Paramedic Program 2020 Application - PCC

Transcription

Paramedic Program2020 ApplicationPortland Community CollegeEmergency Services DepartmentEmergency Services Department Mission StatementTo train and educate Emergency Services professionals to excelin meeting the needs of the community.PCC Cascade CampusEMS Department - PSEB 133909 N. Killingsworth St.Portland, OR 97217(971) 722-5570Fax: (971) 722-5535The Portland Community College Paramedic Program is accredited by the Commission onAccreditation of Allied Health Education Programs(www.caahep.org) upon the recommendation of the Committee onAccreditation of Educational Programs for the Emergency MedicalServices Professions (CoAEMSP).Commission on Accreditation of Allied Health Education Programs1361 Park StreetClearwater, FL 33756727-210-2350www.caahep.orgrev. 6/11/18

The Portland Community College (PCC) Paramedic Program is designed as the last step in the formal education forentry level Paramedics. Successful completion of the Paramedic Program year will lead to the AAS degree inParamedicine.Functional Job AnalysisParamedic CharacteristicsA paramedic must be a confident leader who will accept the challenge and high degree of responsibility entailed inthe position. Excellent judgment along with the ability to prioritize decisions quickly, be self-disciplined, able todevelop patient rapport, interview hostile patients, and communicate with diverse multi-cultural groups and ages isrequired. Must be able to function independently at optimum level under stress, remain calm, and assume leadershiproles with confidence. A desire to work with people and the ability to meet the physical, intellectual and cognitiverequirements demanded by the position are critical.Physical DemandsA paramedic’s job involves very heavy lifting (50 – 180 pounds or more) frequently and involves climbing,balancing, stooping, kneeling, crouching, crawling, reaching, handling, fingering, feeling, talking, hearing andseeing on a frequent basis in less than optimal conditions.Intellectual DemandsHigh school graduate/equivalent. Learning ability and intelligence slightly above average is required for aparamedic to acquire the skills and knowledge necessary to do the job.Portland Community College Paramedic Program InformationThe PCC Paramedic Program is limited to 24 students; alternates may be selected. The selection process iscompetitive; therefore, all materials submitted must be complete and accurate. Entry consideration will be given tothose with EMS field experience. This includes military, agency affiliated search & rescue, ski patrol, volunteer orpaid EMS and/or Fire work experience, in a hospital or community clinical environment.EMS students must pass both a criminal background check and drug screen before participating inmandatory clinical experiences. Criteria for passing these are determined by the clinical site(s). Theassociated costs of all background checks, drug screens and reviews are the responsibility of each student.Failure to pass any of the required criteria will constitute unsuccessful completion of the EMS course(s).Failure of the course(s) or criminal background check(s) or drug screen(s) will not be grounds for tuition or feerefund. If you feel you need to get more information prior to being accepted into the program regarding yourbackground contact Mark Hornshuh, at 971-722-5570PCC does not provide medical liability coverage. If you are injured and incur medical expenses, you areresponsible for those expenses.First day of class attendance is mandatory, without exception. Check a current PCC schedule for class times anddays each term. Any Student not present during the first class meeting, on time, will be dropped from the program.For financial aid information at PCC, visit our website: nfo/financial-arrange.html.The Paramedic Program Applications will be available in June for the following Program year, which begins inJanuary.

The Following provides information on requirements for and prerequisites to acceptance into the ParamedicProgram.TO APPLY:Preferential evaluation is awarded to applications which are organized and complete.Incomplete applications may be rejected. Applications accepted JULY 1, 2019 thru SEPTEMBER 15, 2019 Submit complete PCC Paramedic Program application packet (see listing below):Mailing address:PCC Cascade Campus, EMS Dept – PSEB 133PO Box 19000, Portland OR 97280-0990Physical address:909 N Killingsworth St, Portland OR, 97217Public Services Education Building (PSEB) - Room 133If you want an application review at the time you bring in the application, pleaseschedule a review appointment: 971-722-5570REQUIRED VERIFICATIONS AND SUBMISSIONS (to be included in your competed application packet): Copy of current Oregon EMT, AEMT, EMT-Intermediate license; (out-of-state students should allow atleast 12 weeks for licensure when applying for reciprocity with the Oregon Health Authority, EMS &Trauma Systems Office.) Copy of current American Heart Association BLS Healthcare Provider certification Copy of High School diploma (or unofficial transcript) / GED or College Degree Official College transcripts submitted in sealed envelopes with the school’s official stamp or seal.PCC transcripts may be unofficial copies. If you have already submitted other school official transcripts toPCC Student Records and there has been no additional coursework at that school, an unofficial transcriptcopy will be acceptable and must be included as part of your completed application. Missing transcriptcopies will constitute an incomplete/rejected application. Completed Paramedic Program Prerequisite Review Form (included in the application packet.) ‘Personal Statement’. This statement gives you an opportunity to indicate your unique qualities andprofessional goals as a Paramedic. This statement need be no longer than one page.Application process includes consideration of: medical experience, military service, grades, previous degreesearned, written exam, skills simulation, completeness of application, etc.

PCC PARAMEDIC PROGRAM EXPENSE ESTIMATE (subject to change)Non-Course ExpensesApplication FeeParamedic Program application fee (payable to PCC) 30.00Criminal Background Check FeeTo be completed before clinical assignments 51.75Program Management ToolPlatinumPlanner.com 80.00/yrProgram Testing ToolEMSTesting.com 90.00/yrBooksFor Winter Term – EMS 240 966.00*SuppliesExample: stethoscope, trauma scissors, EMS field guide, 100.00** 250.00** eye protection, calipers, penlight, pocket mask, etc.UniformBlack polishable boots, dark blue/black pants (no jeans),uniform shirts, black belt, black socks, scrubs, etc.Drug Screen FeeTo be completed before clinical assignments 25.00 Immunization TrackingTo be completed before clinical assignments 20.00 VaccinationsInfo to be provided at OrientationTotal Non-Course expenses:Winter Term 300.00 1,897.60EMS 240: Paramedic I (12 credits)Tuition: 116/credit 1,392.00Lab Fees 24.00Technology Fee 5.30/credit 63.60Student Activity Fee 3.40/credit 40.80PCC College Service Fee 15/term 15.00Transportation Fee 8/termParking FeeOPTIONAL: http://www.pcc.edu/resources/parking/students.html *** 1,543.40EMS 242: Paramedic II (9 credits) and EMS 244: Paramedic Clinical I (3 credits)Tuition: 116/credit 1,392.00Lab Fees 60.00Technology Fee 5.30/credit 63.60Student Activity Fee 3.40/credit 40.80PCC College Service Fee 15/term 15.00Transportation Fee 8/termParking FeeOPTIONAL: **** *** 8.00Total spring term expenses:Summer Term**** 8.00Total winter term expenses:Spring Term 1,579.40EMS 246: Paramedic Clinical II (5 credits) and EMS 248: Paramedic Field Internship I (2 credits)Tuition: 116/credit 812.00Lab Fees 60.00Technology Fee 5.30/credit 37.10Student Activity Fee 3.40/credit 23.80PCC College Service Fee 15/term 15.00Transportation Fee 8/termParking FeeOPTIONAL: http://www.pcc.edu/resources/parking/students.html 8.00Total summer term total fees payable to PCC: 955.90See reverse side for Fall Term and Exam expenses **** ***

Fall TermEMS 250: Paramedic Field Internship II (7 credits) and EMS 252: Paramedic III (2 credits)Tuition: 116/creditLab Fees 1,044.00 60.00Technology Fee 5.30/credit 47.70Student Activity Fee 3.40/credit 30.60PCC College Service Fee 15/term 15.00Transportation Fee 8/termParking FeeOPTIONAL: Total fall term total fees payable to PCC:Exam ExpensesState EMS Application/Exam FeeNREMT-Paramedic Exam FeeState Certification Background Check FeeTotal exam expenses: 290.00 125.00 59.15 7,655.75Available for purchase at PCC Cascade Campus Bookstore. Can be viewed on-line at www.pcc.edu**Wait for purchase recommendations until Paramedic Orientation***Assessed once per term if enrolled in at least one (1) credit class****Oregon Border state residents (California, Nevada, Idaho and Washington) pay ‘in-state’ tuition Cost will vary each term depending on lab hours. The higher limit was used here. Additional fees/costs will be incurred if testing outside of Oregon Student to provide. Cost will vary depending on what vaccinations need to be completed Assessed by the Oregon Health Authority, EMS & Trauma Section Paid online to 3rd party vendorNOTESSome field internship sites may charge additional fees for which the student will be responsible.All costs for travel, lodging and living expenses will be the responsibility of the student in the eventan out-of-state or out-of-region field internship is selected.Financial Assistance is available and you should apply EARLY.Please call 971-722-4934 or visit our financial-aidThese costs are estimates and are subject to change at any time*** 1,205.30*International & other state students subject to ‘out-of-state’ tuition: 246/credit hour 8.00 474.15TOTAL EXPENSES ESTIMATED FOR PROGRAM:****

Paramedic ApplicationFollowing 9 Pages.

PARAMEDIC PROGRAMAPPLICATIONPORTLAND COMMUNITY COLLEGENote: All information on the application must be typed or printed legibly.NAME: LastFirstDate of Application:MiPCC G#:(must be admitted as a student to PCC to obtain G#)CONTACT INFORMATION:MailingAddress:StreetAddress:(if differentthan mailing)City:State:Zip:County:PCC Email: Personal Email:(optional)Cell Phone: ()Home Phone: ()Work/Pager: ()By submitting this application, I acknowledge that PCC may be required to provide some of my student information to the Oregon Health Authority, EMS & TraumaSection, in order to process my Paramedic application. Additionally, I understand that some of my student information is necessary to be provided to NREMT andcertain professional and clinical sites (hospitals, ambulance agencies, et. al.) for eligibility regarding required clinical components and National testing processes(e.g., criminal background check initiation and results, drug screen results, attendance information and, potentially, information about passing classes.). I herebygive my consent to release information as needed.(Applicant Signature)EDUCATIONName of High School:(or indicate “GED”)City:State:Year Graduated:Official College transcripts required (unofficial copies OK if official already submitted to PCC; PCC transcripts can be unofficial).Please list all undergraduate institutions you will be using to satisfy coursework requirements.NAME OF INSTITUTION / STATECERT / DEGREE (if applicable)

List all health-related training courses attended. Include training as EMT, nurse’s aide, medical assisting, or courses such as CPR or ACLS.NAME OF COURSE ORTRAININGSCHOOL / AGENCYDATESATTENDEDCERTIFICATIONPATIENT CONTACT EXPERIENCE: FT Full-time / PT Part-timeList all health care experience in which your responsibilities allowed for direct patient contact (e.g., nurse, EMT, aide, medical assistant, ambulance/fire service)Employer:Supervisors Name:Contact Phone Number:(Your position Title:Months/Years:FTPatient contacts per week:Employer:Supervisors Name:Contact Phone Number:(Your position Title:Months/Years:FTPatient contacts per week:Employer:Supervisors Name:Contact Phone Number:(Your position Title:Months/Years:FTPatient contacts per week:Employer:Supervisors Name:Contact Phone Number:(Your position Title:Months/Years:FTPatient contacts per )))(If you need more space, please list and attach additional experience on a separate sheet of paper.)EMT License Number:Level:State:Expiration Date:National Registry Number:Level:Expiration Date:REFERENCESIdentify below the three individuals (not related to you) whom you have requested recommendation in support of your application.Name:Occupation:Reason for Selection:Occupation:Reason for Selection:Occupation:Reason for I give PCC EMS permission to contact the above references regarding any matter in this application.SignatureDate:

PCC Paramedic Program Prerequisite Review(Fill out regardless of attaching transcripts)NAME:LastFirstHighest college degree awarded:PCC G#:Middle(must be admitted as a student to PCC to obtain G#)Prior to beginning the EMS 200-level course of study, the Paramedic Program prerequisites OR their equivalents must be completed with a ‘C’ grade or higher by the end ofFALL TERM of the year of application. see Notes on next page for exceptions to the course completion requirementCOURSE INFORMATION (Dept/Course# / Transcript Course Title only required if different from listing)Required Course title &Quarter Credit UnitsDept &Course #Transcript Course Title(if not completed, list‘In-Progress’ or ‘To Be Taken’)Name of InstitutionTerm / YearHuman Anatomy & Physiology I(Bi231 or higher – 4 quarter credits)Human Anatomy & Physiology II(Bi232 or higher – 4 quarter credits)Human Anatomy & Physiology III(Bi233 or higher – 4 quarter credits)Public Speaking(COMM 111 or higher / 3-4 quarter credits)(Formerly SP 111)Psychology & Human Relations(PSY 101 or higher / 3-4 quarter credits)Introductory Algebra – 2nd Term(Math 65 or higher – 4 quarter credits)English Composition(WR 121 or higher / 3-4 quarter credits)Continued next pageCreditHoursGrade

COURSE INFORMATION (Dept/Course# / Transcript Course Title only required if different from listing)Required Course title &Quarter Credit UnitsDept &Course #Transcript Course Title(if not completed, list‘In-Progress’ or ‘To Be Taken’)Name of InstitutionTerm / YearCreditHoursGradeIntroduction to EMS(EMS 100 – 3 credits) (or FP 101/EM 101)EMT Part 1(EMS 105 – 5 credits)EMT Part II(EMS 106 – 5 credits)Emergency Response Comm/Documentation(EMS 113 – 2 credits)Emergency Response Patient Transport(EMS 114 – 2 credits)(or FP 232)Crisis Intervention(EMS 115 – 3 credits)Emergency Medical Tech Rescue(EMS 116 – 3 credits)(or FP 201)Medical Terminology(MP 111 – 4 credits)Health & Fitness for Life **(HE 295 PE 295 – 3 credits)(or FP 289)NOTES:** HE 295 PE 295; One 4-credit General Education Course – are allowed to be completed with a grade of ‘C’ or higher by the end of Fall Term of the Paramedic Program yearSEE NEXT PAGE FOR GENERAL EDUCATION CREDITS

GENERAL EDUCATION ELECTIVE AAS DEGREE REQUIREMENTS REVIEWMust complete 16 credits of General Education (Gen Ed) Elective Courses (in addition to Program prerequisites previously listed): see PCC Catalog for listing of approvedGen Ed electives for Associate of Applied Science degree (AAS).The 16 credits of Gen Ed electives must include at least one 4-credit course from each of the three categories listed below; 2 Program prerequisites can also be used to satisfy GenEd requirements if on approved list of Gen Ed electives. One possible configuration is listed below – this option would require one additional Gen Ed elective in any area: Arts & Letters - (COMM 111 or higher could be used) Social Science – (PSY 101 or higher could be used) Science and Mathematics - (Bi 112 can be used: it’s not a program pre-requisite, it’s a prereq for a program requirement)**4 credits of General Education can be completed later than Summer Term of the application year (must be completed with a grade of ‘C’ or higher by the end ofFall Term of the Paramedic Program year)COURSE INFORMATIONRequired Course title &Quarter Credit UnitsDept &Course #Transcript Course Title(if not completed, list‘In-Progress’ or ‘To Be Taken’)Name of InstitutionTerm / YearCreditHoursGrade

DO NOT WRITE IN THE BOX BELOW – EMS OFFICE USE ONLYDate Application receivedAccepted:YESComplete: YESNOALTERNATENO Reviewed by:Date Letter Sent:

Portland Community CollegeEmergency Medical Services TrainingPARAMEDIC PROGRAM APPLICANT SURVEYToday’s DateYear you are applying forPlease put check mark at appropriate answer.1. Age:18-25 yrs26-35 yrs36-45 yrs.2. Gender:FemaleMaleNon-Binary46 plusPrefer not to answer3. Ethnicity:Caucasian African-AmericanAsianFilipinoPacific IslanderAmerican IndianHispanicOther4. Do you have dependents living with you?(e.g., children under the age of 18, parents or grandparents)Yes No5. Are you a single parent?Yes No6. Number of children living at home:None 12345 or more7. One-way travel distance from residence to campus:0-10 miles 11-20 miles 21-30 miles31-40 miles 41 or more miles8. Average weekly hours of employment:Not employedEmployed 40 hrs. or less per weekEmployed more than 40 hrs. per week9. Have you had previous paid work experience in EMS or health care?Yes No10.If you responded yes to item 9, please indicate which experiences apply to you:Nurse AssistantLVNRNHealth Information ServicesMedical Dental HygieneRadiologyEMTParamedicPsych. TechSupportive Personnel (housekeeping, dietary, etc.)Military MedicAssistantMedical ClerkOther(write in other)

11.Years worked in EMS or healthcare:Less than 1 yr.1 yr. or more but less than 3 yrs.3 yrs. or more but less than 6 yrs.6 yrs. or moreN/A12.Previous volunteer experience in EMS or healthcare:StudentFire Dept. VolunteerOther Health Care ServiceEMS VolunteerN/A13.Highest post-high school education level completed:NoneLess than 2 yrs.Associate degreeBachelor’s degreeMaster’s degree or above14.Your primary place of residence for the past 12 months:In this country Out of country Out of state in USACollege courses completed with a C average or better. Mark all that logyMedical TerminologyPsychologySociologyHumanitiesCultural Pluralism28.Are you receiving a scholarship or financial aid?Yes (If yes, complete items 29-33. Mark all that apply)No (If no, skip to item 34)29.30.31.32.33.Pell Grant (including SEOG & Oregon Opportunity Grant)EmployerFederal Work-Study ProgramLocal organization scholarshipOther34.Are you (or think you may be) eligible to receive a Grant through any of the following?YesNoDon’t knowPell Grants, Work-Study, JOBS, JTPA, SST, General Assistance,AFDOC, any other form of economic public assistance and/orannual income level below 7,500.00 for single person, 15,000.00 per couple with 1,000.00 additional for dependentchild.35.Did you enter this program as a/an:Generic StudentRe-entryOther

36.The main reason you chose this program:Required to maintain existing jobRetraining after layoffsCareer ladder opportunityCareer changeLifetime goalOther37.How did you learn about the PCC paramedic program?College counselorEmployer/co-workersFriendsFormer student/graduateProfessionals practicing in fieldCollege catalogProgram brochureInternetCareer/health fairIndependent researchHospital/Fire Dept.OtherYOUR TIME TO COMPLETE AND RETURN THIS SURVEY IS GREATLY APPRECIATED! IF YOU HAVEANY QUESTIONS, PLEASE CONTACT THE PCC EMERGENCY SERVICES DEPARTMENT: 971-722-5570Paramedic Program Applicant Survey2019

The Following provides information on requirements for and prerequisites to acceptance into the Paramedic Program. TO APPLY: Preferential evaluation is awarded to applications which are organized and complete. Incomplete applications may be rejected. A