Meeting & Agendas

Attendees arrive and convene as they eat lunch.

• Discussion • • Faculty/Staff - 1 new full-time faculty member - Neia Hoffman. New Assistant Department Chair – Steven Villavicencio. 4 New adjunct faculty members since last meeting. • Clinical - I. Holographic “Acuity” Lab - Holographic simulators have come in and all bugs have been worked out with the system. Feedback has been good from students. The idea behind the holographic simulator is to get the students to see different physiological changes that regular mannequins cannot project. II. Trauma Services - Dr. Kimbrough student feedback has been great. One on one with physicians, then they make rounds around the whole trauma service. Students were only allowed to shadow a physician, but now our students are able to actually be hands on with patients. III. Constable Ride-Outs – We are opening conversations with the Williamson County Constable’s Office and Austin Travis County Sherriff’s Office and Hays County about student doing a 10 HR ride out with law enforcement so they can see that side of the operation. IV. Sobering Center – Don Gwynn had an initial meeting with this center, but about halfway through the meetings, the Operations Management changed. It is now under the Office of the Medical Director of the City of Austin. We will have to ‘knock on that door again’ to see if this avenue may still be available to us. V. Operating Room Clinical – We will be trying to reopen discussions to gain access to this clinical site. We lost access in 2016 with the change in management at the old Brackenridge Hospital. Pat Recek suggested talking with Baylor Scott and White and Vance Kirkhuff agreed that it would be an avenue worth looking into. VI. Other/Misc. – • Added Simulations Equipment – 2008 saw a major revamp of our Simulation lab. Last year we proposed to the committee that we would be seeking to revamp our lab once more. We have upgraded six mannequins that are Wi fi/Bluetooth equipped along with moving our control room to Wi fi/CAP 7 technology. We had connectivity issues in the beginning, but have since gotten this issue under control. • EMT Class Additions – Spring 2018 saw our first Health Sciences Academy Class. We started 9 students, graduated 6 and 3 have passed their National registry so far. We will have our next class in the Spring of 2019 with a projected 15 students entering the program. We opened our new class at the Hays Campus in the Fall of 2018. This class will meet every semester. VII. Possible Texas Tech Articulation Agreement – We are in the process of creating a Bachelor’s Articulation Agreement with Texas Tech. Students would gain their Associates Degree with us and would be able to transfer to Texas Tech to gain their BS in Health Administration. This is very early in the works and we are also looking into initiating discussions with other schools in the area.

● 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. We have finished 3 semesters of testing and this will be our fourth semester this Fall. The last two rounds have gone great. We have also incorporated scenarios as early as second semester. Vance Kirkhuff – “One of the things we identified quickly was that our students had no exposure to simulation, period. Their first experiences with IOOH scenario were not good. We wanted to introduce the topic of simulation earlier in the program so that they may be better prepared for National Registry.” ● Skills - a. Video Laryngoscope – King vision is a new skill that we have introduced. It is taught, not tested. As of right now, this is the only kind we use. This is used in our Trauma class and is revisited in fourth semester. b. Med Administration – Intranasal has been added all the way down to the EMT curriculum. c. Med Administration – Piggyback IV is now included in second semester curriculum. – Vance Kirkhuff, “We found out that our third semester students had trouble doing medical math and could not calculate correctly to do a piggyback IV. We figured out that it was a combination of doing the Math and the motor skill all in one semester. We broke it down to wear we are doing strictly, the psychomotor side of it and the easiest drug we could come up with was D10. The hope is that by third semester, with the psychomotor skill experience, the math portion might come a little easier. We should know whether we see any improvement by the Spring 2019 semester. We have also completed and gotten approval by the Medical Director an AEMT formulary that has all of the drugs the students should be dealing with from EMT through AEMT. I will be happy to forward a copy to all Advisory Committee Members. The plan is to get the list to the students and base their medication exams on that list. A paramedic Formulary will be in the works starting in the Spring.” • Health Sciences Area of Study Curriculum – Texas Higher Education Coordinating Board set up an Advisory Committee and they met to look at three Health Sciences Programs in Texas. EMSP was one of the programs that were looked at. Their goal is to standardize the curriculum across the State. This is still a proposed matter. We will not know anything for certain until Spring or Summer of 2019. The proposition is to remove Emergency Procedures 1 and 2 and EMS Research and incorporate the EMT curriculum into the program. They also proposed that we replace our normal Pharmacology class with an Emergency Pharmacology class. Don said that they would potentially let us keep the course. The biggest problem is that the Emergency Procedures 1 and 2 are where we teach all of our skills and have the biggest portion of our psychomotor practice. We are the only program that offers this in our curriculum and it is definitely something that sets our program above the rest. The other issue is that COA wants us to have a research class and if we lose this class there would not be room to incorporate the amount of material into any of our other courses. This would negatively affect our attrition rate. Don Gwynn is working on responses to each of these issues. If anyone has any input, please feel free to send that info to Don via email.

• Enrollment - EMSP: Spring 2018 – New 20, Total 101. Summer 2018 – New 12, Total 78, Fall 2018 – New 24, Total 100. EMT: Spring 2018 – 75, Summer 2018 – 72, Fall 2018 – 75 • Graduates – EMSP: Spring 2018 - 21, Fall 2018 – 12. • 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 98% • NREMT – • Topic Area of Performance – Our program is well above the National average each individual area of performance tested. • Post Grad Information – 85 percent of our 2017 graduates were employed in a related field. • Quick discussion on the fact that ACC will be moving to a 10 week Summer semester starting 2019

• Terminal Goals/Objectives – Revisiting OR Rotations • Terminal Competencies – Fall 2017: 100% of requirements reached. Spring 2018: 100% of requirements reached. • 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 2017 – 100% requirements. Spring 2018 – 100% requirements

• Student Responses/Analysis – • Strengths: a. Faculty/Staff b. Curriculum c. Clinical Time d. Resources e. Labs • Weaknesses: a. 2016-Lab/Class Size/Ventilation 2017-Computer Availability b. 2016-Available tutors? 2017-FISDAP c. 2016-Quiet study areas 2017-Preceptors (Pediatric ER) d. 2016-1261 ambulance clinicals –Consistency 2017-Internet (classrooms) e. Internet/Cell signal f. Medical Director Access. • Faculty Responses/Analysis – • 2016 - Strengths: a. Faculty/Staff b. Medical Director c. Curriculum • 2016 - Weaknesses: a. Lab/Class Size/Ventilation b. Space c. Lab equipment/technology d. Internet/Cell signal e. Practicum • Faculty Responses/Analysis – • 2017 - Strengths: d. Faculty/Staff e. Medical Director f. Curriculum g. Lab/Clinical Experiences • 2017 - Weaknesses: a. Lab/Class Size b. FISDAP c. Budget for Professional Development • Employer Responses/Analysis • Strengths a. Knowledge b. Professionalism • Weaknesses a. Professionalism (?) - Confidence • Graduate Responses/Analysis – • Strengths •Faculty •Professionalism preparation •Knowledge • Weaknesses •Operational roles •Preceptor Notes (?)

•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 • Clinical Experience • 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 • Wireless Internet (Classrooms/Hallways) • EMS Operational Roles Survey Conclusions • Action Plans a. New Clinical Sites? – We will continue to look into gaining access to OR, Field, Constable Ride-Outs and Sobering Center rotations for our students in clinical. • AEMT Expansion – We have been looking into getting a 1st and 2nd semester cohort at the hays Campus. This is still in the beginning/research phase. We are analyzing EMT numbers and speaking with Marketing about ways that we can gain the interest of the surrounding towns and counties. • EMS Public Outreach – This is the brainchild of Don Gwynn. He wants to devise ways to bring EMS awareness to the public’s eye. This will focus on EMS in general and also will focus on promoting our program. Tony Martinez has looked into getting ACC EMS t-shirts in our Eastview Bookstore and the department is looking at ways to promote EMS in general. Dr. Kimbrough – Stop the Bleed program may be a great way to promote EMS as well. • Potential Threats a. Internship/Clinical Sites – We want to keep expanding them. b. Space – We would love to have more room space and availability. c. Loss of 6 Credit Hours (POS Curriculum) – The potential removal of 2137/2237 is a big issue that must be addressed. d. Summer Enrollment – Searching for ways to increase Summer enrollment. e. Card Classes (ACLS, PALS, PHTLS) – Enrollment has been dismal since we had to remove these classes from our Degree and certificate plans. We are looking into offering different card courses. If enrollment does not improve, we may have to look into taking these classes out of our curriculum. • Action Plans a. Continuing Holographic Lab and incorporate more operational aspects into scenarios. We will incorporate skills early and often. b. Clinical Sites – We will continue to look into gaining access to more clinical sites and building relationships with the different entities in and around Austin. c. Preceptor Training Modules – We have beefed that up and have gone to visit clinical sites. Vance offers to coordinate with each site and give live presentations. d. Community Paramedic – Nothing new on this subject. Until we have a National Standard, our hands are tied.

• Community Representative – Our current Community Representative, Robert Hartman, has moved from the area. We are looking for a new representative that might be a good fit and are open to suggestions from the committee. • Area Hiring Processes - Interviewing Process – o Williamson County – January14th, 2019. Applications will be opened up soon. Potential applicants can fill out an interest card on their website and will be contacted. The Academy will start on March 1st, 2019. o Comments From Student Representative – Tony Chapa via email – Students would love to see extended lab hours. Saturday morning is the most popular requests. This poses a staffing issue for us and we will have to look into how it might be handled in order to try to meet this need. There is also the usual separation of what street medics are telling students as opposed to what we are teaching students. • Dr. Kimbrough – Thanks for everyone being in attendance. Thanks Pat for helping us get all of the new equipment we have received. o Questions – Do any of the sites do any type of de-escalation training? Terri King – Williamson County has talked with ATCEMS about this topic, but nothing has been formally pursued yet. Dr. Kimbrough has spoken with ACC Faculty with the Law Enforcement Department at the Hays Campus. They have a course in their curriculum that includes verbal de-escalation that might be something to look into since there is not anything in place already. Dr. Kimbrough also brought up the subject of Stress Prevention training. We want to look into types of training that would equip students and professionals with techniques that would prepare them for being in stressful situations, instead of only trying to help them after they have been in these situations. Dr. Kimbrough asks if there is any desire for a class for ‘Wilderness EMS’. Terri King says that they have a Swift Water Team, but right now they don’t have any CE curriculum as of yet. Dr. Kimbrough states that there 3rd parties that will come in and provide that kind of training. There will be a National Association of EMS Physicians that will be meeting in Austin in January 2019. On a personal note: Dr. Kimbrough and his wife have founded a non-profit that provides therapy dogs that currently goes to Seton. They hope to build enough teams to be available to the 9-1-1 community in the area. o Pat Recek – Thanks Don and Steven, Tony and all faculty and staff for getting the EMT class set up at the Health Science Academy last spring. Neia did a great job leading the class and we will be sure to track those students to see if they move on to Paramedic. o Vance Kirkhuff – The Jurisprudence requirement from the State has been fully implemented. Students get it in EMT, then for the Paramedic program, they get it in 2nd semester and also 5th semester requirement before they graduate. Faculty also takes it as they need it for recertification. o Steven Villavicencio – Before we open things up to the committee, Don said he will send an email out to everyone to set up next year’s meeting in the Fall.

o Steven Villavicencio – We do need to vote for continuing teaching Intranasal and Piggyback in the 2nd semester. Also need to vote for the D10 portion and continuing expansion of clinical sites. o Terri King makes motion to continue to continue Piggyback and Intranasal. The motion is seconded but there is not a quorum. Don will send out all items via email and we will take the vote this way. o Terri King – Williamson County is having a Human Trafficking Conference. This will be held at their new training center. It will focus on educating professionals about how to recognize and assist. This will be held January 11th, 2019. Also, ATCEMS and Williamson County, Dell and St. David’s have a committee that has put together a pediatric conference in February. Friday February 8th, 2019. o Representative from the State – What is your target audience for the Health Science Academy and, are students testing once they finish the class? Neia Hoffman - Students have to take and pass Medical Terminology and Intro to A&P, they must pass through many hoops. Tony Martinez – Talks with students about some of the traumatizing thing they may see in the program. Students are well prepared and the goal is to have them gain a viable career with very little student debt. o Terri King – Makes a motion to adjourn the meeting. Motion is seconded. A vote is taken, all in favor and none opposed. Meeting is adjourned.