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Hello.. I just want you to make sure to paraphrase so there will not be a plagiarism in this doc and coordinate it as well. introduction.docx Unformatted Attachment Preview INTRODUCTION The critical care is a growing branch of Emergency medical services. The advancements in medicine have developed the need of trained paramedics who are able to provide an advanced care for critically patients. The concept of critical care as a specialty, is relatively modern, even though there have always been very sick and severely injured patients. Given the advances in medicine and technology, the pre-hospital care of patients has become more complex. To provide appropriate care, paramedics require specialized knowledge and skills as the mechanisms of delivering care evolve to support patients needs for continuous monitoring and treatment. The practice of paramedic critical care has improved over the past decades. Knowledge of the pathophysiology of life-threatening conditions and the technological capacity to monitor and treat patient’s pre-hospital and within the hospital, have advanced rapidly during this period. Currently, in the Kingdom of Saudi Arabia, there is a need for pre-hospital critical conditions to be adhered to correctly to prevent deaths. To meet the national and international standards of paramedic critical care, the Saudi Commission for Health Specialties (SCFHS) will offer an evidence-based training and educational program, tailored specifically to critical care in the pre-hospital and within hospital. The expected outcomes of this program include the generation of research investigations and dissemination of research findings related to this specialized area of practice. This program will focus on the paramedic critical care with acute and complex health problems. The emphasis is on enhancing the critical thinking skills necessary to make sound judgments and promote self-directed care of patients with acute and complex health problems. Furthermore, this program will synthesize evidence-based data to deliver competent, culturally sensitive, and appropriate holistic care to clients with complex health needs. PROGRAM OVERVIEW The Advanced Practice Program in Paramedic Critical Care is a two-year program designed to provide opportunities for registered paramedics to acquire updated clinical knowledge and skills, and further develop professional attitudes and behaviors, which will enable them to work with critically ill patients. This program will help the trainee paramedics to develop intellectual and creative abilities to facilitate the development of independent judgment and problem-solving skills. The ultimate goal of this program is to prepare registered paramedics with sound skills and attitudes to perform competently in critical care settings. Upon successful completion of the Advanced Practice Program in Paramedic Critical Care, the paramedic will be awarded a certificate from the SCFHS to practice as a Senior Specialist in Paramedic Critical Care. Program Objectives Upon completion of the Advanced Practice Program in Paramedic Critical Care, the learner will be able to: - Integrate knowledge of paramedic science and related sciences with the care of critically ill patients. - Identify common risk factors that may adversely affect the physical and psychosocial well- being of patients with acute life-threatening diseases and injuries - Utilize the paramedic process in the care of patients with acute life-threatening condition. - Demonstrate the interpersonal and psycho-motor skills needed to implement effective care of critically ill patients. - Utilize critical thinking skills to improve the health outcomes of patients with acute life- threatening condition. - Provide health education and counseling to patients and their families. - Manage sudden or acute deteriorations in the conditions of patients who are ill with acute life-threatening diseases and injuries. - Apply infection control and safe-patient care standards when caring for patients with acute life-threatening diseases and injuries. - Utilize an evidence-based approach to evaluating paramedic practice. - Apply concepts of quality improvement to the evaluation of paramedic care. - Manage ethical issues concerning the care of patients and their families in accordance with Islam, Saudi culture, and their regulations. - Participate in professional development activities, including self-directed learning and continuing professional education. - Assess and facilitate patients’ and families’ use of effective coping mechanisms in times of crisis. - Provide safe and effective practice in the administration and disposal of drugs used in the care of the critically ill patient; assess the effects of drug therapy and initiate action according to the clinical unit’s protocols. - Analyze management and leadership using relevant theories and demonstrate their application to professional practice. Reflect and critically evaluate their own practice in the application of an appropriate model of paramedic. Apply knowledge demonstrate knowledge and request of patient’s rights in professional clinical practice. General Training Requirements The trainee shall abide by the regulations and obligations established by the Saudi Commission for Health Specialties (SCFHS). Training is a full-time commitment. The trainee shall be enrolled on a full-time, continuous basis for the entire duration of the program. Training is to be conducted in institutions accredited for paramedics’ training by the Saudi Commission for Health Specialties. The training will be comprehensive in the specialty of the critical care of patient. The trainee shall be actively involved in patient care with gradual progression of responsibility. Admission Requirements Eligible applicants must fulfill the application requirements of the SCFHS and meet the following criteria: - Be a graduate from an accredited degree program with an Associate of Applied Science (AAS). - Pass the interview for admission. - Provide a letter from an employer supporting a full-time enrollment in the program. - Provide evidence of current certification in Basic Life Support (BLS). To obtain a certificate of the Advanced Practice Program in Paramedic Critical Care, the candidate must fulfill the following requirements: - The required period for the completion of this program is two calendar years. - The program consists of a 44 weeks per calendar year, excluding examination weeks and annual vacation. A total of 88 weeks must be completed during the entire study period. - A total of 40 hours of didactic and clinical hours must be completed each week. - The trainee rotation consists of an 8-hour shift, excluding lunchtime or a 12-hours shift to complete the required total of 40 hours per week. - The program’s language of instruction is English. Leaves Trainees are entitled to an annual leave of thirty days in addition to one of the Eid leaves. Trainees are also entitled to sick leaves, maternity leaves, and emergency leaves for a period not exceeding ninety days. Trainees shall compensate for such leaves with an equivalent number of days before being awarded the program’s certificate of completion. Leaves that are not utilized in due time within the year shall not be shifted to the coming year. Trainees may be granted special leave for scientific purposes not to exceed seven days per training year to attend scientific conferences, seminars, or workshops in the same specialty area. The trainee is required to provide proof of attending such activities. Year Modules Number of Weeks Orientation: 1 week MODULES OF FIRST YEAR TRAINING Module I:Critical Care Interfacility Transport 4 Module II: Ground Transport Safety and Air Medical 5 Module III: Medical-Legal and Ethical Aspects 5 of CCIT Module IV: Diagnostic Studies: Laboratory Interpretation, Radiology 6 Module V: Vascular Access, Fluid and Blood Administration 5 Module VI: Pharmacology 5 Module VII:Trauma, Multi-system Trauma and Burn Injuries 6 Annual Vacation: 4 weeks MODULES OF SECOND YEAR TRAINING: Module VIII Cardiovascular System 4 Module IX: Respiratory System 4 Module X: Nervous System 4 Module XI: Gastrointestinal System 4 Module XII: Endocrine System 4 Module XIII: Hematology, Immunology and Infectious Disease 4 Module XIV: Obstetrical Patient and Care of the Newborn 4 4 Module XV: Leadership and Management Eid Vacations: 2 Weeks (One Week for Each Eid) INSTRUCTIONAL METHODS 1) Interactive lectures and discussions 2) Computer assisted interactive instructional programs 3) Weekly reading assignments 4) Simulations and clinical skills demonstrations 5) Presentations 6) Group discussion of case studies 7) Clinical practicums to include: Theory to precede related clinical assignments (as needed). Post clinical debriefing: 1-2 times per week, as needed, and the development of paramedics plans of care for selected patients. Case presentations: Guidelines: Each trainee will present a case study of a patient cared for in the clinical setting. The case presentation should include: the patient’s past medical history, disease diagnosis/treatment history, current medical/surgical diagnosis, and his/her diagnosis with appropriate assessment findings, and current plans of care with identification of optimal outcomes. Presentations are to be approximately 15 minutes with the trainee facilitating the post-presentation discussion. The discussion should include a comparison of plans of care with the current International Association of Flight &Critical-Care (IAFCC) Clinical Practice guidelines, Standards of Care, and any other evidence-based practice standards. This program contains fifteen modules that address topics relevant to the education and training of paramedic enrolled in an advanced practice program with a focus on paramedic critical care. Each module targets specific competencies. The program’s clinical competencies have been adopted from Mosby’s skills database, with some modifications to meet the outcomes of this program. Each trainee is issued a username and a password to access Mosby’s database. The trainee is expected to perform the competency exams online. The assigned clinical instructor monitors the test results and schedules trainees for competency checks in the paramedic skills laboratory, based on the trainees’ online-exam scores. The checklist is used as a tool to monitor the competency checks of each trainee. Hospital Rotations Most hospitals’ critically ill patients are in the intensive care units. Therefore, to experience the role of the Paramedic critical care medic, trainees are provided with adequate specialty experience. The purpose is to enable them to have confidence and gain competence in terms of the assessment and overall holistic management of critically ill patients in varied critical care settings. Some hospitals have several ICUs, such as a Trauma, Surgical, and Burn ICUs. Additionally, some critically ill patients arrive in the Emergency Department and then transfer to another hospital or die. Therefore, trainees are advised to see these cases with his/her clinical instructor. FIRST-YEAR TRAINING MODULES Critical Care Interfacility Transport The participant shall be able to: 1. Understand the role of the critical care interfacility transport teams in the patient care continuum. 2. Understand the importance of providing the highest quality of care in a timely and safe manner. 3. Understand how the needs and characteristics of patients influence and drive the competencies of critical care interfacility transport professionals. 1- Define and differentiate between the following: a. Emergency Medical Services (EMS) b. Interfacility EMS transport c. Critical Care and Critical Care Transport 2. Compare and contrast the role of Emergency Medical Services pre-hospital system with critical care interfacility transportation 4. Describe how existing critical care professional organizations help shape the characteristics of the critical care transport professional 5. Differentiate between critically ill trauma and medical patient transport theories a. Scoop and run b. Stay and play/resuscitate 6. Describe safe transport techniques 7. Describe appropriate transport equipment necessary for various critical care interfacility transports 8. Describe the Scope of Practice for Critical Care-Paramedic and pertinent rules and regulations for critical care paramedics in interfacility transports 9. Describe the components needed to provide the highest quality of care during critical care interfacility transport 10. Describe the importance of initial stabilization of the patient prior to transport a. EMTALA and COBRA laws 11. Describe how disaster and mass casualty events will affect critical care interfacility transport Ground Transport Safety and Air Medical The participant shall be able to: 1. Integrate pathophysiological principles and assessment findings to manage the treatment and transport of the critical care patient to assist with the decision making regarding air medical transport vs. ground transport. 1. Describe ways of creating and maintaining a safe work environment Vehicle checks ● Equipment checks ● Safety equipment ● Identify potential hazards during vehicle operations and ways to avoid or minimize them - Physical hazards - Stress hazards (thermal, humidity, noise, vibration, fatigue) ● Ensure safety of passengers and patient during transport 2. Identify different classes of aircraft ● Fixed wing vs. rotor wing ● Twin vs. single-engine aircraft ● Weight considerations and aircraft performance 3. Describe air medical transport safety awareness - Landing zone - Communications - Coordination 4. Understand basic gas laws ❖ Four basic variables - Temperature - Mass - Volume - Pressure ❖ Boyle’s law ❖ Dalton’s law ❖ Henry’s law ❖ Graham’s law 6. Identify flight stressors and interventions during air transport a. Decreased partial pressure of oxygen ❖ Hypoxia b. Barometric pressure c. Thermal regulation d. Humidity e. Gravitation forces f. Dehydration 7. Identify the effects, causes and emergency procedures for rapid decompression 8. Identify differences in patient care and equipment considerations during transport Compare and contrast patient preparation activities for air transport vs. ground transport 11. Compare and contrast the benefits and limitations of air vs. ground transportation for critical care transport Psychomotor Objectives: In this unit, the participant shall be able to: 1. Perform reassessment techniques and interventions specific to flight physiology Medical-Legal and Ethical Aspects of Critical Care The participant will be able to comprehend basic legal issues pertaining to critical care 1. Explain the legal responsibilities of EMS Rules, Regulations and Statutes regarding: a. Patient, medical director, and public b. Set by legal system - Statutes enacted by legislature - Rules and Regulations by governmental agencies - Scope of practice Explain laws and regulations of ambulance services in Saudi Arabia a. Describe the Rules of ambulance services including minimum qualifications of required personnel b. Explain the legal definition and objective for the scope of practice in critical care c. Explain the role of the medical control and medical director as it pertains to critical care 3. Review legal and ethical responsibilities of paramedics 4. Define and describe the Emergency Medical Treatment and Active Labor Law (EMTALA) for ambulance services 5. Explain the role, requirements and obligations of: a. Sending facility - Medical examination - Stabilization of patient - Communication ⮚ Doctor to doctor ⮚ Nurse to nurse - Documentation - Physician Transfer orders b. Transport team and associated medical direction i. Protocol specific c. Receiving facility 1. Defend the value of advanced medical directives 2. Support the roles, requirements and obligations of the transport team Rules, Regulations and Statutes, including scope of practice 3. Understand the evolving legal process for development and implementation of Saudi’s Rules, Regulations and Statutes, including scope of practice 4. Justify the need for specialized personnel and equipment in critical care of neonatal to geriatric patients with special monitoring needs from the legal and ethical perspectives Demonstrate ability to complete required documentation before, during and after a critical care Diagnostic Studies: Laboratory Interpretation, Radiology The participant shall be able to: 1. Gain a fundamental understanding of the diagnostic studies pertinent to critical care patients. 2. Integrate diagnostic findings into patient care decision-making for critical care transport. 1. Laboratory interpretation: a. Identify appropriate abbreviates for blood chemistry tests. b. The normal and abnormal values and correlate pathophysiological states for the following blood chemistry tests: i. Arterial blood gas ii. Blood chemistry/metabolic panel iii. Complete blood count iv. Cardiac enzymes v. Coagulation studies vi. Routine urinalysis vii. Cerebrospinal fluid analysis 2. Radiology / imaging a. Identifying abnormalities on a chest x-ray such as: ❖ Pneumothorax ❖ Widened mediastinum ❖ Pulmonary contusion ❖ Consolidation ❖ Skeletal fractures b. Discuss the clinical signal found on X-ray used for identification of: ❖ Endotracheal tube placement ❖ Naso and orogastric tubes ❖ Central lines ❖ Chest tube c. Correlate basic CT scan abnormalities with specific pathophysiologic conditions related to: ❖ Head ❖ Chest ❖ Spine ❖ Abdomen ❖ Pelvis Recognize the following utilizing radiologic and imaging diagnostic studies: ❖ Pneumothorax ❖ Pulmonary infiltrate ❖ Various invasive treatment device placement ❖ Endotracheal tube, naso and orogastric tubes, central lines, chest tube ❖ Skeletal fractures ❖ Various bleeds ❖ Head, chest, abdomen, pelvis Vascular Access, Fluid and Blood Administration Understand Compare and contrast the use of various catheters for vascular access Conduct methods of fluid and blood administration 1. Indications for use, advantages, disadvantages, and potential Complications of the different types of vascular access device a. Peripheral (Midline) b. Central ❖ Tunneled (Hickman, Broviac, Dialysis) ❖ Non-tunneled (Internal jugular, Subclavian, Femoral) ❖ Peripherally inserted central catheter (PICC) 2. Describe basic techniques in using vascular access devices ❖ Multi-lumen catheter and associated line placements ❖ Access ❖ Site care ❖ Flushing 3. Identify the indications, contraindications, precautions, complications, administration method for neonate through geriatric patients requiring: a. Packed red blood cells b. Whole blood c. Platelets d. Albumin e. Fresh frozen plasma 4.Describe signs and symptoms, timing and treatment for the following blood transfusion reactions: a. Hemolytic b. Anaphylactic c. Febrile d. Circulatory overload 5. Identify indications, contraindications, precautions, complications, administration method for adult and pediatric patients requiring non-blood volume expanders: a. Hetastarch b. Plasma protein factor c. Hypertonic saline . Pharmacology The participant shall be able to: 1.Determine the appropriate use of pharmacological interventions as part of the overall patient management plan for neonate through geriatric critical care patients. 2.Demonstrate knowledge of specific medications common to patients requiring critical care 3.Demonstrate knowledge for the neonate through geriatric patient with toxic ingestion Describe how to evaluate the actions, pharmacokinetics, indications, contraindications, route of administration, adverse effects, and drug incompatibilities/interactions of all medications for safe administration. 2.Explain the time response curve and dose response curve of drug use. 3.Identify the effects of drug use on the liver, in renal dysfunction, shock states, and age extremes. 4.Articulate the different methods of mathematically calc ... Purchase answer to see full attachment
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Your assignment may be more than 5 paragraphs but not less. INSTRUCTIONS:  To access the FNU Online Library for journals and articles you can go the FNU library link here:  https://www.fnu.edu/library/ In order to n that draws upon the theoretical reading to explain and contextualize the design choices. Be sure to directly quote or paraphrase the reading ce to the vaccine. Your campaign must educate and inform the audience on the benefits but also create for safe and open dialogue. A key metric of your campaign will be the direct increase in numbers.  Key outcomes: The approach that you take must be clear Mechanical Engineering Organic chemistry Geometry nment Topic You will need to pick one topic for your project (5 pts) Literature search You will need to perform a literature search for your topic Geophysics you been involved with a company doing a redesign of business processes Communication on Customer Relations. 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Develop a community-wide intervention to reduce elevated blood pressure and hypertension in the State of Alabama that in in body of the report Conclusions References (8 References Minimum) *** Words count = 2000 words. *** In-Text Citations and References using Harvard style. *** In Task section I’ve chose (Economic issues in overseas contracting)" Electromagnetism w or quality improvement; it was just all part of good nursing care.  The goal for quality improvement is to monitor patient outcomes using statistics for comparison to standards of care for different diseases e a 1 to 2 slide Microsoft PowerPoint presentation on the different models of case management.  Include speaker notes... .....Describe three different models of case management. visual representations of information. They can include numbers SSAY ame workbook for all 3 milestones. You do not need to download a new copy for Milestones 2 or 3. 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Throughout your nurse practitioner program Vignette Understanding Gender Fluidity Providing Inclusive Quality Care Affirming Clinical Encounters Conclusion References Nurse Practitioner Knowledge Mechanics and word limit is unit as a guide only. The assessment may be re-attempted on two further occasions (maximum three attempts in total). All assessments must be resubmitted 3 days within receiving your unsatisfactory grade. You must clearly indicate “Re-su Trigonometry Article writing Other 5. June 29 After the components sending to the manufacturing house 1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard.  While developing a relationship with client it is important to clarify that if danger or Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business No matter which type of health care organization With a direct sale During the pandemic Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record 3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. 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Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972) With covid coming into place In my opinion with Not necessarily all home buyers are the same! When you choose to work with we buy ugly houses Baltimore & nationwide USA The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be · By Day 1 of this week While you must form your answers to the questions below from our assigned reading material CliftonLarsonAllen LLP (2013) 5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda Urien The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. 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The team is currently using an I would start off with Linda on repeating her options for the child and going over what she is feeling with each option.  I would want to find out what she is afraid of.  I would avoid asking her any “why” questions because I want her to be in the here an Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych Identify the type of research used in a chosen study Compose a 1 Optics effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. 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