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EMERGENCY MEDICAL TECHNICIAN COURSE APPLICATION SPRING & FALL (Columbia Basin College)

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1
EMERGENCY MEDICAL TECHNICIAN
COURSE APPLICATION
SPRING & FALL 2020
Introduction:
The Emergency Medical Technician (EMT) course at Columbia Basin College is the entry-level course to the Emergency
Medical Service (EMS) profession and is designed for those who aspire to become an Emergency Medical Technician.
The course focuses on EMT roles and responsibilities, basic airway management, patient assessment, medical and
trauma emergencies, anatomy and physiology, documentation, lifting and moving, communication, and the treatment
of the cardiac arrest patient.
The course also includes practical labs and a total of 10 hours of clinical experience in the Emergency Room (ER) to
provide direct hands-on experience with a variety of patients.
The EMT course at CBC is offered both fall and spring quarters; and is 15 weeks in length comprising six Saturdays. Class
attendance is mandatory and compliance with the dress policy, national background check, drug testing, and
immunizations are required. Classes are held Tuesday and Thursday, from 6 - 9:30pm. Supervised clinical experience is in
various medical facilities throughout the Tri-Cities area.
Once accepted into the EMT course, students will be enrolled in EMT 101 for 10 credits which includes lecture, lab, and
clinical. Upon successful completion of this course, the student will be eligible to take the National Registry of EMT’s
C.A.T. examination for certification. (www.nremt.org
)
For consideration of acceptance into the course, you must complete the application package and submit by the dates
prov
ided.
Complete the EMT application and attach all documents listed on page two. Incomplete applications will not be
considered; please be thorough.
Important Dates
Spring 2020
February 5, 2020
at Noon
Spring quarter application due; via email to emsapplications@columbiabasin.edu
Spring quarter EMT will start March 10, 2020.
Feb 13, 2020
6 – 9pm
A mandatory EMT entrance exam will be held for the applicants at the CBC Medical Science
Center located at 940 Northgate Drive, Richland, from 6 – 9pm in room 204. Failure to attend
this meeting will disqualify you from the application process.
TBA
Mandatory HCP/CPR training. All selected applicants MUST attend prior to the start of the
course.
Fall 2020
July 8, 2020
at Noon
Fall quarter application due; via email to emsapplications@columbiabasin.edu
Fall quarter EMT will start Sept 1, 2020.
July 16, 2020
6 – 9pm
A mandatory EMT entrance exam will be held for the applicants at the CBC Medical Science
Center located at 940 Northgate Drive, Richland, from 6 – 9pm in room 204. Failure to attend
this meeting will disqualify you from the application process.
TBA
Mandatory HCP/CPR training. All selected applicants MUST attend prior to the start of the
course
2
EMERGENCY MEDICAL TECHNICIAN
COURSE APPLICATION
SPRING & FALL 2020
EMT co
urse Prerequisites:
There are no academic pre-requisites to take the EMT course. However, the following courses are recommended:
• Completion or placement in ENGL 099 or higher
• Completion of Math 050 or higher placement
• Completion of HSCI 147 - Medical Terminology
Plea
se check each box below to ensure you have included all required information with your application package. For
more information, contact Health Science Center at khayes@columbiabasin.edu or call (509) 544-8300.
Course Application Package
Are you registered as a student at CBC? You must have a CBC Student ID #
A completed CBC EMT program application (final page of this packet).
A copy of valid driver’s license.
ATTACH A PHOTO COPY OF DL to the application package
Attach a copy of high school diploma/transcript or equivalent (GED).
A letter of intent, typed 1-2 pages which should include all of the following components:
1. The reason you want to become an EMT
2. What you believe are the expectations of an EMT
3. Discuss your personal strengths and weaknesses and how those can be an asset to
EMS.
4. What are your career plans, how do you plan to use the training provided?
Two letters of recommendation, each from a different person with the following
perspective of you:
❑ Personal character reference
❑ Employer reference from a previous supervisor or co-worker
Subm
it your completed course application package via email. Please include all required documents on one email to:
emsapplications@columbiabasin.edu:
3
EMERGENCY MEDICAL TECHNICIAN
COURSE APPLICATION
SPRING & FALL 2020
EMT Entrance Exam & tentative acceptance
Applicants with a complete application package will be invited to take the EMT entrance exam. Individuals with
complete applications will receive instructions via email to register for entrance exam and pay the associated fee
($25.00). The entrance exam will determine tentative acceptance into the EMT program.
The entrance exam will assess several important areas of knowledge in a very basic way. Review of the following topics
is recommended:
1. Anatomy & Physiology
2. Biology
3. Math
4. Medical Terminology
5. Scenario/Situational questions
6. Ethical dilemmas
Preparation for the entrance exam:
Khan academy is popular website that offers short tutorials on a variety of subjects. Search Khan academy using the
above-mentioned topics (1-3) and review them as needed. One may prepare for the medical terminology section by
reviewing medical terminology on the internet, or from the library or taking the HSCI 147 course at CBC. Items 5-6 are
difficult to prepare, but success is usually anchored in maturity and good decision making.
National Background Check and Immunization Tracker Account & final acceptance:
Applicants, with tentative acceptance into the program based on their performance on the entrance exam, will be
required to complete a background check, and urine drug screening to obtain final acceptance.
The national background check and drug screen are paid for by the applicant. In order to comply with Washington state
law and clinical facility agreements, each student must have completed a national background check and drug screen
prior to final acceptance. Although crimes committed (past and present) will not necessarily prevent you from entering
the EMT program, certain crimes may prohibit you from being able to participate in clinical practicum at the local healthcare
facilities and/or acquire a license from the state of Washington. Any infraction while enrolled in the EMT program must
be self- reported to the instructor.
Applicants with tentative acceptance will be provided subscription information from the Health Science Division to create
an account with the college approved vendor to perform your background, track your immunizations and process the
drug screen.
4
EMERGENCY MEDICAL TECHNICIAN
COURSE APPLICATION
SPRING & FALL 2020
Required Immunizations:
Please wait until you receive tentative program acceptance by email before purchasing immunizations.
1. Two-step Tuberculin skin test or a whole blood test within the last 6 months
2. Hepatitis B three-dose vaccinations and an IGG surface antibody titer showing immunity
3. Tetanus Diphtheria & Pertussis (Tdap) vaccination. one since 2016
4. MMR two-dose vaccinations or an IGG titer showing immunity or begin the series
5. Chicken Pox (Varicella) two-shot series, or a positive titer showing immunity
6. Influenza annual vaccination, must be done after September when the current year vaccine is available.
General Information:
Once a student has received final acceptance, the following information will be helpful to guide them with other
requirements necessary to maintain enrollment.
A. All students are encouraged to have accident/health insurance. A student injury and sickness insurance plan are
available to purchase. For more information, please go to: www.summitamerica-ins.com/wscc
B. All students are required to have malpractice insurance. The policy and cost are included in your tuition and
course fee.
C. Affiliation Information
a. Washington State does not allow an individual to be certified as an EMT without being affiliated with an
Emergency Medical Service (EMS) agency. A student DOES NOT have to be affiliated to apply or take the
course, however to become certified as an EMT in Washington state, the student will have to gain
affiliation.
b. Additional consideration may be given to applicants with a valid signed EMS agency affiliation. This
consists of applicants who are either employed by, or volunteering for, an EMS agency that is recognized
by the state of Washington. These agencies provide medical care and/or transport: fire departments,
ambulance services, search and rescue organizations, and law enforcement agencies.
c. Despite affiliation, every candidate MUST achieve a minimum passing score to be considered for the
program.
D. This is a 15-week commitment two evenings each week and six Saturdays. Student study requirements have been
found to be a minimum of three hours per week for each scheduled theory hour. Attendance is required to
successfully complete the Emergency Medical Technician course.
E. We understand that EMT school is expensive. Considering books, tuition, uniforms, and immunizations, the
typical student will spend approximately $2,000. For more information, review the CBC website at
columbiabasin.edu/finaid. Scholarships and grants may be available through other college offices such as the
Workforce Edu- cation Center. For more information, please call 509-542-4719 or stop by H208 (across from the
CBC Bookstore) on the Pasco campus Or check out their website at columbiabasin.edu/index.aspx?page=2084
F. There are a number of items all students will be required to have for the course:
a. Official CBC EMT T-Shirt (Purchased at CBC Bookstore)
b. Stethoscope
c. Watch with a secondhand
5
EMERGENCY MEDICAL TECHNICIAN
COURSE APPLICATION
SPRING & FALL 2020
EM
T Students must be capable of meeting the performance standards of the CBC EMT Program. If accommodation is
necessary to meet any of the standards, it is the student’s responsibility to contact the resource center in Pasco for an
assessment.
EMT Performance Standards
Critical thinking ability sufficient
to exercise sound EMS judgment.
Reasoning skills sufficient to
perform deductive/inductive
thinking for EMS decisions.
Identify cause/effect relationships and make appropriate judgments in clinical
situations.
Communication abilities sufficient
for effective interaction in verbal
and written form.
Able to obtain information, explain treatment procedures, initiate health
teaching, describe patient situations, perceive nonverbal communication.
Gross and fine motor function
sufficient to provide safe and
effective care.
Gross motor skills sufficient to provide the full range of safe and effective
health care activities (move within confined spaces, reach above head, etc.)
Fine Motor:
Fine motor skills sufficient to perform manual psychomotor skills (pick up items
with fingers) and sustain repetitive movements (CPR).
Physical Strength
Physical stamina sufficient to perform client care activities for entire length of
work shift (push, pull, support and lift 125 pounds of weight,
position ambulate and transfer clients, defend self against combative clients,
Auditory ability sufficient to
monitor and assess needs of
clients.
Able to hear monitor alarm and emergency signals, able to listen and hear
breath sounds, able to hear normal speaking level sounds.
Visual ability sufficient for
observation and assessment
necessary for care.
Ability to observe patients, visualize appearance of a surgical wound, depth
perception, peripheral vision, distinguish color and color intensity.
Tactile ability sufficient for
physical assessment.
Emotional health sufficient to
totally utilize her or his intellectual
abilities. Able to function
effectively during stressful
situations.
Interpersonal abilities sufficient to interact with individuals, families, and
groups, respecting social, cultural, and spiritual diversity.
Negotiate interpersonal conflict.
Establish rapport with clients and with co-workers.
Able to adapt to ever-changing environments, displaying flexibility, learning to
6
EMERGENCY MEDICAL TECHNICIAN
COURSE APPLICATION
SPRING & FALL 2020
Emergency Medical Technician Course
Estimated Costs
All stated costs are estimated and subject to change. However, the following figures may be used as a general guideline
to assist applicants in preparing for the costs associated with EMT enrollment.
Item
Cost
1.
CBC tuition EMT 101 estimated cost (10 Credits)
$1,312.80
2.
Entrance Exam ($25.00) & CPR Course ($75.00)
$100.00
3.
Textbook bundle includes electronic workbook
$175 (approx.)
4.
Background Search ad rug screen
$153.75
5.
Immunizations (if you do not have your history available)
$400 (variable)
6.
Internship shirt (available at CBC Bookstore)
$25
7.
National Registry exam at end of quarter
$70
If you have additional questions related to vaccination requirements, contact Kathy Hayes at
khayes@columbiabasin.edu or call the Health Science Center at (509) 544-8300.
Columbia Basin College complies with the spirit and letter of state and federal laws, regulations and executive orders pertaining to civil rights, Title IX, equal opportunity and affirmative action. CBC does not discriminate on the basis of race, color, creed, religion, national
or ethnic origin, parental status or families with children, marital status, sex (gender), sexual orientation, gender identity or expression, age, genetic information, honorably discharged veteran or military status, or the presence of any sensory, mental, or physical disability,
or the use of a trained dog guide or service animal (allowed by law) by a person with a disability, or any other prohibited basis in its educational programs or employment. Questions or complaints may be referred to the Vice President for Human Resources & Legal
Affairs and CBC’s Title IX/EEO Coordinator at (509) 542-5548. Individuals with disabilities are encouraged to participate in all college sponsored events and programs. If you have a disability, and require an accommodation, please contact the CBC Resource Center at
(509) 542-4412 or the Washington Relay Service at 711 or 1-800-833-6384. This notice is available in alternative media by request.
7
EMERGENCY MEDICAL TECHNICIAN
COURSE APPLICATION
SPRING & FALL 2020
Washington State
Emergency Medical Technician Training
Qualification Requirements
Qualification Requirements for Washington State EMT Certification:
At the completion of the EMT course, the following steps must be satisfied to be recognized as a Washington State
Emergency Medical Technician. Additional information will be provided during the course.
A. Students must be at least 18 years old to certify in Washington State
B. Students must have a high school diploma or GED in order to apply for EMT Certification with Washington
State Department of Health.
C. Student must successfully complete a WA State DOH Approved EMT Course and obtain a certificate of
completion. Successful course completion in and of itself will not provide licensure or certification; all of the
steps listed here must be satisfied.
D. Student must pass the NREMT Psychomotor exam for EMT
E. Student must pass the NREMT CAT EMT exam
F. Affiliation with an EMS Organization recognized by the WA State DOH
G. Approval of the MPD to work as an EMT
8
EMERGENCY MEDICAL TECHNICIAN
COURSE APPLICATION
SPRING & FALL 2020
2020 Emergency Medical Technician Course
Spring quarter application due by noon on February 5, 2020
Fall quarter application due by noon on July 8, 2020
Please complete this application, attach required
documents and email:
emsapplications@columbiabasin.edu
For questions, call the Health Science Center at 509.544.8300
Last Name First Middle Birthdate
CBC Student ID Number WA Driver’s License Number (must be current)
Address City State Zip
Phone
Message Phone
Email Address (required)
High School Attended
Date Graduated
Location of High school (City, State)
If high school equivalency through GED,
state where and when test was taken:
Location Date
Applicant Signature Date
Check here if none
EMS Agency Affiliation
Fire Chief or Supervisor Daytime Phone
Agency Mailing Address
Who will provide professional liability, health, and accident insurance? EMS Agency Self Other
I, the undersigned, hereby verify the above-named individual is a member of this EMS/Fire Agency, and is sponsored by
this agency to attend initial EMT training.
Fire Chief or Supervisor Signature Date
Demographic Information
EMS Agency Data
Affiliate Agency Verification
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