Emergency Medical Services

The Emergency Medical Services (EMS) Program, in accordance with the goals and mission of Northeast Alabama Community College, is committed to providing quality education and preparation to those seeking education in Emergency Medical Services.

It is the goal of the EMS education program at NACC to prepare competent entry-level Paramedics in the cognitive (knowledge), psychometer (skills), and affective (behavior) learning domains.

Emergency Medical Services (EMS) personnel treat millions of patients annually in the United States. Many of these patients have complicated medical and/or trauma conditions. Paramedics are required to have considerable knowledge, skill, and judgment to treat patients in the out-of-hospital setting. High quality out-of-hospital emergency care is an important part of the United States health care system. 

Based on the National EMS Scope of Practice model, the four levels of nationally recognized providers are Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT) and Paramedic.

Emergency Medical Responder (EMR) renders on-scene emergency care while awaiting additional EMS response. In many communities, EMRs provide care as first responders in the workplace and industry, fire responders and rescue organizations. EMR courses are organized on request. Upon successful course completion and certification by examination through the National Registry of EMTs, candidates may apply for licensure with the Alabama Department of Public Health, Office of EMS. EMR certification and licensure is not required to enter the EMS Program.

Those seeking to enter the EMS program of study have options of earning short term certificates at the EMT and Advanced EMT level, and a certificate at the Paramedic level or an Associate in Applied Science Degree-Emergency Medical Services.

The Emergency Medical Technician’s (EMT) scope of practice includes basic, non-invasive interventions to reduce the morbidity and mortality associated with acute out-of-hospital medical and traumatic emergencies. The Emergency Medical Technician level is the minimum licensure level for personnel transporting patients in ambulances.

The Advanced EMT (AEMT) scope of practice includes basic, limited advanced and pharmacological interventions to reduce the morbidity and mortality associated with acute out-of hospital medical and traumatic emergencies. A current Alabama EMT license is required to enter the AEMT program. 

Paramedics are the most advanced level of EMS care providers licensed by the state of Alabama. The Paramedic’s scope of practice includes basic and advanced life support education and skills focused on the acute management and transportation of the broad range of patients who access the emergency medical system. A current EMT license is required for program admission along with specific academic prerequisite courses.

EMS Program Admission Requirements:

  • Unconditional admission to the College.
  • Complete appropriate placement examinations.
  • Schedule an advising appointment with an EMS advisor.
  • Complete the EMS Program application (obtained at advisor meeting).
  • Meet essential functions required for EMS (page 108-109).
  • Meet pre-clinical requirements for EMS.
  • Meet all additional requirements outlined in the EMS Program Handbook.

In addition to classroom and lab sessions, EMS students are required to complete course appropriate clinical activities at various healthcare and EMS organizations. Prior to clinical participation, students must meet specific agency requirements. These include a physical examination, documentation of vaccinations, satisfactory criminal background check, drug screen, orientation to policy and procedures for each agency, including appropriate dress, hygiene, patient confidentiality, and expectation of professional behaviors.

Successful program completion is met in each EMS course with a minimum letter grade of “B” and satisfactory lab and clinical competencies. A grade of less than a “B” in any EMS course is considered unsuccessful and will not result in certificate or AAS awards, unless retaken and completed with a grade of “B.”

Anticipated Additional EMS Program Costs 

  • Textbooks and learning resources
  • Exam and licensure fees
  • Professional Liability Insurance
  • Clinical uniforms and supplies
  • Transportation to and from clinical sites
  • Physical Examination, vaccinations
  • Drug Screen and Criminal Background Check
  • Test Prep, Testing, and Competency Tracking Programs

The Emergency Medical Services (EMS) Program is accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) upon the recommendations of the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP).

Emergency Medical Services Program Essential Functions

Students entering and participating in the EMS Program (primary training) must:

Physical Demands

  1. have the physical ability necessary to walk, climb, crawl, bend, push, pull, and lift and balance over less than ideal terrain;
  2. have good physical stamina and endurance which would not be adversely affected by having to lift, carry, and balance at times, in excess of 125 pounds (250 pounds with assistance);
  3. see different color spectrums;
  4. have good eye-hand coordination and manual dexterity to manipulate equipment, instrumentation, and medications;

Problem Solving Abilities

  1. be able to send and receive verbal messages as well as operate communication equipment appropriately;
  2. be able to collect facts to organize data accurately and communicate clearly, both orally and in writing, in the English language at the ninth grade level or higher;
  3. be able to differentiate between normal and abnormal findings in human physical conditions using visual, auditory, olfactory, and tactile observations;
  4. be able to make good judgment decisions and exhibit problem solving skills under stressful situations;
  5. be attentive to detail and aware of standards and rules that govern practice;
  6. implement therapies based on mathematical calculations;

Worker Characteristics

  1. possess emotional stability to be able to perform duties in life-or-death situations and in potentially dangerous social situations, including responding to calls in districts known to have high crime rates;
  2. be able to handle stress and work well as part of a team;
  3. be oriented to reality and not be mentally impaired by mind altering substances;
  4. not be addicted to drugs or alcohol;
  5. be able to work shifts 24 hours in length, if necessary;
  6. be able to tolerate being exposed to extremes in the environment including variable aspects of weather, hazardous fumes, and noise;
  7. possess eyesight in a minimum of one eye correctable to 20/20 vision and be able to determine directions according to a map. Students who desire to drive an ambulance must possess approximately 180 degrees peripheral vision capacity, must possess a valid Alabama driver’s license, and must be able to safely and competently operate a motor vehicle in accordance with state law; and
  8. have the ability to follow established criteria even in the absence of direct supervision.

Degrees

Courses

EMS 100: CARDIOPULMONARY RESUSCITATION I

Credits 1
This course provides students with concepts as related to areas of basic life support to include coronary artery disease, prudent heart living, symptoms of heart attack, adult one-and - two rescuer CPR, first aid for choking, pediatric basic life support, airway adjuncts, EMS system entry access, automated external defibrillation (AED), and special situations for CPR. Upon course completion, students should be able to identify situations requiring action related to heart or breathing conditions and effectively implement appropriate management for each condition. Students successfully completing this course will receive appropriate documentation of course completion.

EMS 101: CARDIOPULMONARY RESUSCITATION II

Credits 1
This course provides students with a review of concepts learned in EMS-100. In addition, the course provides the student with theory and application of airway adjuncts as utilized with airway obstruction and maintenance as well as respiratory and cardiac arrest. Assessment and management of acute ischemic stroke will also be included. Upon course completion, students should be able to identify situations requiring action related to heart or breathing conditions and effectively implement appropriate management for these conditions. Students successfully completing this course will receive appropriate documentation of course completion.

EMS 103: FIRST AID/CPR

Credits 1
This course provides a study of basic first aid and cardiopulmonary resuscitation (CPR). Students will be able to perform basic first aid and CPR techniques. Upon completion, the student will be eligible for CPR certification testing. This course does not satisfy the requirements for Nursing, Emergency Medical Services, Medical Assistant, and Allied Health programs.

EMS 105: EMERGENCY MEDICAL RESPONDER

Credits 3
This course provides theory in emergency procedures as contained in the current National Standards Training Curriculum (NSTC) for the First Responder. The course is an introduction to the emergency medical services system and provides fundamentals for students to improve the quality of emergency care provided as the first person to an emergency scene until emergency medical services arrive. Completion of specific student competencies, as outlined in the current NSTC for the First Responder, is required for successful course completion.

EMS 106: MEDICAL TERMINOLOGY

Credits 2
This course provides students with a survey of words, terms, and descriptions commonly used in health related professions. The course includes spelling, pronunciation, and meaning of prefixes, suffixes, roots, and terms. Students may have the opportunity to utilize computer assisted instruction for learning various medical terms. Upon course completion, students should have the knowledge to associate a variety of medical terms with their meaning and utilize medical terms to effectively communicate with other health professionals.

EMS 107: EMERGENCY VEHICLE OPERATOR-AMBULANCE

Credits 1
The Emergency Vehicle Operator Course - Ambulance provides the student with training as contained in the current National Standard Training Curriculum (NSTC) for the Emergency Vehicle Operator Course (EVOC) Ambulance. The course provides the knowledge and skill practice necessary for individuals to learn how to safely operate all types of ambulances. Topics include introduction to the NSTC for ambulance operators; legal aspects of ambulance operation; communication and reporting; roles and responsibilities; ambulance types and operation; ambulance inspection, maintenance, and repair; navigation and route planning; basic maneuvers and normal operating situations; operations in emergency mode and unusual situations, special considerations in safety; and the run. Completion of specific student competencies, utilizing NSTC guidelines, are required for successful completion of this course.

EMS 108: DIRECTED STUDIES IN EMS I

Credits 1
This course offers independent study or computer assisted instruction under faculty supervision and/or theory in an EMS subject relevant to the student’s interest and need. Specific cognitive competencies required by the student are defined in writing at the first class period.

EMS 113: INFECTION CONTROL FOR HEALTH PROFESSIONS

Credits 1
This course is designed for students planning to enter a health related field of study or public service occupations. The course focuses on the sources of communicable diseases and describes methods for prevention of transmission of bloodborne and airborne pathogens. Topics include prevention; universal precautions (body-substance isolation) and asepsis; immunization; exposure control; disposal; labeling; transmission; exposure determination; post-exposure reporting; and an exposure control plan. The course is taught following current guidelines set forth by the Occupational Safety and Health Administration (OSHA). Upon course completion, students should be able to participate in the clinical setting, identify potential sources of bloodborne and airborne pathogens, and use appropriate universal precautions.

EMS 118: EMERGENCY MEDICAL TECHNICIAN

Credits 9
This course is required to apply for certification as an Emergency Medical Technician. This course provides students with insights into the theory and application of concepts related to the profession of emergency medical services. Specific topics include: EMS preparatory, airway maintenance, patient assessment, management of trauma patients, management of medical patients, treating infants and children, and various EMS operations. This course is based on the NHTS National Emergency Medical Services Education Standards.

EMS 119: EMERGENCY MEDICAL TECHNICIAN CLINICAL

Credits 1
This course is required to apply for certification as an EMT. This course provides students with clinical education experiences to enhance knowledge and skills learned in the EMS 118, Emergency Medical Technician Theory and Lab. This course helps students prepare for the National Registry Exam. *For students who have not yet taken EMS 106, EMS 119 and EMS 106 can be taken during the same semester.

EMS 120: VEHICLE EXTRICATION

Credits 2
This course provides students with theory in the development of concepts related to the removal of persons from damaged vehicles. Topics include gaining access, stabilization, packaging, patient removal, and basic hazardous situations. Upon course completion, students should be able to effectively extricate a person from a wrecked vehicle.

EMS 125: HIGH ANGLE RESCUE I

Credits 2
This course provides students with theory in the introduction to high angle rescue techniques. Topics include the high angle environment; equipment and protection, care and use of rope and related equipment; knots, rappelling, and ascending techniques; and introduction to rescue techniques. Upon course completion, students should have an understanding in the basic techniques of high angle rescue.

EMS 126: HIGH ANGLE RESCUE II

Credits 2
This course is a continuation and review of EMS 125 and provides students with theory in rescue techniques utilized in rope rescue. Topics include one person rescue techniques, slope evacuation, high angle lowering, hauling systems, high lines, and evacuation operations. Upon course completion, students should have an understanding of how to approach a high angle rescue, utilizing various rigging techniques.

EMS 155: ADVANCED EMERGENCY MEDICAL TECHNICIAN

Credits 7
This course is required to apply for certification as an Advanced EMT. This course provides students with insights into the theory and application of concepts related to the Advanced EMT level of emergency medical services. Specific topics include: EMS preparatory, airway maintenance, pharmacology, patient assessment, treating trauma patients, various medical procedures, treating infants and children, and various EMS operations. This course is based on the National Emergency Medical Services Education Standards for the Advanced Emergency Medical Technician. * Students that have not yet completed EMS 106, can taken this with EMS 155 and EMS 156 as a corequisite.

EMS 156: ADVANCED EMERGENCY MEDICAL TECHNIC AN CLINICAL

Credits 2
This course is required to apply for certification as an Advanced EMT. This course provides students with clinical education experiences to enhance knowledge and skills learned in EMS 155, Advanced EMS Theory and Lab. This course helps students prepare for the National Registry Exam.

EMS 189: APPLIED ANATOMY AND PHYSIOLOGY FOR THE PARAMEDIC

Credits 4
This course introduces human anatomy and physiology and includes concepts related to basic chemistry; fluid, electrolyte, and acid-base balance; functions of cells, tissues, organs, and systems; pathophysiology; and associated medical terminology. Emphasis is placed on applying content to signs, symptoms, and treatments; and situations commonly seen by paramedics. Upon course completion, students should be able to demonstrate a basic understanding of the structure and function of the human body.

EMS 218: SUPERVISED STUDIES IN EMS

Credits 1
This course offers various topics of interest and need in emergency medical services. The course is conducted and completed under faculty supervision and includes required student cognitive competencies. Upon course completion, students should have a greater understanding of their assigned course topic.

EMS 219: SUPERVISED STUDIES IN EMS

Credits 1
This course offers various topics of interest and need in emergency medical services. The course is conducted and completed under faculty supervision and includes required student cognitive competencies. Upon course completion, students should have a greater understanding of their assigned course topic.

EMS 234: DECISION MAKING AND PROBLEM SOLVING IN EMS

Credits 3
This course provides students with concepts relating to problem solving and decision making. Topics include decision making in the emergency and non-emergency setting, group dynamics and group think phenomenon. Upon course completion, students should be able to begin to use critical thinking skills to solve problems and make appropriate decisions.

EMS 240: PARAMEDIC OPERATIONS

Credits 2
This course focuses on the operational knowledge and skills needed for safe and effective patient care within the paramedic’s scope of practice. Content areas include: research, paramedic roles and responsibilities, well-being of the paramedic, illness and injury prevention, medical-legal-ethical issues, therapeutic communications, medical terminology, life span development, ambulance operations, medical incident command, rescue awareness and operations, hazardous materials incidents, crime scene awareness, and Alabama EMS laws and rules. *If a student has not yet taken EMS 106, he or she may take it during the same semester as EMS 240.

EMS 241: PARAMEDIC CARDIOLOGY

Credits 3
This course introduces the cardiovascular system, cardiovascular electrophysiology, and electrocardiographic monitoring. This course further relates pathophysiology and assessment fmdings to the formulation of field impressions and implementation of treatment plans for specific cardiovascular conditions. Content areas include: cardiovascular anatomy and physiology, cardiovascular electrophysiology, electrocardiographic monitoring, rhythm analysis, and prehospital 12-lead electrocardiogram monitoring and interpretation, assessment of the cardiovascular patient, pathophysiology of cardiovascular disease and techniques of management including appropriate pharmacologic agents and electrical therapy.

EMS 242: PARAMEDIC PATIENT ASSESSMENT

Credits 2
This course provides the knowledge and skills needed to perform a comprehensive patient assessment, make initial management decisions, and to communicate assessment findings and patient care verbally and in writing. Content areas include: airway management, history taking, techniques of the physical examination, patient assessment, clinical decision making, communications, documentation and assessment based management.

EMS 243: PARAMEDIC PHARMACOLOGY

Credits 1
This course introduces basic pharmacological agents and concepts with an emphasis on drug classifications and the knowledge and skills required of a paramedic for safe, effective medication administration. Content areas include: general principles of pharmacology and pharmacologic pathophysiology; venous and intraosseous access techniques, the metric and apothecary system; computation of dosage and solution problems, administration of pharmacologic agents; pharmacokinetics and pharmacodynamics, and nasogastric tube placement.

EMS 244: PARAMEDIC CLINICAL I

Credits 1
This course is directed toward the application of knowledge and skills developed in didactic and skills laboratory experiences to the clinical setting. Theory and skills are applied to a variety of patient situations in the clinical setting, with a focus on patient assessment and management, advanced airway management, electro-therapy, I.V./I.O. initiation and medication administration.

EMS 245: PARAMEDIC MEDICAL EMERGENCIES

Credits 3
This course relates pathophysiology and assessment findings to the formulation of field impressions and implementation treatment plans for specific medical conditions. Content areas include: pulmonology, neurology, gastroenterology, renal/urology, toxicology, hematology, environmental conditions, infectious and communicable diseases, abuse and assault, patients with special challenges, and acute interventions for the chronic care patient.

EMS 246: PARAMEDIC TRAUMA MANAGEMENT

Credits 3
This course relates pathophysiology and assessment findings to the formulation of field impressions and implementation of treatment plans for trauma patients. Content areas include the pathophysiology, assessment, and management of trauma as related to: trauma systems; mechanisms of injury; hemorrhage and shock; soft tissue injuries; burns; and head, facial, spinal, thoracic, abdominal, and musculoskeletal trauma.

EMS 247: PARAMEDIC SPECIAL POPULATIONS

Credits 2
This course relates pathophysiology and assessment findings to the formulation of field impressions and implementation of treatment plans for specific medical conditions. Content areas include: endocrinology, allergies and anaphylaxis, behavioral/psychiatric conditions, gynecology, obstetrics, neonatology, pediatrics, and geriatrics. In the clinical setting, theory and skills are applied to a variety of medical situations across the life span of the patient, with a focus on communication with and management of cardiac, acute care, psychiatric/behavioral, obstetrical, newborn, pediatric, geriatric, and acute interventions for chronic care patients, and patients with special challenges.

EMS 248: PARAMEDIC CLINICAL II

Credits 3
This course is required to apply for certification as a Paramedic. This course provides students with clinical education experiences to enhance knowledge and skills learned in EMS 245, 246, and 247 and knowledge and proficiency from previous clinical experiences. This course helps prepare students for the National Registry Paramedic Exam. The student will have the opportunity to use the basic and advanced skills of the Paramedic in the clinical setting under the direct supervision of licensed healthcare professionals. Requires licensure at the AEMT level.

EMS 253: PARAMEDIC TRANSITION TO THE WORKFORCE

Credits 2
This course is designed to meet additional state and local educational requirements for paramedic practice. Content includes: ACLS, PALS or PEPP, ITLS or PHTLS, prehospital protocols, transfer drugs, and other courses as dictated by local needs or state requirements.

EMS 254: ADVANCED COMPETENCIES FOR PARAMEDIC

Credits 2
This course is designed to assist students in preparation for the paramedic licensure examination. Emphasis is placed on validation of knowledge and skills through didactic review, skills lab performance, and/or computer simulation and practice testing. Upon course completion, students should be sufficiently prepared to sit for the paramedic licensure examination.

EMS 255: PARAMEDIC FIELD PRECEPTORSHIP

Credits 5
This course is required to apply for certification as a paramedic. This course provides students with field experiences to enhance knowledge and skills learned throughout the paramedic program. This course helps prepare students for the National Registry Paramedic Exam. Students will utilize paramedic skills in a field setting under the direct supervision of a licensed paramedic. Requires licensure at the EMT level and completion of EMS 240, 241, 242, 243, 244, 245, 246, 247, and 248.

EMS 256: PARAMEDIC TEAM LEADERSHIP

Credits 1
This course is designed to evaluate students’ ability to integrate didactic, psychomotor skills, clinical, and field internship instruction to serve as a competent entry-level paramedic. This final evaluative (rather than instructional) course focuses on students’ professional attributes and integrative competence in clinical decision-making and team leadership in the prehospital setting. Upon course completion, students should have demonstrated adequate knowledge and skills, professional attitudes and attributes, clinical decision-making and team leadership abilities to effectively function as a competent entry-level paramedic.

EMS 257: PARAMEDIC APPLIED PHARMACOLOGY

Credits 2
This course introduces basic and advanced pharmacological agents and concepts, with an emphasis on drug classifications and the knowledge and skills required for safe, effective medication administration. Medication pharmacokinetics and pharmacodynamics will be evaluated for most medicines used in the pre-hospital settings. Students will also learn how to establish various routes of medication administration and procudures for administering medications via these routes. Students will also demonstrate mathematic computations for various drug and solution dose administration problems.

EMS 266: ADVANCED CV LIFE SUPPORT

Credits 1
The Advanced Cardiovascular Life Support Provider Course provides students with concepts related to advanced cardiovascular life support. Content areas include acute myocardial infarction, stroke, cardiovascular pharmacology, electrophysiology, various rhythm disturbances, and techniques of management of cardiovascular emergencies. The course is taught in accordance with national standards and requires specific student competencies. Students successfully completing this course will receive appropriate documentation of course completion.

EMS 267: INTERNATIONAL TRAUMA LIFE SUPPORT

Credits 1
This course provides students with theory and demonstration in advanced trauma care and management. Content areas include mechanism of trauma, trauma assessment, airway -breathing-circulation management, trauma to various portions of the body, multiple system trauma, and load-and-go situations. The course is taught in accordance with national standards and requires specific student competencies. Students successfully completing this course will receive appropriate documentation of course completion.

EMS 269: PEDIATRIC MEDICAL LIFE SUPPORT

Credits 1
This course provides students with theory and simulated case studies in pediatric care. Content areas include recognition of pediatric pre-arrest conditions; shock; basic life support; oxygenation and airway control; newborn resuscitation; essentials in pediatric resuscitation; dysrhythmia recognition and management; vascular access; and use of medications. This course is taught in accordance with national standards and requires specific student competencies. Students successfully completing this course will receive appropriate documentation of course completion.

EMS 273: EKG INTERPRETATION

Credits 2
This course is designed for students in health related professions desiring the knowledge to interpret singular lead electrocardiograms. The course provides concepts in the interpretation of electrocardiograms to include an overview of the electrical conduction of the heart as well as the identification of all categories of dysrhythmias. Upon course completion, students should be able to identify various types of cardiac rhythms.