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PARAMEDIC DIPLOMA PROGRAM MANUAL 2014/2015 (Full-Time Program)

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Page 1: PARAMEDIC DIPLOMA - Confederation College · Paramedic Brochure Page 2 ... knowledge to practice emergency prehospital medical care and to function as an integral member of the health

PARAMEDIC DIPLOMA

PROGRAM MANUAL

2014/2015

(Full-Time Program)

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Table of Contents

Appendices .................................................................................................................................................... 3

Faculty & Staff extensions ............................................................................................................................. 5

Program Description ..................................................................................................................................... 5

Program Courses ........................................................................................................................................... 7

Other Requirements...................................................................................................................................... 9

Student semester promotion policies ......................................................................................................... 13

Evaluation of Theory ................................................................................................................................... 14

Evaluation of Practical ................................................................................................................................. 15

Digital Film Reviews .................................................................................................................................... 16

Grading of Paramedic Courses .................................................................................................................... 17

Core Courses & Subject Re-Writes .............................................................................................................. 18

Fitness Component ..................................................................................................................................... 19

Evaluation of Lab/ Clinical ........................................................................................................................... 21

Referrals to Promotion Committee ............................................................................................................. 24

Academic Intervention Agreements ........................................................................................................... 25

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Withdrawal from the Paramedic program .................................................................................................. 27

Applicants seeking re-entry......................................................................................................................... 27

Attendance Policies ..................................................................................................................................... 28

Health Requirements .................................................................................................................................. 30

WSIB Guidelines .......................................................................................................................................... 32

Infection Control Guidelines ....................................................................................................................... 32

Notification of Students address changes................................................................................................... 34

Confidentiality ............................................................................................................................................. 35

Uniform appearance ................................................................................................................................... 36

Personal Care .............................................................................................................................................. 37

Uniform in Lab/ Clinical ............................................................................................................................... 38

Jewelry ........................................................................................................................................................ 40

Parka & Loan Agreement ....................................................................................................................... 41-42

Computer Use on placements ..................................................................................................................... 43

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Appendices:

A Immunization Communicable Diseases Form

B Confederation College and Employer’s Confidentiality Agreements

C OPEN SLOT – (Find tuition & other “Ancillary Fee’s” on College web site)

D Paramedic Student – Physical Abilities Testing Documents

E Confederation College – Paramedic Student Clinical Entry Package

* Self-Declaration Form

* EMS Student Checklist

*Paramedic Student Personal Data Form

F Mask Fit Testing Assessment Form

G Ministry of Health – Communications Service Observer Confidentiality Agreement

H Confederation College – Text Book Requirements

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FACULTY AND STAFF OFFICES AND EXTENSIONS

NAME

OFFICE

EXTENSION

E-MAIL

Grace Quinn Faculty Coordinator

S285 473-3769 [email protected]

Jessica Dykes Faculty

S285 475-6543 [email protected]

Monique Favreau Academic Support Officer

S277F 475-6133 [email protected]

Leanne Belbas Receptionist

S275 475-6282 [email protected]

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PARAMEDIC DIPLOMA PROGRAM

PROGRAM DESCRIPTION

This Diploma program offered full-time over two years helps the student gain the skills and

knowledge to practice emergency prehospital medical care and to function as an integral

member of the health care team assisting victims of accident or illness. Graduates will have

demonstrated the ability to apply relevant theory, practice safely/ competently, complying with

current legislation, regulations, standards, and established policies/ procedures.

Following successful completion of the Paramedic Program, graduates are eligible to write the

Ministry of Health's, “Advanced-Emergency Medical Care Assistant” certification examination.

Certification as an “Advanced-Emergency Medical Care Assistant” (A-EMCA) is necessary to

qualify for full-time employment as a Primary Care Paramedic in the Province of Ontario.

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Program Courses

FIRST SEMESTER

CS007 Persuasive Writing (Option2) *

AB107 Patient Care Theory I

AB109 Patient Care Procedures Lab I

AB111 Medico – Legal Aspects of Patient Care

AB113 Anatomy & Physiology I

AB115 Physical Education I

AB117 Communications for Paramedics I

GE___

SECOND SEMESTER

AB206 Patient Care Procedures Lab II

AB208 Patient Care Theory II

AB212 Pathophysiology in Emergency Medical Care

AB214 Anatomy & Physiology II

AB216 Communications for Paramedics II *

AB218 Physical Education II

AB220 Clinical & Community Experience

GE___

THIRD SEMESTER

AB321 Patient Care Theory III

AB323 Patient Care Procedures III

AB325 Ambulance Operations

AB327 Pharmacology for Paramedics

AB329 PCP Assisting ACP With Practical Skills

AB331 Paramedic: Ambulance Field Experience I (144 hours)

FOURTH SEMESTER

AB432 Paramedic: Hospital Clinical

AB434 Paramedic: Ambulance Field Experience II (288 hours)

AB436 Paramedic Comprehensive Review

GE___ Online General Elective

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***General Education Electives (GE)

Ministry requirements are that students take 3 GE subjects

throughout their programs. Paramedic students must take three

GE subjects. This is the student’s responsibility and not the College’s to ensure you have

taken your three general elective subjects. You may get exempt if you have a GE equivalent

subject from university, but you must apply for that exemption; it is not automatic. Please

contact the Registrar’s Office well before the start of your semester as this item may take a

month to resolve.

Although, not mandatory, here are some relevant electives to consider SY180, SY066, and

PY399.

“IPE” Interprofessional Education

Confederation College students must take Interprofessional Education (IPE) to understand how

other professions will be interacting with your Paramedic profession in your real work life. IPE

for the Paramedic students will be taken with other Health and Community Services programs.

These IPE sessions may be scheduled completely separate from your regular schedule. Your

Coordinator will update you on IPE delivery on orientation day.

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Other Requirements for the Paramedic Program

(Keep one Copy of Everything For Your Records , and Give Two Copies To Your Coordinator. The Coordinator

keeps one copy on your corporate file and the original copy goes to your ambulance placement agency)

Our clinical placement partners, requires that students have completed pre-entry certifications. For the

College, this means we need our paramedic students to have all their requirements completed by the

end of their first semester. Some requirements must be completed earlier and these will be

specified.

Note that you must have already submitted your Pre-Fitness Assessment form to the Paramedic

Coordinator’s office by May 23rd (See Appendix D for a sample of this form). Offers of admission to the

Paramedic Program can be rescinded after May 23rd of each year.

Be sure to check your certificate expiry dates to be sure they are current. No certificate will be accepted

if it expires at any point during your placement period. Hand-in two complete packages to your

Coordinator and do not submit any individual certificates to your Coordinator. In addition, keep one copy

of the complete package for yourself. YOU WILL NOT BE PERMITTED ENTRY INTO SECOND

SEMESTER WITHOUT TWO COMPLETED PACKAGES (Minus Fitness Certification Form)

SUBMITTED TO THE CORDINATOR BY DECEMBER 4, 2014.

Confederation College Paramedic Program – Pre Admission Fitness Test form is to be

handed in to Paramedic Coordinator’s Office by May 23rd of each year. If the Registrar’s Office

offers the student a confirmed position after May 23rd, then get the form into the College ASAP

with a note of explanation about your late offer of admission.

A. Certificates to submit to your Paramedic Coordinator after orientation day and on or before September 28th, 2014 (Worth 5% of AB107 Mark): (hand in as one assignment; 2 copies of everything listed below in “A” Items 1-6)

1. A current CPR certificate with Health Care Provider status, must be maintained yearly. The standard first aid certificate certificates are good for three years, but CPR certificates are only good for one year as per Ambulance Act. Before you hand-in certificates to the coordinator, ensure that your certificates will be valid throughout your second semester placement period. Be sure to check your expiry dates to be sure they are current for future semesters.

2. A legible photocopy of the student’s standard level first aid certificate. Ski patrol, and Emergency First Response are other courses that are considered acceptable.

3. DRIVER’S LICENSE: An Ontario Driver’s License photocopied in colour (front and back).

The College requires an Ontario Driver’s License or Canada equivalent to G2 or better by Sept

30/14

The College requires an Ontario Driver’s License or Canada equivalent to G or better by June

4/15.

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It is important to note that, in order to even get an interview for a paramedic job, you must

possess an Ontario Class “F” Driver’s License or better. The College does not require that

students possess an “F” Class license, however, it is strongly recommended that students obtain

this prior to graduation. (Example: If the student writes their A-EMCA exam in their 4th semester,

then get your Class F, before February 1st of that 4th semester (As that is when job interviews

start). Due to insurance costs the College will not loan our College ambulance for Class “F”

driver’s licenses. Obtaining a testing vehicle and all costs associated with it are completely up to

the students.

4. A coloured photograph of your College student ID card. This assures, to your EMS ambulance

service, that you are a registered/ paid student covered by WSIB and the College insurance

policy.

5. Confidentiality agreements for the College, CACC and ambulance employer are provided for

completion. (See appendices B and G)

6. Student contact information sheet attached with appendix “E”.

B. Certificates to submit to your Paramedic Coordinator after orientation day and on or before December 4th, 2014 (Worth 5% of AB109 Mark): (hand in as one assignment; 2 copies of everything listed below in “B” Items 1-5)

1. An original basic level Criminal Record Check (CRC), dated no earlier than 10 months prior

to the start of preceptorship.

To be eligible for participation in field placement a student must not have been convicted of any

criminal offence for which the student has not yet been pardoned. An unpardoned criminal record

could result in the student not being able to participate in the field placement courses and

therefore prevent the student from graduating. A recent and valid basic level criminal reference

check (CRC) is therefore required to enable the student to progress through this program.

Note:

Procedures and regulations for obtaining criminal record search documents are controlled by

the RCMP and the Government of Canada. These procedures and regulations may change

at any time without notification. Confederation College will endeavour to notify students of

any changes when they come to our attention. As of March 1, 2014 the following reflects the

current procedures and regulations of the RCMP with regard to Vulnerable Sector

Verifications. (Note: Only Basic CRC Level is required for our Paramedic Students)

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The RCMP identified a means to enhance vulnerable sector checks to make the searches

more rigorous. In the interest of public safety, the enhancements were quickly implemented

to protect vulnerable members of society.

As a result of the enhancement, a Vulnerable Sector Verification now requires the

submission of fingerprints whenever the gender and date of birth of an applicant match to an

existing pardoned sex offender record. This is not an accusation of criminality, but a

requirement for a thorough verification to confirm identity and protect personal privacy. This

process will take at least four months.

Currently (April 22, 2014) our ambulance employers are only requesting a basic level CRC

check which is easier, cheaper and faster to obtain. Although, you still must come up with no

morale turpitude convictions against you that you have not been given a clear pardon; for

employment purposes, CRC requirements differ, but that is between the student and their

potential employer.

Note: Any costs associated with acquiring a Criminal Reference Check (CRC) will be the

responsibility of the student applicant.

2. Qualitative or Quantitative “Mask Fit Testing” is arranged for the students by the College

during the first semester and certificates are issued for expiry in 2-years.

3. You must hand-in a copy of your immunization record and “Immunization

Communicable Disease’s Form” to the College Health Centre.

Completion of the “Immunization Communicable Disease’s Form” and a copy of your

immunization records (including blood work) should be submitted to the Health Centre as

instructed in the College’s Health Centre web site guidelines:

Look for “Paramedic Program Manual” on the web page below and then you will find the

“Immunization Communicable Disease’s Form” within the appendices or right on this web

page. http://www.confederationc.on.ca/applicant/paramedic

You won’t be able to get your flu shot certificates until November of each year and that’s why

December 4th is the deadline date for the Confederation College - Paramedic Student

Clinical Entry Package to be submitted. Please see specific guidelines as outlined on the

College’s Health Centre web site linkage above. Look for the “The Immunization

Communicable Disease’s Form” at this site (Also in Appendix A).

4. The “Self-Declaration Form”, as required by the Ambulance Act of Ontario, attests that to the

best of your knowledge, you are free from the diseases that are specified. (Found in

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Appendix E – Confederation College Student Entry Package.

The “Immunization Communicable Disease’s Form” is required by the Ambulance Act of

Ontario and is to be submitted by the time lines specified to the College Health Clinic (See a

sample form Appendix A).

5. An annual free Influenza flu clinic in the fall (date to be announced) will be held on

campus. Please bring your proof of flu vaccination to the College Health Nurse in

the Health Centre to be documented on your “Immunization Communicable

Disease’s Form.” Once this has been completed the student requests a copy of

the fully completed “Immunization Communicable Disease’s Form” and then

attaches their Flu Shot Card to this form.(Appendix E).

Note: Students are able to see the status of immunizations on “BlackBoard.” This electronic

spreadsheet is kept up to date by our College’s Health Nurse. Only the student, Coordinator

and the Health Nurse may see your immunization status on “BlackBoard.”

The above 5 documents comprise “Package B”

----------------------------------------------------------------------------------------------------------------

Note: About Dec 16th each year your AB 115 instructor will send a “Fitness Testing Certification” form

to your Coordinator when your final fitness testing event has been completed.

Fitness Testing Certification:

A Fitness “Confederation College – Fitness Testing Certification” form confirming you have

passed your fitness outcomes at the end of semesters 1 and 2 are the documents required as

evidence of your fitness to your EMS services. Competence in strength, equipment familiarity,

good body mechanics, stability and control will be assessed by your Fitness Instructor. Fitness

testing will be completed on entry to confirm results and a “Student Success Plan” form will be

given to each student. (Paramedic Student - Physical Abilities Testing (Circuit Test) )

Note: Your “Confederation College - Paramedic Student Clinical Entry Package” will not include

this form when you submit it to your Coordinator on or before December 4, 2012. This form will

be completed later in December on your final fitness testing day for AB115. The Coordinator will

bring all completed forms to the appropriate EMS contacts. This is the only document that is not

to be submitted with your Confederation College - Paramedic Student Clinical Entry Package.

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STUDENT SEMESTER PROMOTION POLICIES

A student is eligible for promotion within the paramedic program when he/she has successfully met the

performance outcomes of a specified portion of the program.

In order to progress in and register in core paramedic program courses for the next semester, a

student must achieve a passing grade in all the core paramedic courses taken in the previous

semester. As well, students are directed to review College policies regarding Grade Point Averages

(Student Handbook) which also applies to continuation in the paramedic program. All Paramedic Core

Courses must have a 70% passing grade or a (CR) credit to pass and continue on into the next

semester. If a student fails one Core Paramedic Subject they may qualify for a “Re-write” for that

subject. If the student fails a second Core Paramedic Subject in their current semester, they will not be

permitted a re-write. Only one re-write of a core paramedic subject is permitted per academic semester.

Passing of clinical placements and placement extensions are dependant on the Hospital and/or

Paramedic Ambulance preceptor(s) recommendations. The final decision for passing or granting

extensions are the College’s. “Extensions” if granted, are viewed as a “re-write” for the course. Any

additional AB 434 clinical time past the 288 hours, will be considered AFTER the student’s “Final

Competency Evaluation Form” is submitted to the AB434 Clinical Coordinator.

The student's achievements in the theoretical and practical aspects of the program are evaluated

separately. A student may be requested to withdraw from the program if his/her achievement in either

of these two areas does not meet the program's requirements for promotion. No academic penalty will

be assessed by the Registrar’s Office for course withdrawal before the specified date set by the College

for “Program Withdrawal Without Academic Penalty.” These key dates are well documented in the

student’s SUCCI handbooks (See “Academic Calendar” and “Withdrawal from a course” in your SUCCI

Student’s Handbook.) SUCCI Student handbooks are available on the College website starting during

your first week at the College. Having a poor GPA/ failing grades makes it difficult for re-entry into many

College programs. Registered failing grades will be a permanent record on your transcripts.

Students will receive a final report of their progress in the program on completion of each semester

primarily through, “Blackboard” and “Banner” where our College’s electronic students’ marks are posted.

A student who has not met the minimum requirements for the program at promotion will not be permitted

to continue into the next semester. (Except as outlined under Evaluation of Clinical Performance.)

A student is eligible for graduation when he/she has met all of the required outcomes of the paramedic

program.

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Promotion policies for the paramedic program are reviewed annually by the faculty. Decisions arrived at

by the promotion committee are reviewed by the Associate Dean of our Paramedic Program.

Occasionally, during the semester and at the end of the semester “Academic Interventions” are issued

as a condition of continuation in the Paramedic Program. At times, rather than a (Credit/ or Percentage

Grade being assigned, an (IN) incomplete will be assigned. The Registrar’s Office again has key dates

whereby these IN grades must be changed by the Professor in charge or the grading automatically

reverts to a “F” Grade. Once a “F” grading has been registered by the Registrar’s Office, the “F” grade is

“Permanent.”

EVALUATION OF THEORY

The final grade in a given subject will be based on a continuous testing and assessment program; a

variety of tools which may include oral and written tests, assignments, group presentations, class

participation, instructor(s) observation, and practical tests will be used.

Professors/Instructors are to follow “Course Outlines” that students receive electronically in files and

posted on Black Board at the start of each semester. There is some flexibility allowed in assessment,

but assessment outcomes and criteria are followed as per course outlines.

Students will be informed in writing at the beginning of each semester by the instructor(s) concerned, as

to the methods of assessment to be used for that particular subject. You should receive a time table

specific to your subject and evaluation process that follows your course outlines. The student will be

evaluated on the content presented and assigned during each day of class throughout the semester.

Regular attendance and participation is an essential and integral part of the evaluation process and in

achieving success in the Paramedic Program.

Text Requirements: Please refer to Appendix H for your text requirements. The text will also be

printed on each course outline.

Students are referred to the “Plagiarism and Cheating Policy” in the Confederation College’s

“SUCCI Daytimer and Student Handbook”

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EVALUATION OF PRACTICAL

Practical abilities are evaluated with either a simulated real patient or a high fidelity manikin simulation;

hospital clinical placement; or most importantly ambulance clinical placement. The total ambulance

clinical placement required time is scheduled for 460 hours throughout the Paramedic Program. What is

most important is performing each competency and having the competencies signed off by your

preceptors. In our program, we divide up the ambulance clinical placement time as follows:

Second semester 20 hours to AmbuTrans Service + 4-hours Central Ambulance

Communication’s Centre

Third semester = 144 hours @ to EMS service

Fourth semester = 288 hours @ to EMS service

Hospital Clinical Placement = 48 hours

TOTAL HOURS = 504 hours

Our program follows NOCP (National Occupational Competency Profiles) for the paramedic. This

means preceptors (the paramedic assessing you) must sign off specific skill sets required. Before you

are allowed in a clinical setting, you must demonstrate your competence in the simulated setting in the

College at a 70% passing performance expected. During your first two semesters you will be put

through 8 intensive, practical, simulated scenarios. All scenarios and final fitness testing are videotaped

to ensure quality control of both for the students and the instructors involved.

Passing of clinical placements and placement extensions are dependant on the Hospital and/or

Ambulance preceptor (s) recommendations, but the final decision for passing or granting extensions

remain with the College. “Extensions” if granted are viewed as a “re-write” for the course.

September 2012, our College opened up a state of the art training and simulation lab. It contains

manikins that you can take all vitals on, insert tubes in every body orifice, defibrillate, pace, start

intravenous lines and the manikins will talk to you! We also utilise real people in practise and testing

from time to time. Students coming into our program will experience the best facilities in the world to

learn in, coupled with new equipment and instructors with years of experience in Paramedicine.

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DIGITAL FILM REVIEWS

Digital recordings are completed for all formal Patient Care Theory Lab practical testing and final Fitness

testing sessions in semesters 1, 2 as well as the fitness testing conducted at the start of the third

semester.

Each practical patient care exam takes a great deal of time to put together and is in fact a formal

confidential College exam. The practical exams are treated like a written exam as far as confidentiality is

concerned. Therefore, an instructor/ professor must be with any student wishing to review their digital

recording in any subject. Recordings are digital and no film file may be retained by a student for any

length of time. Ideally, the faculty (with the subject concerned) should be with the student to review

their recording. Students are not allowed to view another student’s video tape testing. Only under

order from the College’s Dean or Associate Dean may a digital copy of a recorded testing be given to a

student. Under those circumstances, the scenario in question will be deleted and never used again in an

identical manner.

Digital recordings of students, must be sorted, named and filed. It does take time to find a student’s

assessments on film, bring it up for viewing, complete the actual viewing with the student and offer a

critique. Due to the amount of time it takes and the number of students involved, the College must

restrict tape reviews to only students who have failed their scenario or fitness assessments.

Digital recordings of films will be retained for a two-year period and then erased unless unusual

circumstances are present.

During scenario/ fitness evaluations, cameras should be placed in such a manner as to clearly identify

the student for quality assurance purposes. At the start of the video taped assessment, each student

must be clearly identified. Students must therefore present and display their College ID cards to the

camera at the beginning of each scenario/ fitness testing session. INSTRUCTORS/ STUDENTS ARE

DIRECTED NOT TO OBSTRUCT CAMERAS BY EITHER STANDING OR PLACING EQUIPMENT IN FRONT OF

THEM.

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GRADING OF PARAMEDIC COURSES

The grading policy outlined below applies to the all core paramedic courses:

Letter Grade Percentage Attained

A 80 - 100%

B 70 - 79.9

F < 70%

CR Credit

NCR No Credit/ Failure

IN Incomplete

EX Exemption

Grades for other courses are identified in each course outline.

When a student fails to achieve a passing grade in a paramedic course, the student’s performance will

be reviewed by the faculty. Based on that review, a student may be given an opportunity for a rewrite or

retest of that course based on program policies. The student must demonstrate satisfactory knowledge

or skills through this opportunity. Any cost associated with re-testing will be at the students’ expense.

These “re-writes” are always an all or nothing pass and the most a student may ever receive is a

passing grade on a re-write attempt.

Passing of clinical placements and placement extensions are dependant on the Hospital and/or

Ambulance preceptor (s) recommendations, but the final decision for passing or granting extensions

remains with the College. “Extensions” if granted are viewed as a “re-write” for the course.

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Core Courses and “Subject Rewrites”

Core Courses and “Rewrites” for failed courses.

Core Courses in the paramedic program refer to all courses that start with the letters “AB.”

Students who fail one core paramedic course may be eligible for a course re-write. Students will only be

allowed a rewrite under the following circumstances:

1. Only one rewrite is permitted for a failed core paramedic course in each semester.

2. The student must have obtained at least 50% in the failed subject to be eligible for a rewrite.

3. The student must have demonstrated satisfactory attendance during the duration of the course/

subject involved.

4. Rewrites will be comprehensive in nature including curriculum from the entire semester. The

content and length of the re-write exam (practical/ theory) will be at the discretion of the

instructor/ Coordinator involved.

5. The maximum allowable grade a student can attain after a rewrite will be a 70% grade in that

course.

6. The rewrite must be completed within one week of the instructor registering the failed course.

7. All instructors at the “Promotional Meeting” must support the student’s eligibility for a rewrite

option.

NOTES:

Students are encouraged to review the Student Rights and Responsibilities section of “The

Student Handbook” as outlined on the http://www.succi.com/Doc/SUCCI_Daytimer09-10.pdf

web site.

When retaking a patient care theory or lab subject, if more than one year has elapsed since

completing either subject, then the student must take both the theory and the practical course

components together again. If retaking either the patient care theory or practical within one year,

then only the failed subject needs to be retaken.

Fitness Testing - All fitness testing rewrites MUST be completed each semester by the mark

entry date set by the College. If students are absent for ANY REASON for their fitness rewrite

date, then the student(s) will receive an “F” grade. The College cautions students about

engaging in risky physical activities just before their fitness testing.

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Patient Care Practical Skills Retesting – Students eligible for a rewrite for a lab class in any

semester will be required to demonstrate comprehensive knowledge of all protocols/ standards/

equipment covered to that point in the program.

Lab rewrites will be comprehensive in content and consist of the following two components:

1. A written comprehensive exam on which the student must achieve a minimum grade

of 70%.

2. Three scenarios designed to incorporate the application of multiple protocols/

standards and equipment. Students must achieve a minimum of 70%. Grading of the

three separate scenarios will be a “cumulative grade.” For example:

Scenario #1

Deductions

Scenario #2

Deductions

Scenario #3

Deductions

Final Grade

-5 -15 -10 70%

-32 No deductions -5 63%

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3.

COMPREHENSIVE EXAM

A comprehensive exam will be written in the final semester of the paramedic program in AB436. It will

be based on theory from all previous semesters. This exam will prepare students to write the

provincial A-EMCA exam. The student must independently pass the AB 436 final exam obtaining a

minimum of 70%.

FITNESS COMPONENT

Students are expected to maintain a high level of strength and endurance to perform competently in the

placement setting. Students will be tested in Semester 1, and 2 to ensure they are maintaining their

fitness levels. Failure to pass the fitness testings in semesters 1 and 2 will result in a failing grade in

those courses and prevent the student from continuing on into the next semester unless she/he passed

the fitness testing as a “re-write.” Maintenance of fitness is also assessed by preceptors in AB220,

AB331 and AB434.

After students complete and pass semester 2 fitness outcomes, FOUR months will have passed before

their AB331 clinical placements. Students must therefore demonstrate their lifting proficiency before they

are allowed out on clinical placements. That would involve job related fitness lifting components. If a

student “fails”, they are still allowed to continue on in third semester with all other third semester

subjects. They are not allowed AB 331 clinical placements until they in fact pass the lifting assessments.

Fitness Testing – (Rewrites for first and second semesters)

All 1st & 2nd semester fitness testing rewrites MUST be completed each semester by the date set by the

College. If students are absent for ANY REASON for their fitness rewrite date, then the student(s) will

receive a “F” grade. The College cautions students about engaging in risky physical activities just before

their fitness testing.

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It is the student’s responsibility to inform their AB 115 and AB 218 instructor(s), their coordinator, and

their field placement contacts (preceptor, field placement supervisor, etc.) if they have any type of

physical injury in the past or present. Previous and present injuries of the arms, shoulders, back, neck,

head, ribs, hips, knees, ankles and feet can all affect a student’s ability to provide safe care of patients

and may jeopardize a student’s ability to meet the physical education and field placement components

of the program. (See Fitness Documents under Appendix D)

If a student does not advise the College and field placement personnel of such injuries

and the College becomes aware of these at a later time, the student may be withdrawn

from the program. This decision is final as per the Paramedic Program rules and

procedures policy.

Early PAR-Q Questionnaire Completion

In Appendix D, review the Par-Q questionnaire and if you have to check-off YES to any of the

responses, deal with it immediately!! You must hand in this form to your fitness instructor at the start of

your first semester. If there is a YES selected, you cannot be permitted to participate in fitness classes

until the instructor receives a note from your doctor stating you are fit to participate in full fitness

activities of your Paramedic course. Failure to disclose known medical disorders or injuries will be

grounds for removal from the Paramedic Program. Trying to get a clear medical certification may take

you several weeks and by that time it will be too late in the program. PLEASE ENSURE YOU TAKE

CARE OF THIS BEFORE YOUR CLASSES START!

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EVALUATION OF LAB/CLINICAL/FIELDWORK PERFORMANCE

1. Program Outcomes

In order to successfully complete the Paramedic Program, students must meet the Learning

Outcomes for the program. Successful completion of the learning outcomes for each semester

enables the student to progress toward meeting the overall outcomes.

The specific clinical/fieldwork outcomes in each semester relate to the content’s theory being

taught and help form the criteria for meeting the learning outcomes for that semester.

2. Lab/Clinical/Fieldwork Performance

The student's lab/clinical/fieldwork performance will be evaluated and discussed with him/her on

an ongoing basis and at the end of the semester. At that time the student's progress in meeting

the outcomes for that particular semester will be reviewed. All of the outcomes for each

semester must be met satisfactorily by the end of that particular semester in order for the student

to receive a passing grade in the Lab/Clinical/Fieldwork Experience course.

Once a student has successfully met a lab/clinical/fieldwork outcome for any semester, he/she is

expected to maintain his/her performance in relation to that outcome.

Students must maintain their competence throughout lab/clinical/fieldwork placement. Students

who are deemed to be unsafe in the practice setting will be withdrawn from placement and

possibly the paramedic program.

The student's lab/clinical/fieldwork evaluation may be considered as "Incomplete" under any of

the following conditions:

(a) when his/her lab/clinical/fieldwork performance cannot be adequately assessed due to

inadequate data (eg. when the student has been absent for a major portion of the

experience; failure to submit required paperwork from clinical placements to their

professor in charge).

(b) when he/she has had insufficient or no opportunity to meet a particular outcome or

outcomes (competencies)

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(c) when he/she has received an "Unsatisfactory" rating for one or more learning outcome(s)

at the completion of a semester or end of an extended field placement opportunity. In the

clinical setting, any extension to clinical time must be agreed upon by both the preceptor

and professor responsible for the clinical subject.

The Professor in charge of the subject has the ultimate decision for pass/ fail based on

data received from the preceptors and paperwork submitted by the student. The

preceptors only affirm if competencies have been completed to standards and record

those findings in tools provided to them, like the “Final Competency Evaluation Form.”

No “UNSAT” ratings on the final Competency Evaluation Form should occur at the

end of the fourth semester.

The first priority is to observe competencies completed are in the ambulance. Next is the

hospital and the last is in a simulated clinical environment (i.e. with manikins). The clinical

professor will consider all competencies performed while in the hospital when

determining a final grade at the end of AB434.

At the end of each semester, the student will receive a final report of his/her progress in the clinical

area. The student's progress will be recorded on his/her transcript as follows:

Course Number Plus Interpretation

Credit The student has received a "Satisfactory" rating for all of

the lab/clinical/fieldwork experience outcomes at the

completion of that semester.

NCR (Failure) The student has received an "Unsatisfactory" rating for one

or more lab/clinical/fieldwork experience outcomes at the

completion of that semester or too many competencies

documented as “Needs Improvement.”

IN (Incomplete) The student's lab/clinical/fieldwork evaluations are

considered to be "Incomplete" as a result of one or more of

the conditions outlined above. The IN must be changed to

"Credit" or it will be considered a failure by the end of the

next lab/clinical/fieldwork period or as otherwise specified

by the Promotion Committee. The Registrar’s Office

automatically converts IN grades to F grades and the grade

change dates are specified in the students’ SUCCI program

calendar.

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3. Non-Credit Lab/Clinical/Fieldwork Evaluations

Students who have received a final report which specified "F" for the clinical/fieldwork evaluation

at the end of a semester will be required to withdraw from the program. The College may make

up a new academic intervention plan with the student, depending on circumstances surrounding

the failure.

Not withstanding any of the above, a student may be asked to withdraw from the clinical practice

part of the program at any time, if his/her performance is such that it is not in the best interest of

patient care.

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REFERRALS TO THE PROMOTION COMMITTEE

The Promotion Committee for the Paramedic Program is comprised of a chairperson and faculty who

teach in different years and at different levels in the program. The Associate Dean and/or Dean of the

School of Health and Community Services and/or a counsellor from the Student Affairs Division, may

from time to time attend the meetings.

The Committee reviews the progress of students who have difficulties in a paramedic course. The

committee meets at the conclusion of each semester.

The Committee reviews the information/ film clips and the recommendations received from the

instructor(s) concerning the referred student and also reviews any information submitted by the student

prior to making its decision. The Committee may decide to recommend additional assistance for the

student and further observation of his/her performance; it may decide that the student's progress is

satisfactory and that no action is necessary at this time, or it may decide to recommend the student's

withdrawal from the program or in some cases, an “Academic Intervention Agreement” will be made up

for the student to continue on in the program.

Reasons for Referral to Promotion Committee

Students may be referred by their instructor(s) for borderline or unsatisfactory performance.

Referrals will be made when a student:

(a) is "Unsatisfactory" or "Needs Improvement” or “No Opportunity” in the course

competencies (such as scenario testing failures or clinical placements)

(b) is evaluated as "Satisfactory" but is borderline and may experience more serious

difficulties in the next semester.

(c) has not been observed adequately (eg. due to limited opportunities to do certain skills, or

because of absence, etc.) by the instructor(s) and give him/her some cause for concern

eg. seem to lack knowledge, and have done one or two "unsafe" things.

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Academic Interventions/ Agreements

A student may be placed on an academic intervention or agreement by the promotion

committee, Associate Dean/ Dean or Paramedic Program Coordinator. In this instance an “IN”

grade is assessed and when requirements are met, the grade is changed to CR or an

appropriate grade mark. However, academic intervention may continue into the next semester

requiring compliance of the condition(s) outlined in the intervention document. Breech of the

condition may result in the student being withdrawn from the Paramedic program. The final

decision in disputes will rest with the Associate Dean or the Dean.

Please note that “IN” grades must be converted to a numerical or a credit grade by

instructors/ coordinators by dates specified in the College calendar each year. If the “IN”

grade has not been converted by the stipulated date then College policy (Registrar’s

Office) dictates that the “IN” grade automatically reverts to an “F” grade. Remember that

a registered “F” is a permanent record on your College transcript.

Any student re-entering a semester as a repeat, must be placed under an “Academic

Agreement” developed by the Coordinator. Students are usually not informed about the

availably to repeat a semester until just before the new semester begins. At this time an

“Academic Intervention Agreement”, outlining the conditions for re-entry, must be developed and

signed off by the Coordinator and student

Note: More information is available In the “SUCCI Daytimer Student Handbook” about appeals/

academic disputes.

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WITHDRAWAL FROM THE PARAMEDIC PROGRAM

Students who wish to withdraw from the paramedic program should make an appointment with the

Coordinator of the Paramedic program. If the Coordinator is unavailable, the appointment may be made

with the Associate Dean/ Dean of the program. Students should inform the coordinator of any intention

to withdraw from a course or the program to prevent an “F” grade from being assigned. Once “F”

grades are registered against the student, it is extremely difficult to have this grading changed by the

College’s Registrar.

APPLICANTS SEEKING RE-ENTRY TO PARAMEDIC PROGRAM

This policy applies to all applicants who have failed courses and/or have been away from the Paramedic

Program for more than two semesters. It also applies to applicants applying from other Colleges who

have failed paramedic subjects and are seeking entry into Confederation College’s Paramedic Program.

An internal application form must be completed and submitted to the Registrar’s office.

OCAS application will be required if not already done.

Acceptance into the program will be at the discretion of the program administration.

Any applicant seeking re-admission must meet with the program co-ordinator.

All applicants will be considered on an individual basis..

A 75% grade in all other core subjects, not failed, must have been attained by the student.

Any student re-entering a semester as a repeat, must be placed under an “Academic

Agreement” developed by the Coordinator. Students are usually not informed about the

availably to repeat a semester until just before the new semester begins. At this time an

“Academic Intervention Agreement”, outlining the conditions for re-entry, must be

developed and signed off by the Coordinator and student

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The following criteria will be taken into consideration when making a decision regarding re-

admission to the program and/or courses other than first semester.

seat availability - is determined by whether or not an ambulance clinical seat will

be available to the student in the second, third or fourth semesters. You must

have Paramedic preceptors that are able to take you on as a student in their

clinical area.

time lapsed since leaving the program

previous academic and clinical performance

reason for leaving the program (eg. health reasons, bereavement – documentation may

be requested)

present health status – if previously away for health reasons a doctor’s note may be

requested to verify fitness to return

work and/or learning experiences since leaving the program (employer references may

be requested)

applicant’s ability to identify appropriate strategies to achieve success in the program

date of application

NOTE:

Students who have failed Semester 1 courses and wish to return, must reapply through

OCAS by February 1 to be considered for Fall admission. Previous admission into the

paramedic program does not guarantee re-admission. You must apply as a FULL-TIME

student in order to be reconsidered for entry into first semester again.

For Regional Paramedic campuses in Dryden, Fort Frances and Kenora call volumes/

acuity play an important role in determining clinical placement sites. It may be

necessary to increase clinical hours to achieve adequate competency performance.

From time to time, and on a case by case basis it may be necessary to place a

student in a community other than that of their home campus. PLEASE NOTE THAT

ANY ADDITIONAL COSTS IN EXTERNAL PLACEMENT MUST BE BORNE BY THE

STUDENT.

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ATTENDANCE POLICIES

CLASSROOM

Students are urged to attend all classes and seminars. There is a direct relationship

between attendance and success in the paramedic program. Absenteeism and lateness

are documented on a student’s record.

1. Regular attendance is key to success in the Paramedic Program.

2. You will receive a time table from your Professor/ Instructor at the start of each semester. Your

“Course Outline” you receive at the start of each semester will have key objectives/ outcomes

which will be reflected on your time table document.

3. Students who are absent from classes for any reason are responsible for the course content

covered in their absence. They should find out what was taught from either their classmates or

from the instructor(s). Instructors are under no obligation to privately repeat course content due

to a student’s absence.

4. Tests or Exams – If a student misses a test or exam and has not contacted the instructor(s)

concerned, prior to the test or exam time, they will receive a mark of zero if not supported by

reasons for absence as outlined in the Student Handbook. (ie. A doctor’s sick note)

5. Students who have been absent from a test or exam, with permission, must see the instructor(s)

concerned immediately upon their return.

6. Students who are absent from tests/exams may be required to submit a medical certificate,

death certificate (funeral attendance) or a copy of their summons to appear in court (witness; jury

duty; defendant etc.).

7. Students must hand-in essays/assignments exactly as directed and on time or expect to receive

a zero.

See the College Student Handbook re: The Charter of Students’ Rights and

Responsibilities for expectations related to attendance, tests, exams, and assignments.

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LAB

1. Laboratory practice is a compulsory prerequisite to placement experience and all

students are required to attend.

2. Students who are unable to attend a lab are required to notify the coordinator or

instructor(s) concerned prior to the scheduled lab. Hours absent from labs will be

recorded on the student’s record. Students are responsible for lab content taught in their

absence.

3. At an instructor(s) discretion, students may be removed from the placement area if they

have been absent from scheduled labs. Continued absenteeism may result in failure to

complete the clinical outcomes for the semester and an unsatisfactory clinical evaluation.

4. Students are expected to be on time for all lab and placement experience. Lateness will

be noted. Repeated lateness reflects poorly on professional practice.

5. Students are expected to be in full clean paramedic uniform as designated for all Lab

and field placements. (Not “Theory Labs”, just Practical Labs).

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LAB/CLINICAL/FIELD PLACEMENT

1. Students are required to be present for all scheduled lab/clinical/field placement

experiences. Students who are ill are required to notify the placement area prior to the

time at which the experience is to begin and to identify the staff member to whom they

are speaking. Students are to leave their name and telephone number with the staff

member. Students who are ill may contact the College Health Nurse for advice

(475-6169). Students must also contact professor in charge of their course as directed.

2. Students, who must leave the placement area before the completion of the experience

because of illness, are to report to their clinical instructor(s) or preceptor.

Students must not change shifts without approval by College clinical management.

3. A student injured or exposed to a contagious disease while on placement must notify the

clinical instructor Coordinator and employer supervisor immediately; then complete the

required documentation (See Workplace Safety and Insurance Board Guidelines).

HEALTH REQUIREMENTS FOR THE PARAMEDIC PROGRAM

All students registered in the Paramedic program must have completed the entrance requirements,

which included the following:

“Immunization Communicable Disease’s Form” – submit to College Health Nurse. Look on the web

page below with the link to “Health Requirements Form.”

http://www.confederationc.on.ca/applicant/paramedic

Immunization section of the health record giving dates of the immunizations. All immunizations must

be current – submit to College Health Nurse.

Submit a copy of your “Immunization record” along with your” Immunization Communicable

Disease’s Form” to the College Health Clinic. Your personal “Immunization Record” is usually the

small yellow booklet listing what immunizations you have had to date. Our College Health Nurse

compares your Immunization Record with your completed “Immunization Communicable Disease’s

Form” to ensure all your immunizations are in order.

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Warning:

This applies to students entering the first year of the program or entering at any other

semester of the program. Also note that any updates you receive to the “Immunization

Communicable Disease’s Form” you need to get another complete copy of that form to

be submitted to your EMS management through your Coordinator. After the final fitness

testing day on the first semester, any updated “Immunization Communicable Disease’s

Form” must be given directly to your Coordinator; who then gives it to your EMS

management. That is the student’s responsibility and failure to do so, may result in the

student being blocked by EMS management for clinical placement. THE BIGGEST

HOLDUP WE HAVE FOUND WITH STUDENTS ARE THE BLOOD SEROLGY TESTING.

THIS TAKES MONTHS TO COMPLETE AT TIMES. YOU NEED TO START ON THIS ITEM

RIGHT NOW AND TAKE YOUR IMMUNIZATION COMMUNICABLE DISEASE’S FORM TO

YOUR DOCTOR TO GET A HEAD START ON YOUR BLOOD WORK.

Note that in the Regional campuses, the flow of paperwork will be explained to you on

orientation day.

A TB Skin Test is also required in year 2. A student with a positive result must have a chest x-

ray. A yearly flu shot is also required. The flu shot certificate must be submitted to the College

health nurse. She will document your Flu shot on your Immunization Communicable Disease’s

Form.” See the above paragraph warning about updates.

Students are not allowed on clinical/field placements unless all requirements are completed for

both ambulance and hospital. The student’s first exposure to clinical areas will occur in

semester two. Your clinical placements will vary depending on whether you are at Thunder Bay,

Fort Frances, Kenora or Dryden campuses.

Students who have been absent from placement may be required to provide a note to their

instructor, from a physician, prior to their return, especially, if student missed a major exam.

Students are responsible for notifying their instructor(s) if they have a condition that places their

health at risk in the placement areas.

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WORKPLACE SAFETY AND INSURANCE BOARD GUIDELINES

The Ministry of Education and Training funds Workplace Safety and Insurance Board (WSIB)

costs for postsecondary students in Health Sciences in unpaid field placements and clinical

programs if they are placed in organizations that are covered by the Workers' Compensation

Act.

Private insurance coverage is provided by the Ministry of Education and Training for students

placed with employers who are not covered by the Workers' Compensation Act.

Any injury, however minor, to a student during clinical/field placement must be reported by the

student to the clinical/placement agency and to the clinical instructor(s)/faculty advisor

immediately, or when the first opportunity presents itself. Ideally, a Student Accident Form

must be completed by the student within 24 hours and given to the instructor(s). If accident

forms arrive late, a late-filing fee is applied to the student from W.S.I.B. EMS Services and

hospitals may have other reports/ forms that need to be completed. Students must take

responsibility for following the policies of the placement agency. Your agency supervisor will

give you specific instructions as to what you are to do for each occurrence.

The College will submit the appropriate documents to the Workplace Safety and Insurance

Board (W.S.I.B.) or the private insurer when required. More details are available on request.

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INFECTION CONTROL GUIDELINES

Paramedic students need to be aware of the potential for transmission of infection in their practice

setting and take all measures necessary to prevent it. Infection control is integral to safe practice. The

following is an excerpt taken from the Infection Control Guidelines:

"Preventive practice incorporates the principles of universal precautions and body substance

precautions. It is based on the premise that all blood and body fluids are potentially infectious,

and that appropriate measures are taken to prevent transmission of infectious agents.

“Universal precautions" was first introduced as a precautionary measure against the

transmission of blood borne pathogens (e.g. HIV, Hepatitis B) from clients to caregivers. Under

universal precautions, blood and certain body fluids of all individuals are considered potentially

infectious, whether or not the individual is symptomatic. The body fluids that are considered

potentially infectious under universal precautions are: blood, semen, vaginal secretions,

cerebrospinal fluid, pleural fluid, synovial fluid, peritoneal fluid, pericardial fluid, and amniotic

fluid. Feces, nasal secretions, sputum, sweat, tears, urine, and vomitus are considered

potentially infectious for blood borne pathogens only if they contain visible blood.

Body substance precautions are a practice to prevent the transmission of blood borne and other

infectious agents. It considers all body substances from all clients to be potentially infectious."

Please also refer to the Ambulance Service Communicable Disease Standards and Ambulance

Service Patient Care Transportation Standards and related documents such as “Infection

Prevention and Control Best Practices Manual For Land Ambulance Paramedics V.1.0 – March

2007.”

www.ambulance-transition.com

Once students have been introduced to these guidelines and related theory, they will be expected to

incorporate preventive practices in all clinical and community settings. For information on practices

beyond the general guidelines students will need to consult with their instructor(s) and an Infection

Control Practitioner in the affiliating agency.

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NOTIFICATION OF CHANGES TO STUDENT’S ADDRESS/ PHONE

It is important that the Health and Community Services Office as well as Registrar's Office to have

current addresses and telephone numbers for all students. Please make certain that changes are

reported. If the student is fortunate to have a cell phone, then it is highly advisable to provide that

number to the program coordinator and professor in charge of the clinical area. At times, the College

has very little time to rectify matters brought to their attention. If employer conditions/ concerns are not

rectified immediately, then the student must be pulled from the clinical area. If the student does get

pulled, there are no guarantees of clinical placements to complete required hours.

WHILE ON CLINICAL PLACEMENT, PLEASE CHECK YOUR COLLEGE’S EMAIL AT LEAST ONCE

A DAY TO ENSURE THERE ARE NO IMPORTANT MESSAGES FOR YOU.

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STATEMENT ON CONFIDENTIALITY FOR HEALTH SCIENCE PROGRAMS

The Confederation College Paramedic Diploma program recognizes the individual's right of privacy with

respect to information gained by agency staff, College professors and students during practicum

contacts.

Confidentiality extends to everything that is learned during the placement experience. It extends to

both important and seemingly unimportant information. This includes, the identity of all contacts, any

identified problems, its cause and its treatment, everything that the client, family or friends disclose, the

economic state, living conditions, domestic difficulties, etc.

Information about a client in placement contact may be shared only when it is essential for the continuity

of care and during conferences and/or discussions with an instructor(s) relating to meeting educational

outcomes. Such information is not to be shared outside of these educational confines.

Any misuse of information shall be considered a breach of confidentiality and disciplinary action will be

taken as deemed by the Associate Dean/Dean, School of Health and Community Services. The

magnitude of this responsibility is emphasized by the fact that some institutions require that students

sign the College’s “Pledge of Confidentiality” form. Our College does have a confidentiality form – See

Appendix B. This must be completed and handed in with your “Confederation College - Paramedic

Student - Clinical Entry Package.

Students are not to discuss their scenarios with other students after they have been tested as this will

give a distinct benefit to the next student being examined. Keep your scenario information and mark

results to yourself . All scenarios are filmed and any disputes can be usually dealt with by playing back

the scenario to the student.

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UNIFORM & APPEARANCE POLICY

This policy is designed for the following purposes:

To foster a professional image

To provide for the physical safety of the student and the patient

To prevent the spread of infection

To promote ease of work

The appearance of the paramedic student contributes to the impression formed by patients, the public,

and health care professionals.

Working in very close proximity with patients requires a very high standard of hygienic practices.

The need for such aesthetic practices is also complemented by the required implementation of medical

asepsis in all personal grooming and attire as a means of minimizing the transmission of infection.

The paramedic student shall be expected to respect the direction of faculty on such issues.

Uniforms are only to be worn to and from clinical placements and to and from the school. Students are

not to use uniforms for anything other that assigned school activities. For example, wearing the uniform

to out of College social functions is strictly forbidden.

Headwear such as caps, scarves, or any other items are not to be worn because of safety issues and

ambulance services policies. Paramedics must wear helmets when required and other safety gear such

as isolation hood uniform apparel. Having extra head-wear on would be not be safe to wear nor are they

designed to be worn as such.

Sweaters with “hoodies” attached are not allowed in the clinical settings. “Watchman” style knitted

toques that are black or dark blue in colour are permitted with no insignia knitted on them.

Faculty expect you to wear the uniform as you would when at your clinical placements. Expect faculty to

correct you, if you are not wearing the uniform to standard expected. If you show up wearing odd ball

belts, ball caps twisted on your head and long under wear past your sleeves, that is likely how you will

show up to your clinical. Faculty must correct you before it is too late for you in the clinical setting. First

impressions count for a lot!

Students will be ejected from lab or clinical placement for violation of uniform policies or failure to bring

required personal equipment (i.e. stethoscopes).

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Personal Care

1. Oral Hygiene

Attention should be given to oral hygiene before and during placement days. Thought should be

given to the avoidance of tobacco and odor producing foods such as garlic prior to clinical.

2. Hair must be clean, neat, conservative, and off the collar. Hair dangling in your patient’s face is not

good.

3. Beards and Mustaches

Facial hair is to be clean and neatly groomed. Students should be aware that excess hair in this

area might pose a difficulty when required to wear a mask. Students are required to pass a Mask

Fit testing for clinical placement and must present themselves as clean shaven.

4. Grooming Products

i) Excessive and/or odorous perspiration may require considerable effort to manage.

Unscented antiperspirants and talcum may prove helpful.

ii) More frequent washing, the use of deodorizing foot powders, and attention to footwear will

assist in foot odor control.

iii) Application of make-up should be conservative, subdued and appropriate for daytime wear.

iv) The use of perfume, fragrances and after-shave products is prohibited in the clinical areas.

Please refrain from strong perfumes/fragrances in class as well.

v) Nails must be clean, short, and filed smooth. Coloured nail polish is not allowed.

vi) No facial or tongue studding are allowed, in the clinical areas due to safety concerns

(infections and possible injury inflicted from patients).

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Uniform in the Lab/Practice Setting

1. During lab and field placement, students are expected to wear a navy blue jersey and navy blue

pants. 2” reflective tapes are to be worn around the legs above the knees and 1” reflective tape

are to be worn on the jersey above the elbows. Paramedic student crests are to be worn of each

shoulder of the blue jersey. The jersey may be either short or long sleeved. If short-sleeved,

students are not to wear long-sleeved clothing under their blue jersey. You can purchase crests

for your uniforms from the Coordinator/ Manager of your program at a cost recovery basis. The

words “PARAMEDIC STUDENT” in 2 inch block lettering must be sewn on the backs of

each jersey. Also the College’s approved crest with the word, “STUDENT” must appear on

the fronts and backs of all exposed liners/jackets/ parkas.

2. Hospital uniforms or scrubs are to be worn while in the hospital setting. Uniforms may be any

solid color (except black). No prints are allowed and coordinates must be the same colour.

Uniforms must be washable, neat, clean, opaque, professional looking, and neither clinging nor

crinkly. They should be of comfortable fit to allow ease of movement in working.

3. Only the approved Confederation College crests are to be worn on the both sides of the

uniform (shoulder location) at all times. Your College ID tag is to be carried on your person.

However, your hospital ID tag is to be worn at eye level while on hospital clinical placements.

EMS agencies do not require you to wear your College ID as they feel the above identification is

adequate.

Long-sleeved (dark blue) sweaters can be worn that have College paramedic program crests

sewn on each shoulder, plus College crests with the word “STUDENT” must be sewn on the

front (right chest) and back (centered) of the sweater. The costs for each shoulder crest is

$3.50 and the “STUDENT” crest is $7.00 each. This is cost-recovery basis only.

4. Steel toed, black 8” high work, SAFETY steel toed boots are required for students during labs

and when out in the ambulance field. During hospital placement footwear must be safe,

comfortable, clean and intact. White running shoes are the generally worn item (no “Crocs”).

5. A toque type dark blue knitted “watchman’s hat” is permitted to be worn with no cresting of any

type. No other types of hats are to be worn while wearing the College paramedic uniform.

Hats/baseball caps are not allowed to be worn during labs and placements. No “hoodie” type

sweaters are allowed in the ambulance clinical setting. Plain belt buckles are to be worn with no

identifying symbols of any type.

6. A helmet is required for ambulance placements. Student helmets are to be supplied by the

College. These helmets are to be worn at accident scenes, industrial areas and at any time the

preceptor directs that they be worn.

7. Traffic vests are required in field placement and are to be supplied by the students. The

greenish-yellow vests with full reflective taping are the requirement standard as of January 1,

2009.

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8. Uniforms are not to be worn outside of school or placement setting.

9. Students are required to supply themselves with a regulation greenish, fluorescent coloured

winter parka with reflective striping CSA standards. The parka must have College crests sewn on

either shoulder. It must not have a “hoodie” attached for safety reasons. “STUDENT” crests

previously indicated are to be sewn on front and back as well. (See item 3 above)

Students only need to purchase their parkas at the start of the second semester for the

community clinical placements. There are some parkas the College has available for loan with

very limited sizing. If you do use one of the College parkas, then a $100 deposit is required.

These parkas are dry cleaned after every student.

10. Students must have their full uniform ready for their first day of practical lab (except

winter Parka). The program coordinator will sell you paramedic program crests on orientation

day, but the student must have the crests sewn on either their sweater or shirts or parkas. All

College parkas already have required crests sewn on them.

Sourcing of where the student buys their uniform/ parka is up to the student. Above items may be

purchased at Mark’s Work Wear House, SANDS on-line uniform store, locally at “Uniform Express (807-

622-2000)”; Uniform Plus (807-622-7987) or many other uniform outlets. The choice is up to the student,

but the end outcome requirements must be met and adhered to. Usually students get together and

make bulk purchases during orientation days and ask second year students for advice. During class

labs, your professor may ask you to leave the learning environment if you are not dressed properly for

class. The instructor bears a personal responsibility for having the students wear safety devices during

class such as safety boots as specified under the Health and Safety Act of Ontario. Also, the instructor’s

guidance will help prepare the student for the rigid clinical settings they will be going into.

WINTER PARKAS

Winter Parkas/ liners that EMS wear are purchased from OUTDOOR OUTFITS (416-5978-4111). Winter

outer shells with safety and paramedic cresting, cost about 423.00 each. The liners cost about $255.00

each with safety striping and paramedic cresting. Contact Telma Dias at extension 255. Outdoor Outfits

is located at 372 Richmond Street, West, Toronto, Ontario M5V 1X6

SportTop Marketing in Thunder Bay has about the same coat selling for around $185.00

Here is another spot in the USA that is even cheaper, but looks of the same quality:

http://www.safetysmartgear.com/Safety_Vests_Clothing-ANSI_Winter_Jackets.html

Ask your second year students where they purchased their parkas as well for good pricing.

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Jewellery

1. A watch with a means of counting pulses/seconds is a requirement. It should be of modest size

and color. It may be a lapel watch or a wristwatch.

2. Medical alert bracelets may be worn.

3. To ensure a professional appearance and for the safety of the patient and the nurse, decorative

jewelry should not be worn. The following two exceptions are permitted.

i) Finger rings – a plain band may be acceptable to accommodate an individual’s strong

beliefs or values.

ii) Earrings – if worn, earrings should be small and smooth surfaced. Plain gold, silver, white

or pearl studs are acceptable. Earrings that dangle are not allowed. The number is

restricted to one earring or stud per ear.

iii) Scarfs or neck ties are not to be worn for the same reason “hoodies” are not allowed. Some

patients love grabbing and pulling at these items and may in fact try to strangle you.

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CONFEDERATION COLLEGE PARAMEDIC PROGRAM (THUNDER BAY CAMPUS)

STUDENT WINTER PARKA LOAN AGREEMENT

PREAMBLE

1. Students must pay a $100 deposit fee up front with Thunder Bay Campus, Paramedic Program Coordinator and the $100.00 fee will be placed in an envelope on the student’s corporate file.

2. Students will loan out parkas for specified periods of time, through this agreement.

3. If brought back, not dry cleaned, the College will deduct $15.00 to have their parka dry cleaned, plus a $10.00 administration fee. The evidence of “dry cleaning” will be the coat is in a dry clean plastic (or like-wise) packaging and a current dated dry cleaning receipt. Do not attempt to machine wash these parkas.

4. If the parka is returned missing a College crest(s), the College will deduct $15.00 for each missing crest, plus a $10.00 administration fee.

5. Late returns:

There will be a $5.00 per day late fee applied to coats not returned on the “Due Date” up to a total of $100.00 (amount of

deposit) unless previously arranged by the student with Coordinator through email.

After a period of 20 days, past the “Due Date” for the coat return, the student’s $100.00 deposit fee will be forfeited to the

College. The definition of “Due Date” will be 14 calendar days past the date when the student’s field placement ends (or if

otherwise specified). The College still expects their loaned parka back, plus any late fees applied.

Any fees, as noted above, would be deducted from the student’s $100.00 deposit.

It is understood that there will be normal wear and tear expected in the loaning out the College parkas. Any damages to the College’s

parka or liner that is considered over and above normal “wear & tear”, will be assessed for repaired and the student will forfeiture of their

$100.00 fee.

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Student Name: ___________________________________________________ (PRINT)

Date of Loan: _______________________

“Due Date” late fees will commence: (7 business days from last clinical day) ________________________________________________

$100.00 Fee given to College Coordinator: (Coordinator/ Manager Signature) ____________

Acknowledgement Parka/ liner given to student dry cleaned: (student signature) _____________

(If liner is given to student, that is part of parka loan and will not be viewed on as two parka loans)

DATE ITEM FEE DEDUCTIONS BALANCE

Deposit Collected 100 100

CREST #1 15

CREST #2 15

CREST #2 15

CREST #4 15

Dry cleaning 15

Crest Admin Fee #1 10

Liner missing

(Add Cresting Fees above)

25

Dry Cleaning Admin Fee #2 10

parka/liner damages

above wear & tear

Up to 100

Late Fees $5/day

TOTALS

AMOUNT TO BE GIVEN TO COLLEGE (FEE CHARGES ONLY TO A MAX OF $100)

AMOUNT TO BE GIVEN TO STUDENT (BALANCE FROM THE $100 DEPOSIT FEE)

COLLEGE MUST KEEP ONE COPY OF THIS COMPLETED FORM AFTER $100 (OR APPLICABLE FEE) IS RETURNED TO STUDENT

Date fees settled on by the student & Coordinator (COAT RETURNED DATE): ___________________________________

________________________________ _______________________________________

Student’s Signature Coordinator’s Signature

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Computer use while on Placement

1. Students are not allowed access to the internet while out on field placement with company

owned “EMS” computers. They may use their own computers, PDA’s, cell phones and

Blackberry devices; but only during non-patient caring or contact times. They can access

wireless networks where available and allowed, per company policy at ambulance bases. Cell

phone operation or the like, are not permitted in the hospital and certainly not during patient

calls. Turn your cell phones to off or silent during clinical patient calls.

Students may, under direct preceptor supervision enter call reports into EMS company

computers. Students must be familiar with any electronic communications or technology policies

at their placement sites.

If the Clinical site is supplied with a College purchased computer, then the student may use that

computer at the site.

2. Ancillary student costs are already accounted for in estimated costs for OSAP requirements for

all of the above mentioned items. See these costs on the Paramedic web site listed in the left

hand menu.

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IMMUNIZATION AND COMMUNICABLE DISEASE FORM

The satisfactory completion of your Immunization and Communicable Disease Form is a condition of

acceptance into your chosen program’s clinical placements. This document outlines the immunization

and tuberculosis verification required. You must attach a copy of your immunization record to this form

as proof of your immunization status. The Immunization and Communicable Disease Form is

mandatory, failure to complete this form will result in being withheld from your clinical/placement.

Completion of this form will require updates for immunization, tuberculosis skin testing or screening for communicable disease status (blood work – serology if warranted). This may require appointments with a physician/health care provider and may take several weeks to complete. Please forward by August 16th of each year to the College’s Health Services.

If you do not have access to a health care professional, the Health Centre located on the Confederation

College campus can assist you with this process. The Health Centre is open throughout the school year

and will provide you with an appointment if necessary. The cost of the appointment is covered by OHIP.

Clients without OHIP coverage will be charged a fee for these services.

Please call the Campus Health Centre for an appointment or with your questions regarding completion

of this form.

Monday to Friday: 8:30 a.m. to 4:30 p.m.

Location:

Main Floor of REACH building (attached to Dental Clinic)

Phone: (807) 475-6169

Fax: (807) 622-2646

E-mail:[email protected]

Rae-Lyn Loroff - Receptionist

Phone: 475-6169

E-mail: [email protected]

Note: Any contact you have with the Confederation College Health Centre will be handled with complete privacy and

confidentiality. Medical information will not be released without your written consent, unless required by law.

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Health Care Provider Information

The attached Immunization and Communicable Disease Form contains immunization and Tuberculosis testing protocol which is a mandatory prerequisite for attendance in a community/clinical placement setting. These requirements follow the standards outlined in the Canadian Immunization Guide, Ontario Medical Association, Ontario Hospital Association, Thunder Bay District Health Unit and Confederation College Health Centre.

1. Tetanus/Diphtheria/Polio or Tetanus/Diphtheria/Pertussis (Adacel) or Tetanus/Diphtheria. Students are to be vaccinated for the entire length of their stay in the program. Vaccination should be received every ten years for tetanus and diphtheria. Check that primary series for tetanus, diphtheria, polio and pertussis has been given.

2. MMR (Measles/Mumps/Rubella). You are required to have two doses of MMR. If born prior to 1970 and no history of MMR or only one MMR then serology is required. If serology indicates immunity then further immunization is not required. If born after 1970 then a second MMR is required if no proof of 2nd MMR. Serology reports for each the measles, the mumps and rubella should be enclosed if the vaccination dates are not available. Paramedics are required to have the MMR and the serology. It is strongly recommended that nursing students have the serology.

3. Hepatitis B Hepatitis B vaccination requires three (3) injections required within a specific time interval. The student must have started the process by having at least one injection prior to the date of admission. In some cases, students may have only received two doses (ie: if they were vaccinated in grade 7). If vaccination dates are unknown, serology reports must be provided and attached to the Immunization and Communicable Disease Form. Paramedics are required to have the Hepatitis B vaccination and serology. It is highly recommended to have serology for the nursing program.

4. Mantoux Testing (TB) Students require a 2 step TB skin test prior to entering their program, followed by a yearly 1 step TB skin test. Note that 2-step testing is only required once in a lifetime. A 2nd Tb test can be given 7 days after the first one. Results should be documented in “mm”. If the student has a positive result with the 1st test, do not administer a 2nd test. A record of the positive reading in “mm” induration and a chest x-ray report is required to be attached to the Immunization and Communicable Disease Form. If live vaccine is given, wait 4-6 weeks prior to administering TB skin test. TB skin test can be given prior to or on the same day as live vaccines.

5. Chicken Pox (Varicella)

Provide the date of the disease/exposure. If history and dates unknown, serology must be provided to indicate immune status. If serology proves no immunity, immunization is highly recommended. Serology is mandatory for paramedics. It is highly recommended for the nursing program. If serology results in no immunity, vaccination is required for these programs.

6. Influenza (flu) Vaccine Mandatory for paramedic and practical nursing students prior to placement.

References:

Tuberculosis Surveillance Protocol for Ontario Hospitals (publication # 180) revised June 2008, Varicella/Zoster Surveillance Protocol for Ontario Hospitals (publication # 216) and Blood Borne Disease Surveillance Protocol for Hospitals (publication # 206); Published and Distributed by the Ontario Hospital Association, revised edition October 2008

Ontario Ministry of Health and Long Term Care Tuberculosis Protocol, October, 2008

Canadian Tuberculosis Standards, 2007

Canadian Immunization Guide, 7th Edition

Publicly Funded Immunization Schedules for Ontario – January 2009

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Immunization - Communicable Disease Form

Students applying for entry into Confederation College programs listed in section “B” below require current immunization status verification and Tuberculin (TB) skin testing. Please attach a copy of your immunization record to this sheet. You are strongly advised to keep copies of the Immunization – Communicable Disease Form for your personal records. This form does NOT have to be resubmitted if completed in year one. This form can be updated at the Health Centre.

A. PERSONAL INFORMATION

Student’s Last Name: First Name: Admission Year 20_ _

Date of Birth: _ _ / _ _ /_ _ _ _ Day/ Mo / Year

Student #:

Address:

Apt.# City:

Province: Postal Code: Email: Tel#:

Cell#:

B. PROGRAM OF STUDY: (check the appropriate box for the program you are registered in) For the programs

listed below: completed forms must be mailed or dropped off by August 16th, 2010 to Confederation College Health Centre (P.O. Box #398, 1450 Nakina Drive, Thunder Bay, Ontario P7C 4W1)

Health Sciences:

Dental Assisting Dental Hygiene Medical Laboratory Assistant Medical Radiation Technology Paramedic

Personal Support Worker Practical Nursing

Community Services:

Administration of Medication Autism & Behavioural Science Child & Youth Worker Developmental Service Worker Diabetes Education

Early Childhood Education Educational Assistant Foot Care – Basic & Advanced Native Child & Family Worker Recreation Therapy Social Service Worker Social Service Worker Accelerated

Program Classification:

Full-time Part-time Continuing Education Distance Education

Program Year:

Year I Year II Year III

C. POLICY FOR STUDENT PLACEMENTS

Health Care Providers have an obligation to protect patients and themselves from infection that

can be transmitted within clinical or community placement settings. Immunization is an

important tool in preventing the transmission of infections and assists in safeguarding the

health of the student during their education and beyond:

1. The College has immunization/testing requirements for all students doing clinical/community placement practice in designated agencies.

2. These agencies have the right to refuse access to students who do not meet their immunization/testing requirements. 3. Failure to submit a signed and correctly completed immunization form to the Health Centre may result in students being

withheld from the clinical/community placement components of their program.

It is the student’s responsibility to ensure the following:

1. The form is complete, legible and signed by the student. Copies can be made for their personal records. 2. Copies of original immunization records are to be attached along with all required serology reports/results and

chest x-ray report (if needed, due to positive Tuberculin/Tb skin test result). These documents can take several weeks to obtain.

3. If medical exemption is required, please contact the Health Centre at (807) 475-6169. 4. Computerized records of childhood vaccines can be obtained by calling your local Public Health Department. Contact

information for all Ontario Public Health Departments can be found on the following website: http://www.health.gov.on.ca/english/public/contact/phu/phulocmn.html

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C.1

TB skin testing (mantoux) MANDATORY: If you have a documented history of a previous positive TB Test (induration measuring equal to or greater than 10mm), a TB skin test is NOT REQUIRED. Proceed to Chest X-ray. A One Step is required ONLY if a documented Two Step has been done in previous years. TB testing should be done prior to or same day of administration of live vaccines such as MMR or Varicella vaccine. If live vaccine is given first, wait 4-6 weeks before TB skin testing. Paramedic students must have TB tests done within the last 6 months prior to first ride out in ambulance.

TB Skin Test Date Read Induration

(mm)

HealthCare Provider’s Signature

STEP #1

STEP #2

Annual

Annual

Annual

NOTE: TB Skin Tests must be done 7 days apart

CHEST X-RAY: Required ONLY if Tuberculin skin test reaction is equal or greater than 10mm duration. Chest x-ray must be within the last 6 months (Please attach documentation): Date:___________ Results: __________

INH treatment prescribed: YES ___ NO ___. If INH not prescribed, please state reason:__________

C.2

Tetanus/Diptheria (Due every 10 years) Date of last immunization ________________ Day/Month/Year

Pertussis Date of last immunization________________

Day/Month/Year

Polio Date of last immunization________________ Day/Month/Year

NOTE: you must have documentation of a full series of Tetanus, Diptheria, Pertussis and Polio(see attached immunization record)

C.3

MMR (Measles, Mumps and Rubella): MMR antibodies serology (blood work) is required if there is no documented proof of two MMR vaccines. Immunization dates and serology is mandatory for the paramedic program. It is strongly recommended for nursing students to have blood work (serology).

Initial vaccination dates: 1st:____________ 2nd:____________

Serology enclosed Date:___________ Results: Immunity ( ) yes ( ) no (If according to the serology results you are not immune to any of the 3 components(measles, mumps, rubella), an MMR booster

dose is required)

Booster date (if needed): _________________

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C.4

Hepatitis B: The process of three injections must have begun prior to the student’s date of admission to College. This would apply if you have been previously immunized. In some cases, only 2 doses may have been given (if given during grade 7 programs). Immunization dates and blood work (serology) is mandatory for the paramedic program. It is strongly recommended for nursing students to have blood work (serology) or if dates are unavailable. 1st vaccination Date: ______________ 2nd vaccination Date: ______________3rd vaccination Date: ______________

Serology enclosed. Date:___________ Results: Immunity ( ) yes ( ) no If serology indicates no immunity then re-immunization is required. Booster date(s)(if needed): ___________ Blood work (serology) 4 wks post booster Immunity ( ) yes ( ) no

C.5

Past history of Varicella (Chicken Pox) ( ) yes ( ) no HEALTH RELATED PROGRAMS:

* Serology enclosed if no history of disease. Date:___________ Results: Immunity ( ) yes ( ) no (Mandatory for the Paramedic Program. If serology indicates no immunity, vaccination is required). It is strongly recommended to have blood work (serology) for nursing students.

Varicella Vaccination Initial vaccination dates: 1st:____________ 2nd:____________

* Repeat serology should be done 4 weeks post vaccination series.

C.6

Influenza (flu) vaccine: Mandatory for Paramedic, Nursing and any other students on placement in hospitals, longterm care or other community agencies requiring flu immunization. Vaccination date(s): _____________, _____________ It is strongly recommended that all students protect themselves with an annual influenza vaccination. Some healthcare placement institutions mandate the flu shot. The student may be denied access to the facility if immunization is not done. Furthermore, in the event of an outbreak in the placement agency, in which the students are placed, non-immunized students may be required to take anti-viral medication and/or be prohibited from continuing their placement, thus jeopardizing successful completion of their clinical placement. Annual flu clinics are conducted on campus, date(s) to be announced.

In accordance with section 39(2) of the Freedom of Information and Protection of Privacy Act, you are advised that the personal information collected on this form is collected under the authority of the “Ministry of Colleges and Universities Act”, R.S.O., 1990 Regulation 770. Failure to provide current immunization documentation and proof of recent tuberculin skin testing as outlined for your program can affect your eligibility to attend the clinical or community placement components of your program. References: Public Hospitals Act, 2009, Regulation 965, Bylaw 4d (i-v) and 4e, pR5.2, Canada Communicable Disease Report: Proceedings of the Consensus Conference on Infected Health Care Workers: Risk for Transmission of Blood borne Pathogens, July, 1998; Canadian Tuberculosis Standards, 2007; Tuberculosis Surveillance Protocol for Ontario Hospitals (publication 180), Varicella/Zoster Surveillance Protocol for Ontario Hospitals (publication 216); Blood Borne Disease Surveillance Protocol for Hospitals (publication 206); Published and distributed by the Ontario Hospital Association, revised edition Oct 2008, Ministry of Health and Long Term Care Tuberculosis Protocol, October 2008;Canadian Immunization Guide, 7th edition;Publicly Funded Immunization Schedules for Ontario – January 2009. Authorization for disclosure of Information: The information on this form will be kept confidential within the Health Centre. However, I authorize the release of information concerning my status in regards to completion of current immunization and tuberculin skin testing to my faculty advisor or coordinator.

D. SIGNATURE (Mandatory)

Student Full Name (Print): Student Signature:

Immunization – Communicable Disease Screening Form - Document 1 – Created February 2010.

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CONFEDERATION COLLEGE PARAMEDIC PROGRAM’S

PLEDGE OF CONFIDENTIALITY/CODE OF CONDUCT

As a student of the Confederation College Paramedic Program, I will have access to information and material

relating to patients, which is of a private and confidential nature.

At all times, I shall respect the privacy and dignity of patients, faculty, peers and fellow students.

I shall treat patient records as confidential material, and I will protect them to ensure full confidentiality. I shall not read records or discuss, divulge or disclose any such information unless there is a legitimate purpose as it relates to my education as a Confederation College Paramedic Program student.

I understand that I am expected to maintain confidentiality of all patient information to which I may have access during my educational experience. I will take the necessary steps to ensure that such confidentiality is maintained both during and after completion of my education as a Confederation College Paramedic Program student.

I shall ensure that confidential information is not inappropriately accessed, used or released by me.

I shall only access, process and transmit non-confidential information using Confederation College Paramedic Program hardware, software, and other authorized equipment, as required by the duties of my educational experience. Any reference to the patient’s name, address or specifics of circumstances will not be documented.

As a student of the Confederation College Paramedic Program, I must present myself in a way to promote

professionalism and expected professional standards.

I shall treat others with respect, dignity, caring and compassion while demonstrating honesty and integrity.

I shall provide an environment that ensures and protects the rights to personal dignity and privacy for each patient encountered regardless of culture, race, ancestry, place of origin, citizenship, religion, gender, sexual orientation, age, or disability

I shall refrain from the use of abusive or offensive language.

I shall act in a professional manner that promotes the paramedic profession and accountability.

I shall ensure that my physical appearance portrays professionalism.

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I shall not promote or post electronically or distribute through other technologies any comments, conversations or pictures, which one may find offensive, vulgar, or which negatively depicts the profession of Paramedicine or anything that relates this to the Paramedic Program at Confederation College.

I will not electronically post assignments, presentations (whole or part), and/or case examples delivered as part of the Paramedic Program at Confederation College.

I shall, as a Confederation College Paramedic student, act as an ambassador at all times to promote a high level of professionalism, parallel to that of a Paramedic in Canada. This expectation extends beyond the college walls to include any contact with the Paramedic Program community, ie: clinical sites and preceptorship/practicum locations.

I shall comply with all applicable federal, provincial and municipal laws and divulge to the Paramedic Program Coordinator when there has been a breach of the student’s clear criminal record, which may impact the Paramedic student’s clinical and/or preceptorship/practicum placement or employability.

I have read, understand and agree to abide by the conditions outlined in this statement. I also understand that

should any of these conditions be breached, I will be subject to disciplinary action up to and including loss of

clinical and preceptorship/practicum privileges at the discretion of Confederation College Paramedic Programs

faculty, in consultation with the Dean of the School of Health and Community Services.

STUDENT NAME (please print) ___________________________________

STUDENT SIGNATURE: ________________________________________

DATE: __________________ FACULTY INITIAL: ____________________

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OPEN SLOT

APPENDIX C

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ADDENDIX D

FITNESS DOCUMENTS

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The Paramedic Student – Physical Abilities Test

“PS-PAT”

Information Package

2012-2013 Developed by Don Benedict, Reija Karioja, Chris Koropeski Jessica Dykes and Joe Cordeiro

(Credit to: LifeMark Health Management Inc. – portions of PAT document used)

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The Paramedic Student – Physical Abilities Test

Introduction

Paramedics have a unique occupation, with many physically demanding job duties. Physical fitness underlies each

paramedic’s ability to perform critical tasks safely and effectively. Consequently, students at Confederation College must

perform to standards set within the Paramedic Student - Physical Abilities Test (PS-PAT). Students must demonstrate

that they have the physical capabilities necessary to perform the bona fide occupational requirements of a paramedic by

successfully completing the Paramedic Student – Physical Abilities Test or PS-PAT.

Confederation College has adopted “LifeMark Health Management Inc.” PAT program for Paramedics and altered certain

items to fit our needs. Namely, our EMS employers .(SNEMS) Superior North EMS uses “ARCON” fitness testing from

Ability Works Consulting Inc. from London, Ontario to screen candidate applicants for employment. ARCON testing uses

static computerized fitness testing systems, and Confederation College wanted to capture certain elements of their

fitness testing. The PS-PAT was developed to determine whether each student has the appropriate capacities necessary

for safe, efficient and reliable performance of a paramedic’s duties. EMS employers requires students to pass our

College’s fitness test in order to be scheduled and placed in a clinical ambulance placement.

This information package includes:

Test preparation instructions

Waiver of liability and indemnity agreement

Consent to Assess Student and Release of Information Form

Pre-Test Clearance Evaluation Requirements

Description of Test Protocol

Appendix 3: PAR-Q, PARmed-X and PARmed-X for Pregnancy

Test Preparation

Please Keep this sheet for your reference and contact your Physical Fitness instructor if you have

any questions.

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Please arrive at the Confederation College “Fitness Testing Location” at least 30 minutes in advance of your appointment

time to give yourself ample time to change into appropriate attire and complete any pre-clearance forms.

You must bring your Confederation College student ID card with you to verify your identity. Your ID card must be

presented at the beginning of your videotaping. All fitness testing is videotaped to ensure quality control.

What To Wear

We recommend that all candidates complete the test in comfortable long pants/ shorts, t-shirt, and running shoes.

Students must wear safety boots (not shoes) during the stretcher and stair chair lifting test. Medical type

gloves normally worn by Paramedics are permitted if desired. You are not permitted to wear any body or joint

bracing as we must assess raw muscle strength and joint stability unaided by any supporting apparatus.

Runners can be used for the whole circuit including the stairs

Boots are to be worn for all stretcher and stair chair lifts.

Exercise and Nutrition Information We recommend that you do not exercise intensely or drink alcoholic beverages or “ENERGY DRINKS” at least 12-hours

prior to your PS-PAT. In addition, please do not eat a heavy meal, smoke, or drink caffeinated beverages at least 2-hours

prior to your PS-PAT as these factors may adversely affect your performance.

Please bring your own water.

For specific test information, contact your Physical Fitness Instructor/ Professor

You must be a current registered student of Confederation College to be PS-PAT tested.

NOTE: You must notify your Fitness Instructor of any cancellation at least 24-hours in advance. Consult your

Paramedic Program Manual’s re-write policy for full details.

The students’ resting blood pressure and pulse are taken the week before fitness testing using the cardiac monitor’s

“NIBP” (non-invasive blood pressure) unit. If the student’s BP is found to be hypertensive, then the student needs to

complete the PAR-Q fitness form and take that to their doctor for clearance doing fitness testing. Instructors are not

to take the student’s EKG; only the BP and pulse. If the doctor gives fitness clearance, then the College will test the

student. Being hypertensive or having an elevated pulse will not effect a student’s mark, as long as their doctor

documents that the student can be fitness tested by the College.

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Waiver of Liability & Indemnity Agreement

Waiver of Liability

In consideration of my participation in the Paramedic Student – Physical Abilities Test (PS-PAT), I

________________________________________________ understand that the test represents strenuous physical

activities and includes inherent risks.

I understand that my participation in the PS-PAT is entirely voluntary and understand that passing this semester’s

physical fitness course is a requirement of the program and necessary to continue in the program. I hereby assume all

risks and responsibilities associated with my participation. I furthermore do release, waive, and discharge Confederation

College and its entire staff from any and all claims arising out of ordinary negligence or any other factors that arise

during my participation in the PS-PAT, Stretcher Lifting, Stair Chair Lifting test, the 20-meter shuttle run test, Sit & Reach

and Grip Strength Testing.

The above waiver applies to myself, my heirs, personal representatives and assigns and it applies to any personal

injuries, accidents illnesses, and/or death, arising directly or indirectly from my participation in the PS-PAT and/or

activities directed or suggested by Confederation College Fitness Instructor during administration of the Physical Fitness

testing as indicated above. Initial __________

Indemnity Agreement

I hereby agree to indemnify and hold harmless Confederation College, its owners, officers, employees, agents,

volunteers, students and insurance carriers from any and all claims, whether initiated by me or a third party. I further

agree to pay all expenses, including court and attorney fees, incurred by Confederation College or any of the

aforementioned parties, through investigating and defending a claim resulting from my participation in PS-PAT (and

other assigned fitness testing indicated above) under all applicable laws and regulation in the Province of Ontario.

Initial __________

Informed Consent

I have read the Waiver of Liability and Indemnification Agreement and fully understand their terms, including the fact

that I am giving up substantial rights to pursue damages in case if illness, injury or death. I acknowledge that I am signing

these documents voluntarily and intend my signature to be a complete unconditional release of the liabilities described

above. Initial __________

Student Name Witness Name

(Please Print):___________________________ (Please Print): ___________________________

Student Witness

Signature:______________________________ Signature: _________________________________

Dated: (DD/MM/YY) _____________________ Dated: (DD/MM/YY) __________________________

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Consent To Assessment & Release on Information

I, _______________________________________ consent to participation in the Paramedic Student – Physical Abilities

Test (PS-PAT) and other fitness assessments administered by Confederation College’s Fitness Instructors. I have been

informed about the following:

Who will be performing the PS-PAT and other fitness assessments

The reasons why I am participating in the PS-PAT and other fitness assessments

What will happen if I do not participate in the PS-PAT and other required fitness assessments today

What potential risks and/or side effects exist in participating in the PS-PAT and other required fitness

assessments today.

I understand the explanations and have no further questions. My consent is voluntary and I intend this consent form to

cover the entire administration of the PS-PAT being conducted on the following date: (DD/MM/YY)

_____________________. I understand that I may ask questions at any time and that this consent may be withdrawn, in

writing, at any time, except for actions already taken.

Initial ______

Furthermore, I authorize Confederation College to release my results on the PS-PAT (and other Fitness assessments

today) to any of the following employers: Northwest EMS, Superior North EMS or Rainy River District Social Services

Health Administration. I understand that my physical abilities to perform the demands of a paramedic are being

evaluated and that the testing protocol has been developed based on an assessment of the essential physical; demands

of a paramedic. I also understand that no confidential medical information will be communicated to anyone of the

outside above EMS ambulance employers. However, if an injury or medical condition affects my functional capabilities, I

understand that the functional results of said injury or medical condition may be reflected in a verbal and/or written

summary to one of the above EMS employers as stated above. Any other EMS Employer must have my express written

consent for Confederation College to release any fitness testing results conducted today to them.

Student Name Witness Name

(Please Print):___________________________ (Please Print): ___________________________

Student Witness

Signature:______________________________ Signature: _________________________________

Dated: (DD/MM/YY) _____________________ Dated: (DD/MM/YY) __________________________

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Pre-Test Clearance Evaluation

1. The student should arrive at the pre-test screening 30 minutes in advance of their scheduled appointment ready

to participate in the PS-PAT and other fitness assessments indicated above.

2. The PAR-Q, Waiver of Liability and Indemnity, Consent to Assessment and Release of Information and PS-

PAT/Fitness Result Form must all be completed and presented at the pre-test clearance evaluation.

Students must not be tested without proper forms completed

Any “Yes” at all, then the student must get a doctor’s note for clearance to participate in the College’s

fitness testing.

3. If there are any “YES” responses on the PAR-Q, then the PARmed-X (or PARmed-X for Pregnancy) must also be

completed and signed by a physician and presented at the pre-clearance evaluation along with the PAR-Q. If

there are any medical contraindications, the PS-PAT/ fitness testing will not be administered. (See Appendix 3)

4. As per Canadian Physical Activity, Fitness and Lifestyle Approach Guidelines, students will have their blood

pressure and pulse taken one week prior to testing (see instructions later in document). Should either value

exceed the above guidelines when the measurements are taken, the student will be advised that this may effect

them being hired by employers. Some EMS employers screen out paramedic candidates based on their vital

signs before and after fitness testing.

5. Upon satisfaction of the above pre-test clearance criteria, the student will be asked directly if they know of any

reason why they should not participate in the PS-PAT/Fitness assessments. Should they answer “NO”, the fitness

testing will proceed. Should they answer “YES”, the test will not proceed but the student may be eligible for a

fitness test re-write” as per the Confederation College’s Paramedic Program Manual.

The PAR-Q, PARmed-X and PARmed-X for Pregnancy are located in Appendix 3.

Reminder: All necessary forms must be completed in full and taken with you to the test area.

The College advises students not to engage in any “risky” physical activities just before fitness testing.

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CIRCUIT TESTING PROTOCOL

The PS-PAT/fitness assessments are used to assess whether paramedic students have the physical capabilities to

perform the bona fide essential duties of the job of a typical land ambulance paramedic. Pre-screening fitness tests have

been developed for students pursuing a paramedic career.

The PS-PAT/fitness assessments are physically demanding tests designed to test raw muscular strength,

cardiopulmonary endurance, control and flexibility in a practical/ objective manner. Students who practise a healthy

lifestyle and who follow a proper conditioning program, including these major areas of physical fitness, should be

prepared to take these fitness tests. However, sedentary students will likely find these fitness tests difficult given the

heavy objects that must be manipulated/ lifted during the protocol. Students may be required to consult with their

physician to determine if it is safe for them to participate (see Pre-Test Clearance Evaluation).

The test protocol includes the following:

(“Class events” are activities that would occur on a fitness class day)

1. Circuit test (with class Event 1 – Group A) + Pre-Test Clearance Evaluation

2. Circuit test (with class Event 1 – Group B) + Pre-Test Clearance Evaluation

Note: The College may have to split up the class into two groups for class events 2 and 3 as well. This will be

an instructor’s call when making up the student’s detailed class time table and evaluation process based on

student numbers. All fitness testing must be done within allocated class time)

3. Grip test and Stretcher Handle Release Test (with Class Event 2)

4. Sit and Reach test (with class event 2)

5. Stair chair lifting test (with class event 2) – the focus is on good body mechanics. Use the manikins “bare” weight

with no extra weights added. Extra weights are more apt to fall off doing stair chair lifting causing a safety

hazard.

6. Stretcher lifting test (with class event 2) students are tested on both head end and foot end lifting to simulate

real-life employment expectations.

7. “20-METRE SHUTTLE RUN” test (with class event 3)

These testing protocols simulate tasks encountered by paramedics in the field. Simulated chest compressions are

included in the circuit test and there are specific criteria to be met while performing these compressions.

Students must successfully complete the circuit test and meet the criteria for chest compressions to successfully meet

the PS-PAT requirement. Details are outlined below for all fitness tests listed above.

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Circuit Test

Equipment

25-lb plastic fuel canister (2- 10 L containers) These are standard Canadian Tire plastic gas containers.

50-lb plastic fuel canister (4- 20 L containers)

Senior Walker (1 walker with 4 rubber feet and no wheels ) Obtained at Shoppers Home Health Care

4 – six foot cargo straps (sliding buckle type – usually blue coloured straps at Canadian Tire)

- straps to hold 50 lb fuel canisters onto walker

1” plastic pipe with 4-“U” bolts to fasten plastic pipe to walker at top open area to prevent sides from folding

in on walker. Obtained at Canadian Tire

2-step stair obstacle (1) – Note – Do not make the steps more than two high with 2nd the top platform

must be done by contractor to meet building code standards. Very sturdy and reinforced.

CPR simulator for CPR compressions (1)

Pylons (2) – Safety Supplier, 1 foot tall

Metronome (1) – set to 100

Stopwatches (2) – iPhone applications for both of these

Purpose of Evaluation

This circuit test is designed to simulate physical exertion while responding to emergency calls in the field. It mimics the

handling of equipment and the critical task of reviving a patient while at a rescue scene. The 100 pound walker lift

assesses upper body strength, endurance and control in the third leg of the circuit test. The circuit course also assesses

the cardiopulmonary capacity, total body strength, endurance and the ability to assume a variety of positions that are

encountered in the paramedic field.

Circuit Test Event

The course is laid out in a U-shaped format (40’X15’) with one 2-step staircase, 18 feet from the start line (See event

schematics attached). There are three (3) legs of the circuit test to be completed in succession with no stops in-between.

Time will start at beginning of first leg and will end at the conclusion of the 3rd leg. Proper body mechanics, control and

lifting technique will be assessed during all legs of the circuit testing.

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Leg 1 (Equipment Carry Simulation/ Squat thrusts)

Pick up two 25-lb fuel canisters, one in each hand, using proper body mechanics and follow route

Go to squat thrust station (first leg only)

Set canisters on the floor and complete a set of 8 continuous squat thrusts (See attached schematics).

Pick up canisters and continue to turnaround area

Follow the route back arriving back at the start line

Put down 25-lb canisters using proper body mechanics and proceed non-stop onto leg #2

Failure to complete any part of the circuit test as described including the 8 squat thrusts as depicted on the schematics

attached, will result in the failure of this leg of the circuit test.

Leg 2 (Equipment Carry Simulation/ CPR)

Pick up two 50-lb canisters, one in each hand, using proper body mechanics, follow the route and continue to the

turnaround area.

At the turnaround, set canisters on the floor and move to CPR device/manikin

Perform two (2) minutes of uninterrupted chest compressions to the beat of a metronome

The compressions must be to heart and stroke standards (OHSFO) on the manikin.

Pick up 50 lb. canisters using proper body mechanics again and follow route back bypassing the stairs to the start line.

Pass/ Fail: 6:30 min. max end of Sem 1 & 6 min. max end of Sem 2

Do not change any lifting weights for semesters 1 & 2

IMPORTANT DETAILS REGARDING CHEST COMPRESSIONS

Purpose of Evaluation

This portion of the circuit test is included to simulate the critical task of chest compressions while performing CPR on an

arrested patient. This challenges your cardiopulmonary capacity; upper body muscular strength and endurance; upper

back muscular strength and endurance.

Event

Chest compressions must be hard and fast at a rate of 100 compressions per minute. A metronome will keep the

required pace. The evaluator will start timing when the first compression is completed. The student will continue to

compress the mannequin’s chest for two (2) minutes equalling about 200 compressions. The student must not stop

compressions once started. If the student stops prior to the instructor advising the completion of two minutes, the

student will be assessed a failed attempt at the PS-PAT requirement. The evaluator will advise the student when the

two (2) minutes have elapsed.

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The student will then resume the circuit test without stopping. Also beware, that the student must not stop

compressions once started. If the student stops prior to the instructor advising the completion of two minutes, the

student will be assessed a failed attempt at the PS-PAT requirement.

Leg 3 (100 pound weighted Senior Walker)

On each side of the walker are 50 pound water canisters. These canisters will be strapped on either side of the senior

walker. A front bracing device will be put in place to prevent the front from closing in and at the same time allow

enough room for the student to be able to walk unimpeded.

The 100 lb. walker must be lifted to about chest height using proper body mechanics. The student will then proceed to

walk forward 18’ to the stairs. The student will then have a mandatory 20 second rest setting the walker down. The

student will then step up and down two stairs, a total of four (4) times. The student continues to hold up the walker and

will then walk backwards to the finish line.

Outside of the 20 second mandatory rest, the walker can be set down two more times, but the student’s over-all circuit

time will continue. If the walker touches any part of the stairs on the way up/down or if the walker is allowed to touch

the floor at any point, that will be registered as a "touch/set down." Time will continue to accumulate on the other two

allowable touch/set downs. The test will be assessed as a failed attempt at the PS-PAT requirement on the third touch/

set down (outside of the 20 second mandatory rest). If the student wants to “Re-Grip” or completely set the walker

down for any length of time, it still equals a “touch/ set down” (but their test time still progresses).

To meet PS-PAT Requirement

The student should complete all aspects of the circuit test using good body mechanics within 7 minutes at start of first

semester; must complete 6 min 30 seconds at end of first semester; and must complete 6 minutes at end of second

semester. If the student is unable to complete the course within these set times, drops an object, or is unable to

complete any aspect of the course, the test will be assessed as a failed attempt at the PS-PAT requirement. Students

may set down objects in a controlled manner only when indicated as above within each leg of the circuit test.

POINT DEDUCTIONS For Circuit Testing Event (100 Marks Total)

Registering of 3 failed touches, failed CPR, any critical failed attempt = 32 points off

Being over the time limits indicated above = 32 points off

Poor CPR quality = 32 marks off (Instructor assessment, not HSFO standards)

Poor squat thrusts = 10 marks off (As long as at least fully down and effort made to extend legs)

Dropping equipment when not indicated= 32 marks off

Setting down equipment when not indicated = 10 marks off/ occurrence

Going inside pylons = 10 marks off/ occurrence

Not getting past line tape markings (start, finish, turn-around) = 10 marks off/ occurrence.

See Appendix 1 for Legs 1,2, and 3 schematics

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Required fitness testing items outside of the PS-PAT testing

1. Grip Strength The dynamometer must be held perpendicular to floor and must be held away from the body. If the dynamometer

touches the side of the body during testing, that trial will not count. Only two trials will be taken, with the better

score counted. Grasping the dynamometer, the student squeezes the handle as hard as possible. The movement is

similar to clenching the fingers to make a fist. The movement is to be as forceful and as quick as possible in order to

correctly determine how much force can be generated.

Pass for 1st & 2nd Semesters = 35 Kg per hand (Instructor to make a grading scale like sit & reach)

2. Stretcher handle release (safety boots required) In first semester, students must be able to lift 86 kg (190 pounds) with the assistance of a partner at the head

end of the stretcher and release the supporting handle as required. (underhand grip)

In second semester, students must be able to lift 100 kg (220 pounds) with the assistance of a partner at the

head end of the stretcher and release the supporting handle as required. (underhand grip)

Lifting will be completed on standard MOH-EHS conveyances for transferring patients.

Using an open (underhand) grip, the stretcher is raised and lowered with required weights. Stretcher 1 position

up to stretcher 4/5 position, then raise up to 6/7 position and back down to 4/5 position (Three stretcher hand

releases observed).

3. Stair Chair Lifting (safety boots required) The student lifts 190 pound Stair Chair up and down one flight of stairs, immediately switches head to the foot lifting positions and lifts 190 pound Stair Chair up and down one flight of stairs again. Purposes here are to give the student experience and competence with the stair chair. The last main objective is for the instructor to observe proper body mechanics while using the stair chair.

4. 20 meter shuttle run testing (information to follow on Page 70 of this document)

5. Stretcher lifting Leaving the weighted spine board on the ground, lift weighted spine board onto stretcher. Complete the above #2 instructions. Then lifting the weighted spine board from the stretcher and leaving the stretcher at the foot of the stairs, the student (and partner) lifts the 190 (1st Sem)/220 pound (2nd Sem) weighted spine board, using the open (underhand) grip and carries the weighted spine board up and down two flights of stairs, under control, and without resting at any point of the carry. The definition of a “flight of stairs” is a run of 10 continuous steps at building code standard angle. The definition of "under control" is manoeuvring the spine board, smoothly, without tipping, or dropping the spine board and the student moving effortlessly and efficiently without shaking or tripping and without stopping at either the top or middle of the stairs. The student will be expected to lift the foot portion of the spine board going forwards up the stairs and then backwards going down the stairs. Students are not allowed to touch any walls or stair rails while carrying the stretcher. Stretcher Lifting Continued…

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After a rest, students will switch positions from a foot-end lifter to a head-end lifter (or vice versa) and repeat the above stretcher lifting instructions.

6. Sit and Reach

Sit with soles of feet flush against box, legs out straight, knees locked. Place one hand on top of the other and bend forward at waist as far as possible keeping legs locked. Student must touch the measuring tape on top of the box and hold momentarily until the instructor says “relax”. Only two trials will be taken, with the better score counted.

Notes:

1. Testing of job-related items will only occur if adequate spotters are in place as determined by the instructor. Warm up exercises are mandatory prior to beginning the fitness testing and will be taught by the instructor.

2. Stair chair and stretcher lifting components do not have to be back to back. 3. The decision of when to stop a student doing the stretcher or stair chair lift is left to the discretion of the

examining instructor in preventing student injury. But the instructor MUST stop the student from further lifting if the student either sits down with the stretcher OR the student drops the stretcher. No further lifting by the student will be permitted and a fail must be registered.

4. Students must wear safety boots (not shoes) during the stretcher and stair chair lifting. 5. Students are only allowed to wear “medical gloves” or use bare hands during all lifts. Should a student fail

AB115, that student may be eligible for a re-write as per the “Paramedic Program Manual” policy. On the date of the re-write, the student must be tested and successfully pass testing as determined by the instructor and Associate Dean. The most the student may obtain on a re-write is 70% like any other subject. Please refer to the re-write policy above. If a student is absent FOR ANY REASON on the fitness re-write option, a fail will be registered.

6. Candidates will have their resting heart rate and resting blood pressure taken one week prior to starting the testing. The student should have a resting blood pressure of less than 144/94 and a resting pulse rate less than 100 beats/minute. Your Paramedic Fitness Instructor will be taking your blood pressure and pulse. If the vitals are found to be elevated, then the student must take their PAR-Q form to their physician for authorization (note from their doctor) to take the Paramedic College fitness testing in AB 115 or AB 218.

AB115 & AB218 Course Mark Values For Practical Class Fitness Events (75% of Total Class Mark)

1. PS-PAT (Circuit Testing) = 20% Class Event #1 2. Grip Testing = 5% Class Event #2 3. Handle Release = 5% Class Event #2 4. Backboard Lifting = 32% Class Event #2 (Part A)

(Note: You must pass the stretcher & Stair Chair lifting to be placed into clinical placements. If you do not pass both, there will be 32 marks deducted)

5. Stair Chair Lifting = (Part of #3 Stretcher Lifting above) Class Event #3 (Part B) 6. Sit & Reach = 5% Class Event #2 7. 20 Meter shuttle run Testing = 8% Class Event #3

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Course Mark Values For Theory Class Marks (25% of Total Class Mark)

Test #1 = 7.5%

Test #2 = 7.5%

Journal assignment = 5%

Participation = 5%

Total (Theory + Practical) = 100%

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Attachments

1. PS-PAT, Circuit test schematics

2. Shuttle Run (Aerobic Fitness Testing)

3. PAR-Q Documents

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ATTACHMENT 1

PS-PAT Paramedic Student

Physical Abilities Test – SCHEMATICS

Legs 1, 2, and 3

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Leg 1

(2) 25 lb

Containers

+ 8 Squat Thrusts

Leg 2

(2) 50 lb

Containers

+ 2 min of CPR

Leg 3

Walker weighted

with (2) 50 lb

Containers

stair walk – (Up

two stairs and

down X4)

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ATTACHMENT 2

Shuttle Run – Aerobic Fitness Test

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INSTRUCTIONS FOR 20 METER AEROBIC SHUTTLE RUN

This test is an evaluation of your aerobic fitness. A warm-up is included as part of the test and only the last portion of

the test requires maximal effort. The test starts off slowly and gets progressively faster. Completion of stage 5 on entry,

Stage 6 at end of first semester and stage 7 at the end of second semester or higher will receive a “pass” rating. Go to

the highest stage that you can.

At every signal you must have reached one of the 20 meter lines at each end marked by the pylons. One foot must be

on or over the line, then upon hearing the signal, reverse your direction and arrive at the other line in time for the next

signal. Do not make wide turns. At the start the pace will be very slow so you may reach the line with time to spare.

YOU MUST WAIT FOR THE SIGNAL BEFORE YOU LEAVE. Two meters in front of the end lines are the warning lines. You

will be cautioned clearly when you miss the first warning line. If you miss the warning line at one end and you make it to

the other end in time to start the next leg, the warnings will start over – the two “misses” must be consecutive. If, twice

in a row, you have not crossed the warning line when the signal sounds, the last stage announced on the tape is the last

completed stage and you are finished. Do not stop because you have received one warning but keep running until the

appraiser tells you to stop.

When you finish, remain in your lane and exit out the end. Do not cross into another person’s lane. Double knot your

shoe laces as once the test is under way, there will be no chance to tie your laces should they come undone. We ask

that you do not wear a hat as it may fall off during the test and cause an obstruction in your lane or the lane of the

person running next to you. For the same reason, we ask that you please remove anything items from your pockets that

could fall out.

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ATTACHMENT 3

PAR-Q Supplement Documents

Regular and Pregnancy

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Confederation College Paramedic Program

Pre Admission Fitness Test (VERSION April 22, 2014)

The student must have this form completed by a suitable fitness assessor. Please mail or fax (807-473-3743) the

completed form by May 23rd,2014. Your offer of admission to the Paramedic Program may be rescinded after May 24th

by the Registrar’s Office for failure to submit this document on time.

Student Name _______________________ Date of Assessment____________________

Fitness Assessor Name (please print) ______________________________________

(Kinesiologist, High School Phys Ed Teacher, Fitness Instructor – PFLC, CPAFLA)

Fitness Assessor Signature _________________________________________

Fitness Assessor Qualifications _____________________________________

Contact Number for Assessor ______________________________________

1.5 Mile Run Push-Ups Sit-Ups Dead Lift

Male Female Male Female Male Female

Expectations prior to entering the

Paramedic Program. -

15:41 17:00 26 20 34 30 100 lbs

(4 times)

If you have a concern about fitness expectations, after pre-fitness testing, then call Grace Quinn at (807)473-3769. Send the

completed form by fax to (807) 473-3743 or mail to:

Paramedic Clinical Coordinator, c/o Health & Community Services

Confederation College

Box 398, 1450 Nakina Drive

Thunder Bay, Ontario P7C 4W1

This is mainly a self-assessment tool to give students an entry expectation. If you are below these target levels, seriously consider applying to

the Paramedic Program in another year when you are fitter. These are 70% of comparative fitness levels expected at the end of first year.

Student Performance:

1.5 mile run _______________________________________minutes/seconds

Push-Ups (standard male pushup) _______________________ number in a row

Sit-Ups (full sit-up – feet held) __________________________ number in a row

Dead lift (open grip, 100 lbs, 4 times in a row)______________ check if complete

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Appendix E Confederation College’s Clinical Entry Package

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Submission Date to Coordinator/Designate:

____________________

PARAMEDIC STUDENT

PERSONAL DATA FORM

CONFIDENTIAL WHEN COMPLETED

Please complete the following information and return it to Program Coordinator, Confederation College or their

designate in the Region.

It will expedite communications between the program and individual paramedic students. Should any information

change, please provide us with the revised information.

Thank you for your cooperation.

PLEASE PRINT

To Be Completed by EMS Service

RIDE OUT Start Date: ___________________________ Finish: __________________________

PRECEPTORS: __________________________________________________________________

Surname: _____________________________________________________________________

Given Name: ___________________________________________________________________

Preferred Name: ________________________________________________________________

Student Number: _______________________________________________________________

Street Address: _________________________________________________________________

City: ___________________________________ Postal Code: ___________________________

Home Telephone No. ______________________ Other (Cell, Pager): ____________________

Student Email: _________________________________________________________________

Next of Kin: ____________________________ Relationship: __________________________

Telephone No: _________________________ Other (Cell, Pager): ______________________

Address: ______________________________________________________________________

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EMS Preceptorship Program

For PCP College Students

It is Confederation College’s responsibility to provide the following documentation to the EMS service

prior to the student commencing preceptorship. This package must be completed in its entirety and

brought to the EMS Service (by the College) prior to the first day of placement.

The College must sign and return the ‘Student Placement Agreement’ and agree to sign the annual amendments, as required.

The College must provide an original signed and completed Ministry of Education and Training, Work/Education Placement Agreement (WSIB Form).

The College must provide a contact name and contact information for the College representative responsible for student ride outs.

College Representative Name _____________________________

College Representative Telephone (cell, pager) _______________________

The College will provide a 24 hours emergency contact number which would allow immediate access to a senior faculty member, in the event of an emergency.

Name _____________________________ Telephone (cell, pager) _______________________

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In addition, it is the institutions/students responsibility to provide the following documentation prior

to the student commencing preceptorship:

A legible coloured photocopy of the front and back of the student’s valid Class G Driver’s Licence

A legible coloured photocopy of the student’s college photo identification badge

A legible photocopy of the student’s valid First Aid identification

A legible photocopy of the student’s valid Health Care Provider CPR certificate (only considered valid for one year after date of course, regardless of the providers expiry date). The valid period must cover the complete duration of student preceptorship.

The student must provide proof that they do not have any criminal conviction involving moral turpitude for which they have not been pardoned. An original criminal record search will be provided to the EMS service, by the student. The criminal record search will be dated no earlier than 10 months prior to the start of preceptorship.

The student must sign and have witnessed the Confidentiality Agreement provided.

The student must provide the contact information required for contact and emergency contact purposed on the form provided.

Qualitative or Quantitative Mask Fit Testing must be done within six months prior to preceptorship. The Mask Fit Certificate is good for 2-years.

The student must successfully complete a College lifting evaluation showing the competence in strength, equipment familiarity and comfort lifting.

The student must provide proof of current immunization, required by the Ambulance Act of Ontario. See attached sheet.

Communicable Diseases Self-Declaration Form must be completed.

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CONFIDENTIALITY AGREEMENT

With

(Name of EMS Service)

I, ______________________________, acknowledge and agree that during the course of my

employment, or during the course of my student/volunteer placement with

_______________________________________ (Name of EMS Service);

1. Information of any kind, or in any form whatsoever, to which I may come into contact is the sole and exclusive property of the placement service or its parent organization.

2. I will comply with the Personal Health Information Protection Act, 2004, the Municipal Freedom of Information and Protection of Privacy Act, and all other federal or provincial legislation or regulations governing the collection, retention, use, disclosure and disposal or information.

3. I will not collect, use, access or disclose any information that comes to my knowledge or possession as a result of my employment or during the course of my student/volunteer placement with the EMS service, except when authorized by law.

4. I will comply with any internal confidentiality and/or privacy policies, including the administrative, technical and physical safeguards and practices set out therein, developed and implemented by the EMS service and its parent organization.

5. I will not collect, use, access, disclose, duplicate, modify or dispose of information acquired during the course of my employment or during the course of my student/volunteer placement for my own benefit, or for the benefit of any third party or derive any direct or indirect benefit from the information.

6. I will notify the appropriate management contact, if I become aware of any unauthorized collection, use, access, disclosure, duplication, modification or disposal of information, or if I become aware of any lost or stolen information.

BY SIGNING THIS AGREEMENT, I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREED

TO THE ABOVE CONFIDENTIALITY AGREEMENT.

Signed _____________________________ Date: ____________________________

Witness ____________________________ Date: _____________________________

Original: EMS Service

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Mandatory Immunizations

for

Paramedic College Students

The Ministry of Health and Long Term Care Ambulance Service Communicable Disease Standards

requires that all paramedics be required to have the following immunizations. The College Medical

Professional will ensure that the paramedic student is in compliance with the requirement as defined in

the Ministry of Health and Long Term Care Ambulance Service Communicable Disease Standards. These

immunizations must be up to date prior to their placement. The previous form in Appendix A

(Immunization and Communicable Disease Form) covers the following:

Polio: Within the last 10 years

Tetanus: Within the last 10 years

Diphtheria: Within the last 10 years

MMR: Serological proof of immunity.

Hepatitis B: Serological proof of an adequate titre level.

Chicken Pox: Serological proof of immunity.

TB Test: Within the last 6 months prior to ride-outs commencing.

Flu Shot: Prior to Ambulance Field ride out, or every autumn.

Should the student decline to be vaccinated with the influenza vaccine, they must complete the

Ministry of Health Influenza Educational Review package. Students who decline the influenza vaccine

will not be permitted to ride out during a declared outbreak.

College Representative overseeing placement: _____________________________

Date: _____________________

College Paramedic Student: ___________________________ __________________________

Print Name Signature

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COMMUNICABLE DISEASES –

HEALTH STATUS REPORT

This report is being requested to comply with the conditions of Ambulance Services Communicable Disease Standards, Oct 2002, which states

each paramedic with the service is to be free from all communicable diseases as listed below.

Taken from the Ministry of Health and Long-Term Care Emergency Services Branch, Ambulance Services Communicable Disease Standards

Table 1 – Part B April 2000 (Revised October 2002)

Acquired Immunodeficiency Syndrome (AIDS) Measles

Amebiasis Viral Meningitis

Anthrax Meningococcal Meningitis

Botulism Mumps

Campylobacter Enteritis Opthalmia Neonatorum

Chicken Pox (Varicella) Parathyphoid Fever

Cholera Pertussis (Whooping Cough)

Cytomegalovirus Infection (Congenital) Plague

Diphtheria Poliomyelitis (Acute)

Encephalitis (Primary Viral) Psittacosis/Ornithosis

Gastroenteritis Q Fever

Giardiasis Rabies

Group A Streptococcal Disease (Invasive) Rubella

Haemophilus Influenza B Disease (Invasive) Rubella (Congenital Syndrome)

Hemorrhagic Fevers including Ebola virus disease,

Marburg Virus Disease, and other Viral Causes

Salmonellosis

Viral Hepatitis including Hepatitis A, B and C Shigellosis

Influenza Tuberculosis

Lassa Fever Tularemia

Legionellosis Typhoid Fever

Leprosy Verotoxin producing E.Coli Infections

Listeriosis Yellow Fever

Malaria Yersiniosis

To the best our knowledge, the College paramedic student is in compliance with the

requirements as defined in the Ministry of Health and Long-Term Care Ambulance Service

Communicable Disease Standards Table 1 – Part A & B

College Representative overseeing placement: _________________________

Date: ______________________

College Paramedic Student: __________________________ _________________________

Print Name Signature

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Student Responsibilities

The College student will be placed with a qualified Preceptor, by the EMS service. The

student will ride out only on the scheduled days unless prior permission is obtained from your College Professor first and then EMS Management. The student will ride out only with their assigned Preceptor(s) unless permission is obtained from your College Professor first and then EMS management. The College Professor MUST first discuss the requested preceptor change with the original preceptors if at all possible. Preceptor changes are discouraged because placements are of a short duration and it takes a good deal of shifts to get to know the student. EMS Management do have the final say with any preceptor changes, but they must always notify the College before the change is made.

The student will be familiar with the Policies and Procedures in place at the placement EMS service and the Ministry of Health and Long Term Care BLS Patient Care Standards.

The student will be familiar with the Northwest Region Base Hospital Program Medical Directives, consistent with their level of practice.

The student/College will provide a form entitled “Final Competency Evaluation Form” listing the student’s learning objectives (competencies) for the preceptor crew to review. This form should be available to the crew to track the student’s performance.

Students not meeting all of the above criteria will not be allowed to ride out with the EMS service.

Uniform Requirements

All College Paramedic students participating in field placement within must wear a uniform

and have appropriate safety equipment as per Ontario Ministry of Health and Long Term Care Ambulance personnel requirements.

During preceptorship, the student must wear their College approved uniform as per College policy and any EMS policies which may apply. The uniform should be worn in such a way so as to look neat, clean and professional.

The College Paramedic Students will have the following mandatory safety equipment with them at all time during preceptorship and utilize it as per policy:

o Steel toed shoes/boots (Student Supplied) o A Ministry approved helmet and visor (College Supplied and at EMS bases) o Protective eye wear (glasses or goggles) (EMS Service Supplied) o Be Qualitatively or Quantitavely Fit tested, and have approved masks if different then

the N95. (EMS Service Supplied) o Safety Vest (Student Supplied) o Work Gloves (Day to Day type – Student Supplied; nitrile patient care supplied by EMS

Service)

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Student Checklist

Name: _____________________ Date Received: _________________

It is the responsibility of the institution/student to provide all of the listed requirements, prior to commencing their preceptorship. Students

missing any of the items will have their package returned to them for completion. No packages will be accepted until complete and no student

will begin their preceptorship until the 2 complete packages are submitted.

Package 1 – submit on or before Sept 30, 2012 (3 PM) – worth 5% of AB107 mark

[ ] A legible COLOUR photocopy of the front and back of the student’s valid Ontario G2 or better

Drivers Licence (or provincial equivalent).

[ ] A legible coloured photocopy of the student’s College photo identification

[ ] A legible photocopy of the student’s valid standard level First Aid Certificate

[ ] A legible photocopy of the student’s valid ‘Health Care Provider’ CPR certificate. The valid

period must cover the complete duration of the student’s preceptorship. (Only considered valid

for one year after date of course, regardless of the providers expiry date).

[ ] Confidentiality Agreement form provided, to be signed by student and witnessed

(EMS Service – appendix B; CACC – appendix G; Confederation College – appendix B)

[ ] Emergency contact information completed on the provided form

Package 2 – submit on or before Dec 4, 2012 (3 PM) – worth 5% of AB107 mark

[ ] Communicable Disease “Self-Declaration Form”- appendix E

[ ] Basic level CRC (Criminal Record Check) current to 10 months prior to start of preceptorship

[ ] Completed “Immunization Communicable Diseases Form”- appendix A

[ ] Completed Mask Fit Test Assessment form provided by College – appendix F

Separate: About December 16th your Fitness Professor will provide proof of successfully completing the

PS-PAT (Paramedic Student-Physical Abilities Testing), delivered by the College, that shows competence

in strength, and equipment familiarity and comfort – (NOT PART OF EITHER PACKAGES 1 OR 2 ABOVE)

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STUDENT RESPIRATOR MASK FIT TESTING ASSESSMENT FORM

This form must be completed by the student prior to fit testing.

Name (please print): _________________________________

Please answer the following three questions by circling either YES or NO.

1. Some symptoms/conditions can affect your ability to safely use a respirator mask. Do you

currently experience any of the conditions included on the attached list (“RESPIRATOR MASK

FIT TESTING REFERENCE SHEET”)?

YES NO

2. Have you had previous health concerns/difficulties while using a respirator mask?

YES NO

3. Do you have concerns about your future ability to use a respirator mask safely?

YES NO

A “YES” answer to 1, 2 or 3 indicates further assessment by your Physician is required prior to fit testing

and respirator mask use. The return of this form, approval by your Physician and fit testing must be

completed before student shifts will be approved.

NOTE: Medical information is NOT offered on this form.

_______________________________________________ _________________________ Signature of Respirator Mask User Date

For Physician Use Only:

Medical Clearance Date:

Notes (if applicable):

_______________________________________________ _________________________ Signature of Physician Date

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STUDENT RESPIRATOR MASK FIT TESTING REFERENCE SHEET

Do you currently experience any of the following conditions that may affect respirator mask use?

(Please do not specify on this page, simply circle YES or NO on the RESPIRATOR MASK

FIT TESTING ASSESSMENT FORM).

CARDIAC

Chest pain on exertion CAD/ Angina uncontrolled hypertension

RESPIRATORY

shortness of breath COPD/Emphysema asthma chronic cough

NEUROLOGICAL

myesthenia gravis facial paralysis multiple sclerosis

EAR/NOSE/THROAT dizziness/vertigo angioedema severe allergic rhinitis

OTHER nausea claustrophobia

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Appendix G

Confederation College – Communications Service Observer Confidentiality Agreement

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Appendix H

Confederation College – Text Book Requirements

Note: Usually, texts required are purchased through the Follett Book Store on Campus. Where you obtain your texts is up to you. College “Semester Packages” can only be obtained through the Follett Book Store on campus. See our College’s Web Site and you will find our book store. We will communicate text listings at a later date as we have not yet settled on all texts for web page publishing.