Internship Completion Certificate - Excel

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					                                                                   Program Outcomes Assessment
              Program                                                     AAS Paramedical Technology
           Department                                                     Business & Industry
        College/School                                                    KPC
       Academic Years                                                     2006/2007
      Program Contact                                                     Paul Perry (ifpep@uaa.alaska.edu)
Assessment Coordinator                                                    Debbie Sonberg (ifdgs@uaa.alaska.edu)
                                                                                (new program, first cycle)
                    TABLE 1B: PROGRAM OUTCOMES ASSESSMENT RESULTS


This report has not been                                                                                                                                                                                             Outcomes Indicators
                                                                                                                                                                                                                                                                                                                                                                                        Current
                                                                                                                                                                                                                                                                                                                                                                                         Year

  formally reviewed by




                                                                                                                                                                                                                                                                      Pediatric Advanced Life




                                                                                                                                                                                                                                                                                                                      Paramedical Internship
                                                                                                                                                                                                                          PHTLS National Exam




                                                                                                                                                                                                                                                                                                                                               Completion Certificate




                                                                                                                                                                                                                                                                                                                                                                                           Weighted Average
                                                                                                                                                                                                                                                ACLS National Exam
                                                                                                                                                              Instructor Impression




                                                                                                                                                                                                                                                                      PALS National Exam




                                                                                                                                                                                                                                                                                                Intermediate 99 EMT
                                                                                                                                                                                                                          (Prehospital Trauma
                                                                                                                                                                                                   (Basic Life Support,




                                                                                                                                                                                                                                                Cardiovascular Life
                                                                                                                                          assessment cycle)




                                                                                                                                                              assessment cycle)




                                                                                                                                                                                                                                                                                                                                               Paramedic Course
                                                                                                                                                                                                   BLS-CPR National
                                                                                                                                          Student Outcome




                                                                                                                                                                                                   Cardiopulmonary




                                                                                                                                                                                                                                                                                                                      (final evaluation)
                                                                                                                                          (not chosen this




                                                                                                                                                              (not chosen this
faculty and is subject to




                                                                                                                                                                                                                                                                                                National Exam




                                                                                                                                                                                                                                                                                                                                                                        National Exam
                                                                                                                                                                                                   Resuscitation)



                                                                                                                                                                                                                          Life Support)




                                                                                                                                                                                                                                                                                                                                                                        Paramedical
                                                                                                                                                                                      Grade Data




                                                                                                                                                                                                                                                                                                                                               (Program)
                                                                                                                                                                                                                                                Advanced
                                                                                                                                          Surveys




                                                                                                                                                                                                                                                Support



                                                                                                                                                                                                                                                                      Support
                                                                                                                                                              Survey
    revision in the fall




                                                                                                                                                                                                   Exam
                                                                          Understand the roles and responsibilities of a       Grade                                                   A                    A                    A                      A                      A                       A                      A                         A                   A                A
                                                                          Paramedic within an EMS system, apply the
                                                                          basic concepts of development,
 http://www.kpc.alaska.edu/pdf/Outcomes%20Lists%20AY06%20_2_.pdf




                                                                      1   pathophysiology and pharmacology to
                                                                                                                               Value                                                  4.00               4.00                 4.00                   4.00                  4.00                  4.00                  4.00                         4.00                 4.00             4.00
                                                                          assessment and management of emergency
                                                                          patients…                                            Weight                                                 0.50               1.00                 1.00                   1.00                  1.00                  1.00                  1.00                         1.00                 1.00

                                                                                                                               Grade                                                   A                  A                    A                      A                     A                     A                     A                            A                    A                A
                                                                          Establish and/or maintain a patent airway,
                                                                      2   oxygenate, and ventilate a patient.
                                                                                                                               Value                                                  4.00               4.00                 4.00                   4.00                  4.00                  4.00                  4.00                         4.00                 4.00             4.00
                                                                                                                               Weight                                                 0.50               1.00                 1.00                   1.00                  1.00                  1.00                  1.00                         1.00                 1.00
                                                                          Take a proper history and perform a                  Grade                                                   A                  A                    A                      A                     A                     A                     A                            A                    A                A
                                                                      3   comprehensive physical on any patient, and           Value                                                  4.00               4.00                 4.00                   4.00                  4.00                  4.00                  4.00                         4.00                 4.00             4.00
                                                                          communicate the findings to others.                  Weight                                                 0.50               1.00                 1.00                   1.00                  1.00                  1.00                  1.00                         1.00                 1.00
                                                                          Integrate pathophysiological principles and          Grade                                                   A                    A                    A                      A                      A                       A                      A                         A                   A                A
                          Program Outcomes




                                                                          assessment findings to formulate a field
                                                                      4   impression and implement the treatment plan
                                                                                                                               Value                                                  4.00               4.00                 4.00                   4.00                  4.00                  4.00                  4.00                         4.00                 4.00             4.00
                                                                          for the trauma patient.                              Weight                                                 0.50               1.00                 1.00                   1.00                  1.00                  1.00                  1.00                         1.00                 1.00
                                                                          Integrate pathophysiological principles and          Grade                                                   A                    A                    A                      A                      A                       A                      A                         A                   A                A
                                                                          assessment findings to formulate a field
                                                                      5   impression and implement the treatment plan
                                                                                                                               Value                                                  4.00               4.00                 4.00                   4.00                  4.00                  4.00                  4.00                         4.00                 4.00             4.00
                                                                          for the medical patient.                             Weight                                                 0.50               1.00                 1.00                   1.00                  1.00                  1.00                  1.00                         1.00                 1.00

                                                                          Integrate pathophysiological principles and          Grade                                                   A                    A                    A                      A                      A                       A                      A                         A                   A                A
                                                                          assessment findings to formulate a field
                                                                      6   impression and implement the treatment plan          Value                                                  4.00               4.00                 4.00                   4.00                  4.00                  4.00                  4.00                         4.00                 4.00             4.00
                                                                          for neonatal, pediatric, and geriatric patients,
                                                                          diverse patients, and chronically ill patients.      Weight                                                 0.50               1.00                 1.00                   1.00                  1.00                  1.00                  1.00                         1.00                 1.00

                                                                          Integrate pathophysiological principles and          Grade                                                   A                    A                    A                      A                      A                       A                      A                         A                   A                A
                                                                          findings to formulate a field impression and
                                                                      7   implement the treatment plan for patients with
                                                                                                                               Value                                                  4.00               4.00                 4.00                   4.00                  4.00                  4.00                  4.00                         4.00                 4.00             4.00
                                                                          common complaints.                                   Weight                                                 0.50               1.00                 1.00                   1.00                  1.00                  1.00                  1.00                         1.00                 1.00
                                                                                                                               Grade                                                   A                    A                    A                      A                      A                       A                      A                         A                   A                A
                                                                      8   Safely manage the scene of an emergency.             Value                                                  4.00               4.00                 4.00                   4.00                  4.00                  4.00                  4.00                         4.00                 4.00             4.00
                                                                                                                               Weight                                                 0.50               1.00                 1.00                   1.00                  1.00                  1.00                  1.00                         1.00                 1.00
                                                                                                                             Blank and shaded = Tool does not measure this published outcome or tool not used this cycle.                                                                                                                                                                  A
                                                                                                                             Weights: 0.5 = Tool gives anecdotal indication of published outcome.                                                                                                                                                                                         4.00
                                                                                                                                          1 = Tool is a good measure of the published outcome




                                                                   Submitted 6-22-07                                                                                   cb9184fa-0091-488d-9eba-187da6641930.xls                                                                                                                                                                                               Outc Results
Program Outcomes Assessment Discussion
             Program     AAS Paramedical Technology
           Department    Business & Industry
       College/School    KPC
      Academic Years     2006/2007
      Program Contact    Paul Perry (ifpep@uaa.alaska.edu)
Assessment Coordinator   Debbie Sonberg (ifdgs@uaa.alaska.edu)

                         TABLE 2B
                         ANALYSIS OF OUTCOME ASSESSMENT RESULTS


                                         Outcome                  Result   Explanation of the Results (also see course comments & recommendations)

                         Understand the roles and                          The KPC Paramedical Program received the "Chancellor's Award for Excellence" for its internal
                         responsibilities of a Paramedic within            and external partnerships. [Donations that we secured (Ambulance, Gurney, and Zoll), the
                         an EMS system, apply the basic                    hospitals (Providence, Regional, Alaska Native Medical Center, and Central Peninsula
          1              concepts of development,                  A
                         pathophysiology and pharmacology                  Hospital), and the out-of-state field internships (Portland, OR; Albuquerque, NM; Houston, TX;
                         to assessment and management of                   Austin, TX; and Grand Rapids, MI). This year we added NYC, and Baton Rouge, LA]
                         emergency patients…
                         Establish and/or maintain a patent                The first Paramedical Technology AAS students graduated this spring (2007). Only two were
          2              airway, oxygenate, and ventilate a        A       able to walk in the KPC commencement ceremony because they were the only two not on duty
                         patient.
                         Take a proper history and perform a               during graduation.
          3              comprehensive physical on any
                                                                   A       Of the first 15 enrolled, 4 dropped the program -- 2 to the new nursing program, one due to
                         patient, and communicate the                      academic status (didn't maintain 80% or above on two exams), and one left he area (but had a
                         findings to others.
                                                                           96.4% average before leaving).
                         Integrate pathophysiological
                         principles and assessment findings
          4              to formulate a field impression and       A       11 students graduated with their AAS in Paramedical Technology, all are currently
                         implement the treatment plan for the              employed
                         trauma patient.
                                                                              3 were employed by our local Central Emergency Services
                         Integrate pathophysiological                         1 in Portland, Oregon
                         principles and assessment findings                   1 in Houston, Texas
          5              to formulate a field impression and       A
                         implement the treatment plan for the                 1 in Delaware (came to the program from there, and returned)
                         medical patient.                                     1 is employed by Alyeska Pipeline (came from them, returned to them)
                                                                              2 are employed in Beacon (North Slope facility)
                         Integrate pathophysiological
                         principles and assessment findings                   1 is employed by Dr. Carlson, Medicenter, a local medical facility
                         to formulate a field impression and                  1 was employed at Cottonwood Medical, a local medical facility, then took a job on the
          6              implement the treatment plan for          A       North Slope.
                         neonatal, pediatric, and geriatric
                         patients, diverse patients, and
                         chronically ill patients.                         The national failure rate for the I99 national exam is 60 percent. KPC's first graduating class
                         Integrate pathophysiological                      had a 100 percent pass rate.
                         principles and findings to formulate a
          7              field impression and implement the        A
                         treatment plan for patients with
                         common complaints.
                         Safely manage the scene of an
          8                                                        A
                         emergency.



                                                                           The paramedical program is conducted in three phases.

                                                                           Phase I -- Didactic (in the classroom) covers DOT curriculum (all 8 outcomes) -- focuses on trauma.
                                                                           Students take written exams for each chapter. A score of less than 80% is a fail. Students receive
                                                                           remedication assignments, then retake on a second exam (not identical). A double-fail is dismissal from
                                                                           the program. Alaska EMT skill sheets are used as well. Students must pass every skill sheet at every
                                                                           level. Missing a "*" time is an automatic fail. Students work 12 hrs/wk on didactic work, then Th,F,S,S
                                                                           some type of clinicals. KPC students have maintained a 96% average score on these skill sheets.

                                                                           Phase II -- Mastering Clinical Sites, a continuum of core studies plus clinicals in medical (sick people).
                                                                           Clinical experiences include cardiology, pediatrics, cath labs, psychology, OB-GYN, primarily in ER
                                                                           settings.

                                                                           Phase III -- Field Internship with a minimum of 40 calls. The state requires 480 actual hours in an
                                                                           ambulance which must include 10 calls cardiac, 10 calls trauma, 10 calls general medicine, and & calls
                                                                           respiratory. Students must go out of state for advanced life support ambulances.

                                                                           The KPC Paramedical Program must file a new application packet every year with the state of Alaska. It
                                                                           must include advisory board minutes, memoranda of agreements, and clinical rotation analysis and
                                                                           recommendations. The KPC Paramedical Program must receive Department of Health and Social
                                                                           Services approval each year in order to continue to offer this program.



                                                                           The paramedic program is designed to prepare a student for National and State Licensure. In order to be
                                                                           a “licensed paramedic” you must have the following “alphabet” cards in addition to your “Course
                                                                           Completion” certificate. These cards are issued when the students take the specific cards written and
                                                                           practical exams that go with each card. After they are working paramedics they will repeat these classes
                                                                           every other year as part of their refresher classes as well. Each class is typically 16 hours long
                                                                           independently, but ours go much longer.
                                                                           BLS – (CPR) Taught to all EMT 1, 2, 3, and PMED students. It is required to be an EMT, which is a
                                                                           requirement for paramedic enrollment. We retest each student during the cardiac section, which is taught
                                                                           in PMED 251 (Spring).
                                                                           ACLS – Advanced Cardiac Life Support – Taught with cardiology; we spend six weeks teaching this
                                                                           course (usually 16 hours). We start it at the end of 241, and finish it up in 251. Must be completed before
                                                                           I let the students go to the ICU or Cardiac Cath Lab hospital clinicals.
                                                                           PALS – Pediatric Advanced Life Support – We did PEDS in the summer semester the first year, but
                                                                           moved it to January this year (Right after ACLS); it worked better, since I don’t let the students go to the
                                                                           hospital Maternity, Labor & Delivery, or the PEDS critical care units without completing PALS first.
                                                                           BTLS – (Basic Trauma Life Support) or PHTLS (Prehospital Trauma Life Support); either course is
                                                                           acceptable to the Registry. This is pure blood and guts at its best. We teach it in the 3 rd semester
                                                                           (summer). This is where students learn to stick needles in peoples necks and chests to deflate or inflate
                                                                           them.
                                                                           I-99 – This is the National Registry Intermediate Exam for National Certification. The students are
                                                                           “encouraged” to take this exam (Both the practical, and the written, which is now computer based up in
                                                                           Anchorage). It can be taken after 300 hours of paramedic school and is a great preparatory exam for the
                                                                           National Paramedic Exam that they do at the end of their out-of-state internships. The I-99 practical exam
                                                                           mirrors the Paramedic practical exam, and the student’s scores from it carry for up to a year…. This
                                                                           means that several of the stations they successfully complete during the I-99 don’t have to be repeated
                                                                           during the paramedic practical exam. The cost of the exam is $100, but everyone who has taken it, then
                                                                           took the paramedic one agreed it was worth the money. We do not require the exam, and two of our
                                                                           students chose not to take it this year…. We’ll see how they do on the 1 st try of the paramedic exam.
                                                                           The KPC Paramedic Program really isn’t about individual classes, but rather completing each module and
                                                                           chapter, thus graduating week to week. In Fairbanks it is called an Academy, and realistically, so is
                                                                           ours. We start in book 1, chapter 1 and end with book 5 chapter 14. Somewhere in the middle the
                                                                           students complete 1600 hours of class, clinicals and ultimately the field internships. Once everything is
                                                                           completed, and I sign the “course completion” paperwork, THEN, and only then do they get to sit for the
                                                                           NREMT-Paramedic Exams.




                                 Submitted 6-22-07                                                                                                                                        cb9184fa-0091-488d-9eba-187da6641930.xls   Outc Analysis
Program Improvement Recommendations Based on Assessment
              Program    AAS Paramedical Technology
           Department    Business & Industry
        College/School   KPC
       Academic Years    2006/2007
      Program Contact    Paul Perry (ifpep@uaa.alaska.edu)
Assessment Coordinator   Debbie Sonberg (ifdgs@uaa.alaska.edu)

TABLE 3
PROGRAM IMPROVEMENT RECOMMENDATIONS BASED ON ASSESSMENT

         Rec. No.                             Recommendation               Outcome(s)                Rationale for the Recommendation                  Resource Implications              Action Taken

                                                                                        This program is new to KPC. It just started a new
                                                                                        cohort of students in January of 2007. Each of the past
                                                                                        three years (the initial application, plus two calendar
                              Continue to run this excellent program                    years of operation) this program has received State of
                                                                                                                                                    Faculty time to continue
            1                 meeting state and national certification    all           Alaska Department of Health and Social Services                                        Saving lives as we speak.
                                                                                                                                                    excellent program.
                              requirements.                                             approval to operate.

                                                                                        All of our first graduates (finished in December of 2006)
                                                                                        are employed in the emergency medical field.


                              Update assessment plan and program skill                  The State of Alaska has updated all of its skill sheets.
            2                                                             all                                                                       Faculty time               Currently being done.
                              sheets.                                                   These new sheets need to replace the older ones.


                                                                                        Paul Perry told me (Debbie Sonberg, Assessment                                         As assessment coordinator, I
                                                                                        Coordinator) that he was starting a "Debbie" notebook.                                 was thrilled to hear this and
                                                                                        When he receives exams, certifications, evaluations,                                   may incorporate it into other
                              Start a "Debbie" notebook for next year's                                                                             Faculty time, minimal
            3                                                             all           etc., they will not only be copied for the students'                                   programs this fall. It is a great
                              assessment data                                                                                                       supplies
                                                                                        permanent records, but will also be copied for                                         idea!
                                                                                        assessment data gathering and place in a "Debbie"
                                                                                        notebook.                                                                              Thank you, Paul!




         Submitted 6-22-07                                                 cb9184fa-0091-488d-9eba-187da6641930.xls                                                 Program Recommendations
Program Outcomes Assessment Discussion
                        Program        AAS Paramedical Technology
                      Department       Business & Industry
                  College/School       KPC
                  Academic Year        2006/2007
           Assessment Coordinator      Paul Perry (ifpep@uaa.alaska.edu)



                                       PMED 241 PMED 242         PMED 251        PMED 252       PMED 261       PMED 262       PMED 295    Average


Student Impression Survey
Instructor Impression Survey
Grade Data                                     3.9           4             3.7              4              4              4          4



Understand the roles and
responsibilities of a Paramedic
within an EMS system, apply the
basic concepts of development,
pathophysiology and
pharmacology to assessment and
management of emergency
patients…
                                               3.9           4             3.7              4              4              4          4        3.94              A

Establish and/or maintain a patent
airway, oxygenate, and ventilate a
patient.                                                                                                                                                        A
                                               3.9           4                                             4              4          4        3.98
Take a proper history and perform
a comprehensive physical on any
patient, and communicate the
findings to others.                            3.9           4             3.7              4              4              4          4        3.94              A
Integrate pathophysiological
principles and assessment findings
to formulate a field impression and            3.9           4             3.7              4                                                 3.90              A
Integrate pathophysiological
principles and assessment findings
to formulate a field impression and                                        3.7              4              4              4          4        3.94              A
implement the treatment plan for
Integrate pathophysiological
principles and assessment findings
to formulate a field impression and
implement the treatment plan for
neonatal, pediatric, and geriatric
patients, diverse patients, and                                                                            4              4          4        4.00              A

Integrate pathophysiological
principles and findings to formulate
a field impression and implement
the treatment plan for patients with
common complaints.
                                               3.9           4             3.7              4              4              4          4        3.94              A
Safely manage the scene of an
emergency.
                                                                                                           4                         4        4.00              A




              Submitted 6-22-07                                                                                                          cb9184fa-0091-488d-9eba-187da6641930.xls   Surveys & Grade Data

				
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