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THIRD YEAR EMERGENCY MEDICINE CLERKSHIP MD STUDENT HANDBOOK

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THIRD YEAR EMERGENCY MEDICINE CLERKSHIP MD STUDENT HANDBOOK Powered By Docstoc
					THIRD YEAR
EMERGENCY MEDICINE
CLERKSHIP
MD 831

STUDENT'S HANDBOOK
2008-




2009
Overall Review and Rational for the rotation

The third year emergency medicine rotation is designed to provide the
University of Kentucky third year medical student an experience in the early
evaluation and management of medical conditions commonly encountered
in the emergency department. Many of these patients do not have an
established diagnosis and we term these patients the undifferentiated
patient. The student will assist in the work-up of these undifferentiated
patients under the supervision of senior emergency medicine residents and
faculty. The student will learn many of the tools and skills needed to
evaluate patients including monitoring techniques, vascular access, wound
evaluation and repair, scoring systems, directed history taking, focused
physical examination as well as patient interaction skills. It is hoped that the
emergency medicine skills learned in this short rotation will cross over into
other potential career choices for the student and also provide an
opportunity to explore emergency medicine as a career.

Bill Young MD
Associate Clinical Professor of Emergency Medicine
Clerkship Director
Emergency Medicine
Overall Objective:
To develop the ability to evaluate the undifferentiated patient who presents
for evaluation in the emergency department. The student will be able to
perform a directed history & physical related to the patient’s chief
complaint, formulate a differential diagnosis, formulate a basic plan of
treatment and evaluation and modify this plan based on patient’s response
to therapy. Basic procedural and monitoring skills will be learned.

Specific Goals:
1. The student will be able to perform a directed history and perform a
physical examination related to the patient’s chief complaint. The student
will actively search out abnormal physical findings in the ED.
2. The student will begin to generate a differential diagnoses that
addresses urgent and emergent conditions that are consistent with the
history and physical examination.
3. The student will understand the natural history, management and
complications seen with patients who present with chest pain, abdominal
pain, traumatic injuries, dyspnea, and altered mental status.
4. The student will demonstrate proficiency in basic patient care and
monitoring procedures including intravenous access, oxygen
administration, pulse oximetry, NG placement and Foley catheter
placement.
5. The student will be exposed to wound management including bleeding
control, wound cleaning, wound exploration, wound closure and dressing.
6. The student will assist with application of splints for fractures
7. The student will perform CPR and assist with resuscitation.
8. The student will take and pass an ACLS course
9. The student will explore out of hospital care by participating in an EMS
ride along.




           Emergency Medicine Third Year Clerkship Handbook
                              Page 3 of
Course Structure
Schedule:
You will be assigned a schedule of times to be present and working in the
emergency department at the University of Kentucky. All shifts are done at
the home institution at this time. Each shift is 6 hours in duration and the
shifts are scheduled such that you will be exposed to the ED at all times of
the day including weekends. You will work seven (7) shifts of six (6) hours
length. You should have ample off-shift time for reading. Since we cannot
schedule what kind of patients arrive on a given day, tasks may be done on
any shift, but all must be accomplished and documented for course
completion. Schedule trades are allowed but must be approved IN
ADVANCE by the course director for the ED component, Bill Young MD.
Additionally students will be expected to attend the Thursday 7 am to 1 pm
emergency department conferences presented during their two (2) week
rotation schedule as well as the Friday afternoon seminars (with the larger
block of students) A student ride along with local EMS is a requirement and
is best accomplished during the two week EM block of time and MUST be
done prior to the 15th week of the curriculum.
*** KEEP TRACK OF ALL YOUR PAPERWORK FOR TURN IN ***

A sample schedule follows:
Monday:        1 pm to 7 pm Clinical Shift #1
Tuesday        7 pm to 1 am Clinical Shift #2
Wednesday      OFF
Thursday       Morning EM Conferences (7 am - noon)
Friday         7 am to 1 pm Clinical Shift #3, Friday Seminar
Saturday       7 pm to 1 am Clinical Shift #4
Sunday         1 am to 7 am Clinical Shift #5
Monday:        OFF
Tuesday        OFF
Wednesday      1 pm to 7 pm Clinical Shift #6
Thursday       Morning EM Conferences (7 am - noon)
               1 am to 7 am Clinical Shift #7
Friday         Friday Seminar
Saturday       EMS RIDE ALONG (or any other free day)
Sunday         OFF




           Emergency Medicine Third Year Clerkship Handbook
                              Page 4 of
                               Assignments

                                      *********
   PLEASE REVIEW ALL SHIFT ASSIGNMENTS: ALL DUTIES CAN BE
    DONE ON ANY SHIFT. DO NOT WAIT UNTIL YOUR LAST SHIFT!!
                                       ********
1. Orientation to the ED showing the location of the critical care beds, acute
care beds, kids care beds, CT scanner, ED radiology, omnicell location for
supplies, computer access for online information such as Up To Date,
digital x-ray viewers and sign on for patient information.
2. Stay with the second or third year ED resident for two hours in the 100’s
exam rooms (“front beds”) and observe their evaluation and management
of some patients as you learn the lay of the land. Assess how the resident
focuses on the chief complaint and performs a directed history and exam.
Document two patient encounters performed by the ED resident on the
encounter form and attach to the master check list.
3. Assist the nurses to attach a cardiac monitor and pulse oximetry to a
minimum of three patients.
4. Perform venous assess and set up an IV on FOUR patients during the
rotation.
5. Spend some time at triage observing how the ED patients are brought
into the system and assigned to a room. What is triage category 2? Are
tests and treatments started at triage by nursing staff? What happens to
ambulance patients?
6. See and evaluate with the senior or junior resident a patient with the
chief complaint of chest pain. Use the “chest pain sheet” to obtain a history
of the pain, associated symptoms, risk factors and characteristics of the
discomfort. Perform a directed physical exam. Examine and discuss the
ECG findings with the resident or faculty, examine the CXR and discuss
findings. Discuss the appropriate laboratory investigations and their
importance. Discuss the potential working diagnosis and plan of
management. If the patient is admitted, obtain the medical record number
and follow-up the course in the hospital. Copy your patient note and attach
to the task list.
7. Insert or assist insertion of a foley catheter for urinary drainage on at
least ONE patient
8. Insert or assist insertion of a nasogastric tube and confirm placement on
at least ONE patient.
9. Perform the NIH Stroke scale for 2 patients. One should be abnormal.

           Emergency Medicine Third Year Clerkship Handbook
                              Page 5 of
10. Assist with a laceration repair under supervision with wound evaluation,
wound anesthesia, wound cleaning, wound exploration wound closure and
bandaging.
11. Apply supplemental oxygen to 2 patients via nasal cannula or non-
rebreather mask.
12. See and evaluate with the senior or junior resident a patient with the
chief complaint of dyspnea. Obtain a history of the dyspnea, associated
symptoms, and risk factors for associated diseases. Document the results.
Perform a directed physical exam. Examine and discuss the ECG findings
with the resident or faculty, examine the CXR and discuss findings. Discuss
the appropriate laboratory investigations and their importance. Discuss the
potential working diagnosis and plan of management. If the patient is
admitted, obtain the medical record number and follow-up the course in the
hospital. Keep and attach a copy of your note.
13. Assist in application of a splint for fracture protection. Observe and
assist with reduction.
14. Perform and document 4 mini mental status exams. More than one
should be abnormal.
15. See and evaluate with the senior or junior resident a patient with the
chief complaint of altered mental status. Obtain a history, associated
symptoms, risk factors for associated diseases. Document the results.
Perform a directed physical exam. Discuss the appropriate laboratory
investigations and their importance. Discuss the potential working
diagnosis and plan of management. If the patient is admitted, obtain the
medical record number and follow-up the course in the hospital. Document
your findings on an ED record and attach to master checklist.
16. Perform a fundoscopic exam on 10 patients looking for the optic cup,
disk, and signs of hypertension or diabetes. Seek out patients with diabetes
and hypertension in the ED.
17. Perform a glasgow coma scale assessment on 10 patients. At least 5
patients should be less than 15.
18. See and evaluate with the senior or junior resident a patient with the
chief complaint of abdominal pain. Obtain a history of the characteristics of
the pain associated symptoms and risk factors for associated diseases.
Document the results. Perform a directed physical exam. Discuss the
appropriate laboratory investigations and their importance. Discuss the
potential working diagnosis and plan of management. If the patient is
admitted, obtain the medical record number and follow-up the course in the
hospital.

           Emergency Medicine Third Year Clerkship Handbook
                              Page 6 of
19. Examine the lung sounds of 10 patients with emphasis on abnormal
sounds. Correlate with ED physician findings and CXR if done on the
patient.
20. Observe a FAST ultrasound examination or an ultrasound exam of the
abdomen with a faculty or resident and discuss the technique and findings.
21. Assist the ED resident with the initial evaluation of a trauma alert
patient. Perform the primary survey in association with the resident. Obtain
the trauma alert sheets and assist in filling in information on these forms.
Save a copy to turn in with your checklists.
22. Examine heart sounds on 10 patients in the ED and correlate to any
abnormalities. Seek out patients with heart problems to examine.
23. Review 5 CT scans of the head and discuss any abnormalities with the
attending or resident. Find an example of a stroke and an intracranial
bleed.
24. Perform otoscope evaluation on 10 patients including 5 children noting
landmarks and normal anatomy.
25. Perform CPR during a resuscitation. May be done any shift. Don’t stand
around, get in there and ask to help. You will have CPR during the ACLS
course but real life is different.
26. Occasionally the resident is called away to a hospital code. If this
occurs during a shift go with the resident and assist as needed.
27. Observe a procedural sedation noting agents used and why. Observe
how the patient is monitored.




           Emergency Medicine Third Year Clerkship Handbook
                              Page 7 of
DISEASE PROCESSES OBSERVED CHECK OFF LIST

[   ] acute coronary syndrome
[   ] pulmonary embolism
[   ] pneumothorax
[   ] pneumonia
[   ] respiratory failure
[   ] asthma
[   ] COPD
[   ] pulmonary edema
[   ] cholecystitis
[   ] diverticulitis
[   ] perforated viscus
[   ] appendicitis
[   ] testicular torsion
[   ] UTI
[   ] ovarian torsion
[   ] ectopic pregnancy
[   ] kidney stones
[   ] bowel obstruction
[   ] stroke
[   ] seizure
[   ] subarachnoid hemorrhage
[   ] altered mental status
[   ] trauma evaluation (primary survey)
[   ] CPR

YOU WILL CERTAINLY NOT BE EXPECTED TO SEE ALL THE ABOVE
BUT PLEASE DOCUMENT WHAT TYPE PROBLEMS YOU ARE SEEING
IN THE ED SO WE MAY CHANGE THE EXPERIENCES AS
NECESSARY.
Only check off a known diagnosis not a potential differential.


STUDENT Name ________________________________________




           Emergency Medicine Third Year Clerkship Handbook
                              Page 8 of
Evaluation and Grading:

Evaluation will be based on:

     40%         Points from Daily Tasks Completed and Documented
     20%         Grade on the ACLS written exam
     30%         Grade on the Emergency Medicine Final exam
     10%         Score on combined Clinical Performance Examination
                 on ED type patient complaints
                 (CPE-MD 835)

     PASS FAIL Components:

           EMS Ride Along
           ACLS Certification
           Attendance at Emergency Medicine conference
           Nursing Award Nomination
           Diseases Observed Check off List (you are not expected to
           see all on the list but please document what disease
           conditions that you see.)


A compose score is created using the above criteria. Students completing
all pass/ fail components and scoring between one standard deviation
above and two standard deviations below the mean (mean =/- S.D.) will be
awarded a final grade of “B”. Those students scoring greater than one
standard deviation more than the mean will be awarded a grade of “A”,
Those students scoring less than two SD below the mean but greater than
three SD below the mean will receive a “C” grade. Students scoring less
than three standard deviations less than the mean will receive a “U” and
will be required to remediate that portion of the grade most responsible for
the poor score. (For example retake the EM exam, retake the CPE-MD
835) If the student successfully remediates the course, the new grade will
be U/ (rescored composite grade).
Failure to remediate will result in an ”E"” grade
Failure to complete the pass/ fail components will result in an incomplete
grade until all components are met.




           Emergency Medicine Third Year Clerkship Handbook
                              Page 9 of
Emergency Medicine Conferences:
Students in the emergency medicine rotation are required to attend the
weekly emergency medicine conference given every Thursday from 0700
to noon in the emergency medicine conference room across from M-53.
Conferences might be held in alternate locations at times. Time is allotted
for this activity and no shifts are scheduled during this time.

Dress:
Students are representing the college of medicine and the department of
emergency medicine and should be properly and professionally attired.
This should include name tags and white coats. Students should bring their
own stethoscopes. Proper protective gear is provided in the ED and shall
be used to prevent healthcare worker blood fluid exposures.

Friday Seminars:
Friday seminars are required during the ED rotation block and no shifts will
be scheduled during this time.

Professionalism:
Please refer to the master syllabus for UKCOM professional standards and
expectations concerning exams, electronic devices, duty hours, conduct
and decorum.




           Emergency Medicine Third Year Clerkship Handbook
                             Page 10 of
EMS Ride-Along
An EMS ride along is a required component of the rotation. This should be
scheduled during the two week block of time allocated for the emergency
department rotation. In unusual circumstances, this may be deferred for
hardship on a case by case basis. Appropriate application forms and
process are attached. Dianna Buford (323-5908) in room M-53 (near the
post office in the emergency medicine offices) will assist you in arranging
this component.

     Required Readings:
          The required text for this course is

     First Exposure to Emergency Medicine Clerkship
     Lance Hoffman et. al.
     ISBN # 0-07-141716-8


You can read the required readings at any time but here is suggested
schedule. Much of the final written exam is covered in the readings.

REQUIRED READINGS
SHIFT ONE       Chapters 1, 2, 5, 18, 21
SHIFT TWO       Chapters 9,10,22,25,37
SHIFT THREE     Chapters 3,4,11,26,29,53
SHIFT FOUR      Chapters 6,13,14,15,36,38,39
SHIFT FIVE      Chapters 7,8,12,16,17,46
SHIFT SIX       Chapters 20,71,34,37
SHIFT SEVEN     Chapters 41,19




           Emergency Medicine Third Year Clerkship Handbook
                             Page 11 of
ATTACHMENTS:
Master Clinical Shift Task List            **On this Attachment
NIH Stroke Scale (copy as needed)          **On Disk
Glasgow Coma Scale (copy as needed)        **On Disk
Resident Observation Form (copy as needed)** On Disk
EMS Ride Along Forms and Application Obtain from Dianna Buford
Schedule                                   **On this Attachment
Nursing Award Ballot                       **On this Attachment




          Emergency Medicine Third Year Clerkship Handbook
                            Page 12 of
      MASTER CHECK LIST OF ED TASKS               page 1
VALUE POINTS
20 [ ] Observe two patient encounters with the third year EM
        resident and document your observation on the form. Attach
        both forms to this check list

20   [   ] Observation of Triage process on date (        /     /      )

10   [   ] Attach cardiac leads, pulse oximetry and monitor to minimum
           of three patients

10   [   ] Supplemental Oxygen Applied to two patients

40   [ ] Perform venous assess and set up an IV on 4 patients
     MR# __________________ MR# __________________
     MR# __________________ MR# __________________

20   [ ] CHEST PAIN PATIENT EVALUATION
     Attach your written ED note to the checklist

10   [ ] Insert a foley catheter for urinary drainage
     MR# __________________

10   [ ] Insert a nasogastric tube and confirm placement.
     MR# __________________

20   [   ] Perform the NIH Stroke scale for 2 patients. One should be
           abnormal. NIH Score for patient 1:_______ 2:_________

20   [   ] DYSPNEA PATIENT EVALUATION Attach your note

10   [ ] Wound Repair Assisted
     MR# __________________

10   [ ] Assist with Splint Application
     MR# __________________

I certify that I have performed the above tasks as noted in the syllabus.

STUDENT NAME PRINTED __________________________________
MASTER CHECK LIST OF ED TASKS                   page 2

20   [   ] Perform the Mini Mental Status for 4 patients. Two should be
           abnormal. MMSE Score Patient 1:___ 2.____3.____4.____
20   [ ] ALTERED MENTAL STATUS PATIENT EVALUATION
     Attach your written ED note to the checklist

10 [ ] Fundoscopic on 10 patients done.
Abnormal Findings seen: _____________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
10 [ ] GCS performed on 10 patients done.
Abnormal Findings seen: _____________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
20 [ ] ABDOMINAL PAIN PATIENT EVALUATION
     Attach your written ED note to the checklist

10 [ ] Lung Sounds on 10 patients done
Abnormal Findings heard: _____________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________

20   [   ] Observed a FAST ultrasound examination

20   [ ] TRAUMA ALERT PATIENT EVALUATION
     Attach a copy of your note

10 [     ] Examined 5 Head CTs
Abnormal Findings seen: _____________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________

I certify that I have performed the above tasks as noted in the syllabus.

STUDENT NAME PRINTED __________________________________
MASTER CHECK LIST OF ED TASKS                  page 3

10 [ ] Ausculated heart sounds on 10 patients
Abnormal Findings heard: _____________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
10 [ ] Otoscope evaluation of 10 patients
Abnormal Findings seen: _____________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________

20   [ ] Procedural Sedation Observation
     Agent(s) Used _________________________________________
     Dose ________________________________________________
     Reason Chosen ________________________________________
     Procedure ____________________________________________
     How Monitored ________________________________________

20   [ ] CPR (may be done in ACLS class)
     MR # ___________________________
     Observations




I certify that I have performed the above tasks as noted in the syllabus.
STUDENT NAME PRINTED __________________________________

TOTAL POSSIBLE SCORE _________ out of 400 Points
SCHEDULES

STUDENT A

Monday:     1 pm to 7 pm Clinical Shift #1
Tuesday     7 pm to 1 am Clinical Shift #2
Wednesday   OFF
Thursday    Morning EM Conferences (7 am - 1 pm)
Friday      7 am to 1 pm Clinical Shift #3, Friday Seminar
Saturday    7 pm to 1 am Clinical Shift #4
Sunday      OFF
Monday:     1 am to 7 am Clinical Shift #5
Tuesday     OFF
Wednesday   1 pm to 7 pm Clinical Shift #6
Thursday    Morning EM Conferences (7 am - 1 pm)
Friday      1 am to 7 am Clinical Shift #7
            Friday Seminar
Saturday    EMS RIDE ALONG (or any other free day)
Sunday      OFF

STUDENT B

Monday:     7 pm to 1 am Clinical Shift #1
Tuesday     OFF
Wednesday   1 am to 7 am Clinical Shift #2
Thursday    Morning EM Conferences (7 am - 1 pm)
Friday      Friday Seminar
Saturday    7 am to 1 pm Clinical Shift #3,
Sunday      1 pm to 7 pm Clinical Shift #4
Monday:     1 pm to 7 pm Clinical Shift #5
Tuesday     OFF
Wednesday   OFF, EMS RIDE ALONG (or any other free day)
Thursday    Morning EM Conferences (7 am - 1 pm)
            7 pm to 1 am Clinical Shift #6
Friday      Friday Seminar
Saturday    1 am to 7 am Clinical Shift #7
Sunday      OFF
STUDENT C

Monday:     OFF
Tuesday     1 am to 7 am Clinical Shift #1
Wednesday   7 am to 1 pm Clinical Shift #2
Thursday    Morning EM Conferences (7 am - 1 pm)
            1 pm to 7 pm Clinical Shift #3
Friday      Friday Seminar
Saturday    1 pm to 7 pm Clinical Shift #4
Sunday      7 pm to 1 am Clinical Shift #5
Monday:     OFF
Tuesday     1 am to 7 am Clinical Shift #6
Wednesday   OFF
Thursday    Morning EM Conferences (7 am - 1 pm)
Friday      Friday Seminar
            7 pm to 1 am Clinical Shift #7
Saturday    OFF EMS RIDE ALONG (or any other free day)
Sunday      OFF

STUDENT D

Monday:     OFF, EMS RIDE ALONG (or any other free day)
Tuesday     1 pm to 7 pm Clinical Shift #1
Wednesday   OFF
Thursday    Morning EM Conferences (7 am - 1 pm)
Friday      1 am to 7 am Clinical Shift #2
            7 pm to 1 am Clinical Shift #3
Saturday    OFF
Sunday      OFF
Monday:     7 pm to 1 am Clinical Shift #4
Tuesday     OFF
Wednesday   1 am to 7 am Clinical Shift #5
Thursday    Morning EM Conferences (7 am - 1 pm)
Friday      Friday Seminar
Saturday    1 pm to 7 pm Clinical Shift #6
Sunday      7 am to 1 pm Clinical Shift #7
STUDENT E

Monday:     OFF, EMS RIDE ALONG (or any other free day)
Tuesday     7 am to 1 pm Clinical Shift #1
Wednesday   1 pm to 7 pm Clinical Shift #2
Thursday    Morning EM Conferences (7 am - 1 pm)
Friday      Friday Seminar
Saturday    1 am to 7 am Clinical Shift #3
Sunday      OFF
Monday:     OFF
Tuesday     7 pm to 1 am Clinical Shift #4
Wednesday   OFF
Thursday    1 am to 7 am Clinical Shift #5
            Morning EM Conferences (7 am - 1 pm)
Friday      Friday Seminar
Saturday    7 pm to 1 am Clinical Shift #6
Sunday      1 pm to 7 pm Clinical Shift #7

STUDENT F

Monday:     7 am to 1 pm Clinical Shift #1
Tuesday     OFF
Wednesday   OFF
Thursday    1 am to 7 am Clinical Shift #2
            Morning EM Conferences (7 am - 1 pm)
            7 pm to 1 am Clinical Shift #3
Friday      Friday Seminar
Saturday    OFF
Sunday      OFF, EMS RIDE ALONG (or any other free day)
Monday:     OFF
Tuesday     1 pm to 7 pm Clinical Shift #4
Wednesday   OFF
Thursday    Morning EM Conferences (7 am - 1 pm)
            1 pm to 7 pm Clinical Shift #5
Friday      Friday Seminar
Saturday    OFF
Sunday      1 am to 7 am Clinical Shift #6
            7 pm to 1 am Clinical Shift #7
Ballot for Nursing Award for Medical Student Teaching

I nominate ________________________________________

For the nurse teaching award because:

______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________




Student Name (printed) __________________________________
                  LEXINGTON-FAYETTE URBAN COUNTY
               DIVISION OF FIRE AND EMERGENCY SERVICES

                       REQUEST FOR RIDE-A-LONG PROGRAM

     University of Kentucky: MD 835: Internal Medicine/ Emergency Medicine

                                      ATT: Chief Griggs
                                      (859) 231-5606 Fax
DATE: ____________________

NAME: _________________________________________________

AGE: _______ DOB: _______________________

ADDRESS: _____________________________________________ STATE: ______ ZIP: ___________

PHONE: ___________________________EMAIL: ______________________________

EMERGENCY CONTACT: _____________________________________________________________

PHONE: __________________________ ADDRESS: ________________________________________

REASON FOR RIDE-A-LONG: UK Class Requirement MD 835 Emergency Medicine

DATE AND TIME TO RIDE: _______________________________________________
                              (List optimal dates - Will be assigned according to availability)
Ride-A-Long dress code:
        Males shall wear clean and neat shirts (with collar), slacks, and dress style shoes.
        Females shall wear slacks and a blouse or jacket with shoes.
        Shorts, blue jeans, and logo t-shirts are prohibited.
        Medical personnel may wear their work uniform (scrubs, etc.)

Individuals may ride ONLY 3 times a year.

Approved/Disapproved: _______________________________________________

The following person requests to ride with an emergency care assigned to (STATION/AREA):

_________________________________________________________________________


                MUST PRESENT A SIGNED COPY OF THIS AND A PICTURE ID
                TO THE EC UNIT CREW YOU ARE SCHEDULED TO RIDE WITH


           RODE WITH: ______________________________________________________
           **Students: After EMS Shift, form must be returned with “Rode With” signature
EMS Ride A Long:
To experience pre-hospital care, all students are assigned to ride an 8-hour shift with the Fayette
County EMS unit.

Please read and follow directions carefully in order to set up a Ride A Long. Chief
Griggs schedules each Ride. For a smoother process, please include 2 or more dates which you
are available. Do not expect an immediate response.

Achieving a date:
   1. Completely fill out the Ride A Long form
   2. Fax (859) 231-5606, ATT: Chief Griggs
   3. Chief Griggs will assign an EC unit, sign the form and fax to EM offices.
   4. Students will be notified via email once the fax arrives.
   5. If a follow up is need, then contact Chief Griggs at (859) 231-5661.

Guidelines for EMS Shift:
    Wear your UK student identification badge.
    Follow dress codes required by each EMS site:
            Males shall wear clean and neat shirts (with collar), slacks, and dress style
               shoes.
            Females shall wear slacks and a blouse or jacket with shoes.
            Shorts, blue jeans, and logo t-shirts are prohibited.
            Medical personnel may wear their work uniform (scrubs, etc.)
You may bring your stethoscope and reference materials that you use in the ER.

				
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