Course Number and Title: EMT 201 Patient Assessment
EMT 200, EMT 207
A comprehensive course in the theory and skills of patient assessment. The topics covered include patient history, techniques of physical examination, patient assessment, clinical decision making, communications, and documentation of findings.
All students must be able to access the Internet and know how to retrieve information from the Learning Management System on the DTCC web page.
- Describe and demonstrate techniques used to obtain a medical history from a variety of patients. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 2, 3, 4, 6, 7)
- Describe and demonstrate techniques used to perform an assessment of mental status. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 2, 3, 4, 5, 6)
- Describe and demonstrate techniques used to perform physical examinations of a variety of patients. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 2, 3, 4, 5, 6)
- Analyze interview responses and physical examination findings in order to formulate a differential diagnosis. (CCC 1, 2, 3, 6; PGC 1, 2, 3, 4, 6, 7)
See Core Curriculum Competencies and Program Graduate Competencies at the end of the syllabus. CCPOs are linked to every competency they develop.
Upon completion of this course, the student will:
- Describe and demonstrate techniques used to obtain a medical history from a variety of patients.
- Perform interviews that incorporate the principles of therapeutic communication, and adjust communication strategies to be appropriate for the patient’s age, stage of development, and special needs or culture.
- Use effective communication techniques to obtain a chief complaint, history of present illness or injury, pertinent past medical history, family/social history, and review of the body systems.
- Explain the role of active listening in communication.
- Demonstrate the use of clinical reasoning to focus questioning while obtaining a medical history.
- Formulate questions in order to obtain a focused medical history.
- Demonstrate acquisition of pertinent histories of simulated patients.
- Describe and demonstrate techniques used to perform an assessment of mental status.
- Differentiate between normal and abnormal assessment findings of the following: appearance and behavior, posture and motor behavior, dress and grooming, speech and language, mood thought and perceptions, insight and judgment, memory, and attention.
- Describe and demonstrate techniques used to perform physical examinations of a variety of patients.
- Demonstrate the proper use of body substance isolation measures.
- Describe the techniques of inspection, palpation, percussion, and auscultation.
- List the techniques of a physical exam that comprise the general survey.
- Differentiate between normal and abnormal assessment findings for the following: skin, hair, and nails; lymphatic system; head and neck; eyes, ears and nose; throat and neck; chest and lungs; heart and blood vessels; abdomen; genitalia; anus/rectum; musculoskeletal system; and nervous system.
- Perform an assessment of the following: skin, hair, and nails; lymphatic system; head and neck; eyes, ears, and nose; throat and neck; chest and lungs; heart and blood vessels; abdomen; musculoskeletal system; and nervous system.
- Analyze interview responses and physical examination findings in order to formulate a differential diagnosis.
- Perform a SAMPLE history.
- Utilize the OPQRST mnemonic to evaluate pain.
- Describe the steps to complete a secondary assessment.
- Describe how the physical assessment is modified for a patient with a life-threatening emergency.
- Document interview and assessment findings using a standardized narrative format.
Students must demonstrate proficiency on all CCPOs at a minimal 75 percent level to successfully complete the course. The grade will be determined using the Delaware Tech grading system:
Students should refer to the Student Handbook for information on the Academic Standing Policy, the Academic Integrity Policy, Student Rights and Responsibilities, and other policies relevant to their academic progress.
- Apply clear and effective communication skills.
- Use critical thinking to solve problems.
- Collaborate to achieve a common goal.
- Demonstrate professional and ethical conduct.
- Use information literacy for effective vocational and/or academic research.
- Apply quantitative reasoning and/or scientific inquiry to solve practical problems.
- Perform all psychomotor, paramedic skills in the National Emergency Medical Services Education Standards consistent with acceptable practice for an entry-level paramedic.
- Conduct complete, accurate and timely patient assessments, to include history and physical exam, and communicate findings.
- Interpret assessment findings in order to accurately identify a differential diagnosis and integrate pathophysiologic principles and legal responsibilities to formulate a treatment plan.
- Effectively perform the role of Team Leader to include: timely decision making, effective resource utilization, implementing appropriate plan of action for a given situation, adapting the plan to changing conditions and communicate.
- Assess a scene or situation in order to identify threats to operating safely.
- Apply communication and ethical decision-making skills required for an entry-level paramedic.
- Exhibit professional, affective behavior.
- Function effectively as an entry-level paramedic in the pre-hospital working environment in the roles of Team Leader and Team Member.
The College is committed to providing reasonable accommodations for students with disabilities. Students are encouraged to schedule an appointment with the campus Disabilities Support Counselor to request an accommodation needed due to a disability. A listing of campus Disabilities Support Counselors and contact information can be found at the disabilities services web page or visit the campus Advising Center.