N.J. Admin. Code § 8:41A-2.5

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:41A-2.5 - Specific clinical objectives: Category I/Skills Division

(a) Upon successful completion of the Laboratory training experience the student shall be able to:

1. Identify the proper equipment and materials for venipuncture and blood collection;

2. Identify the proper sites for venipuncture and prepare the patient for the procedure;

3. Perform a minimum of 20 venipunctures utilizing proper aseptic technique and the appropriate blood collection equipment;

4. Document the procedure on the patient's chart in accordance with hospital policy; and

5. Document all procedures performed on the appropriate clinical sign off sheet.

(b) Upon successful completion of the IV therapy training experience, the student shall be able to:

1. Prepare the patient for the procedure;

2. Select the appropriate site for the procedure and prepare the necessary equipment to accomplish the orders. This includes selecting and preparing the solution, tubing and other associated equipment and calculating the correct rate of infusion;

3. Perform a minimum of 20 successful IV infusions. All infusions shall be performed utilizing proper aseptic technique and be performed in less than five minutes. Completion of the hospital IV therapy certification program may be substituted for this requirement. Prior to completion of the clinical portion of an EMT-Paramedic training program, the student shall have successfully initiated a minimum of 50 IV infusions or cannulations and have demonstrated clinical competency in the skill;

4. In accordance with hospital policy, document all procedures on the patient's chart; and

5. Document all procedures performed, using the appropriate clinical sign off sheet.

(c) Upon successful completion of the Respiratory Therapy training experience, the student shall be able to:

1. Identify breath sounds on a minimum of 20 patients utilizing proper ausculatory technique. Prior to the conclusion of clinical portion of an EMT-Paramedic training program, the student shall have identified and documented breath sounds on a minimum of 10 patients with rales, rhonchi and wheezing;

2. Demonstrate the correct application of the nasopharyngeal airway, oropharyngeal airway, endotracheal tube, laryngeal mask airway, dual lumen airway device and other alternative airway devices as deemed appropriate by the Department. The student shall perform these skills utilizing appropriate equipment, techniques and sites. All airway insertions shall be recorded on the patient's chart, in accordance with hospital policy, and on the appropriate clinical sign off sheet. These skills shall be evaluated by both observation and skill testing by the EMS Educator;

3. Demonstrate, utilizing appropriate equipment, the proper technique for suctioning orally, nasally, tracheally and endotracheally. All suctioning shall be recorded on the patient's chart, in accordance with hospital policy, and on the appropriate clinical sign off sheet. Prior to the conclusion of the clinical portion of an EMT-Paramedic training program, the student shall have suctioned a minimum of five patients with an endotracheal tube in place;

4. Identify the desired effect for medications administered by the respiratory care practitioners;

5. Prepare and administer a minimum of 10 nebulized medications. Only those medications identified at 8:41-6.1 are to be administered by the student. The student shall perform this skill utilizing appropriate technique and dosage. All nebulized medication administrations shall be recorded on the patient's chart, in accordance with hospital policy, and on the appropriate clinical sign off sheet;

6. Observe patients on ventilators. The student shall be able to explain the rationale for the utilization of the ventilator; and

7. Optional experiences may include procedures such as observation of pulmonary function tests and bronchoscopy.

(d) Upon successful completion of the Operating/Recovery Room training experience, the student shall be able to:

1. Perform successful endotracheal intubation. The student shall perform this skill utilizing appropriate equipment and techniques. This includes the appropriate pre-oxygenation, re-oxygenation and verification of tube placement by inspection and auscultation. All endotracheal intubations shall be recorded on the patient's chart, in accordance with hospital policy, and on the appropriate clinical sign off sheet; and

2. Prior to the conclusion of training, the student shall have successfully endotracheally intubated a minimum of five patients. It is recommended that the majority of these be performed in the pre-hospital environment.

(e) Upon successful completion of the Cardiology Laboratory training experience, the student shall be able to:

1. Perform a minimum of five 12-lead electrocardiogram tracings. A copy of each shall be retained by the student for interpretation at a later date with the EMS Educator;

2. Identify the effects of medications and electrolyte imbalances on the interpreted electrocardiograms; and

3. As an optional experience, observe stress tests, echocardiograms, application of Holter monitors and cardiac catheterizations.

(f) Each EMS Educator shall develop an evaluation examination covering all of the Category I training objectives. Each student shall take and pass that examination prior to proceeding to Category II.

N.J. Admin. Code § 8:41A-2.5