you have relating to your educational program during your workshops.

ÂŠ SA Ambulance Service

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PI Student Information Handbook

Course Information Program Duration The PI Program is delivered full time and consists of the following:  Pre-Employment e-Learning (approx. 8 weeks)  Induction Workshop (5 week workshop)  On-road operational observer deployment (3 weeks) to Patient Transport Services, Emergency Support Services & Lateral Emergency Teams.  Clinical Practice Guidelines Workshop (3 week intensive workshop)  On-road operational deployment (remainder of internship) to Operations, Emergency (including Paramedic Intern Development Team and Lateral Emergency Teams)  Assessment & Review Workshop (near end of internship program - approx. 4 weeks prior to contract completion)

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On-Line Learning (e-Learning) Prior to commencing employment and the Induction Workshop conducted at Clinical Education the Paramedic Intern will commence a self directed e-Learning program. The e-Learning self assessment quizzes must be completed prior to commencing the Clinical Practice Guideline (CPG) Workshop. The eLearning modules consolidates theory from the undergraduate degree program while introducing SAAS Paramedic Clinical Practice Guidelines and equipment. The e-Learning system is essential for the graduate. It will prepare them for the problem based learning and simulated learning environment style of the CPG Workshop. At the end of each module there will be a short multiple choice quiz, these are not graded but will give you some idea of your current comprehension of the topic. If you feel there is a deficit in knowledge you are encouraged to review your under graduate study material and the relevant eLearning modules. You must attempt assessments in all modules (which are remotely monitored ). Failure to complete the e-Learning modules will prevent you attending the CPG Workshop

Induction Workshop This consists of 5 weeks face-to-face delivery at Clinical Education, which includes:  Operational induction  Manual Handling program and assessment  DRiVE (Defensive & Response Vehicle Education)  OHS  Infection control  Stress management  Radio procedures (including Mobile Data Terminals)  CBR PPE Training  SAAS Equipment Skills  Scene Management & Triage  Cardiac Arrest

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Clinical Practice Guidelines Workshop This consists of 3 weeks face-to-face delivery at Clinical Education, which includes:  Clinical management of patients at Paramedic level (CPG’s) and using SAAS equipment.  Strong focus on practical application, simulation and case based learning Consolidates and builds existing knowledge by working through a case (often presented with information such as videos and pictures). The educator is a facilitator, the interns will address the case and its problems in a collaborative approach, while using SAAS polices and CPG’s for the basis of actions and decisions. CBL cases can rarely be resolved with a single right answer or action. Ownership of decisions is encouraged Some CBLs will ask the group to divide and debate issues During a CBL the educator will facilitate by asking probing questions, provide appropriate resources i.e. SAAS CPG’s and policies Holistic simulations. Simulations run in real time and can not be stopped (unless and OHS issue becomes apparent). -

Replication of realistic locations, patients and environment.

Allows for application of SAAS CPG’s

Allows for demonstration of technical skills

Allows for interpersonal and multi disciplinary communication

Allows leadership and team work to be demonstrated in a complex environment

Encourages situational awareness

Encourages reflection in particular after the simulation

Allows for peer review and debrief

Allows for a free flowing situation and not just constrained to a single predetermined script

Attempts to replicate the authentic workplace through actions and decisions in a physically simular environment or discussions where the Paramedic Intern needs to think or react as though it is a real environment or situation.

Puts technical skills and theory knowledge into context

The simulations will occur in a variety of environments including outside, inside ambulances and uses our 2 simulation rooms at the clinical education facility. Some will involved manikins but many have “live” patients, bystanders, other SAAS crews & emergency services complete with make up and props. Some simulations will be videotaped to allow you to review and reflect.

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Review & Assessment Workshop Nearing the completion of the internship program (approx. 8 weeks prior to end of your contract), after a period of consolidation and reflective practice Paramedic Interns will return to Clinical Education for a review week.

The 5 day program consists of sessions on:

Review of the internship CPG reviews Interesting case review audits from the individual interns Clinical Leadership Giving feedback and completing PICERS for others Mentoring others 1:1 learning development review interviews Develop individual learning plans and goals Discuss ongoing employment opportunities with SAAS Opportunity to practice Simulations and Viva Voces in both supervised and self directed setting.

To provide feedback to SAAS on potential ongoing employment options each intern will be assessed by the following means:

Two (2) Clinical Simulations in which they are the lead clinician Two (2) Viva Voce discussions post each simulation

The focus of each assessment is paramedic practice that is safe and effective. We are seeking:

Demonstrated competence Appropriate confidence/decisiveness Prioritisation of care Checking and re-evaluation of actions Situational awareness ÂŠ SA Ambulance Service

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PI Student Information Handbook

Assessment Information The following assessment conditions apply. Students must demonstrate that they are competent in the required level of skills, knowledge and attitudes expected of a Paramedic. All sections of assessments must be passed to validate the formal learning process of the Paramedic Internship Program. Assessments are conducted using a variety of tools, including (but not limited to):  Oral assessment  Workbooks  Skills Logs  e-Learning quizzes The successful outcome of an assessment is recorded as Competent (C). A student who has not yet demonstrated competency in all learning outcomes will have their competency recorded as Not Yet Competent (NYC). These form a recommendation from Clinical Education to Operations on your ability to achieve full authority to practice as a Paramedic.

Assessment Requirements Students will be provided with an Assessment Agreement that identifies all assessments and their due dates. All written assessments (i.e. workbooks) are required to be submitted on or prior to the due date unless an assessment extension has been granted. Failure to submit an assessment by the due date will be recorded as NYC. Students are responsible for keeping a copy of their written assessments as a precautionary backup (we suggest you keep your copy in your Professional Portfolio). Assessments will be conducted by qualified assessors within SAAS in line with the Education and Training Policy. Further information about this policy is available on SAASnet: https://www.saambulancestaff.com.au/SAASIntranet/People+Support/ Our+Resources/Office+of+the+CEO/Policy+Framework/Policy/ Information regarding the required achievement for each assessment is provided on the assessment item or by your Clinical Educators. However, some general information of some of the assessment types has been provided on the next page..

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Workbooks Required Achievement = Competent (as defined within the individual workbook) This assessment confirms the student’s knowledge of a specific topic.

Skills Logs Required Achievement = Competent (as defined within the individual skill log) This assessment confirms the student’s ability to utilise a specific practical skill within the normal work environment.

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Expectations, Support Services, and Resources Our Expectations Students are expected to take responsibility to identify and advise their mentor about any individual learning needs. This includes any concerns they have in relation to understanding the learning materials, or not being able to cope with the graphic nature of some learning. Our staff are trained to support students in these circumstances and can quickly arrange for a referral to an appropriate agency if required.

Occupational Health and Safety (OHS) Throughout your study program you will be advised of appropriate OHS requirements for safe management of both yourself and patients. Please ensure that you follow these instructions at all times. Failure to do so may warrant exclusion from further course activities.

Academic Misconduct SAAS is committed to respectful behaviours in accordance with the guidelines under the SA Government Policy on Code of Conduct and the relevant legislation relating to Equal Opportunities and Discrimination. Inappropriate and unethical behaviour is not acceptable in our study programs. All students are advised that they are expected to work and learn in an appropriate learning environment that supports both their learning and the learning of others in a team situation approach. You may be excluded from study if these expectations are not met.

Educational Misconduct In accordance with standard Australian educational policies and procedures, SAAS does not support unethical behaviour in regards to study activities. We do not tolerate:  Cheating  Plagiarism  Record tampering  Submitting work that is not your own

Code of Conduct The SA Health Code of Ethics and Conduct applies to all SAAS staff (including presenters, students, and managers) and external presenters within the PI Program. Any student that is behaving outside of the SA Health Code of Ethics and Conduct may be excluded from study. Any student that feels they are being treated unfairly (i.e. outside the Code of Ethics and Conduct) is encouraged to talk to someone (i.e. line manager, Clinical Educator) and seek advocacy). Further information on expectations of educators can be found in the Clinical Educator Handbook located on SAASnet: https://www.saambulancestaff.com.au/ SAASIntranet/Corporate+Services/Educational+Services/Career+Clinical+Education/ Clinical+Educator/

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Respectful Behaviours SAAS will not tolerate inappropriate and disrespectful behaviours in the workplace by or towards any patient, employee, contractor, supplier, customer, client or visitor in any work related situation under any circumstance. Cultural diversity is about the values, shared beliefs and attitudes, social organisations, relationships, language and communication, and religious practices of given groups.

Aboriginal and Torres Strait Islanders Indigenous means initial or earliest inhabitants of a place or region. Aboriginal people are defined as the descendants of the indigenous inhabitants of Australia. It is important to remember that it may not always be obvious from physical appearance that a person is of Aboriginal or Torres Strait Islander descent.

Culture in the Health Environment Some key points to consider in order to work effectively with people from a diverse range of cultures include:  Which country or cultural background the client may have come from.  Some cultures may require a friend or relative present when assessing their health (e.g. in some cultures a woman may need permission from her husband).  Not all culturally diverse clients can understand instructions that may be given about their health (e.g. medication)  Body language is different and expressed differently in many cultures. Some western culture body language may seem to be arrogant, aggressive, or rude.  Eye contact is something western society takes for granted when assessing someone with a different culture. Eye contact may be seen as though you are untrustworthy or disrespectful. (e.g. Aboriginal Australians are uncomfortable with eye contact).  Some cultures do not complain when a problem has arisen. So continually check with this patient to ensure that this person is well.  Skin colour and language differences can generate subtle role plays of presumed inferiority, and promote sensations of powerlessness. When speaking to a patient from another culture, some basic elements to consider are:  Avoid jargon  Consider the patient’s beliefs on eye contact, body language and especially touching  Pay attention to your voice, tone and rate of speech  Verbal and non-verbal communication differences may cause confusion  Miscommunication can result in misdiagnoses and, as in any state of trauma and fear, the perceived opinions of others has a profound effect

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Equity and Diversity Policy The Equal Opportunity Act 1984 makes it unlawful to discriminate or harass on the grounds of:  Gender  Sexuality  Age  Marital status  Pregnancy  Disability  Mental impairment  Race Equity and Diversity involves the prevention and elimination of inappropriate workplace behaviours that unlawfully discriminate, harass, bully, or contribute to an individual feeling unsafe, devalued or oppressed. SAAS is committed to the following principles:  A fair treatment culture where justice and impartiality prevail with all practices, systems and behaviours  An organisational culture, management and leadership style which incorporates the following principles: 

Respect

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Honesty

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Equality

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Responsibility

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Inclusivity

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Openness

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Support

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Unity

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Dignity

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Integrity

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Transparency

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Accountability

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Confidentiality Confidentiality is binding on all health workers, paid and voluntary, who provide public health services. The patient has the right to have all identifying personal information kept confidential. This information may be shared with members of the patientâ&#x20AC;&#x2122;s health care team and in addition, may be made available to those treating the patient at other public health services sites.

Student Support SAAS can assist you should you require any additional study support or training. This may include referral to other agencies and/or referral to the SAAS Employee Assistance Program. You are also encouraged to contact a Peer Support Officer to discuss any confidential concerns that you may have.

Welfare Should you experience any personal issues during your study, you are encouraged to contact Peer Support or the Employee Assistance Program. If this is not an option for you, please contact your Team Leader (or the Clinical Educator) to discuss your concerns and recommend appropriate actions.

Provision of Text Books Clinical Education has a small library collection that can be utilised by students while at Educational Services. However these may not be removed from Clinical Education as other students may need to utilise these also. It is recommended that students purchase text books through the course that are deemed as being necessary.

Library Flinders University provides library access to all SAAS students for the duration of your program. This will be automatically arranged for you by Clinical Education following the submission of your enrolment form.

ÂŠ SA Ambulance Service

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Clinical Education Information and Processes Enrolment, Fees and Refunds SAAS operational staff do not pay course costs or material fees for their clinical training within SAAS. As part of the enrolment process you will need to confirm that you have read and understood the study program and the conditions under which you will study as outlined in this Handbook. These conditions are located on the Enrolment Form (ES-FRM001).

Academic Record At the successful completion of your program you will be issued with written advice of your course completion. A copy of this letter will be retained in your Educational File.

Certificate of Attainment You will also be issued with a SAAS Certificate of Attainment; this is the official document stating the qualification you have completed. These are awarded at the Annual Graduation Ceremony. If you should lose your Certificate of Attainment you are able to have it replaced at no cost while you are employed by SAAS. Should you require a copy after you leave SAAS, a fee of $50 applies.

Delivery and Assessment All students are entitled to engage in, and benefit from, a training and assessment program that meets their individual needs. The Clinical Educators are responsible for making every effort to ensure students are gaining an understanding of the learning outcomes, engaging in the course of study and following up any concerns with a student who may be experiencing difficulty in learning. Students are responsible for ensuring that they disclose sufficient information to enable the Clinical Educators to determine the level of any additional support (if any) that may be required. It is the responsibility of the Clinical Educators to ensure that the learning environment and learning resources provided allow all students to safely access the learning support and skill development required. It is the responsibility of the student to familiarise themselves with the course assessment outcomes in order to make the best use of the work-based practice and assessment opportunities offered. They are also able to request further assistance if required.

ÂŠ SA Ambulance Service

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Assessment Appeals A student that is deemed NYC (Not Yet Competent) may appeal against the assessment. All appeals must be lodged in writing within fourteen (14) days of notification of their assessment results. SAAS also has a Grievance Process embedded within the Award. Details of this process can be found on the Intranet site. It is your right to lodge an Appeal if you think a process or procedure has not been followed or has been applied unfairly. Equally it is your responsibility to accept the ruling of that Appeal process. Education Services uses this information as part of the continuous improvement analysis for future Programs.

Recognition of Prior Learning (RPL) Recognition of Prior Learning is generally not available for this Program.

Prior to Assessments Participants are provided with information in regard to the location, date, time, type, and duration of the assessment. Assessment expectations are clearly explained to the participants prior to the commencement of the assessment.

Notification of Assessment Results Assessment results are generally available within fourteen (14) days. If you have not received your results by that time, please feel free to contact Clinical Education and ask them to follow the matter up for you.

Non-Attendance at Assessment Non-Attendance at assessment must be for a legitimate reason and may require evidence such as a medical certificate. An ‘Assessment Non-Attendance’ form must be submitted by the student to the Manager Career Clinical Education. Failure to do this may result in a NYC outcome being awarded for the assessment item. This form can be found on SAASnet: https://www.saambulancestaff.com.au/SAASIntranet/Corporate+Services/ Educational+Services/Career+Clinical+Education/Course+Details/

Presenter’s Notes Presenter’s notes will not necessarily be available to students and students are not to ask presenters for them. It is recommended that students come to sessions equipped with sufficient note-taking material to cover presentation content, and with the express intent of taking notes. Considerable information associated with the program is available through the eLearning System.

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Feedback SAAS continually reviews its approach to training. If at anytime you have a comment or a concern of any type with regards to your training program, you are encouraged to complete the anonymous end of program on line survey. Alternatively you can use the Clinical Education Quality Improvement Feedback Form; (ES-FRM-003) which can be downloaded from the SAASnet: https://www.saambulancestaff.com.au/SAASIntranet/ Corporate+Services/Educational+Services/Quality+Improvement+Feedback/ Please return the Feedback Form to the General Manager Clinical Education. As a matter of courtesy, if your concern is with your Clinical Educator we do ask that you firstly consider trying to resolve the matter with them, as we have found this to be very effective in the past.

Records Management and Privacy All assessments are retained by Clinical Education for audit purposes. When you enrol in studies with SAAS you are assured that any personal information you provide is protected under the Privacy Act 1998. The personal information that we collect is used only for the purpose of providing education and assessment, to keep records and to report on our training and assessment activity. We do not provide this information to unrelated third parties or use this information for any other reason except that which the student has been informed and that which the student has given express permission. Please refer to the reverse side of the enrolment form for further information regarding who has the authority to view your educational file. The Freedom of Information Act 1989 provides you with the right to access documents held within Educational Services. Appointments to view student records are to be made with Educational Services Training Records staff. If you wish to have a copy of any documentation you must make a request in writing and you will be required to pay a $30 processing fee to SAAS. If a student wishes to review a written exam with the marking guide, someone with an appropriate level of clinical knowledge is to be present to address any clinical questions the student may have. As Clinical Education can not always guarantee that there will be an appropriate qualified clinical person in the office, students are advised that they should seek support from their Clinical Team Leader or a Clinical Support Officer by bringing them with them to the appointment. N.B. Marking Guides will not be released to students due to confidentiality issues.

Educational Support Review (ESR) Career Clinical Education Procedure The ESR Process is applicable to all Career Clinical staff undertaking approved formal studies within SAAS developed programs and applicable to Paramedic Interns who require, or have been identified as requiring, assistance with their study program and/or have failed an exam or assessment in their study. An informal ESR meeting can be held at any stage through the study program and can be

ÂŠ SA Ambulance Service

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initiated by the student or the Course Mentor. A formal ESR meeting will be held if a student fails an exam or assessment and/or a second exam or assessment (re-sit). An Action Register Form will be completed during the formal ESR meeting and must be signed by the student. A formal copy of this Action Register will be kept on the student’s Educational File. In the event that a student fails a third exam or assessment, the results of the final assessment will be binding. Within the Paramedic Internship Program, this will be recorded as a “FAIL” within the student’s Educational File. The matter is then forwarded to the student’s General Manager (Patient Services) who determines whether the student will continue in the study program or not.

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Listed on the following pages is the expected learning outcomes and topics covered within the Induction Workshop, eLearning, CPG Workshop and Review & Assessment Workshop. There is an assumed knowledge base from your previous paramedic undergraduate degree studies. The sessions will reflect your prior theoretical knowledge while introducing you to SAAS protocols, guidelines and equipment using practical application and case based learning.

Induction - Clinical Education Discuss the Clinical Education facilities and procedures in regards to the Paramedic Internship. Outline the current policies related to the academic conduct and student issues as per Paramedic Internship Handbooks: 1)

Academic Conduct/OHS

Educational Misconduct

Student individual learning needs

Assessment Information

Appeals process

Quality Improvement feedback process

Student Welfare

Records Management & Privacy

Enrolment Forms

10)

Training & Education Policy

11)

Educational Support Review Procedure

12)

Clinical Education Channel on SAASNet

13)

Introduction the Paramedic Internship eLearning program.

Introduction to the Career Clinical Education Team. Educational Services Equipment use and care policies. Assessment Agreement. Assessment types and examples.

ÂŠ SA Ambulance Service

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Induction - SAAS State Operations To familiarise the Paramedic Intern with the SA Ambulance Service State wide Operations.

Discuss the SAAS Mission and 2015 Vision Statements, and their implications for the future of SAAS. Outline the organisational structure of SAAS. Outline the management and clinical structure of SAAS. Explain the relationship between the SA Health, Government and SAAS. Explain the roles of the Senior Management and Executive Management Teams. SAAS Conscience & SAAS Spirit. Discuss the role and responsibilities of: 

Chief Executive Officer

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Directors

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General Managers

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Operations Managers

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State Duty Officer

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Clinical Support Officer

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Clinical Team Leaders

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Rescue Paramedics

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Extended Care Paramedics

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Intensive Care Paramedics

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Paramedics

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PTS/ESS Ambulance Officers

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Volunteer Ambulance Officers & Community Responders

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SAAFER Community Responders.

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Induction - Appropriate Behaviours To familiarise the Paramedic Intern SAAS procedures on relating to behaviours and policies. Paramedic Interns to become familiar with the following policies and procedures: 

Code of conduct

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Respectful behaviours

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SA Health Respectful Behaviour Toolkit.

Induction - Human Resources Review of the SAAS Polices in relation to employment with SAAS. Outline the various SAAS policies contained within the SAAS Induction Program, including: 

Discuss the role of the SAAS Human Resource Department

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Business units of SAAS

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OH&S policies

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Equity

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Employment condition

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EB & Award

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Performance review

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Uniform and dress code

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Confidentiality

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Building security & Key

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ID cards

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ICT security

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Freedom of association

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Outside employment.

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Induction - Occupational Health, Safety & Welfare Review SAAS OHS&W Polices and the SAAS Safe Program. Outline the various SAAS policies contained within the Occupational Health, Safety & Welfare Manual, including: 

Our roles under the Occupational Health, Safety & Welfare Act

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Regulations

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Responsibilities

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Hazard Management

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Personal Protection Equipment

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Fatigue Management Procedures

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Drugs & Alcohol Policies

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Incident Reporting.

Induction - Rostering & Payroll To familiarise the Paramedic Intern with rostering and the use of timesheets. Outline the various shift configurations and the use of “shift lines” in determining the on road roster. Discuss the process of leave allocation within the current roster system. Discuss the function of the SAAS timesheet, in determining appropriate rates of pay. Discuss and demonstrate the process used when completing a timesheet. Sick Leave and absence notification.

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Induction - SAAS Products Review SAAS Products offered to the community.

Discuss the range of SAAS products: 

Call Direct

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Ambulance Subscription

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Major event services

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Community information/education resources

Induction - Corporate Communications & Media To familiarise the Paramedic Intern with SA Ambulance Service media & communications profile. Discuss the role of the SAAS Media Liaison Officer.

Discuss the role of the media in changing community perceptions of SAAS.

Discuss the role/responsibilities of the paramedic intern in relation to the media during the Paramedic Internship.

Internal communications including SAAS Pulse, SAAS Scene & Intranet.

Social networking sites do’s and don'ts.

January 2013

PI Student Information Handbook

Induction - Incident Reporting Review the Clinical Incident Report system (Safety Learning System) Develop and understanding of the clinical incident report systems including: 

Why report incidents



What can be reported



Sentinel Events



SA Health policies on incident reporting



The reporting process/how to report



Follow up reviews and investigations.

Induction - Stress Management To review the Paramedic Intern with the processes involved in peer support. Outline theoretical models that describe the grieving process.

Discuss ways that people express grief.

Discuss the role of the paramedic intern in assisting people with their grief.

Discuss the healing process associated with expressing grief.

Be aware of PSTD issues for pre-hospital staff.

Be aware of how to access the SAAS Peer Support Program services.

January 2013

PI Student Information Handbook

Induction -Emergency Operations Centre & Radio Procedures To familiarise the Paramedic Intern with current radio procedures used in SAAS, and to become familiar with the SAAS communication equipment. Paramedic Intern to recognise the role of the E.O.C.

Define the activities of the Emergency Operations Centre (EOC). Recognise the role of AMPDS in call receipt, dispatch, allocation and clinical outcomes. Operate the radio network, channels used, and the range of communications currently available to SAAS.

the state-wide

State the registered Ambulance Service call sign. Identify the purposes of a net call. Discuss the importance of the general call alarm. Demonstrate the use of functional controls of the GRN radio system. Utilise the phonetic alphabet. Discuss the importance of the duress alarm feature and duress voice code Feature of the automatic vehicle location (AVL) system Operate the function of the Mobile Data Terminal units

ÂŠ SA Ambulance Service

January 2013

PI Student Information Handbook

Induction - C.B.R Safety & Equipment Review the Chemical, Biological and Radiation Incidents, staff safety & PPE. Identify and illustrate Chemical, Biological & Radiation threats and situations in South Australian and Australia.

Examine and distinguish Hot, Warm and Cold Zones at a C.B.R incident.

Describe SAAS staff safety and appropriate PPE for each zone.

Correct use of Level C CBR PPE.

Debate and compare patient management in CBR Incident.

Discuss and employ decontamination procedures.

ÂŠ SA Ambulance Service

January 2013

PI Student Information Handbook

Induction - Introduction to Complex Patient Management Paramedic Interns to develop a knowledge of the bariatric patients special needs and resources available within SAAS to manage complex patients. Recognise and illustrate an understanding of bariatric patients complex medical needs in the pre-hospital setting. Examine and manage the complex clinical needs of the morbid obesity patient. Demonstrate and employ an understanding of manual handling limitations associated with complex patients. Identify bariatric equipment and resources available within SAAS. Recognise the working relationship between Emergency Paramedic/ICP Crews & Emergency Support Service Bariatric Team. Debate prolonged scene time implications.

ÂŠ SA Ambulance Service

January 2013

PI Student Information Handbook

Induction - Infection Control & Infectious Diseases To familiarise the Paramedic Intern with procedures associated with standard precautions, and the management of infections. Review Infection disease including prevention, treatment and infection control guidelines. Discuss the principles of standard precautions in relation to infection management.

Identify and describe actual and potential infectious hazards in patient care situations and while cleaning SAAS equipment.

Discuss and demonstrate the use of SAAS equipment to minimise contact with infectious material.

Demonstrate safe disposal of soiled or contaminated equipment according to SAAS policy.

Discuss the effects of various infections and the bodyâ&#x20AC;&#x2122;s response including the assessment and management.

Restate common infectious diseases.

Restate common sexually transmitted diseases.

Discuss implications of pandemic influenza.

Debate immunisation requirements in ambulance practice.

Examine and employ pre-hospital management of meningococcal disease.

ÂŠ SA Ambulance Service

January 2013

PI Student Information Handbook

Induction - Manual Handling To familiarise the Paramedic Intern to the SA Ambulance Service manual handling program. Employ the techniques of the SAAS manual handling program including: 

Correct postures



Safe patient transfer techniques



Utilise manual handling equipment.

Induction - Ambulance Equipment Review Paramedic Interns to review and define current SAAS clinical equipment. Locate, check and operate common ambulance equipment used by SAAS: 

PTS response kit



Emergency ambulance airway, trauma, drug kits and oxygen socks



Stretchers, long boards and Oregon extrication device



Cervical collars and vacuum mattress



CT6 Traction and cardboard splints



MCI Kits.



Cardiac Science AED & Phillip MRx Defibrillator/Monitor

And other ambulance equipment.

January 2013

PI Student Information Handbook

Induction - Introduction to SAAS Specialist Teams Paramedic Interns to develop an understanding of specialist teams available within SAAS.

Develop an understanding of the following specialist teams:



Extended Care Paramedics, including the role of the EOC Clinician



Special Operations Team



Emergency & Major Events Teams



SPRINT, MRU & BRU Team



Cycle Response Team



Mental Health Transfer Team



MedSTAR & MedSTAR Kids medical retrieval teams.

Discuss when Paramedics may call on these teams and methods of contact.

January 2013

PI Student Information Handbook

Induction - Manage the Scene of an Emergency To develop Paramedic Interns knowledge, skills and judgement required for the deployment and preparedness for the management of an emergency scene and major incidents. 

Review, discuss and demonstrate the roles of Commander and Clinician of the first arriving resource.



Illustrate the importance of situation reports (SITREPs).



Demonstrate and plan field Triage using the SMART Triage system.



Discuss the concepts differentiating Incident, Major Incident & Disaster. Analyse the state disaster plan and AMBPLAN.



Review past knowledge and experiences gained concerning emergency management in pre-hospital care.



Clarify concerns emergency care.



Restate the role of communication and team work of all agencies at emergencies and incidents.

emergency

management

practise

pre-hospital

January 2013

PI Student Information Handbook

Induction - Driver Training Program To familiarise the Paramedic Intern with the SA Ambulance Service Professional Driver Training Program. Develop life long habits in professional driving skills. Review the SA Ambulance Service Professional Driver Training Program.

Define, discuss and demonstrate: 

Maintaining a safe and stable transport platform



Low risk driving techniques



Driver attitude.



Outline the general maintenance of the SAAS vehicles



Discus the variety of vehicles in the SAAS fleet, purpose and differences.

Induction - Mental Health Paramedic Intern’s to analyse and discuss medical issues relating to mental health presentations to the Ambulance Service. Apply management principles to such presentations. Define types of mental illness. Describe the disturbed patient. Interpret the acute mental health crisis. Question and analyse self harm & suicide presentations. Contrast community vs. institutional care. Discuss mental health clients maintaining choice & independence. Review the Mental Health Act. Interpret and apply Care & Control Orders at Paramedic level. The role of ACIS and Mental Health Triage.

January 2013

PI Student Information Handbook

Induction - Documentation & Duty of Care Paramedic Interns to restate the importance of medical documentation and case cards. Discuss the duty of care required by ambulance personnel. Define, discus and demonstrate: 

Duty of Care as an Ambulance Officer or Paramedic Case card reporting policy



Refusal of treatment by patients and documentation requirements



Follow up of patients by EOC Clinician /State Duty Manager



Current SAAS Policy for ANR and Refusals.

January 2013

PI Student Information Handbook

Induction - BLS Resuscitation Paramedic Internâ&#x20AC;&#x2122;s to discuss and employ management of a respiratory/cardiac arrest in pre-hospital emergency care at Basic Life Support level.

Review and demonstrate basic airway care including use of OP airways & suction. Demonstrate the use of the laryngeal mask airway. Practice CPR static and mobile. Apply the AED and MRx (AED mode only) units in the resuscitation. Organise scene management including relatives and bystanders. Define and discuss resuscitation termination and SAAS policies.

Induction - Operational Safety To enable the Paramedic Intern to approach and manage scenes with due regard to their personal safety and the utilisation of safety equipment used in the operational setting of SAAS.

Assess the scene on approach, and identify potential and actual hazards.

Identify safe methods of parking vehicles to maximise safety. Discuss and demonstrate the issues relating to personal safety.

Restate the use of hand held radio on exiting the vehicle.

Demonstrate understanding of the role of the Special Operations Team and SA Police in hazardous situations. Operation of protective equipment as specified by SAAS policy. Dramatise management of an escalating scene. Including practice of disengagement techniques. ÂŠ SA Ambulance Service

January 2013

PI Student Information Handbook

Induction - Mandatory Reporting Paramedic Interns to become aware of their mandatory reporting requirements as pre-hospital care clinicians.

Recognise the mandatory reporting requirements of paramedics. Define child abuse. Define abuse of the elderly and persons with disabilities. Describe physical abuse. Describe sexual abuse. Describe neglect. Interpret abuse indications. Restate firearms reporting requirements. Define and employ the reporting process.

ÂŠ SA Ambulance Service

January 2013

PI Student Information Handbook

Self Directed e-Learning Outcomes

Paramedic Interns will be required to undertake self directed e-Learning. This will be completed pre employment through to the commencement of the CPG Workshop. Thee-Learning modules consolidates theory from the undergraduate degree program while introducing SAAS Paramedic Clinical Practice Guidelines and equipment. The e-Learning modules prepare you for the problem based learning and simulated learning environment style of the CPG Workshop. The system is easy to navigate. Some modules include short movie and sound files. Any relevant SAAS policies or directives are also included. Suggested readings may be attached as a file or recommend an external web link. Topics covered by the pre-workshop material include: 1)

SAAS Clinical Education Information

Welcome to Paramedic Internship eLearning

SAAS Equipment familarisation

Basic Life Support review

Trauma

Special Considerations in Trauma

Central Nervous System

Cardio Vascular System

Abdominal & Pelvic Organ Systems

10) Respiratory ÂŠ SA Ambulance Service

January 2013

PI Student Information Handbook

E-Learning Assessment At the end of each module there will be a short multiple choice question section, these are not graded but will give you some idea of your current comprehension of the topic. If you feel there is a deficit in knowledge you are encouraged to review your under graduate study material or relevant eLearning module. You must attempt assessments in all modules (which are remotely monitored by Clinical Education). Failure to complete the e-Learning modules will prevent you attending the CPG Workshop.

If you complete the assessment attempts the Manager Career Clinical Education will send you formal notification of your eligibility to attend the CPG workshop.

Access to eLearning Use the following internet link to access the eLearning system. You will be issued a Login & Password by Clinical Education.

http://saaselearning.com.au/moodle/

Technical Assistance

Technical assistance such as lost passwords and login in problems should be directed to the Project Coordinator - Career Clinical Education via E-mail only. Assistance is only available Monday to Friday (business hours). E-mail: michael.borrowdale@health.sa.gov.au

ÂŠ SA Ambulance Service

January 2013

PI Student Information Handbook

Clinical Practice Guideline (CPG) Workshop Outcomes This stage will introduce the Paramedic Intern to SAAS Paramedic level Clinical Practice Guidelines (CPG’s). Paramedic Interns will review organisational and clinical requirements, structures, processes and cultural expectations in preparation for both Paramedic Intern Development Team (PIDT) & Lateral Emergency Team placements. The pre-requisite is successful completion of the induction workshop & pre-workshop self directed e-Learning modules. The CPG workshop utilises the principles of problem/case based learning and simulated learning environments. There is a strong focus on holistic patient management utilising the Paramedic CPG’s. The workshop is delivered by two experienced Paramedic Clinical Educators.

Content 

Application of Medical Clinical Practice Guidelines across the lifespan



Application of Trauma Clinical Practice Guidelines across the lifespan



Assist ICP skills



Complex patient management



Multi system injury & illness patient management



Practical problem solving including justification of decisions



Part skills technical training i.e. cannualtion, needle decompression.



Scene management and leadership



Extrication 

January 2013

PI Student Information Handbook

CPG Workshop - Clinical Practice Guidelines Define, discuss and examine the Paramedic CPGâ&#x20AC;&#x2122;s that will be utilised during the Paramedic Internship Program and future SAAS career.

Recognise the difference between a protocol and a guideline.

Describe the need for appropriate supervision while working as a Paramedic Intern.

Examine Paramedic Paramedic Clinical Practice Guidelines for use on PIDT and Lateral Emergency teams.

Discuss actions to take when cases or transfers exceed clinical skills, authority or capabilities.

Recognise the role of the EOC Clinician and/or ASMO in certain clinical situations.

Med-01 Clinical Practice Guidelines P

ÂŠ SA Ambulance Service

January 2013

PI Student Information Handbook

CPG Workshop - Paramedic Skills Define, discuss and demonstrate Paramedic procedural skills that will be utilised during the CPG workshop, Paramedic Internship Program and future SAAS career. Skills including but not limited to: 

Laryngoscopy



Nasopharyngeal Airways



12 Lead ECG



Intranasal Medical Administration



IV Cannulation



IV Medical Administration



Chest Needle Decompression



Manual Defibrillation



Restraint Net



Assist Intensive Care Paramedic (ICP) Skills

CPG Workshop - Cardiac Arrest Management Define, discuss and demonstrate the resuscitation management across the lifespan.

Debate differential diagnosis and management within the SAAS Paramedic Clinical Practice Guidelines through case base scenarios. Demonstrate SAAS Paramedic CPG’s through clinical scenario exercises: 

Adult cardiac arrest



Paediatric cardiac arrest



Neonatal cardiac arrest



Declaration of life extinct

Discuss, debate and evaluate: 

Debate management within the SAAS Paramedic Clinical Practice Guidelines through case base scenarios.



Current controversies in care and treatment



Scene management issues



Knowledge of pharmacology & procedural skills in management of cardiac arrest



The role of Intensive Care Paramedics/Assist ICP Skills.

Demonstrate SAAS Paramedic CPG’s through clinical scenario exercises.

January 2013

PI Student Information Handbook

CPG Workshop - Poor Perfusion Define, discuss and demonstrate the management of poor perfusions states across the lifespan.

Examine the following poor perfusion states: 

Hypovolemia Medical



Hypovolemia Trauma



Dehydration



Nausea & Vomiting



Meningococcal Septicaemia



Sepsis.

Discuss, debate and evaluate:



Debate differential diagnosis and management within the SAAS Paramedic Clinical Practice Guidelines through case base scenarios.



Current controversies in care and treatment



Treat - No - Transport / ANR / Refusal situations



Scene management issues



Knowledge of pharmacology & procedural skills in management of poor perfusion states



The role of Intensive Care Paramedics/Assist ICP Skills.

Demonstrate SAAS Paramedic CPG’s through clinical scenario exercises.

January 2013

PI Student Information Handbook

CPG Workshop - Trauma Define, discuss and demonstrate the management of trauma conditions across the lifespan.

Examine the following trauma states: 

Burns



Thoracic Trauma



Amputations



Abdominal Trauma



Envenomation



Severe Head Injury



Spinal Immobilisation



In-Line Extrication



Trauma Bypass.

Discuss, debate and evaluate:



Debate differential diagnosis and management within the SAAS Paramedic Clinical Practice Guidelines through case base scenarios.



Current controversies in care and treatment



Treat - No - Transport / ANR / Refusal situations



Scene management issues



Knowledge of pharmacology & procedural skills in trauma management



The role of Intensive Care Paramedics/Assist ICP Skills.

Demonstrate SAAS Paramedic CPG’s through clinical scenario exercises.

January 2013

PI Student Information Handbook

CPG Workshop - Altered G.C.S Define, discuss and demonstrate the management of altered conscious states across the lifespan.

Examine the following altered conscious states: 

Seizure



CVA



Narcotic Overdose



Hypoglycemia / Hyperglycemia



Behavioural Emergencies



Hypothermia.

Discuss, debate and evaluate:



Debate differential diagnosis and management within the SAAS Paramedic Clinical Practice Guidelines through case base scenarios.



Current controversies in care and treatment



Treat - No - Transport / ANR / Refusal situations



Scene management issues



Knowledge of pharmacology & procedural skills in management of altered conscious state



The role of Intensive Care Paramedics/Assist ICP Skills.

Demonstrate SAAS Paramedic CPG’s through clinical scenario exercises.

January 2013

PI Student Information Handbook

CPG Workshop - OBS & GYN Define, discuss and demonstrate the management of obstetric & gynaecological prehospital presentations.

Examine the following obstetric & gynaecological pre-hospital presentations: 

Normal Labour & Delivery



Complications of Pregnancy, Labour & Delivery



Newborn Care



Obstetric Emergencies.

Discuss, debate and evaluate:



Debate differential diagnosis and management within the SAAS Paramedic Clinical Practice Guidelines through case base scenarios.



Current controversies in care and treatment



Treat - No - Transport / ANR / Refusal situations



Scene management issues



Knowledge of pharmacology & procedural skills OBS-GYN management



The role of Intensive Care Paramedics/Assist ICP Skills.

Demonstrate SAAS Paramedic CPG’s through clinical scenario exercises.

January 2013

PI Student Information Handbook

CPG Workshop - Pain Define, discuss and demonstrate pain management across the lifespan.

Examine the following pain states: 

Ischemic Chest Pain



Pain Control



Pain Control associated with trauma conditions.

Discuss, debate and evaluate:



Debate differential diagnosis and management within the SAAS Paramedic Clinical Practice Guidelines through case base scenarios.



Current controversies in care and treatment



Treat - No - Transport / ANR / Refusal situations



Scene management issues



Knowledge of pharmacology & procedural skills in pain management



The role of Intensive Care Paramedics/Assist ICP Skills.

Demonstrate SAAS Paramedic CPG’s through clinical scenario exercises.

January 2013

PI Student Information Handbook

CPG Workshop - Respiratory Define, discuss and demonstrate the management of respiratory conditions across the lifespan.

Examine the following pain states: 

Bronchospasm



Anaphylaxis



Acute Cardiogenic Pulmonary Oedema.

Discuss, debate and evaluate:



Debate differential diagnosis and management within the SAAS Paramedic Clinical Practice Guidelines through case base scenarios.



Current controversies in care and treatment



Treat - No - Transport / ANR / Refusal situations



Scene management issues



Knowledge of pharmacology & procedural skills in management of respiratory conditions



The role of Intensive Care Paramedics/Assist ICP Skills.

Demonstrate SAAS Paramedic CPG’s through clinical scenario exercises.

January 2013

PI Student Information Handbook

ÂŠ SA Ambulance Service

January 2013