Meeting & Agendas

Attendees arrive and convene while eating lunch.

• Faculty/Staff - No new Full Time Faculty. Several new Adjunct Faculty Members Clinical - June 30th was the last day that our students went to the O.R. Dr. Kimbrough is working on an agreement with Capital Area Anesthesia. This will be a Trauma Services Clinical. Holographic Simulations has approached our program about using their equipment for one semester for Beta Testing.It is designed to overlay on top of a real mannequin. Karen Cooper (Curriculum Specialist) will help us get a grant that is available to us so that we may purchase one set after the one semester trial is over. - Other/Misc. -  Simulations Equipment - We have two new mannequins thanks to Pat Recek. These new mannequins are wireless and have been working out really well.  EMT Classes - There will be two new EMT classes starting in 2018. One class will start Spring 2018 and this will be an High School Health sciences Academy. There will also be 30 new seats opening at Hays Campus Fall 2018.

● PPCP Portfolio has been updated ● NREMT IOOH Scenario Testing Update. - Integrated Out of Hospital Scenario. We needed a way to show that the program is running each student through the skills even though NREMT is not testing for them. NREMT did not have the changes down and out to our faculty until Fall 2016, so our faculty had to work very hard to prepare our students but they got the job done and testing went well. ● Skills - a. CPAP (Update) - Students are doing very well with CPAP. b. iGel - Don sent a request to the committee in the Summer and we have begun implement it in the Fall. c. Video Laryngoscope (Anticipated) - This was proposed to be a ‘taught but not tested” skill. We will vote on it later in the meting. o Community Paramedic (Anticipated) – Becky Brock o EMSP 1261 Proposed Changes/Additions – Vance Kirkuff. The exam is put out by the International Board. Becky is on the Board of the NAEMSC and is working towards writing the test. They want to write the standards and make this a degree specialty. Ask Becky for her notes on this subject. One college is wanting this to be an Associate’s Degree. Another problem that has arisen is ‘Scopes of Practice’. Bill Brown who retired from NREMT and he is pushing for accreditation. ACC would have to push it under ‘Local Needs’ in order to begin that process of making this a certification or degree. Arkansas and Tennessee have followed Minnesota’s plan for getting the law changed concerning the billing of Medicare in their state and this will open the possibility to be able to charge for Community Paramedic care. o EMSP 1261 Proposed Changes/Additions -

• Enrollment - EMSP: Spring 2017 – New 21, Total 104. Summer 2017 – New 8, Total 81, Fall 2017 – New 25, Total 103. EMT: Spring 2017 – 75, Summer 2017 – 72, Fall 2017 – 75 • Graduates – EMSP: Spring 2017 - 18, Fall 2017 – 14. • Summer enrollment has been dropping lower and lower since students who start in the Summer or Fall end up graduating at the same time. We will begin to find ways to combat this trend. • Pass/Fail Statistics – EMT - We are well above the National average at a 98% pass rate. Paramedic – Also well above the National Average pass rate at 100% • NREMT – - Topic Area of Performance – Our program is well above the National average each individual area of performance tested. - Post Grad Information – 75 percent of our 2016 graduates were employed in a related field.

• Terminal Goals/Objectives The goal of the ACC EMSP program is “to prepare competent entry-level paramedics in the cognitive (knowledge), psychomotor (skills), and affective (behavioral) learning domains.” In so doing, the graduate will be able to successfully discharge his/her duties and responsibilities as an independently functioning paramedic. Specific domain goals are as follows: Cognitive Domain Goal: Upon completion of the program, the paramedic graduate will demonstrate the ability to adapt the knowledge required to safely act as an entry level paramedic. Objective: Graduates must demonstrate competency by leadership in completing a comprehensive physical assessment on the following types of patients: • 20 pediatric patients with a minimum of 2 in each of the following categories: newborn, infant, toddler, preschooler, school age and adolescent • 45 adult patients • 15 geriatric patients Objective: Graduates must demonstrate recognition of illness or injury and treatment of the patient with the following pathologies and complaints: • 2 obstetrics • 6 trauma • 2 psychiatric • 25 medicine • 5 chest pain • 5 respiratory • 5 syncope or change in responsiveness • 5 abdominal • 5 altered mental status Objective: Graduates must demonstrate successful leadership of call management in at least 20 patient contacts. Measurement: 100% of the students exiting the program are required to meet the minimum benchmarks as described above. Validity/Reliability: Department developed clinical and field internship evaluations and department laboratory simulations. Clinical and Field Evaluations are subject to inter-rater reliability; all items are audited by the clinical coordinator Objective: Graduates must successfully complete two mega-codes as required by the Medical Director. Measurement: 100% of the students exiting the program must pass two of four mega-codes during EMSP 2243. Validity/Reliability: Internally validated by the Medical Director, Department Chair and ACC- EMSP co-leads of EMSP 2243. Objective: Prepare graduates for a comprehensive national registry examination. Measurement: Minimum cut score of 75% on the FISDAP comprehensive online examination. Validity/Reliability: Externally validated, professionally written exam. Of students taking this exam, 97% pass the National Registry exam on the first attempt if they achieve a 71% or greater. Measurement: 100% of the students attempting the National Registry Exam for Paramedics will pass the exam with no more than one retest. Validity/Reliability: Nationally recognized standard for knowledge testing in the area of Paramedicine. Currently used by the State of Texas as the licensure examination. Affective Domain Goal: Upon completion of the program, the paramedic graduate will demonstrate the personal behaviors and attitudes required to care for patients and behaviors consistent with employer expectations and professional standards. Objective: Prepare graduates to compassionately and professionally provide care as a paramedic. Measurement: Student and faculty written evaluation of classroom and laboratory behavior, clinical and field evaluation reports and Final Field Internship Evaluation of professional behavior in the field internship setting. Validity/Reliability: Developed with documentation from the National Guidelines for Educating EMS Instructors and input from the Medical Director, faculty, employers and field staff of the hiring community; subject to inter-rater reliability. Measurement: Employer Survey administered within one year of graduation. Validity/Reliability: Developed by the accrediting agency and administered by DataArc; subject to participation by employers.   Psychomotor Domain Goal: Upon completion of the program, the graduate will demonstrate the ability to safely perform individual and groups of motor skills required to practice as a paramedic. Objective: Graduates must demonstrate competency in the following procedures: • 17 – Safely Administer Medications • 5 – Endotracheal Intubations (simulated and/or live) • 23- Safely Gain Venous Access • 5 – Ventilate a Patient Students must appropriately manage an airway at least 50 times. Measurement: 100% of the students exiting the program are required to meet the minimum benchmarks as described above. Validity/Reliability: Department developed clinical and field internship evaluations and department laboratory simulations. Clinical and Field Evaluations are subject to inter-rater reliability; all items are audited by the clinical coordinator. Objective: Prepare the paramedic graduate to safely adapt skills to the demands of the field patient care. Measurement: Final Internship Evaluation of skills performance in the field internship setting. Validity and Reliability: Developed with input from Medical Director, Faculty, Employers and Field Staff of the hiring community; subject to inter-rater reliability. Measurement: National Registry of EMTs Skills Credentialing Examination. Validity and Reliability: Nationally recognized standard for skills testing in the area of Paramedicine. Currently used by the State of Texas as the licensure examination. Results of all measurements are evaluated and reported to CoAEMSP, Austin Community College Office of Institutional Effectiveness, and the Communities of Interest through annual advisory meetings. Input is ongoing through evaluations. _______________________________ B. Duke Kimbrough, MD Medical Director Last Review Fall 2015 • Clinical Goals/Objectives – These have remained the same as last time we met. We are going through the individual ones and will evaluate them. • Graduation Requirements – Statistics - Benchmarking: Fall 2016 – 100% requirements. Spring 2017 – 100% requirements

• Student Responses/Analysis – - Strengths: a. Faculty/Staff b. Curriculum c. Clinical Time d. Resources e. Labs • Weaknesses: a. Lab/Class Size/Ventilation b. Available tutors? c. Quiet study areas d. 1261 ambulance clinicals –Consistency e. Internet/Cell signal f. Physician (General) Access • Faculty Responses/Analysis – - Strengths: a. Faculty/Staff b. Medical Director c. Curriculum - Weaknesses: a. Lab/Class Size/Ventilation b. Space c. Lab equipment/technology d. Internet/Cell signal e. Practicum • Employer Responses/Analysis - Strengths a. Knowledge b. Professionalism - Weaknesses a. Initial acuity judgement b. Initial treatment plan formulation (high acuity patients) c. Operational roles • Graduate Responses/Analysis – - Strengths •Faculty •Professionalism preparation •Assessment preparation •Knowledge - Weaknesses •Operational roles •Professional Organizations?

Survey Conclusions •Strengths - Last Reporting - Faculty/Preceptors in clinical - Exposure to Medical Director - Lecture & lab curriculum - Affective Reinforcement Survey Conclusions •Strengths - Current Reporting - Faculty/Preceptors in clinical - Exposure to Medical Director - Lecture & lab curriculum - Affective Reinforcement Survey Conclusions •Weaknesses - Last Reporting - Financial support - Wireless Internet - Emergency Alert System - EMS Operational Roles - Time Management preparation - Anticipated - Internship Sites - Simulation Equipment - Space Survey Conclusions •Weaknesses - Current Reporting - Financial support - Wireless Internet (Classrooms/Hallways) - Emergency Alert System - EMS Operational Roles - Time Management preparation - Anticipated - Internship Sites - Simulation Equipment - Space Survey Conclusions • Action Plans - Analyze Topic Area Performance and Curriculum - Emphasize acuity judgement in patient assessment - Incorporate more operational aspects into scenarios - Mobilize scenarios - Clinical - Additional internship/clinical sites? –Evaluate Trauma Services clinical - AcuityLab - Community Paramedic?

• Area Hiring Processes - Interviewing Process – - Williamson County – January. - Marble Falls – Will hire during the winter and first of the year. – Will more than likely just hire EMT’s. - ATCEMS - October 25th - Dr. Kimbrough - Not in attendance. - Pat Recek – Is very excited about the Health Sciences Academy’s opening in the Spring of 2018. - Nichelle Newman - Nichelle started the program unemployed, but is now working full time and taking classes and mentioned how difficult this is. - Kenny Schnell is no longer with the Committee. Terri King has expressed interest to become the Chair of the Committee. Don Gwynn opens it up to the floor. Johnny Campbell volunteers Terri. A motion is made for Terri King to be elected Chair of the Advisory Committee. Motion is seconded and vote is taken. All are in favor and Terri King is the new Advisory Committee Chair. Don will send out the options for terminal goals and objectives and EMSP 1261. - Terri asks, is anyone in favor of iGel – iGel. A vote is taken. iGel Passes - Videolaryngooscopy – A vote is taken. Motion Passes - Trauma Services – A vote is taken. Motion Passes - Acuity Lab Passes. - Open to Committee - Marble Falls – “Are you teaching TXA and Levafed?” David Gruell (EMSP Faculty) responds, “We are teaching Levafed. We need to teach TXA as well.” - Terri King makes motion to adjourn meeting. Meeting adjourned.

Terri King makes motion to adjourn meeting. Meeting adjourned.